Tapering Psychiatric Medications on Keto
HTML-код
- Опубликовано: 14 июн 2024
- Can therapeutic nutritional ketosis (aka a keto diet) help with tapering psychiatric medications in conditions like bipolar disorder, depression, schizophrenia, anxiety, or other psychiatric illness? Can you decrease or even stop taking some or all of your medications? There is no universal answer to this question; it depends on the individual.
Psychotropic medications are typically first-line therapy for treating serious mental illness and can be life-saving. But over time, medications alone may not be completely effective in treating symptoms. And especially at high doses, they can come with problematic side effects.
Metabolic nutritional therapy, specifically with nutritional ketosis, can add another treatment layer and may help promote cognitive function, mood stability and energy and overall functioning. Anecdotal evidence and growing numbers of case reports show that nutritional ketosis can help people be well enough to consider lowering the doses and number of their medications. That said, we cannot stress enough that it is essential that anyone considering reducing their medications work with their prescribing clinician, whether or not they are using nutritional ketosis as a treatment strategy.
Table of Contents:
0:00 - Introduction
3:45 - Interview with Dr. Georgia Ede
32:16 - Interview with Matt Baszucki
53:59 - Conclusion
Experts featured in this video:
Georgia Ede, MD - www.diagnosisdiet.com
Twitter @GeorgiaEdeMD
Ketogenic Diets and Psychiatric Medications
www.psychologytoday.com/us/bl...
Matt Baszucki, co-host of Bipolarcast on RUclips
Bipolarcast Episode 1: Interview with Matt Baszucki on Ketogenic Diet and Bipolar Disorder
• Bipolarcast Episode 1:...
Study Referenced:
The Ketogenic Diet for Refractory Mental Illness: A Retrospective Analysis of 31 Inpatients
pubmed.ncbi.nlm.nih.gov/35873...
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at metabolicmind.org/
About us:
Metabolic Mind™ is a nonprofit initiative incubated by Baszucki Group. Our mission is to provide education and resources in the emerging field of metabolic psychiatry, including ketogenic interventions for mental disorders.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
#MetabolicMind
#KetoForMentalHealth
#MetabolicPsychiatry
#MedicationReduction
#BipolarTreatment
#MetabolicNeuroscience
#KetogenicMetabolicTherapy
#DepressionTreatment
#NutritionalKetosis
#MentalIllnessTreatment
#MentalHealthIsMetabolicHealth
#BipolarDiet
#TaperingPsychiatricMedications
#TaperMeds
#KetoTaperingMeds
#KetoPsychMeds
#TaperMedsBipolar
#TaperDepressionMeds
Psychiatrists are not prescribing medications as low as possible. I have found totally the opposite.
Thank you for sharing this. After being in residential psychiatric treatment for two years I made the personal decision to start a keto diet based on research I had done. A year later I am in the process of tapering off my medications and have started nursing school!
Congrats! Thanks for sharing your journey with us, and best of luck in nursing school! I bet you are going to help ALOT of people in your future :)
Wow! Good for you!
6mos, it took ME, 6mos... to notice a small brain change in myself, while ON my normal meds. YES, it IS WORTH THE WAIT !! Will I ever be med free.. I have no idea, but I do notice small changes in my behaviors and they are good for me & my family.
I am still hopeful & determined about all of this ketogenic lifestyle. I will not go back.
@ month 9, I am now tapering my 1st med, slowly. I hate the hospital, so going slow is fine with me. Notifying a support human to take notice of your behavior changes as you taper, is a good idea.
As always, WE, the patients, need to be determined in HOPE of becoming something "different". If you can stay in the ketogenic lifestyle for 6 mos without falling off, you will be ready for the "2 steps forward-1 step back" of the meds tapering program. ❤
YOU WILL NEVER KNOW, IF YOU DON'T TRY.
Well said!
slow and steady wins the race
I salute Matt’s courage and integrity in talking openly about his experience, both here and on Bipolarcast. Metabolic Mind is doing great work.
Thank you! We applaud Matt as well. He is a phenomenal role model.
So inspiring to hear Matt's story. Thanks to everyone for this movement. Cheers, Michael
I am on a paleo diet and my doctor has been able to reduce my antidepressant and my antipsychotic. It was three months on the diet before I could begin the taper but so far I'm doing well, no mania or psychosis.
Dr Ede is so clear. Love to listen to her.
Such wonderful and helpful guidelines for people to have important conversations with their prescribers and self-advocate!
Thank you Dr Scher for two excellent interviews. This is an enormous problem and need in American psychiatry. Both Dr. Ede and Matt (and you) are completely on point with this topic! Everyone keep up the great work I have been watching it evolve over the last 5-7 years (De-prescribing).
Thank-you from the bottom of my heart! This is the exact video I needed to hear today! I have hope💜
So glad it was helpful. Thank you for your comment!
Thank you so much, amazing information. The comments on tapering meds via % is so important. When you work out the percentages of a 5mg taper to a 1mg taper...mind blowing that once you are on your third decrease you are decreasing your med by 50% at once!
Yes! This is such an important concept that many don't realize. I am so glad Matt made that point!
I thought this was really informative. A lot of time, the stories I hear about people using keto or carnivore for mental health go something like this: I jumped right into keto and within 3 months I'm off all meds. I believe these experiences are genuine, but in reality, I think most with severe mental illness would benefit from a slow titrated process going into keto and a slow titrated process of lowering medications. Keto is a powerful medical intervention just like psychiatric medication, and going up or down on either too fast can be too much for the body to handle sometimes, leading to giving up on the treatment.
Well said. Thank you for your comment.
Congratulations from Italy Matt, I think you are on the right path, you are an example
Thank you so much for this, I feel like I have enough info now to go to my doctor with a plan to help knowing that this could take many years, and I am totally ok with that.
Please make your videos in Hindi language subtitles also this will help 15 crores of psychiatry population in india 🙏
Tried stopping the last med on own after strict keto and losing lots of wt and feeling lighter; ended disastrously with horrible unending psychosis and repeated hospitalizations. Got back on more meds and quick wt gain with hospital food and meds side effects. Can Keto still help while taking lots of high dosage antipsychotic meds still even though no plans of lessening meds this time around. Need a psychiatrist in USA who understands keto while taking meds or it is ludicrous for a patient to struggle on own with no support.
I’m very happy you're addressing this topic! Thanks so much!
After I began a well-formulated vegan ketogenic diet 9 months ago, I lost fifty pounds. Under my psychiatrist's care, I lowered 900 mg of lithium/day to 600 mg/day, and I've remained in the low end of its therapeutic blood level range.
However, from now on, I’m not tapering my bipolar meds (lithium and the MAOI tranylcypromine) until I start treatment with psychiatrist who's experienced with using ketogenic therapy for bipolar. (I'm on her waitlist.)
Many years before I found my current psychiatrist, I slowly tapered down my lithium. I became manic and had to be hospitalized.
My psychiatrist retires soon. He has been amazing over the past ten years. I credit him for saving my life by suggesting I try the MAOI medication tranylcypromine (Parnate) + lithium for my treatment-resistant bipolar depression. However, he's not experienced with using ketogenic therapies for mood disorders, and since he’s retiring soon, it’s the right time for me to consult with a psychiatrist who uses KMT. Thanks again for discussing such an essential topic!
Thank you for your comment and for sharing your journey with us. If you're comfortable doing so, please share this video with your psychiatrist, as it may help them see things from a different perspective that could allow them to help more people like you!
@@metabolicmind Thanks again - yes, I'll let my psychiatrist know about this video! He'll be doing pro-bono mental health counseling with low-income people after he retires.
I'm also excited to let him know about my upcoming "Bipolarcast" video I recently recorded with Matt Baszucki & Dr. Iain Campbell - the airdate is tba soon. :)
@@dyaneharwood2023 Matt was so touched by the gifts you sent after the podcast.
@dyaneharwood3829 Curious if your blood levels of lithium dropped on keto (without a change in dose.) Matt's did, by a third. But with no symptoms. So we want to make sure psychiatrists understand not to up the dose to keep the blood level unless symptoms require it.
@@jan_ellison_baszucki That's such a great question, and it has been something on my mind ever since I was a few months into the KMT in 2022.
I'm so bummed I can't find my iCal record of the exact date when I dropped from 900-600 mg because I entered it in there.
When I looked online at all my lithium blood level results that took place before & since KMT, the techs didn't note the lithium dosage I reported to them before each draw! Darn!
BUT (and I know this sounds a little "out there") I honestly believe in my heart that my lithium blood level ***did*** drop while taking the same dose of 900.
I'll ask my pdoc if he noted the "drop date" at our next appointment in June & I'll let you know. Although I'm not an M.D., your following statement copied below makes total sense to me, & I'd love it if my experience could support it - I'm so sorry I lost such key info:
"So we want to make sure psychiatrists understand not to up the dose to keep the blood level unless symptoms require it.
If we do the keto diet, do we have to be tested during it for any reason and what kind of tests? And thank you for your help and informative video!!!
Great question! We have 2 videos coming out soon covering this question. Stay tuned!
I felt way better on a keto diet but the valproat i took dropped and i whent into withdrawl. Very sad i had to stop the ketogenic diet
You need to taper off drugs very slowly
Wouldn't it be better to totally stop one med before start tapering a new one? What's the point to remain in a very low dose and start tapering a new one?
One approach is to try to maintain any beneficial effect of a medication while minimizing the side effects. Lowering the dose while adding nutritional ketosis is one way to approach that. That may especially be true with Bipolar Disorder, where sometimes more than one class of medication is required for stability.
@@metabolicmind Thanks for sharing your experience. I really appreciate it.
Hi, i have two questions:
1)
Does Seroquel/Quetiapine interfere with keto, so that it get‘s harder to taper off?
2) What should i do when the lowest dosage of Seroquel are 50 mg - so i cannot do 10% less every time…
Here is an excerpt from an article in Psychology Today by Dr. Georgia Ede. "Seroquel, can increase insulin levels in some people and contribute to insulin resistance, which can make it harder for your body to turn fat into ketones. In some cases, these medicines may eventually need to be lowered or gradually stopped before you can realize the full potential benefits of a healthy ketogenic diet. " Here is the link for more information www.psychologytoday.com/us/blog/diagnosis-diet/201803/ketogenic-diets-and-psychiatric-medications
As for tapering, compounding pharmacies can be helpful with slower tapers. It's important to work with one's prescribing physician to help with a safe taper.
We hope that helps!
@@metabolicmindThanks for your answer it helped me further. Although it can make it harder to produce ketones, i think it's worth trying... Is there some informations/research out from people who do keto on seroquel?
Am eating a high fat carnivore but ketones were only 0.3 mmol most of the time. Am I in ketosis at this level? Thank you.
some consider .5 to be the minimum. It also depends on what your goals are, if you'd jyst like some metabolic flexability then .3 indicates you are doing that, but if you have mild or moderate metabolic syndrome a level greater than .8 or 1.5 respectively might be called for.
Thanks for your question Robert and for the thoughtful reply Chris. If someone is consistently at 0.3, then they are in "very mild" ketosis. Which, depending on your goals, may be enough, as Chris mentioned. But if someone wanted to target higher levels, adding MCT oil, or increasing dietary fat and lowering carbs (and maybe protein to a degree) may be helpful. But this is where we encourage working with a doctor/coach/dietitian who can help tailor a program for each individual depending on their goals and challenges.
@@metabolicmind thank you!!!
@@robertviggiano I agree...that is very mild ketosis and most people find they need higher ketones to receive therapeutic benefits.