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History The ketogenic diet is a mainstream dietary therapy that was developed to reproduce the success and remove the limitations of the non-mainstream use of fasting to treat epilepsy. [Note 2] Although popular in the 1920s and '30s, it was largely abandoned in favour of new anticonvulsant drugs. [1] Most individuals with epilepsy can successfully control their seizures with medication. However, 20–30% fail to achieve such control despite trying a number of different drugs. [9] For this group, and for children in particular, the diet has once again found a role in epilepsy management. [ Ketogenic diet The ketogenic diet is a high- fat , adequate- protein , low-carbohydrate diet that in medicine is used primarily to treat difficult-to-control (refractory) epilepsy in children. The diet forces the body to burn fats rather than carbohydrates . Normally, the carbohydrates contai...