Modified Atkins Diet Foods List: Something Important You Need To Know - Blogkoopedia

Atkins Diet

Modified Atkins Diet Foods: Something Important You Need To Know. The modified Atkins diet is a low-carbohydrate, high-fat diet that is intended to help people lose weight.

What is modified Atkins?

The modified Atkins diet (commonly referred to as "MAD" in the literature) is a modification to the traditional "classic" ketogenic diet that is intended to be less restrictive. Along with the MCT (medium chain triglyceride) diet and LGIT (low glycemic index treatment), it is one of three "alternative diets" that are employed to treat patients with epilepsy.

Its origins are attributed to the early 2000s. Some families that had followed the ketogenic diet for decades eventually stopped recording and weighing food. They had observed that ketones still remained elevated and seizures remained under control. It was first studied in children and adults who had never attempted the ketogenic diet at Johns Hopkins Hospital by Dr. Eric Kossoff and colleagues in 2002. The first study on this diet was published in 2003. A larger series of 20 children was released in December of 2005.

This diet is now over 14 years old and has documented over 500 patients in the literature. Research has demonstrated that it is similar to the classic ketogenic diet in effectiveness.

What is The Difference Between Keto And Modified Atkins?

Although the foods are similar, there are significant differences between the Atkins diet modified and the ketogenic diet.

• First, the Atkins diet with modifications is not restrictive on fluid or caloric intake or quantity.
• Fats are highly recommended, but they are not measured or weighed. Most patients will consume a lot of dairy and fat.
• One of the biggest differences is that there are no limitations on proteins. Typically, 35% of the calories for a patient on the MAD are derived from protein.
• Food is not weighed or measured, but the amount of carbohydrate is tracked by patients or parents.
• It's initiated outside of the hospital, the participant doesn't have to fast beforehand.
• Additionally, foods are more freely consumed in restaurants and outside the home, families (and neurologists!) also appreciate this. I'm sure you can as well.  

The diet is considered a "modified" Atkins diet, as it has a lower carbohydrate limit (15-20 g/day) than the traditional Atkins diet (30-40 g/day), and promotes more fat consumption. Remember that no diet should be attempted without the assistance of a neurologist.

Who will it benefit?

It appears to have a similar effect on a similar number of patients as the ketogenic diet (40-50% with a greater than 50% reduction in seizures, including approximately 15% that are seizure-free). It's effective for both men and women, and is being employed in both adolescents and adults. Similar to the ketogenic diet, it is primarily employed for patients with daily seizures who have not achieved a full response to medication. It's being researched for regions that have limited resources that would be too difficult or time-consuming for the classic ketogenic diet.

What foods are in the modified atkins diet and what is it like?

• Many high fat foods are permitted, including bacon, eggs, mayonnaise, butter, meats, heavy cream, and oils.
• Other fruits, vegetables, nuts, avocados, olives, and cheese are all employed as well.
• Beverages such as Fruit2O, diet soda, and other flavored waters are popular among patients. Fluid intake is encouraged and reduces side effects.
• Carbohydrates are limited, but the patient (or parents) can choose what to eat. For example, they can select blueberries or chocolate (but will receive more quantity of the former…).
• Compared to a patient on the classic ketogenic diet, the largest differences are 1) more food (higher calories) and 2) more protein.
• Many patients will supplement the diet with products that are intended to mimic the ketogenic state (e.g. The company's products include nutritional supplements, shakes, baking mixes, and pre-made breads. One investigation demonstrated a greater benefit in children when a ketogenic diet formula was combined with supplemental nutrition for the first month.
• It's still not simple, and most families require assistance and support.

What is more important?

• You should discuss this with your neurologist and dietitian regarding the proper initiation of the diet and if it's the correct choice.
• Once you've made up your mind, laboratory tests are typically conducted, and ketone strips are prescribed.
• The diet is low in carbohydrates (15-20 grams per day) and the food is altered every night (this is difficult to do).
• Medications are typically left alone (and most patients on the modified Atkins diet are also taking medication). Medications that are administered as liquids are typically converted to tablets in order to decrease carbohydrates.

Is it effective?

In previous research, yes. Half of the patients experienced a 50% reduction in seizures after 6 months. Many were able to reduce their medication intake.

Can adults participate?

• Absolutely, adults with epilepsy are one of the fastest growing demographics of patients starting diets today. Ask your neurologist to assist (or direct you to an adult epilepsy diet center).
• The results are similar to children, with similar side effects.
• Most adults continue to take medication, this is probably higher in percentage than children who take dietary therapy.
• If you have high cholesterol, high blood pressure, heart disease, liver or kidney disease, a history of kidney stones, a nutritional deficiency, or are pregnant, speak to your neurologist first.

Is there any negative side effects?

• Some children and adults experience weight loss. This can be beneficial for those who were overweight at the beginning.
• Some patients have experienced an increase in cholesterol.
• Occasionally, the transition to this diet and the resultant ketosis can cause patients to feel ill and not want to eat or drink.
• Kidney stones are uncommon, and oral citrates are typically not prescribed (except on the ketogenic diet).
• Because of these reasons, the Atkins diet modified should only be undertaken with the assistance of a physician.

How is the patient monitored over time?

• A dietitian should monitor weight and height periodically, as well as the amount of calories consumed if there is a problem. We advocate having a dietitian involved either at the beginning or after 3 months if the diet seems to be effective in helping the patient maintain it.
• Drs. Kossoff and Cervenka recommend blood and urine testing every 3 months, and monitoring ketones in the urine once or twice a week while on the diet.

Can the diet ever be abandoned?

Yes, if a patient has not had a seizure in a period of time (e.g., 2 years), the diet can sometimes be discontinued successfully. In most adults who are seizure-free, it is not discontinued (because of driving and other benefits). Similar to the ketogenic diet, if it's not beneficial, it should be discontinued as well.

What will the future of the Atkins diet consist of?

Numerous investigations are ongoing, several of which compare this newer diet to the classic ketogenic diet. Other studies that are currently underway include:

• Increasing the effectiveness and safety in adults.
• Increased popularity in developing countries
• Adding additional ingredients to enhance the effectiveness
• This is a less severe form of epilepsy that is typically not treated with the ketogenic diet (e.g. Epilepsy that is caused by childhood absence, juvenile myoclonic epilepsy.
• Other uses of MAD that are not epilepsy (e.g. The study also found that the risk of developing Alzheimer's disease was higher in people who had a history of stroke, brain tumors, or dementia.

Your First Shopping List

PRODUCE  avocados  spinach  leafy greens cucumber boston, bibb, butterhead lettuce celery cauliflower eggplant  blueberries raspberries strawberries DELI sliced lunch meat sliced cheeses MEAT bacon salami ground beef chicken wings chicken thighs   breakfast sausage pepperoni DAIRY sour cream   unsweetened almond milk  unsweetened coconut or hempmilk sliced or block cheese mascarpone cheese eggs  heavy whipping cream cream cheese sugar‐free Jello, prepared butter     CONDIMENTS   bacon bits   mayonnaise salad dressing tomato sauce horseradish sauerkraut  hot sauce mustard capers pickles olives  pesto FROZEN veggies and fruit fish fillets chicken wings meatballs CANNED tuna in oil salmon chicken SNACKS pork rinds almonds, pecans, walnuts, macadamia nuts BAKING olive, canola oil coconut oil unsweetened coconut flakes baking chocolate unsweetened cocoa powder coconut flour almond flour Splenda, stevia, other artificial sweetener Plastic or glass to‐go storage containers

The modified Atkins diet  is intended to be followed for a period of time.

• No more than 20 grams of net carbohydrates per day should be consumed.
• Eat either 3 regular sized meals or 4 ‐ 5 smaller meals each day.
• Do not skip meals or go longer than 6 hours without eating.
• Consume at least 8 oz of alcohol. Drink glasses of water every day to replenish your body's water supply and avoid side effects.  
• Take a multi-vitamin and calcium with vitamin D daily.
• Adjust the quantity of food you consume in accordance with your appetite. Eat until you are full.  
• Eat multiple servings of fats with every meal—the food should have a unique appearance.

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