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Inspired by remarkable stories of lived experience, ketogenic metabolic therapy is now being studied in clinical trials around the globe in psychiatry. This workshop will introduce attendees to the potential of metabolic psychiatry, an exciting new field focused on understanding and addressing the metabolic roots of mental illness. Emerging research increasingly links nutrition to mental health, highlighting how macronutrient intake influences critical components of brain energy metabolism. Current treatments for anorexia nervosa prioritize weight restoration through structured meal plans designed to reach target weights. Yet key symptoms, such as intense fear of gaining weight and distorted body image, often persist, contributing to high rates of relapse. In this workshop, an overview of the growing field of metabolic psychiatry will be presented. This will provide context for the momentum building around the globe, as clinical trials are ongoing in various populations with serious mental illness. Data from a recently completed pilot trial will then be shared, in which 22 individuals with weight-restored anorexia nervosa sought to maintain ketogenic therapy for 14 weeks. Eighteen participants completed the trial, demonstrating both feasibility of a ketogenic intervention, but also indicating that ketogenic therapy could be an effective intervention for core symptoms in this population. More rigorous trials are now underway. Recognizing that metabolic factors may underlie the pathophysiology of eating disorders provides rationale for a new treatment approach that includes ketogenic metabolic therapy.