I personally experienced an increased physical stamina and physical performance in many other ways, when I switched to a HF LC diet. I do not understand why some people would experience a decline? Perhaps their bodies are so used to glucose that they have difficulties in switching over, or perhaps they didn't give it enough time.
As far as I know, most (but not all) body tissues such as most muscles can use ketone bodies, fats or glucose as fuels, alternatively and at will. If one is in short supply they switch over to use the other two. I know of the following exceptions:
1) heart muscle can use ketone bodies primarily, glucose only in emergency and avoids using fatty acids except under pathological circumstances.
2) Brain and neural tissues uses ketone bodies and glucose (glucose - without insulin!) alternatively. It cannot or does not use free fatty acids.
3) Erythrocytes (red blood cells) - use exclusively glucose anaerobically. They cannot use any other fuel. That's the ONLY reason why we (and other mammals) must maintain at least 60mg/dl of blood glucose concentration at all time!
4) Eye cornea tissue - can only use glucose because (like erythrocytes) does not contain mitochondria.
5) Neural tissue in the spinal cord. This is still not well researched so what I will put here is somewhat speculative. Spinal cord appears to be using either only ketone bodies exclusively or some other yet unidentified energy carrier from the liver.
Interestingly, the 3 main body fuel types can be classified as:
a) hydrogen carriers, reductors - ketone bodies,
b) hydrogen and carbon carrying reductors - fats,
c) dual role "redox" fuels, that is carbon carriers (reductors) or oxygen carriers (oxidant) - which for example is glucose
Out of those the first type is the cleanest and the last is the most polluting in terms of metabolic residuals and free-radical stress.
H.