The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
That's a great question. And to be honest, I don't know actually if it was originally designed to treat seizures, but I can tell you for sure that for some people, just like with some medications, it can be a life-changing thing. It can completely change the way that the brain works. And it's not something that's for everybody, but for some people, there's no question, and it has some very beneficial effects. I think it's to be determined still, like why and how that works.
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So that so they talked about the ketogenic diet being curative and that was really interesting to me. Of course the brain is changing as you go through development but it was shifting brain networks and network stability uh you know suppressing inflammation and changing neurotransmitters in a way that was there's the kindling effect with seizures. So seizures beget seizures. So once you have a seizure uh you're more likely to have another seizure. So if you control seizures and you do it through a protracted time frame, even if you had it's going to lessen the chance of you, it's going to decrease that kindling effect.
In general, though, you get a knockdown of neural inflammation from the diet and from therapeutic ketosis, which is something the epilepsy world is very interested in.