4.1 Review

ALSUntangled #63: ketogenic diets

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TAYLOR & FRANCIS LTD
DOI: 10.1080/21678421.2021.1990346

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Ketone; ketogenic diet; alsuntangled; mitochondria; transgenic animals; therapy

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ALSUntangled reviews the effectiveness of ketogenic diets for ALS patients and finds that they may work by enhancing cellular energy balance and reducing excitotoxicity, neuroinflammation, and oxidative stress. However, there is currently insufficient data to recommend ketogenic diets for ALS patients, especially considering the potential side effects.
ALSUntangled reviews alternative and off label treatments with a goal of helping patients make more informed decisions about them. Here we review ketogenic diets. We shows that these have plausible mechanisms, including augmenting cellular energy balance and reducing excitotoxicity, neuroinflammation and oxidative stress. We review a mouse model study, anecdotal reports and trials in ALS and other diseases. We conclude that there is yet not enough data to recommend ketogenic diets for patients with ALS, especially in light of the many side effects these can have.

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