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Is a ketogenic diet an effective, affordable, and sustainable solution for long-term metabolic health? A new publication looking at the real-world implementation of ketogenic therapy challenges the misconception that a ketogenic diet is unsustainable or too expensive. 82% of participants maintained the diet for an entire year, improving their health while saving an average of $1,700 per person by reducing the need for medications by an average of nearly 2 medications per patient. Beyond cost savings, participants lost an average of 43 pounds in one year—results that match or exceed those of GLP-1 medications like Ozempic and Wegovy. At Metabolic Mind, one of our key missions is to increase payor coverage of metabolic therapies, ensuring that cost-effective interventions like ketogenic therapy are accessible to those who need them most. Studies like this one reinforce the idea that ketogenic therapy, with the right support, is a practical, effective, and cost-saving approach to metabolic health. *Studies Mentioned:* _TOWARD, a metabolic health intervention, demonstrates robust 1-year weight loss and cost-savings through deprescription_ - https://doi.org/10.3389/fnut.2025.1548609 Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/. *About us:* Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them. Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. *Timestamps:* 0:00 - Introduction to Dr. Tro’s new paper on GLP1’s vs ketogenic diet. 1:20 - Is the ketogenic diet sustainable and worth implementing? 2:33 - How much weight did ketogenic dieters lose? How does this compare to GLP1 medications? 2:58 - Why is it important for businesses to consider ketogenic therapy for their workers? 4:38 - Why is this study from Dr. Tro important? What can it help change?