Traditional medical ketogenic diets for epilepsy typically have a 4:1 fat-to-protein ratio and can lead to inadequate protein intake and potential acid-base balance issues.

“I think there's like this medical ketogenic diet with 4 to 1 protein ratio in terms of grams that is used for kids with epilepsy yes many people who are doing low-carb and that's where it originated from the ketogenic diet exactly procedures and then and that a lot of people will refer to members of protein sparing fast exactly which is totally different yeah but people will refer to those old studies with medical ketogenic diets which were a four to one ratio okay and that is going to have different physiologic effects on the body because it's not enough protein right yeah they're very low protein”