A paper was recently published titled, “Ketogenic Diets are Associated with Elevated Risk for All Cancers.” Grab your popcorn—scratch that, your pork rinds—because this study is so comically bad, it's more entertaining than alarming. Let’s dive in. 🚨Here’s the first red flag: their most ketogenic quintile consumed a diet that was 37% of calories from carbohydrates—amounting to 181 grams of carbs per day. Yes, their "most ketogenic" group was eating as many carbs as you'd find in 12 slices of bread. That fact alone disqualifies the paper's title claim —“Ketogenic Diets are Associated with Elevated Cancer Risk.” But for the sake of curiosity (or comedy?), let’s keep going. They used something called the Dietary Ketogenic Ratio (DKR), a rather obscure formula (more on that below) that assigns a score from 0 to 9 based on a diet’s potential to induce ketogenesis—with higher numbers indicating greater ketogenic potential. However, in their analysis, all effects became statistically non-significant above a DKR of 0.44—because 0.44 is barely scratching the surface of the scale. In other words, most of their supposed “ketogenic” range produced no significant findings. Even more absurd: using their method, a high-carb diet with 200 grams of carbs per day can yield DKR scores that are equivalent to medical 3:1 or 4:1 ratio (87–90% of calories from fat) with respect to the supposed cancer risk, as stated in the title. 😂That’s not just misleading—that’s “Turned you around 12 times, stuffed you in a barrel and sent it down Niagara falls.” 🍒And the cherry on top: they calculated the DKR using macronutrient data collected from a two-day retrospective food questionnaire. That’s right—participants recalled what they ate over two days, reported it, and then the authors through a non-standard formula which, again, showed mostly non-significant results. All of this in a population that, even in the lowest-carb group, was still consuming a loaf of bread’s worth of carbs per day. Thoughts? cc @janellison @bigfatsurprise @AKoutnik @BenBikmanPhD @lowcarbGP @davidludwigmd @Metabolic_Mind