Kelly has displayed no noticeable cognitive declines.  But then, she hasn't actually left keto, either.

Her tapering regimen consists of us adding 10g of net carbs per day.  Yesterday, she was up to 55g, and this morning, she was still at 0.5 mmol/L.  Which is way lower than the 1-2.5 she was running during therapy, but still qualifies as therapeutic keto.  Barely.  I'm pretty confident that she will be out of keto after today's 65g.

In good news, if she does show cognitive decline and has to go back on keto, the fact that she can tolerate upwards of 50+g of carbs--even if on an irregular basis--means permanent keto becomes far more doable for everyone involved.  She's been esentially eating the same as everyone else, just with her starches getting weighed first.  She was even able to partake in some of CJ's birthday treats over the past several days, including 20g (~15%) of an apple fritter and a quarter of a UFO cookie.  That made her very happy.

She did find things very sweet, such as 60% dark chocolate.  There's certain keto things she continues to like, such as her fat bombs, eating plain butter, and drinking straight heavy whipping cream.

She continues to show not only better cognitive function, but better self regulation as well.  She was able to brave the sounds of the air compressor to help me put up battens on the house.  She quickly picked up new skills, flushing the battens with the bottom of the siding and plumbing them as I worked my way down the ladder.  She also showed increased executive function by deciding to optimize time by doing her math work while I measured and cut battens and positioned the ladder.

She also had an eye exam yesterday, but I will leave that update for Stephanie, who was there.