Neurology

 

Webinars (CE Eligible)

Nutricia North America is pleased to provide a variety of clinically-oriented educational lectures. These Nutricia sponsored presentations are intended for healthcare professionals.
In this section, you will find the name and description of all the recorded lectures available. Each of the following presentations is approximately 60 minutes long and is available for viewing at no cost. In addition, viewers can receive a certificate of attendance and most lectures are eligible for continuing education credit for dietitians and nurses. In order for the recorded lecture to be considered for continuing education for dietitians by the Commission on Dietetic Registration, the recording must be viewed within 3 years of the date of the live presentation.

  • New Webinar - Register Now!
    Management of the Ketogenic Diet in the Pediatric Intensive Care Unit

    Join us for a 1-hour educational webinar with Cagla Fenton discussing the management of pediatric epilepsy patients with the ketogenic diet in an intensive care setting. Cagla will explore when and how to initiate the ketogenic diet and discuss important considerations for maintaining the diet during acute illness.
    Learning Objectives:

    • Describe steps involved in urgent initiation of KD in critically ill pediatric patients
    • Discuss use of tube feedings for KD patients in pediatric intensive care
    • Identify laboratory testing recommended for monitoring KD patients in pediatric intensive care

    Register Now

    About Our Speaker

    Cagla Fenton is a Clinical Dietitian at Children’s Hospital of Philadelphia specializing in ketogenic diet treatment for epilepsy and other neurological disorders. After earning her bachelors degree in Nutrition and Food science at Drexel University in Philadelphia, Cagla completed a dietetic internship at Beth Israel Hospital in Boston. She started her career as a pediatric dietitian at CHOP, which is where she still works. Cagla has been a clinical dietitian at CHOP for 23 years and 18 of them have been with the ketogenic diet program. Cagla’s passion is in patient care, education and innovation.

    Cagla is the author of several original scientific publications regarding Use of Breast Milk with the Ketogenic Diet, Benefits of a Ketogenic Teaching Kitchen in the Hospital and most recently, Homemade oil emulsion for use in formula feedings.

  • How Do Social Determinants of Health Impact the Ketogenic Diet Journey?

    Join us for a 1-hour educational webinar with Robyn Blackford and Megan Keeler discussing the importance of the multidisciplinary approach to ketogenic diet initiation. Being aware of the Social Influencers of Health (SIOH) can help you to understand how they might shape success on the diet for your patients. We will review a case study where the dietitian and social worker worked together to care for a family from pre-diet start to the middle of their ketogenic diet journey. Join us to learn more about how to overcome psychosocial barriers and grow successful ketogenic diet programs.
    Submitted for one (1) CEU credit

    Learning Objectives:

    • Discuss the multidisciplinary approach to ketogenic diet initiations
    • Identify how the Social Influencers of Health (SIOH) play a part in the utilization of the ketogenic diet
    • Learn how dietitians can illicit information in order to help patients overcome psychosocial barriers
    • Enhance problem-solving skills through the discussion of a case study


    Recorded Webinar - Coming Soon

    Webinar Handouts


    ABOUT OUR SPEAKERS:
    ROBYN BLACKFORD, RDN, LDN
    Robyn has worked as the expert ketogenic dietitian at Lurie Children’s in Chicago since 2005. She helped initiate, grow and lead their Ketogenic Diet Program where they currently follow over 350 patients on ketogenic therapies. This makes Lurie Children’s one of the largest Keto Centers in North America. Robyn has several publications on the Ketogenic Diet, including being an author for the International Ketogenic Diet Consensus Statement. She routinely gives presentations about the ketogenic diet to a variety of audiences. She has a passion for setting up families to be successful with ketogenic diet therapy, as well as supporting and mentoring healthcare professionals who guide patients on medical ketogenic diet therapies.
    MEGAN P KEELER, MPH, MSW, LSW
    Megan has been a medical social worker with the Epilepsy Center at Lurie Children’s in Chicago since 2021. She serves in a hybrid role, seeing patients in several clinics as well as during their admissions for ketogenic diet initiation and neurosurgical follow up. The population she supports often have exhausted pharmacologic solutions for their diagnoses and seek alternative means through surgical or dietary intervention. Megan extensively prepares families for admissions initiating these interventions, supports them throughout their medical course, and coordinates with a multidisciplinary team to provide better health outcomes. She is passionate about identifying gaps in service to improve health outcomes and educating others about the social determinants of health.

  • Genetic Disorders and the Medical Ketogenic Diet

    Please join us for a webinar with Dr. Ara Hall as she discusses the medical ketogenic diet in patients with genetic disorders.

    Objectives for the talk include:

    • Discover which genetic disorders may benefit from a medical ketogenic diet.
    • Recognize unexpected side effects that may occur in patients with genetic disorders.
    • Determine appropriate candidates and expectations for success.

    • *This webinar will be eligible for 1 CE-credit for dietitians and nurses.

    Watch Webinar


    Download Webinar Handouts

  • Medical Ketogenic Diet Myth Busting

    Please join us for an informative webinar with Keto Ambassador, Robyn Blackford, RDN, LDN as she uses evidence-based medicine to dispel some of the common misconceptions of the medical ketogenic diet.

    Objectives for this talk include:

    • Assess diet initiation methods for the medical ketogenic diet.
    • Distinguish factors that go into choosing an appropriate enteral formula for your patient on the medical ketogenic diet.
    • Explain ways to dispel myths regarding the medical ketogenic diet to patients and professionals.

    *Nurses may claim CEU credit for this webinar. RDs may claim CEU credit for this webinar until 5/31/2024.

    Download Webinar Handouts

  • Clinical applications of growth on medical ketogenic diets: How to best manage pediatric patients

    Join Dr. Christina Bergqvist from the Children’s Hospital of Philadelphia as she discusses growth of children on medical ketogenic diets.

    Webinar Objectives:

    • Summarize literature related to patient’s growth on the medical ketogenic diet.
    • Define elements of the medical ketogenic diet that affect growth in children.
    • Construct interventional plans to help manage growth.

    *Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar from 5/21/2021 to 5/21/2024. To receive the Certificate of Attendance from this webinar, please complete this brief survey. Make note of the webinar code prior to submitting the survey. Then enter the code within the CE credit request section to receive your Certificate of Attendance.

    Download Webinar Handouts

  • The Modified Atkins Diet: An Update

    Please join us for an informative webinar with Keto Ambassador, Stacey Bessone, RDN, LDN as she provides an update on the Modified Atkins Diet.

    Objectives for this talk include:

    • Describe the guidelines for use of the Modified Atkins Diet (MAD) and an appropriate patient for the diet
    • Formulate an educational plan to instruct a family on MAD
    • Review a case study applying new knowledge from the MAD presentation

    *Nurses may claim CE credit for this webinar. RDs may claim CE credit for this webinar until 5/31/2024. To receive the Certificate of Attendance from this webinar, please complete this brief survey. Make note of the webinar code prior to submitting the survey. Then enter the code within the CE credit request section to receive your Certificate of Attendance.

    Download Webinar Handouts

  • A UK Experience: Effective Transitioning to a Virtual Ketogenic Diet Service

    Join us for a webinar from KetoConference 2020. This was a recorded session from October 22, 2020 that took place in the UK.

    Webinar Objectives:

    • Review the transition from face-to-face ketogenic diet visits to virtual service
    • Discuss opportunities and challenges in transitioning to a virtual ketogenic diet service
    • Summarize a patient case study

  • Keto in the Pandemic: Past Ideas and Future Directions

    Please join us for an informative webinar as Keto Ambassadors Stacey Bessone, RDN, LDN and Zahava Turner, RD, CSP, LDN and Dr. Eric Kossoff present on their experience with medical ketogenic diet patients since March 2020. They will provide tips for how to initiate the diet outpatient as well as how their clinics are currently functioning.
    Webinar Objectives:

    • Recognize the challenges of providing medical ketogenic diet care in the COVID19 pandemic
    • Hear about recently published inpatient and outpatient solutions
    • Learn about a published survey of international centers and their response to COVID19 using the medical ketogenic diet
    • Attendees to share their own thoughts and ideas!

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Medical Ketogenic Diet Basics for the Non-Ketogenic Clinician

    Please join us for an informative webinar as Keto Ambassador, Zahava Turner, RD, CSP, LD, presents on the basics of the medical ketogenic diet for the non-ketogenic clinician.

    Webinar Objectives:

    • Discuss the history of the medical ketogenic diet.
    • Review the different diet variants.
    • Calculate the medical ketogenic diet.
    • Identify helpful tips for monitoring patients on the medical ketogenic diet.

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Cooking Tips and Recipe Adaptation on the Medical Ketogenic Diet

    Please join us for an informative webinar as medical ketogenic chef, Rachel Finn presents and demonstrates how to adapt recipes to be compliant with the medical ketogenic diet.

    Webinar Objectives:

    • Describe best practices when teaching families how to cook medical ketogenic recipes.
    • Effectively modify home recipes to be appropriate for the medical ketogenic diet.
    • Demonstrate how to cook foods on the medical ketogenic diet.

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Food Allergies and the Blenderized Diet in Medical Ketogenic Diet Patients with Epilpesy

    Please join Lindsey Thompson, PhD, RD, CSP, LD, Laura Dority, MS, RD, LD and Jessica Brown, RD, CSP, CNSC, CLEC
    Webinar Objectives:

    • Outline various ways to implement a medical ketogenic diet for patients with food allergies or other dietary restrictions.
    • Develop ketogenic blenderized recipes utilizing specialized commercial products.
    • Learn how to integrate “super” foods into a blenderized diet.
    • Generate blenderized recipes for patients with food allergies or following a vegan or vegetarian diet.

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - MCT Oil Ketogenic Diet for the Management Epilepsy

    Please join Vanessa Aldaz, MPH, RD, CDE for a 1-hour educational webinar.

    Webinar Objectives:

    • Identify patients who would be ideal candidates for the MCT oil ketogenic diet for epilepsy.
    • Calculate and implement an MCT oil diet meal plan.
    • Discover the benefits and therapeutic uses of MCT oil.
    • Discuss reasons why MCT oil may be used as a supplement in other ketogenic diet variants.

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Navigating through Ketogenic Diet Obstacles for the Management of Epilepsy

    Please join Robyn Blackford, RDN, LDN for a 1-hour educational webinar.

    Webinar Objectives:

    • Identify common and rare side effects of the medical ketogenic diet.
    • Assess various ways to resolve side effects of the medical ketogenic diet.
    • Determine ways to proactively avoid harmful side effects for patients on medical ketogenic diet.

    *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Achieving Optimal Vitamin and Mineral Supplementation for Patients on the Medical Ketogenic Diet for the Management Epilepsy

    Please join Stacey Bessone, RDN, LDN for a 1-hour educational webinar.

    Webinar Objectives:

    • Identify common vitamin and mineral concerns including MOA, symptomology and physical exam findings for patients on the ketogenic diet.
    • Describe requirements (DRIs) and suggested supplementation for patients on the diet.
    • Suggest lab work relating to vitamin and mineral deficiencies of patients on the ketogenic diet.

    • *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University - Low Ratio, Slow Outpatient Initiation & Maintenance of the Medical Ketogenic Diet: Update & Practical Guidance for the RD

    Please join Jennifer Fabe, BSc, MSc, RD, for a 1-hour educational webinar.

    Objectives:

    • Review updated statistics on patients who have been started on the medical ketogenic diet in Canada with the Low and Slow outpatient initiation method.
    • Calculate patient examples using the Low and Slow outpatient initiation method in further detail.
    • Answer questions from audience members about the Low and Slow Outpatient Initiation method.

    • *This event is eligible for 1 continuing education (CE) credit.

    Download Webinar Handouts

  • Keto University 2020 Kickoff – Navigating Telemedicine – Keto Tips and Tricks

    Learn tips and tricks from around the country from Nutricia’s 5 Keto Ambassadors - Zahava Turner, RD, CSP, LD, Stacey Bessone, RDN, LDN, Robyn Blackford, RDN, LDN, Lindsey Thompson, PhD, RD, CSP, LD, and Vanessa Aldaz, MPH, RD, CDE, on how to manage ketogenic diet patients using telemedicine and diet instruction at home.

    Download Webinar Handouts

  • Feeding and Swallowing Assessment of the Pediatric Medical Ketogenic Diet Patient

    Please join Lindsey Phillips, OTD, OTR/L for a 1-hour educational webinar on feeding and swallowing assessment of pediatric patients on the medical ketogenic diet.
    Webinar Objectives:

    • Learn the four components of a standard feeding and swallowing evaluation.
    • Identify environmental factors that should be considered during mealtimes.
    • Acknowledge possible behavioral components that impact feeding and swallowing skills.
    • Identify abnormal chewing and swallowing skills that impair safety with feeding.

    • *This event is eligible for one (1) CEU credit. To obtain the code for your certificate of attendance, please fill out this brief survey then obtain your certificate on NLC.

    Download Webinar Handouts

  • KetoCal® 2.5:1: A New Medical Food to Manage Your Adult and Older Children on the Ketogenic Diet

    Please join Ellen Avery, MS, RD, Medical Advisor, Nutricia North America, for a 1-hour educational webinar on KetoCal 2.5:1.

    Webinar objectives:

    • Review KetoCal's history and evidence
    • Understand how the new KetoCal 2.5:1 fits in your patients' epilepsy management plan
    • Discover the benefits and key nutritional components of the new KetoCal 2.5:1 for your patients

    • Download Webinar Handouts

  • A Systematic Review of Literature on the Quality of Life on the Ketogenic Diet

    Please join Martin Verkuyl, PhD, researcher from Nutricia Utrecht as he reviews research on the quality of life and the ketogenic diet.
    By the end of this webinar, attendees will be able to interpret key studies that shape research on the quality of life in the ketogenic diet.
    Eligible for 1 CEU credit for nurses and dietitians.

  • Ketogenic Diets: Modifications to Manage Seizure Disorders

    Please join Yeou-Mei Christiana Liu, MSc, RD, RDN, CHES of The Hospital for Sick Children, Toronto, Canada for an educational webinar on the ketogenic diet. By the end of this webinar, participants will be able to:

    • Determine which ketogenic diet is suitable for each individual patient
    • Modify various forms of the ketogenic diet to maximize effectiveness

    • *This event is eligible for one (1) CEU credit. To obtain the code for your certificate of attendance, please fill out this brief surveythen obtain your certificate on NLC.

    Download Webinar Handouts

  • Refractory Epilepsy Patients: Management Options when Drugs Fail

    Join us for a 1 hour educational webinar with Dr. Arthur Partikian discussing management options for refractory epilepsy patients when drugs fail.

    Participants will be able to:

    • Understand alternative management options when antiepileptic drugs (AEDs) fail
    • Discuss the existing clinical evidence and mechanism of action for one such option: the ketogenic diet
    • Identify best candidates for the ketogenic diet
    • Evaluate how the ketogenic diet could benefit one’s own patients

    • *This event is eligible for one (1) CEU credit. To obtain the code for your certificate of attendance, please fill out this brief survey brief survey then obtain your certificate on NLC.

    Download Webinar Handouts

  • The Role of the Neurology Nurse in the Ketogenic Diet Program

    Join us for a 1-hour educational webinar with Claire Chee, RN, BS discussing the evolution of the role of the nurse in a ketogenic diet program. Nurse Claire will also share tips from her decades of experience with the ketogenic diet. This talk was one of the highlights of KetoU 2017 in Chicago, and we are pleased to be able to bring Nurse Claire’s experience to a wider audience.
    Participants will be able to:

    • Describe the role a neurology nurse can play within a ketogenic diet program.
    • Discuss how the addition of a neurology nurse could grow and enhance a keto team.
    • Understand issues that could arise in the ketogenic diet from a nursing perspective.

    *This event is eligible for one (1) CEU credit. To obtain the code for your certificate of attendance, please fill out this brief survey then obtain your certificate on NLC. 

  • Managing a Cross-Cultural Ketogenic Diet

    Please join Keto Ambassador, Vanessa Aldaz, MPH, RD, CDE, for a free, one hour educational webinar on how to implement the ketogenic diet in various cultures.
    By the end of this webinar, participants will be able to: 

    • Define the terms, culture and ethnic background
    • Understand the premise of "Ethno-consciousness in MNT counseling
    • Provide examples of different KD initiation protocols used in other countries
    • Provide examples of how to prepare a KD for specific ethnic and cultural backgrounds
    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

    Download Webinar Handouts

  • Problem Solving GI Issues in the Ketogenic Diet

    Please join our Keto Ambassador, Lindsey Thompson, MS, RD for an educational webinar targeted for new and non-Keto dietitians on Problem Solving GI Issues in the Ketogenic Diet.
    At the end of this webinar, participants will be able to: 

    • List potential gastrointestinal (GI) complications of the ketogenic diet
    • Evaluate possible interventions for GI complications of the ketogenic diet

    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

    Download Webinar Handouts

  • Older Children and the Ketogenic Diet

    Please join our Keto Ambassador, Stacey Bessone, RDN, LDN, for a free, one hour educational webinar on the topic of Older Children and the Ketogenic Diet.

    By the end of this webinar, participants will be able to:

    • Interpret the latest research for older children, adolescents and adults on the ketogenic diet
    • Compare and contrast the use of variations of the ketogenic diet in older children, adolescents and adults
    • Define and describe obstacles of older children, adolescents and adults on the ketogenic diet and ways to address them

    • *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

    Download Webinar Handouts

  • Fine Tuning & Troubleshooting the Ketogenic Diet

    Please join Keto Ambassador, Robyn Blackford, RDN, LDN, for an educational webinar on how to fine tune and troubleshoot the ketogenic diet.

    At the end of this webinar, participants will be able to:

    • Calculate how to make changes to various forms of the ketogenic diet
    • Appropriately adjust calories, ketogenic diet ratio and supplements based on nutrition needs
    • Determine appropriate interventions for a sick patient on the ketogenic diet dependent upon symptoms

    • *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Special Circumstances and the Ketogenic Diet

    Join our KetoAmbassadors Lindsey Thompson, MS, RD; and Zahava Turner, RD, for an educational Webinar targeted for new and non-Keto dietitians on special circumstances as related to the ketogenic diet – Status epilepticus and the Neonatal Intensive Care Unit (NICU).

    At the end of this webinar, participants will be able to:

    • Define status epilepticus
    • Identify ways to initiate the ketogenic diet for a patient in status epilepticus
    • Review the ketogenic diet induction process in the NICU
    • Recite potential complications and troubleshooting related to diet initiation in the NICU
    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

    Download Webinar Handouts

  • The Classic Ketogenic Diet: Evidence, Diet Calculations and Case Reports

    Join our Keto Ambassadors Lindsey Thompson, MS, RD; and Zahava Turner, RD, for a 1-hour educational webinar targeted for new and non-Keto dietitians on the basics of the Classic Ketogenic Diet (cKD).

    Participants will be able to:

    • Describe the evidence surrounding the efficacy of the classic ketogenic diet
    • Implement the learnings in calculating the cKD
    • Discuss basic case reports on the cKD
    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

    Download webinar handouts

  • The Ketogenic Diet: Sharing Best Practices for Tube Feeding

    Join us for a 1-hour educational webinar and hear from keto expert Becky Sparks, RD on using the Ketogenic Diet (KD) in tube-fed patients. Eligible for one CEU credit. 

    This webinar will cover:

    • Introducing the Ketogenic Diet for already tub-fed patients
    • Hints and tips for a successful implementation

    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • The Ketogenic Diet Beyond Epilepsy

    Join us for an educational Webinar and hear from expert Beth Zupec-Kania, R.D.N. (Ketogenic Therapies, LLC & The Charlie Foundation).

    This webinar will cover:

    • Identify disorders for which the ketogenic diet is contraindicated
    • Identify conditions that benefit from ketogenic diet therapy
    • Identify a specific diet recommendation for one disorder or condition

    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Pyruvate Dehydrogenase Deficiency (PDH) and the Ketogenic Diet (KD)

    Join us for an educational Webinar and hear from expert Anne Boney, MEd, RD, LDN (QOL Medical; formerly Duke University Medical Center) about the nutritional management of PDH.

    This webinar will cover:

    • Overview and biochemical background of PDH
    • Review of known therapies for PDH
    • Review of a published case report

    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Nutrient Deficiency in the Ketogenic Diet: How to monitor for, prevent and address them

    Please join Jessica Holy, MS, RD/LD for an informative webinar focused on nutrient deficiencies commonly associated with the ketogenic diet. Content will include a literature review, case studies and a Q&A.

    This webinar will cover:

    • Potential nutrient deficiencies commonly associated with the ketogenic diet
    • What does the literature say?
    • How to monitor, manage and prevent deficiencies

    *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Ketone Testing in Managing the Ketogenic Diet – Literature review and case studies

    Join us for a 1-hour educational webinar and hear from experts Denise Potter, RD, CDE and Kelly Urbanik, RD, LDN, CSP as they review literature and research on the ketogenic diet.

    • Review of the literature and research on the role of blood ketone testing in initiating and managing the ketogenic diet.
    • Case studies

    • *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Preparing Families for the Ketogenic Diet Journey

    Please join presenter Robyn Blackford, RD, Keto-Dietitian at Ann and Robert Lurie Children’s Hospital of Chicago for a free one hour educational webinar on the ketogenic diet (KD).

    This webinar will cover:

    • How to get families ready for the ketogenic diet
    • Review of the education process at Ann and Robert Lurie Children’s Hospital of Chicago, one of the largest ketogenic diet programs in the US

    • *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

  • Implementing the Ketogenic Diet in Infants: An Overview and Case Reports

    Please join presenter Becky Sparks, RD, Keto-Dietitian at Children’s Hospital of Michigan, and Therese O’Flaherty, RD, Keto-Dietitian at Cincinnati Children’s Hospital for a free one hour educational webinar on the usage of the ketogenic diet (KD) in infants.

    This webinar will cover:

    • Review of scientific literature regarding usage of the KD in infants
    • Implementing the KD in infant
    • Discussion of case reports

    • *Please note: Dietitians cannot claim credit for recorded events beyond 3 years from live event date.

Healthcare Professional Tools

  • KetoCal Pocket Portfolio

    KetoCal, Liquigen and Polycal product information including, nutrition information and approximate household measures.

  • KetoCal Blenderized Diet Recipes

    Blenderized diet recipes using real food with KetoCal and Liquigen. Three keto Dietitians, Lindsey, Laura and Jessica share their favorite blenderized keto recipes to inspire you.

  • KetoCal Authorization Form

    Due to the medical food status, consent from a healthcare provider is required for patients/caregivers to purchase or obtain a sample of any KetoCal products directly through Nutricia. As a healthcare provider, you can provide consent for your patient online at MyKetoCal.com or by completing this form.

  • KetoCal DRI Calculator

    Compare nutrients for a chosen amount of any KetoCal product to the Dietary Reference Intakes (DRIs) for any group. Adjust the calorie level by changing the calories in the green box at the top of the Excel sheet.

  • KetoCal Patient Starter Kit

    We are pleased to offer New Patient Starter Kits to help your patients start and stay on the medical ketogenic diet successfully. Each kit contains a digital gram scale, cooking spatula, mixing bowl, caregiver guide, and more. If you’d like to have starter kits or instruction postcards on hand for your clinic, please reach out to your Nutricia Territory Manager.

  • Nutricia Navigator

    A free service to help your patients obtain insurance coverage and faster access to Nutricia products. Find 3 easy steps to get started.

  • Ketogenic Diet for Adults – References

    This document provides a list of references supporting the use of the ketogenic diet for intractable in adults.

  • Letters of Medical Necessity

    We created the following sample letters of medical necessity to help patients request insurance coverage for KetoCal or Liquigen. You can complete the missing information and individualize the letters to suit your patient's situation and needs. Simply click the appropriate product below to download the Word file of each sample letter. Please note: our Nutricia Product Coverage Navigator team is available to help you and your patients to obtain coverage for our medical foods. This includes assistance with drafting letters of medical necessity, obtaining prior authorization for our products, correcting billing errors, appealing denied claims and much more. If you or your patients need personalized assistance with KetoCal or Liquigen coverage call 1-800-365-7354 or email NutriciaNavigator@nutricia.com

Flowcharts/Guidelines

  • KetoCal Tube Feeding Guidelines

    The guidelines cover the transition and monitoring of the medical ketogenic diet by tube during initiation, maintenance and discontinuation of the diet.

  • KetoCal Clinician Decision Guide

    This guide illustrates the most appropriate and convenient choice of ketogenic formula for various types of ketogenic diet. It is a tool that may be used as a decision making guide for clinicians. The flowchart poses guiding questions and considerations to ensure patients nutrition needs are being met. It includes a list of the KetoCal family of products.

  • Green Flags for the Using the Ketogenic Diet in Refractory Epilepsy

    This document helps neurologists or other healthcare professionals to identify ideal patient candidates for the ketogenic diet.

Patient Resources

Reference Library

  • Publications & Guidelines Known to Use KetoCal

    References Available:

    • 1. Hallböök T, Kohler S, Rosen I, et al. Effects of ketogenic diet on epileptiform activity in children with therapy resistant epilepsy. Epilepsy Res. 2007;77(2-3):134-40. PubMed
    • 2. Rubenstein JE. Use of the ketogenic diet in neonates and infants. Epilepsia. 2008;49(s8):30-2. PubMed
    • 3. Kossoff EH, Hedderick EF, Turner Z, et al. A case-control evaluation of the ketogenic diet versus ACTH for new-onset infantile spasms. Epilepsia. 2008;49(9):1504-9. PubMed
    • 4. Hong AM, Turner Z, Hamdy RF, et al. Infantile spasms treated with the ketogenic diet: Prospective single-centerexperience in 104 consecutive infants. Epilepsia. 2010;51(8):1403-7. PubMed
    • 5. Nabbout R, Mazzuca M, Hubert P, et al. Efficacy of ketogenic diet in severe refractory status epilepticus initiating fever induced refractory epileptic encephalopathy in school age children(FIRES). Epilepsia. 2010;51(10):2033-7. PubMed
    • 6. Coppola G, Verrotti A, Ammendola E, et al. Ketogenic diet for the treatment of catastrophic epileptic encephalopathies in childhood. Eur J Paediatr Neurol. 2010;14(3):229-34. PubMed
    • 7. Wusthoff CJ, Kranick SM, Morley JF, et al. The ketogenic diet in treatment of two adults with prolonged nonconvulsive status epilepticus. Epilepsia. 2010;51(6):1083-5. PubMed
    • 8. Urbizu A, Cuenca-Leon E, Raspall-Chaure M, et al. Paroxysmal exercise-induced dyskinesia, writer's cramp, migraine with aura and absence epilepsy in twin brothers with a novel SLC2A1 missense mutation. J Neurol Sci. 2010;295:110-3. PedMed
    • 9. Zupec-Kania B. Enteral and Parenteral Applications of Ketogenic Diet Therapy: Experiences From Four Centers. ICAN: Infant, Child, & Adolescent Nutrition. 2011;3:274-81. PubMed
    • 10. Cervenka MC, Hartman AL, Venkatesan A, et al. The ketogenic diet for medically and surgically refractory status epilepticus in the neurocritical care unit. Neurocrit Care. 2011;15(3):519-24. PubMed
    • 11. Roan M. Management of Long-Term Ketogenic Parenteral Nutrition. ICAN: Infant, Child, & Adolescent Nutrition. 2011;3:282-7. Sagepub
    • 12. Kossoff EH, Dorward JL, Turner Z, et al. Prospective study of the modified atkins diet in combination with a ketogenic liquid supplement during the initial month. J Child Neurol. 2011;26(2):147-51. PubMed
    • 13. Christodoulides SS, Neal EG, Fitzsimmons G, et al. The effect of the classical and medium chain triglyceride ketogenic diet on vitamin and mineral levels. J Hum Nutr Diet. 2012;25(1):16-26. PubMed
    • 14. Cusmai. Ketogenic diet in early myoclonic encephalopathy due to non ketotic hyperglycinemia. Eur J Paediatr Neurol. 2012;16:509-13. PubMed
    • 15. Suo C, Liao J, Lu X, et al. Efficacy and safety of the ketogenic diet in Chinese children. Seizure. 2013;22(3):174-8. PubMed
    • 16. El-Rashidy OF. Modified Atkins diet vs classic ketogenic formula in intractable epilepsy. Acta Neurol Scand. 2013;128(6):402-8. PubMed
    • 17. Sort R, Born AP, Pedersen KN, et al. Ketogenic diet in 3 cases of childhood refractory status epilepticus. Eur J Paediatr Neurol. 2013;17(6):531-6. PubMed
    • 18. Kossoff EH, Henry BJ, Cervenka MC. Efficacy of dietary therapy for juvenile myoclonic epilepsy. Epilepsy Behav. 2013;26(2):162-4. PubMed
    • 19. Strzelczyk A, Reif PS, Bauer S, et al. Intravenous initiation and maintenance of ketogenic diet: proof of concept in super-refractory status epilepticus. Seizure. 2013;22(7):581-3. PubMed
    • 20. Pires M. Ketogenic diet for infantile spasms refractory to first-line treatments: An open prospective study. Epilepsy Research. 2013;13:S0920-1211. PubMed
    • 21. Caraballo RH, Flesler S, Armeno M, et al. Ketogenic diet in pediatric patients with refractory focal status epilepticus. Epilepsy Res. 2014;108(10):1912-6. PubMed
    • 22. Groveman SA. Ketogenic Diet Patients' Lipid Profiles Improved with KetoCal 4:1 Liquid: A Case Series. ICAN Infant Child Adolesc Nutr. 2015;7(3):157-161. Sagepub
    • 23. Dressler A, Trimmel-Schwahofer P, Reithofer E, et al. Efficacy and tolerability of the ketogenic diet in Dravet syndrome - Comparison with various standard antiepileptic drug regimen. Epilepsy Res. 2015; 109:81-9. PubMed
    • 24. Dressler A, Trimmel-Schwahofer P, Reithofer E, et al. The ketogenic diet in infants - Advantages of early use. Epilepsy Res. 2015; 116:53-8. PubMed
    • 25. van der Louw E, van den Hurk D, Neal E, et al. Ketogenic diet guidelines for infants with refractory epilepsy. Eur J Paediatr Neurol. 2016. PubMed
    • 26. Ashrafi MR, Hosseini SA, Zamani GR, et al. The efficacy of the ketogenic diet in infants and young children with refractory epilepsies using a formula-based powder. Acta Neurol Belg. 2017; 117:175-82. PubMed
    • 27. Sampaio LPB, Takakura C, Manreza MLG. The use of a formula-based ketogenic diet in children with refractory epilepsy. Arq Neuropsiquiatr. 2017; 75:234-7. PubMed
    • 28. Weijenberg A, van Rijn M, Callenbach PMC, et al. Ketogenic Diet in Refractory Childhood Epilepsy: Starting with a Liquid Formulation in an Outpatient Setting. Child Neurol Open. 2018; 5:2329048. PubMed
    • 29. McDonald TJW, Henry-Barron BJ, Felton EA, et al. Improving compliance in adults with epilepsy on a modified Atkins diet: A randomized trial. Seizure. 2018; 60:132-8. PubMed
    • 30. Karimzadeh P, Moosavian T, Moosavian HR. Effects of a Formula-Based Ketogenic Diet on Refractory Epilepsy in 1 to 3 Year-Old Patients under Classic Ketogenic Diet. Iran J Child Neurol. 2019;13:83-90. PubMed
  • The Ketogenic Diet for Children with Intractable Epilepsy

    Clinical References for The Ketogenic Diet for Children with Intractable Epilepsy.

    • Aguirre Castaneda RL, et al. Successful treatment of type 1 diabetes and seizures with combined ketogenic diet and insulin. Pediatrics. 2012 Feb;129(2):e511-4. PubMed
    • Cusmai R, et al. Ketogenic diet in early myoclonic encephalopathy due to non ketotic hyperglycinemia. Eur J Paediatr Neurol. 2012 Jan 17. [Epub ahead of print] PubMed
    • Groomes LB, et al. Do patients with absence epilepsy respond to ketogenic diets? J Child Neurol. 2011 Feb;26(2):160-5. PubMed
    • Dressler A, et al. Long-term outcome and tolerability of the ketogenic diet in drug-resistant childhood epilepsy--the Austrian experience. Seizure. 2010 Sep;19(7):404-8. PubMed
    • Patel A, et al. Long-term outcomes of children treated with the ketogenic diet in the past. Epilepsia. 2010 Jul;51(7):1277-82. PubMed
    • Kossoff EH. The ketogenic diet: an appropriate first-line therapy? Expert Rev Neurother. 2010 Jun;10(6):843-5. PubMed
    • Coppola G, et al. Ketogenic diet for the treatment of catastrophic epileptic encephalopathies in childhood. Eur J Paediatr Neurol. 2010 May;14(3):229-34. PubMed
    • Kossoff EH, et al. Ketogenic Diets: An Update for Child Neurologists. J Child Neurol. 2009 Aug;24(8):979-88. PubMed
    • Neal EG, et al. A randomized trial of classical and medium-chain triglyceride ketogenic diets in the treatment of childhood epilepsy. Epilepsia. 2009;50(5):1109–17. PubMed
    • Rubenstein JE. Use of the ketogenic diet in neonates and infants. Epilepsia. 2008 Nov;49 Suppl 8:30-2. PubMed
    • Kossoff EH, et al. Optimal clinical management of children receiving the ketogenic diet: recommendations of the International Ketogenic Diet Study Group. Epilepsia. 2009 Feb;50(2):304-17. PubMed
    • Freeman JM, et al. The ketogenic diet: one decade later. Pediatrics. 2007 Mar;119(3):535-43. Abstract
    • Bergqvist AG, et al. Vitamin D status in children with intractable epilepsy, and impact of the ketogenic diet. Epilepsia. 2007 Jan;48(1):66-71. PubMed
    • Hartman AL, et al. Clinical aspects of the ketogenic diet. Epilepsia. 2007 Jan;48(1):31-42. Abstract
    • Bough KJ, et al. Anticonvulsant mechanisms of the ketogenic diet. Epilepsia. 2007 Jan;48(1):43-58. PubMed
    • Groesbeck DK, et al. Long-term use of the ketogenic diet in the treatment of epilepsy. Dev Med Child Neurol. 2006 Dec;48(12):978-81. PubMed
    • Henderson CB, et al. Efficacy of the ketogenic diet as a treatment option for epilepsy: meta-analysis. J Child Neurol. 2006 Mar;21(3):193-8. PubMed
    • Bergqvist AG, et al. Fasting versus gradual initiation of the ketogenic diet: a prospective, randomized clinical trial of efficacy. Epilepsia. 2005 Nov;46(11):1810-9. PubMed
    • Rubenstein JE, et al. Experience in the use of the ketogenic diet as early therapy. J Child Neurol. 2005 Jan;20(1):31-4. PubMed
    • Pfeifer HH, et al. Low-glycemic-index treatment: a liberalized ketogenic diet for treatment of intractable epilepsy. Neurology. 2005 Dec 13;65(11):1810-2. PubMed
    • Kossoff EH, et al. Benefits of an all-liquid ketogenic diet. Epilepsia. 2004 Sep;45(9):1163. PubMed
    • Mandel A, et al. Medical costs are reduced when children with intractable epilepsy are successfully treated with the ketogenic diet. J Am Diet Assoc. 2002 Mar;102(3):396-8. PubMed
    • Hemingway C, et al. The ketogenic diet: a 3- to 6-year follow-up of 150 children enrolled prospectively. Pediatrics. 2001 Oct;108(4):898-905. PubMed
    • Freeman JM, et al. The efficacy of the ketogenic diet-1998: a prospective evaluation of intervention in 150 children. Pediatrics. 1998 Dec;102(6):1358-63. PubMed
  • The Modified Atkins Diet for Children with Intractable Epilepsy

    Clinical References for The Modified Atkins Diet for Children with Intractable Epilepsy.

    • Sharma S, et al. Use of the modified Atkins diet in infantile spasms refractory to first-line treatment. Seizure. 2012 Jan;21(1):45-8. PubMed
    • Kim YM, et al. Various indications for a modified Atkins diet in intractable childhood epilepsy. Brain Dev. 2011 Oct 14. PubMed
    • Kossoff EH, et al. Prospective study of the Modified Atkins Diet in combination with a ketogenic liquid supplement during the initial month. J Child Neurol 2011;26(2):147-51. PubMed
    • Ito Y, et al. A modified Atkins diet is promising as a treatment for glucose transporter type 1 deficiency syndrome. Dev Med Child Neurol. 2011 Jul;53(7):658-63. PubMed
    • Miranda MJ, et al. Danish study of a Modified Atkins diet for medically intractable epilepsy in children: Can we achieve the same results as with the classical ketogenic diet? Seizure. 2011;20:151-155. PubMed
    • Kumada T, et al. Modified Atkins Diet for the Treatment of Nonconvulsive Status Epilepticus in Children. J Child Neurol. 2010;25(4):485-489. PubMed
    • Kossoff EH, at al. A pilot study of the modified Atkins diet for Sturge-Weber syndrome. Epilepsy Res. 2010 Dec;92(2-3):240-3. PubMed
    • Barzegar M, et al. A Modified Atkins Diet for Intractable Epilepsy. Iran J Child Neurology. 2010;4(3):15-20. Abstract
    • Tonekaboni SH, et al. Efficacy of the Atkins diet as therapy for intractable epilepsy in children. Archives of Iranian Medicine. 2010;13(6):492-7. PubMed
    • Porta N, et al. Comparison of seizure reduction and serum fatty acid levels after receiving the ketogenic and modified Atkins diet. Seizure. 2009;18(5):359–364. PubMed
    • Kang HC, et al. Use of a modified Atkins diet in intractable childhood epilepsy. Epilepsia. 2007;48(1):182–6. PubMed
    • Kossoff EH, et al. A randomized, crossover comparison of daily carbohydrate limits using the modified Atkins diet. Epilepsy Behav. 2007 May;10(3):432-6. PubMed
    • Kossoff EH, et al. A modified Atkins diet is effective for the treatment of intractable pediatric epilepsy. Epilepsia. 2006;47(2):421-4. PubMed
  • Dietary Therapies for Adults with Epilepsy

    Clinical References for Dietary Therapies for Adults with Epilepsy

    • Wusthoff CJ, et al. The ketogenic diet in treatment of two adults with prolonged nonconvulsive status epilepticus. Epilepsia. 2010 Jun;51(6):1083-5. PubMed
  • Infantile Spasms

    Clinical References for Infantile Spasms.

    • Sharma S, et al Use of the modified Atkins diet in infantile spasms refractory to first-line treatment. Seizure. 2012 Jan;21(1):45-8. PubMed
    • Numis AL, et al. The relationship of ketosis and growth to the efficacy of the ketogenic diet in infantile spasms. Epilepsy Res. 2011 Jun 21. PubMed
    • Hong AM, et al. Infantile spasms treated with the ketogenic diet: prospective single-center experience in 104 consecutive infants. Epilepsia. 2010 Aug;51(8):1403-7. PubMed
    • Kossoff EH, et al. A case-control evaluation of the ketogenic diet versus ACTH for new-onset infantile spasms. Epilepsia. 2008 Sep;49(9):1504-9. PubMed
    • Eun SH, et al. Ketogenic diet for treatment of infantile spasms. Brain Dev. 2006 Oct;28(9):566-71. PubMed
    • Kossoff EH, et al. Efficacy of the ketogenic diet for infantile spasms. Pediatrics. 2002 May;109(5):780-3. PubMed
  • Glut1 Deficiency Syndrome

    Clinical References for Glut1 Deficiency Syndrome.

    • Ito Y, et al. A modified Atkins diet is promising as a treatment for glucose transporter type 1 deficiency syndrome. Dev Med Child Neurol. 2011 Jul;53(7):658-63. PubMed
    • Klepper J. Glucose transporter deficiency syndrome (GLUT1DS) and the ketogenic diet. Epilepsia. 2008 Nov;49 Suppl 8:46-9. PubMed
    • Cornejo VE, et al. Glucose transponer type 1 deficiency síndrome (GLUT-1 SD) treated with ketogenic diet. Report of one case. Rev Med Chil. 2007 May;135(5):631-5. PubMed
  • Dravet Syndrome

    Clinical References for Dravet Syndrome

    • Nabbout R, et al. Ketogenic diet also benefits Dravet syndrome patients receiving stiripentol: A prospective pilot study. Epilepsia. 2011 Jul;52(7):e54-7. PubMed
    • Veggiotti P, et al. The ketogenic diet for Dravet syndrome and other epileptic encephalopathies: an Italian consensus. Epilepsia. 2011 Apr;52 Suppl 2:83-9. PubMed
    • Caraballo RH. Nonpharmacologic treatments of Dravet syndrome: focus on the ketogenic diet. Epilepsia. 2011 Apr;52 Suppl 2:79-82. PubMed
    • Caraballo RH, et al. Ketogenic diet in patients with Dravet syndrome. Epilepsia. 2005 Sep;46(9):1539-44. PubMed
  • Myoclonic Astatic Epilepsy (also known as Doose Syndrome)

    Clinical References for Myoclonic Astatic Epilepsy (also known as Doose Syndrome).

    • Mulligan JE, et al. Myoclonic astatic epilepsy and the role of the ketogenic diet. Med Health R I. 2011 May;94(5):127-30. PubMed
    • Kossoff EH, et al. Will seizure control improve by switching from the modified Atkins diet to the traditional ketogenic diet? Epilepsia. 2010 Dec;51(12):2496-9. PubMed
    • Caraballo RH, et al. Ketogenic diet in patients with myoclonic-astatic epilepsy. Epileptic Disord. 2006 Jun;8(2):151-5. PubMed
  • Sturge-Weber Syndrome

    Clinical References for Sturge-Weber Syndrome.

    • Kossoff EH, et al. A pilot study of the modified Atkins diet for Sturge-Weber syndrome. Epilepsy Res. 2010 Dec;92(2-3):240-3. PubMed
  • Tuberous Sclerosis

    Clinical References for Tuberous Sclerosis.

    • Coppola G, et al.The effects of the ketogenic diet in refractory partial seizures with reference to tuberous sclerosis. Eur J Paediatr Neurol. 2006 May;10(3):148-51. Epub 2006 Apr 24. PubMed
    • Kossoff EH, et al. Tuberous sclerosis complex and the ketogenic diet. Epilepsia. 2005 Oct;46(10):1684-6. PubMed
  • Pyruvate Dehydrogenase Deficiency

    Clinical References for Pyruvate Dehydrogenase Deficiency.

    • El-Gharbawy AH, et al. Follow-up of a child with pyruvate dehydrogenase deficiency on a less restrictive ketogenic diet. Mol Genet Metab. 2011 Feb;102(2):214-5. PubMed
    • Wexler ID, et al. Outcome of pyruvate dehydrogenase deficiency treated with ketogenic diets. Studies in patients with identical mutations. Neurology. 1997 Dec;49(6):1655-61. PubMed
    • Wijburg FA, et al. Leigh syndrome associated with a deficiency of the pyruvate dehydrogenase complex: results of treatment with a ketogenic diet. Neuropediatrics. 1992 Jun;23(3):147-52. PubMed
    • Falk RE, et al. Ketonic diet in the management of pyruvate dehydrogenase deficiency. Pediatrics. 1976 Nov;58(5):713-21. PubMed
  • Refractory Status Epilepticus

    Clinical References for Refractory Status Epilepticus.

    • Cervenka MC, et al. The ketogenic diet for medically and surgically refractory status epilepticus in the neurocritical care unit. Neurocrit Care. 2011 Dec;15(3):519-24. PubMed
    • Nam SH, et al. The role of ketogenic diet in the treatment of refractory status epilepticus. Epilepsia. 2011 Nov;52(11):e181-4. PubMed
    • Wusthoff CJ, et al. The ketogenic diet in treatment of two adults with prolonged nonconvulsive status epilepticus. Epilepsia. 2010 Jun;51(6):1083-5. PubMed
    • Kumada T, et al. Modified Atkins diet for the treatment of nonconvulsive status epilepticus in children. J Child Neurol. 2010 Apr;25(4):485-9. PubMed
  • Generalized vs. Focal Epilepsy

    Clinical References for Generalized vs. Focal Epilepsy.

    • Kayyali H, et al. A. The Ketogenic Diet Efficacy in Generalized vs Focal Epilepsy (abstract). In: American Epilepsy Society’s Annual Meeting; 2 Dec 2011-6 Dec-2011; Baltimore, MD. Abstract 2.293. Abstract
  • Non Ketotic Hyperglycinemia

    Clinical References for Non Ketotic Hyperglycinemia.

    • Cusmai R, et al. Ketogenic diet in early myoclonic encephalopathy due to non ketotic hyperglycinemia. Eur J Paediatr Neurol. 2012 Jan 17. [Epub ahead of print] PubMed
  • CDKL5 Mutation

    Clinical References for CDKL5 Mutation.

    • Moseley BD, et al. Historic, Clinical, and Prognostic Features of Epileptic Encephalopathies Caused by CDKL5 Mutations. Pediatr Neurol. 2012 Feb;46(2):101-5. PubMed

Keto University