Anyone with these medical conditions should NOT undertake a ketogenic diet:
- Carnitine deficiency (primary)
- Carnitine palmitoyltransferase (CPT) I or II deficiency
- Carnitine translocase deficiency
- Beta-oxidation defects
- Medium-chain acyl dehydrogenase deficiency (MCAD)
- Long-chain acyl dehydrogenase deficiency (LCAD)
- Short-chain acyl dehydrogenase deficiency (SCAD)
- Long-chain 3-hydroxyacyl-CoA deficiency
- Medium-chain 3-hydroxyacyl-CoA deficiency.
- Pyruvate carboxylase deficiency
- Uncontrolled diabetes mellitus
I affirm that the child named below does (Yes) or does not (No) have any of the above medical conditions. Please choose the "I don't know" option if you are unsure.