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And in people with epilepsy, those following a ketogenic diet for over a year were more likely to develop hyperlipidemia, which is when there s too much fat as cholesterol and or triglycerides in the blood. When getting started on a keto diet plan, it s important to familiarize yourself with what you can and can t eat. You re told you need to simply consume fewer calories than you burn and you ll lose weight, regardless of where those calories come from. Within 8 days of starting the diet, she reported no hallucinations and improved energy.