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Posted by Master, Doctor Mai Vien Phuong - Department of Examination & Internal Medicine - Vinmec Central Park International General Hospital
Because of its therapeutic effect in controlling epilepsy, the keto diet has been suggested to alleviate or prevent other brain disorders such as migraines.
1. What is the Keto Diet?
Keto menu with many beneficial fats, low in carbohydrates can lower blood sugar and insulin levels, affect the body's metabolism and limit fat storage.
The ketogenic diet, or keto is a diet high in fat, moderate in protein, and very low in carbs. It has long been used to treat epilepsy, a brain disorder that causes seizures.
Because of its therapeutic effect in controlling epilepsy, the keto diet has been suggested to alleviate or prevent other brain disorders such as migraines.
2. The Keto Diet and Migraines
Keto refers to a diet consisting mainly of fat with very few carbs - usually less than 50 grams per day. For reference, the average American adult consumes 200–350 grams of carbs per day.
Carbs are found in many foods, such as fruit, bread, cereals, pasta, milk and other dairy products, as well as starchy vegetables like potatoes and corn.
Normally, your body breaks down carbs from these foods into glucose to fuel cells. However, when you severely restrict carbs from your diet for 3–4 days, your body has to look for alternative fuel sources to meet its energy needs.
Your body enters a metabolic state called ketosis when blood ketone levels rise above normal. These ketones are thought to have a protective effect against migraines.
Migraines are characterized by throbbing or severe headaches, usually on one side of your head. This pain may be accompanied by other symptoms, such as nausea and sensitivity to light or sound.
While the exact mechanism is still unclear, it is thought that the ketones produced during the keto diet restore the brain's ability to euphoria and energy metabolism to fight brain inflammation in people with schizophrenia. first half.
3. Can Ketones Protect From Migraines?
Early research has suggested that the keto diet may be beneficial for preventing or treating migraines. The first report dates back to 1928, when the medical literature reported that 39% of people had some improvement in migraine frequency and severity with the keto diet.
A later study in 1930 demonstrated that 28% of migraine sufferers who followed the keto diet did not experience migraines within 3 months of transitioning to ketosis, with another 25% giving Know your migraine attacks are less severe or less frequent.
However, since these reports, interest in the keto diet for migraines has waned, possibly related to the strict nature of the diet and the development of over-the-counter medications. prescription and prescription drugs to control the condition.
Interest was then renewed when a 2015 observational study found that migraine frequency was significantly reduced in women who followed a low-calorie keto diet for 1 month, compared with a low-calorie diet. standard calories.
However, compared with the standard diet, women following the keto diet lost significantly more weight, suggesting that the reduction in migraine frequency may also be related to weight loss rather than to themselves. keto diet.
To determine if weight loss was associated with a reduced frequency of migraine attacks, researchers performed a follow-up study.
The study noted that participants with migraines experienced an average of 3 fewer attacks per month while on a very low-calorie keto diet compared to a very low-calorie non-keto diet, despite the reduction. similar weights between the diets.
Reinforcing these findings, another study observed a significant reduction in the frequency, duration, and severity of migraines after a 1-month-long keto diet.
Collectively, these results suggest that the keto diet can treat migraines but not completely prevent the condition.
4. Issues under research
Current evidence suggests that the keto diet can help reduce the frequency, duration, or severity of migraines. However, much remains to be learned about the keto diet before it can be routinely recommended as a primary or complementary treatment option for people with migraines. For example, it is not known whether the state of ketosis must be maintained continuously or only for some time to have a protective effect against migraine.
Furthermore, all of the studies showing a beneficial effect of the keto diet on migraines were performed in overweight or obese adults based on their body mass index (BMI). surname.
Therefore, it is not known whether adults with BMIs in the “normal” range will enjoy the same benefits.
Most studies are also conducted by the same group of researchers in the same geographic location and context, which may bias the results and limit the generalizability of the findings to with other populations.
In addition to the weaknesses of this study, the keto diet can be difficult to follow long-term and cause changes to bowel habits. In addition, it may be contraindicated in people with certain liver diseases, such as pancreatitis, liver failure, and disorders related to fat metabolism.
Exogenous ketone supplements are produced synthetically but have been shown to increase blood ketone levels, mimicking what happens when you follow the keto diet. That said, ketone supplements may be an alternative to following the keto diet for migraine management.
In a nutshell, the keto diet is a diet that changes your metabolism from burning carbs to ketones for fuel. These ketones may have a protective effect against migraine, a brain disorder that causes sharp pain in the head. Although promising, additional studies are needed to determine the effectiveness of the keto diet in managing migraines.
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