Low Carb High Fat - Ketogenic

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A casual community to talk about LCHF/Ketogenic lifestyles, issues, benefits, difficulties, recipes, foods.

The more science focused sister community is [email protected]

Rules

  1. Be nice
  2. Stay on topic
  3. Don’t farm rage
  4. Be respectful of other diets, choices, lifestyles!!!
  5. No Blanket down voting - If you only come to this community to downvote its the wrong community for you

founded 5 months ago
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Dr Erin Louise Bellamy founded Integrative Ketogenic Research and Therapies which uses principles of Metabolic Psychiatry to provide remote, highly personalized 1:1 Metabolic Therapy for both psychiatric conditions and overall metabolic health.

Dr. Erin Bellamy has a PhD in Psychology, specializing in Ketogenic Diets & Depression from the University of East London. She also has an MSc in Psychiatric Research from the Institute of Psychiatry at King’s College London. She is a Chartered Psychologist, an Associate Fellow of the British Psychological Society and an accredited member of the Society of Metabolic Health Practitioners.

In this episode, Drs. Brian and Erin talk about…

(00:00) Intro
(01:36) How Dr. Erin became interested in Metabolic Psychiatry
(05:38) Ketogenic diets and psychiatric conditions
(15:39) Fasting and mental clarity
(18:12) The areas in which clinical psychology is deficient in helping patients
(23:46) Adverse childhood events, PTSD, and metabolic health
(28:24) Binge eating, stress, and support groups
(40:00) Food addiction and ketosis
(43:59) Schizophrenia, autism, and ketosis
(01:00:46) Outro/plugs

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This episode of the Low Carb MD podcast features Dr. Erin Bellamy, a psychologist and metabolic health practitioner (MHP), who shares her compelling journey into metabolic psychiatry—the emerging field that addresses mental health through metabolic and nutritional interventions such as ketogenic diets. Dr. Bellamy recounts her early experiences working on psychiatric inpatient wards and her research path, which revealed striking historic and modern evidence showing profound mental health improvements linked to low-carbohydrate and ketogenic therapies.

The conversation highlights the strong interconnection between metabolic health and mental health, emphasizing how metabolic dysregulation, particularly in conditions like diabetes and schizophrenia, can directly impact mood, cognition, and psychiatric symptoms. Dr. Bellamy stresses the importance of a multidisciplinary approach, combining nutrition, sleep, light exposure, exercise, and psychological support to build resilience against mental illness.

The podcast also addresses systemic challenges in mental health care such as medication-centric models, long wait times for psychiatric care, and the lack of holistic lifestyle integration. Dr. Bellamy explains her group programs designed to educate and support people with various psychiatric diagnoses through ketogenic metabolic therapy, fostering community and sustained lifestyle change. Throughout, hope and empowerment surface as central themes, underscoring that with appropriate metabolic care and social support, even treatment-resistant symptoms can improve dramatically.

Highlights

  • 🧠 Metabolic health is a foundational pillar for improving mental health conditions such as schizophrenia, bipolar disorder, and depression.
  • 🍳 Ketogenic diets historically and currently show promising results in alleviating severe psychiatric symptoms.
  • ⏳ There is a disturbing research gap between early studies (1960s) and modern psychiatry overlooking nutrition’s role in mental health.
  • 👥 Group support and community involvement significantly increase adherence and success in metabolic psychiatry interventions.
  • 🚀 Multidisciplinary collaboration including psychologists, psychiatrists, and metabolic health practitioners is critical for integrated care.
  • 🔄 Metabolic psychiatry offers hope for treatment-resistant mental illness by addressing root metabolic dysfunctions.
  • 🌱 A holistic pyramid approach with nutrition as the base, supplemented by sleep, stress management, exercise, and social connection is vital. Key Insights

🧬 The metabolic basis of mental illness is historically recognized yet underappreciated: Dr. Bellamy points to early research from as far back as 1930s and a pivotal 1965 study showing ketogenic diets improving schizophrenia symptoms. This suggests a biological underpinning of mental disorders linked to metabolic processes, which modern psychiatry has largely sidelined in favor of drug-centric interventions.

🔄 Metabolic dysregulation precedes and exacerbates psychiatric symptoms: The discussion reveals that poor blood sugar control and insulin resistance can precipitate depression and anxiety rather than these mental illnesses being purely psychological or behavioral in origin. This shifts the treatment paradigm toward addressing metabolic imbalances as causal factors.

🤝 Holistic, multi-layered care improves outcomes: Dr. Bellamy’s “metabolic pyramid” model prioritizes nutrition as the foundation, with layers including sleep optimization, light exposure, exercise, stress reduction, and social connection. This comprehensive strategy recognizes that sustainable mental health improvements require addressing environmental, lifestyle, and biochemical factors simultaneously.

💬 Social and clinical support enhances adherence: Ketogenic and metabolic therapies demand significant lifestyle changes, which are difficult without structured support. The podcast underscores the critical role of group programs, peer accountability, and integration into multidisciplinary teams to maintain motivation and long-term success, especially in complex psychiatric populations.

🔍 Current mental health systems inadequately address metabolic health: Patients face long waits for psychiatric care focused narrowly on medications with debilitating side effects that worsen metabolic health. Psychologists are positioned to bridge the gap but are often disconnected from nutritional interventions. A reframing toward metabolic psychiatry could transform treatment protocols.

🌿 Hope and patient empowerment are therapeutic: Offering patients a tangible, active role in managing their health through ketogenic metabolic therapy fosters agency and reduces feelings of helplessness common in chronic mental illness. The ability to control symptoms through diet and lifestyle has profound psychological benefits beyond physiology alone.

⚖️ Flexibility and balance are key: Successful programs encourage realistic planning, allowing occasional social indulgences without guilt, emphasizing control and balance rather than strict deprivation. This practical approach supports mental wellbeing and reduces relapse driven by shame or all-or-nothing mindsets.

This episode illuminates how revisiting and integrating metabolic science into mental health care offers groundbreaking potential for improving lives devastated by psychiatric illness. Dr. Bellamy’s experience and research-based optimism call for a paradigm shift to holistic, metabolism-centered psychiatry supported by community and clinical collaboration.

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What really happens when you stop eating carbs? In this intense video, Dr. Eric Westman responds to bold claims from Dr. Paul Saladino — once a leading carnivore voice — about the dark side of keto: cortisol spikes, thyroid dysfunction, and falling testosterone. Are these concerns valid or just fear-based interpretations of short-term studies? With clinical insight and years of experience, Dr. Westman untangles fact from hype. Stick around for his final verdict — the real story may surprise you.

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Summary

In this video, Dr. Eric Westman critically examines the claims made by an influencer physician, Dr. Saladino, who moved from an enthusiastic carnivore and ketogenic diet advocate to a critic of low-carb and ketogenic diets. Dr. Westman explores the physiological impacts of carbohydrate restriction, particularly focusing on stress hormones such as cortisol, epinephrine, glucagon, and thyroid hormone changes. He underscores that while ketogenic diets induce elevated stress hormones initially, this may normalize over time with adaptation. More importantly, he emphasizes the distinction between the classical ketogenic diet used for treating epilepsy—often severe and medically supervised—and the more flexible ketogenic diets employed for metabolic health, diabetes reversal, and obesity treatment.

Dr. Westman points out that many of the cited studies—often short-term and involving small or specific populations such as epileptic children—are not directly transferable to the broader adult population using ketogenic diets for health improvement. He highlights that blood markers like thyroid hormones and cortisol may fluctuate on ketogenic diets, but these changes do not necessarily reflect negative health outcomes or cellular dysfunction. Instead, certain physiological adaptations occur as part of the body’s metabolic recalibration.

He also discusses how carbohydrate intake positively affects exercise recovery, cortisol reduction, testosterone levels, and immune function, acknowledging that these benefits may be significant for athletes or those engaging in intensive training. However, he challenges the notion that these findings universally condemn ketogenic diets, especially for non-athlete populations. Dr. Westman stresses individualized approaches to nutrition and the importance of interpreting biochemical markers in the appropriate clinical context rather than relying solely on blood values or short-term studies.

Ultimately, Dr. Westman calls for more nuanced, long-term research and cautions against broad, fear-based generalizations about ketogenic diets. He encourages those interested to monitor their own health markers with professional guidance and recognizes that multiple dietary paths can support health and vitality.

Highlights

  • 🔬 Elevated cortisol and glucagon are physiological responses to low-carb diets but may normalize with adaptation.
  • 🩺 Short-term ketogenic diet studies, especially in epilepsy patients, may not apply to adult keto dieters for metabolic health.
  • ⚖️ Blood thyroid hormone variations on keto don’t always equal clinical hypothyroidism or poor metabolic function.
  • 🏋️ Carbohydrate intake improves exercise recovery, testosterone, and reduces cortisol after intensive workouts.
  • 🔄 Keto adaptation can take months; early adverse markers may reflect transition rather than harm.
  • 📊 Different ketogenic diets vary widely; findings on one variation shouldn’t be generalized to all.
  • 🧬 Individual metabolic responses require personalized monitoring rather than fear-based blanket dietary advice.

Key Insights

  • 🧪 Adaptive Stress Hormone Response: The increase in cortisol, epinephrine, and especially glucagon during carbohydrate restriction is a well-documented physiological mechanism to maintain glucose homeostasis. While cortisol and adrenaline levels may diminish over time with metabolic adaptation, glucagon remains elevated on low carb diets as a primary regulator of blood sugar. This highlights that elevated stress hormones do not necessarily indicate pathological stress but rather a fundamental metabolic shift. Awareness of this is crucial to avoid misclassification of normal metabolic adaptation as a harmful stress state.

  • Short-Term vs. Long-Term Evidence: Many negative conclusions about ketogenic diets stem from short-term studies (e.g., three to six weeks) or highly specialized populations such as children with intractable epilepsy. These early time points often capture the “keto flu” or transition period before full adaptation. Long-term studies and clinical experience suggest many of these initial negative markers (bone remodeling markers, thyroid hormones) stabilize once adaptation occurs. Thus, premature conclusions about keto’s safety and efficacy based on transient data are unreliable.

  • 🩸 Thyroid Hormone Complexity in Keto: Keto diets may reduce circulating T3 levels, but interpreting these blood values requires clinical context. Decreased circulating thyroid hormones during weight loss, regardless of diet type, can reflect a normal adaptation to reduce metabolic rate rather than true thyroid dysfunction. Moreover, symptoms and cellular hormone activity need to be assessed, not just serum levels. Overreliance on blood tests without clinical correlation can lead to misdiagnosis and unnecessary alarm.

  • Carbohydrates and Exercise Performance: Carbohydrate consumption improves key exercise-related outcomes such as cortisol attenuation, immune function, and free testosterone. For athletes or highly active individuals, carbs can be a valuable performance and recovery tool. However, since ketogenic dieters typically experience a metabolic shift prioritizing fat utilization, their “normal” ranges and performance baselines differ markedly. Therefore, benefits of carbs in exercise might not translate into a clear detriment in non-athletic keto followers.

  • 🔬 Metabolic Diversity of Keto Diets: There is no monolithic “keto diet.” Variants range from extreme ketogenic protocols used in seizure management to more liberal carbohydrate restriction plans aimed at diabetes reversal or weight loss. Studies and critiques often conflate these, leading to misinterpretation. Evaluations of keto must specify the diet type, population, and medical context. This diversity necessitates cautious generalizations about keto’s benefits or risks.

  • 👩‍⚕️ Importance of Individualized Monitoring: Rather than accepting broad, universal statements about the dangers or benefits of ketogenic diets, Dr. Westman advocates for personalized health monitoring. Key labs—thyroid panels, cortisol, glucose, lipid profiles—should be interpreted by experienced clinicians who consider symptoms and context. This approach recognizes metabolic individuality and the fact that biochemical markers have nuanced meaning depending on dietary pattern and adaptation status.

  • 📚 Critical Evaluation of Online Influence: Dr. Westman reminds viewers of the importance of scrutinizing influencer information, particularly from medical professionals with self-reported anecdotal experiences that may not generalize. Professional training, rigorous clinical practice, and comprehensive understanding of physiology and biochemistry matter in interpreting diet-related claims. Blindly adopting one person’s experience as universal truth risks overlooking the complex mosaic of human metabolism.

This video thus offers a balanced, evidence-informed perspective on ketogenic diets, advocating for reasoned analysis, patience during adaptation, and personalized nutritional strategies rather than blanket condemnations or endorsements.

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For fat loss the single most important thing you can do is reduce your insulin levels, which means keeping your sugar and carbohydrate intake to a minimum. If your not ready to give up carbohydrates entirely, try to keep all your carbs to one meal and the rest of your day protein and fat only.

If you have the budget for it I highly, highly, highly recommend getting a CGM (continuous glucose monitor) - It gives you immediate feedback on your blood glucose levels all day (insulin follows glucose). Keep the glucose line flat and you will lose amazing amounts of fat.

Have a look at the carbohydrate insulin model of obesity TLDR - Don't worry about CICO, food restriction, even exercise - the only thing you have to do is keep your insulin levels flat and carbohydrate levels low.


Don't lose weight to get healthy. Get healthy to lose weight.


The intuitive explanation:

Insulin is a super hormone -it drives anabolism (gaining fat), and prevents adipose catabolism (burning fat). When insulin levels are high, you cannot burn fat. Insulin also drives glucose out of the blood into adipose tissue (this is why you can't burn fat when insulin is high) - elevated glucose levels are really damaging to the body- it is a priority to get them out of the blood.

Every time you eat carbohydrates your blood glucose goes up, and then your insulin levels go up... hitting the pause button on any fat loss until you burn through all that glucose. If your goal is to burn fat, you need to keep those insulin levels low as much as possible - which means limit your carbohydrate consumption as much as possible.


That's it, the big secret to fat loss - keep insulin low by limiting carbohydrates to a small (or zero) window every day.

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Are ketogenic diets dangerous? What about nutrient deficiencies, gout, gut health, keto rash, bone density loss, or kidney stones?

In this video, registered dietitian and ketogenic therapy expert Beth Zupec-Kania, RDN, CD, shares insights from over 30 years of clinical experience to address the most common concerns and misconceptions about ketogenic therapies.

From vitamin and mineral intake to gallbladder issues, sleep disruptions, leg cramps, keto flu, and more, this interview covers it all.

Beth also explains how ketogenic therapy can be adapted for various lifestyles, preferences, and health conditions, and offers practical tips for managing social situations, emotional transitions, and athletic performance while following a well-formulated ketogenic diet.

In this interview, you’ll learn:

  • Why many concerns stem from outdated pediatric protocols
  • How to safely supplement and avoid nutrient deficiencies
  • What to know about the microbiome, bowel habits, and fiber intake
  • How to prevent keto flu, leg cramps, and other common keto side effects
  • When to be cautious with medications that impact bone or kidney health
  • How keto may support those with eating disorders—not cause them

Whether you're just starting out or considering ketogenic therapy for epilepsy, type 2 diabetes, mental health, weight loss, or another condition, this video will help ease your mind of many of the concerns around ketogenic dieting.

Whether you're new to metabolic therapies or exploring ketogenic strategies for conditions like epilepsy, type 2 diabetes, serious mental illness, weight loss, or another condition, this video addresses common concerns and offers clarity on how a well-formulated ketogenic diet can be a powerful, science-backed option worth considering.

Expert Featured: Beth Zupec-Kania, RDN, CD

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The video transcript provides an in-depth exploration of the ketogenic diet, focusing on its medical applications, common misconceptions, physiological effects, and strategies to safely transition into and maintain ketosis. The discussion differentiates nutritional ketosis, achieved safely in controlled ketogenic diets, from ketoacidosis, a dangerous condition mainly occurring in type 1 diabetes due to insufficient insulin. The expert, dietitian Beth Zupca, shares her extensive clinical experience, particularly with pediatric epilepsy patients, highlighting the evolution of ketogenic therapies from rigid, classic protocols to more flexible, nutrient-rich approaches.

Key physiological challenges during the transition to ketosis such as leg cramps and the “keto flu” are explained as consequences of electrolyte imbalances and fluid shifts. Solutions like increasing salt and mineral intake, hydration, and electrolyte supplementation are recommended to alleviate symptoms. The transcript stresses individualized diet plans, addressing the specific needs of different groups, including athletes and those with treatment-resistant eating disorders. Emotional adaptation, including overcoming the psychological loss of familiar comfort foods, is underlined, promoting creative substitutes and open communication with family and social circles to mitigate social isolation.

The transcript also clarifies common misconceptions: the ketogenic diet is not a license for unrestrained fat and bacon consumption but a tailored nutrition plan adaptable to various preferences. Concerns regarding bone density, microbiome health, and uric acid fluctuations are contextualized and often debunked as myths or transient effects. The speaker concludes by encouraging education through trusted resources and a commitment to advancing public understanding of the ketogenic diet’s health benefits, safety considerations, and therapeutic potential.

Highlights

  • 🔬 Nutritional ketosis is safe and distinct from ketoacidosis, which is mostly a diabetic complication.
  • 🥗 Modern ketogenic diets are flexible and nutrient-dense, not restrictive or deficient.
  • 💧 Electrolyte imbalance during keto transition causes leg cramps and “keto flu,” manageable with hydration and salt.
  • 🏋️‍♂️ Ketogenic diet plans should be individualized, especially for athletes or those with special medical conditions.
  • 🍳 The ketogenic diet is not merely a “bacon and butter” diet; it includes diverse food options tailored to preferences.
  • 🧠 Emotional and social adaptation is vital—finding alternatives to comfort foods and seeking support eases transition.
  • 📚 Reliable education and clear communication help dispel myths and promote safe, effective ketogenic diets.

Key Insights

🔥 Distinguishing Nutritional Ketosis from Ketoacidosis: Nutritional ketosis is a controlled metabolic state achieved safely under medical supervision, primarily through ketogenic diets, whereas ketoacidosis involves dangerously high ketone levels and acidosis due to insulin deficiency in type 1 diabetes. This differentiation is crucial to debunk common fears about ketogenic diets and underscores their therapeutic potential when carefully monitored.

💧 Electrolyte Management is Crucial During Transition: The onset of ketogenic diets prompts renal excretion of sodium, potassium, chloride, and magnesium, contributing to symptoms like leg cramps and the “keto flu.” Proactive supplementation with salt and minerals alongside increased hydration is essential to mitigate these adaptation symptoms and maintain comfort and adherence.

🥑 Evolving Ketogenic Therapies Enhance Nutrient Adequacy: Classic ketogenic diets were once perceived as restrictive and nutrient-poor; however, contemporary protocols have evolved to include diverse, nutrient-rich foods and individualized supplementation strategies that address concerns about nutrient deficiencies, bone health, and microbiome balance. This evolution supports long-term sustainability and broadens applicability beyond pediatric epilepsy.

🏃‍♀️ Individualized Approaches Optimize Exercise and Metabolic Health Outcomes: Athletes and active individuals on keto may require adjusted calorie and fat intake to support endurance and performance. The ketogenic diet’s flexibility allows tailoring to distinct metabolic demands and lifestyle factors, enhancing its therapeutic and wellness benefits.

🧠 Addressing Psychological and Social Challenges Fosters Diet Adherence: Transitioning to keto involves emotional adjustments as individuals cope with the loss of familiar comfort foods and social eating norms. Encouraging alternative snacks and open communication with family and friends helps reduce feelings of social isolation, promoting psychological well-being and sustainable lifestyle changes.

⚖️ Debunking Myths Strengthens Public Trust: Misconceptions such as the ketogenic diet promoting eating disorders or being an excuse for excessive fatty food consumption undermine its legitimacy. Presenting evidence-based clarifications that keto is adaptable, health-focused, and supportive of diverse needs encourages wider acceptance and safer utilization.

🌐 Education and Trusted Resources Empower Users: Limited social media presence paired with curated educational resources stresses the importance of seeking credible guidance. Empowering people with accurate, nuanced information ensures safer adoption, better adherence, and improved health outcomes from ketogenic diets.

This comprehensive analysis underscores that ketogenic diets, when properly managed, offer safe, flexible, and effective nutritional strategies with significant therapeutic and health benefits across diverse populations.

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In this episode of the KetoPro Podcast, Richard Smith interviews Dr. Dan Plews, youtube.com/@EndureIQ a renowned sports scientist and coach, who shares his extensive knowledge on low-carb diets and their impact on athletic performance. Dr. Plews discusses his academic background, his transition from high-carb to low-carb diets, and the benefits of ketosis for endurance athletes. He emphasizes the importance of individualized nutrition, the role of protein, and the need for adaptation periods in optimizing performance. The conversation also touches on real-life success stories, the influence of the sports industry on dietary guidelines, and the future of training in high rocks.

Takeaways

Dr. Dan Plews has a diverse background in sports science and coaching. Low-carb diets can significantly improve endurance performance. Ketosis is a natural metabolic state that can benefit athletes. Individualized nutrition is crucial for optimal performance. Protein should be prioritized in an athlete's diet. Carbohydrate intake should be tailored to the athlete's needs. Adaptation periods are essential for transitioning to low-carb diets. The sports industry influences dietary recommendations for athletes. Real-life success stories demonstrate the effectiveness of low-carb diets. High rocks training offers a new avenue for athletes transitioning from traditional endurance sports.

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Right Fuel, Right Time... Low carb for Athletic Performance?

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In this episode of the Keto Pro podcast, Richard Smith hosts Dr. Dan PL to discuss the impact of low carbohydrate diets on athletic performance. Dr. PL shares insights from his extensive experience as an academic and sport scientist, focusing on the adaptation of athletes to low carb diets and the importance of macronutrient manipulation for performance optimization. They explore the misconceptions surrounding carbohydrate intake for endurance athletes and debate the effectiveness of lower carb versus high carb diets, emphasizing individualized nutrition plans based on performance needs.

Key Points

Introduction of guests and backgrounds

Richard Smith welcomes Dr. Dan PL, an expert in sports science and a coach based in New Zealand. Dan discusses his extensive background, including his research on heart rate variability, coaching roles, and personal achievements as an athlete, specifically in triathlon.

Challenges with high carbohydrate diets

Dr. PL and Richard discuss the prevalent belief among athletes that higher carbohydrate intake is necessary for performance. Dr. PL highlights how athletes become dependent on carbohydrates and may struggle to perform without them, drawing parallels to addiction.

Experience with lower carbohydrate diets

Dr. PL shares his personal journey of transitioning to a low carbohydrate diet, highlighting improvements in his performance and adaptation. He underscores the significance of individualized nutrition, suggesting that all athletes can benefit from experimenting with their diets.

Misconceptions in the athletic community

The conversation delves into why many athletes resist the idea of low carb diets. Dr. PL notes that misconceptions abound, as traditional beliefs often overshadow emerging research suggesting benefits of lower carbohydrate intake.

Adaptation period for low carb diets

They discuss the adaptation period required for athletes who switch to low carb diets, indicating that it can take several weeks for the body to adjust and improve performance.

Scientific evidence versus anecdotal experience

Richard and Dr. PL debate how anecdotal successes of elite athletes with high carbohydrate diets can mislead average athletes. They stress the importance of using scientific evidence as a guide for nutritional practices.

Role of protein and macronutrient balance

Dr. PL emphasizes the importance of protein in athlete diets and discusses finding a balance between carbohydrates, fats, and proteins to optimize performance without relying excessively on carbohydrates.

Future of athletic nutrition

They conclude with thoughts on the evolution of nutritional guidelines in sports, urging a shift towards individualized approaches that honor both health and performance needs.

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Does keto really prevent colon cancer? Dr. Eric Westman reacts to a viral clip featuring Dr. Shawn Baker and Dr. Layne Norton, who debate a study claiming the ketogenic diet suppresses colorectal cancer via gut microbiome changes. Are mouse studies enough? What about fiber and red meat? This reaction cuts through hype, bias, and overclaims to help you understand the science without the spin.

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Does This Diet Really Fight Cancer?!

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Dr. Eric Westman reacts to a viral discussion about the ketogenic diet's potential role in preventing colon cancer. He critically analyzes a mouse study presented by Shawn Baker and discusses the need for human-based research, emphasizes the Warburg effect, and critiques the use of epidemiological studies in nutrition debates, particularly concerning red meat and fiber intake.

Key Points

Debate Over Keto and Colon Cancer

Dr. Westman addresses a social media post regarding a study suggesting that the ketogenic diet may help suppress colon cancer. He clarifies that while the study was done on mice, human studies are necessary for concrete conclusions.

Historical Context of Keto and Cancer

The discussion references Otto Warburg's early 20th-century observation that cancer cells thrive on glucose, providing a rationale for the ketogenic diet's potential benefits against cancer by limiting glucose availability.

Importance of Study Design

Westman criticizes those who dismiss epidemiological studies while selectively citing them when convenient. He points out the flaws in the mouse study, emphasizing the need for human studies to validate claims.

Fiber's Role in Colon Cancer

The video discusses conflicting views on the relevance of fiber in cancer prevention, with Westman supporting the traditional view of fiber's benefits, while addressing Baker's claims against its necessity.

Caution Against Overselling Unverified Research

Westman urges caution in promoting claims about keto and cancer prevention that are not yet backed by substantial human research, emphasizing the importance of scientific evidence in dietary recommendations.

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Is nutrition research getting the support it needs to inform public health policy?

Despite the rise in chronic diseases related to lifestyle factors like diet, nutrition research only receives $2.2 billion of the $30 billion NIH budget.

At first glance, this may seem like a lot of money, but its utilization is spread thin, and, as Dr. David Ludwig and Gary Taubes highlight in this interview, it’s primarily used to fund misleading short term trials that confirm existing nutrition biases.

However, if we want to actually address the chronic disease epidemic, we must increase the resources allocated to nutrition research AND the quality of that research.

In this video, journalist Gary Taubes and Harvard endocrinologist Dr. David Ludwig expose the core problems in today’s most cited nutrition studies and offer a bold new path forward.

In this conversation, you’ll learn:

Why short-term feeding studies can’t tell us much about chronic disease How confirmation bias shapes which nutrition studies get funded, published, and accepted by the medical community and policy makers The major flaws in NIH-funded research comparing low-carb vs. low-fat diets Why the focus on ultra-processed foods is only part of the solution How we could design better long-term studies that actually help people get healthier

It’s time to question the status quo and demand better utilization of research funds to inform public health policy in a way that can impactfully improve the health of our population.

Resources Mentioned: Studies

  • doi.org/10.1136/bmj-2024-082963
  • doi.org/10.1101/2023.10.03.23296501
  • jamanetwork.com/journals/jama/fullarticle/2673150
  • nejm.org/doi/full/10.1056/NEJMoa1212914
  • doi.org/10.1016/j.cmet.2019.05.008

Short-term diet trials are designed to fail

  • statnews.com/2025/04/22/nutrition-precision-health-short-term-diet-trials-chronic-disease-food

Gary's Substack Article

  • uncertaintyprinciples.substack.com/p/nih-has-a-nutrition-problem-part

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The Truth About Nutrition Science: Is The Government Getting it Wrong?

This video features a discussion on the shortcomings of nutrition research and its impact on public health policy, particularly concerning the rising rates of obesity and diabetes. Experts Gary Taubes and Dr. David Ludwig analyze the challenges in nutrition science, the effectiveness of current studies, and propose how to improve research methods moving forward. They emphasize the need for long-term, well-funded clinical trials that explore the low-carb and processed food diets, questioning the biases in interpreting nutrition studies.

Key Points

Confusion in Nutrition Science

Many people feel lost about nutrition due to conflicting studies and beliefs. The current state of nutrition science has not effectively addressed chronic diseases like diabetes and obesity.

Funding and Research Quality

Nutrition research is severely underfunded compared to pharmaceutical studies, which leads to insufficient data on effective dietary guidelines and the underlying causes of obesity and diabetes.

Issues with Current Studies

Many of the prominent studies suffer from design flaws and biases, particularly studies that confirm pre-existing beliefs within the nutrition community, leading to misleading conclusions.

Need for Better Studies

A call for longer, well-supported clinical trials focusing on the carbohydrate insulin model and low-carb diets. These studies should take into account real-world food environments and patient adherence.

Ultrarocessed Foods Debate

While ultrarocessed foods are commonly viewed as unhealthy, the discussion around their impact lacks thorough scientific examination, and more nuanced, detailed studies are needed.

Challenges for Professionals

Health professionals struggle to recommend diets that have not been broadly validated through rigorous, long-term trials, which limits their ability to provide effective dietary guidance.

Opportunity for Change in Research

With new leadership in nutrition research agencies like the NIH, there may be an opportunity to reshape the focus and funding of future nutrition studies.

AI and Nutrition Precision

The potential for using AI in personalized nutrition may complicate the situation further. Experts stress the importance of foundational studies before tailoring diets to individual needs.

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Just in your life, how many people's lives have you improved? Have you found keto to be a good tool for your friends and family?

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submitted 2 weeks ago* (last edited 2 weeks ago) by [email protected] to c/[email protected]
 
 

Food noise is a term that makes sense to many people. Food noise is a great way to describe the unhealthy way many people think about food, and what they consider to really be food. But, food noise is not the problem, it is only the symptom of a much bigger problem.

Some people can combat and defeat food noise on their own, and some need help...

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Dr. Ken Barry explains the concept of 'food noise', which is the incessant craving and preoccupation with unhealthy foods. He argues that food noise is a symptom of addiction to sugar and ultra-processed foods rather than a new medical condition. Barry critiques the pharmaceutical industry's response to this phenomenon, proposing that the solution lies not in medications but in dietary changes, particularly eliminating ultra-processed foods and focusing on whole foods, like beef, butter, bacon, and eggs, to break the addiction cycle.

Key Points

Definition of Food Noise

Food noise refers to the persistent cravings and thoughts about food, especially unhealthy options, that individuals experience shortly after eating. Dr. Barry emphasizes that food noise is not a new medical term but rather a symptom of deeper issues related to food addiction.

Marketing of Food Noise

The term 'food noise' gained popularity recently, coinciding with the approval of drugs like Ozempic. Dr. Barry criticizes the introduction of this term as a marketing strategy to promote pharmaceuticals that treat the symptoms rather than address the root causes, such as sugar and carbohydrate addiction.

Nature of Cravings

Barry points out that people generally experience food noise regarding sugary, ultra-processed foods, rather than whole, nutritious foods. He highlights the correlation between these cravings and an addiction to high sugar and carb diets.

Food Industry Manipulation

The video discusses how food manufacturers design their products to exploit human biology, using flavors and ingredients that trigger hunger and suppress satiety, leading consumers to overeat.

Pharmaceutical Solutions vs True Solutions

Dr. Barry warns against relying on pharmaceutical interventions like Ozempic for managing food noise, advocating instead for dietary changes to replace unhealthy eating habits.

Carnivore Challenge

Barry introduces a 90-day diet challenge of only eating beef, butter, bacon, and eggs, designed to help individuals break free from their sugar and food addiction. The challenge aims to reset hunger and satiety signals in the body.

Long-Term Health Considerations

The speaker emphasizes the risks of long-term pharmaceutical usage for managing hunger and satiety, highlighting the lack of safety research and suggesting that individuals may become unwitting participants in pharmaceutical experiments.

Encouragement for Dietary Change

He urges viewers to consider the dietary changes he proposes not only for personal health improvement but also to assist others suffering from food noise, stressing the large percentage of adults affected by ultra-processed food addiction.

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Fewer than 1% of patients with type 1 diabetes achieve normal glycemic control (glycated hemoglobin [HbA1c] < 5.7%/ < 39 mmol/mol). Additionally, exogenous insulin administration often causes “iatrogenic hyperinsulinemia,” leading to whole-body insulin resistance and increased risk of cardiovascular complications. We present data on the clinical efficacy and safety of a long-term (10-year) ketogenic diet (≤50 g carbohydrates/day) therapy in a patient with type 1 diabetes. The use of a ketogenic diet resulted in successful glycemic control, assessed by HbA1c (5.5%; 36.6 mmol/mol), continuous glucose monitoring median glucose (98 mg/dL; 5.4 mmol/L), and glucose time-in-range of 70 to 180 mg/dL (90%) without acute glycemic complications. In conjunction, there was a** 43% decrease in daily insulin requirements**. Low-density lipoprotein cholesterol increased, whereas small-dense low-density lipoprotein was in the normal range (<90 nmol/L). No adverse effects were observed on thyroid function, kidney function, or bone mineral density. This case report demonstrates that a long-term ketogenic diet in a person with type 1 diabetes has considerable therapeutic benefits.

Full Text: https://doi.org/10.1210/jcemcr/luae102

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Colorectal cancer (CRC) patients have been shown to possess an altered gut microbiome. Diet is a well-established modulator of the microbiome, and thus, dietary interventions might have a beneficial effect on CRC. An attenuating effect of the ketogenic diet (KD) on CRC cell growth has been previously observed, however the role of the gut microbiome in driving this effect remains unknown. Here, we describe a reduced colonic tumor burden upon KD consumption in a CRC mouse model with a humanized microbiome. Importantly, we demonstrate a causal relationship through microbiome transplantation into germ-free mice, whereby alterations in the gut microbiota were maintained in the absence of continued selective pressure from the KD. Specifically, we identify a shift toward bacterial species that produce stearic acid in ketogenic conditions, whereas consumers were depleted, resulting in elevated levels of free stearate in the gut lumen. This microbial product demonstrates tumor-suppressing properties by inducing apoptosis in cancer cells and decreasing colonic Th17 immune cell populations. Taken together, the beneficial effects of the KD are mediated through alterations in the gut microbiome, including, among others, increased stearic acid production, which in turn significantly reduces intestinal tumor growth.

Full Paper https://doi.org/10.1038/s41467-025-56678-0

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Having just suffered a major carving attack yesterday (I won), this video touches on the very important topics of controlling urges. It's a super short 4m video.


How To Stop My Food Cravings For Good Are your cravings controlling you? In this video, Dr. Tony Hampton breaks down the real root cause of cravings—and it’s not just about willpower. Learn how ultra-processed foods hijack your brain's reward system, how dopamine drives the craving cycle, and how to finally rewire your brain for long-term control.

Using stories, science, and simple tools, Dr. Hampton helps you understand the dopamine-craving loop, the roles of stress, sleep, hormones, and gut health, and the power of nutrition—especially low-carb and carnivore diets—to quiet food noise and restore peace of mind.

You’ll also hear about Lisa, a patient whose nightly ice cream habit felt impossible to break—until she discovered what was really going on inside her brain.

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How To Stop My Food Cravings For Good

Dr. Tony Hampton discusses how to effectively manage and overcome food cravings by understanding their root causes, particularly in the brain, and provides strategies for rewiring mindset around food. He emphasizes the impact of diet, sleep, stress hormones, and food marketing in creating cravings, and suggests practical steps to break the cycle of addiction to sugar and processed foods.

Key Points

Cravings are a brain issue, not just stomach hunger.

Dr. Hampton explains that cravings are driven by brain circuits rather than merely physical hunger. The brain has been conditioned to seek out rewarding foods, leading to behaviors that resemble addiction.

Stop the cycle by removing triggers.

He advises removing food triggers from the home environment. If unwanted food isn't available, it's less likely to be consumed, thereby helping to break the cycle of cravings.

Focus on nourishing foods.

Emphasizing the importance of consuming protein, healthy fats, and whole foods, Dr. Hampton recommends low carb and carnivore diets as effective strategies to stabilize blood sugar levels and reduce cravings.

Resist cravings to weaken brain circuits.

By resisting cravings and replacing them with healthier habits, individuals can weaken the neural pathways that reinforce cravings, ultimately leading to a reduction in their frequency.

Dopamine fast to reset taste sensitivity.

He introduces the concept of a dopamine fast— abstaining from sugar and processed foods for three days—which can help recalibrate taste buds and reduce cravings for hyper-palatable foods.

Avoid moderation traps.

Dr. Hampton cautions against the idea of moderating unhealthy foods, arguing that such a tactic can perpetuate the craving. Instead, consistent effort is required to break free from addiction.

Encourage self-compassion and resetting.

If someone slips up, they should avoid self-judgment and instead focus on resetting their habits. Understanding the root causes helps combat guilt and regain control over food choices.

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Very-low-calorie diets (VLCDs) are used to treat obesity, often in a non-clinical setting, and the typical formulation of a minimum of 50 g carbohydrates daily can induce a mild dietary ketosis. This clinically benign state is sometimes confused with the non-metabolically adapted state of ketoacidosis, and this misunderstanding may lead to the rejection of VLCDs as a suitable obesity treatment. This paper summarises and discusses the difference between physiological ketosis and pathological ketoacidosis, the benefits of ketosis-inducing weight-loss regimen such as VLCDs and why ketoacidosis should never be the diagnosis in a non-type 1 diabetic on a carbohydrate-restricted diet.

Paper https://doi.org/10.1111/j.1467-3010.2011.01916.x

Full Paper on scihub

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Dr. Eric Westman reacts to Dr. Sten Ekberg’s breakdown of the top 10 foods RFK Jr. is aiming to ban. From artificial dyes to sugary cereals and seed oils, are these policies really about health or missing the bigger picture?

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RFK Jr Just Banned These 10 Foods!

In this video, Dr. Eric Westman discusses Dr. Sten Ekberg's analysis of RFK Jr.'s proposed bans on ten specific foods and drinks, focusing on their health impacts and the implications for dietary practices. Westman critiques the effectiveness of banning certain additives while suggesting a broader approach to improving dietary health through reduced carbohydrate consumption and healthier food options.

Key Points

Artificial Dyes Ban

RFK Jr. targets artificial dyes commonly used in processed foods, which have been linked to health issues and banned in many countries. Dr. Westman argues that the focus should shift to the unhealthy foods containing these dyes rather than merely eliminating the dyes themselves.

SNAP Program Restrictions

Kennedy seeks to eliminate sugary and ultraprocessed foods from the Supplemental Nutritional Assistance Program (SNAP), advocating for healthier options in federal programs. Dr. Westman supports this, stating that access to healthier foods could reduce health disparities in low-income populations.

High Fructose Corn Syrup

RFK Jr. aims to reduce the use of high fructose corn syrup in government programs. Westman points out that it metabolically behaves similarly to regular sugar, questioning whether removing one while allowing the other will make a significant difference.

Seed Oils

Kennedy wants to limit seed oils, known for promoting inflammation. Westman acknowledges the concern but suggests that further evidence is needed to justify drastic changes, emphasizing that diet high in carbohydrates is a more pressing issue.

Ultraprocessed Foods

The video discusses the disadvantages of ultraprocessed foods like pizza and sugary cereals in schools. Westman agrees with removing these items, highlighting the necessity for healthier alternatives that also consider carbohydrate content.

Artificial Sweeteners

Kennedy proposes a ban on artificial sweeteners, which Dr. Westman believes should remain available to help individuals cut sugar while still enjoying sweetness. He contends that there is insufficient evidence to deem them harmful.

Grass Loophole Reform

Kennedy's call for reform relates to food additives deemed 'generally recognized as safe.' Westman stresses the need for careful evaluation of substances in our food rather than blanket approvals based on outdated criteria.

Raw Milk Advocacy

Kennedy supports raw milk for its nutritional benefits, but Westman is cautious, suggesting a thorough examination of the associated risks and benefits.

Sugary Cereals and Yogurts

The removal of sugary cereals marketed as healthy is also discussed. Westman believes that real food alternatives should replace these highly sugary processed options.

Processed Meats

Westman critiques RFK Jr.'s focus on restricting processed meats due to sodium nitrite concerns, arguing their relevance is less significant compared to overall carbohydrate intake.

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This video is family friendly. The title is referring to a high fat diet making your big pants baggy, as you lose weight.

How I lost 145 lbs in 14 months, cured my acid reflux, lost my joint pain, and lowered my triglycerides, by eating butter and other healthy fats.

Did you know Butter can make your pants fall off?

Neither did I until I started eating butter and cream and bacon and eggs and Fatty cuts of chicken cooked in good old fashioned lard.

I lost 145 pounds in 14 months and was amazed to see eating Butter made my size 54 pants fall off.

I’m not kidding when I say Butter Makes Your Pants Fall Off

I’m living proof that it worked for me and know it will work for you.

Hello, my name is Bob, I’m fifty years old, I’m not a diet guru, I’m just an average working class guy and I know my story sounds crazy, but I hope you’ll hear me out if you’re fat and sick and hurting, I hope you’ll give me a few minutes of your time, because I believe my story could really change your life.

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Butter Makes Your Pants Fall Off

Bob Briggs shares his personal journey of losing 145 pounds over 14 months on a high fat, low carb diet where he embraced foods like butter, cream, bacon, and eggs. He explains how insulin resistance contributes to weight gain and suggests that eating fat helps control appetite while promoting weight loss. He challenges conventional diet beliefs and advocates for a diet free from sugary foods, which he considers toxic for those prone to obesity.

Key Points

Personal Transformation

Bob Briggs details his personal weight loss journey, explaining that he lost 145 pounds in 14 months by embracing a high-fat, low-carb diet. His story serves to inspire those who might feel hopeless about their weight.

Insulin Resistance

He introduces the concept of insulin resistance, which affects individuals with a belly fat problem, highlighting how this condition inhibits fat burning and leads to weight gain. He believes that understanding insulin's role is crucial to combating obesity.

Dietary Changes

Briggs emphasizes the importance of reducing carbohydrate intake, specifically sugars, while increasing fat consumption. He argues that consuming fat, contrary to popular belief, actually helps with weight loss and appetite control.

Health Benefits of High-Fat Diet

He shares his health improvements, stating that his cholesterol levels and overall health markers became better as a result of his dietary changes, debunking the myths surrounding fat consumption and heart health.

Challenging Diet Norms

Briggs questions traditional weight-loss wisdom that equates calories with body weight. He asserts that the quality of food consumed, particularly the types of carbohydrates, plays a larger role in weight gain than caloric intake alone.

Long-Term Lifestyle Changes

He concludes with the notion that adopting a low-carb, high-fat lifestyle can lead to sustained weight loss and improved health, encouraging viewers to reconsider their dietary choices for a healthier and happier life.

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https://youtu.be/Ip7tZzEZAp0

The Lecture that almost didn’t happen.

Dr Paul Mason was invited to present on Nutrition at the prestigious Royal Australasian College of Surgeons Annual Scientific Congress, agreeing to provide a 40-45 minute lecture.

Three weeks before the conference, Dr Mason was notified that the offered time allocation had been reduced by half. No official explanation was provided, however there were suggestions in informal discussions that there may have been some ‘behind the scenes’ influence. No evidence was ever provided to support this, and after some intervention from one of the section convenors, the presentation time was restored.

Included in his session was Professor Linda Tapsell, who was a key player in the development of Australia’s current dietary guidelines. In her presentation, Professor Tapsell made the point that the Dietitians’ association did not, as claimed by Dr Mason, develop the Dietary guidelines. This rebuttal was correct. Rather, the DAA (now Dietitians Australia) was commissioned by the NHMRC to conduct systematic literature reviews to assist in the development of the dietary guidelines. There were no other significant points of rebuttal raised to Dr Mason’s presentation.

Neither Professor Tapsell’s presentation nor the Q+A session which followed have been made available for public viewing (consent of all participants is required).

Dr Paul Mason obtained his medical degree with honours from the University of Sydney, and also holds degrees in Physiotherapy and Occupational Health. He is a Specialist Sports Medicine and Exercise Physician.

Dr Mason developed an interest in low carbohydrate diets in 2011. Since then he has spent hundreds of hours reading and analysing the scientific literature. For a number of years Dr. Mason has been applying this knowledge in treating metabolic and arthritis patients who have achieved dramatic and sustained weight loss and reductions in joint pain.

Dr. Mason is also the Chief Medical Officer of Defeat Diabetes, Australia's first evidence-based and doctor-led program that focuses on the wide range of health benefits of a low carb lifestyle, particularly for those wanting to send into remission pre-diabetes, type 2 diabetes, and other metabolic illnesses.

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Dr. Paul Mason - 'Dr. Paul Mason vs Prof. Behind Dietary Guidelines'

Dr. Paul Mason presents an argument against traditional dietary guidelines in his lecture, highlighting the impact of obesity on surgical outcomes and questioning the effectiveness of the 'calories in, calories out' model. He advocates for low-carbohydrate diets and emphasizes the role of insulin in fat storage while refuting claims that dietary saturated fats contribute to heart disease. The lecture calls for a reevaluation of nutritional guidelines based on scientific evidence rather than outdated dogmas.

Key Points

Obesity and Surgical Outcomes

Dr. Mason opens by explaining that obesity negatively impacts surgical outcomes, increasing the risk of complications like infections and prolonged recovery times. He cites research supporting that obese patients face a significantly higher risk of surgical site infections.

Limitations of the 'Calories In, Calories Out' Model

He critiques the oversimplified notion that weight gain is solely a matter of consuming more calories than are burnt. Mason argues that this model fails to account for hormonal influences and that dietary approaches based on this model often lead to weight-loss failure.

Insulin's Role in Obesity

Mason discusses insulin's role in promoting fat storage and argues that high-carb diets, which typically provoke insulin release, contribute to obesity. He presents evidence that hormonal factors, specifically insulin, significantly impact weight gain.

Critique of Carbohydrate Guidelines

The Australian dietary guidelines advocate for high carbohydrate intake, which Mason argues leads to increased insulin levels and subsequent fat gain. He posits that the current guidelines are misinformed and detrimental to patient health.

Saturated Fat and Heart Disease

Contrary to popular beliefs, Mason highlights that saturated fats do not necessarily correlate with increased heart disease risk. He reviews studies that show saturated fats may not adversely affect health, pointing out flaws in historical dietary recommendations.

Nutritional Deficiencies and Post-Surgical Recovery

Mason emphasizes the importance of optimal nutrition for surgical recovery, encouraging a diet rich in nutrients from animal sources. He advocates for low-carb, high-fat diets, proposing they better support healing and recovery compared to current dietary standards.

Concerns about Weight Loss Drugs

He raises alarms about the use of weight loss drugs such as semaglutide, suggesting they can lead to loss of lean body mass and other health issues. Mason calls for caution regarding their long-term use.

Advocate for Evidence-Based Nutrition

Mason concludes by urging medical professionals to prioritize scientific evidence in nutrition over outdated dietary guidelines, emphasizing that well-informed dietary choices can lead to better health outcomes.

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Stephen Phinney is the former Chief Innovation Officer and Co-Founder of Virta Health, the first clinically-proven treatment to safely and sustainably reverse type 2 diabetes without medications or surgery.

As a physician-scientist with 40 years of experience divided between academic internal medicine and industry, Dr. Phinney has studied nutritional biochemistry with a long-term focus on low carbohydrate research and its benefits for physical performance and insulin sensitivity. His career has emphasized the interaction between diet and exercise and their effects on obesity, body composition, physical performance, and cellular membrane structure.

A Professor of Medicine Emeritus at University of California, Davis, Dr. Phinney is an internationally recognized expert on obesity, carbohydrate-restricted and ketogenic diets, diet and performance, and essential fatty acid metabolism. He has held clinical faculty appointments at MIT and the Universities of Vermont, Minnesota, and California at Davis as well as leadership positions at Monsanto, Galileo Laboratories, and Efficas.

Dr. Phinney's clinical experience includes inpatient and outpatient clinical nutrition, directing multidisciplinary weight management programs in three locations, and he has designed, completed, and published data from more than 20 clinical protocols involving diets, exercise, oxidative stress, and inflammation. His extensive experience in the design of clinical nutrition trials in both academic and industrial settings has led to more than 87 peer-reviewed papers and book chapters on clinical nutrition and biochemistry. He is the author of four books, including The Art and Science of Low Carbohydrate Living and The Art and Science of Low Carbohydrate Performance, two foundational books on low carb nutrition science and nutritional ketosis that he co-authored with Jeff Volek, Ph.D, RD. Dr. Phinney also previously served on the editorial board of the American Journal of Clinical Nutrition.

Dr. Phinney received his medical degree from Stanford University, holds a Doctorate in nutritional biochemistry and metabolism from the Massachusetts Institute of Technology and completed post-doctoral research at Harvard University.

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Dr. Steve Phinney - 'Inflammation: Its Role in Chronic Disease and Reversal by Nutritional Ketosis'

In this video, Dr. Stephen Phinney discusses the role of inflammation in chronic diseases and how nutritional ketosis can help reverse conditions like type 2 diabetes. Reflecting on his work with Dr. Sarah Halberg, he emphasizes the importance of commitment and connection in their research. He explains the mechanics of inflammation and reviews various studies linking diet to inflammatory response, particularly focusing on the benefits of a ketogenic diet over traditional low-fat diets.

Key Points

Legacy of Dr. Sarah Halberg

Dr. Phinney shares a tribute to Dr. Sarah Halberg, emphasizing her courage and impact on diabetes treatment through her work at Virta Health. Their collaboration led to significant research in reversing type 2 diabetes and showcased her dedication despite personal health struggles.

Role of Inflammation in Chronic Diseases

Dr. Phinney outlines how modern medicine often overlooks the complexity of inflammation, explaining that it plays a crucial role in chronic diseases like type 2 diabetes. He indicates that previous understandings were reductionist, focusing solely on insulin resistance, while also citing studies that position inflammation as a key factor.

Nutritional Ketosis as a Therapeutic Approach

The discussion includes the benefits of nutritional ketosis, where ketones are utilized as an efficient energy source that also assists in mediating inflammation. Dr. Phinney argues that such diets can potentially reduce inflammation markers and improve metabolic health.

Impact of Diet on Inflammation

Phinney highlights how different diets affect inflammation differently. He cites a study comparing ketogenic and low-fat diets, which showed a greater improvement in markers of inflammation and metabolic syndrome indicators in patients following a ketogenic diet.

Future of Research in Ketogenic Diets

Dr. Phinney expresses optimism about ongoing and future research into the effects of ketogenic diets on various inflammatory conditions beyond diabetes, envisioning it as a potent tool in metabolic health and chronic disease management.

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https://youtu.be/t7M8WwuLx9o

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Dr. Anthony Chaffee - 'The Real Healthcare Crisis: Causes & Solutions'

Dr. Anthony Chaffee discusses the growing healthcare crisis marked by an increase in non-communicable chronic diseases (NCDs) such as diabetes, cardiovascular disease, and Alzheimer's. He emphasizes the failures in nutritional education and the influence of processed foods and bad dietary guidelines as major causes of this crisis. By promoting a carnivore diet and low-carb approaches, Dr. Chaffee provides potential solutions for reversing these diseases and improving overall health.

Key Points

Increase in NCDs

Chaffee highlights a worrying rise in non-communicable diseases (NCDs) like diabetes and heart diseases, which are the leading causes of death worldwide, suggesting a strong correlation to dietary issues.

Failures of Current Dietary Guidelines

Dr. Chaffee criticizes nutritional guidelines that have led to higher rates of chronic diseases, particularly emphasizing the impact of processed foods and sugars that have been recommended to replace traditional diets.

Impact of the Carnivore Diet

He advocates for a carnivore diet as a solution to combat the epidemic of chronic diseases, showcasing its effectiveness in reversing conditions like type 2 diabetes and improving mental health.

Economic Burden of Healthcare

The discussion includes the financial implications of rising NCDs, with projected health-related costs soaring due to the treatment of these preventable diseases, suggesting an urgent need for dietary reform.

Historical Context of Disease

Chaffee traces the history of NCDs, noting their dramatic increase in the 20th century coinciding with shifts in dietary practices, including the decline in meat consumption and the rise of processed foods.

Call to Action

The presentation concludes with a call for individuals to take charge of their health through dietary changes, encouraging community discussions and education to foster awareness about proper nutrition and health.

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Youth mental illness is on the rise, and treatment options are often limited, especially for kids with bipolar disorder. This Mental Health Awareness Month, we’re highlighting a groundbreaking new real-world data collection funded by the Baszucki Group exploring ketogenic therapy as a promising intervention for children and adolescents living with bipolar disorder.

In this interview, Elizabeth Errico, founder of the Children's Mental Health Resource Center (CMHRC), shares how her organization is implementing ketogenic therapy in a real-world setting for kids aged 6 to 17. The year-long study is part of a larger initiative supported by the Baszucki Group to expand mental health care options through metabolic approaches.

Families in the program receive education, hands-on support, and guidance to help implement this dietary therapy at home—often with life-changing results.

In this video, you’ll learn:

Why early diagnosis and support for pediatric bipolar disorder is so critical How ketogenic therapy is being applied to youth in a structured, supportive way What families need to implement this therapy successfully Early anecdotal outcomes from participating families Why this research could help shift mainstream mental health treatment

This is about more than data—it's about hope, empowerment, and building a better path forward for families navigating serious mental illness.

Expert Featured: Elizabeth Errico linkedin.com/in/elizabeth-errico-746995180 cmhrc.org

Other Resources Mentioned: Managing Major Mental Illness with Dietary Change: The New Science of Hope mycme.com/courses/managing-major-mental-illness-with-dietary-change-9616

Brain Energy: The Metabolic Theory of Mental Illness mycme.com/courses/brain-energy-the-metabolic-theory-of-mental-illness-9615

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What Happens When Kids Try Keto for Bipolar? featuring Elizabeth Errico

The video features an interview with Elizabeth Errico from the Children's Mental Health Resource Center, discussing a groundbreaking study on ketogenic therapy aimed at children aged 6 to 17 with bipolar disorder. They explore the successes and challenges faced by families, the importance of tailored support for treatment, and insights into the needs of children with mental health issues, emphasizing the potential of ketogenic diets as a promising intervention.

Key Points

Support for Bipolar Disorder

The Children's Mental Health Resource Center (CHRC) provides bespoke case management for families of children with bipolar disorder, addressing the common issue of misdiagnosis and delays in treatment.

Introduction of Ketogenic Therapy

CHRC is implementing ketogenic therapy as a low-risk intervention, responding to families' needs for manageable at-home solutions while waiting for professional psychiatric support.

Positive Anecdotal Feedback

Families have reported profound changes in their quality of life, with significant reductions in symptoms for children undergoing ketogenic therapy, despite the research data still being collected.

Challenges in Implementation

Families often struggle with misconceptions about ketogenic diets. CHRC emphasizes the need for education on meal planning, nutrition labels, and providing emotional support for families to adhere to dietary changes.

Importance of Family Engagement

The involvement of family members in the ketogenic diet is crucial. Successful adherence improves when siblings or other household members participate.

Provider Engagement and Education

CHRC assists families in engaging with healthcare providers who may be skeptical about ketogenic therapy, providing educational materials to help families advocate for their children.

Long-Term Program Development

The CHRC aims to create a sustainable and affordable program for ketogenic therapy, including ongoing support, psycho-education, and the collection of qualitative data to inform their interventions.

Creation of Parenting Programs

In addition to dietary interventions, CHRC offers courses focusing on parenting techniques tailored for children with mental illnesses, addressing their unique behavioral needs.

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A Mediterranean ketogenic diet is an excellent entry point to a ketogenic lifestyle for many people because it combines the health benefits of Mediterranean eating with the metabolic advantages of ketosis. In this video, I’ll share 4 key steps for preparing to start your Medi-Keto journey. We’ll review my 9 favorite Medi-Keto foods, helping you build a solid shopping list. Finally, I’ll answer common questions and offer some free keto recipes to get you started on the right foot. Start your healthy transformation today with this powerful diet combination!

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When Diets Collide: Mediterranean Keto - A Practical Guide

In this video, Nick Norwitz discusses the Mediterranean ketogenic diet, known as medi keto, as an excellent entry point to adopting a ketogenic lifestyle. He shares personal experiences and evidence of its health benefits, including its potential for weight loss and chronic health improvement. The presentation includes practical steps for starting the diet, highlights of favorite foods, and answers to common questions about keto.

Key Points

Introduction to Mediterranean Keto

Nick shares his background as a PhD candidate and healthcare professional who co-wrote a cookbook on the Mediterranean ketogenic diet. He emphasizes that medi keto offers a practical method for many people to begin a ketogenic lifestyle that can be transformative.

Understanding Ketosis

He clarifies that ketosis is about achieving a specific metabolic state rather than focusing on specific foods. The Mediterranean keto diet blends benefits from Mediterranean eating and low-carb approaches, making it approachable for many.

Four Preparation Musts for Keto

Key recommendations include creating a supportive eating environment by eliminating distractions and temptations, finding a supportive community, preparing a dietary plan, and possibly using tools to track ketone and glucose levels.

Nine Favorite Keto Foods

Nick outlines his nine top foods for a Mediterranean ketogenic diet: fatty fish, extra virgin olive oil, macadamia nuts, avocados, dark chocolate, sesame products, eggs, low-carb fermented foods, and specific cheeses, emphasizing their health benefits.

Common Questions Addressed

He answers questions regarding the ketogenic diet's effects on cholesterol, the so-called 'keto flu,' adapting to keto without a gallbladder, thyroid health, fiber intake, and the importance of measuring ketone levels.

Encouragement for Viewers

Nick encourages viewers to engage with the metabolic health community, explore the resources he provides, and emphasizes living a healthy lifestyle while remaining open to learning.

Free Recipes Offered

The video concludes with an offer for five free recipes from his Mediterranean ketogenic diet cookbook, designed to inspire viewers to try diverse and delicious meals on their ketogenic journey.

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No great mystery here, Allulose has 70% the sweetness of normal sugar. So add 150% more Allulose then you would sugar.

summerizerThis video demonstrates how to make a low-carb Keto Southern sweet tea using allulose as a sweetener instead of sugar. It emphasizes that those on a keto diet don't have to miss out on delicious sweet tea. The process includes boiling water, mixing in the tea bag, and combining with a pre-prepared allulose mixture.

Key Points

Boil Water for Tea

Begin by boiling two liters of water. Once the water is at a rolling boil, add the tea bag to prevent bitterness and enhance the flavor of the tea.

Using Allulose

A unique feature of the sweetener allulose is its ability to dissolve quickly in room temperature water. One cup of allulose is stirred into room temperature water for the tea's sweetness.

Steeping Tea

After adding the tea bag to the boiling water, turn off the heat and let the bag steep for 15 to 30 minutes, depending on how strong you prefer the tea.

Mixing and Cooling

Remove the tea bag and squeeze out any excess tea, then combine the hot tea with the allulose sweetened water, stir well, and refrigerate for a few hours to chill before serving.

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Keto Mojo is the gold standard for at home ketone testing. It's used in ketogenic research studies as well.

It can test, glucose, and ketones, it uses inexpensive ($0.50) strips, and provides accurate data.

It was super helpful when i started my keto journey.

The device costs about $50, and can be ordered from the major online vendors, or directly.

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submitted 2 months ago* (last edited 2 months ago) by [email protected] to c/[email protected]
 
 

He did excellent work, and the world is a bit dimmer for his absence.

He is probably most well known for his work with Type 1 Diabetes treatment and looking at hyperglycemia as the major cause of diabetic complications. He was a pioneer in pushing for tight blood glucose control in T1Ds.

https://www.youtube.com/@DrRichardKBernstein/videos

June 17, 1934 - April 15, 2025 (aged 90)

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TLDR: People don't need carbohydrates, ketosis isn't dangerous.

It is pertinent to briefly discuss the enduring misconception that glucose itself represents an “absolutely essential”, “universal fuel” in human physiology, which requires nuanced definition and gradation, but has been perpetuated verbatim and may have been incorporated into the physiology education of currently practicing healthcare professionals [1-7].

We must first address the distinction between endogenous and exogenous sources of glucose. Clinical trials and epidemiological studies of very low to zero carbohydrate diets support the statement of the US National Academies of Sciences that “the lower limit of dietary carbohydrate compatible with life apparently is zero, provided that adequate amounts of protein and fat are consumed” [8-11]. Even so, despite seemingly safe and increasingly popular, the long-term effects of a truly “zero” carbohydrate diet (without micronutrient supplementation) are difficult to ascertain through controlled experimentation, being only inferred from evolutionary biology, observational studies, and mechanistic data [12-14]. With this caveat, it has now been clearly established in large cohorts of patients, both adult and pediatric, that the oral intake of carbohydrates can be chronically very low (< 5-10% of total daily energy), as long as essential micronutrients are obtained from the underlying food selection and/or supplementation [15-18].

During fasting or in the absence of dietary carbohydrates, a steady-state euglycemia will be maintained in a low but physiological range via hepatic and renal gluconeogenesis from endogenous sources, such as lactate, fatty acids (glycerol), gluconeogenic amino acids and odd chain fatty acids [19-21]. From an evolutionary perspective, a minimal threshold of gluconeogenesis was preserved even after indefinite periods of fasting, questioning whether glucose itself is essential [22, 23]. It was not until the seminal work of Cahill et al. corroborating the remarkable metabolic flexibility of human physiology that the absolute requirements of glucose under compensatory ketosis could be quantified [24]. Drenick et al. demonstrated that, after a 2-month fast in obese subjects, insulin stimulation failed to precipitate hypoglycemic reactions with plasma glucose as low as 9 mg/dl (0.5 mM) [25]. During prolonged fasting, blood glucose levels below 30 mg/dL (1.70 mM) have been sustained continuously for several months without adverse effects [22, 23]. It is apparent that glucose requirements can be significantly displaced by fat-derived fuels, assuming a gradual period of ketogenic adaptation proportional to the degree of glucose depletion [26, 27]. Most human tissues require at least 1 to 4 weeks of strict KD adherence for the effective upregulation of ketone body metabolism, a process that can be accelerated through water-only fasting [28-30]. Without ketogenic adaptation, glucose is indeed the “primary metabolic fuel”, as evidenced by hypoglycemic reactions after accidental secretagogue or insulin overdose in diabetic patients following carbohydrate-rich diets, even under conditions of diabetic ketoacidosis [31-33].

Many clinicians fear ketosis due to confusion with diabetic ketoacidosis, defined by the triad of excessive ketogenesis, metabolic acidosis and concomitant hyperglycemia [34]. A low level of ketones (e.g., < 0.5 mM) prior to initiating carbohydrate restriction indicates that the individual is likely not deficient in insulin and therefore not at risk for ketoacidosis [35]. Clinicians may wish to monitor serum bicarbonate during the early stages of ketogenic adaptation. Ketoacidosis does not occur unless ketones coexist with hyperglycemia and decreasing bicarbonate levels, indicating insulin insufficiency (not to be confused with insulin suppression via carbohydrate restriction, which in turn increases insulin sensitivity, as indicated by lower insulin requirements for euglycemia) [36].

In the context of KMT, evolutionary competition for the limited nutrient supply between the tumor and normal tissues may be potentiated [37]. It is important to clarify that the uninterrupted maintenance of very low glucose levels (< 3 mM) is not realistically achievable for most patients following isocaloric KDs and typically requires prolonged fasting or pharmacological interventions. Fortunately, the anti-tumoral benefits of KMT are hypothesized to arise from pleiotropic regulation of energy sensing and growth signaling pathways (PI3K, AKT, AMPK/mTOR, PGC-1α), inflammation, angiogenesis, and autophagy, not solely as the result of reduced glucose availability with compensatory ketosis, which simply serves as a surrogate marker for successful clinical implementation [38-43].

Ok, this isn't a whole paper by itself, its an appendix of Clinical research framework proposal for ketogenic metabolic therapy in glioblastoma But its so well written, it deserves to be highlighted.

Full Original Paper here: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-024-03775-4#Sec31 - Supplementary Material 1 - Appendix 1 - Warning - It's a docx document.

references 1-43

  1. Nakrani MN, Wineland RH, Anjum F: Physiology, Glucose Metabolism. StatPearls 2022.
  2. Mathew P, Thoppil D: Hypoglycemia. In: StatPearls [Internet]. edn.: StatPearls Publishing; 2022.
  3. Ritter S: Monitoring and maintenance of brain glucose supply: importance of hindbrain catecholamine neurons in this multifaceted task. Appetite Food Intake 2017:177-204.
  4. Mergenthaler P, Lindauer U, Dienel GA, Meisel A: Sugar for the brain: the role of glucose in physiological and pathological brain function. Trends Neurosci 2013, 36(10):587-597.
  5. Luz MR, de Oliveira GA, de Sousa CR, Da Poian AT: Glucose as the sole metabolic fuel: The possible influence of formal teaching on the establishment of a misconception about energy‐yielding metabolism among students from Rio de Janeiro, Brazil. Biochemistry molecular biology education 2008, 36(6):407-416.
  6. Ghosh A, Cheung YY, Mansfield BC, Chou JY: Brain contains a functional glucose-6-phosphatase complex capable of endogenous glucose production. J Biol Chem 2005, 280(12):11114-11119.
  7. Brosnan JT: Comments on metabolic needs for glucose and the role of gluconeogenesis. Eur J Clin Nutr 1999, 53 Suppl 1(1):S107-111.
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The image in the post is from Resistance to Symptomatic Insulin Reactions after Fasting which is reference 35.

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Every recipe here is crafted with purpose—nutrient-dense, blood sugar-friendly, and free from processed ingredients. Whether you’re managing diabetes or just eating for better health, these meals make it easy to stay on track without sacrificing flavor.

https://www.americandiabetessociety.org/recipes

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