OMA Guidelines Bundle

Obesity Nutrition and Activity 2026

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12 Nutrition Ketogenic Diet (Keto) Monitoring and Follow-up During Ketogenic Diets • A ketogenic diet may be adhered to for a duration of two to three weeks, extending up to six to twelve months, contingent upon meticulous monitoring of renal function, followed by a gradual reintroduction of a standard diet • Need to monitor for adverse effects like "keto flu", characterized by insomnia, fatigue, nausea, vomiting, diff iculty exercising, headaches, constipation, and dizziness • Assess for def iciencies in vitamins and minerals • Monitor for kidney stones, hepatic steatosis, and hypoproteinemia • Long-term health risks beyond two years are unknown (cont'd)

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