Emphasis added. NO improvement on lipid markers.

That’s false.

I was quoting the study itself. How can quoting the study itself be "false"?

Decreases in cholesterol were statistically and clinically significant at all 3 time points (3, 6, and 12 months).

That's false. Let me quote your study again

"Mean cholesterol reduction was greater with the WFPB diet, but **the difference was not significant compared with normal care* (0.71 vs 0.26, difference: 0.45 mmol l−1 (95% CI±0.54), P=0.1), unless dropouts were excluded (difference: 0.56 mmol l−1 (95% CI±0.54), P=0.05). "

Here is their data --

Baseline 12months
5.4 (0.5) 5 (0.6)

How is that a change? How did that benefit people at a year out? That's not a significant change.

In your study the keto group experiences an increase in cholesterol (8-13%), so much for keto reducing cholesterol.

I should be more clear that the study I linked was NOT keto -- you can tell as they didn't measure ketones. The participants HDL went up more than LDL.

At 12 months H1Ac changes

HbA1c (%) Baseline 6.6 (6.3, 6.9) 6.9 (6.6, 7.2)
12 months