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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"/>.