After initiation, the child regularly visits the hospital outpatient clinic where he or she is seen by the dietitian and neurologist, and various tests and examinations are performed. These are held every three months for the first year and then every six months thereafter. Infants under one year old are seen more frequently, with the initial visit held after just two to four weeks. A period of minor adjustments is necessary to ensure consistent ketosis is maintained and to better adapt the meal plans to the patient. This fine-tuning is typically done over the telephone with the hospital dietitian and includes changing the number of calories, altering the ketogenic ratio, or adding some MCT or coconut oils to a classic diet. Urinary ketone levels are checked daily to detect whether ketosis has been achieved and to confirm that the patient is following the diet, though the level of ketones does not correlate with an anticonvulsant effect. This is performed using ketone test strips containing nitroprusside, which change colour from buff-pink to maroon in the presence of acetoacetate (one of the three ketone bodies).
About 20% of children on the ketogenic diet achieve freedom from seizures, and many are able to reduce the use of anticonvulsant drugs or eliminate them altogether. Commonly, at around two years on the diet, or after six months of being seizure-free, the diet may be gradually discontinued over two or three months. This is done by lowering the ketogenic ratio until urinary ketosis is no longer detected, and then lifting all calorie restrictions. This timing and method of discontinuation mimics that of anticonvulsant drug therapy in children, where the child has become seizure free. When the diet is required to treat certain metabolic diseases, the duration will be longer. The total diet duration is up to the treating ketogenic diet team and parents; durations up to 12 years have been studied and found beneficial.
The ketogenic diet is a powerful new tool to hit the mainstream recently. This style of eating has substantial data behind it showing that it can boost fat-burning, reduce inflammation, boost cognitive performance, and more. What has not been covered quite enough are common keto side effects and how you can avoid them to make the best of this powerful eating style.
On the flip side, others—including some medical experts—believe a well-formulated keto diet is sustainable and meets essential nutrient needs; they also point to increasing research linking the diet to potential health benefits.
The adrenal glands make cortisol, which is triggered by stress. Cortisol increases insulin, which will kick you out of ketosis. When you decrease insulin (as with ketosis), you lower stress and lower cortisol. Therefore, the adrenal glands don’t have to work so hard and will function more healthily.
Experts on the ketogenic diet recommend it be strongly considered for children with uncontrolled epilepsy who have tried and failed two or three anticonvulsant drugs; most children who start the ketogenic diet have failed at least three times this number.
As for branched-chain amino acids, you’ll find smart people who swear that they’re keto-friendly, and others who won’t. One of the BCAAs, valine, can be glucogenic, meaning that it can lead to glucose production and potentially contribute to leaving ketosis behind.1 But does that mean it will happen? Not necessarily, particularly if you’re just an occasional supplement user.
Track what you eat. It’s so easy to over-consume on carbs when they’re hidden in just about everything you pick up. Keeping track of what you eat helps control your carb intake and keep yourself accountable.
The ketogenic diet reduces seizure frequency by more than 50% in half of the patients who try it and by more than 90% in a third of patients. Three-quarters of children who respond do so within two weeks, though experts recommend a trial of at least three months before assuming it has been ineffective. Children with refractory epilepsy are more likely to benefit from the ketogenic diet than from trying another anticonvulsant drug. There is some evidence that adolescents and adults may also benefit from the diet.
Keto requires a healthy amount of protein to support organ function, red blood cells and muscles. Note that your protein macro also depends on your daily physical activities. Make sure you know your ideal protein macro and stick to it.
Here’s the Knowledge Stage analogy: Say we are hungry and want to go out to eat. It wouldn’t make much sense to sprint to the nearest restaurant, right? Wouldn’t we be better served to take the few minutes to learn about what’s available, and then make a plan? Yes, we would take the time to Yelp or ask a friend for some knowledge and use that information to decide where we want to go.
It didn’t take long to realize how terrible I felt pre-keto. Like, just irritable and on the edge of exasperation *all the time*. The change in mood and just overall happiness is really blowing me away. I don’t really feel hunger anymore and typically just eat two small meals a day + some bulletproof coffee.
Eggs and full-fat milk are excellent protein sources on a plant-based diet. A single egg contains six grams of protein. If you can tolerate dairy, full-fat, grass-fed dairy products provide beneficial fats and protein.
On a side note, frozen vegetables are usually cheaper than fresh vegetables. If you buy greens in bulk but throw them out often, consider buying frozen. Surprisingly, frozen vegetables are sometimes more nutritious to their fresh counterpart – farms typically freeze greens at peak ripeness, ensuring nutrient density. You may have to cook excess water out occasionally, but it normally isn’t a problem in the final dish.
Jump up ^ Mastriani KS, Williams VC, Hulsey TC, Wheless JW, Maria BL. Evidence-based versus reported epilepsy management practices. J Child Neurol. 2008 Feb 15;23(5):507–14. doi:10.1177/0883073807309785. PMID 18281618
So I’ve been obsessively scrolling through this sub every single day for 4 months and I find that people keep asking the same things over and over. So I thought, why not make a post addressing all these questions in one go. These are my thoughts only and I’m by no means an expert in keto. Do feel free to supplement your thoughts and add any other commonly asked questions.
This will provide you with a good amount of potassium, as well as most of the remaining required nutrients. Furthermore, it will counter all the fat that’s being burned up and coming out through your liver.
During this time, you will likely feel a significant drop in strength and ability to exert physical energy. Luckily, once you become adapted you should see drastic improvements in these areas that are even greater than when you were sugar-adapted!
Coffee with coconut oil and other healthy fats makes for a hot beverage that is highly satisfying. You not only enjoy the richness of this keto coffee, but it also keeps you full for hours. So if you’re watching your weight, it’s actually not a drink to shy away from, but rather, it could be a coffee change that helps your weight loss efforts.
Possible therapeutic uses for the ketogenic diet have being studied for various neurological disorders in addition to epilepsy: Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), autism, brain cancer, headache, neurotrauma, pain, Parkinson’s disease (PD) and sleep disorders.
If you’re finding yourself hungry throughout the day, you can snack on nuts, seeds, cheeses, or peanut butter to curb your appetite (though snacking can slow weight loss in the long term). Sometimes we can confuse the want to snack with the need of a meal. If you’re in a rush and need a keto fast food option, there are some available.
Those on a ketogenic diet also report experiencing harsher hangovers compared to when they ate a high carb diet. While there aren’t definitive studies proving why this happens, dehydration and an imbalance of electrolytes seem to play a part. Both dehydration and electrolyte imbalance can occur when you drink alcohol and when you’re in ketosis, creating the perfect storm for intense hangovers.
You cannot use a Nutribullet because there is no way for the hot steam to escape and you will have a mess. I have a Black and Decker high speed blender that works fantastic. I chose this blender for it’s powerful wattage, compared to the others that were available at the time in a similar price range. It also has a glass jar and is dishwasher safe. Any blender should do if it okay to use hot liquids in it.
The ketone bodies are possibly anticonvulsant; in animal models, acetoacetate and acetone protect against seizures. The ketogenic diet results in adaptive changes to brain energy metabolism that increase the energy reserves; ketone bodies are a more efficient fuel than glucose, and the number of mitochondria is increased. This may help the neurons to remain stable in the face of increased energy demand during a seizure, and may confer a neuroprotective effect.
Constipation is a key sign that you are not maintaining electrolyte/mineral balance during keto adaptation. The consistency of someone’s stool, and therefore the ability to pass that stool, is heavily influenced by its water content. The water content of your stool is likewise influenced by your overall hydration levels.
I’m still relatively new to the Keto world. It was my goal this year to get a better handle on my health (even though I’ve always been fairly health conscious). That said 7 years ago I had been diagnosised with an autoimmune disease called vitiligo and have resulted in having to take immunosuppressant medication for treatment. I am excited
This approach is very similar to the standard (SKD) approach. The primary difference is the protein intake. While a standard keto diet will include moderate protein, here you up your protein intake considerably.
My son who is 38 years old, started a Keto Diet about three months ago. In September and October of 2017, we found number 4 and 5 fast-growing astrocytoma brain tumors. In February of last year, they found brain tumor three. It was treated with a high 30-minute dose of radiation, followed by 5 days on and 23 off, oral chemo plan for 12 months and it has shown no growth (The first and second tumors were surgically removed in 2008 and 2013 and these were given 5 weeks of radiation treatments, the second received a 6 month oral chemo treatment).
One of the best ways to get your body keto adapted quickly is through the use of exogenous ketones. Exogenous ketones are a supplemental form of ketones that are identical to the ketone bodies (Beta-hydroxybutyrate or BHB) that our body makes.
The ketogenic diet is a high fat, low carb and moderate protein diet. Many individuals have experienced success on keto in regards to weight and fat loss, as well as improvements in memory, focus and symptoms for a wide variety of ailments and diseases.
Because consuming even up to 30–50 grams of net carbs daily is still dramatically less than what most people eating a “standard Western diet” are used to, many will still experience weight loss eating slightly more carbs.
Dark green and leafy is always the best choice for vegetables. Most of your meals should be a protein with vegetables, and an extra side of fat. Chicken breast basted in olive oil, with broccoli and cheese. Steak topped with a knob of butter, and a side of spinach sauteed in olive oil.
The 44-year-old went on to add that fads like the ketogentic diet—which has been praised by stars like Kourtney Kardashian and Halle Berry (who is a diabetic)—might influence people to think they “can eat whatever” in terms of quantity of food, when in fact the opposite is true.
Although egg yolks are high in cholesterol, consuming them doesn’t raise blood cholesterol levels in most people. In fact, eggs appear to modify the shape of LDL in a way that reduces the risk of heart disease (37).
Sugar alcohols are much better: non-GMO erythritol and xylitol are great. Stevia is the best, since it has a zero glycemic effect. You can even get soda-flavored xylitol that you can add to water to enjoy the taste of a soft drink without the insulin spike.