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

1. About KEN
KEN is a revolutionary weight reduction technique developed by
Italian Professor Gianfranco Capello who set up the first clinic in
Rome. This technique can help obese people lose up to 6 – 10% of
their initial body weight in just 10 days.
KEN allows the body to switch into “Ketogenic” mode, whereby it
breaks down its own fat stored for use as energy.
The patients do not feel hungry throughout the entire duration of
the 10 day session, and can perform normal daily activities without
impairment and without the need for any additional food.
The doctor threads a narrow tube through the patient’s nose, down
their throat and into their stomach. A pump drip feeds a protein
liquid formula through the tube continuously throughout the day
and night for a period of 10 days.
There is no limit on how often this 10 day cycle can be repeated but
there needs to be a 10 day rest period in between cycles. The
estimated energy intake while on this diet is 240 calories per day.

2. Ketogenic Enteral Nutrition

3. Blackburn explained that reduced insulin release and
production accounted for the observed protein sparing effect.
Carbohydrates, especially glucose, stimulate
the release and production of insulin thereby
promoting protein catabolism and fat
deposition, the precise opposites of dieters’
desired outcomes.
Infusion of proteins, however, stimulates the
production and release of insulin much less, so
infusion of proteins spares lean body mass and
burns fat, accounting for the observed
production of ketone bodies (see 4) and
triglycerides.
Through KEN, obese patients rapidly lose body
fat while sparing muscle and vital organs.
Too, the ketone bodies from KEN reduce or
even eliminate hunger.
Protein sparing effect
Blackburn (Harvard
Medical School, 1973)

5. Can the production of ketone bodies during
Protein 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 is
catabolized. When the catabolism of fat is slow, the increase in ketone bodies is
slight. When the catabolism of fat is rapid, the increase in ketone bodies is
significant and metabolic acidosis occurs.
• In the normal non-diabetic patient, ketonemia stimulates insulin
production, slowing the mobilization of fat and preventing ketonemia from rising
dangerously.
• The ketonemia becomes dangerous only when it occurs in patients with reduced
insulin response, as in uncompensated diabetes. ( Type- 1).
• The slight ketonemia of KEN is helpful during the weight loss program because it
reduces the appetite for food and so increases patient tolerance of the KEN fast.
• Prolonged ketogenic diets are used safely in refractory epileptic patients. In such
cases there is no risk to health and brain activity, such as cognitive abilities or task
performance, such as driving a car.

6. Why is each KEN cycle limited to 10 days?
After 10 days of KEN’s marked sustained reduction in caloric intake, body metabolism
shifts towards a series of homeostatic defence mechanisms that cause markedly lower
energy expenditure—reduction of general motility, decreased heart rate, and a
tendency to stupor.
To abort the counter-productive lower energy expenditure, a 2 week rest period of
resumed controlled oral feedings is interposed between cycles of KEN. The 2 week rest
period is sufficient to reacquire the original rapid weight loss response when KEN is
resumed.
Rest periods were instituted to optimize rapid weight loss and to increase patient
satisfaction and acceptance.
The rest periods provide a psychological relief to the patient who can return to a normal
life.
Rest periods are utilized to train the patient in developing dietary and lifestyle
modifications necessary to manage weight once the treatment is discontinued.

7. During KEN cycles, why may patients may take only
water, tea, chamomile tea and coffee without sugar or other
sweeteners?
• The fewer carbohydrates consumed, the greater the reduction of insulin
which would otherwise tend to conserve fat.
• Elevated insulin would also increase the sense of hunger, leading towards
treatment failure: the client would suffer and resign to the temptation to
cease the diet.
• Of course we cannot completely eliminate carbohydrates. There are small
amounts of carbohydrates in the KEN solution and in some prescriptions
that the patient may take.
• Prescription tablets containing small amounts of carbohydrates that are
absorbed slowly are preferred to the same drugs taken in the form of a
soluble powder or soluble tablets contain a quantity of sweeteners that
are absorbed more rapidly and therefore are more at risk of stimulating
insulin.

8. 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 the
fluid intake. Recall that we already administer 2 litres of fluid
per day through the KEN infusion pump.
• Since the urinary levels of ketones during KEN is very
low, even doubling the loss of urinary ketone is not a huge
factor and can entail a greater sacrifice for patients who are
already subjected to frequent urination, especially at night.
• Some client tend to drink fluids heavily even though we do
not recommend it. This can lead to a reduction in the
ketonuria that is recorded daily.

9. Transition – KEN

10. KEN Clinic
AIWO CHENNAI
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
Web: www.aiwo.com
AIWO KEN MUMBAI
Milan Clinic
B, Saraswati Road,
Near Gokul ICE
Cream, Santacruz (W),
Mumbai 400 054
Ph: +91 022-26492762 /
022-26482749
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