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Re: Bill/weaning

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Glenna,

It was 3 years on Oct. 31.

We are continuing to wean. I am making changes about every 2 weeks if

everything is okay. I went up in calories by 50 or in ratio by 0.5. With

each ratio change I also increased protein slightly so that both went

up. We are now at 1:1 with 880 calories. The biggest problem so far was

going up in calories to 930. This caused lots more seizures. After 10

days or so, we dropped back to 880 and everything settled down. After

increasing vegetables, we then started adding fruit. She still has ketones.

I guess there are many reasons to start weaning. We were successful in

getting seizures reduced by 75% and weaning her AED medication. The

seizures are short and there is immediate recovery. Except for illness

and weaning medications, seizure control has been good. We pretty much

tried all combinations to eliminate seizures; ratio up to 5:1, more

meals throughout the day, MCT oil, different oils. We didn't do blood

glucose measurements. This might have given us more information to

further fine tune, but I am doubtful. Our daughter is severely disabled

and wouldn't understand the finger pricks. I just didn't have the will

to try it. We had increased control from the first day on the diet, with

3 seizures a day; one in the morning, one at 10:30 am and one at 2:30

pm. I just didn't think that we could improve on the control.

The diet is severe and may be harmful to our daughter's health. No one

really knows. We are using good supplements, but there are risks to the

diet. Fortunately we haven't seen anything too serious. She likes to eat

and would like to return to a more normal diet. (My thoughts about what

she may be thinking.) Oh yes. The diet can be a chore.

Although we are weaning, we may have a long way to go. I will continue

increasing ratio and protein until we are at a normal level; not sure

yet what that is. Increasing calories may be more difficult based on

previous experience. We may be on the diet for a lot longer. Will keep

you informed.

Good luck,

Bill

jgmsteele@... wrote:

> Hi Bill,

> I've been keeping up with your daughter through your posts to

> others, but I don't remember reading anything about how long she has

> been on the diet (I probably just missed it) Are you still weaning?

> How quickly are you going? What increments? How is she taking the

> weans? What made you decide it was time to wean?

> We appreciate all the help you've been to us, and I know you've

> given lots of good advice to others. You sound like you are truly

> dedicated to the diet, so I'm just curious about your decision to

> wean. How did you know it was time? Your thoughts/reasoning will be

> helpful to all of us, I know. We are in the process of switching to

> a new neurologist/keto team, so I have very high hopes that they can

> help us get the diet back on track. If in the end we can't, I want

> to be realistic about our options.

>

> Thanks,

>

> Glenna

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Thanks, Bill, for your information. I hope things continue to go

well for your daughter, and with the weaning process. I'm glad the

diet has been so helpful for her.

Happy Holidays!

Glenna

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