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The ketogenic diet: uses in epilepsy and other neurologic illnesses.
[pyruvate dehydrogenase deficiency]
The
ketogenic
diet
is
well
established
as
therapy
for
intractable
epilepsy
.
It
should
be
considered
first
-line
therapy
in
glucose
transporter
type
1
and
pyruvate
dehydrogenase
deficiency
.
It
should
be
considered
early
in
the
treatment
of
Dravet
syndrome
and
myoclonic
-astatic
epilepsy
(
Doose
syndrome
)
.
Initial
studies
indicate
that
the
ketogenic
diet
appears
effective
in
other
metabolic
conditions
,
including
phosphofructokinase
deficiency
and
glycogenosis
type
V
(
McArdle
disease
)
.
It
appears
to
function
in
these
disorders
by
providing
an
alternative
fuel
source
.
A
growing
body
of
literature
suggests
the
ketogenic
diet
may
be
beneficial
in
certain
neurodegenerative
diseases
,
including
Alzheimer
disease
,
Parkinson
's
disease
,
and
amyotrophic
lateral
sclerosis
.
In
these
disorders
,
the
ketogenic
diet
appears
to
be
neuroprotective
,
promoting
enhanced
mitochondrial
function
and
rescuing
adenosine
triphosphate
production
.
Dietary
therapy
is
a
promising
intervention
for
cancer
,
given
that
it
may
target
the
relative
inefficiency
of
tumors
in
using
ketone
bodies
as
an
alternative
fuel
source
.
The
ketogenic
diet
also
may
have
a
role
in
improving
outcomes
in
trauma
and
hypoxic
injuries
.
Diseases
Validation
Diseases presenting
"including alzheimer disease"
symptom
pyruvate dehydrogenase deficiency
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