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Brain keto Medication mental health mental illness schizoaffective schizophrenia

Advice From a Dietician on Brain Health

Image of highlighted brain

I zoomed with a dietician this week.  We talked about ketogenic diet and brain health, specifically schizoaffective disorder.  She gave me goals for macros and ketones.  I am having trouble just staying in the requirements of Virta, the company that is monitoring my diabetes, so she suggested following that and then make changes.

The suggestions she made was: going from 30g carb a day to 22g. And, cutback on artificial sweeteners.  Keep my protein the same, and increase fat.  She also suggested, for my particular issue, that I should have 2-3 mmol/l ketones in blood.  When I started keto, I was getting numbers in that range, but now it runs around 1.0 so she suggested adding mct oil.  She also suggested balancing the unsaturated fat I use with some monounsaturated fats.

I am trying to hit the macro targets now, but will really start in earnest in May.

I had asked my psychiatrist if he would talk with the Virta doctor and he agreed, but I don’t think he has called. I have been stable a long time, and am wary of making any medication changes. The dietician told me to work with my psychiatrist about any changes, which I would do anyhow.

I really can’t believe I have stuck with this as long as I have. I want to make it a lifestyle change but it is hard. I feel good and am thinking clearly. My main issue is that something does not agree with my gut. My fasting glucose has dropped 20 pts. Still not low enough to change my diabetes meds, but it is an improvement. I have lost about 1 lb/week, it’s not melting off, but I think it is reasonable.

I am in a medically monitored nutritional ketosis program and working with a psychiatrist for my mental illness. Please don’t try this alone.

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12 step AA alcoholism career Co-occurring keto mental health mental illness peer support sobriety

Taking a Break From AA

Virta supplies

I have had problems with the spirituality part of AA.  I am not religious and don’t feel comfortable praying.  I am okay with the Serenity Prayer at meetings, but don’t usually pray on my own.  I also started getting busier in my life. 

I started a new job this month and am also starting the ketogenic diet. It is fewer days, but 8 hr shifts so I have to plan lunch. I have been bringing nuts and cheese and making it more of a break. So far that is working well. But, I do have to think more about meals and planning until I get keto down.

I have lost 10 lbs in a month, which is great for me, but the main reason I am doing the diet is for type 2 diabetes. When I stick to the plan, 30 g total carbs moderate protein and fats to satiate I am good, but the store bought “keto” products that go by net carbs, not counting sugar alcohols and fiber, still raise my blood sugar a little. It is still better than when I started.

I am in a program through my insurance called Virta.  They provide me with supplies, a health coach, a dr and a forum.  I report weight, glucose and blood ketones daily.  At first the additional fat in my diet upset my stomach, but I think I have adjusted.  My sister started when I told her how well it worked for my blood sugar, so I have someone to talk about keto.  It is a huge change for me. I am a big fruit and sweets eater but I don’t get many cravings and rarely feel hungry.

The job is going well. I am a peer advocate in mental health crisis stabilization unit. Basically, a mental health urgent care.  We just opened and it has been quiet,  sometimes they send me home early because I have nothing to do,  I have been making a binder of resources,  I will be providing therapeutic communication when we have patients,  so far, I have only been there with one patient who was not very talkative.

As far as AA, I had cut way back in going to meetings because of things going on in my life. My sponsor suggested I go to more meetings and pray every morning and evening. I thought about it and decided to take a break from it all. I can meditate but I don’t want to pray every day and I felt pressured about going to meetings, I have not been drinking. I just don’t know if it is the right program for me.