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Even though I personally believe in the power of ketogenic diets to improve and even reverse many chronic illnesses, from diabetes to chronic fatigue to mood disorders, the diet does this by causing very real shifts in body chemistry that can have a major impact on medication dosages and side effects, especially during the first few weeks.

Examples of problematic situations include sudden drops in blood pressure for those on blood pressure medications , and sudden drops in blood sugar for those on diabetes medications . These changes in blood pressure and blood sugar are very positive and healthy, but the presence of medications can artificially intensify these effects and cause extreme and sometimes dangerous reactions unless your dosage is carefully monitored by you and your clinician in the first month or so.

Another important example of a medicine that would require careful monitoring is Lithium, an antidepressant and mood stabilizing medicine. The ketogenic diet causes the body to let go of excess water during the first few days, which can cause Lithium to become more concentrated in the blood, potentially rising to uncomfortable or even toxic levels.

These are just a few important examples, so regardless of what medication you take, please consult with your clinician before getting started. If you are taking lithium or any other psychiatric medication, please read my article: “Ketogenic Diets and Psychiatric Medications.”

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