r/bipolarketo

Hi! I was in remission from OCD after several months of keto, then only slowly returned. I saw a keto nutritionist and she had me test my ketone levels. My free carnitine was low while my carnitine was normal. My esterified/free carnitine ratio was high. My GP is unwilling to treat it and the metabolic psychiatrist my nutritionist sent me to prescribe it ended up not qualified despite claiming to be a metabolic psychiatrist. My endocrinologist won't help, nor will anyone at my hospital's endocrinology department. Out of desperation, I tried to supplement on my own, but I don't tolerate l-carnitine or alcar. I can't have anymore protein or I'll go into glycogenesis. Any idea on where I turn at this point? Has anyone been in this position before? I don't want to have to pay out of pocket/ I want the person I see to be covered by insurance. Please no ai for answers, because I've already used AI for answers and it led to nowhere.

Is diet food ok for the latuda snack? I was thinking to eat fiber rich foods with fake sugar so the calories end up in the bathroom. So for example, can I drink a diet soda, eat fiberone brownie, sugar free candy, corn? The snack won’t add up to literally 350 calories but my stomach would be full. I am starting to gain weight from the snack I have to eat with latuda. My metabolism seems fine and the rest of my diet hasn’t changed. Thanks.