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I have been trying to find the saved paper I have from Hopkins on bhb

levels and can't - anyway, the recommendation in there I think from memory

is that a bhb of at least '4.0' is needed for seizure control - some need

higher, some lower, usual story - no 'one size fits all'.

We like 's bhb to be between 3.5 and 4.5, though our dietician gets

a bit nervous when he goes above 4.0 due to some previous nasty experiences

with high bhbs in hospital. However those times were when he was also pretty

toxic on meds too, and it was the combination I think more than anything

else that was not good for him back then.

When he used to have waking bhbs of only 1.7 - 2.0 he used to have early

am sleep seizures, now that he is usually at least 2.7 - 3.0 on awakening he

doesn't - but whether this is just ketone related or not, I'm not sure.

----- Original Message -----

> Anyone know what a *good* bhob level is in terms of seizure control...?

Is

> there a 'therapeutic range...?'

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I have been trying to find the saved paper I have from Hopkins on bhb

levels and can't - anyway, the recommendation in there I think from memory

is that a bhb of at least '4.0' is needed for seizure control - some need

higher, some lower, usual story - no 'one size fits all'.

We like 's bhb to be between 3.5 and 4.5, though our dietician gets

a bit nervous when he goes above 4.0 due to some previous nasty experiences

with high bhbs in hospital. However those times were when he was also pretty

toxic on meds too, and it was the combination I think more than anything

else that was not good for him back then.

When he used to have waking bhbs of only 1.7 - 2.0 he used to have early

am sleep seizures, now that he is usually at least 2.7 - 3.0 on awakening he

doesn't - but whether this is just ketone related or not, I'm not sure.

----- Original Message -----

> Anyone know what a *good* bhob level is in terms of seizure control...?

Is

> there a 'therapeutic range...?'

Link to comment
Share on other sites

Guest guest

I have been trying to find the saved paper I have from Hopkins on bhb

levels and can't - anyway, the recommendation in there I think from memory

is that a bhb of at least '4.0' is needed for seizure control - some need

higher, some lower, usual story - no 'one size fits all'.

We like 's bhb to be between 3.5 and 4.5, though our dietician gets

a bit nervous when he goes above 4.0 due to some previous nasty experiences

with high bhbs in hospital. However those times were when he was also pretty

toxic on meds too, and it was the combination I think more than anything

else that was not good for him back then.

When he used to have waking bhbs of only 1.7 - 2.0 he used to have early

am sleep seizures, now that he is usually at least 2.7 - 3.0 on awakening he

doesn't - but whether this is just ketone related or not, I'm not sure.

----- Original Message -----

> Anyone know what a *good* bhob level is in terms of seizure control...?

Is

> there a 'therapeutic range...?'

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