“…The KD is also neuroprotective against ischemic damage (Tai et al, 2008, 2009), hypoglycemic damage (Yamada et al, 2005), and traumatic brain and spinal injury (Prins et al, 2005; Appelberg et al, 2009; Hu et al, 2009a,b; Prins and Hovda, 2009; Schwartzkroin et al, 2010; Streijger et al, 2011), and improves injury-related deficits in cognition and movement after traumatic brain and spinal injury, respectively (Appelberg et al, 2009; Streijger et al, 2011). Ketosis is apparently crucial to these effects as direct application of ketones to in vitro tissue is also protective against hypoglycemia and ischemia (Samoilova et al, 2010), oxidative stress (Kim et al, 2007), and excitotoxicity (Massieu et al, 2003; Noh et al, 2006b; Maalouf et al, 2007; Samoilova et al, 2010). The mechanisms are likely to involve reduced reactive oxygen species, reduced tissue excitability, and enhanced production of high-energy molecules.…”