Another difference between older and newer studies is that the type of patients treated with the ketogenic diet has changed over time. When first developed and used, the ketogenic diet was not a treatment of last resort; in contrast, the children in modern studies have already tried and failed a number of anticonvulsant drugs, so may be assumed to have more difficult-to-treat epilepsy. Early and modern studies also differ because the treatment protocol has changed. In older protocols, the diet was initiated with a prolonged fast, designed to lose 5–10% body weight, and heavily restricted the calorie intake. Concerns over child health and growth led to a relaxation of the diet's restrictions. Fluid restriction was once a feature of the diet, but this led to increased risk of constipation and kidney stones, and is no longer considered beneficial.
“This seems like a fairly intense means of exercise – so perhaps not for those unfamiliar with exercise. Having guidance in the gym, and working out with others can be very motivating – this is an important concept to understand. If new to exercise you can certainly find this environment with more options for beginners,” says Anthony Dugarte MD about Kinobody’s intensity.