Thus, if fatty acids (and perhaps more specifically, polyunsaturated fatty acids or PUFAs), enhance mitochondrial uncoupling, and if this basic downstream mechanism is responsible for both anticonvulsant and neuroprotective effects (which has yet to be demonstrated), then could taking a chemical uncoupler such as 2,4-dinitrophenol (DNP) render the same effects? Of course, it is well known that DNP, a potent mitochondrial uncoupler that greatly increases the basal metabolic rate, and once used to treat obesity in the 1930’s, has a major untoward side-effect profile – namely, high fever and the risk of death. Clearly, if mitochondrial uncoupling were to represent the essential target, then less potent (and less toxic) compounds are required, and novel delivery systems need to be developed.
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Many of our existing anticonvulsant medications exert effects on inhibitory neurotransmission, and more specifically, by enhancing synaptic levels of γ-aminobutyric acid (GABA) or modulating post-synaptic GABAA receptors (Meldrum & Rogawski, 2007; White et al., 2007). Examples of such agents include tiagabine, vigabatrin, benzodiazepines, barbiturates, felbamate, and topiramate. Thus, given the wealth of information regarding GABAergic neurotransmission, one possibility is that the KD, perhaps through ketone bodies, might be responsible for elevating synaptic levels of GABA, which would then yield an inhibitory (and potentially anticonvulsant) effect.
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Untuk memperdalam ilmunya, beliau selalu aktif mengikuti pelatihan mengenai gizi dan nutrisi hingga asupan nutrisi untuk penderita penyakit metabolik dan degeneratif. Pada tahun 2019, beliau mendapatkan sertifikasi dari Harvard Medical School dalam mengikuti pelatihan mengenai “Obesity Medicine.” Beberapa kali beliau juga aktif menjadi narasumber acara mengenai gizi di televisi, radio, surat kabar, sosial media, hingga seminar. Di tengah aktivitasnya, beliau kini menjadi tim medis di Persatuan Atletik Seluruh Indonesia. Dokter Raissa bisa ditemui di tempat praktik pribadinya di Sawo 15 Menteng, atau di RS Pondok Indah - Puri Indah dan di RS Metropolitan Medical Center.
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What investigators have elucidated over the past decade or so is that a variety of molecular, genetic, cellular, and metabolic factors are likely contributory to the clinical effects of the KD. As a generalization, it is becoming widely accepted that the mechanistic underpinnings of the KD are likely multiple, parallel, and possibly synergistic (Bough & Rho, 2007).
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One potential explanation for the anticonvulsant action of the KD argues that increased ATP synthesis should produce a positive bioenergetic balance, allowing stabilization of the resting membrane potential via enhanced activity of Na+-K+-ATPase (Bough & Rho, 2007). Several decades ago, De Vivo and colleagues (1978) reported that the KD increased the total quantity of bioenergetic substrates (such as adenosine triphosphate, or ATP) and elevated the energy charge in rat brain. These changes were purported to stabilize the cell membrane, especially in the face of excessive excitation. Consistent with these observations, a later human study utilizing magnetic resonance spectroscopic techniques indicated that patients with epilepsy fed a KD had elevated phosphocreatine to creatine levels in the brain (Pan et al., 1999). Recently, using cDNA microarray technology, increased expression of the mitochondrial ATP synthase β,D subunit in mouse brain was reported after KD treatment (Noh et al., 2004). And in the most comprehensive study of this kind to date, the KD was found to enhance mitochondrial biogenesis and significantly increase the number of transcripts encoding energy metabolism genes in rats (Bough et al., 2006). This increase in bioenergetic capacity enabled hippocampal slices from these animals to better withstand metabolic challenge from low glucose exposure. Taken together, the prevailing notion has been that increased energy production and reserve capacity enable greater resistance to neuronal hyperexcitability and hypersynchrony.
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The scientific rationale for elucidating mechanisms of disease pathogenesis or of therapeutic interventions has been traditionally based upon the lofty goal of discovering novel treatments, ones that would be more efficacious than existing options and also be devoid of side-effects altogether. Moreover, in epilepsy research, disease prevention or modification has become the “holy grail”, such that we are no longer complacent with symptomatic treatment and increasing attention is being given to understanding the processes of anti-epileptogenesis itself. Researchers in the field of the ketogenic diet (KD) have also embraced these tenets and recently embarked on that all-too-familiar Quixotic journey, with the ultimate aim of reducing the “difficult” KD regimen to a simple pill. If achieved, this result would represent an ironic recapitulation of the early history of the KD in the United States. Although the KD experienced an initial surge of interest following its introduction in the early 1920’s, it was relegated to near obscurity by the emergence of a familiar drug known as phenytoin. Henceforth, until the mid 1990’s, clinicians – for obvious practical reasons – found it simpler to prescribe a pill rather than an exacting diet.
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Baur JA, Pearson KJ, Price NL, Jamieson HA, Lerin C, Kalra A, Prabhu VV, Allard JS, Lopez-Lluch G, Lewis K, Pistell PJ, Poosala S, Becker KG, Boss O, Gwinn D, Wang M, Ramaswamy S, Fishbein KW, Spencer RG, Lakatta EG, Le Couteur D, Shaw RJ, Navas P, Puigserver P, Ingram DK, de Cabo R, Sinclair DA. Resveratrol improves health and survival of mice on a high-calorie diet. Nature. 2006;444:337–342. [PMC free article] [PubMed] [Google Scholar]
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So the question remains, can the KD be packaged into a pill? At this stage, given our state of knowledge, the likely answer is NO. Then, could we take a polypharmacy approach and develop a number of pills, each with a distinct mechanistic target? Such a strategy would not be too different than what is practiced by adults – and especially, the elderly – who are by both necessity and choice on multi-drug regimens and/or multi-nutritional supplements, again with the goal of achieving health and warding off the ravages of aging and disease. There is likely no “magic bullet” that completely mirrors the anticonvulsant (and potential neuroprotective) effects of the KD; the same could be said for the treatment of the epilepsies – a group of related conditions with widely divergent etiologies, and hence a multiplicity of underlying pathophysiological mechanisms. Nevertheless, without dissecting the component pieces of the complex metabolic puzzle posed by the KD, we would again be left with only empiric observations, and to wonder curiously how a high-fat diet can exert such profound clinical effects.
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Dalam proses penurunan berat badan memang menu makanan yang sehat, baik dan bergizi perlu diperhatikan disamping itu juga perlunya mengatur pola makan. akan tetapi banyak orang tidak terlalu memperhatikan menu makanan dalam diet sehingga tidak sedikit yang gagal atau sudah berhasil tetapi kemudian berat badan naik kembali. oleh karena itu dalam diet selain melakukan aktivitas fisik juga harus didukung dengan menu makanan sehari-hari yang sehat agar berat badan tetap ideal.
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Anda mengatakan Anda menyukai lemak yang makademian itu hormati padamu bahkan karena mereka tidak memiliki terlalu banyak protein di dalamnya, justru protein yang lebih rendah, karbohidrat yang lebih rendah, lemak yang tinggi. Ini sempurna untuk rencana makan diet ketogenik. Oke makan malam bacon, burger keju, ini adalah khas yang saya maksudkan Anda tidak harus makan bacon setiap kali makan, tetapi yang saya katakan adalah bahwa penggemukan bisa makan daging keju bacon dan alpukat semuanya rendah-karbohidrat, benar-benar rendah karbohidrat. protein dalam jumlah sedang.
If you haven’t heard of Keto Pills, you’re not alone. This is a new product that uses ketones. Will these help you lose weight? This is a unverified and untested product so far, so we don’t have any proof of weight loss effects just yet. We will talk more about the BHB ketone that Keto Diet Pills use and if it is at all helpful for your weight loss efforts. Before buying anything, however, you should make sure you are incorporating diet and exercise before anything else. The idea of Ketosis is that it forces your body to use fat for energy, thus eliminating the extra fat in your body. But we’ll get to this idea later. Keto Pills are new and we don’t much about them. So let’s dig into some of these topics and try to answer some of these questions. Click below if you want to buy Keto Pills right now!
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