Therapeutic Diets

Lactose-Free Diet

• A lactose free diet means eating foods that have no lactose • Prescribed because: -some people do not break down lactose well -lactase deficiency — the small intestine produces low levels of lactase (enzyme that breaks down lactose) and cannot digest lactose. -lactose malabsorption • Medical conditions that benefit: - People who are lactose intolerant - People with irritable bowel syndrome (IBS) - People with a lactose deficiency - People with intestinal conditions — Crohn's disease or Celiac disease - People who have the lactase enzyme but it does not work properly -Also benefits ovo-vegetarians, fruitarians, and vegans •Foods allowed: -Lactose-free milk -rice milks -Soy milks -Pastas -Bread made without lactose -Oils — peanut butter, seeds, nuts -All fresh meat, poultry or seafood -All fruits and vegetables • Foods not allowed: -Milk -Cream -Yogurt -Butter -Cream cheese -Icecream -Chocolate lactase deficiency

Soft Diet

• Consists of foods that require little chewing and are easy to digest • Usually not intended to be long term • This diet could be prescribed to: • somebody who has trouble chewing (for example, someone learning to use dentures) • somebody who has had radiation therapy involving the head or neck • Food group representation, nutrient reports and whether or not diet fits AMDRs can vary depending on which soft foods you decide to consume • Foods that are allowed: nearly anything that can be blended up/pureed, ground meats, dairy products, cooked fruits and vegetables, any liquids, properly cooked legumes, other soft foods. Cereals and breads can be "slurried", which means softened with some liquid before eaten. • Foods to avoid: foods that are difficult to chew. For example- tough meats, raw and dried fruits and vegetables, breads with a thick crust, nuts and seeds not intended for long-term

Low Purine Diet

• Goal is to cut back on purines, not eliminate entirely. • Why is it prescribed? o Purines are naturally occurring substances in food o When digested, purines are broken into uric acid o Buildup of uric acid can lead to the following conditions • Gout • Kidney stones • Foods to avoid o Beer and other alcoholic beverages o Organ meats, such as liver, kidney, heart and gizzard o Poultry, especially goose o Red meat o Seafood o Sweetbread, a food made from animal glands o Wild game o Asparagus o Cauliflower o Dried beans and lentils o Green peas o Mushrooms o Spinach • Foods to eat more of o Complex carbs o Fruits and vegetables o Vitamin C o Caffeine o Water gout restrict meats and alcohol increase vitamin C to decrease uric acid

Fluid Restriction Diet

• Purpose is to stop fluid build up within the body • Kidney failure, dialysis, and patients with heart troubles can benefit from the fluid restriction diet • No certain food eliminated • Watch out for foods that are liquid at room temperature • Keep a fluid log • Pairs well with a low sodium diet to limit thirst for kidney/heart failure

Parenteral Diet

Parenteral nutrition is when nutrients are supplied to the body intravenously. It skips the GI tract entirely and provides nutrients straight to the body. Parenteral nutrition is normally used when there is no functioning GI tract or complete bowel rest is necessary o Disorders in which one may need complete bowel rest: • Some stages of ulcerative colitis • Bowel obstruction • Short bowel syndrome • Certain congenital pediatric GI disorders complications: • About 5 to 10% of patients have complications related to central venous access • Catheter-related sepsis occurs in probably ≥ 50% of patients. • Glucose abnormalities (hyperglycemia or hypoglycemia) or liver dysfunction occurs in > 90% of patients. skips GI tract intravenously

High Iron Diet

What conditions would benefit from a high iron diet? • Iron deficiency anemia • This decreases the amount of red blood cells, and the body will not produce enough hemoglobin which carries oxygen throughout the body. What foods are allowed? • All foods are allowed but some are recommended more than others • Red meat • Green leafy vegetables such as spinach • liver • seafood including oysters, mussels, sardines, and salmon • baked potato • beans and peas What foods are eliminated? • No foods are eliminated because the point of the diet is to simply increase iron. • However, tea, coffee, and foods with high calcium inhibit the absorption of iron so they should be limited if possible. Additional Information • Vitamin C helps absorb dietary iron, so you should eat foods high in vitamin C with foods high in iron. Foods include: • Broccoli • Oranges • Peppers • Tomatos • Leafy green vegetables prescribed for anemia Vitamin C increases absorption calcium and fiber decrease absorption

PKU Diet

What is PKU? PKU is a rare condition where a baby is born without the ability to properly break down an amino acid called phenylalanine, which plays a role with the production of melanin. It is found in foods that contain protein. What symptoms does it solve? • Lighter hair, skin, and eyes than siblings • Delayed mental and social skills • Head size significantly below normal • Hyperactivity • Jerking movements of the arms and legs • Seizures • Skin rashes • Tremors • Unusual positioning of hands • Musty odor on skin, breath and urine Foods not allowed • Milk • Dairy • Meat • Fish • Chicken • Eggs • Beans • Nuts Foods that are allowed • Consists of a phenylalanine-free medical formula • Carefully measured amounts of fruits, vegetables, bread, pasta, and cereals. • Low protein breads and pastas very limited has to be specifically monitored

Low-Residue Diet

What is a low-residue diet? What medical conditions would benefit from this? Also known as 'Low Fiber Diet.' A diet that eliminates high-fiber goods, such as whole-grain breads and cereals, nuts, seeds, raw or died fruits, vegetables. "Residue" refers to undigested food, including fiber, that make up stool. With medical conditions such as inflammatory bowel disease, like Crohn's disease (a chronic inflammatory disease of the intestines, especially the colon and ileum, associated with ulcers and fistulae) or ulcerative colitis (A chronic, inflammatory bowel disease that causes inflammation in the digestive tract), your doctor may suggest a low-residue diet. Why would a low-residue diet be prescribed? This diet would be prescribed so that a patient would have fewer, smaller bowel movements each day, in order to ease symptoms such as diarrhea, bloating, gas, and stomach cramping. A doctor would recommend this diet for a short time when you're having a flare, or after surgery to help with recovery. What foods are allowed to be consumed? Grains • Refined or enriched white breads and plain crackers (saltines) • Cooked cereals, such as farina, cream of wheat, and grits • Cold cereals, such as puffed rice and corn flakes • White rice, noodles, and refined pasta Fruits and Vegetables • Well-cooked fresh vegetables or canned vegetables without seeds (adparagus tips, beets, green beans, carrots, mushrooms, spinach) • Cooked potatoes without skin • Tomato sauce (no seeds) • Ripe bananas • Soft cantaloupe • Honeydew • Avocado Milk and dairy are okay to eat in moderation Animal products don't have fiber- all meats are okay Which foods need to be eliminated? • Seeds, nuts, or coconut, including those found in bread, cereal, desserts, and candy • Whole-grain products, including whole-grain breads, cereals, crackers, pasta, rice, and kasha • Raw or dried fruits, such as prunes, berries, raisins, figs, and pineapple • Most raw vegetables • Crunchy peanut butter, jam, marmalade, or preserves seeds & skins of fruit are bad because diverticulitis go 7-10 grams fiber

Full Liquid Diet

What is it: A full liquid diet is a middle step between a clear liquid diet and eating solid foods. A clear liquid diet allows only liquid you can see through. A full liquid diet allows thicker, liquid foods. Why would this be prescribed? ∗ Often used as a step between a clear liquid diet and a regular diet ∗ Right before a medical test or procedure, or before certain kinds of surgery ∗ After you have had surgery on your stomach or intestine ∗ If you are having trouble swallowing or chewing ∗ This diet should NOT be used if you are trying to lose weight Recommended foods: milks juice nectar butter cream honey Avoid: all cheeses all raw or cooked veggies all fresh, frozen, or canned fruits all cereals all breads

Restricted Calorie Diet

What is it? A diet that restricts total calorie intake per day for the individual. This is just lower for the personals original dietary intake. It could be in amounts of 1000, 1200, 1500, and 2000. Medical Conditions: • Obesity • Gastric Bypass Surgery • Diabetes Foods you can eat: • All foods, just in less and controlled amounts Foods to avoid: • High calorie foods • Foods high in fat • Fast food Complications: If a person does not consume enough carbohydrates during their diet, there body could go into ketosis and destroy their muscle tissue. They also could consume to little calories and not have the necessary amount of energy to be able to function at high levels throughout the day. should only be done under medical supervision

No Concentrated Sweets Diet

What is it? • Calls for the elimination of most of the simple sugars or "concentrated sweets" (excludes fresh fruit) • NCS diet helps control blood sugar levels • Must eat at least 3 meals, spaced out daily • Do not go long periods without eating Foods Cut Out of the Diet: All foods containing simple sugar Example: regular soda, lemonade, chocolate milk, candy, cake, honey, table sugar, white bread, fried fruit Who goes on diet? • Diabetics and pre-diabetics • Overweight people or people who have trouble with weight control • People, post gastric banding or sleeve gastrectomy for weight loss Upper limit for added sugar is 100 calories for women and 150 for men What you can eat on the NCS diet: All foods not containing simple sugar, excluding fresh, raw fruit No Dietary problems from NCS diet • Want more complex carbs, less simple carbs • Simple carbs are not necessary • Refined added sugar contains no other nutrients (proteins, vitamins, minerals) so has low nutrient density 14 tsp for every 1000 cal prescribed for treatment of diabetes consistency

Low Total Fat/Low Cholesterol Diet

What is it? • This diet reduces the amount of fats and oils you take in through your diet, especially saturated fats Medical Conditions: • Heart disease • High risk for stroke • Blocked arteries/vessels • Diabetes • Obese/overweight • Specific cancers • Gallstones Foods you can eat • Fruits and veggies • Very lean means like chicken or turkey or high lean percentage meats • Low fat dairy products like skim/low-fat milk, low fat cheeses • Low fat cereals, breads, oats Avoid • Butter, margarine, lards, fatty means, nuts, junk foods, fried foods, greasy foods Foods per day • Less than 55 grams a day for low fat diets, that's less than 500 calories from fats based on a 2,000 calorie diet • Focus on reducing saturated fats and to lower LDL limit: organ meats, shellfish

Low Oxalate Diet

What is oxalate? • Compound found mostly in plant foods • Links with calcium and crystalizes, causing kidney stones Why would a low oxalate diet be prescribed? • To prevent or lessen oxalate-calcium kidney stones in patients What are safe foods? • Less than 2 mg of oxalate per serving • Water • Skim Milk • Poultry • Seafood • Cabbage • Cauliflower • Avocado • Bananas • Peaches • Oatmeal • Rice • White Bread What foods should be limited? • Greater than 10 mg of oxalate per serving • Dark Beer • Berry Juices • Tea • Peanut Butter • Soybeans • Beets • Spinach • Green Peppers • Blackberries • Blueberries • Strawberries • Wheat Germ • Whole Wheat Bread • Seeds Additional Information: • Recommended 40-50 mg of oxalate per day on a low oxalate diet • Drink 12-16 cups of water per day to help clear kidney stones • The body may also turn extra vitamin C into oxalate, try to stay under 2,000 mg per day prescribed for kidney stones

The Elimination Diet

What is the elimination diet? What medical conditions could benefit from it? The elimination diet is a procedure used to identify foods that may be causing an adverse effect in a person, in which all suspected foods are excluded from the diet and then reintroduced one at a time. Once you have eliminated the foods, you must reintroduce them. This diet usually lasts for children, 7-10 days and about 3 to 4 weeks for adults. Asthma and allergies, autoimmune disorders, skin conditions, arthritis, atherosclerosis and other cardiovascular diseases, neurodegenerative diseases such as dementia, mood disorders, ADD/ADHD, narcolepsy, addiction, migraines, kidney problems. Why would this be prescribed? By prescribing the elimination diet you will be able to analyze how your body feels once you have eliminated it from your diet. Also, once you have completed the diet, lasting about 3 to 4 weeks, you must reintroduce the foods into your diet one by one and record any symptoms that may be felt in order to fully asses any issues or benefits the certain food. Foods Allowed: • Almost all fresh fruit • Almost all fresh raw, steamed, sautéed, or roasted vegetables. • Rice, buckwheat. • Fish, turkey, lamb, wild game. • Unsweetened rice milk, coconut milk • Flaxseed oil, coconut oil. • Sea salt, fresh pepper, fresh herbs. • Stevia (if needed) Foods to Eliminate: • Citrus Fruits • Tomatoes, eggplant, potatoes • Wheat, corn, barley, spelt, kamut, rye, oats, all gluten-containing products. • Soybeans, tofu, tempeh, soy milk, all beans, peas, lentils. • All nuts and seeds. • Beef, chicken, pork, eggs, cold cuts, bacon, hotdogs, canned meat, sausage, shellfish, meat substitutes made from soy. • Milk, cheese, cottage cheese, cream, yogurt, butter, ice cream, non-dairy creamers. • Margarine, butter, processed hydrogenated oils, mayonnaise, spreads. • Alcohol, caffeine. • Chocolate ketchup, mustard, relish, chutney, soy sauce, barbecue sauce, vinegar • White or brown sugar, honey, maple syrup, corn syrup, high fructose corn syrup, desserts. to figure out if having adverse reactions to certain foods allergies

Low Tyramine Diet

What is tyramine?- • A natural substance formed from the breakdown of the amino acid tyrosine as food ages Tyramine levels increase in foods when they are: o aged o fermented o stored for long periods of time o not fresh • Tyramine is a monoamine. Monoamine Oxidase (MAO) is an enzyme that breaks down monoamines, which helps process tyramine. Monoamine oxidase inhibtors (MAOI) do not allow tyramine to be broken down properly. This results in tyramine going into the bloodstream, causing high blood pressure, rapid heartbeat, headaches, etc When would a low tyramine diet be prescribed?- • Foods high in tyramine may cause serious effects when combined with certain medications such as o monoamine oxidase inhibitors (MAOI)-found in some antidepressants o Specific antibiotics (Furoxone) o Drugs used to treat Parkinsons disease • This side effects are o Rapid heart beat o High blood pressure o Severe headaches o Chest pains o Nausea o Vomiting o Hypertensive crisis-(dangerously high blood pressure) Foods to include- o milk-any kind as long as it is not outdated o cheese-as long as it is not aged o fresh, frozen or canned fruits and vegetables o commercial breads o hot and cold cereals o all fresh meat o legumes o eggs o juice o carbonated beverages o fats- margarine, butter, cream cheese, mayonnaise, nuts etc Foods to avoid- o overripe or dried foods o aged cheeses o breads made with aged cheeses o fresh, homemade sourdough or yeast breads o outdated or non-pasteurized dairy products o snow pea pods saukkerauts o air-dried, aged, dried, or pickled meats and sausage o processed meats-bacon, sausage, breakfast sausage o any leftover foods (more than 48 hours) including poultry, fish or meat o dressings made with aged cheese o gravies and sauces containing meat extracts or non-fresh meats Used for MAOI found in aged cheeses and left overs focus on fresh foods

Renal Diet

What medical conditions benefit? - Chronic Kidney Disease - Kidney Failure - Hemodialysis patients Why would this be prescribed? -When kidneys not working, waste and fluid build up -Over time, waste and extra fluid can cause heart, bone and other health problems; Diet helps keep waste and fluid from building up & causing issues -Helps keep levels of electrolytes, minerals and fluids balanced -Certain minerals should limit: Potassium, Phosphorus, Sodium, fluids/electrolytes Foods allowed: - Low-protein items - fruits & vegetables in moderation - peaches, grapes, pears, broccoli, cabbage, carrots (low in K+) - breads - pasta - grains - Foods with iron (a lot of kidney patients are anemic) - liver, pork etc. Foods to limit: -Fluids (people on dialysis urinate very little, important not to have fluid build up in heart etc.) - Potassium -tomatoes, OJ, bananas, asparagus, avocado, potatoes etc. - Sodium - salt, canned/processed foods - Phosphorus - some meats, poultry, fish, dairy, beans chronic kidney disease kidney disease dialysis patients limit K, Ph, Na, fluids in general only 2,000 mg/day of K

Clear Liquid Diet

When is it used? • Before and/or after some procedures/surgeries • Before some testing • To treat nausea, diarrhea, and vomiting—by doctor order What can you eat? • Water • Clear broth • Gelatin • Carbonated drinks • Sports drinks • Pulp-free juices • Coffee and tea—without milk or cream • Anything that is liquid or partially liquid at room temperature and is see through Why use it? • Easily digested • Leaves no trace residue in digestive tract • Clears out digestive tract transitional diet before or after surgery

Enteral Diet

Who can benefit from the Enteral Diet? - Patients who ... • are too weak to swallow adequate amounts of food • can't safely swallow adequate amounts of food • suffer from "Dumping Syndrome" • are critically ill who need enteral feeding to survive • have limited oral intake abilities • have severe pancreatitis • suffer from Crohn's Disease • suffer from an eating disorder such as anorexia • are in liver failure • are comatose or sedated Foods allowed on the Enteral diet? -NONE feeding tube diet doesn't skip GI tract

High Calorie/High Protein Diet

Why this would be prescribed: • Need for weight gain • Have more energy • Healing • Resist infection • Recover faster from surgery or illness Medical conditions: • Some cancers • HIV • AIDS • Wounds (such as ulcers or burns) • Malnutrition • After surgeries • Illness • Liver diseases Foods included: • All high protein and high calorie foods Foods excluded: • none

Low Phosphorus Diet

Why would a Low Phosphorus diet be prescribed? • High phosphorus in blood causes- o Low calcium in blood (bone disease) o Calcium deposits in the lungs, heart, and blood vessels • Most foods contain phosphorus- especially proteins • Phosphate binder sometimes prescribed Medical Conditions: • Kidney disease- kidneys regulate levels of phosphorus in blood. With damage, high levels of phosphorus are found in blood. Foods to limit or exclude: • Dairy • Whole Grains • Liver • Oysters • Flavored Beverages • Nuts and seeds Foods allowed: (RDA is 700 mg) • Rice Milk • Lean beef • Refined Grains • Green peas • Water for kidney disease watch protein found in soda and food additives

High Potassium Diet

Why would a high potassium diet be prescribed? -When there is a risk of heart disease -To reduce risk of heart attack and stroke -to help lower blood pressure How it works: Potassium, a mineral, works by protecting blood vessels from oxidative damage and keeps vessel walls from thickening. Adults should aim to get 4,700 mg of potassium a day. Foods to include: Avocado, bananas, cantaloupe, apricots, dates, figs, honeydew, kiwis, mangos, oranges, squash, potatoes, artichokes, beans, broccoli, carrots, mushrooms, tomatoes, spinach, granola, milk, peanut butter, yogurt Foods to exclude: apples, blackberries, blueberries, cranberries, grapes, peaches, pineapple, strawberries, beans, cabbage, corn, celery, eggplant, onions, lettuce, peppers, radishes, peas, cucumber,

Low Potassium Diet

Why would a low potassium diet be prescribed? ● chronic kidney disease ● kidney failure The above two conditions can be caused by: ● diabetes ● aging ● high blood pressure What could too much potassium cause? ● electrolyte imbalance ● irregular heartbeat ● heart attack Foods excluded: ● Fruits: avocados, bananas, cantaloupe, apricots, dates, figs, grapefruit juice, honeydew, kiwis, mangos, nectarines, oranges, papayas, pomegranates, prunes, and raisins ● Vegetables: acorn squash, butternut squash, artichokes, bamboo shoots, beans, beets, broccoli, brussel sprouts, carrots, lentils, legumes, white mushrooms, okra, parsnips, potatoes, rutabagas, spinach, tomatoes, vegetable juices ● Other Foods: bran, chocolate, granola, milk, molasses, nuts, seeds, peanut butter, salt substitutes, yogurt less than 2000 mg/day prescribed for renal disease foods no more then 200 mg

Controlled Vitamin K Diet

Why would it be prescribed and to who? •The controlled vitamin K diet is often prescribed if an individual is taking the drug Warfarin, which is also known as Coumadin. •Warfarin is an anticoagulant and is used to thin blood. It is prescribed to people who have a family history of blood clots. •Vitamin K acts as a blood coagulant, so an intake of vitamin K that is too high or too low affects the way warfarin works. What foods are allowed and what foods are eliminated? •Any food is allowed in moderation, although many are limited. •Foods high in vitamin K: kale (cooked), spinach (cooked), broccoli (cooked), Swiss chard (raw and cooked), most green leafy vegetables •These all have over 220 mcg of vitamin K per serving •Foods moderately high in vitamin K: collards (raw), spinach (raw), Brussel sprouts (cooked), cabbage (cooked) •These all have under 180mcg of vitamin K per serving •All of these foods should be limited and kept in check. •The idea of the diet is to control vitamin K so these foods may be eaten if your diet is low in vitamin K, but not if it is too high. ??

Bland Diet

Why would this be prescribed: -Digestive and Bowl Problems Ulcers Heartburn Nausea Diarrhea Reflux Vomiting Foods Allowed: Bland Diet Main Points Foods that are soft, not very spicy, and low in fiber. Examples: water mild soups yogurt cottage cheese carrots green beans applesauce mashed potatoes cream of wheat cooked pasta white rice saltine crackers Foods Not Allowed: Foods that are considered spicy, raw or fried. -Examples: popcorn corn chips bran cereals French fries hard crackers citrus fruits berries with seeds pineapple raw vegetables hot peppers sauerkraut chocolate milk jalapeños alcohol coffee fried meats crunchy peanut butter high-fat dairy foods fried foods, fatty foods, caffeine, alcohol, spices, chocolate all bad prescribed for ulcer, gastric problems

Cardiac Diet

Why would this diet be prescribed? What medical conditions would benefit most from this diet? The cardiac diet is meant to prevent or treat cardiovascular disease. It is part of the treatment doctors prescribe for patient with heart and blood vessel problems. The three main goals of the cardiac diet are: • to lower blood cholesterol levels • lower blood pressure • reduce body weight Used for atherosclerosis, diabetes mellitus, hyperlipidemia, hypertension, myocardial infarction, nephrotic syndrome, and renal failure. Foods to limit • Avoid trans fat (or hydrogenated oils), such as commercially fried foods and commercially baked goods. • Limit the sodium in your diet to 1500 milligrams (mg) per day • Limit processed meats to 2 servings (3 oz portion) weekly • Limit sweets and beverages with added sugar, such as soda, to no more than 5 servings per week Allowed Foods • Vegetables • Low-fat dairy products • Fruits • Whole grains • Poultry • Nuts 200 milligram cap on cholesterol

2 Gram/ Low Sodium Diet

Why would this diet be prescribed? What medical conditions would benefit most from this diet? • To reduce sodium to better the overall health of the person • People with high blood pressure and heart issues would benefit the most o Prevent fluid retention Foods allowed: • Processed meats (less than 100 mg salt/ounce) • Vegetable: all fresh frozen or canned without salt • Fruits: all fruits • Cereals: dry cereals that have no more than 100 mg salt/serving, cooked cereals prepared without salt • Beverages: carbonated beverages, coffee, decaffeinated coffee, tea, fruit juices and drinks, alcohol in moderation • Breads: up to four slices bread, any additional bread must be salt free • Potatoes and starches • Cheese: low sodium cheese (less than 80mg) • Fats: no more than four teaspoons a day • Desserts: one serving per day • Snacks: unsalted Foods to not consume: • Do not add salt to any foods • Avoid seasoned salts, even with words "low sodium" "lite" "sea salt" Tips: • Restaurant food tend to be higher in sodium, eating out less will be beneficial • Read labels, since "fat free, fat-reduced, calorie-reduced" do not indicate less sodium • 1 teaspoon of table salt contains 2,300 mg of sodium TUL= 2,300 mg

High Fiber Diet

dairy will counter fiber anything about recommended 35 g is considered high

Protein Restriction Diet

• What benefits does this diet have? o Reducing protein intake aids in nitrogen balance o When experiencing kidney failure or liver disease, the kidneys have trouble managing the nitrogen/ammonia content, causing an unhealthy buildup of this waste. Cutting back on the amount of protein consumed helps these conditions. • Which medical condition benefits from this diet? o Chronic Kidney Disease (CKD) o Abnormal liver function o inherited metabolic disorders, such as Phenylketonuria and Homocystinuria o Tyrosinemia: rare, when the body can not effectively break down the amino acid tyrosine • Foods allowed: o Foods such as starches, sugars, grains, fruits, vegetables, fats, and oils should be eaten at levels sufficient to meet daily energy needs. o Protein is still included in the diet, but at a lesser, more controlled amount • Foods limited/eliminated o Food with high sodium content should be avoided o Protein intake is reduced

High Calcium Diet

•prescribed to increase calcium levels, and treat deficiencies associated with low calcium levels (1000-1500 mg per day) Why would this be prescribed: Medical Conditions • Hyperkalemia- high levels of potassium in blood • Hypocalcemia- low levels of calcium in blood • Osteoporosis- bone loss • Hyperparathyroidism- Parathyroid disorder • Pregnancy- increase bone strength in fetus • High Blood Pressure • Stoke • Tooth loss Foods to Focus on (High Calcium) • Dairy Products (Milk, Cheese, Yogurt) • Dark Leafy Greens • Fortified Cereals • Fortified Orange Juice • Enriched beans, grains, and waffles • Calcium supplements (certain cases) Food to Eliminate • none fish with bones, tofu

Ketogenic Diet

● It's a highfat diet ● Carbohydrates are nearly eliminated so the body has minimal sources of glucose. ● Fatty acids, from keytones, are thus the main source of cellular energy ● Foods are carefully prepared and weighed ● For the best effect, food must be eaten in its entirety Who it's for: ● patients with epilepsy ● helps stop seizures ● most effective for children What you can eat: foods high in fat and protein ● Avocado ● Peanut butter ● Seed/nut oils ● Beef ● Nuts and nut flours ● Chicken ● Bacon ● Nonstarchy vegetables ● Whipping cream ● Full fat cottage cheese Foods not to eat: carbohydrates ● Candy ● Cookies ● Desserts ● Bread ● Potatoes ● Rice ● Cereals ● Pasta 3:1 fat to carb & fat to protein for epilepsy works best for children always overseen by a dietitian & doctor