“If someone feels better or more empowered, why would I argue?” Attwood said. “The keto diet is expensive, it is very difficult to maintain true ketosis and has some undesirable effects as well. I have grown agnostic to it and other remedies over the years and have learned to do whatever it takes to maintain my relationship with the patient. If they want to try basically any treatment, as long as it’s not harmful, I see no point in arguing about it. After all, believing something will work is a decent predictor that it will work, at least for a little while, so I would not want to deprive anyone the opportunity to feel better, even if I can’t explain why. It’s a humbling illness.”
