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Medical Forum / Diseases and Disorders / Epilepsy / February 2005

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aktins diet

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Pauline Kramer - 01 Feb 2005 19:52 GMT
aktins diet helps or reduces siezures for ---people with
epilepsy...similar like the ketnic diet..isntthat great  a diet that
will help us epilepstics....wonderful...has anyone tried this
diet...what does it intal................
Mary Fisher - 01 Feb 2005 21:48 GMT
> aktins diet helps or reduces siezures for ---people with
> epilepsy.

Evidence?

Mary
Klenow - 02 Feb 2005 08:28 GMT
> > aktins diet helps or reduces siezures for ---people with
> > epilepsy.
>
> Evidence?
>
> Mary

The Johns Hopkins group has been looking at the Atkins diet for a while now.
Below is an abstract of their early report on the ongoing study.  I've
spoken to a ketogenic diet expert recently who told me that they've greatly
expanded their study and are seeing something like a 50-60% success rate,
which is about (or better) than the ketogenic diet. This was reported at a
ketogenic diet conference he went to.  I don't have anything to confirm this
or provide details though.

JM Freeman is the man who pioneered the modern use of the ketogenic diet for
epilepsy.
http://www.neuro.jhmi.edu/profiles/freeman.html

Here's an article about it...
http://www.hopkinschildrens.org/pages/research/archivedetails.cfm?spotlightid=97

Neurology. 2003 Dec 23;61(12):1789-91.

Efficacy of the Atkins diet as therapy for intractable epilepsy.

Kossoff EH, Krauss GL, McGrogan JR, Freeman JM.

Department of Neurology, The Johns Hopkins Medical Institutions, Baltimore,
MD
21287-1000, USA. ekossoff@jhmi.edu

The ketogenic diet is effective for treating seizures in children with
epilepsy.
The Atkins diet can also induce a ketotic state, but has fewer protein and
caloric restrictions, and has been used safely by millions of people
worldwide
for weight reduction. Six patients, aged 7 to 52 years, were started on the
Atkins diet for the treatment of intractable focal and multifocal epilepsy.
Five
patients maintained moderate to large ketosis for periods of 6 weeks to 24
months; three patients had seizure reduction and were able to reduce
antiepileptic medications. This provides preliminary evidence that the
Atkins
diet may have a role as therapy for patients with medically resistant
epilepsy.
G.Ross - 01 Feb 2005 23:11 GMT
> aktins diet helps or reduces siezures for ---people with
> epilepsy...similar like the ketnic diet..isntthat great  a diet that
> will help us epilepstics....wonderful...has anyone tried this
> diet...what does it intal................

  The Ketogenic diet is an Extreme High Fat diet that produces the
'ketosis' that can help some people with seizures (often children, as the
amount of fat versus the patient's body weight brings on the ketosis (shock)
effects).  An adult might have to consume large enough amounts of fat that
the downside of a High Fat Diet on heart etc., might mess up the benefits
even if it were to help.
 At least those were parts I got from a talk I saw ~3 years ago.

 I don't know what's in the Atkins Diet. What does it contain that would
help (which types) of seizures?
There are about 4-5 major types of seizures, so often a cure for one type
doesn't always ensure a cure for all. And like above, some methods might
work for a particular age group but not be attainable for someone older or
heavier, for example.  G./
G.Ross - 02 Feb 2005 00:31 GMT
>> aktins diet helps or reduces siezures for ---people with
>> epilepsy...similar like the ketnic diet..isntthat great  a diet that
[quoted text clipped - 15 lines]
> work for a particular age group but not be attainable for someone older or
> heavier, for example.  G./
I did a minor search and found one site of 10+. They wanted $30.
Registration fee, and $15./Mo. before they'd show me a diet.  One other site
I found said the maximum weight loss 'target' per week is 1-1.5 pounds
(.6Kg.), with possible side effects of headaches, fatigue and constipation.
 As some of those (first 2) can also be side effects of a seizure
medication not at full control level, or part of some seizure types, I'd
expect it would be hard (if that happened) for the Dr. or Patient to know
whether those latter sensations are because of the *diet, or because there's
a seizure or brain function that isn't properly controlled.  My opinion, if
that happened, is that wasn't worth the risk.   G./
Sofia - 07 Feb 2005 00:14 GMT
>  An adult might have to consume large enough amounts of
>> fat that the downside of a High Fat Diet on heart etc., might mess up the
>> benefits even if it were to help.

I read in my "encyclopaedia of epilepsy" edited by prof David Chadwick,
that the ketogenic diet, despite being rich in fats and oils, was only
usually prescibed for young children, with severe epilepsy, who havn't
responded to anti-convulsive drugs.

The encyclopaedia also adds, that this diet is very unpleasant, and
that the person taking it would have to be dedicated to the regime...and
I can't really imagine many children under the age of 10 years of age,
give up their sweets and crisps for a mouthfull of cod liver oil each day
for quite a long time to see if they somehow respond, which they may not.

Sofie  
Klenow - 07 Feb 2005 04:05 GMT
> >  An adult might have to consume large enough amounts of
> >> fat that the downside of a High Fat Diet on heart etc., might mess up the
[quoted text clipped - 12 lines]
>
> Sofie

I spoke with some doctors on Friday about the ketogenic diet and they said
that the children they have on the diet often have hundreds of seizures each
day and have not responded to any medications.  The amounts of proteins and
other nutrients have to be carefully monitored.  The long-term consequences
of the diet don't seem to be well established yet but the consequences of
practically being in continuous seizure are pretty clear.  The Johns Hopkins
group is hoping that the Atkins diet would be much easier to administer and
the kids would be more likely to adhere to it.  If it turns out to be just
as effective then that would be great.
Pauline Kramer - 08 Feb 2005 01:21 GMT
has anyone ever had a blood test for keppra and lamical levels---does
anyone know what the range should be..what the dr did if too high
Julie - 02 Feb 2005 00:39 GMT
I went on a low carb diet for about 3 months and was very careful to be
strict about what I ate and making sure I ate protein in the morning.
So often I just wasn't getting around to eating breakfast at all.
Anyway I met my goal.  I knew that it was going to be a short term diet
for me.  I looked forward to the day I could eat a more balanced diet.
I lost 20 pounds.  I should go on it again and lose another 15 to 20
pounds, but I'm just not in the mood right now.  I should just make sure
I eat more balanced (remember breakfast!!!) and exercise.  I could
probably slowly lose the weight.

I wasn't doing to the diet to help with epilepsy, I continued to take my
AED and didn't have any expectations in the diet assisting in my seizure
control.

Our dog just went in for her senior pet exam and the vet said she needs
to lose about 10 pounds to protect her from potential problems with
arthritis..  She hasn't been overweight, but at this age he said it was
really important for her health to have less weight on her joints.  So
we decided the entire family could try to lose weight together ;-)

Take care,
Julie

> aktins diet helps or reduces siezures for ---people with
> epilepsy...similar like the ketnic diet..isntthat great  a diet that
> will help us epilepstics....wonderful...has anyone tried this
> diet...what does it intal................
 
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