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Table 2 Recommended monitoring investigations for adults while receiving dietary therapy for epilepsy [9]

From: Practical considerations of dietary therapies for epilepsy in adults

Investigation Parameter Frequency
Nutrition assessment Mandatory
Height
Weight
Dietary intake
Side effects
Baseline
Each clinic visit
Pathology Mandatory
Urea and electrolytes
Liver function tests
Full blood examination
Blood urea nitrogen
Fasting lipid profile
Fasting glucose
Baseline
Every 3–6 months
Mandatory
Carnitine (if on valproate)
Vitamins & mineral levels: vitamin D, vitamin B12, folate, iron studies, zinc, Selenium
Baseline
Every 6–12 months
As clinically indicated
Ammonia
Plasma amino acids
Serum beta-hydroxy-butyrate
HbA1c
Drug levels
Blood ketone levels
Blood glucose levels
As required
Urinalysis
Urine organic acids
Urine creatine calcium ratio
Urine ketone levels
As required
Other investigations Electroencephalogram
Electrocardiogram
Lumbar puncture
Radiological imaging
Renal tract ultrasound
Bone density testing
As required