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My neurologist proscribed the ketogenic diet for me.

June 13
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Great news — the ketogenic diet isn't just for kids! In 2020, the first official guidelines recommending the ketogenic diet for adults with drug-resistant epilepsy were published. Research suggests it may reduce seizures in up to 60% of adults whose medications haven't been working well. A MyEpilepsyTeam member shared this Show Full Answer

Great news — the ketogenic diet isn't just for kids! In 2020, the first official guidelines recommending the ketogenic diet for adults with drug-resistant epilepsy were published. Research suggests it may reduce seizures in up to 60% of adults whose medications haven't been working well. A MyEpilepsyTeam member shared this helpful insight about starting the diet:

"You definitely don't want to make dramatic or sudden changes because then you're just inviting seizures. Even the implementation or starting with the ketogenic diet is a process... The main attribute of the keto diet is that it introduces more stability throughout the body."

That's a really important point — it's a gradual process, not an overnight switch. A few things worth keeping in mind as you get started:

- If you take zonisamide (Zonegran) or topiramate (Topamax), speak to your neurologist as these can interact with the diet
- Watch for side effects like fatigue, constipation, or kidney stones
- Nutrient deficiencies can occur, so a supplement may be recommended
- Stay well hydrated to help reduce kidney stone risk

Medical supervision is essential, especially at the beginning. Your neurologist prescribing it is a great starting point — working closely with them (and possibly a dietitian) will give you the best chance of success.

June 13

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