A member asked:

I have type 2 muscle fiber predominance as shown on muscle biopsy. would doing a keto or very low carb diet long term have adverse muscle symptoms for someone with type 2 fiber predominance?

A doctor has provided 1 answer
Dr. Daniel Ziegler answered

Specializes in Emergency Medicine

Type 2 muscle fiber predominance is a rare congenital condition where the ratio of slow-twitch aerobic fibers to fast-twitch anaerobic fibers is decreased. Nuanced changes in the metabolic environment, and this diet strikes at the heart of the issue (aerobic vs anaerobic), in theory, might alter symptoms, but for better or worse? Find a muscle metabolism expert and maybe you can help them help you

Answered 6/4/2022

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