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Updated: Feb 26, 2026

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Published on: January 7, 2019
The Ketogenic Diet: Making a Comeback
The ketogenic diet, a high-fat eating plan, mimics carbohydrate starvation to use fat for energy. It
Area of Science:
- Nutritional Science
- Metabolic Medicine
- Neurology
Background:
- The ketogenic diet, initially used for epilepsy, has a long history.
- It induces a metabolic state mimicking carbohydrate starvation.
- Modern adaptations have improved its palatability and adherence.
Purpose of the Study:
- To review the ketogenic diet's historical use and modern applications.
- To discuss its efficacy, limitations, and mechanisms in various health conditions.
- To inform healthcare professionals, particularly pharmacists, about its use in patient care, especially for the elderly.
Main Methods:
- Literature review of the ketogenic diet's historical development and scientific evidence.
- Analysis of its physiological effects, including ketone body production.
- Exploration of its therapeutic potential in epilepsy, neurodegenerative diseases, and weight management.
Main Results:
- The ketogenic diet is effective for refractory epilepsy in children and adults.
- Emerging evidence suggests potential benefits in Alzheimer's disease, Parkinson's disease, and glaucoma.
- It is increasingly used by Americans for weight loss.
Conclusions:
- The ketogenic diet offers therapeutic potential beyond epilepsy, including neuroprotection and metabolic benefits.
- Understanding its strengths, limitations, and mechanisms is crucial for effective patient counseling.
- Further research is warranted to fully elucidate its role in managing chronic health conditions, particularly in the elderly.
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