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Modified Atkins Diet

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Introduction/SummaryThe Modified Atkins Diet (MAD) is a type of [[Ketogenic Diet]] used to [[Ketogenic Diets for Epilepsy| to treat Epilepsy]].{{Skeleton}}* The MAD started by accident, when a child was put onto the Adkins diet prior to starting the traditional ketogenic diet [[Ketogenic Ratio Diet]] and their seizures stopped<ref name="Kossoff-2011-2926"/>. * The MAD is similar to the induction phase of the Adkins diet, with children allowed 10 grams/day of carbohydrate rather than the 20 grams/day allowed for adults<ref name="Kossoff-2011-2935"/>.* The ketogenic ratio [[Ketogenic Ratio]] of the MAD is typically between 1.5:1 and 2:1<ref name="Kossoff-2011-2936"/>, though the MAD does not restrict protein<ref name="Kossoff-2011-2968"/> so the ketogenic ratio could be much lower. * The Unlike the [[Ketogenic Ratio Diet]], the MAD does not restrict calories<ref name="Kossoff-2011-2968"/>. * Only Carbohydrate is restricted: Children start with on 10 g/day for a hospital stay or month, then 15g/day, rising to 20-30g depending on seizure control. Adults start on 15 g/day, rising to 20-30 g/day after a fastmonth<ref name="Liu-2012"/>. * Adding a ketocal [http://www.amazon.com/Nutricia-Ketocal-4-1-Supplement/dp/B004YMOEAW Nutricia Ketocal] shake to the MAD raises the ketogenic ratio [[Ketogenic Ratio]] to 1.8:1, <ref name="Kossoff-2011-3055"/> which in turn raises the success rate from 50% to 80%<ref name="Kossoff-2011-3055"/>. The additional Ketocal shake is only needed in the first month of the MAD<ref name="Kossoff-2011-3057"/>. (The Ketocal shake has a 4:1 [[Ketogenic Ratio]].* Going from the MAD to Unlike other the [[Ketogenic Ratio Diet]] , the MAD does not start with a hospital stay or a fast<ref name="Kossoff-2011-2888"/>. * Going from the MAD to the traditional ketogenic diet resulted in 37% having at least a 10% improvement in seizures, but only a few became seizure free and no child that had no improvement on MAD had an improvement on the traditional ketogenic diet<ref name="Kossoff-2011-3122"/>. * There have been no reported cases of kidney stones on MAD<ref name="Kossoff-2011-3028"/>.
{{KetoSeeAlso}}
 
=References=
<references>
<ref name="Liu-2012">YM. Liu, HS. Wang, Medium-chain triglyceride ketogenic diet, an effective treatment for drug-resistant epilepsy and a comparison with other ketogenic diets., Biomed J, volume 36, issue 1, pages 9-15, doi [http://dx.doi.org/10.4103/2319-4170.107154 10.4103/2319-4170.107154], PMID [http://www.ncbi.nlm.nih.gov/pubmed/23515148 23515148]</ref>
<ref name="Kossoff-2011-3028">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3028</ref>
<ref name="Kossoff-2011-3122">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3122</ref>
<ref name="Kossoff-2011-2888">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2888</ref>
<ref name="Kossoff-2011-3057">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3057</ref>
<ref name="Kossoff-2011-3055">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3055</ref>
<ref name="Kossoff-2011-3055">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 3055</ref>
<ref name="Kossoff-2011-2968">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2968</ref>
<ref name="Kossoff-2011-2968">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2968</ref>
<ref name="Kossoff-2011-2936">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2936</ref>
<ref name="Kossoff-2011-2935">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2935</ref>
<ref name="Kossoff-2011-2926">Eric. Kossoff, [http://www.amazon.com/Ketogenic-Diets-Eric-H-Kossoff/dp/1936303108 Ketogenic diets : treatments for epilepsy and other disorders], date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2926</ref>
</references>
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