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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: January, 2017
Jan 26, 2017

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 battle myths and share Ketonian wisdom in Episode 51.

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Here’s what Jimmy and Adam talked about in Episode 51:

Hey Jimmy and the Doc,
 
Thank you for this awesome podcast. I have learned so much from you guys. I read Keto Clarity a year ago and have been learning everything I can about ketosis ever since. My fasting blood glucose is always in the 70’s and 80’s, but my weight seems to go too low for my comfort. I’m 6’1” tall and weigh 178 pounds. I have heard you talk about how eating high-fat and high-carb at the same time is a really bad idea. I don’t necessarily want to go too high-carb, but will it cause me problems to stay high-fat but add a lot more real food sources of carbohydrates such as potatoes, berries, fruit, etc. to keep my weight over 180 where I’m most comfortable. My father had his first heart attack at 50 years old and even though my blood work is excellent, besides high LDL-C, this concerns me. Can you please clarify the dangers of high-fat, higher carb eating?
 
Thanks for all you do,
 
Rodney

HEADLINE: Can breakfast help keep us thin?

 LISTEN TO JIMMY’S NEW FASTING TALK PODCAST

1. Can hormone replacement therapy have a negative impact on blood ketone and blood sugar levels that would halt weight loss?
 
Hi Jimmy and Adam,
 
I love your Keto Talk podcast. I had a question about being on hormone replacement therapy while eating keto. I had surgical menopause when I was 26 and I’m currently on hormone replacement therapy (HRT). I've also been on keto for the past few years and I've always struggled with my weight. I’ve noticed that when I'm not on my estrogen therapy, I have no issues with losing weight. But the moment I start on HRT, I can't seem to lose the weight. On HRT, my blood ketones are only 0.4 mmol and my blood sugar is in the 90’s. When I’m off HRT, blood ketones reach 1.2 mmol and blood sugar is in the 60’s. My endocrinologist has a fit when I'm not my hormone replacement. So despite being on a low-dose of estrogen (3mg), could the HRT be negatively impacting my weight loss and my overall ability to stay in optimal therapeutic levels of nutritional ketosis?
 
Thanks for your help with this!
 
Lisa
JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS
 
2. Why don’t TOFI people gain weight eating low-fat? Would a ketogenic diet help them without weight loss?
 
Hi guys,
 
I look forward to your podcast every week.  It has helped keep me informed and motivated me in my keto journey since I began 9 months ago. I've lost 38 pounds so far with ease with no hunger or cravings. You guys rock!
 
I'm very interested in the biological mechanisms of ketosis and I know how much Dr. Nally loves geeking out on this kinda stuff. Regarding the Carbohydrate-Insulin Theory, can you explain how TOFI (thin outside, fat inside) people don't put on visible weight when they consume a high-carb, low-fat diet? Is it just genetics? And can you explain how a high-carb, low-fat diet creates inflammation in the body with or without the weight gain? Finally, how would a low-carb, high-fat, ketogenic diet help someone with TOFI?
 
Thanks so much,
 
Katy from Liverpool, England 
 
3. If you don’t burn up fat you consume, then what happens to it in a ketogenic state?
 
I intermittently fast for 16 to 20 hours each day in addition to being on a ketogenic diet. I'm about 3 weeks in, and so far so good. If you are fully keto-adapted, then what happens to the fat that you consume and do not burn off for energy? If your insulin levels are low, that fat can’t possibly be stored, right? If that is true, then what happens to it?
 
I appreciate your input. THANKS!
 
Bo
 
KETO TALK MAILBOX
 
Hi Jimmy and The Doc! Love the show, I have a long drive to work everyday and you guys make it fly by!
My question is about the impact of a ketogenic diet on sperm production? You talk about it boosting testosterone but does it actually boost sperm production?
 
Thanks guys!
 
Danielle in Sydney, Australia
 
BONUS: I’m a little surprised that The Doc is okay with aspartame as I have read that over 40 degrees Celsius it converts to formaldehyde. Why do you like it?
 
Griz
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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

iTunes review:

 

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LINKS MENTIONED IN EPISODE 51

– Listen to Jimmy’s new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
– JIMMY AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– 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: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
– SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
– SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
Jimmy Moore from “Livin’ La Vida Low-Carb”
Dr. Adam Nally, DO from DocMuscles.com
– TODAY.COM article: Is The Ketogenic Diet Right For You?
– HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Jan 19, 2017

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 50 episodes of Keto Talk and answer your ketogenic diet questions.

YOUR GO-TO PLACE FOR KETO FOODS

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Go to PayPal.me/KetoTalk to make a donation. You can set up automatic monthly payments there.

LISTEN TO JIMMY’S NEW FASTING TALK PODCAST

Here’s what Jimmy and Adam talked about in Episode 50:

-  What are the best and worst proteins on insulin response while eating a ketogenic diet?

Hey guys,

Which proteins provoke the largest and smallest insulin response? I'm trying to reverse my insulin resistance by keeping my protein lower (50-70g/day). But I wonder if the type of protein can make a difference. Specifically, I'm curious about collagen because I like to add it to my KetoCocoa for a quick, high fat meal replacement on-the-go meal. Thanks so much!

Amberly

HEADLINE: Is the ketogenic diet right for you? Nutritionists weigh in: http://www.today.com/health/ketogenic-diet-not-recommended-weight-loss-experts-say-t105932

JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS

1. Can a ketogenic diet help manage lipedema and are there any concerns going keto with this condition?

Hello Jimmy and Dr. Nally,

I suspect I have the fat disorder called lipedema, also known as “painful fat syndrome.” It is a chronic condition of adipose tissue and lymphatic vessel dysfunction which manifests as bilateral, symmetrical fatty excess on the hips and legs. It can be progressive, causing immobility and lymphedema. The lipedema fat is not accessible to normal weight loss techniques.  Despite the fact this afflicts approximately 11% of women, it is difficult to get a diagnosis for it in the United States. In the future, I will likely visit an endocrinologist who I know specializes in this. In the meantime, I have done a lot of reading and as a Masters Prepared Registered Nurse I feel I am interpreting the literature correctly in thinking I have lipedema.

I have been on a whole foods-based ketogenic diet for two years and frequently check my blood glucose and blood ketone levels. I have lost 25 pounds and am experiencing great improvements in my physical, emotional, and cognitive function.  Unfortunately, my legs and upper arms have not changed at all and with the onset of menopause, they just continue to grow. The pain is getting more frequent and I feel very sad that despite my success and warrior-like attitude, I may not be able to overcome this challenge.

My current endocrinologist recommends against eating a ketogenic diet and many of her statements sound like the typical outdated dietary advice. So here are my questions for you:  Do you have any experience with lipedema and the ketogenic diet? Do you see any reason why ketosis would be contraindicated? Do you have any suggestions for dealing with this disorder and halting its progression?

Thank you both for the wonderful podcast.  I geek out on the science and gain tools and motivation every time I listen.  Jimmy, you have changed my life—so THANK YOU!

Warm regards,

Susan

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2. If my blood sugar is high and my blood ketones are low while eating keto, then can I assume I’m burning muscle?

Jimmy and Adam,

Thank you for the podcast and all the great information about the ketogenic diet. I have been doing my own version of keto for the last two months and have had incredible success losing 25 pounds so far with 25 more to go. I feel amazing with no hunger cravings, tons of energy, and no more afternoon naps from the sugar crash.

Since I am likely losing weight because of the reduction in calories, I am now concerned that I am burning muscle for energy instead of my stored body fat. I assume I’m burning muscle because my blood glucose remains so high and ketones are very low despite not eating any carbohydrates except for vegetables. How can I seemingly still be a sugar burner without eatings sugar or carbs? I am really confused and disappointed by all of this and it’s making me feel discouraged about my ketogenic plan. I feel really energized and I’m losing weight, but I am nervous that the weight loss I am experiencing is muscle and not fat. Can you help put my mind at ease about this?

Thanks again and have a great day!!

Ryan

3. Is dehydration robbing me of energy on my ketogenic diet? What can I do to get properly hydrated while keto?

Hi Jimmy and The Doc,

I love Keto Talk because it encourages me in my own ketogenic journey. I’ve been in and out of ketosis for the past 3-4 years and I typically get kicked out because of some “carbage” that I allow in my diet. I’m a 30-year old male and consume around 3,000 calories daily eating a fat/protein/carbohydrate ratio of 75/20/5. My blood sugar runs 88-112 mg/dL and my blood ketones are 0.4-1.1 mmol.

My problem is with plummeting energy levels and dehydration as I work a physically demanding job outside in Florida’s hot summer weather as well as strength training for about 45 minutes/4 days a week. What can I do to stay hydrated? I currently drink over 3 liters of water/day and bring a Hass avocado with sea salt to work for a snack. Is it likely that my energy levels will increase if I stick with this more consistently over the long-term?

Here’s a rundown of the foods I eat on my ketogenic diet:

Fat: Kerrygold butter, grass fed beef, coconut oil, coconut butter, eggs, avocados, macadamia nuts, cream cheese

Protein: beef, chicken wings, eggs, canned oysters, lamb

Carb: mixed greens, asparagus, green beans, coconut butter, lemon, occasionally raw tomato. I ate a mango last week before my workout…can't say I regret it. It gave me a super boost.

Thanks in advance for your input.

Sincerely,

Frank

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KETO TALK MAILBOX

- Share more about the practical use of taking phentermine as part of a ketogenic approach

On Episode 47, Adam mentioned stimulant-based supplements and mentioned that he writes a prescription for phentermine for about one-third of his patient population for a few months. So I have a few questions about this:

1) When do you decide to prescribe phentermine?

2) How do you instruct patients to take it while starting a ketogenic diet? (i.e. dosage, when to take, etc.)

3) Do you also instruct patients to intermittently fast for several hours after taking the medication? (i.e. take it in the morning and then don’t eat until the afternoon)

I take phentermine to control my hunger but haven't taken any recently.  I'm one of those people who seems to be hungry all of the time despite increasing my fat and calories. My blood glucose is always under 100 and my A1c is 5.1. I have a hard time with getting keto-adapted and am looking to use phentermine for a few months to help me kickstart my keto journey.  I have successfully been in ketosis before so I know it will shut my hunger off.  I'm just having a hard time with the transition this time around.

Thanks so much for all that you do!

Leslie

iTunes review:

BECOME A NUTRITIONAL THERAPY PRACTITIONER

Sign up by February 6, 2017 for the 9-month program

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LINKS MENTIONED IN EPISODE 50

– Listen to Jimmy’s new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
– JIMMY AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– 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: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
– SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
– SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
Jimmy Moore from “Livin’ La Vida Low-Carb”
Dr. Adam Nally, DO from DocMuscles.com
– TODAY.COM article: Is The Ketogenic Diet Right For You?
– HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

 

Jan 12, 2017

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 are rip-roaring ready to answer all of your low-carb, high-fat, ketogenic diet questions for you in Episode 49.

LISTEN TO JIMMY'S NEW FASTING TALK PODCAST
**Special THANK YOU to Angela and Jesse**

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JIMMY AND ADAM'S NEW KETO LIVING SUPPLEMENTS

Here’s what Jimmy and Adam talked about in Episode 49:
- Jimmy and Adam share about their new ketogenic-focused supplement line at KetoLiving.com with the introduction of KetoEssentials Multivitamin and Berberine Plus Blood Sugar Control Formula

- COMING SOON: The first-of-its-kind high-fat meal replacement Keto Living Powder

- STUDY THEY DISCUSS: Eat cheese, live longer

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1. Do I need to back off of my high-intensity workouts to improve blood sugar and blood ketone levels?

Hi guys,

I recently hit a weight loss plateau, so I decided to begin a small high-intensity training workout program called T25 Focus with Shaun T.  I test my morning glucose and ketones in the morning and I typically average about 1.5 mmol ketones and about 82 in my blood glucose. After day two of the workout, I decided to test my blood sugar and ketones thinking the exercise I did about an hour prior would increase my ketone levels. But imagine my shock when I tested and had a higher blood glucose level of 113, and lower ketones at 0.6 mmol.  Was the exercise too intense which caused stored glycogen to be released?  Should I be doing less intense exercise to keep my ketones and blood sugar in check?  

Thanks for your help,

Josh, Ketonian for life

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2. Can blood thinners diminish the presence of ketones in the blood?

Hi Jimmy and the Doc,

I love your podcast and I’m guessing like many other Ketonians out there that I stumbled on it. I’m glad I did and have ever since listened to nearly all of them once and about to go through them a second time. Awesome job keep up the great work!

My question for you guys is about the blood thinner I’m taking called Warfarin. Can blood thinners be impacting my blood ketones levels in any way? As a nurse, my gut response to this question would be no. But when I tested my blood ketones, the level was just 0.4 mmol. My usual blood ketone level prior to taking the blood thinners was closer to a range 0.6-1.2 mmol. When I test my breath ketones with a Ketonix, it indicates I have very strong ketones in the yellow to red range.

I have been keto for almost a year now and eat as clean as I possibly can. The only carbs I consume come from salad veggies and avocado. Is there any evidence supporting my theory that blood thinners reduce the level of ketones in the blood?

Keep up the great work you two!

Warm regards,

Barry

3. Can a ketogenic diet help someone dealing with psoriatic arthritis?

Hi Jimmy and the Doc,

I love your show and especially the experience that Dr. Nally has with using keto with so many patients in his office. I have a niece who was recently diagnosed with psoriatic arthritis and I was wondering if The Doc has any experience with or research looking at patients who have this condition where a ketogenic diet would help.

Thanks for any insights,  

Dave from Toronto

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KETO TALK MAILBOX

- Are advanced glycation end products (AGEs) a concern for people eating a ketogenic diet?

Hi Jimmy and the Doc,

I am reading about advanced glycation end products (AGEs) and their content in foods. The high-fat and animal-based foods seem to contain the highest levels of AGEs, along with other popular keto foods such as avocados and almonds. What is your take on this seemingly disturbing problem with eating a low-carb, high-fat diet and have you come across any resources that can dispute these claims?

Warmest regards,

Penny

iTunes review:

YOUR GO-TO PLACE FOR KETO FOODS

Use coupon code KETOTALK for special discount

NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 49
- Listen to Jimmy's new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
- JIMMY AND ADAM'S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
- 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: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
- SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Jan 5, 2017

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 are back and better than ever to take on your questions in the new year starting today in Episode 48.

**THANK YOU to James, Kathryn, and Masaya from Japan**

KEEP KETO TALK ON AIR:
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JIMMY AND ADAM'S NEW KETO LIVING SUPPLEMENTS

Here’s what Jimmy and Adam talked about in Episode 48:

- What can I do to deal with the cravings that desserts bring on when I am most vulnerable?

Hey Jimmy & Adam,

I’m a sugar addict. My current streak of not eating sugar and other crappy carbage is 42 days, but the holidays are always the toughest when I struggle the most. Dessert is my biggest downfall and, unlike Dr. Nally who can get back on the wagon within a few days, it takes me a couple of months to recover. It was Thanksgiving, then Christmas, then New Year’s…and now Valentine’s Day, Easter, Fourth of July and more are coming up in the next few months. My willpower is very strong before the winter holidays, but I need a good strategy for staying strong through all these temptations. I’ve been looking for good dessert alternatives, but even maple syrup, honey, stevia, and the other sweeteners seem to set my cravings off. Is abstinence from all sweets altogether the only answer for someone like me?

Thanks for your great podcast.

Dave

CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet

1. What are the signs other than testing that my body is running primarily on ketone bodies?

Hi Jimmy and The Doc,

I enjoy your Keto Talk podcast and I have a question for you guys. I am mostly Paleo (eating the 80/20 lifestyle) but have always been curious about the ketogenic diet and have even tried it a couple times. But I haven't been able to stick with it for very long. I don't have any health issues (my insulin is normal, I’m at a healthy weight, I exercise regularly), but I am interested in maybe implementing some form of keto lifestyle for changing my body composition.

My question for you guys is when do you know you are in ketosis other than testing with a ketone strip or getting blood work done? What specific signals does the body give you to let you know ketones are your primary fuel source? I have noticed that when I am low-carb, high-fat, I can feel some change in my body in terms of energy and a spring in my step. But I also get a cold feeling running down the back of my throat. Is this normal when in ketosis?

Thanks for your help and I look forward to hearing from you!

Cal

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2. Why isn’t my A1c going down on my ketogenic diet? Would taking Metformin help?

Hi Jimmy and Adam!

I love this podcast and I've learned a ton of information about ketosis along with reading Keto Clarity. I have Hashimoto's and was recently diagnosed with Celiac Disease. I am on Armour thyroid and my thyroid labs have been consistently doing well for the past few years. However, my A1c has been in the pre-diabetic range (5.7-6.0) for the last few years despite my best efforts to reduce it through diet. Two months ago I went keto hoping to bring it down while also treating my Hashimoto’s. Imagine my surprise when my latest labs show my A1c is still 5.8 despite keep carbs under 20 grams a day and carefully watching my protein intake.

Is 2 months not long enough for me to see real improvement in my A1c? My endocrinologist tested me for adult onset type 1 diabetes, but that came back negative. All my other blood work looks great except for the A1c and my liver panel. Could the liver abnormalities impact the A1c? I wonder if someone like me could stand to benefit from taking a low dose of Metformin to give an extra push with my ketogenic diet. I’m using the Ketonix to test for the presence of ketones in my breath and I’m almost always positive for ketosis. Do I just need to be more patient? I am fully committed to keto regardless, but just wondered about these other things.

Thank you for all of your hard work. It is greatly appreciated!

Rhonda

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3. Does surgical menopause increase carb cravings? Will keto prevent a recurrence of cancer?

Jimmy & Doc Nally,

I had surgical menopause in 2015 in response to persistent PCOS and early stage breast cancer and it gave me peace of mind that those cysts would not become cancerous. However, this surgery has caused other issues now. Most notably, I’m finding it harder to MENTALLY do keto because I feel like I am having more cravings and less willpower than ever before. I’ve done low-carb and ketogenic diets with great success previously, but menopause seems to have changed something in me. Did something actually change or is this all in my head? And do we have any evidence that a ketogenic diet will prevent a recurrence of cancer?

Thanks for sharing your answers to my questions!

Dee

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- How do I determine whether going ketogenic is right for me?

Hey Jimmy and The Doc,

I’m really grateful for discovering your podcast. I think we will look back on these past few years as the place where the truth about food and health began to come to the surface. I have been listening to KetoTalk and it has convinced me that going keto is the way to go for me. You guys have often said that you need to find what works for you and that a ketogenic approach isn’t necessarily for everyone.

My problem is if I want to get into full on keto mode, it sounds like that I need a doctor to help me get started who would be willing to help me to do something that many in that profession thinks runs counter to his belief about health. But Dr. Nally has clearly said that a ketogenic diet isn't for everyone, so here’s my question for you guys—how do I know whether or not it is right for me? Do I have to be metabolically broken and how do I know if I am? And if a ketogenic diet is not right for me, then what is?

It seems this message of low-carb, high-fat, ketogenic diets is still so fringe and it’s difficult to explain it to doctors, friends, and even my own family where my wife says if sugar was so bad for you, then why would they sell it in stores? This is an uphill battle that I face here in the real world and would love your help in navigating through it all.

Grace and peace to you and yours,

Tim

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