Therapeutic
I meet with my NHS psychiatrist every three months to monitor my progress with lithium tapering, including testing lithium levels and seeing how I'm doing. I have a nutritionist who gives me diet advice and advice on cholesterol levels and any other tests. I've checked in with my GP, who is aware that I'm doing keto, and has asked for regular blood tests on cholesterol and has checked other markers too. I also have a psychologist who I see every two weeks for therapy. We don't directly discuss keto but he helps me deal with new emotions and challenges as they come up.
Integration
I did a health check - BMI, pulse, blood pressure, electrolytes, HbA1c, serum lipids, GFR, TSH, calcium, lithium level. These have been checked every six months or so, though I've had lipid panels done about every three months. I check ketones every two days or so.
Nutritional
I aim for ketone levels between 1-2 mmol/L. I don't track my food but stick to keto foods and make adjustments if I'm not meeting this on a regular basis. It is hard eating out, but my girlfriend is helpful and we often eat turkish food or other times of food that leans toward the keto diet. I don't do any cheat days.
Ketosis
I aim for levels of around 1-2mmol/L. I used to test all the time but now only do it every couple of days. My have gone as high as 3 or 4 but this is rare and usually after exercise. I can often be below 1 but I don't worry too much unless I'm below 0.5, in which case I think about what might have caused this.
