Consistency over time supersedes any other consideration, as regards the coherent and effective implementation of Dr. Seyfried’s Press/Pulse protocol.

Unlike the Standard of Care, which is medicine that happens to you, Press/Pulse protocol is medicine which you do.

With these rubrics in mind, one can begin to explore the skill sets required in order to ensure that consistently, day after day, week after week, month after month, glucose and ketones are sustained close to, or within the zone of metabolic management of disease, at 55-65mg/dL (3.0-3.5mMol/L) blood glucose, and 4-7mMol/L blood ketones.

Notably, it cannot be overstated how consequential measuring out to the gram, and preparing meals in advance, influences predictable and consistent glucose and ketone response.

Hence, having a clear grasp of exactly what one is planning to consume, in advance, at every level of nuance sufficient to explain in meticulous detail what accounts for resulting glucose and ketone values, constitutes a precondition for cogent execution of Press/Pulse, as evidenced, here:

With the above plan of action, one’s refrigerator can be populated with pre-measured meals for several days, such that one never misses a meal, and, as a result of setting meal-time alarms on one’s phone, predictive eating at the same times each and every single day, becomes a foregone conclusion:

In order to induce and sustain therapeutic glucose levels consistently in the 55-65mg/dL (3.0-3.5mMol/L) range and therapeutic ketones levels consistently in the 4-7mMol/L range, day in and day out, month in and month out, one must forensically control grams of Fat, grams of Protein and grams of Carbohydrate, on a per meal basis.

So, for example, should one's Basal Metabolic Rate be 1500cal (as adjudicated by an InBody scan), and that is used a point of departure for pegging daily calories, provided that one’s Skeletal Muscle Mass is within the 100th percentile and no additional energy deficit is created by resistance training or other exercise, and one is given five, 300 calorie meals per day, spaced three hours apart, each meal at a 2:1 ketogenic ratio, this would mean each individual meal would be comprised of 27 grams of Fat and 14 grams of Protein + Carbohydrate.

Hence, where one happens to source the grams of Fat, Protein and Carbohydrate, is entirely elective- however, what is consequential to resulting glucose and ketone values is that in fact, each meal, actually, measurably, consists of 27 grams of Fat and 14 grams of Protein + Carbohydrate, as validated by a gram food scale.

Analysis of daily/weekly averages and standard deviations of twice daily measurements of glucose and ketones, would instruct further modification to the nutritional regimen.

Longitudinal analysis of glucose and ketone measurements can look like this:

Therefore, with this level of consistent specificity, one can begin to establish a correspondence between the consistent control of tumor metabolism as evidenced by twice daily glucose and ketone measurements within, or close to the zone of metabolic management, and clinical results captured on follow up MRI and PET/CT scan:

Attendantly, dosing/timing/scheduling of the other key elements of Dr. Seyfried’s Press/Pulse protocol, such as Hyperbaric Oxygen Therapy, Mebendazole, 6-Diazo-5-Oxo-L-Norleucine, and Stress (cortisol) Management, all coalesce to impugn tumor viability, in a non-toxic and sustainable fashion.