What’s the difference between a low-carb diet and a ketogenic diet, especially when it comes to mental health? In this premiere Mailbag episode, Dr. Bret Scher (Medical Director at Metabolic Mind) and Harvard trained psychiatrist Dr. Georgia Ede answer some of the most common questions they receive about ketogenic diets specifically for mental illness. Whether you’re new to ketogenic therapy or have been experimenting for years, this discussion offers valuable clarity on concepts that often cause confusion, even among clinicians.
💡 Topics covered include:
The difference between low-carb and ketogenic diets for mental health
Why being “in ketosis” matters more than just eating low carb
How high ketones may need to be for mood and psychiatric benefit
When (and how often) to test ketone levels
Factors that may affect your ability to stay in ketosis, including stress, sleep, exercise, and protein intake
Whether a ketogenic diet needs to be lifelong for mental health benefits
When (or if) supplements like MCT oil or exogenous ketones are appropriate
This episode is not a deep dive into every topic, but it sets the stage for future discussions—and highlights just how individualized ketogenic therapy can be.
📬 Have a question for Dr. Ede and Dr. Scher? Leave a comment below or DM us on Instagram or X/Twitter (@MetabolicMind). Your question may be featured in a future Mailbag episode! —