During the Discuss Keto appointment, a neurologist will evaluate the patient’s need for the PKT Program. The PKT team will explain the program and  the caregivers’ daily requirements, and answer any questions. If the family wishes to pursue PKT, the caregiver will be given orders to complete PKT screening labs.

If the screening labs come back negative, the Pre-Initiation Visit will be scheduled. During the appointment, the PKT team will learn more about the patient to create the PKT diet prescription. The team will explain in-depth what the patient and caregiver can expect during the PKT program.

During this appointment, the caregiver can review and sign an informed consent form, which will allow some extra blood to be obtained for metabolomics and a stool sample obtained for microbiomics. The PKT team uses  the data to understand how to personalize PKT better for each patient and better understand how PKT works.

Patients complete safety labs before initiation and regularly while on PKT.

Initiation transitions the patient from usual dietary intake to PKT dietary intake. During this time, caregivers learn how to properly weigh food items, administer supplements, measure urinary ketones, and measure urinary specific gravity. Caregivers also learn how to document home records for daily seizures, daily health status, daily urinary ketones, daily urinary specific gravity, and daily dietary intake. 

Monitoring visits ensure that the patient is making progress.  These visits can be in-person or by telehealth and will take place regularly.

Meal Making is an ongoing process. The PKT team have several resources for families to make easy to prepare delicious and nutritious PKT meals. 

Record keeping is important to ensure patients are thriving throughout their PKT journey. They are critical for fine tuning PKT to give the best result possible.