[Preview] Keto diets for epilepsy

So the idea of using diets or fasting for epilepsy goes very, very far back probably 400 BC with Hippocrates And they really didn't even know what seizures were back then

They thought maybe it was possession or demonic possession They really weren't sure, but they knew that periods of starvation would help They thought maybe that was ill humors and that by not giving foods that would provide those ill humors, patients would get better And it actually worked if you sort of read these articles way back These references from Hippocrates, they talk about prolonged periods of fasting being helpful

And then Galen in 200 BC was a little more specific again getting to ungendered humors that may be necessarily negative We didn't know exactly what was going on back then This is where a lot of people think sort of the reference of using ketogenic diets for epilepsy goes back to But again it was probably 400 years earlier but the widely described references from Jesus in Mark 9, where they talked about an adult who had what appears to be childhood-onset epilepsy, they didn't know what it was, the patient had a convulsion on the ground and Jesus's prescription was prayer and fasting Neither are bad ideas

And it worked, so they knew about this for hundreds of years even through the Middle Ages that periods of abstinence for whatever this condition was seemed to be beneficial

[Preview] The latest science behind a keto diet

I'm watching with interest the new data, new science that's controversial The treatment of Alzheimer's, and cancer and all these things that look really promising

But they're not at the level of the FDA approval for a drug So I watch this and it's a little frustrating I don't know the right word, but we have all of these data saying diabetes and obesity

"Do it, use low-carb, use keto, it's safe, it's effective" But some people, their first introduction is the use of low-carb or keto with one of these less established diseases And there's this desire to have controversy and all that

In fact we've worked hard to keep low-carb out of the news, because it's not news that treats diabetes And yet now you have the newsworthy new treatment, but the level of evidence isn't merely the same Does that make sense? Absolutely, low-carb is being brought open in particularly controversial topics, which isn't ideal Well, it's not controversial for diabetes and obesity and yet that spills over, doesn't it

[Preview] How the keto diet became popular as a treatment for epilepsy

And so in the early 1990s we in the ketogenic diet for epilepsy world were not in a great place The diet was really seen as a therapy of last resort only in children and for the most part even in the early 90s only in the United States

If you went to the American Epilepsy Society meeting, a great conference, you'd be hard-pressed to find anything about the ketogenic diet there in the early 90s Maybe a poster here and there, but no sessions, no lectures, really very little at that time Articles written about the ketogenic diet would put it into alternative medicine We now consider it more non-pharmacologic, that's often where it ends up But at the time it was perceived as alternative and we really came a long way to say it's actually not alternative, it's just different

Now today it is everywhere, it is all over the place You've seen some great screenshots in the Wall Street Journal this morning Amazing But this is from Time magazine, New York Times, they love to show bacon all the time I think the photograph is well

I think that maybe what it is We always kid around about it But the parents see this and the parents are interested and they're looking for other ideas for their children with epilepsy and it's great that this is coming out in the popular media

[Preview] Improve chronic pain with a keto diet

When we both started to teach LCHF to our patients, usually we had in mind patients with metabolic conditions, like pre-diabetes, or obesity, or diabetes but what happened was that many of those patients were also suffering from chronic pain And when they came back for follow-ups, they were mentioning it as a by-the-way, they were saying, "Doctor, I feel great, I have lots of energy and my pain is reduced, my pain is so much better, doctor", or, "My pain is gone

" And at first we're like, "Hey, that's cool", and then after a while we're like, "Something is going on here" And the interesting thing is that we attend conferences such as this one and we read a lot of literature on the low-carb and ketogenic diets and there is more and more evidence on the benefits of the low-carb and ketogenic diets but not often did we come across literature on chronic pain and if you look at this graph here you can see that on one side there is strong evidence for what we now really works like diabetes and obesity just to name a few and on the right side you can see emerging evidence And where do you see chronic pain in there? We don't talk about chronic pain and this is the reason we're here today We are not pain experts but we want chronic pain to be discussed and we want chronic pain to be discussed in the context of low-carb and ketogenic diets

[Preview] How Matt and Megha became interested in the keto diet

I played college basketball and at that time I was not at all health-conscious I was, you know, like drinking Coca-Cola, a two liter every single night after practice

-That's not keto -No So then I was just going down the general path of nutrition like I was eating a vegetarian diet for a while and just trying to tone in on what really worked for me And then the real event that led me to keto was watching that sugar film -I don't know if you've seen that -Sure, it was fun And not necessarily that it advocates for keto but it points out how much sugar we eat on a daily basis in healthy foods, like yogurt, orange juice, things like that, like whole grain bread And I really calculated and I was like, "I'm eating 200 g of sugar a day, this is crazy

" So if I cut out this one chemical that I'm eating so much of, how different will I feel? So we did that together We kind of did it as a challenge, we have just started dating at the time And we felt great I had a desk job at the time, I was a computer engineer, just like typing all day So you really notice the difference when you are in that kind of profession where you are focused and the big thing is just the 2 o'clock crash that was going

That was the worst part of the day because you know, without lunch you couldn't get any work done -So no more crash, huh? -Yeah So since then I've just basically been sticking to it, by definitely improving and like fine-tuning it along the way -Bio hacking -Yeah

I was always like fantasizing myself as kind of a bio hacker, like Dave Asprey bulletproof guy So you've just started dating when you both started this So how was it for you? So we were three months dating and I was like, "I'll just jump on board I love carbs, but I will impress him" So I started doing it The first thing I noticed aside from the focus was the change in my menstrual cycle It got a lot better, no cramping, no bloating, no like cravings, you know the, "I need to eat everything", and then the guilt of eating everything So all this went away in the first month of doing the keto diet

So that for me was enough to stick to it

[Preview] What do you eat on a keto diet?

A keto diet contains very few carbs and a higher proportion of energy from natural fat The protein amount should be moderate

The diet is based on real food like meat, fish, eggs, vegetables and natural fats like butter or from fatty foods like avocado, salmon or olive oil Avoid the carbohydrate rich foods like sugar, sweets and starchy foods, bread, pasta, rice and potatoes And you could end up eating something like this in a day, just as an example A simple way to explain the difference between regular food and keto foods is that you remove the large portion of carbs, rice, potatoes or pasta and replace it with vegetables prepared in fats For example veggies fried in butter or salads with olive oil

It can really be that simple So how much should you eat? Well, you can eat when you're hungry until you're satisfied Super simple! You don't need to count calories, you don't need any pills, no special products and no meal replacements on a keto diet You only need real food Another important difference – waiting until you're hungry to eat feels easy on keto, because your body can now switch directly to burning your body fat when needed

On a carb diet you will get sugar cravings and feel tired if you don't eat all the time But on a keto diet you get more energy when you're hungry Now once you do it, hunger is the best spice So eat when you're hungry until you're full and then repeat this for as long as you want, maybe your whole life It's as natural as can be, like breathing

Just remember to choose food with very little sugar or starch Now a common rule is to stay below 20 g of carbs per day And a simple beginner's rule to achieve that is to stick to food with less than 5% carbs For the rest of this video we'll go through exactly what to eat and what not to eat on keto