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Keto Talk With Jimmy Moore & Dr. Will Cole

Veteran health podcaster, blogger, and international bestselling author (Keto Clarity and The Ketogenic Cookbook) Jimmy Moore from "Livin' La Vida Low-Carb" and Pittsburgh, PA-based functional medicine practitioner Dr. Will Cole from DrWillCole.com discuss the current health headlines, dissect the latest medical and nutritional health research studies, and answer listener-submitted questions about the low-carb, high-fat, ketogenic diet. Submit your keto questions at KetoTalk.com.
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Now displaying: November, 2016
Nov 17, 2016

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at livinlowcarbman@charter.net. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam take on a whopping 15 of your most pressing low-carb, high-fat, ketogenic diet questions in Episode 44.

**THANK YOU to Rochelle, Michael, Noel, Sacha, Hobie, and Carol**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 44:

1. Will taking steroids kick me out of ketosis from the higher blood sugar readings and lead to weight gain?

Hi Jimmy and Adam,

I’ve been in very strict ketosis since the Low-Carb Cruise, including giving up my beloved cream and cheese and all sweeteners, and I’m seeing great results. My FBG is averaging 70-100 each morning, and that’s a Type 2 Diabetic on no medications with my doctor’s blessing for four years. Also, I’ve dropped significant weight since the cruise!

I tore the lateral meniscus in my right knee and was given a steroid injection in my knee for it. The orthopedic physician said to expect higher blood sugars due to the steroid. Indeed I have already noticed that. Yesterday I saw readings of 140 and 158 and this morning my FBG was 130—much higher than I’ve seen since the cruise. My knee definitely feels better from the steroid, but from what I’ve read online, I can expect to see higher blood sugar readings for several more weeks after taking it.

What I don’t want to do is be kicked out of ketosis because of this nor do I want to gain any of this hard earned weight loss. Is this asking too much? FYI, I don’t even use medications anymore for my diabetes because I’ve managed it so well by eating a LCHF diet for about 5 years. If need be, I could call my doctor and get a temporary prescription for something to deal with these higher numbers….or, is a temporary raise in blood sugar readings not something to be concerned about?

Thanks in advance, and thanks for your podcasts, I’ve listened to all of them and will go back soon and listen again. I love your sense of humor with each other and the info you share is so positive and effective!

Sincerely,

Elaine

2. I’m getting great ketone levels, but I’m slowly gaining weight and not sleeping well. What’s the deal?

Hi guys,

I have been keto for five months and my blood ketones range from 2.0 to 3.5. I am a 49 year old female on hormone replacement for menopause. I have not had one cheat and I eat around 1100-1300 calories a day. I keep my protein around 50-60g a day and total carbs at 20g or less. But I am slowly gaining weight and feel soft. My body measurements are slightly increasing as well. I walk 10,000 steps a day, but my sleep sucks with me waking up all through the night. But my ketones remain good. I have tried upping my calories, lowering my calories, and changing my sweetener. My thyroid is fine and I'm at a loss. Any suggestions?

Thanks,

Stacey in Surprise, AZ

3. Is there any harm being done if someone isn’t all in eating a ketogenic approach?

I have to tell you that I love Keto Talk.  You cover many of my questions as I am just getting started on keto. One thing I am concerned about is that my husband is not fully on board with this lifestyle.  Since I do the cooking he eats what I present. But he tends to sneak in a few extra carbs when someone offers a piece of pie, potatoes, or corn, for example. I don't want to do any damage to his health so my solution has been to cook with healthy fats, eat real food, and offer him extra veggies, keep protein moderate and not nag him when he has a piece of fruit or any of the previously mentioned foods. He does have some weight to lose but does not have blood glucose issues like me. Plus, he drinks alcohol daily. Do you think I am helping or hurting him? I have heard people say keto is an "all or nothing” approach.  I feel good and I have noticed that we both have more energy so I don't want to go backwards. 

Thank you for getting the word out to all of us.  You guys are so easy to listen to!

Donna

4. How best should a long-distance runner fuel themselves in a keto-adapted state?

Hello Jimmy and Doc Nally!

Podcast junkie here. I’ve been listening to Jimmy’s podcasts and combing through old episodes for over two years now. You guys are knocking it out of the park with this new podcast.

I recall that Doc Nally was a long distance runner for some time.  I am looking to get back into long distance running (half marathons, possibly a full marathon in the future) and am puzzled about the best approach for long run fueling for the keto-adapted runner. I really enjoy the sense of community in those events and am a sucker for a fancy finisher’s medal.

Specifically, for long runs leading up to a half marathon, would simple electrolyte replenishing be sufficient?  Or is some sort of slow release starch such as UCANN SuperStarch appropriate for those distances (or maybe for training over a half marathon)? I want to stay away from Gatorade and gels going forward and welcome your thoughts.

Thank you both for a wonderful, informative podcast!

Carina from Orlando, Florida

5. Am I doing something wrong with my ketogenic diet because my blood ketones never get close to 4.0 mmol?

Hi Jimmy,

First, thanks for putting together the Clarity Saga (Cholesterol & Keto) and keep up the good work. Cutting to the chase, I have a question for you:

On social media, there’s a lot of people who proudly hold up their sky high ketones numbers as trophies. I don’t want to say any bad thing about anyone specific as many of these people are inspirational to those of us doing keto. But sometimes all I see from them are posts with blood ketone readings over 4 mmol/l. Are these people getting those numbers because they’re measuring after meals? I’m simply asking this because, on a good day, I get readings below 1mmol/l (fasted, first thing in the morning) and can end up my day reaching 3 mmol/l (before dinner, by 9pm). My glucose is typically around 80mg/dl. That said, what is the best time to take my blood ketone readings?

Regards from Brazil,

Bob

6. What role does ketosis play in the injury recovery process?

Hi Jimmy and The Doc,

I happened to be talking to a couple of friends who are recovering from sports injuries, particularly connective tissue injuries (one with knee ligaments and cartilage damage, the other with a torn bicep tendon). Keto has lots of benefits, but I'm not sure I've heard anyone mention injury recovery.  I doubt keto would play a significant role, positive or negative, but maybe it does. Great podcast.  Keep up the great work.

Thanks!

Pete

7. What is the ideal ketogenic plan for getting strong, building muscle, and getting ripped for an athlete?

Hey guys, I'm 30 years old and a huge fan and love listening to you two give out great advice. The one thing that I have yet to hear is advice for bodybuilders and powerlifters. I think you could do an entire podcast episode just on this topic, but I would really like to know the best macronutrient breakdown or sample eating plan for 190 pound male that wants to stay strong, build muscle, get ripped and vascular. Arnold Style! 

I've been doing the keto thing for almost two months now and have lost some weight (I was 208 for powerlifting and now I'm 195). I don't have to eat 8 meals a day anymore, and have great energy. But I don't feel as though I'm getting as lean as I could. Think about the muscle and fitness guys. I know they are all on anabolics, but is it possible to get that look or close to it on keto if I train hard and eat right? I'm not a normal person or an overweight person, I'm an athlete and I would love your advice on how athletes should run their keto lifestyle. 

sample eating plan:

black coffee
tablespoon of coconut oil
tablespoon of butter 

4 eggs
3 slices of bacon
spinach and onions
28g of shredded cheese
hot sauce 

5 ounces of ground beef (83/17)
veggies
28g of shredded cheese 

Steak or Fish cooked in olive oil and/or butter
Salad or veggies
Feta cheese or sour creme
whole avocado (150g's) 

Maybe a scoop of whey and almond milk - totally dependent on training 

30g Carbs
125g Protein
225g - 300g Fat 

THANK YOU SO MUCH GUYS!! KEEP UP THE AWESOME WORK! Mike Peltz from Revolution Training is my coach and I know he works with Dr. Nally.

Zack

8. Is there something I can do in my ketogenic diet to maintain healthy kidney function?

Hey Jimmy and Adam!  

I absolutely love your show.  I previously tried keto and failed several times, but you have motivated me greatly this time and I am now officially keto-adapted.  I don't miss carbage anymore and love not being hungry all the time. I used to eat 200g of protein per day on the SAD diet and of course 40% carbs.  

I found out I have high creatinine levels of 142. I switched to keto three months ago and checked my creatinine again and now it's 154. I take 2g (HCL) of creatine in my workout, 5g (blend from BPI) in post workout. I am hoping by removing creatine from my diet and eating less meat that my kidneys will begin to function properly. I was discouraged that only changing to keto has seemingly made my kidneys worse, but it could have been what I ate the night before.  

I historically eat a lot of red grass fed beef but obviously that has been reduced via keto. I weigh 200 pounds at 9% body fat and aim for about 80g of protein.  I'm cutting out creatine and checking my cholesterol and CRP and kidney functions in a couple months. Can you share any tips to maintain healthy kidneys on the ketogenic lifestyle. I understand that you lose a lot of salt on keto that needs to be replenished. I drink a gallon of water per day and then coffee on top of that.  I also take essential amino energy for my workouts.  Keep up the great work...love listening to you and the Doc!

Eric

9. How long would it take me to reverse my keto-adaptation where I preferentially burn glucose over ketones?

Jimmy and The Doc,

I absolutely love the show guys!  After growing up being a busy, athletic young man, I was hit pretty hard at 18 years old with severe sciatic pain when I went away to West Point. Not being able to run or exercise due to the pain, I ended up being medically discharged and sent back home. Because of its insidious nature, it was a full 15 years before I knew the pain's cause: Ankylosing Spondylitis. In the meantime, as my pain levels continued to increase, my activity levels dropped as well. Unfortunately, my diet remained unchanged: unadulterated junk. Exacerbating the problem further, I was eventually put on pain management, which knocked my testosterone in the dirt and took away any motivation I would have otherwise had to do something about my ever-worsening situation. To add insult to injury, my primary care doctor, with the best of intentions, put me on exogenous testosterone, but failed to monitor or manage my estradiol. This put me on a carb-fueled, estrogen-enhanced high-speed railway to morbid obesity, insulin resistance, metabolic syndrome, and the parade of horrible things that were to follow. It all looked bleak until I discovered the ketogenic diet (and kicked the meds and found a good endocrinologist who has helped me reverse some of the hormone issues).

I went fully keto in March this year and combined it with an intermittent fasting/Bulletproof Coffee protocol (skipping breakfast and lunch M-F) with ketogenic meals for dinner and on the weekends. I’ve already lost a lot of weight and things are moving in the right direction. But here’s my question: Volek and Phinney say that keto-adaptation can take between 4-8 weeks to happen depending on the person. But what about the converse of that? Once you are keto-adapted, how long would it take for you to get out of being keto-adapted? I understand a cheat meal will kick you out of ketosis, but how quickly would your body revert to burning glucose as the primary fuel source over ketones? And if you eat high-carb dinners on a cruise, for example, and continue to intermittent fast with MCT oil during the daytime, would that preserve the keto-adaptation in the short term of 7-10 days?

I have no intention of going back to my old ways of eating. But my wife would like to take a cruise, and thinking ahead, I'm curious as to how far I can stray off course without sacrificing keto-adaptation.  If it's too risky, then I'll just stay the course.

Keep up the awesome work!

Tim

10. Are egg yolks and fatty cuts of meat on my ketogenic meal plan raising arachidonic acid leading to inflammation?

Jimmy & Adam,

I am a long-time listener to Keto Talk and the Livin’ Lavida Low Carb shows.  I have read Keto Clarity, Cholesterol Clarity, and have purchased the Ketogenic Cookbook and I have enjoyed all three.  Recently, I began reading Barry Sears’ The Anti-Inflammation Zone. Sears writes, “Eating the wrong kind of fat will increase your levels of AA (arachidonic acid), which will generate silent inflammation . . . egg yolks and fatty cuts of meat contain high levels of AA.  So eating foods rich in AA is like adding kerosene to a fire.” Please give me your take on this.  I am a diabetic (currently with normal blood sugars due to low carb eating), I have managed to lose 100+ pounds, but I also have Atrial Fibrillation, intermittent gout, and high blood pressure.  I tested for high sensitivity C-reactive Protein about a year ago, and it was extremely high (above 10).  Therefore, I am very interested in lowering my inflammation levels.

Keep up the good work with Keto Talk.  It is one of my very favorite podcasts!

Thanks,

Gary

11. Are sugar-free Monster Energy drinks okay to be consuming on my ketogenic diet?

Hi Jimmy,

I just listened to Keto Talk and your discussion on diet soda. I’m eating about 2,500 to 2,700 calories a day and it’s broken down to

I appreciate you guys very much!  Thank you!

Harry

12. How can someone who has had a vertical sleeve gastrectomy get into ketosis?

Jimmy and The Doc,

I LOVE your podcast and listening to you two chew the fat! I found this show the other day and have listened to all of them already.  Can't wait until next Thursday for a new one. I am almost 1 year post op from a vertical sleeve gastrectomy and I would love to go keto. I am not sure how to modify this to suit my eating requirements. I can only eat 2-3 ounces of food at a time and already steer clear of carbs, but I can't seem to get into ketosis.  I was wondering if there is something out there that could help me with the macros.  Thank you and keep on keeping on.

Thank you!

Jolene

13. Does a ketogenic diet cause hormones to go into a tailspin in women and what can be done about it?

I got very strict and serious about keto two weeks ago and everything was going good. But then I started getting dizzy, losing my vision, blood pressure changes etc. which all felt like hypoglycemia. I went to the ER and they checked me out and said I am very healthy and suspected it could be metabolic or thyroid related. When I went to see my GP, he said the ketogenic diet threw my hormones into a tailspin and triggered almost all of my symptoms. A friend of mine who started keto the same week I did had to stop the diet for all the same reasons as mine. Her doctor told her to stay with a higher carb amount until her hormones leveled back again then go slowly so as to not shock an already unstable hormone level. After visiting several women’s keto group, this seems to be a common problem for women on keto. It’s a very scary feeling so I hope women get the answers they need to deal with this. What can we do?

April

14. Do you need carbs to break down fat as is being taught in medical school? How does it fit in the Krebs Cycle?

How does keto work with the Krebs cycle? I'm taking Anatomy and Physiology 2 and just walked out of a class where my teacher kept insisting every way until Tuesday that you must have carbs to break down fat because of the limiting effect of C4/oxaloacetic acid. I still plan on sticking to keto, but would like to be able to back up my science. Thanks!

Cynthia

15. Can ketones produced by a low-carb, high-fat diet trigger insulin production like carbs do? Why or why not?

Hey Jimmy and the Doc,

I love your show but I have a question: From my understanding when I eat carbs those are broken down into glucose which trigger insulin production and that opens muscle and fat cells. But can eating fats that are converted into ketones trigger insulin as well?

Justin

iTunes review:

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"LLVLC" FOR FREE SHIPPING & 10% OFF

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LINKS MENTIONED IN EPISODE 44
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- Make plans to attend the 2nd Annual Conference on Nutritional Ketosis and Metabolic Therapeutics coming to Tampa, Florida on February 1-4, 2017
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Nov 10, 2016

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at livinlowcarbman@charter.net. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam have another educational and entertaining show for you in Episode 43.

**Special THANK YOU to Louann, Laura, Richard, Chris, Pedro, and Diane**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 43:

- Should I be concerned about the fat related digestion results of my stool analysis?

Hi guys,

I recently had a CDSA stool analysis to look for more information about my health. Under the absorption category, my fat related digestion is all quite high. I am wondering if this is common with keto since the test is norm referenced vs non-keto or is this something that needs to be addressed? Also of note is that the pH is quite high. Again, is this a keto thing? And what suggestions would you have?

Thank you,

Joe

- Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence

1. Can a ketogenic diet be beneficial for morning sickness during pregnancy?

Hey Jimmy and The Doc,

Love your show and never miss it.

My wife is 6 weeks pregnant and she suffers a LOT with morning sickness. She just can't stand it. I’ve been keto for about 10 months now (and loving it), but she is not. In fact, she does not have any desire or hunger at all because of all the morning sickness. And I'm afraid eating the fat on a ketogenic diet would make it worse since she is not fat adapted.

My question is: what role could a ketogenic diet play in relieving these morning sickness episodes? Is it safe to start a ketogenic diet at this point in the pregnancy? Would the keto adaptation phase of 2-4 weeks make it even worse given the possibility of keto flu and electrolyte imbalance?

I really want this topic to be addressed. Thanks a lot and keep up the good work,

Fernando from Rio de Janeiro, Brazil

2. Is eating ketogenic detrimental to someone with a binge eating disorder?

I've been living keto most of the time for the last year and a half, and I've lost 130 pounds so far. I'm still overweight, but I spent most of my adult life well over 300 pounds for a 5'4" woman. Needless to say, this is a huge change. Aside from the weight loss, eating keto has also helped to lessen the depression I've been struggling with since puberty. The problem I'm having is that I periodically get sucked into days of binge eating non-keto foods, which leaves me dealing with not only re-acclimating to ketosis but also a significant biochemical mood dive. When I'm on track (which is most of the time) my macros are 80/15/5, and I weigh/measure/plan/track my food so that's quite accurate. My total carbs are around 20g/day. I very rarely test my ketones due to the cost of strips, but when I do my numbers are between 1.5 and 4. I test my fasting blood glucose regularly and it's usually in the 70s.

When I'm looking at books and online programs for dealing with binge eating or food addiction, they all seem to be against even standard low-carb diets, much less keto. Their reasoning is that the restrictions lead to binge eating. Have you found that people with binge eating or food addiction problems need to eat a more "balanced" whole foods diet in order to mentally recover? I really don't want to walk away from keto because it's been so amazing for me, but I'm also scared that I'll get sucked fully back into binge eating junk and end up back to where I started. Eating keto does decrease my cravings and appetite but for me they never quite go away. I've tried intermittent fasting and it's consistently tipped me over into binging.

Thank you for what you do! I really like listening to your podcast.

Elizabeth

3. Are my carb cravings late in the day while eating keto physiological or habitual?

I’m insulin resistant and know that I do better and feel better on a keto diet. I’ve been low carb for 5 years. Everyday, I vow that it will be the day that I stick to a strict keto diet. I do great in the mornings eating bacon, greens, and eggs for breakfast, maybe some dinner leftovers for lunch such as a protein with cooked veggies or leftover salad. But the late afternoon and evening after dinner is when my best-laid plans fall apart. I grab a few handfuls of popcorn that my teenage daughter brought home and stashed in the pantry. Or I eat a bowl of sugar-free (but obviously not junk free or very low carb) ice cream I bought during my last trip to the store. Or I’ll go in the cupboard and grab a small piece of dark chocolate, but I’ll go back for one or two more pieces before I’m satisfied.

Are these cravings for something sweet and creamy, or salty and crunchy physiological or habitual? I know they keep me from being totally keto. One of the things I tell myself when I reach for that handful of popcorn or that bowl of sugar-free ice cream is, “I’ve been on track most of the day/week/month, I can treat myself to some of this.” Sometimes I don’t tell myself anything, I just have this deep craving, this obsessive thought, that something sweet and creamy will quench my craving. It’s like cigarettes or something!

Do you guys have any clue what can I do about it?

Margaret

KETO TALK MAILBOX

- What impact do steam rooms and saunas have on ketone levels?

Hi Jimmy and Doc Nally,

Love the podcast. Very informative and loads of useful info. I have a question regarding the use of steam rooms and saunas. Will the use of these have any effect good or bad on ketone production? I typically use a steam room with temperature over 40 degrees Celsius once a week. Obviously it speeds up heart rate and is supposed to help the liver detox.

Thanks for any info you might have!

Jason from England

iTunes review:

GET QUALITY LOW-CARB MEATS FROM BUTCHERBOX

USE COUPON CODE LLVLC FOR $10 OFF YOUR FIRST BOX
NOTICE OF DISCLOSURE: Paid sponsorship
ATTEND THE FIRST KETOGENIC CONFERENCE OF 2017
GET FROZEN KETO PIZZA FOR THE FIRST TIME EVER

"LLVLC" FOR FREE SHIPPING & 10% OFF

NOTICE OF DISCLOSURE: Paid sponsorship
FIND OUT WHAT YOU'RE EATING ON YOUR KETO DIET

GET 50% OFF A 3-MONTH GOLD SUBSCRIPTION

NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 43
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- Make plans to attend the 2nd Annual Conference on Nutritional Ketosis and Metabolic Therapeutics coming to Tampa, Florida on February 1-4, 2017
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Nov 3, 2016

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at livinlowcarbman@charter.net. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam continue answering YOUR questions about the ketogenic diet in Episode 42.

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 42:

- How can a low-carb, high-fat diet RAISE blood sugar?

Since I got diagnosed six months ago I've tried fasting, only to stop when my blood sugar went way up. This book does a great job of explaining why, and why working through that is worth it and will lead to lower sugar levels later. It also does a great job of suggesting what changes to make to make fasting safer without having access to expensive lab tests. Continuing to supplement with bone broth should stabilize electrolytes with negligible effects on insulin levels.

I do wish the book addressed those of us who get very insulin resistant on high fat diets. I've gone on low carb only to see my blood sugar numbers skyrocket. I switched to a fat fast only to see them keep climbing to exceed 300. I was craving rice and vegetables so I broke my fast with a big bowl and the next morning my blood sugar was down to 122. I know that there is some sort of genetic link to the 20% or so of diabetics that cannot tolerate high fat, but there is no information about that here at all.

I personally feel best and my numbers are normal when I eat moderate protein, starches only in the form of vegetables, beans, and berries, and very low fat. The problem with this is when I "cheat" and eat something bad, my numbers go higher and higher than ever before each time. Is the answer to eat high fat with something starchy once a week? Or is the answer to fast longer than when my blood sugar hits 300? I've been experimenting on myself for months but I still can't seem to figure out how to reverse this. I wish the book was more comprehensive for people like me.

Katy, left as a review of The Complete Guide To Fasting

- A change in diet could help stop your migraines

1. What is the average blood glucose of someone eating a ketogenic diet?

For people on a pure ketogenic diet, what is the average blood glucose supposed to be? Jimmy, I’ve heard you say yours runs around 100 when you’re eating keto. I wonder if anyone else has levels of 55-65 and feels great like me? And do you think that in days of old for people living in Northern climates, they would have kept such low BG levels in the winter months losing the weight they put on in the summer from eating carbohydrates that were more plentiful?

Laura

2. Do you have to count free-form amino acid supplements into your total intake of protein?

The reason I am contacting you is regarding the process of gluconeogenesis or converting protein to glucose and remaining in ketosis. My questions are as follows:    

- Does the body process free-form, amino acid supplements the same way as it processes amino acids provided in food?  

- If I’m following a ketogenic diet and taking free-form amino acid supplements, would I have to factor in the amino acid supplements as part of the total intake of protein (so as not to go over the prescribed limit) in order to stay in ketosis? 

Thank you in advance for your attention.  I look forward to your reply.

Sincerely,

Dee Dee

3. If a pregnant woman eats keto, will that express epigenetic obesity genes in the baby forcing keto for life?

I have been researching the topic of ketosis in pregnancy as I have been using it to control latent autoimmune diabetes and I want to continue through my pregnancy (I’m currently 2 months pregnant). I've listened to the many podcasts you have done on the topic and know it’s is generally safe for the mother and baby.

However, my only concern is nobody seems to address the topic of epigenetics. I've been trawling through loads of research and blogs and reading about how ketosis metabolically mimics starvation, especially if ketone levels are high like mine with an average of 6.0 mmol. How do we know this does not send starvation signals to the fetus. Will the baby be forced to eat a ketogenic diet for life lest they suffer from obesity due to the thrifty gene being switched on?

Thanks,

Ruth

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Adam, thank you for your service to our country. My dad was career Air Force, my son-in-law is currently a special forces' officer in the Navy, and my son who is a senior in high school is planning on attending The Citadel! We are thankful for the men and women who selflessly protect and serve our country.

And thank you guys so much for the excellent information in your podcast, websites, and books.  I am a mom of 7 and have been keto-adapted for four months after following a Paleo diet for years.  I have lost 20 pounds and am down to my ideal body weight with an average blood glucose level of 77-80 each day. I feel great!

My question is for my 20 year old daughter. She is a college student majoring in culinary arts and business. She has been diagnosed with essential tremors which are affecting her ability to execute fine details in cake decorating, fine cutting skills, etc.  She currently takes a women’s probiotic, True Calm, magnesium, krill oil, Vitamin D3, Vitamin K2, and liver capsules. These supplements are great, but I truly believe the keto lifestyle would greatly reduce or slow the progression of the tremors.  

Like most college students, she does not get enough sleep and has pressing deadlines and events to prepare for. Her recent blood work showed triglycerides at 120 and fasting glucose of 90. We have diabetes that run in our family also. My daughter has been drilled with the food pyramid in her nutrition classes, but I think she would be open to suggestions from an outside source (other than her mother!).

If she were your daughter, what would you recommend? Thank you for considering my question! I am thankful for the resources God has provided through you guys. Thank you again for educating us all.

Thanks,

Robin

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