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Re: Calorie drop brings high ketones!!! Any ideas?

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frumpymumma wrote:

> Well, over the past few weeks we have dropped dear down from

> 1200calories and 4:1 ratio to 900 at 3:1 ratio. The last drop was

> started at dinner last night. Her ketones are crazy high with the

> drop, and instead of giving her the usual apple juice in water to

> bring them down I opted for a bit of nectarine. It seemed to settle

> her.

I don't know, if you just dropped her to 3:1 last night, I would hold

tight for the a bit. Each ratio change is a metabolic change and they

don't occur instantly. My understanding was to always wait a couple of

weeks at least to assess a calorie change and three to four weeks to

assess a ratio change. So if I was you, I would leave her at 3:1 for at

least two weeks and probably a bit longer if you could. Keep watching

ketones and use juice or whatever to treat her when they are too high

but give the change time to work its way through.

You may well need to go to 2.5;1 or lower, each child is different. Its

not a weaning ratio for everyone, some kids do great at around 2:1. But

you need to give it time to see

Just my thoughts

, 's mom

>

>

> To counter the high ketones I am dropping her ratio to 2.5 : 1 to

> see what happens. I hate to drop calories and ratio at the same

> time, but the ketones are whacking her and she cries and cries, must

> just feel awful, and her language skills are not such that she can

> tell me what is wrong. I am constantly checking urine ketones, as

> don't want her out of ketosis, but think that if things continue like

> today 2.5 may be her ratio for some time. They are still really high

> on 2.5:1!!!! Maybe lower???? She has bloodwork done later this

> month, or should I get it sooner? Any ideas?

>

> She has only been on the diet since May and began at 4:1 ratio. I

> thought 2.5:1 was a weaning ratio. What would be my other options?

> Thanks, .

>

>

>

> " 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

The calorie decrease and ratio change could be working against each other

here. I have found a calorie decrease to increase ketones, and ration

decrease to lower ketones. It's usually better to change only one thing at

a time, it is difficult to know what is causing what otherwise. Is there a

reason for changing both at once? Also, 300 calories is a huge amount to

drop. Was she gaining too much weight? Perhaps putting some calories back

rather than lowering the ratio would help. With Claire I have found it best

to get the calories right first, then experiment with the ratio.

Good luck

Jill

At 06:17 AM 5/09/2004, you wrote:

>Well, over the past few weeks we have dropped dear down from

>1200calories and 4:1 ratio to 900 at 3:1 ratio. The last drop was

>started at dinner last night. Her ketones are crazy high with the

>drop, and instead of giving her the usual apple juice in water to

>bring them down I opted for a bit of nectarine. It seemed to settle

>her.

>

>To counter the high ketones I am dropping her ratio to 2.5 : 1 to

>see what happens. I hate to drop calories and ratio at the same

>time, but the ketones are whacking her and she cries and cries, must

>just feel awful, and her language skills are not such that she can

>tell me what is wrong. I am constantly checking urine ketones, as

>don't want her out of ketosis, but think that if things continue like

>today 2.5 may be her ratio for some time. They are still really high

>on 2.5:1!!!! Maybe lower???? She has bloodwork done later this

>month, or should I get it sooner? Any ideas?

>

>She has only been on the diet since May and began at 4:1 ratio. I

>thought 2.5:1 was a weaning ratio. What would be my other options?

>Thanks, .

>

>

>

>

> " 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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