Therapeutic
My care team includes a psychiatrist, a therapeutic ketogenic dietician, and my primary care provider. My dietician helped me calculate my ideal fat-to-protein ratios. I remain in close contact with my psychiatrist. As my metabolism improved, I noticed sensitivity to medications and I tracked these changes carefully using daily logs and a symptom journal. The ketogenic diet has made my medication more effective and am monitoring medication for dosage changes. My primary care physician checks my blood work regularly.
Integration
Before beginning the medical ketogenic diet, my physician ordered baseline lab testing, including a full lipid panel, CBC, electrolytes, vitamin D, iron panel, and thyroid markers. To track biomarkers, I initially used Keto-Mojo as well as urine ketone strips. Over time, I became more in tune with my body and could reliably sense when ketone levels dropped. I supported ketosis and overall health with a consistent supplement routine including: magnesium citrate by pure encapsulations, vitamin D+K2 and a Vitamin B12 complex from Integrative Therapeutics. For electrolytes, I use Redmond's real salt in most of my water. To maintain consistency, I built these practices into a structured routine. I tracked my fat-to-protein ratio daily, monitored sleep and mood, and adjusted supplements as needed.
Nutritional
Diet type: Medically guided, zero-carb, high-fat carnivore. Exclusions: no dairy, eggs, plants, and gluten due to inflammation/ intolerances and histamine flare-ups. Adherence: Stayed in therapeutic ketosis (3:1-4:1 fat: protein). I use intermittent fasting, naturally settled into a 4-6 hour feeding window based on satiety.
Ketosis
Aimed for 1.5mmol/L blood ketones (keto-mojo) or moderate to high on urine strips to confirm therapeutic ketosis. I stay consistently in the 3:3-4.0 mmol range and feel my best at this level. I tested daily in the beginning. Now I just listen to my body.
