Ketogenic ratio, calories, and fluids: Do they matter?

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


The ketogenic diet (KD) traditionally was initiated using specified ketogenic ratios, limited calories, and fluids. Recent work has shown that lower ketogenic ratio diets are frequently as efficacious as higher ones and result in fewer adverse effects. In animals, calorie restriction is anticonvulsant. In children, however, the need for calorie restriction is less clear, but avoidance of excessive calories may improve efficacy of the diet. There is no evidence that fluid restriction is a necessary component of the KD. Given the higher risk of nephrolithiasis, adequate fluid intake should be encouraged.

Original languageEnglish (US)
Pages (from-to)17-19
Number of pages3
Issue numberSUPPL. 8
StatePublished - Nov 2008


  • Calorie restriction
  • Fluids
  • Ketogenic diet
  • Ratio

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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