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Hi

In have recently increased 's protein too (due to the gum probs she

was having), so she is having very little in the way of carbs. I just

swapped carbs for protein. I have also increased her ratio as I am still

weaning the Lamictal and each reduction results in lower ketones.

You say you lowered Hannah's ratio to allow for more carbs when you

increased the protein - is there a minimum quantity of carbs that should be

incorporated into each meal?

Many thanks

Jill

At 09:27 AM 4/28/02, you wrote:

>----- Original Message -----

>

>Just throwing in my thoughts on the protein issue.......Hannah has been on

>the diet for 22 months now and her growth was okay for the first year,

>although a bit slower than pre diet. She started on 1g protein per kg body

>weight, and last year we upped it to 1.2 g per kg. She turned 5yo this

>year and has been very unwell with vomiting requiring three hospital

>admissions (needed to change reflux med). She lost 600g after the first

>bout, regained 300g and then lost again with the next two round of vomits.

>It seems even harder to regain the weight, let alone grow normally, so we

>have recently increased her protein intake to 1.4g per kg. The trade off,

>unfortunately, was that we had to lower her ratio to get adequate carbs

>into her, and then of course we saw more seizures. Dietician is looking

>into using some MCT for her.

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