Ketogenic and Carnivore Diets for Inflammatory Bowel Disease and Rheumatoid Arthritis
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores whether two specific diets—the ketogenic diet and the carnivore (lion) diet—can alleviate symptoms and improve well-being for individuals with inflammatory bowel disease (IBD) or rheumatoid arthritis (RA). Participants will be divided into groups to follow one of these diets or remain on a wait-list before starting a diet. The trial aims to determine if these diets can enhance quality of life and reduce disease activity. Individuals diagnosed with IBD or RA and residing in the continental U.S. may be suitable candidates for this trial. As an unphased trial, it provides a unique opportunity for participants to explore innovative dietary approaches to managing their conditions.
Do I have to stop taking my current medications for the trial?
The trial does not specify if you need to stop taking your current medications, but it excludes those who have started new disease-modifying or biologic medications in the past 2 months. It's best to discuss your specific medications with the trial coordinators.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that both ketogenic and carnivore diets might benefit individuals with inflammatory bowel disease (IBD) and rheumatoid arthritis (RA). In one report, 10 patients with IBD experienced improvement after trying these diets. However, concerns exist, particularly with the ketogenic diet. One study found it might worsen colitis (colon inflammation) by affecting gut bacteria and the immune system.
For the carnivore diet, results are mixed. Some studies suggest it might reduce inflammation and improve symptoms for certain individuals. However, experts caution against trying it without medical guidance due to its restrictive nature and potential long-term effects on gut health.
In summary, while these diets might assist some individuals, potential risks exist, especially for those with specific conditions. Consulting healthcare professionals before starting these diets is crucial to ensure they are safe and suitable for individual health needs.12345Why are researchers excited about this trial's treatments?
Researchers are excited about the ketogenic and carnivore (lion) diets for inflammatory bowel disease (IBD) and rheumatoid arthritis (RA) because these diets offer unique, non-pharmaceutical approaches to managing these conditions. Unlike standard treatments, which often involve medications like immunosuppressants and anti-inflammatory drugs, these diets focus on altering food intake to potentially reduce inflammation naturally. The ketogenic diet emphasizes high fat, moderate protein, and low carbohydrate intake, which may help modulate metabolic pathways linked to inflammation. The carnivore diet, on the other hand, focuses on consuming only animal-based foods, which might simplify digestion and reduce inflammatory triggers. These dietary interventions offer a fresh perspective by potentially minimizing side effects commonly associated with conventional medications.
What evidence suggests that this trial's dietary treatments could be effective for IBD and RA?
Research has shown that the ketogenic diet, one of the diets studied in this trial, might help reduce inflammation, benefiting conditions like inflammatory bowel disease (IBD) and rheumatoid arthritis (RA). Studies have found that this diet can lower certain inflammation markers linked to these conditions. The carnivore diet, another diet under investigation, also shows promise. Some reports suggest it might aid in weight loss and improve inflammation-related symptoms. Additionally, a series of patient cases with IBD showed improvement while following a mostly carnivore-ketogenic diet. These findings suggest that both diets could positively affect IBD and RA symptoms.12345
Who Is on the Research Team?
Robert D Abbott, MD
Principal Investigator
Resilient Roots: Functional Medicine
Are You a Good Fit for This Trial?
This trial is for adults in the continental U.S. with a confirmed diagnosis of inflammatory bowel disease (Crohn's or ulcerative colitis) or rheumatoid arthritis, who can follow specific diets. People can't join if they're pregnant, breastfeeding, have certain allergies (like to red meat), recent cancer, organ failure, diabetes on medication, or other serious health issues.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Run-in
Participants undergo baseline assessments including quality-of-life questionnaires, body composition analysis, and dietary intake evaluation
Initial Dietary Intervention
Participants receive dietary counseling and follow a ketogenic or carnivore diet with ongoing virtual support and monitoring
Midpoint Assessment
Participants complete midpoint questionnaires and testing to assess changes in symptoms and quality of life
Continued Dietary Intervention or Crossover
Participants continue their dietary intervention or crossover to the other diet with continued support
Final Assessment
Participants repeat baseline assessments to compare key outcome measures at the end of the study
Follow-up
Participants are monitored for safety and effectiveness after the dietary intervention
What Are the Treatments Tested in This Trial?
Interventions
- Carnivore (Lion) Diet
- Ketogenic diet
Trial Overview
The study compares two special diets—a ketogenic diet and a carnivore (lion) diet—to see if they help improve symptoms and quality of life in people with IBD or RA. Participants are randomly assigned to one of these diets or a wait-list control group over about 24 weeks.
How Is the Trial Designed?
7
Treatment groups
Experimental Treatment
Active Control
Participants with IBD or RA randomized initially to the ketogenic diet for 12 weeks who voluntarily choose to crossover to the carnivore (lion) diet intervention for the final 12 weeks
Participants with IBD or RA randomized initially to the carnivore (lion) diet for 12 weeks who voluntarily choose to crossover to the ketogenic diet intervention for the final 12 weeks
Participants with IBD or RA randomized initially to the wait-list for 12 weeks who are then randomized to receive dietary counseling regarding the carnivore (lion) diet for a subsequent 12 weeks
Participants with IBD or RA randomized initially to receive dietary counseling regarding the ketogenic diet for up to 24 weeks
Participants with IBD or RA randomized initially to the wait-list for 12 weeks who are then randomized to receive dietary counseling regarding the carnivore (lion) diet for a subsequent 12 weeks
Participants with IBD or RA randomized initially to receive dietary counseling regarding the carnivore (lion) diet for up to 24 weeks
Participants with IBD or RA randomized initially to a 12 week waitlist who will continue their baseline dietary pattern WITHOUT specific dietary guidance/intervention
Find a Clinic Near You
Who Is Running the Clinical Trial?
Fuller Research Foundation
Lead Sponsor
Resilient Roots: Functional Medicine
Collaborator
Citations
Ketogenic and Carnivore (Lion) Diets for Inflammatory ...
The primary goal of this study is to determine whether ketogenic or carnivore dietary therapy improves, health-related quality of life, disease ...
Lion Diet Study
The primary goal of this study is to determine whether ketogenic or carnivore dietary therapy improves: Health-related quality of life; Disease specific symptom ...
Carnivore Diet: A Scoping Review of the Current Evidence ...
Individual publications reported positive effects of the CD, such as weight reduction, increased satiety, and potential improvements in inflammatory or ...
Ketogenic and Carnivore (Lion) Diets for Inflammatory ...
The primary goal of this study is to determine whether ketogenic or carnivore dietary therapy improves, health-related quality of life, disease ...
Case report: Carnivore–ketogenic diet for the treatment of ...
We report on 10 cases of IBD responsive to ketogenic, mostly carnivore, diets. Clinical presentations were diverse, including six cases of UC ...
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