Modified Atkins Diet . Along with the MCT (medium chain triglyceride) diet and LGIT (low glycemic index treatment), it is one of three “alternative diets” used to treat patients with epilepsy. Its history goes back to the early 2. They had noticed that ketones still remained high and seizures stayed under control. It was first formally studied in children and adults who had never tried the ketogenic diet at Johns Hopkins Hospital by Dr. Eric Kossoff and colleagues in 2. The first paper on this diet was published in 2. A larger series of 2. December 2. 00. 5. This diet is now over 1. Most patients will consume plenty of dairy and oils. One of the biggest differences is that there are no restrictions on proteins. Typically 3. 5% of calories for a patient on the MAD come from protein. Foods are not weighed and measured, but carbohydrate counts are monitored by patients and/or parents. It is started outside of the hospital and the person does not need to fast before starting the diet. Lastly, foods can be eaten more freely in restaurants and outside the home, and families (and neurologists!) can do it as well. Oz, who I’ve been reading up on, calls Paleo the “alterna-Atkins.” People have asked me repeatedly how the Paleo diet is different from Atkins. What is the modified Atkins diet? The modified Atkins diet (often abbreviated in the literature as “MAD”) is a change to the traditional “classic” ketogenic. The purpose of the Atkins Induction phase is to kick-start weight loss by switching your body from burning carbohydrates to burning fat instead. Mixed salad leaves Atkins snacks Butter Parsley & other herbs Selection of foundation vegetables Cheese Garlic Chilli peppers Ground flaxseeds. It works for men and women equally and is being used actively in adolescents and adults. Like the ketogenic diet, it is mostly used for patients with daily seizures who have not fully responded to medications. Fluids are encouraged and help avoid side effects. Carbohydrates are limited but the patient (or parents) chooses what to eat. If medications are in liquid forms, they are usually changed to tablets to decrease carbohydrates. Does it work? In studies so far, yes. About half had a 5.
Many were able to reduce medications. Can adults do it? Absolutely, adults with epilepsy are one of the fastest growing groups of patients starting diets today. Atkins involves reducing foods that are high in refined carbohydrates, yet you can enjoy complex carbs such as green, leafy vegetables from day one. A definitive list of acceptable foods that can be eaten on all phases of the Atkins diet. From phase 1(induction) through to phase 4(life time maintenance). See what to eat and what to avoid during the induction phase of the Atkins diet, such as acceptable proteins, vegetables, fiber, fats, and more. This can be a good thing though for those who were overweight in the beginning. Some patients have had increases in cholesterol. Occasionally, the change to this diet and the resultant ketosis can make patients feel ill and not want to eat or drink. Kidney stones are unusual and oral citrates are typically not prescribed (unlike the ketogenic diet). For all these reasons, the modified Atkins diet should only be done with physician supervision. How is the patient monitored over time? A dietitian should keep track of weight and height periodically, as well as calorie intake in case there is a problem. We recommend dietitian involvement either from the beginning (ideally) or after 3 months if the diet seems to be working to help keep the patient on it. Drs. Kossoff and Cervenka recommend blood and urine monitoring every 3 months, and checking urine ketones once or twice a week while on the diet. Can the diet ever be stopped? Yes, if a patient is seizure- free for a period of time (e. Similarly to the ketogenic diet, if it's not helpful, it should be stopped, too. What is the future of the modified Atkins diet? Lots of studies continue to occur, several evaluating this newer diet in comparison to the classic ketogenic diet. Other studies underway include: Improving efficacy and safety in adults. Expanding usage in developing countries. Adding supplements to improve efficacy. Using MAD for “milder” epilepsies not often treated with the ketogenic diet (e.
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November 2017
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