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Risks associated with the Carnivore Diet include the development of yellow skin lesions known as xanthelasma, caused by cholesterol deposits accumulating under the skin. This condition was observed in a man following an extreme carnivore diet consisting mainly of high-fat animal products. The case, documented in JAMA Cardiology, underscores the potential dangers of highly restrictive eating plans and emphasizes the significance of maintaining a well-rounded and balanced diet. It serves as a cautionary tale regarding the risks linked to significant dietary alterations.

Cholesterol Manifested on the Man’s Hands
The man, in his 40s, had been following an extreme carnivore diet for eight months, consuming 6–9 pounds of butter, cheese, and hamburgers daily. Initially, he reported feeling better with weight loss, increased energy, and improved mental clarity. However, after several months, yellowish lesions began to appear, first on his eyelids and then spreading to the palms of his hands, soles of his feet, and elbows. These lesions, identified as xanthelasma, indicated a severe elevation in his cholesterol levels.
Everything to Know About Xanthelasma
Xanthelasma is characterized by yellow, raised deposits of cholesterol that accumulate under the skin. These lesions are not typically painful but are a visible sign of underlying lipid metabolism issues. While xanthelasma itself is not dangerous, it can be indicative of an increased risk of developing serious conditions like cardiovascular disease, stroke, and liver problems.
Xanthelasma is relatively rare, impacting about 1% of patients with high cholesterol. It is often associated with familial hyperlipidemia, a genetic condition that impairs the body’s ability to process cholesterol. However, as this case demonstrates, extreme dietary habits can also trigger the condition.
Can Xanthelasma Be Treated?
While lowering cholesterol levels can prevent the formation of new lesions, existing xanthelasma typically requires direct intervention for removal. Treatment options include:
- Surgical Excision: Physical removal of the cholesterol deposits.
- Liquid Nitrogen: Freezing off the lumps.
The Dangers of an Extreme Carnivore Diet
The carnivore diet, which involves consuming primarily animal products, has gained popularity for its potential short-term benefits like weight loss. However, this case illustrates the significant risks associated with such an imbalanced diet. The extreme intake of fats, in this instance, led to a five-fold increase in the patient’s cholesterol levels, overwhelming his body’s ability to process it.
High cholesterol levels can lead to numerous health complications, including:
- Cardiovascular Disease: Increased risk of heart attack and stroke due to clogged arteries.
- Arterial Damage: High cholesterol can damage the arteries over time.
- Other health issues: Although less common, high cholesterol can also result in liver problems.
This case underscores the importance of consulting healthcare professionals before making drastic changes to one’s diet. While some may experience initial benefits from restrictive diets, the long-term consequences can be detrimental to overall health. A balanced approach to nutrition, coupled with regular medical check-ups, remains the safest and most effective path to well-being.