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Over the past decade, much progress has been made in dissecting apart the mechanisms underlying the anticonvulsant (and potentially, neuroprotective) effects of the KD (Gasior et al., 2006; Bough & Rho, 2007). The complex systemic and metabolic changes induced by a high-fat, low-carbohydrate diet – not surprisingly – provide fertile ground for very innovative and speculative hypotheses linking certain adaptations to a net anticonvulsant effect, ones that by necessity take researchers back to the earlier days of introductory biochemistry and human physiology. While many intriguing concepts and research data have been reviewed systematically in the context of the international symposium from which this supplement stems, the fundamental question of how the KD works remains as tantalizing as ever.

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Sebelum membongkar isi kulkas dan dapur Anda, mulailah dengan belajar tentang ketogenic ini lebih dalam. Carilah informasi ini di web foodketo.com ataupun cek di google, atau tonton video-nya di youtube juga. Pahami efek metabolik dan perubahan yang terjadi pada tubuh. Sehingga banyak yang mulai adaptasi dengan ketosis, menganggapnya sebagai sesuatu yang bahaya. Pahami juga, Anda akan menjalani ini sampai tujuan Anda tercapai saja, atau memang mau melakukannya sebagai gaya hidup jangka panjang? Apa yang perlu di ubah? Bagaimana tetap nyaman bersosialisasi? bagaimana kalau di kantor? bagaimana jika travelling?

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Many of our existing anticonvulsant medications exert effects on inhibitory neurotransmission, and more specifically, by enhancing synaptic levels of γ-aminobutyric acid (GABA) or modulating post-synaptic GABAA receptors (Meldrum & Rogawski, 2007; White et al., 2007). Examples of such agents include tiagabine, vigabatrin, benzodiazepines, barbiturates, felbamate, and topiramate. Thus, given the wealth of information regarding GABAergic neurotransmission, one possibility is that the KD, perhaps through ketone bodies, might be responsible for elevating synaptic levels of GABA, which would then yield an inhibitory (and potentially anticonvulsant) effect.

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One potential explanation for the anticonvulsant action of the KD argues that increased ATP synthesis should produce a positive bioenergetic balance, allowing stabilization of the resting membrane potential via enhanced activity of Na+-K+-ATPase (Bough & Rho, 2007). Several decades ago, De Vivo and colleagues (1978) reported that the KD increased the total quantity of bioenergetic substrates (such as adenosine triphosphate, or ATP) and elevated the energy charge in rat brain. These changes were purported to stabilize the cell membrane, especially in the face of excessive excitation. Consistent with these observations, a later human study utilizing magnetic resonance spectroscopic techniques indicated that patients with epilepsy fed a KD had elevated phosphocreatine to creatine levels in the brain (Pan et al., 1999). Recently, using cDNA microarray technology, increased expression of the mitochondrial ATP synthase β,D subunit in mouse brain was reported after KD treatment (Noh et al., 2004). And in the most comprehensive study of this kind to date, the KD was found to enhance mitochondrial biogenesis and significantly increase the number of transcripts encoding energy metabolism genes in rats (Bough et al., 2006). This increase in bioenergetic capacity enabled hippocampal slices from these animals to better withstand metabolic challenge from low glucose exposure. Taken together, the prevailing notion has been that increased energy production and reserve capacity enable greater resistance to neuronal hyperexcitability and hypersynchrony. 

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Resep Tongkol Suwir Pedas Manado – Lagi ingin makan masakan Manado, jadi terpikir masak tongkol suwir pedas dan tumis kangkung bunga pepaya. Masakan Manado adalah salah satu masakan yang paling saya suka karena mirip dengan masakan Bali yang berciri khas pedas. Hanya saja bedanya masakan Bali biasanya menggunakan bumbu lengkap dimana kencur dan terasi selalu …

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The Carb Manager is a comprehensive and straightforward app that counts net and total carbs — but that’s not all. Keep a daily log of nutrition and fitness, use the calculator to set your net macros and weight loss goals, and get detailed nutrition information about your logged data when you need it. Use the app to visualize your macros every day to stay on track.

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When it comes to tracking macros, this is definitely one of the best apps out there. You’ll love it whether you wish to lose weight, get healthy, tone up, or try a new diet. No wonder it is the number one rated diet by Consumer Reports and PC Magazine’s Editor’s Choice Selection. It has also been featured in the New York Times, USA Today, Wall Street Journal, Marie Claire, CNET, NBC and more. 
Olahraga adalah cara diet sehat yang paling mudah untuk Anda lakukan. Mengatur porsi makan saja tidak akan sukses menurunkan berat badan jika tidak dibarengi olahraga rutin. Pasalnya, tubuh Anda tetap perlu membakar ekstra kalori yang masuk ke dalam tubuh, sekaligus juga membentuk otot. Kalau bukan dengan olahraga, dengan cara apa lagi lemak tubuh bisa dihilangkan?

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So, if the KD acts principally to enhance glutathione levels in the brain, then would taking glutathione supplements (which are commercially available) be sufficient to protect against seizure activity? The answer is negative since available glutathione formulations are largely digested before they can get into the bloodstream, let alone to the brain. The only supplement that effectively raises glutathione levels in the body is N-acetyl-L-cysteine (NAC) which has traditionally been used to treat liver toxicity induced by toxic levels of acetaminophen. Would NAC be a suitable substitute for the KD? The clinical experience to date has been mixed, with some patients with progressive myoclonic epilepsies improving on NAC supplementation (Hurd et al., 1996; Edwards et al., 2002)

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Given these observations, would it be practical to package acetoacetate or acetone into a pill? While ketone bodies in situ are likely to influence local cellular bioenergetics, there are profound logistical constraints precluding ease of administration in humans to achieve comparable low millimolar concentrations observed in clinical practice (Hartman & Vining, 2007). Acetoacetate is highly unstable, as it has an immediate tendency to spontaneously decarboxylate, and acetone is a well known solvent that can cause significant mucosal irritation. Finally, oral ingestion of β-hydroxybutyrate formulations to achieve such concentrations may not be readily achievable (Smith et al., 2005). These considerations pose not insignificant challenges toward the design of a ketone pill.

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Hello from Carb Manager support and thank you for your review! We're excited to hear that you're loving the app. We do have a setting for deducting macros and/or calories when you exercise that we're happy to point out. You can find both options under "Settings" towards the bottom of the screen. However, if you need further assistance, please select "Need Help?" in-app and reference the username "nitamalcua" and we'll be happy to assist. Looking forward to hearing from you!

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Furthermore, if the KD increases GABA levels in the brain, then such an effect is approximated by vigabatrin, an irreversible inhibitor of the degradative enzyme GABA-transaminase, as well as by tiagabine, a GABA re-uptake blocker that interferes with presnaptic GABA transporters (White et al., 2007). Yet, the anticonvulsant profile of the KD is distinct from that of vigabatrin and tiagabine (Hartman et al., 2007). The general approach of deriving another pill that enhances brain GABA levels may not be relevant or viable, since many seizure types seem to be exacerbated by agents that contribute to enhanced tonic inhibition, and extrasynaptic GABA receptors that mediate tonic inhibition are more sensitive to elevated ambient GABA concentrations (Sazgar & Bourgeois, 2005). Indeed, increased GABAergic inhibition in the cortex appears to underlie the mechanism of synchronization and seizure generation in two mouse models of autosomal dominant nocturnal frontal lobe epilepsy (Klassen et al, 2006)

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In this article, we will take a look at some of the most popular diet tracking apps of 2019, in particular, those that can be used to assist with the ketogenic diet. When you decide to start with keto, it can be tough to determine what exactly you need to eat, how much you can eat, and what macronutrients you are ingesting on a daily basis. This is particularly true since most people have lost in touch with their hunger cues.

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Diet keto atau ketogenik adalah diet yang menerapkan pola makan rendah karbohidrat dan tinggi lemak. Beberapa studi yang mendukung metode ini mengatakan diet ketogenik dapat menurunkan berat badan dalam waktu singkat namun tetap meningkatkan energi. Beberapa manfaat lain yang dapat diperoleh lewat diet keto di antaranya mencegah risiko diabetes, kanker, epilepsi, dan Alzheimer. Lantas, bagaimana caranya merancang menu diet keto untuk sehari-hari?
In most instances, we eat because its meal time or it has been several hours since we last ate. Some experts recommend eating when you are hungry, stop when you are already full, and simply enjoy every mouthful. However, for you to get to that desired ‘keto’ state, you must keep track and count carbs and calories in order to get the hang of what is in your food and what you are putting into your body. So without further ado, here are five keto diet apps that will help you monitor your progress and discover new delectable recipes. 

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Pilihlah lemak yang sehat termasuk lemak dari kelapa (santan, minyak kelapa), minyak zaitun, alpukat, chia, kacang rendah karbo (almond, kenari). Sebisa mungkin menghindari lemak dari hewan yang disuntik hormon, mengandung GMO, serta makanan proses dalam kemasan dengan tambahan kimia sintetik (perasa, pewarna, pengawet). Hindari juga minyak yang mengandung transfat seperti minyak canola, kedelai dan bunga matahari.

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Carb Manager has been a wonderfully useful app for me. The interface is extremely user friendly, it has great visuals that keep it from looking bland (as food tracking often feels for me), and I love the level of customization of goals and amount of pre-built recommendations available. While Carb Manager sounds like it’s designed for Keto diets, it actually works great for more traditional diet plans, as well (ie Zone, Body Building, etc). I use it for Low-Carb, High-Fat that was recommended by my doctor (not as carb restrictive as Keto), and it had that option pre-built, as well.

Disisi lain, Bette Klein, seorang ahli nutrisi di Cleveland Clinic Children’s Hospital memanfaatkan metode ini untuk meringankan gejala epilepsi pada anak. Ia menyatakan bahwa diet ini efektif diterapkan pada anak yang tidak mempan diterapi dengan dua jenis obat anti-epilepsi. Sekitar 50% anak yang menjalani diet ini mengalami penurunan frekuensi kejang. Akan tetapi, sampai saat ini belum diketahui secara pasti apa yang menyebabkan hal ini terjadi.

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