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Long-term use of the ketogenic diet in children increases the risk of slowed or stunted growth, bone fractures and kidney stones. The diet reduces levels of insulin-like growth factor 1, which is important for childhood growth. Like many anticonvulsant drugs, the ketogenic diet has an adverse effect on bone health.
The Ketogenic Diet for Epilepsy is a special case of a ketogenic diet. The following are more general guidelines for ketogenic diets. Carbohydrate - Most of what determines how ketogenic a diet is will depend on how much carbohydrate is eaten, as well the individual's own metabolism and activity level. A diet of less than 50 or 60 grams of net (effective) carbohydrate per day is generally ketogenic.