Macro partitioning

An isocaloric ketogenic diet significantly lowers fasting triglycerides but raises fasting total, HDL, and LDL cholesterol compared to a baseline diet in men with overweight or obesity.

Switching to a ketogenic diet will likely lower your triglycerides but raise your total, LDL, and HDL cholesterol. This mixed effect means you should monitor your full lipid panel, not just triglycerides, to assess cardiovascular risk.