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I don't know what epidemiologic studies have been done to assess all cause mortality. I can only speak for myself. A mostly-vegetarian doctor-recommended diet for 20 years left me fighting diabetes, hypertension, joint aches, and a host of other ailments. The more I listened to doctors and the AMA and AHA the worse I got - even though they had me on meds that were supposed to help. The keto diet combined with occasional intense (HIIT) exercise reversed all that. I am healthier and more energetic than I was in my 20's and 30's. I'm now in my 60's. Same for my blood panels. They are improved in virtually every category. 

I can't speak for anyone else's body or any one else's unique genetics. I can only relate my own experience. If I had continued following the established medical system's advice it would have put me in an early grave.