All psychiatric medications need to be carefully monitored by a prescriber when their patient is moving to a ketogenic diet as a treatment for mental illness or neurological disorder. (1/6)
Two important psychiatric medications to pay attention to when using a ketogenic diet are anticonvulsants and lithium. Their blood levels can change early on in treatment. (2/6)
You can learn more about medications and ketogenic diets by listening to @GeorgiaEdeMD on this video by @metabolic_mind (3/6)
@GeorgiaEdeMD@Metabolic_Mind Yes, your prescriber will help you monitor these AND you need to educate yourself so you can self-advocate and seek second opinions as needed. (4/6)
@GeorgiaEdeMD@Metabolic_Mind Understanding how to prescribe and deprescribe people on a ketogenic diet is a skill your prescriber may not know. They did not teach them this in medical school. But you can find prescribers who have had this training. (5/6)
@GeorgiaEdeMD@Metabolic_Mind It's about changing your diet, altering your brain metabolism, increasing your nutrient intake, and finding a cooperative prescriber. Sound overwhelming? It can be without support. But you totally got this! (6/6)
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So you're talking to your doc about the use of a ketogenic diet to treat your mental illness, and they basically tell you that they are dangerous. What to do? 🧵(1/10)
Some physicians are misinformed and believe there are concerns over cardiovascular risk, decreased bone health, and strain on the kidneys. (2/10)
However, there is no good evidence to support these claims. In fact, some studies suggest the opposite. Once again, I am sorry for the inconvenience, but you are going to have to educate them and self-advocate. (3/10)
Did your doctor refer to the #ketogenic diet as a fad? Well, I'm sorry. But you're going to have to take a moment to educate them. 🤷♀️It's time for a thread. 🧵(1/7)
A common concern is that the ketogenic diet is just a fad weight loss diet & won't help with mental illness. This is far from the truth. (2/7)
The ketogenic diet has been used as a medical intervention for over 100 years to treat seizures in children with epilepsy. It's also used for adults with epilepsy. (3/7)
The confusion arises as #Physicians are taught about #Ketoacidosis, a severe condition in people with Type 1 Diabetes or alcoholism. The determining factors for Ketoacidosis are either a lack of insulin with high blood sugar & ketone levels above 5mmol/L or severe malnutrition.
But being in Nutritional #Ketosis is normal & healthy, and should not be equated with Ketoacidosis. It's important to educate ourselves & our #physicians about the difference between these two concepts.
Wondering what research to print out and bring to your doctor when you discuss the use of a ketogenic diet to treat your mental illness? Trying to put together your team to support you in your goal to feel better? Let's do a thread! 🧵 (1/8)
You can also print out the first page abstracts (some articles are really long), and some of you even have ways to send these via email to your docs. Here we go! (2/8)
Sethi, S., & Ford, J. M. (2022). The Role of Ketogenic Metabolic Therapy on the Brain in Serious Mental Illness: A Review. Journal of psychiatry and brain science, 7(5). jpbs.hapres.com/UpLoad/PdfFile… (3/8)
Some of you want to consider the ketogenic diet to treat your mental illness or neurological symptoms, but hearing about the potential for the Keto Flu has scared you off! Let's talk about how to avoid it. (1/6)
It's a common experience for those starting a ketogenic diet, especially if you have drastically cut carbs very quickly trying to get into a state of ketosis. Gradually reducing carbohydrates and increasing healthy fats can also help minimize symptoms. (2/6)
Luckily, keto flu symptoms can be treated. First, you need to increase your water intake and be very diligent about your electrolytes. Sodium, potassium, and magnesium. (3/6) #electrolytes
There are positive effects of the #ketone body beta hydroxy-butyrate (BHB) on vascular function. Why? Very likely, the following things that we already know BHB does. And quite frankly, there are likely additional mechanisms that haven't even been discovered yet. 🧵(1/10)
BHB lowers high blood sugar, and that reduces the production of reactive oxygen species #ROS and #inflammation mediators. In other words, BHB reduces Oxidative Stress (2/10)
BHB increases endogenous #antioxidant production by upregulating gene expression in those pathways. So yes, #BHB reduces Oxidative Stress from that mechanism as well. (3/10)