NOTE: We provide specialized nutrition services for adults using a 2:1 therapeutic ketogenic diet as an adjunct treatment under medical oversight. A 2:1 therapeutic ketogenic diet is a structured, clinically indicated protocol designed to support specific health goals in collaboration with a medical provider. Implementation requires careful planning, individualized monitoring, and collaboration with a physician (GP) or, in some cases, a psychiatrist for laboratory monitoring and medication review. Services are not intended to replace medical or mental health care. Clients must have an established relationship with a medical provider who agrees to oversee relevant health parameters throughout the program.

2:1 Therapeutic Ketogenic Diet Package

We highly encourage you to read through the information provided below the description of the package to be sure you understand what’s involved with following a 2:1 therapeutic diet and the recommended steps before getting started with these services. 

Please note that we do not provide services to adjust a self-directed ketogenic diet.

Note: If you are considering trialing a 2:1 Therapeutic Ketogenic Diet for mental health and are currently taking any prescription medications, the first step is to discuss this idea with your doctor. You can download the Medical Supervision of Patient Form for your doctor to complete and fax to the office before beginning services.

This package provides four services:

1. In-depth Clinical Assessment: 

The first service in the package is an in-depth clinical assessment, which is broken into two parts:

a. The first part of the assessment includes a review of personal and family medical history, recent lab results, current medications and nutritional supplements, as well as your waist and hip measurements (10 minutes).

b. The second part of the assessment is a comprehensive dietary and lifestyle review, where I will collect detailed information, including what you like to eat and when, food likes and dislikes, religious, cultural, or ethical dietary restrictions, and other factors that impact your health and weight, such as sleep habits and activity level (50 minutes).

2. Therapeutic Dietary Calculations

The second service in the package is the therapeutic dietary calculations, including energy needs and the specific amount of protein plus fat to carbohydrate required for the 2:1 therapeutic ketogenic diet 

3. Design 2:1 Therapeutic Diet (3 variations):

The third service in the package is the design of three separate variations of the 2:1 Therapeutic Ketogenic Diet to provide variation in food intake. Each variation can be used to make multiple permutations and combinations of protein and vegetables. This service is also for the preparation of the detailed, multi-page Meal Plan Summary Sheet that will summarize the Meal Plan variations that will be taught during the Nutritional Education Session.

4. Nutrition Education Session:

The fourth service in the package is the Nutrition Education Session, which begins with you receiving the following handouts, followed by step-by-step teaching of your 2:1 Therapeutic Ketogenic Diet.
  • The three separate variations of your 2:1 Therapeutic Ketogenic Diet
  • The detailed, multi-page Meal Plan Summary handout that explains the different categories of foods, serving sizes, and the number of portions to eat at each meal
  • The Ingredients and Food Preparation handout for a therapeutic ketogenic diet
  • The handout about how to accurately weigh food for a therapeutic diet
  • The handout about Electrolytes and Supplements that need to be taken while following the 2:1 Therapeutic Ketogenic Diet
  • Information about tracking urinary ketones for the first few weeks on the 2:1 Therapeutic Ketogenic Diet

5. OPTIONAL ADD-ON

Glucose & Ketone Tracking – An educational session to teach how to track both glucose and blood ketones using a medical-grade glucometer and medical-grade blood ketone monitor. Options af different medical-grade meters, where to get them, how to use them, and how to track and calculate GKI. Please read the note below about who would need to take this teaching.

This teaching is optional because some people starting these services already have medical-grade meters, know how to use them, and know how to track GKI to achieve the specific therapeutic target needed. For that reason, this teaching is not automatically included in the package.

  • For those who do not have a firm grasp on the above knowledge or do not have the appropriate medical-grade glucometer and medical-grade blood ketone meter, it is important to understand that tracking urinary ketones is only accurate for the first two weeks or so.
  • After the first 2 weeks, the availability of medical-grade meters (not online ones used by those following a “keto diet”) is required
  • Knowledge of how to use a medical-grade glucometer and a ketone meter is required
  • Knowledge on how to calculate and track GKI to achieve the specific GKI needed is needed when following a therapeutic ketogenic diet. 
The best place to get started is with an Initial Consultation
to discuss your specific needs.
Use any remaining time for follow-up.

Want to dive into the research?

 

Questions and Answers

Q: Why can’t you adjust or fine-tune a self-directed keto diet?

A: A 2:1 therapeutic ketogenic diet is fundamentally different from the popularized “keto diet.” A 2:1 therapeutic ketogenic diet is a medical nutrition adjunct therapy and relies on precise, calculated macronutrient ratios of total grams of fat to combined grams of protein and carbohydrates that are tailored to your specific metabolic rate and physical or mental health targets. As a result, it isn’t possible to adjust self-directed keto diets to the precise needs and clinical outcomes of a 2:1 therapeutic ketogenic diet.

Q: Is the optional Glucose and Ketone tracking session necessary for everyone?

A: This teaching is optional because some individuals already own medical-grade tracking equipment and have been taught the exact testing parameters and know how to track their Glucose to Ketone Index (GKI). If you do not have this knowledge or do not own medical-grade testing equipment, this add-on session is required to meet the therapeutic nature of the diet.

Q: What concrete health markers are covered during the Clinical Assessment?

A: The assessment is structured in two distinct phases: a medical review of your personal and family medical histories, lab biomarkers, medications, supplements, and anthropometric data (waist-to-hip ratio parameters), followed by a 50-minute dietary and lifestyle review that evaluates what you normally eat and when, sleep habits, physical activity, cultural, and, if applicable, religious food preferences.

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