Researchers explore ketogenic diet’s effects on bipolar disorder among adolescents and young adults

UC part of national pilot study led by UCLA Health, funded by Baszucki Group

The University of Cincinnati is set to be a site for a pilot study led by UCLA Health to explore whether a ketogenic diet, in combination with standard pharmacological treatment, can improve symptoms in adolescents and young adults with bipolar disorder. 

Melissa Delbello Psychiatry

Melissa DelBello, MD. Photo/University of Cincinnati.

While preliminary research suggests ketogenic therapy has a beneficial impact on psychiatric and metabolic function in adults with bipolar disorder, this will be the first study to examine the effectiveness and feasibility of this adjunctive therapy on mental health in this population.

Set to begin in March, the pilot study will recruit participants aged 12-21 with bipolar 1, bipolar 2, or unspecified bipolar disorders. The approximately 40 enrolled participants will follow a 16-week ketogenic program while continuing their prescribed mood stabilizing medications. The partnering researchers will be providing the food to participants at no charge. All participants will work with registered dietitians, psychiatrists, and psychologists affiliated with the study. 

To assess the impact of the intervention, independent evaluators will conduct monthly psychiatric assessments, including measures of  depression, mania, anxiety, psychosis, psychosocial functioning and quality of life. Additionally, participants will provide daily blood fingerprick ketone measures to measure metabolic changes. 

“We are excited to have the opportunity to conduct a pilot study examining the feasibility and mood stabilizing effects of this innovative strategy for adolescents and young adults living with bipolar spectrum disorders,” said Melissa DelBello, MD, site principal investigator, Dr. Stanley and Mickey Kaplan professor and chair of the Department of Psychiatry and Behavioral Neuroscience in UC’s College of Medicine and a UC Health physician.

David Miklowitz, PhD, national principal investigator and distinguished professor of psychiatry in the Division of Child and Adolescent Psychiatry at the UCLA Semel Institute for Neuroscience and Human Behavior, said that if the pilot study shows the diet to be feasible in young people with bipolar disorder, further research would be needed to test the effects of the ketogenic therapy against a comparison treatment, such as a non-ketogenic Mediterranean diet.

UC’s Luis Rodrigo Patino Duran, MD, will serve as a site co-investigator. UCLA Health will serve as the coordinating research site, with the other participating sites including UC, the University of Pittsburgh Medical Center and the University of Colorado. The study is being funded by Baszucki Group.

For more information on the trial, please contact Cathy Bailey at 513-558-4731.

Impact Lives Here

The University of Cincinnati is leading public urban universities into a new era of innovation and impact. Our faculty, staff and students are saving lives, changing outcomes and bending the future in our city's direction. Next Lives Here.

A version of this story was originally published by UCLA Health.

Featured photo at top of foods that are part of a ketogenic diet. Photo/Nadiia Borovenko/iStock Photo.

Related Stories

1

Sugar overload killing hearts

November 10, 2025

Two in five people will be told they have diabetes during their lifetime. And people who have diabetes are twice as likely to develop heart disease. One of the deadliest dangers? Diabetic cardiomyopathy. But groundbreaking University of Cincinnati research hopes to stop and even reverse the damage before it’s too late.

2

Is going nuclear the solution to Ohio’s energy costs?

November 10, 2025

The Ohio Capital Journal recently reported that as energy prices continue to climb, economists are weighing the benefits of going nuclear to curb costs. The publication dove into a Scioto Analysis survey of 18 economists to weigh the pros and cons of nuclear energy. One economist featured was Iryna Topolyan, PhD, professor of economics at the Carl H. Lindner College of Business.

3

App turns smartwatch into detector of structural heart disease

November 10, 2025

An app that uses an AI model to read a single-lead ECG from a smartwatch can detect structural heart disease, researchers reported at the 2025 Scientific Sessions of the American Heart Association. Although the technology requires further validation, researchers said it could help improve the identification of patients with heart failure, valvular conditions and left ventricular hypertrophy before they become symptomatic, which could improve the prognosis for people with these conditions.