DWQA QuestionsCategory: QuestionsPre and post-workout nutrition recommendations, and urine dipsticks
Anne asked 3 years ago

  1. I am currently taking MCT supplementation, and will soon be able to switch over to triheptanoin. Are there any specific nutrition recommendation changes for pre- and post-workouts with dojolvi? Will I still need to consume carbohydrates pre and post-workout (and protein post-workout)?
  2. Also, why is it recommended to consume triheptanoin with some source of protein rather than carbs?
  3. Should I use urine dipsticks to assess whether or not my CK levels are high? Would the result be positive even with mild CK elevations? (Sometimes I have trouble discerning between LC-FAOD symptoms and normal fatigue.)

Thank you in advance for your help.

INFORM Physician
replied 3 years ago

Anne, most of your questions can be addressed by your metabolic dietitian as part of the switch over. For exercise, I typically recommend saving a dose of your trihep to take 20-30 min before exercise, usually without additional carbohydrate. You can see Dr. Gillingham’s excellent discussion about exercise and triheptanoin (and MCT) in a previous reply. However, when incorporating trihep with the rest of your diet, it’s ok to mix it with your regular food. Regarding dip sicks for myoglobin, it’s not particularly sensitive to minimal elevations of blood CPK. In most adults, the CPK needs to be >10,000-20,000 for the dip stick to register elevated myoglobin. We are trying to develop a home CPK monitor that will allow you to test your blood much like diabetics do for glucose, but it’s still in very early stages. Hope this helps. Dr. Vockley