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Absolute VO2 peak declined slightly and relative VO2 peak was unchanged in one uncontrolled study of 6 weeks on a ketogenic diet. There's unlikely to be a notable change on a ketogenic diet, though uric acid declined considerably more on a control diet in one study. Mixed results, and the study that found the large reduction observed considerably more weight loss in the ketogenic group. Most studies have found a reduction, and the one that didn't was far too short to evaluate the effect of a ketogenic diet. Studies have found notable increases in studies where calories are matched and when they're's more weight loss in the ketogenic group.