Ketogenic Diet Supplements

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The ketogenic diet does not normally provide a complete intake of all required nutrients.

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1 Selenium

Insufficient intake of selenium can result in a weakening of the heart muscles (cardiomyopathy), and the ketogenic diet may not provide a sufficient intake[1]. Good sources of Selenium that could be used on a ketogenic diet include are Brazil nuts, tuna, beef, chicken and turkey.

2 MCT

MCT can be added to a ketogenic diet to improve the ketone levels by adding 5-25 grams per meal or per day[2]. (Coconut oil it can be 80-100% MCT(verify) [2].)

3 Omega-3

For children on the Ketogenic diet for epilepsy, the recommended range of Omega-3 is 0.6-1.2% of their total fat intake[3]. The FDA recommends the Omega-3 intake from fish not exceed 3 grams/day (verify).

4 Fiber and Constipation Supplements

Constipation is a common issue with low carbohydrate diets as they can be low in fiber. Recommended approaches to reducing constipation include MCT oil, avocadoes, prunes, exercise and good hydration, or even a mild laxative such as Miralax[4]. Personally, I've found the ketogenic diet to produce a change in stool consistency even with a comparable fiber intake, which may be due to the way that non-fiber carbohydrates pass through the digestive system and are metabolized by the intestinal flora.

5 Carnitine

Carnitine is critical for the metabolism of fat, and generally the body will make enough, but there may be cases where supplementation is required[5]. It is possible to test for carnitine deficiency, which, if used, should be repeated every 3-6 months[6]. If carnitine levels are <15, extra carnitine is often given, especially if combined with symptoms of sleepiness or slugishness[7]

6 Oral Citrates

Taking Potassium citrate (Polycitra K) to reduce the risk of kidney stones by 7x[8]. This reduces the urine acidity.

7 Vitamins

For children using the Ketogenic diet for seizure control, daily supplementation with calcium, vitamin D, zinc, selenium and multivitamin/mineral is required[9] [10]. There are anecdotal reports of scurvy (Vitamin C deficiency) while on ketogenic diets.

8 See Also

9 References

  1. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1826
  2. 2.0 2.1 Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1812
  3. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1820
  4. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1790
  5. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1793
  6. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1799
  7. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2258
  8. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1778
  9. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 1338
  10. Eric. Kossoff, Ketogenic diets : treatments for epilepsy and other disorders, date 2011, publisher Demos Health, location New York, isbn 1-936303-10-8, Kindle Offset 2490