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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: December, 2016
Dec 15, 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 celebrate this final episode of the year by answering 20 of your questions on low-carb, high-fat, ketogenic diets today in Episode 47.

**THANK YOU to Cecilia, Ken, Patrice, and Kristin**

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MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 47:

- Thriving on raw eggs, world's oldest person marks 117th birthday in Italy

1. Do I need to detox my liver and gallbladder before attempting to go keto?

Hello Jimmy and The Doc!

Ever since I decided to adopt a ketogenic lifestyle, I’ve wondered if I should do a number of liver and gallbladder flushes before trying to get keto-adapted? It’s usually recommended to eat low-fat for a few days during this flushing period so that would likely kick me out of ketosis anyway. I feel like my body has a difficult time detoxing and I wanted to do a series of liver flushes to get my liver working optimally again.

I am a Holistic Lifestyle Coach and have the ability to run labs for liver function. My mother, grandmother, and great grandmother have all had to have their gallbladders removed and I want to keep mine! Would really love to hear your thoughts on this.

Thank you so much for all of your work!

Kind Regards,

MariaPaula

2. Is using exogenous ketones an effective way to boost ketones when they are at their lowest?

Hey guys,

Is there any emerging research on what the most effective dose of exogenous sources of beta-hydroxybutyrate should be? And what is the best time of day to use them? Through my own N=1 experimentation, I have found that I'm out of ketosis for about 3 hours after I wake up in the morning. Then by midday I'm right back into ketosis with levels steadily increasing as the day goes on. After working out in the evenings, I am usually in the red zone on the Ketonix.

But then by the following morning I'm back to green again. So I'm wondering if I should take a supplement like KETO//OS in the mornings upon waking up since this is when my levels are naturally at their lowest or if I should take it in the afternoon or evenings to accentuate my natural rhythm. Are there any studies looking at the relationship between circadian rhythms and ketones or the use of exogenous ketones that could help me in my situation? My purpose in eating ketogenic is disease prevention and anti-aging.

Thanks,

Jamie

3. Is my depression preventing me from getting the full benefits of keto? Do depression drugs work differently in the presence of ketosis?

Greetings gentlemen,

I’m sure many people who are trying the ketogenic diet suffer from major depressive disorder. I recently stayed in nutritional ketosis averaging 1.0-5.0 mmol/L and heavily supplemented with electrolytes for 5 weeks but did not experience the increased energy that I hear being reported by others. Although I lost weight and didn’t have to eat as often, I still had some pretty intense carb cravings.

Could my depression be interfering with the benefits of nutritional ketosis? And if I push through these cravings now, will remaining in a ketogenic state eventually help me deal with the depression? I also wonder what some of the most commonly-prescribed selective serotonin reuptake inhibitors such as Lexapro, Prozac, and Zoloft do in conjunction with keto to interact and work differently than a standard diet.

Thanks for any insights,

Ryan

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4. Can I use green banana flour resistant starch and stay in ketosis while taking care of my microbiome?

Hey Jimmy and Adam,

I'm starting on a new health mission to feed and nurture my microbiome. The mechanism for this feeding is a daily high-fat smoothie that contains coconut milk, protein powder, MCT oil, some berries, and banana flour resistant starch to make a high-fat, moderate protein, low-carb keto smoothie. I have a few questions for you guys about this:

- Is this Green Banana Flour Prebiotic Resistant Starch keto-friendly? I've read on the Internet that the starch does not spike blood sugar. Is that true? The product I'm using has 7.5 grams of carbs per tablespoon. What say you?

- Will resistant starch on a ketogenic diet over time transform my microbiome from being fat to lean?

- Do you have additional suggestions or thoughts for the care and feeding of the microbiome while remaining in a state of nutritional ketosis?

I look forward to listening to your podcast every week as I'm truckin' down the road. You always have little nuggets of info that I can apply directly to my keto lifestyle.

With much regards from your fellow Healthy Ketonian,

Truckin' Chuck

5. Is taking L-Glutamine a good or bad idea when you are on a ketogenic diet?

Hi Jimmy and Dr. Nally,

Thank you for your podcast and I never miss an episode of Keto Talk. I have been eating LCHF for 4 months and have lost 40 pounds so far. I have become interested in taking it to the next level with ketogenic and I am having a hard time getting into ketosis while my weight loss has stalled out. I am taking 8 grams of L-Glutamine a day on the recommendation of Maria Emmerich from one of her books and it definitely seems to help me with sugar cravings. But I heard that L-Glutamine can turn into sugar through gluconeogenesis. Now I'm totally confused and need your help to clear up whether I should be taking this supplement or not. 

Thanks so much,

Shawna

6. Why is my blood pressure still so high despite cutting my carb intake?

Hi Jimmy and The Doc,

I enjoy your show and like hearing about all your experiences and advice concerning keto living. It seems that most people are able to lower their high blood pressure readings very quickly after cutting their carbs. But this has not occurred in my case, even after a year or so. I did hear that there could be other reasons apart from eating high-carb that could lead to high blood pressure. What are they?

Thanks again for your great show,

Rhonda

7. Should I be concerned about toxins from filter fat in my bacon grease fat?

G'day Jimmy and Adam,

A huge THANK YOU for your helpful and informative podcast and for being so generous with your experiences and knowledge beyond this podcast! You both are changing lives for the better!

My question relates to cooking for a ketogenic lifestyle. I hear many people suggesting cooking with bacon grease or bacon fat as we call it here in Australia. I was talking to my local butcher about and mentioned that I cook with bacon fat and he became very alarmed by this. He explained that there are two types of animal fat—one healthy that is what he describes as clean fat and one not so healthy which he calls filter fat. The filter fat contains massive amounts of toxins which is why my butcher recommends cooking with lard or tallow sourced from fat around the kidneys.

Is this something Ketonians should take into consideration or not? Personally I tell people to eat the best your budget will allow and this isn't always organic and grass-fed. We eat bacon everyday and I'm certainly not changing that habit. But maybe the idea of reusing the bacon fat saved from cooking our morning bacon isn't such a good idea after all. I just thought I would bring this up as it is relevant to those of us in the keto community. What are your thoughts?

Sincerely loving the keto lifestyle,

Peter and Susie in Australia

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8. Why is peanut butter demonized and almond butter glorified on a ketogenic diet?

Hi Jimmy and The Doc,

I’d like for you guys to settle the seemingly neverending debate about why peanut butter is technically not keto,and why almond butter is so much better. The carb difference between the two is negligible assuming you’re getting a nut butter that has no sugar added to it and the fatty acid profile doesn’t look dramatically different either. I do notice that almond butter has a SLIGHT advantage over peanut butter in the omega 3 to omega 6 ratios but both are very low on omega 3’s as compared to their respective omega 6 ratios. And both look to be within .5 grams of polyunsaturated fat per 1 oz. serving.
So why does peanut butter get demonized while almond butter looks to be a very similar food from a nutritional perspective? I thought this would be a fun topic for you guys to cover on Keto Talk as I know this has been a hot topic of debate on the Internet within low-carb and ketogenic circles.

Thanks for the insights,

Matthew

9. Does being in a ketogenic state produce complications with taking birth control pills?

Dear Jimmy and The Doc,

Thank you for your outstanding podcast because it adds so much value to my life. I have a question that I hope you can help me with. My girlfriend has joined me in eating a well-formulated ketogenic diet for just over a month and she feels fantastic in almost every way. The only problem is her period has arrived sooner than it usually does and lasts longer, too. When it happened once, she thought it was an anomaly but then it happened again. She is taking birth control (Lutera) and always had regular and consistent periods while on the pill with little to no side effects.

Are there any potential complications with taking birth control while on a ketogenic diet? If the birth control is causing this issue, what alternatives does Doc Nally recommend? Or will all of this come back into balance with time?

Thank you so much for your help and thank you again for your valuable work.

Yours truly,

Aaron

10. Are there any studies looking at ulcerative colitis and a ketogenic diet?

Hello Jimmy and Doc Nally!

Love the show, especially when you two tackle the latest research, and I have been a faithful listener and Ketonian since I discovered your show back in March!

I have a family member who is suffering from ulcerative colitis and I was wondering if you guys might be able to shed some light on this disease and how a ketogenic diet might improve or reverse it. Is there any research on using a nutritional therapy like keto to treat it or are people doomed to be on medications forever?

Thank you so much for all of the wonderful work you do!

Julie

11. Does a high-fat diet like ketogenic increase inflammation in the prostate?

I have been having some serious prostate problems and they seem to be getting worse on the keto diet which I've done for about 6 months. My blood work is great though. I ran across a study from the American Urology Association that states that high-fat is inflammatory for the prostate: see page 3 of 4 under Epidemiology

I am losing my mind over this prostatitis. It’s very painful even though the doctors all say they cannot find anything. Maybe I am the one in a million exception to the rule where eating high-fat does not work for me. Anyways, any feedback you might have would be greatly appreciated.

Thanks for all your help,

Gil

- Cancer spread is increased by a high fat diet, ground-breaking evidence shows

12. Is there any issue with someone taking a fat-burning supplement while eating ketogenic?

Hi guys,

I've listened to the majority of your episodes and I think I have a topic you haven’t addressed yet. What are your thoughts about the plethora of stimulant-based fat-burning supplements that are being marketed out there? I've heard Dr. Atkins scolded his patients very earnestly in his practice for "cheating" instead of just believing in the diet. You can never really be sure that these supplements actually contain the intended ingredients, but the fact is these stimulants typically are intended to stimulate catabolic hormone pathways supposedly to enhance fat burning and "promote thermogenesis" (in the calorie counting paradigm). But if you're insulin resistant in some way, isn't it probably a really bad idea to be spiking catabolic hormones all willy-nilly when part-and-parcel of insulin resistance is an impaired ability for insulin to control these hormones at the expense of letting your body find the right levels through the ketogenic diet itself?

Thank you for answering my question and I have been enjoying listening to the show a lot.

Basil

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13. Does an increase in Vitamin D levels diminish ketone levels in the body?

Hello Jimmy and Dr. Adam,

I have a simple question for you: Does Vitamin D impact ketones? I only ask this because I have noticed a few times some noticeably lower ketone readings after a long day in the sun. I have a feeling movement while outside is also playing a role in this. Any thoughts on this?

Kyle

14. Is a ketogenic diet an acceptable nutritional therapy for people with organ transplants?

Hello Jimmy and The Doc,

I’m wondering about the impact of a ketogenic diet for organ transplant recipients. I had a liver and kidney transplant in 2001 and was starting to experience problems after about seven years when my husband and I switched to a low-carb diet and very quickly saw all my markers improve. We’ve been eating this way since 2009 and we’re both in great shape. I’ve been telling my nephrologist and my hepatologist what I’m doing, but I can’t persuade them to recommend this way of eating to other transplant patients. Am I just lucky to see my health improve eating keto or could this help other transplant recipients, too?

Cheers,

Anne

15. What do I need to do to experience the robust energy that is supposed to come from ketosis?

I’ve been more or less keto for over two years now and I have to say I don’t really have a “feeling” of when I’m in ketosis. My energy level never really went up all that much and I hear people talk about how great they feel in ketosis. The truth is I’m envious of them because I’ve never experienced this myself. I know there are a LOT of things that relate to energy level: stress, emotional issues that can drain a person, thyroid, electrolytes, etc. How can someone like me who is keto obtain the typical energy level that other Ketonians are experiencing? Where would you start and what would you want to rule in or out? I have a very low CRP, no calcium in the heart, TSH normal and more.

Thanks for helping me figure this out!

Dr. Jim

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16. Is eating a high-fat diet without significantly reducing carbohydrates a concern for cardiovascular health?

Hi Jimmy and Doc Muscles!

I’ve been listening to Keto Talk since the beginning and really enjoy the banter between you two! You both do a great job of making all the information you provide easy to understand. I have a question that seems to have been answered in a roundabout way previously on your podcast. But I would love an answer that is specific to my concern.

I have been dealing with autoimmune issues for a few years now. Psoriasis since my 20s, and possible rheumatoid arthritis for about 2 years now. I’m 40 years old and had always followed recommended dietary guidelines, but that didn’t prevent these issues from happening. I follow a mostly AIP, lower-carb diet, but I know that I am not in ketosis most of the time.

My carbs include small amounts of fruit (usually about 1 serving per day), sweet potatoes, and all vegetables. I sometimes make AIP friendly treats that are low in sugar, but do contain some starch. I now eat higher amounts of fat than I ever have from Kerrygold butter, cream, avocados, coconut oil and olive oil. I feel really good most of the time and love how I can wait longer between meals and don’t seem to get hangry. I stay quite active, work standing up, kick box 2-3 days per week, do a little yoga, and still mix in a little running, biking and swimming from my triathlon days.

My question for you guys is this: If I am not in ketosis most of the time while eating 50-100 grams of carbs with my higher consumption of fat, am I jeopardizing my cardiovascular health? I don’t believe I have a blood sugar issue. I test it sporadically, and even after a higher carb meal, it is under 120. My total cholesterol jumped from 208 to 269 during the last 3.5 years, LDL went up to 139, triglycerides in the 50s, HDL in the 90’s. Of course, my HMO doctor wants me to retest in three months because it is so high.

Thanks so much! I wait anxiously for your new episodes every week! You guys are great!

Karen

17. Can toxins released from fat stores while eating keto lead to eczema?

I’ve been doing keto really well and keeping my daily carbs under 20 grams and I feel great. My energy and mental clarity are awesome and my waist has dropped from a size 41 to a size 35 in only 6 months. But I've developed a serious and painful case of eczema on my feet. These blisters are huge and my guess is that my body was holding onto toxins in my fat cells which are now being released and overloading my body leading to the eczema. Am I right about what’s happening or is there some other mechanism at work with this? If it is toxins being dumped into my bloodstream, then what is the best method to deal with this? Should I slow down on my ketogenic diet or should I attempt chelation or some other method to bind and remove these toxins.

Thank you for everything you do!

Georgia

18. Is it better to have a little bit of real sugar sources instead of sugar alternatives?

Dear Jimmy and Adam,

For long-term health, I eat low-carb/higher fat and I prefer to eat whole foods. So when I see recipes that use erythritol, stevia, and similar sugar alternatives, I replace those with honey, pure maple syrup, molasses, table sugar, and brown sugar instead. I also cut the amount of sugar in recipes by about 50-70% or sometimes omit the sweetener entirely.

Erithrytol and other "tols" also upset my stomach and gut. What so you think about using small amounts of "real" sugars as I described? I am fortunate to have a healthy metabolism and can tolerate a few more carbs than my husband, for example, who is carb-sensitive like you guys. Would a small amount of a sugar (say 2 Tbs total at the most) be too much for him?

Thanks guys! I love Keto Talk and am a big fan.

Katie

GET THE 30-DAY KETOGENIC CLEANSE BY MARIA EMMERICH

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19. Do you get all the gut health benefits of eating spinach if it is cooked vs. raw?

Dear Jimmy and Doc Nally,

Does it matter If I eat my spinach cooked in butter versus raw? I am trying to eat the two cups of spinach daily for gut health that Dr. Nally recommends.

Thank for all you do!

Jill

20. What, if any, impact does the use of cannabis have on ketosis?

Hey guys!  I love your show and I've learned so much from it—so thank you.  Now my controversial question: Medical and recreational cannabis is starting to become legal in many states, so I have to ask this—does cannabis use have any effect whatsoever on ketosis or a ketogenic diet?

Thanks for addressing this!

Michael

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LINKS MENTIONED IN EPISODE 47
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- SUPPORT OUR SPONSOR: Visit QuestKeto.com to discover the new ketogenic-friendly meals and snacks
- 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: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Pre-order Maria Emmerich's December 27, 2016 book The 30-Day Ketogenic Cleanse
- 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
- Thriving on raw eggs, world's oldest person marks 117th birthday in Italy
- Cancer spread is increased by a high fat diet, ground-breaking evidence shows
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Dec 8, 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 share massive keto knowledge with you today in Episode 46.

**THANK YOU to Steve, Mary, Coin and Jewelry, DD, and Jay**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 46:

TESTIMONIAL FROM LISTENER

Hey Jimmy!

I wanted to update you and Doc Nally on how it has being going using Symlin (synthetic Amylin) to help reduce my insulin requirements and high morning blood sugar levels. I have to tell you I’m absolutely blown away by how well it’s working and the major metabolic improvements I’m seeing in just 10 days of using it so far! I’ve dropped 19 pounds in just 10 days right in the middle of my birthday and Thanksgiving. I’ve been able to totally drop my fast acting insulin and have brought my basal insulin down from 34 units twice daily to 22 units twice daily because I was having low blood sugars!

I test my blood glucose 7-8 times a day to keep an eye on that and my readings have all been in the normal range even with much lower insulin injections. In fact, the A1C “estimator” on my glucose logging app is showing my A1C dropped by .4 in 10 days. I’m sleeping WAY better. I’m feeling full after meals now instead of starving an hour later because the insulin and Amylin are better regulated.

Thank you, Dr. Nally! I had never even heard of Amylin before he mentioned it on Keto Talk. I’m becoming an expert now that I’m researching it more and more and seeing the effects it has on me personally. Now I want to help more diabetics learn about this “other hormone” that I suspect is missing in a lot of unknowing people!

You guys are awesome! Thanks again.

Jacki

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- What scientific studies and references can I use to counter anti-leto arguments?

Hi Jimmy and Dr. Nally,

I have been listening to Keto Talk since about Episode 20 and have been hooked every since. I am a Registered Dietitian in Washington state and I promote low-carb to my patients. I recently had a fellow dietitian reprimand my efforts to promote fat in the diet as healthy. It’s very frustrating!

She said that promoting saturated fat was not evidence-based especially for key cholesterol markers, but I have found several studies that show saturated fat as healthy or at worst neutral in the context of a lower-carb diet.  My own n=1 experiment has put my triglycerides at 75 and my HDL at 84 eating around 100g carbs daily with plenty of animal fat in my diet. The other “evidence based” crap that is promoted in our clinic has to do with getting 130g of carbs as the daily minimum. In Episode 41, Dr. Nally said the liver creates about 280g of glucose daily via gluconeogenesis.

Is there a study or cited reference I can get my hands on? Any help is appreciated. I am so thankful that low-carb is accessible and I have joined the Diet Doctor website as a member to stay up to date on the latest, greatest in low-carb. I am pretty immersed in the low-carb culture online and it’s always such a shock when my own colleagues haven’t figured it out yet. My next step is to attempt full-on keto. Thanks for all you do. It keeps me going in a world of carboholics!

Kris

- 'We've been deceived': Many clinical trial results are never published

- TrialsTracker.ebmdatalab.net

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1. What transports ketones from the liver to the cells? Is it insulin like it is for glucose?

Hey guys,

The information you share on this podcast is priceless, so please keep it up. I have a quick question for you to address: If insulin is the vehicle that transports glucose to the cells of the body for energy and high insulin levels is what leads to inflammation and disease then, what is the vehicle that transports ketone bodies from the liver to all the cells? Please tell me it’s not insulin because that would be weird,

Thanks in advance,

Chris

2. Does Bulletproof coffee on a ketogenic diet stall or prevent fat loss?

Several keto experts online rail against Bulletproof coffee for people who are doing strict keto. They claim it may be stalling people looking to produce fat loss. I would love to hear your opinion on this. Thank you so much for what you do. I love your books, Jimmy!

Thank you,

Aaron

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3. If you have had weight loss surgery, how do you best implement a ketogenic diet?

Hi Jimmy and Adam,

I just finished listening to the audiobook for Keto Clarity and I’m now listening for the second time. I had gastric sleeve surgery over a year ago and have lost 100 pounds. With 2/3 of my stomach gone I can't eat very big meals and was wondering if you could give me some ideas on how to make the ketogenic diet work for someone like me.

Thanks,

Roger

KETO TALK MAILBOX

Hi Jimmy and Dr. Nally,

I’m curious about doing ketosis seasonally like our ancestors would have been where carbs are virtually gone during the fall/winter/spring months and then the sweeter and starchier foods are abundant during the summer. I'd love to hear a discussion on what this cycle of eating would have looked like so I can mimic it today.

Ken

iTunes review:

GET THE 30-DAY KETOGENIC CLEANSE BY MARIA EMMERICH

Maria's latest book releases on December 27, 2016

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
GET QUALITY LOW-CARB MEATS FROM BUTCHERBOX

USE COUPON CODE LLVLC FOR $10 OFF YOUR FIRST BOX
NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 46
- SUPPORT OUR SPONSOR: Visit QuestKeto.com to discover the new ketogenic-friendly meals and snacks
- 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: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Pre-order Maria Emmerich's December 27, 2016 book The 30-Day Ketogenic Cleanse
- 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)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- 'We've been deceived': Many clinical trial results are never published
- TrialsTracker.ebmdatalab.net
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Dec 1, 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 offer of words of wisdom for their Ketonian friends in Episode 45.

**Special THANK YOU to Jane, Sandra, Maria, Erika, Mary, Angela, and Brook**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 45:

- I'm in great shape but my ketones are in the tank. Why?

Hi Jimmy and Adam!

I am a 34-year old male in great shape and have around 12% body fat. I’ve been eating LCHF for about 2 years now and was doing IF for the first 14 months. I decided to try a strictly ketogenic lifestyle about 4 months ago and I am finding it almost impossible to get into nutritional ketosis. The highest reading I’ve tested on my Precision Xtra was 0.7 and I tend to average around 0.2-0.3 daily. I have no idea what I am doing wrong.

I have tried everything from 40 net carbs to 20 total carbs. Slashed my protein to less than 90 grams a day and my meals average around 3-10 total carbs with 55-70 grams of super clean fats. I take MCT 3 times a day and even have a Ketonix breath ketone analyzer. I do not eat any sneaky carbs or sugars—never have and never will. My fasting blood glucose always seems to be in the 70’s and I just can’t figure out what’s up with my ketone levels. I try to consume around 250 grams of fat a day.

I work 7 days a week and am literally on my feet all day. My sleep is around 6.5-7.5 hours a night and I am militant with my regimen. I do take a lot of supplements but nothing from what I’ve read about them should be keeping me out of ketosis. I am beginning to think I have something else gong on. My energy is nonstop from the moment I get up until I go to bed. I do not drink. I feel fine, but I just know that I have never crossed into the 1.0 mmol and can’t for the life of me understand why. Digestion is fine, hydration is fine, electrolytes are good and my recent blood tests were great except for my doctor’s puzzled look at how and why I feel and look so good with a cholesterol of 249 and an LDL-C of 174. I am not worried about those because my HDL/LDL and triglycerides/HDL ratios are well within range. I workout 2-3 times a week. PLEASE HELP ME figure this out.

Thank you and I absolutely love your show!

Michael

- Eating Lots of Carbs, Sugar May Raise Risk of Cognitive Impairment, Mayo Clinic Study Finds

1. Does being in ketosis lead to cold, clammy hands and feet?

Hey Jimmy and Doc,

I've been keto for over a year now and feel great! My energy levels are up, inflammation is down, and I lost a few pounds too. The only negative thing that I have noticed since starting this is my hands and feet are constantly cold and clammy. Is this even related to being ketogenic? If so, what can I do to fix this?

Keep up the great work guys!

PJ

2. Does better sleep and exercise suppress hunger due to a rise in ketone levels?

Hi Jimmy and Dr. Nally,

I sometimes wake up in the middle of the night hungry. I’ve heard you guys talk about getting adequate fat at the dinner meal and I try to make sure of that. But this hunger in the middle of the night is annoying. I am usually able to drink some water and go back to sleep without eating anything. Then when I wake up in the morning, I’m no longer hungry. I’ve also noticed that sometimes I’ll wake up in the morning hungry and will go running or lift weights at the gym. Counterintuitively, after the workout I am no longer hungry and can even skip lunch. Is it safe to assume that the reason the hunger goes away in these instances is because I am able to sleep longer and exercise which helps me go deeper into ketosis?  What do you and Doc Nally think?

Thanks!

Rob

3. How did our early ancestors get salt in their ketogenic diet?

I have a puzzling question for you guys about Paleo and ketogenic diets. If we are to believe that our early ancestors ate a low-carb, moderate protein, high-fat diet, then what were their sources of sodium? Surely they needed it then just as much as we do in modern times. How dd they get it into their diet? And if they didn’t consume adequate levels of salt while in ketosis much of the time, how did they survive without it? What foods were consumed to provide this key element in their diet? Thanks so much for taking the time to answer this one. I Iove Keto Talk because I learn so much. I only wish I lived in Surprise, Arizona so I could see Doc Muscles on a regular basis since finding a low-carb friendly doctor isn't that easy.

Thanks again!

Theresa

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- Isn't the problem with weight loss woe on keto too many calories?

Hi Jimmy and The Doc! You guys are the best! I love all the work you do to spread information and support for keto. But I do have a tiny bone to pick with you guys if you wouldn’t mind hearing me out!

I am a certified holistic health coach who has specialized in the ketogenic diet for many years now. I love it with my whole heart because the benefits are outrageous and undeniable! However, I have noticed some do not find weight loss success when attempting keto because of one MAJOR issue in my opinion. I see it time and time again. It’s the calories.

I'm not talking about a person mistakenly eating too many carbs for individual tolerance nor am I talking about accidentally eating too much protein. These are people who are fully keto-adapted with adequate blood ketone readings who are working out and sleeping great, managing stress well, and yet they are not losing weight. Why? It's because they are eating too many calories to give their body a reason to need to tap into body fat stores.

This is one of the things I have heard you guys repeatedly tell people often on Keto Talk—“calories don't matter, as long as it's coming from fat and as long as they are eaten to satiety.” But this doesn't actually work in real life for most people and it also doesn't make any logical sense. After all, if it were indeed sound and true, people would not be able to maintain weight in ketosis. Health coaches like me who have been in ketosis for years would just forever keep losing fat until we keeled over. But this isn't happening because if a person is maintaining ketosis, they are eating enough calories from fat that the body doesn't have to convert body fat into ketones and homeostasis is achieved.

I hear you guys say it's hard or darn near impossible to eat too much fat because you get full. But, most people coming into this have leptin resistance, binge eating disorder, and other issues that bypass satiety completely. Without proper coaching and calorie accountability they get totally out of control on keto just like any other plan. Now, I'm not saying health isn't still improving on keto even with excessive calories. Healing will indeed still happen. But not weight loss for most people. I can confidently say that after years of consulting that this is unfortunately the rule and not the exception.

Most people eat way past satiety after the first month or so of keto. It seems that at first they have such great appetite suppression from ketones and are able to stop before consuming calories in excess. But then that satiety dwindles and they start snacking on fat bombs, macadamia nuts, olives, cheese, and other non-protein or carb containing drinks or shakes with tons of cream. It’s an overload of fat calories. They are still having 1 to 2.5 blood ketone readings but they just keep packing in the calories from fat and stop losing weight. Every now and then even gain a little. It’s not water weight either, it’s body fat.

Then, they totally believe all the myths that keto doesn't work and you only lose water weight in the beginning and that consuming fat ultimately makes you fat. I HATE those myths. We know ketosis is da bomb diggity and will absolutely shift every metabolic marker in the right direction. And in my opinion weight loss is the least important. But not to my clients! And not to the average person interested in health and wellness. I get clients who have tried various high-fat programs and they end up at me after they get frustrated gaining weight and feeling cruddy.

I wholeheartedly believe this weight gain is completely unnecessary if keto-adaptation happened as a result of using the fat on our bodies preferentially over the fat on our plates. What are your thoughts on this? Thank you so much for addressing my little pet peeve and I hope I didn’t come across as a jerk! I want to see this movement succeed and thrive and this is one topic that we need to get right to communicate the best information to the masses.

You guys are my heroes so thank you for doing what you do!

Emily

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