Intermittent ketogenic fasting with medium-chain triglycerides improves ataxia in COQ8A-related coenzyme Q10 deficiency: A case report

This case highlights the potential of ketogenic intermittent fasting as an adjunct therapy for mitochondrial ataxia. Ketogenic intermittent fasting was associated with clinically meaningful improvement of ataxia in a patient with COQ8A-related CoQ10 deficiency, suggesting that ketogenic dietary strategies may represent a promising adjunct therapeutic approach for mitochondrial ataxia. Future research should assess this intervention in larger patient cohorts to confirm its potential benefits.

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Publication Details

Journal
Molecular Genetics and Metabolism Reports
Published
2026-02-12
DOI
https://doi.org/10.1016/j.ymgmr.2026.101296
Primary Topic
Coenzyme Q10 studies and effects
Type
article
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article

Intermittent ketogenic fasting with medium-chain triglycerides improves ataxia in COQ8A-related coenzyme Q10 deficiency: A case report

Felix Zahnert, Karla Erffmeier, Wiebke Hahn, Maximilian Schulze et al.
Molecular Genetics and Metabolism Reports
Coenzyme Q10 studies and effects
article

Intermittent ketogenic fasting with medium-chain triglycerides improves ataxia in COQ8A-related coenzyme Q10 deficiency: A case report

Felix Zahnert, Karla Erffmeier, Wiebke Hahn, Maximilian Schulze, Susanne Knake, Panagiota-Eleni Tsalouchidou
article en

Abstract

This case highlights the potential of ketogenic intermittent fasting as an adjunct therapy for mitochondrial ataxia. Ketogenic intermittent fasting was associated with clinically meaningful improvement of ataxia in a patient with COQ8A-related CoQ10 deficiency, suggesting that ketogenic dietary strategies may represent a promising adjunct therapeutic approach for mitochondrial ataxia. Future research should assess this intervention in larger patient cohorts to confirm its potential benefits.

Molecular Genetics and Metabolism ReportsVol. 46
Philipps University of Marburg (DE), National and Kapodistrian University of Athens (GR)
Zero hunger
Openalex Percentile: Top 58%
Coenzyme Q10 studies and effects
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