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Recently, many of my patients have been asking about a ketogenic diet. Is a ketogenic diet safe? Would you recommend it? Despite the recent hype, a ketogenic diet is not something new. In medicine, we have been using it for almost years to treat drug-resistant epilepsy, especially in children. In the s, Dr. Atkins popularized his very-low-carbohydrate diet for weight loss that began with a very strict two-week ketogenic phase. Over the years, other fad diets incorporated a similar approach for weight loss. In essence, it is a diet that causes the body to release ketones into the bloodstream. In the absence of circulating blood sugar from food, we start breaking down stored fat into molecules called ketone bodies the process is called ketosis.