So thanks, again, especially for challenging my suggestions when it’s often risky here in internet as you’d often get negative pushback and most wouldn’t bother to subject themselves to that.

The greatest joy I’ve found on lemmy is collaborative constructive discussions where people don’t agree, but are open to other people’s ideas. Thank you for being a thoughtful person.

just a completely unrelated blood draw revealed problems with my blood glucose before it ever got to diabetes, and also revealed some (luckily minor) damage to my liver due to fatty liver.

If you haven’t heard of the TG/HDL ratio as a marker for insulin resistance, its a fascinating area of research. It’s on all lipid panels and can tell people about creeping insulin problems (i.e. CVD risk, FLD risk) - https://hackertalks.com/post/5922188

ketogenic diet is very good for the latter (fatty liver, perhaps inner fat in general I think?)

Yes, all visceral, inter organ fat, inter muscular fat - resolve quickly on a ketogenic metabolism.

I was advised to return to more normal diet but with strictly reduced carbs so as to not let the problems resurface.

I’m not aware of any dangers of staying keto full time, so I don’t think the return to a carb based metabolism is necessary (but if that is what people find more sustainable, more power to them)

And when doing any bigger diet changes, it’ll be good to have a baseline from before it, to compare against at different points of the diet.

100%