PHYSICIAN SECOND-OPINION CONSULTATION
Medical Expertise to Support Your Ketogenic Therapy Journey
Personalized Roadmap
Structured Guidance
Ongoing Support
Through Advanced Ketogenic Therapies, patients have the option to meet with a collaborating physician for a second-opinion consultation related to ketogenic metabolic therapy including those already on a ketogenic diet or those considering KMT.
These consultations provide medical insight and guidance and may be utilized as a standalone service or alongside AKT nutrition coaching services.
Ready for Expert Medical Guidance?
Get started by completing the request form.
We’ll review your case and reach out with next steps if a second opinion consultation is appropriate.
At this time, physician consultation is not available for psychiatry clients.
Meet Dr. Marisa Armeno
Dr. Marisa Armeno, MD, PhD, is an internationally recognized physician specializing in ketogenic metabolic therapies and clinical nutrition. With more than 15 years of experience, she is considered one of the leading experts in ketogenic therapies for epilepsy and inherited metabolic disorders and has become a global reference in the field.
She serves as Chair of the Education Committee of the International Network for Ketogenic Therapies (INKS), is a member of the ILAE Ketogenic Therapies Task Force, and has trained healthcare professionals worldwide.
She is the author of two leading Spanish-language textbooks on ketogenic therapies, has published more than 40 peer-reviewed scientific papers and book chapters, and serves as editor and reviewer for several international journals. Dr. Armeno provides specialized consultations for infants, children, adolescents, and adults with complex neurological and metabolic disorders.
Who May Benefit from a Physician Second-Opinion Consultation
A physician second-opinion may be particularly useful when:
The medical history is complex.
Several medications are involved.
There are questions about safety, laboratory monitoring, or potential adverse effects.
There is uncertainty about whether KMT is appropriate.
A patient is already using KMT, but would benefit from an additional specialist’s perspective.
How a Physician Second-Opinion Consultation Can Help
How a Physician Second-Opinion Differs from Nutrition Coaching
Nutrition coaching and physician consultations complement one another.
Nutrition coaching focuses on the practical implementation of ketogenic metabolic therapy, while the physician consultation addresses the medical considerations, including appropriateness, safety, and monitoring.
Many patients choose both services. Coaching focuses on how to follow the diet, while the physician consultation focuses on medical guidance and safety.
Important Information
Physician second-opinion consultations are optional and billed separately from AKT nutrition services.
Physician consultations are not included in standard AKT coaching packages.
These consultations are educational and consultative in nature and are not a substitute for ongoing medical care.
AKT physician services do not include prescribing, discontinuing, or directly managing medications but may provide recommendations for discussion with your healthcare team.
Patients must maintain care with their primary healthcare providers and prescribing clinicians.
Physician second-opinion consultations are not available to psychiatry clients at this time.
Visit our FAQ page for answers to common questions about physician second opinions and all the services offered at AKT.