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Talk:Ketogenic diet

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that should be called X, if nobody in the history of Knowledge has written such an article. Write that article and we can discuss names. It has been noted many times that the professional literature does not discuss epilepsy treatments and weight loss treatments together (vs mentioning one in passing). Wrt Psychologist Guy's comments, I think one of the problems is the hostility shown towards weight loss options, as demonstrated by the carb article calling it a fad diet. Pejorative terms just inflame things unnecessary and there are no weight loss treatments (outside of drugs and surgery) that work long term on a reliably significant number of people, so I think pulling out KD as one option to scorn is hypocritical. The American Heart Association can recommend certain diets all it likes, but there isn't really evidence people choose them and stick to them any more than any other diet. --
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you are going to make those claims. The same source says that a ketogenic diet increases the risk of heart disease and kidney stones. Due to the increased CVD risk, cardiology organizations do not recommend keto. As for your claims about keto improving liver disease, there is not any good clinical evidence for this. Your source does list some papers but there are no good systematic reviews on this because again the evidence is limited and not conclusive. Harvard Health says that keto could be worse for the liver
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websites. But there are serious scientists researching this diet beyond epilepsy and their work is covered by reliable secondary sources. That is what counts on Knowledge. For example, have multiple articles on cancer research, both on prevention and cure, that cover topics that are a long long way from being proven by systematic reviews of randomised controlled double blind trials. --
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into this page as the accepted medical definition of a ketogenic diet is one that produces elevated levels of blood ketones in non-diabetics. Even if those diets are not as extreme as the ones for treatment of epilepsy, words and phrases change meaning over time and this definition has been used by many peer reviewed articles and should be accepted.
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PG, while you are correct, I don't think there is a need to be quite so harsh on every visitor to this page who has read something promising about this diet in an area outside of epilepsy. There are lots of things one could take a hardline no-evidence/speculation approach to. Lots of very very bright
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substitute for blood glucose as a source of energy." You need to read past the introduction. Also, "Most organs and tissues can use ketone bodies as an alternative source of energy. The brain uses them as a major source of energy during periods where glucose is not readily available. This is because,
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This is not correct. Medical organizations do not recommend the keto diet for weight loss, nor do any health guidelines. The StatPearls source you cited admits that there is no long-term health outcome data on keto and weight loss. The evidence is only short term, much more clinical data is needed if
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There is also a significant amount of emerging research that shows ketogenic diets for weight loss are not a "fad diet" but rather have proven scientific evidence showing that they work also for treatment of fatty liver disease (as one example). The use of a keto diet for weight loss should be merged
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But "effective" to the degree that anything becomes a recommended therapy by multiple organisations is an extremely narrow focus for "can be mentioned at all on Knowledge". I agree we should not be a dumping ground for every piece of speculative research ever mentioned by nutritionists and wellbeing
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fat content for adults who are on the very most extreme keto diets for weight loss and other goals. Most adults on a "keto" diet plan for 60% to 80% of calories from fat (and then they cheat). Most kids on this diet get 90% of their calories from fat (80% of their food by weight), and cheating has
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about the medical diet for treating epilepsy. The diet for epilepsy eats far more fat than even the highest estimates for the Inuit diet. The Inuit diet is estimated to have included high levels of fat, amounting to 25% to 35% of the food by weight. A typical diet to treat epilepsy is 80% fat by
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This has been discussed many times on this page (see archive). I don't think a name change is likely to win approval because nobody has shown any inclination to write a proper article on e.g. ketogenic diet for weight loss. It's all well and good saying Knowledge should have an article about X(a)
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Any diet that metabolizes any fat at all is "ketogenic", because ketones are the natural, unavoidable metabolic byproduct of eating fat. Even everyday, normal diets are "ketogenic" at some level. This article is not about weight loss or body building, which produce higher levels of ketones than
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A voluntarily chosen diet for adults hoping to lose weight is not a diet for kids who are at risk of dying from uncontrolled seizures. These are different subjects. Therefore, they get separate articles. If you are jealous because the article about the pediatric epilepsy treatment got written
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people "speculate" on what the planets in our solar system or further afield are made of but good luck persuading the folk editing those articles to accept your "it is just speculation and should be deleted" approach. I think currently the "Other medical applications" section is out of step
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etc but as we all know it isn't. All these organizations are up to date with the latest research and most put out consensus statements. They advise against the keto diet for the general population because it raises ApoB/LDL which we know increases cancer and heart disease risk. There is no
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wise, with what reliable sources say when discussing the ketogenic diet as a medical therapy. We are here to write encyclopaedically about a subject, with weight according to what reliable sources do. We aren't here to restrict information solely to what is in current clinical practice. --
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In the first part of the article it says that ketone bodies are used by the brain but the brain runs on glucose even in ketosis. Even when eating no carbs your body converts some of the protein you eat to glucose in order to power the brain. This is called gluconeogenesis.
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I think we'd need a secondary source focused on the ketogenic diet in a quality journal before we can mention this theory. These are also both nearly 10 years old papers, so if this was a notable thing then we should be able to find current publications mentioning it. --
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Yes, the brain always requires a minimum amount of glucose to function. Also I read the entire article, my critique is about the way it is worded in the head of the article because I feel like it is misleading people to think the brain can run on only ketones, which is
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unlike other organs in the body, the brain has an absolute minimum glucose requirement." (Dhillon KK, Gupta S. Biochemistry, Ketogenesis. 2023 Feb 6. In: StatPearls . Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 29630231.)
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I also don't understand why the first paragraph of the article only describes ketogenetic diets as a therapy for epilepsy, when emerging evidence is showing it can be helpful in a variety of conditions, including traumatic brain injury:
1459:" – because "the accepted medical definition", and the original source of the word, was astrology, and only later did it come to mean a disease caused by a particular group of viruses, so they're all the same thing, right? 1390:
Bueno NB, de Melo IS, de Oliveira SL, da Rocha Ataide T. Very-low-carbohydrate ketogenic diet v. low-fat diet for long-term weight loss: a meta-analysis of randomised controlled trials. Br J Nutr. 2013 Oct;110(7):1178-87.
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Look at high-quality reliable sources about your subject to identify possible names for the subject – in this case, "ketogenic diet" is the most widely used name for this treatment for epilepsy, and has been for the last
2059: 1470:. Maybe that would stop people from thinking that "their" title is used on the "wrong" subject, or that epilepsy treatments and weight loss are the same thing. In the meantime, the information you seek is at 478:
Determine whether the common name used by sources is already used for another article – it wasn't, so we used it. Note that this article was named in 2004, a full decade before the "keto" diet trend started.
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Sada N, Lee S, Katsu T, Otsuki T, Inoue T. Epilepsy treatment. Targeting LDH enzymes with a stiripentol analog to treat epilepsy. Science. 2015 Mar 20;347(6228):1362-7. doi: 10.1126/science.aaa1299.
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Some adults follow a high-fat diet as a lifestyle choice, and some other adults follow a high-fat diet for weight loss. There are two main reasons why adults follow a high-fat diet. The word
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Paoli A, Rubini A, Volek JS, Grimaldi KA. Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets. Eur J Clin Nutr. 2013 Aug;67(8):789.
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first, and thus got this name, then that's entirely understandable but not a reason to think that kids who could die are the same as adults who want to shed a few pounds.
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A quick google search will find the plethora of other papers that does not consider the definition to be a diet used only for epilepsy treatment or 90% fat content.
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Cho CH. Commentary: Targeting LDH enzymes with a stiripentol analog to treat epilepsy. Front Cell Neurosci. 2015 Jul 7;9:264. doi: 10.3389/fncel.2015.00264.
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Masood W, Annamaraju P, Khan Suheb MZ, et al. Ketogenic Diet. . In: StatPearls . Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from:
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I'm not going to provide an exhaustive list of sources showing this is the accepted scientific definition, but a few for example are listed below, e.g.
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There is no evidence that it is helpful for traumatic brain injury, the link you cited noted no clinical trials have been done, it even says "
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THank you. This article says several studies indicate that STP could regulate glucose energy metabolism and inhibit lactate dehydrogenase.
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has been proposed as a possible mechanism of action of the ketogenic diet for seizures. Lactate dehydrogenase is a component of the
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Bacq, Alexandre; Depaulis, Antoine; Castagné, Vincent; Le Guern, Marie-Emmanuelle; Wirrell, Elaine C.; Verleye, Marc (2024-04).
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The ketogenic diet FAQ is wrong according to published papers and this article should be expanded to include weight loss uses
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has evolved to mean not just the influence of astrology on the body, but also a contagious disease, so we should merge
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related articles on Knowledge. If you would like to participate, please visit the project page, where you can join
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Why doesn't this article talk about weight-loss or bodybuilding diets? Bodybuilders call their diets "ketogenic".
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conspiracy. It's dangerous to be promoting misinformation that this diet might help traumatic brain injuries.
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Lots of diets have been called "ketogenic" since 2015. Why did you pick this name for an epilepsy treatment?
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Why doesn't this article talk about Inuit dietary practices? They ate a lot of fat during part of the year.
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contains about 150 grams of fat, 25 grams of protein, and 10 grams of carbohydrates (including fiber). The
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It might interest you to know that the names of articles can change. This one could be renamed, e.g., to
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The problem is, why the word "or" should not in be case when the 2 choice available? Heres my choice:
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typically recommends up to 50 grams of total carbohydrates per day, with 50 to 100 grams of protein.
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on Knowledge. If you would like to participate, please visit the project page, where you can join
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on Knowledge. If you would like to participate, please visit the project page, where you can join
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typical diets, but far lower levels than this medically supervised treatment for epilepsy. The
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diet for weight loss or bodybuilding does. If you are interested in those diets, please read
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If you think this article is about the "wrong" keto diet, please read this FAQ before posting.
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If the ketogenic diet was effective outside of epilepsy then it would be recommended by the
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has evolved to mean a diet which produces measurably elevated levels of blood ketones.
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You could just as easily write "Like it or not, not only the common usage of the term
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there are no human short- or long-term studies evaluating the ketogenic diet for TBI
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Ketones are not used by the brain at all, the brain runs on glucose even in ketosis
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Pick a subject – in this case, an extremely strict dietary treatment for epilepsy.
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Summary: Like it or not, not only the common usage of the term "ketogenic diet",
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lactate shuttle. This inhibition could be pharmacologically achieved using
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Adding LDH inhibition in section on mechanism of action of ketogenic diet
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diet for epilepsy usually produces 150% of the ketones that even an
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is used to indicate that different adults have different reasons.
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Delete unrelated trivia sections found in articles. Please review
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weight, which is more than double the amount in the Inuit diet.
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for Knowledge's health content are defined in the guideline
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potentially deadly consequences. The sample menu shown at
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The article says "These ketone bodies enter the brain and
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fat content for most kids on this diet is more than the
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but also the use of that term in scientific literature
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but also the use of that term in scientific literature
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Featured articles that have appeared on the main page
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Isn't this the trendy keto diet that's in the news?
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clinical publications about evidence-based medicine
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List any 968:select here 936:Burger King 705:Food portal 31:not a forum 1969:Categories 1834:References 1243:identified 451:Inuit diet 315:(limit to 1910:1865-8652 1788:analogs. 1778:astrocyte 1662:WP:WEIGHT 1602:partially 1476:Keto diet 1453:Astrology 1445:influenza 953:WP:Trivia 880:Soy sauce 848:status: 538:Neurology 328:provides 309:provides 88:if needed 71:Be polite 21:talk page 1926:38443647 1918:10960919 1866:26217188 1850:25792327 1440:problem. 1347:Promoted 1328:Reviewed 1069:Epilepsy 1056:epilepsy 1028:Epilepsy 962:Add the 930:status: 904:status: 598:Medicine 533:Medicine 504:FA-class 475:century. 209:Archives 178:Springer 143:Cochrane 56:get help 29:This is 27:article. 1873:4493394 1287:Process 1189:on the 1096:on the 785:history 758:on the 625:on the 437:extreme 433:average 413:maximum 409:minimum 242:90 days 1943:|date= 1782:neuron 1309:Listed 1290:Result 1162:Autism 1149:autism 1121:Autism 888:Yogurt 510:scale. 307:PubMed 166:OpenMD 136:PubMed 1806:Colin 1743:Colin 1667:Colin 1495:Colin 1455:into 1236:is a 932:Apple 914:Sugar 884:Sushi 868:Drink 864:Curry 860:Bread 795:purge 790:watch 722:drink 192:Wiley 84:Seek 1954:link 1947:help 1923:PMID 1907:ISSN 1863:PMID 1847:PMID 1822:talk 1794:talk 1732:talk 1651:talk 1633:talk 1611:talk 1591:talk 1570:talk 1535:talk 1484:talk 1428:talk 1409:talk 1284:Date 1151:and 1058:and 955:and 940:Fish 906:Beer 872:Food 856:Beef 805:here 780:edit 720:and 718:food 468:is: 464:The 455:only 377:edit 371:view 343:and 324:The 185:Trip 159:Gale 151:DOAJ 73:and 1914:PMC 1899:doi 1870:PMC 1181:Low 1088:Top 750:Low 617:Mid 346:CDC 199:TWL 1971:: 1938:: 1936:}} 1932:{{ 1921:. 1912:. 1905:. 1895:41 1893:. 1889:. 1868:; 1824:) 1796:) 1734:) 1721:, 1709:, 1705:, 1701:, 1697:, 1693:, 1689:, 1685:, 1681:, 1653:) 1635:) 1613:) 1593:) 1572:) 1562:or 1537:) 1486:) 1478:. 1447:, 1430:) 1422:. 1411:) 938:, 934:, 928:FA 924:GA 912:, 908:, 902:FA 898:GA 886:, 882:, 878:, 874:, 870:, 866:, 862:, 858:, 846:GA 832:: 653:). 536:: 240:: 232:, 228:, 224:, 220:, 216:, 54:; 1956:) 1949:) 1945:( 1928:. 1901:: 1875:. 1852:. 1820:( 1808:° 1792:( 1780:- 1745:° 1730:( 1669:° 1649:( 1631:( 1609:( 1589:( 1568:( 1533:( 1513:@ 1497:° 1482:( 1426:( 1407:( 1254:. 1193:. 1100:. 970:. 948:. 842:B 762:. 629:. 595:. 516:. 443:. 374:· 334:. 321:) 302:. 234:6 230:5 226:4 222:3 218:2 214:1 211:: 195:· 189:· 181:· 175:· 169:· 163:· 155:· 147:· 139:· 133:· 58:.

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