Supplementation recommended for children receiving ketogenic dietary therapy

Universal recommendations

Multivitamin with minerals (including trace minerals, especially selenium)

Calcium and vitamin D (meeting daily RDA requirements)

Optional extra supplementation

Vitamin D (above RDA)

Oral citrates (eg, CitraK or PolycitraK)

Laxatives: Miralax, mineral oil, glycerin suppository

Additional selenium, magnesium, zinc, phosphorus, iron, copper

Carnitine

MCT oil or coconut oil (source of MCT)

Salt (sodium to add to RCF formula if used for greater than age 1 year)

All supplements listed should be provided as carbohydrate-free preparations whenever possible.

RDA: recommended dietary allowance; MCT: medium chain triglycerides.

From: Kossoff EH, Zupec-Kania BA, Auvin S, et al. Optimal clinical management of children receiving dietary therapies for epilepsy: Updated recommendations of the International Ketogenic Diet Study Group. Epilepsia Open 2018; 3(2):175-192. https://onlinelibrary.wiley.com/doi/full/10.1002/epi4.12225. Copyright © 2018 The International League Against Epilepsy. Reproduced with permission of John Wiley & Sons Inc. This image has been provided by or is owned by Wiley. Further permission is needed before it can be downloaded to PowerPoint, printed, shared or emailed. Please contact Wiley's permissions department either via email: [email protected] or use the RightsLink service by clicking on the 'Request Permission' link accompanying this article on Wiley Online Library (https://onlinelibrary.wiley.com/).

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Supplementation recommended for children receiving ketogenic dietary therapy