yankees60 wrote: ↑Thu Mar 12, 2020 6:03 pm
WiseOne wrote: ↑Thu Mar 12, 2020 3:55 pm
Yes, the keto diet is the most effective treatment for epilepsy that exists apart from resective brain surgery. It gets a higher response rate than anticonvulsant medications or implanted devices - about 75% response rate compared to 50% or less for these other treatments. It is also used in the ICU for cases of refractory status epilepticus (e.g. in acutely brain injured patients).
Ketogenic diets have also been shown via controlled clinical trials to be effective in several other conditions: type 1 and 2 diabetes, mild/early stage Alzheimer's, cardiovascular risk factors including high blood pressure and triglycerides. There is also lab and anecdotal human evidence that it can be effective against some cancers.
It is frankly shocking to me that it is considered a "fad" diet and is not widely used.
You are the medical expert. And, I may well be classified as the farthest from a medical expert as one can be.
Why do you think you can determine that he's right, then?
Here is what Dr. Fuhrman has written.
There are two types of ketogenic diets: one consists of high-fat and low carbohydrate; the other is high protein with low carbohydrate.
Meh. I say a diet is ketogenic when ketones can be detected on the piss strips. Although you are probably "in ketosis" on a low fat, low carb diet, ketones might not accumulate to a sufficient level for you to piss hot. On a high fat, low carb diet you will. In addition, his classification don't really mean anything. What makes a diet high fat, medium fat, etc? I suspect he's talking about ratios, but he isn't . If someone eats 300g of fat and 210g of protein a day, is he eating a high fat, low protein diet? 90g and 80g? The words high and low don't really tell you much.
Under normal circumstances, the brain uses glucose exclusively to produce energy. However, when carbohydrates, the supplier of glucose, is insufficient, the body goes into an emergency state, known as ketosis, whereby the brain uses ketones (derived from fat) as an alternative or emergency fuel source. These diets aims to keep the body in chronic ketosis.
Ketosis isn't an "emergency state." Sure sounds scary though!
Also, the things in his Nutritarian bullet points, except beans and berries, can be eaten by someone on a keto diet. Tim Ferriss's Slow Carb diet is pretty much a cyclical keto diet (CKD) with beans.
The traditional high-fat ketogenic diet does have the advantage of limiting animal protein, but it is almost impossible to live on oils, nuts and seeds and animal fat without consuming animal protein along with it.
He's talking about the anti-epileptic variant of the ketogenic diet, where the ratio of fat needs to be kept very high (probably for the reason I mentioned above). If you don't need to keep the protein low due to epilepsy, you can eat meat, but he's trying to make it sound as bad as he can. He really loves beans.
But look, if eating beans, nuts, berries and vegetables what you like doing, more power to you.