Exploring the potential of ketogenic diets in managing epilepsy

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Epilepsy News

Anticonvulsant,Brain,Brain Stimulation

The mechanisms of action, efficacy, and side effects of ketogenic diet (KD) variations in epileptic patients.

By Pooja Toshniwal PahariaApr 26 2024Reviewed by Lily Ramsey, LLM In a recent review published in Nutrients, researchers investigated the mechanisms of action, efficacy, and side effects of ketogenic diet variations in epileptic patients.Background Epilepsy is a neurological illness that has harmful effects on the central nervous system, hepatotoxicity, and teratogenicity.

Ketogenic diet variants, recommendations, mechanisms, and adverse effects KD is a high-fat, low-carbohydrate, and low to adequate protein diet that results in ketone bodies. It contains a 4:1 weight ratio of lipids to nonlipids, with fat accounting for 80% of total calories, proteins for 15%, and carbohydrates for 5.0%.

They also restore the gut microbiota, activate adenosine triphosphate -sensitive potassium currents, boost mitochondrial oxidative phosphorylation, improve antioxidant production, and inhibit the mammalian target of the rapamycin pathway. KDs also balance the brain's excitatory and inhibitory neurotransmitter systems.

Research on ketogenic diet efficacy in epileptic patients Randomized clinical trials have compared the effectiveness of standard antiepileptic medication to the MAD in treating intractable seizures in children. Randomized controlled trials demonstrated that patients who reached seizure-free status on the ketogenic diet may remain on it even if they experienced breakthrough seizures.

 

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