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The Charlie Foundation has recently published guidelines on how to follow this type of special diet. In 1999 I was asked to initiate the diet in a girl who had been in intensive care for three months. She was suffering constant seizures and had been placed in a drug-induced coma several times in efforts to arrest her seizures. Within a week of providing her a ketogenic formula through a feeding tube, her seizures diminished and she was soon able to go home. This method of ketogenic diet delivery has since been reported effective in over 40 patients in a dozen separate medical publications.
So if your goal is weight loss, eat enough fat to be satisfied, but there’s no need to “get your fats in” once you’re satisfied. A ketogenic diet typically limits carbs to 20–50 grams per day.
However, we intended our results to be referable with results from other authors. An indisputable strength of our study is the double-checking of achievement of a ketosis state in our participants via βhB blood concentration and urine ketone level. Compliance with the study protocol in regard to diet and training was also evaluated during face-to-face meetings with study dietitians and CrossFit coaches at clubs as well as via e-mail and phone consultations. Finally, in our study, the effect of the KD was assessed only with regard to the incremental cycling test.