About KENKEN is a revolutionary weight reduction technique developed byItalian Professor Gianfranco Capello who set up the...
Ketogenic Enteral Nutrition
Blackburn explained that reduced insulin release andproduction accounted for the observed protein sparing effect.Carbohydr...
Can the production of ketone bodies duringProtein Sparing KEN diet harm the client?No, not at the low ketone body levels o...
Why is each KEN cycle limited to 10 days?After 10 days of KEN’s marked sustained reduction in caloric intake, body metabol...
During KEN cycles, why may patients may take onlywater, tea, chamomile tea and coffee without sugar or othersweeteners?• T...
Should patients take plenty of fluids during KEN?• Normal (unforced) hydration and urine output is encouraged.• We advise ...
Transition – KEN
KEN ClinicAIWO CHENNAIKamaraj MemorialHall, Basement,498/500 – AnnaSalai, Teynampet,Chennai – 600 006, India.Tel: +91 044 ...
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Ken ketogenic enteral nutrition

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Proud to introduce for the first time in India, KEN™ (Ketogenic Enteral Nutrition) a revolutionary safe method for fat loss. Clients can expect to lose 6% to 9% of their body weight without losing any lean body mass within 10 days of treatment while comfortably going about their daily life. Prof Gianfranco Cappello who founded this method has successfully treated over 30,000 clients.

Website: www.aiwo.com
AIWO CHENNAI
KEN Clinic
Kamaraj Memorial Hall, Basement,
498/500 – Anna Salai, Teynampet,
Chennai – 600 006, India.
Tel: +91 044 2433 5916 / 044 6694 9080
Phone: +91 95000 65656
Email: contact@aiwo.com

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Ken ketogenic enteral nutrition

  1. 1. About KENKEN is a revolutionary weight reduction technique developed byItalian Professor Gianfranco Capello who set up the first clinic inRome. This technique can help obese people lose up to 6 – 10% oftheir initial body weight in just 10 days.KEN allows the body to switch into “Ketogenic” mode, whereby itbreaks down its own fat stored for use as energy.The patients do not feel hungry throughout the entire duration ofthe 10 day session, and can perform normal daily activities withoutimpairment and without the need for any additional food.The doctor threads a narrow tube through the patient’s nose, downtheir throat and into their stomach. A pump drip feeds a proteinliquid formula through the tube continuously throughout the dayand night for a period of 10 days.There is no limit on how often this 10 day cycle can be repeated butthere needs to be a 10 day rest period in between cycles. Theestimated energy intake while on this diet is 240 calories per day.
  2. 2. Ketogenic Enteral Nutrition
  3. 3. Blackburn explained that reduced insulin release andproduction accounted for the observed protein sparing effect.Carbohydrates, especially glucose, stimulatethe release and production of insulin therebypromoting protein catabolism and fatdeposition, the precise opposites of dieters’desired outcomes.Infusion of proteins, however, stimulates theproduction and release of insulin much less, soinfusion of proteins spares lean body mass andburns fat, accounting for the observedproduction of ketone bodies (see 4) andtriglycerides.Through KEN, obese patients rapidly lose bodyfat while sparing muscle and vital organs.Too, the ketone bodies from KEN reduce oreven eliminate hunger.Protein sparing effectBlackburn (HarvardMedical School, 1973)
  4. 4. Can the production of ketone bodies duringProtein Sparing KEN diet harm the client?No, not at the low ketone body levels observed in KEN.• An increase in blood ketone bodies, ketonemia, is observed whenever body fat iscatabolized. When the catabolism of fat is slow, the increase in ketone bodies isslight. When the catabolism of fat is rapid, the increase in ketone bodies issignificant and metabolic acidosis occurs.• In the normal non-diabetic patient, ketonemia stimulates insulinproduction, slowing the mobilization of fat and preventing ketonemia from risingdangerously.• The ketonemia becomes dangerous only when it occurs in patients with reducedinsulin response, as in uncompensated diabetes. ( Type- 1).• The slight ketonemia of KEN is helpful during the weight loss program because itreduces the appetite for food and so increases patient tolerance of the KEN fast.• Prolonged ketogenic diets are used safely in refractory epileptic patients. In suchcases there is no risk to health and brain activity, such as cognitive abilities or taskperformance, such as driving a car.
  5. 5. Why is each KEN cycle limited to 10 days?After 10 days of KEN’s marked sustained reduction in caloric intake, body metabolismshifts towards a series of homeostatic defence mechanisms that cause markedly lowerenergy expenditure—reduction of general motility, decreased heart rate, and atendency to stupor.To abort the counter-productive lower energy expenditure, a 2 week rest period ofresumed controlled oral feedings is interposed between cycles of KEN. The 2 week restperiod is sufficient to reacquire the original rapid weight loss response when KEN isresumed.Rest periods were instituted to optimize rapid weight loss and to increase patientsatisfaction and acceptance.The rest periods provide a psychological relief to the patient who can return to a normallife.Rest periods are utilized to train the patient in developing dietary and lifestylemodifications necessary to manage weight once the treatment is discontinued.
  6. 6. During KEN cycles, why may patients may take onlywater, tea, chamomile tea and coffee without sugar or othersweeteners?• The fewer carbohydrates consumed, the greater the reduction of insulinwhich would otherwise tend to conserve fat.• Elevated insulin would also increase the sense of hunger, leading towardstreatment failure: the client would suffer and resign to the temptation tocease the diet.• Of course we cannot completely eliminate carbohydrates. There are smallamounts of carbohydrates in the KEN solution and in some prescriptionsthat the patient may take.• Prescription tablets containing small amounts of carbohydrates that areabsorbed slowly are preferred to the same drugs taken in the form of asoluble powder or soluble tablets contain a quantity of sweeteners thatare absorbed more rapidly and therefore are more at risk of stimulatinginsulin.
  7. 7. Should patients take plenty of fluids during KEN?• Normal (unforced) hydration and urine output is encouraged.• We advise patients to drink when thirsty and not to force thefluid intake. Recall that we already administer 2 litres of fluidper day through the KEN infusion pump.• Since the urinary levels of ketones during KEN is verylow, even doubling the loss of urinary ketone is not a hugefactor and can entail a greater sacrifice for patients who arealready subjected to frequent urination, especially at night.• Some client tend to drink fluids heavily even though we donot recommend it. This can lead to a reduction in theketonuria that is recorded daily.
  8. 8. Transition – KEN
  9. 9. KEN ClinicAIWO CHENNAIKamaraj MemorialHall, Basement,498/500 – AnnaSalai, Teynampet,Chennai – 600 006, India.Tel: +91 044 2433 5916 /044 6694 9080Phone: +91 95000 65656Email: contact@aiwo.comWeb: www.aiwo.comAIWO KEN MUMBAIMilan ClinicB, Saraswati Road,Near Gokul ICECream, Santacruz (W),Mumbai 400 054Ph: +91 022-26492762 /022-26482749facebook.com/aiwolimitedtwitter.com/Ketogenic_Dietkentherapy.blogspot.inyoutube.com/aiwolimitedlinkedin.com/company/aiwo-limitedwww.weightlossin10days.comstumbleupon.com/stumbler/aiwokenpinterest.com/KENTHERAPYweightlossin10days.wordpress.com

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