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Due to these deficiencies, people also report feeling foggy and tired. These symptoms have been dubbed “the keto flu.” Constipation is also common on the keto diet due to the lack of fiber. Because of the stringent food restrictions, many find the keto diet hard to stick to.

The Charlie Foundation has recently published guidelines on how to follow this type of special diet. In 1999 I was asked to initiate the diet in a girl who had been in intensive care for three months. She was suffering constant seizures and had been placed in a drug-induced coma several times in efforts to arrest her seizures. Within a week of providing her a ketogenic formula through a feeding tube, her seizures diminished and she was soon able to go home. This method of ketogenic diet delivery has since been reported effective in over 40 patients in a dozen separate medical publications.