Historically, many anticonvulsant medications have resulted from structural modifications of lead compounds that had themselves been discovered serendipitously. The mechanistic bases for their effectiveness have typically been elucidated post-hoc. At present, it is unclear which of many potential mechanisms reviewed in this supplement are relevant to the clinical effects of the KD. It would be far too difficult to integrate these numerous possibilities into a single unifying hypothesis (or a final common pathway), or to consider them simultaneously. Nevertheless, it might be instructive to consider each of these putative mechanisms one by one and ask a simple comparative question. If the mechanism or target in question is a critical determinant of the anticonvulsant efficacy of the KD, then would a similar intervention known to be based on that mechanism yield a comparable effect? Perhaps answering this question for each mechanistic speculation might help substantiate (or perhaps invalidate) that particular hypothesis.
So, the natural question arises, do ketone bodies affect inhibitory (or excitatory) neurotransmission? Unfortunately, the answer is (at least for now) a fairly convincing no. Thio and colleagues (2000) showed that acute application of BHB and ACA did not affect: (1) excitatory post-synaptic potentials (EPSPs) and population spikes in CA1 pyramidal neurons after Schaffer collateral stimulation; (2) spontaneous epileptiform activity in the hippocampal-entorhinal cortex slice seizure model; and (3) whole-cell currents evoked by glutamate, kainate, and GABA in cultured hippocampal neurons.
In most instances, we eat because its meal time or it has been several hours since we last ate. Some experts recommend eating when you are hungry, stop when you are already full, and simply enjoy every mouthful. However, for you to get to that desired ‘keto’ state, you must keep track and count carbs and calories in order to get the hang of what is in your food and what you are putting into your body. So without further ado, here are five keto diet apps that will help you monitor your progress and discover new delectable recipes.