New Delphi consensus-based guideline for the implementation of TCR in metabolic disorders!

Publications

Article

2026 Just published – A Delphi consensus-based guideline for the implementation of therapeutic carbohydrate reduction in metabolic disorders

It was a privilege to work with the incredible team at the SMHP™ and this wonderful panel on an updated Delphi guideline for the implementation of TCR in metabolic disorders. I am grateful for the opportunity to help make this important science accessible to all.

Rice, S. M., Buchanan, L. A., Calkins, M. W., Cucuzzella, M. T., Cywes, R., Devine, P. L., Kalamian, M., Kalayjian, T., Reynolds, D. B., & Westman, E. C. A Delphi consensus-based guideline for the implementation of therapeutic carbohydrate reduction in metabolic disorders. J. metab. health. 2026;9(1), a152. https://doi.org/10.4102/jmh.v9i1.152.

Article

2025 – over 80,000 reads

Rice, S.M. and Reynolds, D.B. (2025) ‘Practical guidelines for addressing common questions and misconceptions about the ketogenic diet’, Journal of Metabolic Health, 8(1), p. 10. Available at: https://doi.org/10.4102/jmh.v8i1.113.

Coauthored with Doug Reynolds (President of the SMHP™), this article is a follow-on from the document below: a concise and revised version published in the Journal of Metabolic Health.

This article is a concise read that aims to address key questions commonly arising during discussions about ketogenic diets. Good format for sharing with patients and clinicians alike.

Key Takeaways for Clinicians

KD is a flexible, whole-foods approach.
Personalise protocols and monitor metabolic markers.
Educate patients on adaptation, side effects, and when to seek medical advice.
May be used as an adjunct to pharmacotherapy for metabolic disorders and epilepsy with emerging applications for mental health and other conditions.

The Ketogenic Diet: Addressing Concerns and Considering Benefits

Coauthored with Doug Reynolds (founder and CEO of LowCarb USA), this booklet was compiled as an attempt to address common concerns about the ketogenic diet as expressed on many popular social media platforms by the lay public. Confusion and a lack of nuance around personalisation, along with differences in approaches (and diet quality challenges), can detract from the fact that more and more healthcare providers are successfully implementing ketogenic or carbohydrate-reduced diets to help people improve their health.

The content is concise and accessible for the layperson while containing a comprehensive reference listing (over 300) to enable further reading. Resources are listed at the end of the document, which offers further expansion on the content. Freely available using the link below.

The Ketogenic Diet: Addressing Concerns and Considering Benefits

The Road to Metabolic Health

The Road to Metabolic Health: Why the Answer Lies in Food, Not Pharmaceuticals

Chapter 9: The Ketogenic Diet (coauthor)

This chapter takes key concepts from the booklet, The Ketogenic Diet: Addressing Concerns and Considering Benefits, adding a concise history of the ketogenic diet alongside practical tables outlining its potential benefits and mechanisms of action. It also includes guidance on initiating a ketogenic diet and features a useful food reference table.

Doug tells an incredible story about his childhood in Zimbabwe (then Rhodesia), his family's move to South Africa, and, finally, his move to the US. His dedication to metabolic health advocacy using nutritional (and other) lifestyle interventions comes from his own personal story. A road traffic accident as a young man left him with a traumatic brain injury. Lucky to survive, his journey resulted in the discovery that a ketogenic diet could help his recovery. His passion for helping others drives everything he does, and through organising conferences, among other things, he has been instrumental in seeing TCR adopted by patients and practitioners alike. Get the science and the adventure; it's a riveting read!

Article

The SMHP™ Position Statement: Type 1 Diabetes

It was a privilege to work on this paper alongside pioneers in the field of TCR for type 1 diabetes. The SMHP position statement on therapeutic carbohydrate reduction for type 1 diabetes is a valuable contribution to work in this space.