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A low-carb or keto diet can have many benefits, but not everyone needs to be on one. This guide presents some things to consider when choosing whether or not this kind of diet is right for you. You can also read about a scientific paper exploring the potential contraindications for a keto diet. Do you need low carb? Do you have health concerns that a low-carb or keto diet might help? Reducing carbohydrate intake — a little or a lot — can be an important first step in improving a number of health issues, especially obesity and metabolic issues.