Therapeutic Diet & Specialized Medical Nutrition
This page outlines Therapeutic Ketogenic diets (3:1, 2:1) for physical & mental health, and dietary support for hEDS, MCAS, POTS, and histamine intolerance.
I – Therapeutic Ketogenic Diets
Therapeutic ketogenic diets are a type of medical nutrition therapy (also known as ketogenic diet therapy, or ketogenic metabolic therapy) used as adjunct therapy for specific physical and mental health conditions, implemented with medical oversight.
Note: These diets do not “reverse” or “cure” but, along with other treatments, can help put symptoms into remission. This article, written in relation to type 2 diabetes, explains the distinction between reversing or curing a disease and achieving remission.
A therapeutic ketogenic diet is;
- very different from a keto diet for weight loss, and improved metabolic health
- very different from a keto diet followed for therapeutic purposes
To understand what a therapeutic ketogenic diet is before requesting services, we recommend reading the article “A Keto Diet and a Therapeutic Ketogenic Diet are Very Different.”
Therapeutic Ketogenic Diets require strict clinical management. You can read my 6-Step Safety Protocol for Therapeutic Ketogenic Diets and Weight-Loss Keto published on Connectively on June 22, 2026.
Two Types of Therapeutic Ketogenic Diet Services
2:1 Therapeutic Ketogenic Diet
A 2:1 Therapeutic Ketogenic Diet may be implemented as adjunct therapy (along with medication) and under medical supervision for depression, anxiety disorders, and some types of bipolar disorder.
This type of diet may also be followed by those seeking overall improved mental health and who are not taking any prescription medications.
Due to the exacting nature of a 2:1 therapeutic ketogenic diet, we do not provide services to adjust a self-directed keto diet.
Therapeutic Ketogenic Diets
Specialized therapeutic ketogenic diets as adjunct therapy in specific mental and physical health conditions.
3:1 Therapeutic Ketogenic Diet
A 3:1 Therapeutic Ketogenic Diet is used as adjunct treatment in specific physical conditions (epilepsy, seizure disorder, glioblastoma, gliosarcoma), as well as specific mental health conditions, under a doctor’s supervision.
Note: If you are considering trialing a 3:1 Therapeutic Ketogenic Diet for mental health purposes, the first step is to discuss this with your doctor. Please download the Medical Supervision of Patient Form for your doctor to complete and then fax it to the office.
There is no set package for the 3:1 Therapeutic Ketogenic Diet.
For those seeking to adopt this diet as an adjunct treatment in glioblastoma or gliosarcoma, getting started with an Initial Consultation will enable us to discuss the timeframe required for design, teaching, and implementation of this diet relative to chemo and radiation. Every effort will be made to book appointments as quickly as possible.
II – Specialized Medical Nutrition; hEDS, MCAS & POTS Support
Individualized clinical dietary management tailored for Ehlers-Danlos Syndrome (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS).
I have been providing dietary support for MCAS since 2019, and for hEDS and POTS since 2020. I continue to stay abreast of the latest dietary interventions and recommendations for managing this “trifecta” of disorders.
The needs of each person with Ehlers-Danlos Syndrome (hEDS), Mast Cell Activation Syndrome (MCAS), and Postural Orthostatic Tachycardia Syndrome (POTS) are different, and for the ~60% of individuals who have been diagnosed with more than one of these disorders, which symptoms take priority needs to be factored in. For this reason, an Initial Consultation is the first step. Then, together, we can determine the best approach for providing services under the Customized Nutrition Package at the hourly clinical rate.
Clinical and Personal Experience
As outlined on the Homepage and the About Me page, I understand the “trifecta” of Mast Cell Activation Syndrome (MCAS), Ehlers-Danlos Syndrome (hEDS), and Postural Orthostatic Hypotension (POTS) from both sides of the clinical desk. Almost a decade ago, I was diagnosed with Mast Cell Activation Syndrome (MCAS), and have several first-degree family members with Ehlers-Danlos Syndrome (hEDS) and Postural Orthostatic Hypotension (POTS). Navigating these disorders is not only a clinical interest of mine; it’s a daily reality for myself and members of my family.
Want to dive into the research?
Before we meet, you might find these articles of interest.
Questions and Answers
Q: Do I need an official doctor’s referral to begin a therapeutic ketogenic diet?
A: A medical referral is not needed to book an Initial Consultation to discuss your needs; however, 2:1 and 3:1 therapeutic ketogenic protocols require active Physician or Psychiatrist oversight before beginning. You will need to have an established medical provider to sign the Medical Supervision of Patient Form and monitor your laboratory results and medication reviews before therapeutic ketogenic diet services are started.
Q: Can a therapeutic ketogenic diet help with oncology care as an adjunct treatment?
A: Yes. A strict 3:1 therapeutic ketogenic diet can be implemented as an adjunct, supportive metabolic therapy alongside standard medical treatments (chemo, radiation) for specific physical conditions, including glioblastoma and gliosarcoma, and some types of breast cancer. In these advanced clinical situations, booking an Initial Consultation as early as possible allows us to strategically map, design, and coordinate the diet’s implementation timeline with your chemotherapy and radiation schedules.
Q: What is the dietary strategy for managing overlapping hEDS, MCAS, and POTS symptoms?
A: Managing the complex “trifecta” of hypermobile Ehlers-Danlos Syndrome, Mast Cell Activation Syndrome, and Postural Orthostatic Tachycardia Syndrome requires a highly individualized approach. Rather than relying on rigid, overly restrictive meal elimination sheets that can cause nutritional deficiencies, we build step-by-step medical nutrition therapies that target connective tissue health, stabilize mast cell triggers (including histamine intolerance), and optimize blood volume/electrolyte tracking safely.
Meet to Discuss Your Needs
