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Omelette with Smoked Salmon and Crème Fraîche
Using ketogenic therapy to treat serious mental illness
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A soft, buttery omelette filled with silky smoked salmon, tangy crème fraîche, and fresh chives.
Clinical guidance for using ketogenic therapy in major psychiatric disorders.
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Ingredients
3 large eggs
2 Tbsp butter or tallow
2 oz smoked salmon, thinly sliced
2 Tbsp crème fraîche
1 Tbsp chopped chives
Salt and black pepper, to taste
Macronutrients
(makes 1 serving)
Protein: 28g
Fat: 40g
Carbs: 3g
Preparation
Crack eggs into a bowl, season with salt and pepper, and whisk until smooth and slightly frothy.
Heat butter or tallow in a nonstick skillet over medium heat until melted and lightly bubbling.
Pour in eggs and tilt the pan to spread them evenly. Let cook undisturbed for 1–2 minutes until edges begin to set.
Gently lift the edges with a spatula, tilting the pan to let uncooked egg flow underneath.
When mostly set but still soft on top, add smoked salmon and small spoonfuls of crème fraîche on one side.
Fold the omelette over and cook another 20–30 seconds until just set.
Slide onto a plate, sprinkle with chives, and serve immediately.
Published last month, this paper brings together clinicians experienced with ketogenic metabolic therapy to outline practical guidance for using it in adults with major depressive disorder, bipolar disorder, and schizophrenia. The authors note that growing evidence links serious mental illness to metabolic dysfunction, including insulin resistance, inflammation, and impaired brain energy metabolism, which has increased interest in ketogenic therapy as a potential adjunctive treatment. Drawing on clinical experience and a structured expert review process, the group developed 33 recommended statements covering how ketogenic therapy should be defined, which patients may be appropriate candidates, and how treatment should be implemented and monitored. The recommendations emphasize that ketogenic therapy should typically be used alongside standard psychiatric care, with attention to safety considerations such as medication adjustments, electrolyte balance, hydration, and laboratory monitoring.
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