Figure 2: Examples of a lunch menu for the regular diet, the MAD, and the LGIT Each style of lunch menu was provided to case-13 at our hospital. a. A regular diet which she ate before the start of the MAD at 11 years of age. The lunch consisted of polished rice, boiled mackerel, salad with bean sprouts, nimono (boiled dish), and banana. The ketogenic ratio was 0.12:1. This is an example of a diet usually preferred by Japanese. b. A MAD menu which she ate during MAD therapy at 11 years of age. The lunch consisted of sauteed chicken with green beans and bacon, scrambled eggs with mayonnaise, and miso (soybean paste) soup. The ketogenic ratio was 1.46:1. c. A LGIT menu which she ate during the LGIT at 13 years of age. The lunch consisted of unpolished rice with natto, pork beans, tuna salad, miso soup, and sauteed chicken. The ketogenic ratio was 0.95:1.