Who Should NOT Follow a Ketogenic Diet?

The following information is offered to help you and your physician or healthcare professional determine if a ketogenic diet is right for you.

Contraindicated Metabolic Conditions 
Individuals with the following medical conditions should NOT undertake a ketogenic diet: 

 Carnitine deficiency (primary)
 Carnitine palmitoyltransferase (CPT) I or II deficiency
 Carnitine translocase deficiency
 Beta‐oxidation defects
 Medium‐chain acyl dehydrogenase deficiency (MCAD)
 Long‐chain acyl dehydrogenase deficiency (LCAD)
 Short‐chain acyl dehydrogenase deficiency (SCAD)
 Long‐chain 3‐hydroxyacyl‐CoA deficiency
 Medium‐chain 3‐hydroxyacyl‐CoA deficiency
 Pyruvate carboxylase deficiency
 Porphyria

(Note that most of these conditions are identified early in life although porphyria can develop
at any time.)
Contraindicated Health Conditions
Talk to your doctor about implementing a KD if you have any of these conditions:
 History of pancreatitis
 Active gall bladder disease
 Impaired liver function
 Impaired fat digestion
 Poor nutritional status
 Gastric bypass surgery
 Abdominal tumors
 Decreased gastrointestinal motility; this may be in conjunction with conventional cancer
treatment and associated drugs
 History of kidney failure