From theory to practice: challenges and rewards of implementing ketogenic metabolic therapy in mental health

Clinician perspective piece on implementing ketogenic metabolic therapy (KMT) in real-world mental health practice. Covers practical obstacles including medication interactions requiring prescriber coordination, non-linear early-phase symptom fluctuation during diet transition, and social/adherence pressures, and argues for multidisciplinary care teams combining trained prescribers, mental health counselors, and nutritionists.