How Ketogenic Diets Help People With Epilepsy

Tom Bell
4 min readMay 5, 2024

Think diets are just about shedding pounds? Think again! The what, when, and how much of our eating habits have a profound impact on our brain function. And for those living with epilepsy, the right diet can be a game-changer — reducing seizures and bringing newfound hope. Let’s talk about the ketogenic diet and uncover its remarkable benefits for epilepsy management. It’s been a total game-changer for people with epilepsy, and for good reason. This diet has some amazing benefits that can really help manage seizures and improve quality of life. Let’s explore what it’s all about and how it can help.

What is a ketogenic diet?

Imagine a diet that flips the script on conventional eating. A ketogenic diet is a high-fat, low-carb diet that tricks your body into burning fat for fuel. When your glucose tank is empty, your body shifts gears and starts metabolizing fat and fatty acids, producing ketones — tiny powerhouses that can cross into your brain and provide an alternative energy boost. It’s like a backup generator for your brain!

The original ketogenic diet, used since the 1920s, is a strict diet with a very high fat intake (about 90% of daily calories). A modified version, called the modified Atkins diet, is more flexible and limits carbohydrate intake to 20 grams per day, with no limits on protein and fat. This means about 60–70% of daily calories come from fat, which is much higher than the typical recommended amount.

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What’s the secret ingredient in this dietary prescription that catches the eye of doctors treating epilepsy?

Hope for fewer seizures: The ketogenic diet has been shown to significantly reduce seizure frequency. In studies of people with hard-to-treat epilepsy, the diet has cut seizures in half for about 50% of patients. While it’s less common, some patients (around 0–20%) have even become completely seizure-free after switching to this diet.

How does the diet reduce seizures?

During a seizure, groups of brain cells start firing at the wrong time. This can occur because some cells become too excitable and release lots of chemicals that make things more active, like glutamate. Another reason could be that nearby cells don’t do their usual job of calming things down with chemicals like GABA.

Imagine a diet that calms the storm in your brain. The ketogenic diet tames glutamate, the excitatory neurotransmitter that can trigger seizures, while boosting GABA, the calming neurotransmitter that keeps things under control. It’s like a one-two punch against seizures! Plus, this diet has anti-inflammatory superpowers, reducing brain inflammation that can spark seizures — especially those triggered by infections or autoimmune disorders. It’s a game-changer for seizure management.

Recent studies have explored how the ketogenic diet affects the good bacteria in our gut. They found that this diet can boost certain beneficial bacteria, which in turn can help calm the brain by increasing the production of GABA, a soothing neurotransmitter, and reducing glutamate, an excitatory one.

Can changing your lifestyle really help manage epilepsy? We think so!

That’s why we recommend exploring options like the ketogenic diet, which has shown promising results in reducing seizures and improving overall health for people with epilepsy. Some people with epilepsy can’t find relief from seizures with medication, and when they finally do, the dosage can make them very drowsy. I’ve seen cases where patients finally control their seizures, but the medication’s side effects greatly reduce their overall quality of life.

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Living with epilepsy can feel like a constant unknown, a never-ending cycle of uncertainty. The biggest struggle? The loss of control. People with epilepsy worry about when and where their next seizure will strike, leaving them feeling helpless and anxious. But what if they could take back control? A personalized diet offers a sense of empowerment, allowing them to take charge of their treatment and seizures. It’s a beacon of hope in a chaotic world, giving them the confidence to live life on their own terms.

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Tom Bell

Dedicated to the relentless pursuit of personal development, I am on a mission to inspire and guide individuals towards unlocking their full potential.