The ketogenic diet, initially developed nearly a century ago to treat children with epilepsy, has fascinating roots tied to starvation and its effects on seizure activity. As researchers discovered that a high-fat diet could mimic the benefits of fasting, the diet gained traction until modern medications took precedence. Recently, an MCT oil-based approach has revitalized interest in ketogenic diets, allowing for a more balanced intake of carbohydrates and proteins while still managing seizure activity effectively.