case_images: PMC11182043_01
case_images: Case 1 KMT timeline.
case_images: fnut-11-1396685-g001.jpg
case_images: PMC11182043_01_fnut-11-1396685-g001.jpg
case_images: fig1
case_images: He achieved therapeutic nutritional ketosis with a mean serum BHB of >=0.8 mmol/L, GKI < 6 within a couple of days, and high average serum BHB levels of 4.6 mmol/L within 1 week (Figure 1), without adverse effects.
case_images: PMC11182043_02
case_images: Case 2 KMT timeline.
case_images: fnut-11-1396685-g002.jpg
case_images: PMC11182043_02_fnut-11-1396685-g002.jpg
case_images: fig2
case_images: In response, we advised increased red meat consumption and supplementation with acetyl-l-carnitine 1,500 mg po bid with meals; exercise fatigue resolved within days, and he quickly achieved consistent therapeutic ketosis with capillary BHB >= 0.8 mmol/L (Figure 2).
case_images: PMC11182043_03
case_images: Case 3 KMT timeline.
case_images: fnut-11-1396685-g003.jpg
case_images: PMC11182043_03_fnut-11-1396685-g003.jpg
case_images: fig3
case_images: By week 3, when she achieved consistent therapeutic ketosis, the mean BHB was 1.4 mmol/L/GKI 4.2, and GAD-7 dropped to 4 for the first time (Figure 3).