The Ketogenic Diet Therapeutics ecosystem comprises distinct upstream, midstream, and downstream layers that together generate clinical and commercial value. Upstream, raw‑material suppliers provide ketone precursors, medium‑chain triglycerides, and specialized nutritional ingredients required for formulation. Midstream actors transform these inputs through manufacturing, digital platform development, and integration of dietary protocols with pharmacologic candidates. Downstream, distributors, specialty retailers, and health‑system procurement channels deliver finished products to clinicians, dietitians, and patients. Value is captured at each transition: suppliers earn margins on high‑purity inputs, manufacturers monetize formulation expertise, technology firms license adherence analytics, and end‑users justify spend through therapeutic outcomes. Mapping these interactions enables a value chain analysis that highlights where innovation, regulation, and cost pressures converge.