>> Date:    Sun, 21 Jul 2019 22:11:12 -0400
>> From:    Hadassah Mann <[log in to unmask]>
>> Subject: keto diet while breastfeeding
>>
>> I have a client who is pregnant and would like to start a keto diet after
>> giving birth. She has PCOS and was told the diet could help her. If she is
>> getting enough calories, is it safe?

Good morning,

Here is a brief summary I wrote when researching keto diets while lactating. This is a draft.

Ketogenic Diets
A recent diet trend gaining popularity is the ketogenic or “keto” diet. This diet originated in the 1920s in an effort to reduce epileptic seizures in children. The diet seeks to mimic carbohydrate starvation and throw the body into burning ketones for energy (Walczyk & Wick, 2017). It calls for very high fat intake, minimal carbohydrates, and few sources of fiber. Several studies have reported lactating women hospitalized with ketoacidosis associated with diet and restricted intake (Al Alawi & Falhammar, 2018; Sloan et al., 2017, von Geijer & Ekelund, 2015). These risks warrant counseling women pursuing this diet to be cautious and to involve their primary healthcare provider in their nutrition. 
Al Alawi AM, Falhammar H. Lactation ketoacidosis: case presentation and literature review. BMJ Case Rep. 2018 May 30;2018.
Sloan G, et al. A rare cause of metabolic acidosis: ketoacidosis in a non-diabetic lactating woman. Endocrinol Diabetes Metab Case Rep. 2017;2017.
von Geijer L, Ekelund M. Ketoacidosis associated with low-carbohydrate diet in a non-diabetic lactating woman: a case report. J Med Case Rep. 2015;9:224.

Hope this helps,
Anna Swisher

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