The most common side effects of dietary treat-ments are constipation, acidosis, temporary hyperc-holesterolemia, kidney stones and hunger.
64
Growth
restriction has also been observed in children.
77
The ketogenic diet is contraindicated in patients who
are unable to use ketone bodies as an energy source or
those who require high levels of glucose. Such con-ditions include pyruvate decarboxylase deficiency,
primary carnitine deficiency, fatty acid oxidation
abnormalities, the porphyrias and some mitochon-drial disorders.
7