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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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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The earliest demonstration of direct in vivo effects of ketone bodies was made by Keith in the early 1930’s, when he determined that acetoacetate, when administered intraperitoneally in rabbits, prevented seizures induced by thujone (1933), a convulsant constituent found in many essential oils and an antagonist of GABAA receptors (Höld et al., 2000). This seminal observation was later confirmed in an audiogenic seizure-susceptible mouse model (Rho et al., 2002). More intriguingly, however, Likhodii and colleagues (2003) established the broad anticonvulsant properties of acetone in four different animal models, and when injected intraperitoneally, produced plasma and cerebrospinal fluid (CSF) concentrations consistent with those used to suppress seizures. These results confirmed and extended historical observations supporting an anticonvulsant action for acetone, through as yet undetermined mechanisms (Likhodii & Burnham, 2002). And in further support of this, other investigators found that acetone was detectable (up to a concentration of 0.7 mM) in the brains of fully controlled KD-treated patients with epilepsy using proton magnetic resonance spectroscopy (Seymour et al, 1999). 

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With a keto meal plan, you don't have to worry about what you can and cannot eat. Reduce the thinking of the ketogenic diet with low-carb, delicious, chef-prepared meals that have an average of only 30 net carbs per day. Get all the greens and protein-packed nutrition you need to keep your body in ketosis, burning fat, and reducing weight conveniently and affordably with portion-controlled meals. 

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Keto cycling adalah cara untuk bersepeda masuk dan keluar dari ketosis sambil menikmati diet yang lebih seimbang pada “hari libur” Anda. Satu pendekatan bersepeda keto mencakup lima hari diet keto tradisional dan dua hari non-keto per minggu. Beberapa orang memilih untuk menyimpan hari libur mereka untuk acara-acara khusus hari libur, ulang tahun, dan liburan. Untuk hasil terbaik, makan makanan kaya karbohidrat sehat pada hari libur Anda, termasuk buah-buahan, sayuran bertepung, produk susu, dan gandum utuh (daripada gula tambahan atau ongkos diproses tinggi). 

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Munculnya beragam jenis diet bisa bikin bingung. Berbagai manfaat dari setiap diet terdengar sangat menggoda, apalagi dengan klaim “efektif menurunkan berat badan”. Namun, jangan asal diet! Cari tahu dulu dengan jelas mengenai diet yang akan Anda jalani. Pastikan apakah sesuai dan aman untuk Anda. Salah satu jenis diet yang sedang banyak digemari yaitu diet keto. Diet keto adalah salah satu pola makan yang dianggap ampuh menurunkan berat badan secara cepat dan efektif.

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  Resep Brownies Panggang Coklat Keto – Lagi bingung mencari ide untuk kue ulang tahun anak, tiba-tiba dapat inspirasi dari resepnya Teh Eva Badru. Resep tersebut merupakan modikasi dari resep Muffin, hanya dilakukan beberapa penyesuaian. Dengan semangat saya mencoba menerjemahkan petunjuk yang didapat. Kebetulan ada sisa coklat batangan yang belum diolah, jadi saya ganti dengan coklat …
Given these observations, would it be practical to package acetoacetate or acetone into a pill? While ketone bodies in situ are likely to influence local cellular bioenergetics, there are profound logistical constraints precluding ease of administration in humans to achieve comparable low millimolar concentrations observed in clinical practice (Hartman & Vining, 2007). Acetoacetate is highly unstable, as it has an immediate tendency to spontaneously decarboxylate, and acetone is a well known solvent that can cause significant mucosal irritation. Finally, oral ingestion of β-hydroxybutyrate formulations to achieve such concentrations may not be readily achievable (Smith et al., 2005). These considerations pose not insignificant challenges toward the design of a ketone pill.

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The Carb Manager is a comprehensive and straightforward app that counts net and total carbs — but that’s not all. Keep a daily log of nutrition and fitness, use the calculator to set your net macros and weight loss goals, and get detailed nutrition information about your logged data when you need it. Use the app to visualize your macros every day to stay on track.

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In rats fed a KD, Ziegler et al (2003) found an increase in antioxidant activity using a luminol oxidation assay in the hippocampus, and a four-fold increase in glutathione peroxidase activity. Consistent with these findings, Jarrett et al (2008) recently reported an up-regulation of GSH biosynthesis in adolescent rats fed a KD. Furthermore, these investigators observed improved mitochondrial antioxidant status, and proposed that these changes were responsible for preventing mitochondrial DNA from oxidant-induced damage. Collectively, these studies suggest that the KD may indeed exert neuroprotective activity.

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