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For every additional kilogram above 20 kg, an additional 20 ml of fluid was needed ( iv Determination of the appropriate ketogenic ratio The ketogenic ratio was calculated as grams of fat to the sum of grams of protein and carbohydrate, represented as follows: Ketogenic ratio = fat (g): protein (g) + carbohydrates (g) The typical ketogenic ratio used in the Keto Clinic ranges from 2:1 to 4:1 ( Due to the restriction of fruits, vegetables, and other foods in the ketogenic diet, special attention was given to supplementing the diet with appropriate quantities of minerals and vitamins (5, 5, Prior to initiating the diet, the Keto team reviewed the anticonvulsants and other medications used by the patients to determine their carbohydrate content ( 2.1.8.2

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