Mira is rebounding from a rough few weeks and we have made some changes, starting yesterday. We noticed that she started becoming increasingly irritable soon after starting Ketocal, about two weeks ago. I really hate to sound so jaded, but I attribute her problems directly with Ketocal and what it has in it. It contains aspartame, which is an artificial sweetener. While there is some truly frightening literature out there (read this story or this one and why not another or get the book from Amazon.com, read them and form your own opinions) I can't help but believe that aspartame is a seizure trigger for her or at a minimum, causes some issues with her.
In addition to causing irritability issues, the Ketocal was also causing a lot of constipation, which stresses her out. We stopped the Ketocal yesterday and gave her several doses of Miralax over the past day and a half and she has been doing remarkably better than she was yesterday. She still had 2 seizures, but she is in a much better mood and stopped twitching. And yes, she pooped A TON today. If you want details, Sarah and I can provide.
Regardless of whether aspartame is a trigger or not, we are going to stay clear of it (along with other artificial sweeteners) all together and talk to neurology and her dietitian about alternative methods of boosting her ketones.