The MKD is similar to the MAD (Modified Atkins Diet®) but has a more structured approach. It is restrictive, but has a slightly more generous carbohydrate allowance (especially when starting the diet) which is evenly spread over meals and snacks. Your ketogenic team will decide on the amount of carbohydrate suitable for you or your child. Food choices are designed to be flexible and portion sizes are determined by use of an ‘exchange ‘or ‘choice’ system for foods providing fats and carbohydrate. This, together with advice on getting the right amount of protein, and meal plans, helps ensure an appropriate macronutrient and energy intake for you or your child.