When you’re on a ketogenic (keto) diet, you aren’t consuming the high-carbohydrate foods that instigate oxidation and the formation of dangerous plaque in your arteries.

Instead, you replace those carbs with good fats that boost your HDL cholesterol levels and increase the size of LDL cholesterol particles — both of which help to balance your body’s natural cholesterol levels.

Research has also shown that the keto diet, specifically, increases levels of HDL so it can corral LDL before it oxidizes; improves the LDL to HDL ratio; lowers triglyceride levels; and improves the triglyceride to HDL ratio.

If a lipid test reveals that your LDL levels are high but your LDL particle number is normal, you likely don’t have to make any adjustments to your diet. But for the small percentage of people who experience heightened levels of cholesterol on the keto diet, and want to make adjustments, there are natural ways to manage your cholesterol.

AHCC. A shiitake mushroom extract, AHCC contains glucans, which can help naturally boost the immune system, decrease certain innate immune signalers, and decrease inflammation. AHCC is an excellent supplement to improve gut health after cholesterol has been absorbed through the gut. Due to its anti-inflammatory powers, AHCC also works to help regulate the immune system — similar to HDL.

Omega-3 fatty acids and fish oil. If you have high levels of cholesterol, replace some of the saturated fats you are eating with monounsaturated fats. Fatty fish, olive oil, avocados, and nuts are all packed with monounsaturated fats and have been shown to lower cholesterol. If you don't have a stomach for fish, incorporate omega-3 fatty acids and fish oil supplements into your diet instead.

Niacin. Taking a niacin supplement, also known as vitamin B3, is another natural way to lower your cholesterol levels. Studies show niacin has the ability to boost your HDL levels, sometimes up to 30 percent.

A low-carb diet like the keto diet is an effective and healthy diet for most people. A small percentage of people, however, may need to make adjustments in order to make the diet work for them.

While supplements can be helpful in controlling your cholesterol, they’re most beneficial when used to augment the combined efforts of eating a low-carb diet and getting regular exercise. Your good health — and its longevity in the future — depends on the good habits you form today.