Therapeutic
Metabolic psychologist for support. Connecting my psychiatrist with my psychologist. More regular lithium tests.
Integration
I completed fasting glucose, cholesterol and kidney function tests prior to starting. These were done every 8 weeks. I tracked my ketones daily with a blood ketone monitor several times a day. I took MCT oil, creatine, magnesium.
Nutritional
I followed a mostly carnivore ketogenic diet. I stuck closely to a small range of recipes and foods I knew to be high protein and low carb. I fasted daily 18/6 with a 6-7 hour eating window. No snacking - 2 meals. I brought beef jerky with me when going to events to supplement protein in case the offered meals were too carb rich. My total carb target was 20-30g a day, but I have to admit I only tracked macros for 2 weeks and then stuck to those meals. I just aimed to focus on protein. A healthy meat source at the centre of each meal (or eggs for lunch) with a small amount of added fat and low carb vegetables. I occasionally had a small amount of berries and Greek yogurt.
Ketosis
I used both blood ketone meter and acetone breath meter. I aimed for 1.5 mmol/L, but I felt great even at 0.5 mmol/L.