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Unpack the complexities of A new systematic review and meta - analysis ( PMID - 33624538 ) examined... as we shed light on how it impacts 33624538 today. A new systematic review and meta-analysis (PMID: 33624538) examined the effects of studies comparing people who consumed ketogenic diets vs non-ketogenic diet on lean body mass gains while resistance training This meta-analysis included 13 studies with 244 total subjects. What they found was that people who consumed a ketogenic diet & resistance trained actually LOST 1.26kg of LBM on average! This is unique in that most studies on diet that utilize resistance training show increases in LBM or maybe slight decreases in LBM (if calorie restricted) Possible reasons for this are: Impeded resistance training performance due to low carbohydrate intake Increased nitrogen losses Increased loss of LBM fluid Decreases in muscle protein synthesis and increases in muscle protein breakdown due to reduced insulin The good news f...