The Benefits of Using KetoCal® 4:1 Once Per Day

KetoCal 4-1 productsThe ketogenic diet can help manage seizures in patients with refractory epilepsy. In fact, research shows that just over half of children on the ketogenic diet will have 50% or more improvement in seizures, about 1/3 of children will have over 90% improvement in seizures and about 10-15% will become seizure-free. While it can be helpful with seizure management, being on the ketogenic diet can be challenging at times. In today’s blog post, I will tell you a little about how KetoCal can be a helpful addition to the ketogenic diet.

KetoCal Everyday Convenience

If you have a child on the ketogenic diet, I don’t have to tell you that it can be challenging to plan for keto meals or snacks while running errands, traveling, or going to after-school activities. Using KetoCal once per day can help provide everyday convenience when you are on-the-go. KetoCal® LQ is ready-to-drink and provides a simple and nutritious solution for busy schedules. It also tastes great! (Request a sample to taste it for yourself!)

KetoCal for Nutritional Reassurance

As a busy mom and dietitian, I know a little about the struggle to find meals and snacks that are easy AND nutritious. KetoCal was designed to be both! Using KetoCal® 4:1 once per day is not only convenient, but can also help fill nutrient gaps in the ketogenic diet. Unlike heavy cream (a popular milk substitute with the ketogenic diet)*, one serving of KetoCal 4:1 (356 calories) provides:

  • An excellent source of calcium and vitamin D, two nutrients that are important for bone health
  • Fiber to promote gut health
  • DHA, an Omega-3 fatty acid that plays a role in brain and eye health
  • 4 times LESS saturated fat when compared to heavy cream!

There are multiple ways to incorporate KetoCal 4:1 into your daily routine. You can drink it once per day or use it in everyday recipes. KetoCal 4:1 is available as a powder (great for baking!) or as a ready-to-drink liquid (convenient while on-the-go). Work with your dietitian or visit www.myketoplanner.com to find tasty recipes using KetoCal 4:1.

Ellen Avery, MS, RD
Medical Advisor, Ketogenics
Nutricia North America

KetoCal is a medical food for the dietary management of intractable epilepsy and is intended for use under medical supervision. Talk with your healthcare provider about whether KetoCal is right for you. 

*Comparing an equal amount of calories from heavy cream.

Celebrating “Thanks-Keto-Giving”

Today’s guest blog post is by ketogenic dietitian and Nutricia Keto Ambassador Vanessa Aldaz, MPH, RD, CDE. Vanessa provides her tips and recipes ideas for families celebrating Thanksgiving on the ketogenic diet.


The holiday season is around the corner. Thanksgiving may have a different meaning for each household and how we choose to celebrate it may vary from home to home. However, I believe

thanksgiving 2that one thing most people can agree on is that it is centered around coming together with family, loved ones and friends. Here are some ideas for your keto family to consider when celebrating “Thanks-keto-giving” this year (aka: thanksgiving with a keto twist).

Keto-friendly Recipes:

The following are a few good recipe ideas for you to try. Don’t get overwhelmed with the options or feel that you need to make them all. Two sides and 1 dessert can easily make your keto-child or keto- friends feel included and very “keto-thankful”.

Main Dishes

Choose from an array of protein choices: These main dishes are perfect as most of them are carbohydrate-free.

  • Roasted turkey (not stuffed)- Instead of traditional stuffing, you can stuff with herbs and citrus rinds to give your turkey flavor and holiday flair
  • A “Turducken” (duck stuffed with a chicken stuffed inside a turkey)
  • Roasted whole ham leg or a spiraled ham (without the brown sugar glaze)
  • Non-traditional main dishes such as salmon, lobster or filet mignon

Side Dishes

  • Instead of mashed potatoes, try mashed cauliflower drizzled with good quality butter or try KetoCal® Mashed Fauxtatoes (4:1 recipe, 3:1 recipe)
  • Try the KetoCal Cauliflower and Cheese recipe- sooo good! (4:1 recipe, 3:1 recipe, MAD recipe)
  • Green salads- use group A and B vegetables if you are on the Classic Ketogenic diet. Read the food label of your favorite creamy dressing and add heavy cream, mayonnaise, or oil to make it your ratio. Check your specific diet ratio and amounts with your ketogenic dietitian
    • My favorite: kale and baby spinach, cucumbers and sunflower seeds, topped with blue cheese dressing with extra heavy cream and mayonnaise.
  • KetoCal’s Thanksgiving Stuffing (4:1 recipe, 3:1 recipe)
  • KetoCal’s Green Bean Casserole Recipe (4:1 recipe, 3:1 recipe)
  • Charlie Foundation’s Chicken or turkey keto gravy (3:1 recipe)
  • Charlie Foundation’s Squash Curry Soup (if you are not a fan of curry try adding pumpkin spice instead)
  • Charlie Foundation’s High Fiber Bread Roll (4.16:1 recipe) (you can also use these high fiber rolls as a base for stuffing)

Desserts:

Family Activities

Another way to make “Thanksketogiving” a success is to try not to completely focus the day around the food. Get up and go do other fun and exciting activities to add to your memories. Depending on where you live there are many holiday activities you can participate in.

Go to the movies!

Thanksgiving weekend is a popular time for opening day of some big movies of the year. There are a variety of movies, animated and not, that feature heroes, superheroes, and other beloved characters of the season. There is something for everyone!

Take a walk!

Weather permitting, it’s nice to get outside as a family. Take a walk around the neighborhood or out to the zoo.  If you live in warmer climates, play touch football, soccer or baseball in your backyard or a nearby park.

Play games!

Get your friends and family together and play charades! Have everyone write random words, famous people, phrases or themes on pieces of paper and put them all in a jar. Make your own rules and have fun as all ages can play this game. Or, if you don’t like charades, family board games are always fun.  If relatives are coming, have them bring some of their favorites so you can all play together!

Play & sing!

If your family likes to sing or play music, consider bringing music sheets or a karaoke machine! You can always use pots, pans and plastic containers that aren’t used for the meal to make musical instruments and form your own band.

Get crafty!

Set out festive craft supplies for your little ones to create placemats, napkin rings, wreaths and centerpieces to use as your Thanksgiving Day table decorations. You can find some Thanksgiving-themed craft ideas here.

And finally, don’t forget to share with each other why you are grateful to be together or what you are thankful for. Happy Thanksgiving, everyone!

-Vanessa

I was paid by Nutricia for my time to write this blog, however, my opinions are my own. 

KetoCal is a medical food and is intended for use under medical supervision. 

The ketogenic diet for epilepsy should be used under medical supervision. 

KetoCal is a trademark of SHS International LTD.

Halloween on the Medical Ketogenic Diet

Today’s Guest Blog post is by Lindsey Thompson, MS, RD, CSP, LD, ketogenic dietitian and Nutricia Keto Ambassador.

Important: Please note that this post was written prior to COVID-19. Whether you will be celebrating Halloween at home with your family or participating in modified Halloween activities, please be sure to keep current safety recommendations (like social distancing, mask-wearing, and hand washing) in mind. For more information on how to protect your family from COVID-19, read this post.


Food is the focus of many holidays, and Halloween is no exception. For kids on the medical ketogenic diet, there are many ways to include them in your family traditions for Halloween. For this blog, I reviewed some tips for trick-or-treating with your child as well as how to navigate school or other Halloween parties.

Trick-or-Treating Tips

If your family trick-or-treats, here are some tips for including your keto kid:

-Provide non-food items or keto-friendly treats to neighbors beforehand for your child to pick up when she or he trick-or-treats. Some examples include:

  • Halloween themed toys or stickers
  • Tickets or tokens your child can collect from house-to-house and redeem for a larger non-food prize at the end
  • Keto-friendly treats, such as the following:
  • Chocolate Almond Bark:3:1 recipe
  • Almond Coconut Cookies:4:1 recipe and 3:1 recipe
  • No-Bake Fudge:4:1 recipe and 3:1 recipe
  • Sugar-free gelatin cups (Choose Halloween colors and/or decorate cups with Halloween stickers)
  • Other keto-friendly food ideas from the recipes included below

-Donate candy to a local charity or group after trick-or-treating. There are many groups that will collect extra Halloween candy for a good cause. If you plan to donate candy, make sure to talk to your children beforehand to explain your plan so they understand. You can also have the children turn in their candy to you for a larger toy, prize or allowance.

-Plan another activity in place of trick-or-treating that would not include candy or other treats your child could not consume. Some examples include a hayride, corn maze, pumpkin patch or decorating pumpkins as a family.

School Parties or other Halloween Parties

Make sure to plan ahead for school or other parties around the Halloween holiday. Let teachers or other caregivers know about your child’s food restrictions and plan to bring keto-friendly foods that your child can consume with her friends.

Here are a few recipes for keto treats that your child can take to the party:

  • KetoCal® Creamy Gelatin Snack: 4:1 recipe (can use green or orange gelatin powder and Halloween themed molds to make the treats festive)
  • KetoCal Pumpkin Spice Shake: 4:1 and 3:1 recipe
  • KetoCal Chocolate Cupcake with Chocolate Cream Frosting: 3:1 recipe (cook in Halloween themed muffin wrappers or add Halloween cupcake toppers)
  • Matthew’s Friend’s Chocolate Muffins: 4:1 recipe
  • Crustless Pumpkin Pie: 3:1 recipe

Always be sure to check the recipes with your ketogenic dietitian.

I hope these tips help make for a safe, happy and keto-friendly Halloween!

-Lindsey

KetoCal is a medical food for the dietary management of intractable epilepsy and is intended for use under medical supervision. 

Talk with your healthcare provider to determine if KetoCal is right for you.