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Hello all. As most of you know, we have been s-l-o-w-l-y weaning

Langan from keto because of her persistent acidosis issues. We were

at a 3:1 ratio for quite a while and moved down to 2:1 last

Saturday. When we lowered, our neuro agreed to let us stay at a very

small dose of trileptal (75 mg 2X a day) to see what happened,

instead of increasing with the diet change. We saw a seizure the

first night and one 3 days later and then they started tapering off.

Strangely, though, Langan had low ketones when we first dropped and

then they jumped to large by the middle of the week. And,

unfortunately, even at 2:1 her bicarbs were 16, which is just not an

acceptable level given her history. Soooo the neuro and dietician

have given us an 8 day weaning schedule. And I am TERRIFIED!!! What

am I going to do without the scale???? If we saw seizures with each

change when we were moving at a snail's pace, how bad is it going to

be at this pace? I totally agree with the neuro that it needs to be

done so we can see what is going on metabolically with Langan, but at

the same time I am so scared. We're staying where we are medicine-

wise to see what happens and hopefully we can weather the storm and

stay at a low dose. PLEASE wish us luck. We'll keep everyone

posted, and I'll still be around this wonderful keto family, but I am

just sooo scared to take this step.

Thanks!

, mom to Langan, 2 yrs old and keto kid since 11/03; weaning

from keto due to metabolic acidosis, scared to death!!

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,

The very best of luck to you - I will have everything crossed for

you. You have been through so much and so has Langan. You are an

incredible lady and mum. Let us know how it goes.

Take Care and all the best.

Emma - UK mum to . x

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We

were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a

very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering

off.

> Strangely, though, Langan had low ketones when we first dropped and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not

an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!!

What

> am I going to do without the scale???? If we saw seizures with

each

> change when we were moving at a snail's pace, how bad is it going

to

> be at this pace? I totally agree with the neuro that it needs to

be

> done so we can see what is going on metabolically with Langan, but

at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I

am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

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Luck :) Much of it from this way -

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

From: langansmom

Hello all. As most of you know, we have been s-l-o-w-l-y weaning

Langan from keto because of her persistent acidosis issues. We were

at a 3:1 ratio for quite a while and moved down to 2:1 last

Saturday. When we lowered, our neuro agreed to let us stay at a very

small dose of trileptal (75 mg 2X a day) to see what happened,

instead of increasing with the diet change. We saw a seizure the

first night and one 3 days later and then they started tapering off.

Strangely, though, Langan had low ketones when we first dropped and

then they jumped to large by the middle of the week. And,

unfortunately, even at 2:1 her bicarbs were 16, which is just not an

acceptable level given her history. Soooo the neuro and dietician

have given us an 8 day weaning schedule. And I am TERRIFIED!!! What

am I going to do without the scale???? If we saw seizures with each

change when we were moving at a snail's pace, how bad is it going to

be at this pace? I totally agree with the neuro that it needs to be

done so we can see what is going on metabolically with Langan, but at

the same time I am so scared. We're staying where we are medicine-

wise to see what happens and hopefully we can weather the storm and

stay at a low dose. PLEASE wish us luck. We'll keep everyone

posted, and I'll still be around this wonderful keto family, but I am

just sooo scared to take this step.

Thanks!

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luck luck luck!

Ally

Wish Us Luck!!!

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering off.

> Strangely, though, Langan had low ketones when we first dropped and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!! What

> am I going to do without the scale???? If we saw seizures with each

> change when we were moving at a snail's pace, how bad is it going to

> be at this pace? I totally agree with the neuro that it needs to be

> done so we can see what is going on metabolically with Langan, but at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

>

>

>

>

> " 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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Hi,

I second 's wonderful post to you. There is always the

chance she will do better off the diet and on a low trileptal dose

than with anything else you have tried. I'm hoping for that. If

that doesn't work, my next hope is that the metabolic issues can be

resolved and the diet can be tried again in the future, if needed.

You have taken the scary approach before (weaning the meds), and if

not for the acidosis, it would have worked. How bad were Langan's

seizures before keto, and are you looking at the Vagus Nerve

stimulator?

I'll be thinking of you and looking for your posts over the next

few weeks. Langan will probably really enjoy all the new foods she

will get to have.

Gretchen

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We

were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a

very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering

off.

> Strangely, though, Langan had low ketones when we first dropped

and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not

an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!!

What

> am I going to do without the scale???? If we saw seizures with

each

> change when we were moving at a snail's pace, how bad is it going

to

> be at this pace? I totally agree with the neuro that it needs to

be

> done so we can see what is going on metabolically with Langan, but

at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm

and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I

am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

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You should be prepared to have many seizures with a quick wean off the

diet. You may need to use an emergency medication or go to the emergency

at the hospital.

It sounds like the diet may be working for you.

Bill

langansmom wrote:

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering off.

> Strangely, though, Langan had low ketones when we first dropped and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!! What

> am I going to do without the scale???? If we saw seizures with each

> change when we were moving at a snail's pace, how bad is it going to

> be at this pace? I totally agree with the neuro that it needs to be

> done so we can see what is going on metabolically with Langan, but at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

>

>

>

>

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With her metabolism maybe 2:1 ratio is adequate for seizure control. Low

ketones and seizures, large ketones and seizures stopped?

Bill

langansmom wrote:

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering off.

> Strangely, though, Langan had low ketones when we first dropped and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!! What

> am I going to do without the scale???? If we saw seizures with each

> change when we were moving at a snail's pace, how bad is it going to

> be at this pace? I totally agree with the neuro that it needs to be

> done so we can see what is going on metabolically with Langan, but at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

>

>

>

>

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Thanks ! I'll be keeping an eye on and his progress. I

saw his pix in the photo page. He is such a cutie!!

> Luck :) Much of it from this way -

>

>

>

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

> From: langansmom

>

>

> Hello all. As most of you know, we have been s-l-o-w-l-y

weaning

> Langan from keto because of her persistent acidosis issues. We

were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at

a very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure

the

> first night and one 3 days later and then they started tapering

off.

> Strangely, though, Langan had low ketones when we first dropped

and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just

not an

> acceptable level given her history. Soooo the neuro and

dietician

> have given us an 8 day weaning schedule. And I am

TERRIFIED!!! What

> am I going to do without the scale???? If we saw seizures with

each

> change when we were moving at a snail's pace, how bad is it

going to

> be at this pace? I totally agree with the neuro that it needs

to be

> done so we can see what is going on metabolically with Langan,

but at

> the same time I am so scared. We're staying where we are

medicine-

> wise to see what happens and hopefully we can weather the storm

and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family,

but I am

> just sooo scared to take this step.

>

> Thanks!

>

>

>

>

>

>

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Hi , I totally know you you feel about the weaning, I'm

terrified myself when we start it too. Good luck with everything,

and I hope just the low dose of trileptal will kick in.

Satnam, mom to Kristan, 21 months

Keto kid since August 2003

> Hello all. As most of you know, we have been s-l-o-w-l-y weaning

> Langan from keto because of her persistent acidosis issues. We

were

> at a 3:1 ratio for quite a while and moved down to 2:1 last

> Saturday. When we lowered, our neuro agreed to let us stay at a

very

> small dose of trileptal (75 mg 2X a day) to see what happened,

> instead of increasing with the diet change. We saw a seizure the

> first night and one 3 days later and then they started tapering

off.

> Strangely, though, Langan had low ketones when we first dropped and

> then they jumped to large by the middle of the week. And,

> unfortunately, even at 2:1 her bicarbs were 16, which is just not

an

> acceptable level given her history. Soooo the neuro and dietician

> have given us an 8 day weaning schedule. And I am TERRIFIED!!!

What

> am I going to do without the scale???? If we saw seizures with

each

> change when we were moving at a snail's pace, how bad is it going

to

> be at this pace? I totally agree with the neuro that it needs to

be

> done so we can see what is going on metabolically with Langan, but

at

> the same time I am so scared. We're staying where we are medicine-

> wise to see what happens and hopefully we can weather the storm and

> stay at a low dose. PLEASE wish us luck. We'll keep everyone

> posted, and I'll still be around this wonderful keto family, but I

am

> just sooo scared to take this step.

>

> Thanks!

>

> , mom to Langan, 2 yrs old and keto kid since 11/03; weaning

> from keto due to metabolic acidosis, scared to death!!

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