For those that have drug-resistant epilepsy, the ILAE support the use of the ketogenic diet as an alternative nutritional management option. This is a very high fat, very low carbohydrate, adequate protein regimen compared to a normal diet, designed to mimic the metabolic effects of starvation by inducing a shift from carbohydrate to fat metabolism. The dietary change from the production and utilization of glucose generates ketones (i.e. keto-genic) for use as an alternative source of fuel for the brain and other tissues.
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