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Eric Kossoff
Pediatric neurologist and professor at Johns Hopkins, director of the Ketogenic Diet Program and a leading expert on ketogenic diet therapies for epilepsy.
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Oct 9, 2026
100 Years of Keto… So Why Don’t More Doctors Use It? | Dr Eric Kossoff
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10:30Eric KossoffGUEST
Great, you know, great question, and, and then we'll maybe segue into sort of what do we call this, right? Which is actually debated in the field, right? And we'll come back to that.
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10:39Eric KossoffGUEST
But yes, so technically for our treatment of epilepsy, there are five ketogenic diets, okay? Which is a dramatic change compared to, I, I'd say maybe the early 1970s, where it was just what we call now the classic ketogenic diet, right? So the classic ketogenic diet was first created in 1921 at the Mayo Clinic in Rochester, Minnesota.
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11:05Eric KossoffGUEST
So families will weigh and measure on a gram scale foods to create a precise ratio.
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11:12Eric KossoffGUEST
I'm sure your listeners understand that, right? So most children are on a four to one ratio, and that's a weight-based ratio of fat to carbohydrates and protein.
13 MINS LATER

Ben HopkinsHOST
Is there an argument to starting epilep- or I guess starting ketogenic therapies earlier in life whilst you still have that very, very plastic window in children? Or is that neuroplasticity not really relevant here?