Therapeutic
I see the psychiatrist every few months or so; I've been doing a liquid taper of olanzapine with the help of a compounding pharmacy. I had to reset my tapering after going too quickly. The lower I go the slower I should go and the smaller the cuts should be as is possible to measure out. It could take a few years to come off unless I switch to another medication before I'm completely off olanzapine which is one viable option. But olanzapine is not my match.
Integration
I take magnesium, vitamin d+k2, acetyl-l-carnitine when levels are low, melatonin as needed (usually a few times a month), Vitassium Electrolyte supplements. Supplements are expensive so I try to get most of what I need from food, plus they can mess with my stomach because I am sensitive to some of them. As suggested by a keto coach I get routine blood tests: complete blood count with differential, vitamin d levels, comprehensive metabolic panel, free + total carnitine every 3-6 months. I also might do a lipid panel to confirm I'm a Lean Mass Hyper Responder b/c my cholesterol is quite high on keto. I see a GP as needed.
Nutritional
Medical Keto (not Carnivore) - I aim for 75% or higher calories from fat, 20% or less calories from protein, and 5-10% calories from carbs. I rarely go over 82% calories from fat because more fat is inedible to me. I aim for 20 grams or less of net carbs to sustain therapeutic ketosis. Unless I'm eating out at a restaurant where I hope for the best with the food I am given, I weigh my food consistently which is a true effort. I stick to a sugar-free, gluten-free diet (as clean a keto as possible) but I am unable to eliminate dairy even if that would have benefits for me, haven't tried to find out b/c of its keto-friendly convenience and taste. I still want to enjoy my food and while I do not physically crave the high carb lifestyle foods I had before keto and again during severe withdrawal, I do miss them at times, especially if I can smell them but it's worth it to me to avoid cheating unless I can be promised nothing negative will happen. I eat three meals a day because I get headaches if I skip breakfast or I unintentionally lose weight. The headaches started when I had to bump up to a higher dose of olanzapine, well it didn't need to be as high as I went but I got spooked by severe withdrawal and it turns out I am often my own experiment on this journey.
Ketosis
Keto-Mojo for finger prick blood and ketone measurements, food tracking in Cronometer. I prefer ketones 2mmol - 3.5mmol and I strive for a GKI of less than 3 for therapeutic reasons in mental health and other health issues so I check my blood glucose too. Given research, I feel confident I'm healing if ketones are 1.5mmol or higher. Ketones over 3.5mmol along with low blood glucose (usually around 70) will make me nauseous and anxious so I am not be too strict with keto. I test once a day before dinner to avoid the dawn effect of the morning or after a new meal.
