Elevated desmosterol levels in individuals following ketogenic or carnivore diets are a normal consequence of activated metabolic pathways shared with cholesterol synthesis.

“the DES master all is an indication of how much cholesterol our bodies are making and in carnivores people want ketosis I always see an elevated this monster all because these pathways are being activated and these pathways are shared between ketogenic pathways and cholesterol pathways that is what happens we make more cholesterol that's why LDL goes up on these diets so the DES monster all is not something to worry about it's gonna be high I don't think it's something that most people need to get”