Full question: What sorts of treatment options are considered when the keto diet is helping but the bones are losing calcium?
Reply: One of the many reasons that a ketogenic diet should be medically supervised is to monitor bone health. Vitamin D is a hormone-like vitamin that tends to be low in anyone who is receiving anti-seizure medications and it is possible that a ketogenic diet requires more Vitamin D. A lack of Vitamin D can reduce the ability to absorb calcium into the bones. Another reason for calcium loss is if acidosis is present. Acidosis can cause calcium to release from the bones. These problems should be addressed by the keto team.