diet 168 keto
So, if the KD acts principally to enhance glutathione levels in the brain, then would taking glutathione supplements (which are commercially available) be sufficient to protect against seizure activity? The answer is negative since available glutathione formulations are largely digested before they can get into the bloodstream, let alone to the brain. The only supplement that effectively raises glutathione levels in the body is N-acetyl-L-cysteine (NAC) which has traditionally been used to treat liver toxicity induced by toxic levels of acetaminophen. Would NAC be a suitable substitute for the KD? The clinical experience to date has been mixed, with some patients with progressive myoclonic epilepsies improving on NAC supplementation (Hurd et al., 1996; Edwards et al., 2002)
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).
diet 168 keto
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