Monday, May 18, 2015

Ketogenic Diet: Eat Food

From page 148 of the third edition (2000) of Freeman, Freeman and Kelly’s “The Ketogenic Diet”.

Daily intake for a 13 month old child:

Commercial formula providing 28.3 grams of fat composed of equal parts high oleic safflower oil, soy oil and coconut oil, plus an extra 38.1 grams of almost pure omega six from from a standard safflower oil emulsion, a little soy protein 'n' glucose polymer. Vitamins and minerals. A maximum of 980ml of water in total.

This paediatric ketogenic diet is a child of its time, steeped in the benefits of massive PUFA ingestion and often combined with phenobarbitone. The child in the case study above could barely swallow as a result of the high dose of phenobarbitone she was taking. If you were to suggest hepatopathy, dyslipdaemia and potentially fatal pancreatitis as sequelae of the diet, I would not be surprised.

Please do not feed this to your child, we are no longer in the 1970s.

On the other hand, if you order a steak in a restaurant and it comes to you with salad and chips on the side, you do not HAVE to eat the chips to stop yourself developing fulminating pancreatitis.

If you are post-obese, via low carb eating, there is every likelihood that repeatedly consuming the chips (to avoid the pancreatitis, don’tchano) will cure you of the post-ness of your obesity. Enjoy the chips by all means.

Peter

4 comments:

Tucker Goodrich said...

It's called Intralipid, and it's still to this day the standard treatment for people requiring parenteral nutrition (intravenous).

"The active ingredient is soya oil. Intralipid comes in three strengths: 10%, 20% and 30%. It also contains egg lecithin, glycerol, sodium hydroxide and water for injections."

http://www.medsafe.govt.nz/consumers/cmi/i/intralipid.pdf

Liver failure is such a regular sequelae that they've created a fish-oil based alternative. It's still not FDA approved, and isn't available for patients unless Intralipid's killing your liver.

""The kids aren't dying anymore," says Mark Puder, a pediatric surgeon who was lead investigator on the study. "We think we have a good treatment.""

They've been doing this particular off-the-books human experiment for decades.

Tucker Goodrich said...

Whoops, here' the link for that last quote:

"A Doctor's Push For Drug Pits Him Against Its Maker

"Dr. Puder Thinks Omegaven Is Best Option for Sick Babies; Company Prefers New Product"

http://www.wsj.com/articles/SB116338867216321332

Ash Simmonds said...

There's a plethora of dumbass keto concoctions that have been used throughout time which are seed oil/soy/junk based, and to no surprise in retrospect really messed up a lot of kids - with the carbophile crowd using it as ammo vs being ketogenic. Stoopid.

--> http://www.reddit.com/r/ketoscience/comments/2w9gou/food_for_thought_the_ketogenic_diet_and_adverse/

raphi said...

"On the other hand, if you order a steak in a restaurant and it comes to you with salad and chips on the side, you do not HAVE to eat the chips to stop yourself developing fulminating pancreatitis."

Ha! Says it all :)

The anti-keto crowd LOVE to make arguments directly implying an essential role for dietary CHO, yet when pressed, they lose all the courage of their convictions.