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Re: tube feedings--Penny

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Penny--

You are right that Pediasure is LOADED with sugar. Another thing you might try

as you bide time to start the diet is Compleat Pediatric (by Novartis), which is

a blenderized food formula of beef and veggies in an apple juice base. It's not

low-carb by any standard, but some dieticians are adamant that it is a much

healthier option than Pediasure. I would agree wholeheartedly--AND it gets

completely away from dairy, which could be a possible trigger? Our Rett

darlings are certainly known as a group to have dairy sensitivities...

Here are some stats: RCF straight-up is a 1.8:1 ratio. 1000cc of it would give

her 808Kcal and ~0g carbs; it is basically a protein/fat combo. It is

concentrated and needs to be watered down as per dietician's directions.

As keto ratios go, the straight RCF ratio of 1.8:1 is very gentle, although it's

a big change to a little system used to Pediasure. Also, you really don't want

a child having NO carbs without medical supervision, because the body needs a

minimum amount to function. It might not be enough to get is into ketosis

(or, then again, it might over time. maintains strong ketosis at 2:1,

but then she started at 4:1 and worked down).

Families who use RCF add in other ingredients to bring the ratio to the

prescribed level. Fat is added, often as MicroLipid (handy because it stays

suspended rather than floating to the top, which is important in a night drip).

Carbs are either apple juice or Polycose powder (we chose apple juice because

can drink it at mealtime by mouth, and it's easier to measure and mix in

than Polycose, which we actually did use as a calorie booster pre-diet).

Someone mentioned that you need a prescription for RCF--that is true.

I know you are eager to get started. Your frustration level is extreme, I know.

There are families who have managed the diet without much support. But I'm

grateful we've had good medical support, as we have had some big bumps along the

way that would otherwise have been pretty terrifying. I would hesitate to

recommend just jumping in, especially since is has such a challenging

seizure history. If things got out of whack with the diet, then you would

really be in a major pickle. It sounds like your local ped is willing to

support you, which is really important. Is there any way you could contact or

travel to a keto center and get started under good supervision, and then your

ped would have a strong foundation to work from?

Man, oh man, I do wish your hospital team could get their act together!

Wishing you the (speedy) best,

Rose-Marie,

mom to , age 7 1/2

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hi thanks for the help we are still working it all out in the meantime

alexis is one drop seizure after the other which is enough in itself to send

me over the edge,, i just want her to be ok.

anyway the hospital is still working on it but should only need another week

at the most to get the ball rolling,,,

biggest problem i have now is i still wanted to be able to give alexis at

least one drink per day to keep her swallowing ,,, but the thick it powder

we use is loaded to the hilt with carbs and i cant find another

thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

and her med trileptol is going to be all the carbs she is allowed

ughghgh

penny

PENNY S. HORSFALL

is -Maries.... NANA

MECP2 positive,3/02 Rett Syndrome

966_967 ins A

994_996 del ins T

1015_1099 del

is-Marie FOUR! 7/08/99 Maine

clubfred12@...

_________________________________________________________________

Find high-speed ‘net deals — comparison-shop your local providers here.

https://broadband.msn.com

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hi thanks for the help we are still working it all out in the meantime

alexis is one drop seizure after the other which is enough in itself to send

me over the edge,, i just want her to be ok.

anyway the hospital is still working on it but should only need another week

at the most to get the ball rolling,,,

biggest problem i have now is i still wanted to be able to give alexis at

least one drink per day to keep her swallowing ,,, but the thick it powder

we use is loaded to the hilt with carbs and i cant find another

thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

and her med trileptol is going to be all the carbs she is allowed

ughghgh

penny

PENNY S. HORSFALL

is -Maries.... NANA

MECP2 positive,3/02 Rett Syndrome

966_967 ins A

994_996 del ins T

1015_1099 del

is-Marie FOUR! 7/08/99 Maine

clubfred12@...

_________________________________________________________________

Find high-speed ‘net deals — comparison-shop your local providers here.

https://broadband.msn.com

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Share on other sites

hi thanks for the help we are still working it all out in the meantime

alexis is one drop seizure after the other which is enough in itself to send

me over the edge,, i just want her to be ok.

anyway the hospital is still working on it but should only need another week

at the most to get the ball rolling,,,

biggest problem i have now is i still wanted to be able to give alexis at

least one drink per day to keep her swallowing ,,, but the thick it powder

we use is loaded to the hilt with carbs and i cant find another

thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

and her med trileptol is going to be all the carbs she is allowed

ughghgh

penny

PENNY S. HORSFALL

is -Maries.... NANA

MECP2 positive,3/02 Rett Syndrome

966_967 ins A

994_996 del ins T

1015_1099 del

is-Marie FOUR! 7/08/99 Maine

clubfred12@...

_________________________________________________________________

Find high-speed ‘net deals — comparison-shop your local providers here.

https://broadband.msn.com

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Share on other sites

I have no idea whether this would work and haven't tried it myself. I

use psyllium husks for fibre to fight constipation. I don't calculate it

into the diet because I believe that it is 100% fibre. I know that it

absorbs a lot of water. I get it in large bags at the health food store

for $10.

Bill

penny horsfall wrote:

> hi thanks for the help we are still working it all out in the meantime

> alexis is one drop seizure after the other which is enough in itself to send

> me over the edge,, i just want her to be ok.

>

>

> anyway the hospital is still working on it but should only need another week

> at the most to get the ball rolling,,,

>

> biggest problem i have now is i still wanted to be able to give alexis at

> least one drink per day to keep her swallowing ,,, but the thick it powder

> we use is loaded to the hilt with carbs and i cant find another

> thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

>

> and her med trileptol is going to be all the carbs she is allowed

>

>

> ughghgh

> penny

>

>

> PENNY S. HORSFALL

> is -Maries.... NANA

> MECP2 positive,3/02 Rett Syndrome

> 966_967 ins A

> 994_996 del ins T

> 1015_1099 del

> is-Marie FOUR! 7/08/99 Maine

> clubfred12@...

>

> _________________________________________________________________

> Find high-speed ‘net deals — comparison-shop your local providers here.

> https://broadband.msn.com

>

>

> " The Ketogenic Diet....a realistic treatment option, NOT just a last

resort! "

>

> List is for parent to parent support only.

> It is important to get medical advice from a professional

keto team!

> Subscribe: ketogenic-subscribe

> Unsubscribe: ketogenic-unsubscribe

>

>

>

>

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Share on other sites

I have no idea whether this would work and haven't tried it myself. I

use psyllium husks for fibre to fight constipation. I don't calculate it

into the diet because I believe that it is 100% fibre. I know that it

absorbs a lot of water. I get it in large bags at the health food store

for $10.

Bill

penny horsfall wrote:

> hi thanks for the help we are still working it all out in the meantime

> alexis is one drop seizure after the other which is enough in itself to send

> me over the edge,, i just want her to be ok.

>

>

> anyway the hospital is still working on it but should only need another week

> at the most to get the ball rolling,,,

>

> biggest problem i have now is i still wanted to be able to give alexis at

> least one drink per day to keep her swallowing ,,, but the thick it powder

> we use is loaded to the hilt with carbs and i cant find another

> thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

>

> and her med trileptol is going to be all the carbs she is allowed

>

>

> ughghgh

> penny

>

>

> PENNY S. HORSFALL

> is -Maries.... NANA

> MECP2 positive,3/02 Rett Syndrome

> 966_967 ins A

> 994_996 del ins T

> 1015_1099 del

> is-Marie FOUR! 7/08/99 Maine

> clubfred12@...

>

> _________________________________________________________________

> Find high-speed ‘net deals — comparison-shop your local providers here.

> https://broadband.msn.com

>

>

> " The Ketogenic Diet....a realistic treatment option, NOT just a last

resort! "

>

> List is for parent to parent support only.

> It is important to get medical advice from a professional

keto team!

> Subscribe: ketogenic-subscribe

> Unsubscribe: ketogenic-unsubscribe

>

>

>

>

Link to comment
Share on other sites

I have no idea whether this would work and haven't tried it myself. I

use psyllium husks for fibre to fight constipation. I don't calculate it

into the diet because I believe that it is 100% fibre. I know that it

absorbs a lot of water. I get it in large bags at the health food store

for $10.

Bill

penny horsfall wrote:

> hi thanks for the help we are still working it all out in the meantime

> alexis is one drop seizure after the other which is enough in itself to send

> me over the edge,, i just want her to be ok.

>

>

> anyway the hospital is still working on it but should only need another week

> at the most to get the ball rolling,,,

>

> biggest problem i have now is i still wanted to be able to give alexis at

> least one drink per day to keep her swallowing ,,, but the thick it powder

> we use is loaded to the hilt with carbs and i cant find another

> thickner...... 7gms per two tbls.....it takes 3 tbls to thicken 8 ounces

>

> and her med trileptol is going to be all the carbs she is allowed

>

>

> ughghgh

> penny

>

>

> PENNY S. HORSFALL

> is -Maries.... NANA

> MECP2 positive,3/02 Rett Syndrome

> 966_967 ins A

> 994_996 del ins T

> 1015_1099 del

> is-Marie FOUR! 7/08/99 Maine

> clubfred12@...

>

> _________________________________________________________________

> Find high-speed ‘net deals — comparison-shop your local providers here.

> https://broadband.msn.com

>

>

> " The Ketogenic Diet....a realistic treatment option, NOT just a last

resort! "

>

> List is for parent to parent support only.

> It is important to get medical advice from a professional

keto team!

> Subscribe: ketogenic-subscribe

> Unsubscribe: ketogenic-unsubscribe

>

>

>

>

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