Therapeutic
Dr. Matt Bernstein (Accord/Ellenhorn); we meet every week and check in as needed, going over ketones (KetoMojo) each week in our sessions.
Integration
My psychiatrist has been ordering routine lab tests (every 3 months) before and since starting my journey, including full lipid panels, metabolic panels, A1C, insulin, lithium level, etc.
Nutritional
I follow a modified keto diet (ratio: 1.5:1 -1:1) which I scale up or down as needed. I try and stick to <20g net carbs (which primarily come from berries in the morning and/or leafy greens). I find this diet to be sustainable (I have stayed on it for ~1.5 years). I did not incorporate intermittent or extended fasting, although I am curious to try it/use it as a tool going forward.
Ketosis
I measure my blood ketones using KetoMojo; for the first year I checked nearly every day, and now I check at least three-four times a week. I aim for 2-3.