Why Keto for Mental Health May Not Be Working for You - with Dr. Bret Scher
Mar 25, 2024
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Dr. Bret Scher, a medical expert in ketogenic therapy and mental health, dives into the complexities of keto for mental wellness. He discusses how individual responses to the ketogenic diet can greatly vary and highlights seven common reasons why it might not be working, such as insufficient ketone levels and nutrient deficiencies. Dr. Scher emphasizes the importance of a tailored approach and suggests working with clinicians to overcome challenges and ensure better outcomes for those struggling with mental health conditions.
Achieving optimal ketone levels between 1.5 and 3 millimoles per liter is crucial for effective mental health benefits from ketogenic therapy.
A commitment of 3 to 4 months is often necessary to properly evaluate the clinical effects of ketogenic therapy on mental health.
Deep dives
The Importance of Ketone Levels
Optimal ketone levels are crucial for achieving the desired mental health benefits from ketogenic therapy. Experts suggest aiming for blood ketone levels between 1.5 and 3 millimoles per liter for effective results, which is often higher than levels typically reached during standard keto diets aimed at weight loss. Individual variations require an experienced clinician to tailor the approach, including possible dietary adjustments to macronutrient ratios and incorporating additional strategies like MCT oil or intermittent fasting. Achieving optimal ketone levels is essential, as simply starting a keto diet and registering levels around 0.5 may not be sufficient for many individuals to experience the full mental health advantages of ketosis.
Time Commitment for Ketogenic Therapy
Many individuals may not experience immediate mental health improvements after starting a ketogenic therapy, so a longer commitment is often necessary. Experts recommend a trial period of 3 to 4 months to fully assess the therapy's clinical effects and benefits, as sensationalized success stories stemming from quick results can mislead expectations. This extended duration allows the body to adapt fully to the ketosis process before evaluating its impact on mental health conditions. Therefore, understanding that real changes may take time is vital for those considering or undergoing ketogenic therapy.
1.
Understanding the Limitations of Keto for Mental Health
Ketogenic therapy can be a powerful intervention for many people with mental illness, including those with serious conditions like bipolar disorder, schizophrenia and major depression. Initial data indicates that individual response to ketogenic therapy for mental health may vary. Research is ongoing and needs to further investigate underlying mechanisms and how metabolism impacts brain function in individual patients.
While keto may not be an effective treatment for everyone, there are a number of ways patients can troubleshoot their ketogenic therapy strategy before deciding this treatment option doesn’t work for them. In this practical video, Dr. Bret Scher shares seven common reasons why ketogenic therapy may not be yielding results:
- Ketone levels might not be high enough
- The timeframe may not be long enough–for some patients, it can take up to 3-4 months to see optimum results
All of these factors can also impair results:
- Vitamin & nutrient deficiencies
- Concurrent medical conditions
- Abusing drugs and alcohol
- Some medications make it harder to get into ketosis
- Other lifestyle factors such as poor sleep or too much stress
It is important to note that ketogenic therapy is more than simply following a keto diet. We recommend that anyone attempting to use a keto diet to treat a mental health condition work with a trained clinician.
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/
More helpful resources related to this episode:
What is the difference between a keto diet and ketogenic therapy? - with Dr. Bret Scher: https://youtu.be/BK99A_bhn6Y
Labs to Check Before Starting Ketosis for Mental Health: https://youtu.be/tSkOw3l8OoQ
Find helpful resources, like how to find a clinician and the labs recommended for ketogenic therapy on this page of our website: https://www.metabolicmind.org/families-and-peers
About us:
Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
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#KetoForMentalHealth
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#KetogenicMetabolicTherapy
#NutritionalKetosis#MentalIllness#AlternativeTreatment#KetoForDepression#KetoForBipolar#DepressionTreatment#MedicationSideEffects#MedicialKeto#KetogenicTherapy
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