Keto Diet Reduces Liver Fat 67% Versus 45% in Head-to-Head Trial
A randomised controlled trial at Washington University compared a ketogenic diet against Mediterranean and low-fat plant-forward diets in adults with obesity, prediabetes, and fatty liver disease, finding that despite equivalent weight loss across all groups, the ketogenic diet reduced intrahepatic fat by 67% versus 45% and reversed prediabetes in 50% of participants.
- All three groups achieved the same roughly 10% body weight reduction, isolating carbohydrate restriction as the variable behind the differences
- 67% liver fat reduction is a clinically meaningful result for a condition affecting 25-30% of adults globally
- Study published in Cell Metabolism; trial registration and full methodology are publicly available