“At this point, we are worried about disordered eating in the future.” The words reverberated through my mind as tears welled in my eyes and my stomach sank. “It’s time to stop the ketogenic diet; she likely got what she needed from it in the first two years.“
Almost four solid years, three of which included food scales, heavy cream, and practically every food made from scratch. The final year was less stringent but still under the umbrella of the medical ketogenic diet. The time had come to let it all go. Control, good vs. bad food associations, and anxiety had taken over. The ketogenic diet was necessary; we needed seizure control and our kid back. It was easy, mapped out gram by the gram, and a seven-year-old who desperately wanted to stop taking Depakote. As the years passed, ease fell into second nature for me, the person administering and preparing the diet. But with age comes awareness, constantly comparing herself to peers not chained to meal times, grams, and healthy fats. It became all-consuming and often debilitating.
“At this point, we are worried about disordered eating in the future”. Those words hit me so hard because I lived it. Now my child was at risk of developing something I consciously chose not to return to. It was the “something” that was all-consuming and debilitating. The choices I made also revolved around good vs. bad, ie this is “good” it has enough calories to last me an entire day, this is “bad”, I will gain weight.. I thought I was so good at hiding it, still eating intentionally in front of people. I thought no one saw it. They saw it, those closest to me. My first boyfriend (a couple of times over) likely saved me by calling me out. Not allowing me to leave our friend’s college dorm room before eating something. That moment is engrained in my mind, though I’m not sure I ever thanked him; too angry at the time to see the care and concern, too focused on how I could control my eating and maintain a weight under 100 pounds. And though I know the warning signs, I did not see them in my own child, blinded by my need to control her epilepsy to see she her anxiety and constant worry stemed from her lack of control in the choices she could make surrounding foods.
I am thankful for all the ketogenic diet gave us, but it also took something from my child, who already faces a childhood outside of the “norm.” It took her freedom to eat and feel somewhat “normal” as a kid. I would go back and do it a hundred times over, I still firmly believe that the ketogenic diet should be a front-line treatment to those living with epilepsy, but I would change my mindset around diet. I wouldn’t use words like “special” or “magic”, or label foods “good” or “bad.” Instead, I would (and have in the past year or so) call it what it is, a medical diet to treat epilepsy. In addition, I would have spent more time talking to Reagan about those who also need other diets for medical reasons.
As I stood to leave the appointment, the NP hugged me, “I’ve been there too. And she’s going to be okay. You are going to be okay. You are doing a great job” Now, months removed from the initial weaning discussion, Reagan is okay. Although sadly, some of the clarity she gained from the ketogenic diet is gone, her anxiety has subsided, and she happily ate a piece of sourdough bread recently, though she did say she is not ready to have “regular” pizza, a hotdog or hamburger bun or ice cream. And I am okay-ish too; the past several months have been a time of reflection, recognizing that I never truly recovered from my own disordered view on eating and body image, but it’s time.