Ketogenic Protocols are structured dietary regimens characterized by a very low intake of carbohydrates, moderate protein consumption, and high intake of dietary fat. The primary clinical objective is to induce a metabolic state known as ketosis, where the body shifts its primary fuel source from glucose to ketone bodies derived from fat breakdown. These protocols are utilized for managing certain neurological conditions, weight optimization, and improving metabolic flexibility.
Origin
The original ketogenic diet was developed in the 1920s as a therapeutic protocol for pediatric epilepsy, preceding the development of modern anticonvulsant medications. The term “protocol” reflects the highly specific and structured nature of the macronutrient ratios required to consistently maintain nutritional ketosis. Contemporary applications have expanded into general wellness, drawing from endocrinology and nutritional science.
Mechanism
The core mechanism is the hepatic production of ketone bodies—acetoacetate, beta-hydroxybutyrate (BHB), and acetone—from fatty acid oxidation when glucose stores are depleted. BHB serves as an alternative, highly efficient fuel source for the brain and muscles. This metabolic shift is tightly regulated by the hormones insulin and glucagon; the significant reduction in carbohydrate intake keeps insulin levels low, thereby promoting the lipolysis and ketogenesis necessary for the protocol’s function.
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