Recent research has indicated that we might need to look at epilepsy management more holistically. Diet has been shown in various species to have a positive impact on seizure control and comorbidities such as anxiety and cognition. New evidence is emerging that diets rich in medium chain triglycerides can, in some dogs, improve idiopathic epilepsy seizure control, cognition and be anxiolytic. We will discuss in this talk the ins and outs of the different epilepsy management options and how to better combine them.