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let’s talk about epilepsy in the ketogenic diet in  1923 dr russell wilder or it could be wilder i’m  

not sure was working in the mayo clinic and  he observed or read about people in history  

not having seizures when they fasted so he was  curious about that he wanted to find a way that  

he could mimic fasting because eventually a person  is going to have to eat and when they start eating  

the seizures could come back so what he found  is when you put someone on a low carb diet  

you can actually reduce their seizures by 50  percent okay which is pretty significant and 15  

of that group completely got rid of their seizures  100 percent so that began the classic keto  

diet for epilepsy and it’s definitely evolved  into various ratios of fat to protein and carb  

so you could do a four to one ratio where you  have four times as much fat to protein and carb  

or three to one or two to one or even one to one  now the more ratio of fat to protein and carb  

the more you’re going to get into ketosis  and the less ratio the less you’re going to  

get into ketosis and so one of the reasons why  they have different ratios is because as you  

lessen the fat increasing protein and carb  it makes it easier for the patient there’s  

better compliance and they also use the modified  atkins diet which you’re not calorie counting  

you’re not being that strict when you go to  a restaurant and it allows for more protein  

you’re not measuring anything it just makes it  a little bit easier now they’re not actually  

sure why the ketogenic diet works for seizures but  there is some theories one is that it improves the  

stability of your synapses between your neurons  number two ketones have anti-convulsant effects  

number three it decreases brain inflammation  it could be a combination of all three of these  

things i do know that the brain prefers ketones  over glucose because it runs more efficiently  

now some of the problems that a patient could  experience going on this diet is that they can  

develop a lot of constipation issues some pretty  severe keto fatigue bad breath higher cholesterol  

kidney stones which is actually not that common  but it potentially can occur now my opinion on  

why those side effects occur is that the classic  keto doesn’t necessarily focus on the quality  

of ingredients okay and so they’re mainly focused  on the macros they have a powdered drink that is  

literally you know soy oil maltodextrin casein to  me that is definitely not healthy and if someone  

were to consume that it might taste okay but to  put that in your body you might notice quite a  

few side effects and they generally recommend  like synthetic vitamins and things like that  

what i would recommend if someone has epilepsy  and they’re going to do keto and they want to do  

the classic keto diet or any of these right here i  would highly recommend tweaking the ingredients to  

make them healthier i would definitely shoot for  like organic grass-fed wild caught pasture-raised  

eggs things like that but there’s some other  things that i would recommend too i would highly  

recommend that they add intermittent fasting  because currently they don’t and so instead of  

three meals a day i would do minimally two meals  a day now if there’s a small child that could be  

a problem and you might have to have larger  meals but the fact that you’re adding fasting  

with this ketogenic plan but i think that’s going  to take your results to a whole new level i would  

also avoid vegetable oils because if you look  at the classic ketogenic diet they’re allowing  

soy oil corn oil which is inflammatory so it’s  going to create digestive issues eventually and it  

could majorly inhibit your results the other thing  i would recommend is i would majorly increase the  

amount of greens like green salads now the thing  that you have to realize that the carbs from salad  

are very very small the calories from salad  are almost insignificant there’s so much  

fiber and there’s so little sugar that that would  be perfect on the classic ketogenic plan and even  

probably work within this four to one ratio right  here and of course i would definitely recommend  

the olive oil being the best oil even in larger  amounts versus any other oil that you would get  

on salad dressing that’s pretty low level now  the salad and the vegetables are going to offset  

the acidity from the ketones because if you’re  doing four to one you’re eating fat you’re going  

to majorly induce a state of ketosis and so the  lower the carbs the lower the protein the higher  

the fat the more the ketones but you’re going  to also get a lot of acidity so you’re going to  

need to offset that with vegetables and salad so i  would recommend doing a good portion that will not  

throw you out of ketosis and i think it would  would really solve a lot of the complications  

especially even the mineral problem that people  have because when you actually start ketosis you  

lose a lot of water and you lose electrolytes  so you’d want to add in electrolytes for sure  

potassium citrate which will counter any potential  risk for kidney stones and then the electrolytes  

would give you the magnesium and so would the  salad as well and don’t forget sea salt one  

to one and a half teaspoons a day now if you’re  doing this diet for a small child maybe you  

do less than one teaspoon but the sea salt is  important a good high quality sea salt himalayan  

sea salt is good or some other red salts that  will help because what’s going to happen is as you  

induce ketosis you’re going to lose a lot of fluid  and with that comes a loss of sodium and that can  

actually even make the person feel fatigued  right off the bat so this is a real simple  

alternative to solve that problem number four  if you’re doing a lot of fats especially this  

ratio right here i would recommend adding in  purified bile salts to handle some of that  

fat it’s going to help you digest it you’re going  to lessen the side effect of nausea and bloating  

and even high cholesterol because bile which is  produced by the liver stored in the gallbladder  

helps to regulate cholesterol it helps to break  down fats so if you’re doing that much fat it  

might really help to do this right here number  four instead of synthetic vitamins do a whole food  

brand vitamin something that’s higher quality  not the synthetic ones i already mentioned the  

electrolytes as well as the sea salt now for those  of you that have epilepsy or you have a child that  

has epilepsy and you want a healthier version  of the classic keto i put a link down below  

so you can download some examples of some good  meals that you can use to help get you in ketosis  

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