A Pilot Study of Ketogenic Therapy in Major Depressive Disorder: Clinical and Metabolic Findings
This pilot study investigated the feasibility and safety of ketogenic therapy as an adjunctive treatment for young adults (18-30 years old) with major depressive disorder (MDD) receiving standard care (counseling and/or medication).
Sixteen participants achieved and maintained ketosis for the majority of the tested days over 10-12 weeks. Within 2-6 weeks of the start of the trials, participants showed robust improvements of depressive symptoms (PHQ-9, HDRS) and well-being (WHO-5). This timing is consistent with the time to reach ketosis. These positive psychological effects were sustained throughout the trial period. Improvements were also observed in physical measures, including body mass and fat mass, and metabolic measures, including decreased leptin and increased BDNF. These results suggest improvements in energy use. Participants also showed improvements in some cognitive tests.
Overall, these results show promise for the potential of ketogenic therapy as a safe and feasible therapy for young adults with depression.
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