Epilepsy is one of the most common neurological disorders after stroke, and affects around 50 million people worldwide. It is diagnosed in a person having recurrent, unprovoked seizures. These occur when cortical neurons fire excessively, hypersynchronously, or both, leading to temporary disruption of normal brain function. This might affect, for example, the muscles, the senses, consciousness, or a combination. A seizure can be focal (confined to one part of the brain) or generalised (spread widely throughout the brain and leading to a loss of consciousness). Epilepsy can occur for a variety of reasons; some forms have been classified into epileptic syndromes, most of which begin in childhood. Epilepsy is considered refractory (not yielding to treatment) when two or three anticonvulsant drugs have failed to control it. About 60% of patients achieve control of their epilepsy with the first drug they use, whereas around 30% do not achieve control with drugs. When drugs fail, other options include epilepsy surgery, vagus nerve stimulation, and the ketogenic diet.
I have great respect for Harvard Medical School. I notice that they support their readers posting comments and I am most appreciative of the article and all the many thoughtful comments by the readers. The readers seem to have the most expertise here and I hope that the doctor who wrote the article will think long and hard about the comments by readers. After 35 years of clinical practice in mental health, I notice that all issues of emotion involve medical issues, nutrition, and the gut bacteria. I would say that these issues and all of the executive brain functions seem to improve with ketogenic principles. For those that apply it in a flexible and smart manner, it appears to improve every area of their lives. I strongly encourage the author of the article to take one class via The Institute for Functional Medicine. If he is open to more learning he can take more classes and get certified. I’m sure a fine doctor, he will be an even better doctor and personally healthier, if he gets more training. Are we all open to new learning(especially us healthcare providers)?
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The free version works like most others: Enter your goals and weight and the app sets you up with a plan based around caloric intake. To stay on track, you'll record your intake and exercise manually, though an activity monitor tracks steps and you can link up to apps like Google Fit and wearables like Fitbit. Opt for the premium version and you'll get a health coach who checks in on you, a support group (think: the dieter's version of social media), and a course in healthy weight loss, diabetes prevention, and avoiding hypertension.
Increases in cholesterol levels need discussion too. We do see temporary increases in cholesterol levels often as individuals transition onto a ketogenic diet. However, when you examine lipid particle size (a more important way to look at the cardiovascular risks), the risk pattern doesn’t seem to increase with a ketogenic diet. Harvard Health has written about lipid particle size here before: http://www.health.harvard.edu/womens-health/should-you-seek-advanced-cholesterol-testing-
There are so many tricks, shortcuts, and gimmicks out there on achieving optimal ketosis – I’d suggest you don’t bother with any of that. Optimal ketosis can be accomplished through dietary nutrition alone (aka just eating food). You shouldn’t need a magic pill to do it. Just stay strict, remain vigilant, and be focused on recording what you eat (to make sure your carb and protein intake are correct).
Infants and patients fed via a gastrostomy tube can also be given a ketogenic diet. Parents make up a prescribed powdered formula, such as KetoCal, into a liquid feed. Gastrostomy feeding avoids any issues with palatability, and bottle-fed infants readily accept the ketogenic formula. Some studies have found this liquid feed to be more efficacious and associated with lower total cholesterol than a solid ketogenic diet. KetoCal is a nutritionally complete food containing milk protein and is supplemented with amino acids, fat, carbohydrate, vitamins, minerals and trace elements. It is used to administer the 4:1 ratio classic ketogenic diet in children over one year. The formula is available in both 3:1 and 4:1 ratios, either unflavoured or in an artificially sweetened vanilla flavour and is suitable for tube or oral feeding. Other formula products include KetoVolve and Ketonia. Alternatively, a liquid ketogenic diet may be produced by combining Ross Carbohydrate Free soy formula with Microlipid and Polycose.
If your exercise goals are cardio or Pilates, this isn't the app for you. If you hit the gym religiously and need the most in-depth exercise tracking and training around, say no more. This app is for the true gym rat. It boasts hundreds of exercises that can be selected from an anatomical map; helps create power-packed super-set workouts; logs your progress photos so you can see the toning taking place, and more! (If you're also interested in interval training, you need these HIIT workout apps.)
Meat products make up a big part of the keto diet, but experts stress the importance of choosing quality. "Since the keto diet is based a lot on animal proteins, it's important to buy organic poultry and grass-fed, organic beef," says Aimee Aristotelous, RD. "Not only do organic selections help with limiting environmental toxins, but grass-fed options of red meats even change the composition of fats." The result, she explains, is that your body is able to better absorb those healthy fats.
The Health app is way to limited and the Medical ID doesn’t appear to sync. Not sure why anyone would both using the Medical ID if the information wont even transfer to a newer device. Also no way to log food. I dont see a reason to use the Health app as limited as it is. Hell it doesnt even sync data very well. So not sure how the app can actually be recommended.
Experts are concerned that, in some cases, the side effects of prescription medications to treat overweight and obesity may outweigh the benefits. For this reason, you should never take a weight-loss medication only to improve the way you look. In the past, some weight-loss medications were linked to serious health problems. For example, the FDA recalled fenfluramine and dexfenfluramine (part of the “fen-phen” combination) in 1997 because of concerns related to heart valve problems.
Apps have become a mainstream part of living more healthfully. Just think about it: There are apps built in to smart phones that help you track activity levels (perhaps prompting you to move a bit more), apps designed to help you track what you eat, apps to guide you through workouts and meditations, and more. While there are a sea of apps to help you put healthier habits in place, Noom, which touts itself as “the last weight loss program you’ll ever need” is getting considerable attention. Case in point: Noom was one of the top-searched diet terms on Google in 2018.
Type 2 diabetes. One study found that being on the keto diet for one year reversed diabetes for up to 60 percent of participants. With an average weight loss of 30 pounds, they dramatically reduced or eliminated their need for insulin and no longer needed oral hypoglycemic drugs. The keto diet is also easier to sustain than the calorie-restricted diet or the protein-sparing modified fast.
Burdock is also a popular ingredient. It’s a plant root that promotes healthy liver cells and purifies the blood. Yerba mate is made from dried leaves of an evergreen holly and has the benefits of tea and coffee. It boosts energy and increases alertness without causing jitters like coffee, and is packed with vitamins and minerals like vitamin A, B2, iron, and flavonoids and amino acids.
Another weight-loss tea bursting with ECGC? Green tea. The combo of caffeine and ECGC found in the tea has been found to help you lose weight and keep it off, per a meta-analysis on 11 studies in the International Journal of Obesity. It does have less caffeine than black tea, making it easier to sip any time of day without having an effect on your sleep later that night. (Check out these other astounding benefits of green tea.)
People need to realize that in obesity treatment, just as in hypertension therapy, one drug won’t fit all, Aronne said. “In hypertension, there are more than 100 medications and more than 10 therapeutic categories,” he added. “That’s why treatment of hypertension is so effective. No one medication for hypertension works for every single person. That’s how we need to start looking at drugs for obesity.”
While a 5 percent weight loss may not seem like a lot, “that is the point where there is a very significant reduction in the risk of diabetes,” said Dr. Louis Aronne, a professor of metabolic research at Weill Cornell Medicine. “A 5 percent loss of weight is associated with a 50 percent lower risk of diabetes and a 10 percent loss is associated with an 80 percent lower risk.”