I have had great success going to a ketogenic diet after PCS. I'm a year post-injury, and was having a rough time with sensitivity to shaking....just answering someone "no" would send me down for the count with headache, weakness, sensitivity to sound, vision troubles, and just feeling awful.

At this point of my life I've been as regimented as I've every been. Schedule mostly the same, diet generally a repeated pattern of the same food, exercise schedule same/steady. One day I realized that my head fog, headache, lethargy was much worse than usual, then I realized for the last two days I was really heavy on the carbohydrates; the day's meals were oatmeal, rice/beans/pasta, pizza for dinner. I never usually go that heavy. It made me realized how bad it all was for my head.

I immediately cut them out and went ketogenic (I had a friend doing it who was espousing the benefits for a couple months). Within a day or two I noticed a huge change in how my head felt. I can tell my brain was still hurt (as is the same now 4/5 months later) but my sensitivity to shaking/jostling is way better.

I know my experience is only (n=1) but there is no doubt I have improved by the change. Keto IS anti-inflammatory, which I think is where a lot of the benefit comes in, you're not eating anything refined/processed. No sugar/flour. I'd bet if you even cut those things out only w/o going full keto you'd see improvement. Not to mention healthy fats are good for the brain (omega-3s)

I stay on this way of eating because I love the way I feel (head and otherwise). I wrote a post on here about it shortly after the change, and have continued to do it since then. Until discovering this my progress was very slow, it wasn't until cutting the carbs that I had days that were asymptomatic.

I'd be happy to answer any questions if you have them.

Mike

Update on diet and PCS

Here is my post from late April

A low carb , especially low sugar diet is likely the most beneficial. The keto part is not likely a big part of the improvement. Many have used an anti-inflammatory diet with good results. It is similar but removes a few more inflammatory foods, nightshades, etc.

It takes an extreme diet to get to a keto level. Most never achieve this level.