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Re: bhob levels-Sandi

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Is this to me or the other on here Sandi? If to me, we are still

plodding along on full keto, 3.5:1 ratio, 1500 cals per day.

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

>

> Are you on a modified Keto diet or Atkins??

> Sandi

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We did think about taking off keto or moving to Atkins actually

Sandi, and one of the reasons was due to his metabolic alkalosis whilst in

hospital. The renal team surmised that his kidneys were probably over

compensating with bicarb to try and negate acidity after being on the diet

for so long (2 yrs at that point) and they thought the only way to stop this

happening was to pull him out of ketosis and switch this mechanism off.

This all happened after his bhb had recently shot thru the roof though,

which may have kick-started the compensatory process, as he had been thru a

brief phase of metabolic acidosis and overall blood gases instability in

PICU before the alkaline ph started creeping in.

But we think that adding the topomax is fooling his kidneys for now, or at

least over-riding the bicarb production, and he has returned to being

acidic, (awaiting blood results at the mo to comfirm) so at this point, on

we plod with keto...

The renal team actually thought btw, that by adding an acidic inducing med

he would over compensate even further, and warned that this could make him

even more alklaline, but so far this hasn't happened. Gulp.

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

> It was meant to you

> I knew all the trouble had and was wondering if you had to make

diet

> changes--

> Best to you & !!

> Sandi

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