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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: February, 2017
Feb 23, 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 bring clarity to all of your low-carb, high-fat, ketogenic diet questions for you in Episode 55.

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KEY QUOTE: “The calorie argument has been drilled into our heads for over 50 years, but I truly believe that there will come a point where we recognize that our weight gain and loss is driven specifically by hormones." — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 55:

- Is it high-fat or moderate fat for weight loss on a ketogenic diet?

Hello my Ketonian mentors,

Thank you for what you do! This podcast has been invaluable as my husband and I started keto this new year. We're doing well, losing weight and inches, and feeling good! No keto flu or cravings and we’ve even formed a good group of Ketonians here on Okinawa for support and ideas.

Lipolysis and Why You Can Gain Weight Eating Too Much Fat

A friend just posted this article from Maria Emmerich and I'm really struggling between what Maria says and what you guys have said about how much fat to consume on a ketogenic diet. We don't do Bulletproof Coffee or fat bombs at all. Instead, we stick to real food but now we’re confused about what's right regarding fat consumption? We aim to lose weight and burn fat, but you say eat fat and Maria says to moderate it. So what’s the right answer? I appreciate your contribution to health and just wish I could get everyone I care about on board!

Arigato from Okinawa,

Tracie

 

- Does taking TRT injections inhibit your ability to get into ketosis and lose weight?

Hi Jimmy and the Doc,

I love your show and have been a listener from the first episode. I read Wheat Belly in December 2015 and stopped all grains and rice keeping carbs between 40-80g daily losing 35 pounds in four months and improving my reflux, IBS and other health issues. But then I noticed my energy became completely zapped to the point that I couldn’t get out of bed to workout anymore. I had my testosterone tested and it dropped below 200 in July 2016. My doctor said I have the testosterone of a 95-year old man. I began testosterone replacement therapy (TRT) with weekly injections and noticed my energy, drive, focus and capacity to exercise soared. But my weight also increased and now I can’t get into ketosis. I have consistently been in ketosis when I’ve measured in the morning and would stay in the state all day. I get that my body is recovering from a huge hormonal shock and I need to give it time to adapt. Is difficulty with weight loss and getting into ketosis normal for someone using TRT?

Thanks for your help,

Gareth

STUDY TO DISCUSS: Low-carb diets should be reinstated as pillars of diabetes control, suggests new study

Original study link: Should a Low Carbohydrate Diet be Recommended for Diabetes Management?

JIMMY AND DR. ADAM NALLY’S KETO LIVING SUPPLEMENTS

1. Is there something about ketosis that causes lymph nodes to swell?

Hi Jimmy,

My niece started low-carb keto and very easily switched from sugar burner to fat burner. At first she had no side effects and reacted very positive on this new lifestyle change, but then she noticed that her lymph nodes started swelling, especially in her neck. When I checked Dr. Google, I found something about the release of dead yeast cells (Candida) or even part of the keto flu. What can I do to help her with this? I told her to speak with her doctor about this, but I’m sure he’ll just tell her to stop her ketogenic diet.

Thank you for spreading the word and I love your show!

Greetings from the Netherlands,

Jan

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2. What can I do to determine the ideal level of carbohydrates I should be eating on my ketogenic diet?

Hi Jimmy and Doc Nally,,

I love your podcast and thank you for sharing your knowledge!

Here’s my question for you guys: I’m having trouble keeping my carbs to a level that is not too high and not too low. When I cut my carbs to get into ketosis, I tend to eat virtually zero. But doing that makes me start feeling horrible with headaches, so I add back in some carbs and it goes away. I’m trying to eat no more than 10g carbs per meal as a goal. So how can I determine what my “Goldilocks zone” of carbohydrate intake is?

Keep it up and thanks for answering my question!

Camille

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3. Can dehydration give you a false boost in your ketone production?

Hi Jimmy and Doc Nally!

Thanks for doing such a fun and informative podcast! I’ve listened to al of them, sometimes twice if I need a refresher later. I have been keto for the past few months both for weight loss and health. I’ve been happy with the results so far with about a pound a week weight loss, less fatigue, more energy, and more wakefulness to take on the day. My Ketonix breath ketone device shows I am in ketosis pretty much constantly and I’m using this device to see how various foods and carb amounts impact my fat burning.

But now I have a question for you regarding the effect of dehydration on ketone production? My 6-year old caught me blowing into my Ketonix the other day and she wanted to blow into it too. Despite eating a very carb heavy diet, she showed moderate levels of ketosis. So it got me thinking why this would happen. Is she dehydrated? And for those of us purposely trying to get into ketosis, could drinking less water than normal fuel more ketone production and show false readings?

Any input would be great! Thanks for reading my email!

Sincerely,

Mailinn

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- How does lack of sufficient sleep impact your ketone levels?

Hi Jimmy and Doc Nally:

I suffer from chronic insomnia – I wake earlier than I want, or wake several times a night. Sometimes I fall asleep right away and sometimes I don’t. When I get up for the day, I generally feel less tired than I was when I went to bed even when I get more than 6 or 6.5 hours of sleep. I think 7.5 hours is my sweet spot. How does the lack of sufficient sleep impact your ketone levels? My guess is insomnia decreases ketones due to increased amounts of cortisol which raises blood sugar and insulin levels. Plus the stress of feeling tired all the time may lead to questionable nutritional choices.

Thanks for your help with this. I really love and look forward to every new episode of Keto Talk. Keep up the good work!

Katie

KEY QUOTE: “Sometimes people hear high-fat and they gorge themselves. That's not what we're saying. Eat fat to satiety in conjuction with moderating the protein and eating less carbohydrate.” — Jimmy Moore

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LINKS MENTIONED IN EPISODE 55
– 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 AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– SUPPORT OUR SPONSOR: Drop an FBOMB for the freshest, high quality fats from JimmyLovesFBomb.com (Get 10% off your first food order with coupon code “JIMMYLOVESFBOMB”)
– SUPPORT OUR SPONSOR: PaleoValley Grass Fed Organs Without the Taste!
– SUPPORT OUR SPONSOR: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
Jimmy Moore from “Livin’ La Vida Low-Carb”
Dr. Adam Nally, DO from DocMuscles.com
– Diabetes.co.uk article: Low-carb diets should be reinstated as pillars of diabetes control, suggests new study   Original study link: Should a Low Carbohydrate Diet be Recommended for Diabetes Management?
– HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Feb 16, 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 blitz through the Keto Talk mailbox and dedicate this episode to answering your cholesterol questions in Episode 54.

YOUR GO-TO PLACE FOR KETO FOODS

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Go to PayPal.me/KetoTalk to make a donation.
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JIMMY AND DR. ADAM NALLY’S KETO LIVING SUPPLEMENTS

KEY QUOTE: “Triglycerides are the fuel of life when you're on a ketogenic diet.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 54:
HOT TOPIC: LDL-P vs. Small LDL-P—which matters more?

Hi Jimmy and the Doc!

The age old debate of which is more important between LDL-P vs. LDL particle size rages on. There seems to be strong opinions from both sides of this issue and I’d love to have you guys discuss this on Keto Talk. It seems a lot of us Ketonians are hyper-responders to a ketogenic diet in our lipid panel and it’s concerning about whether those of us who have elevated LDL-P and LDL-C should consider moving away from LCHF.

Thank you and God bless you guys!

David from Australia

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1. How do I explain to my doctor why my very high total cholesterol isn’t cause for concern?

I’m a 46-year old man and have been following low-carb keto for four years. My total cholesterol has risen to 383 while my triglycerides are below 100 and HDL is 77. My hsCRP is 0.2. My blood glucose ranges from 65 to 90 with ketones over 2.0, so I'm confident I'm doing well. My question is what do I say to my conventional doctor about my high total cholesterol when I go to see him for my regular physical. I usually just avoid seeing him and run the tests on my own so I don’t have to be lectured to. But I would rather use insurance to pay for these tests.

Thank you!

Leonard

 
 

2.  Can I take a low-dose statin to help lower my high LDL-P from eating a ketogenic diet?

Jimmy and Adam,

Thanks so much for all the great information you put out there! I'm a Type 1 diabetic, and my blood sugar numbers have been much easier to control since adopting a low-carb diet. I have both your Cholesterol and Keto Clarity books and have taken solace in them every time the doctors have tried pushing statins.

My latest test showed I had an LDL-P of 2300 and I’m now seriously considering taking a statin to deal with it. I really don't want to give up on my low-carb diet because the higher blood sugars are a more clear and present danger to me than my cholesterol. Should I play it safe and take a small dose statin to see what happens to my LDL-P? Would that be a good strategy for those of us who are concerned?

Thanks again for your help!

Jason

3. How is it possible that your triglycerides can go up when you eat keto?

Jimmy and Adam,

Is it possible to eat a strict ketogenic diet and triglycerides go up, not down? That’s exactly what happened to me. My triglycerides have gone through the roof beginning last Fall rising to 379 while my blood sugar levels dropped to 68 with strong blood ketones. My HDL cholesterol is 59 and all my other numbers are fantastic, but what’s going on with my triglycerides? I’m an oddball in the keto community because I’m a skinny guy at 5’8” tall and 130 pounds and so I never suspected my triglycerides would do this.

Perplexed, I decided to try an extended fast to see if that might help. In January, I completed an 84-hour fast, but my cholesterol test results were shocking:

Triglycerides: 379 - up from 279
Cholesterol: 343 - down from 359
LDL: 208 - down from 230
HDL: 59 - down from 73

So what the heck is up with my triglycerides? I know, I know, I know. You always talk about the cheating, Dr. Nally. But I swear on the graves of the saints that this was not happening. I am the NERD's NERD when it comes to tracking, data, and all that. I am meticulous and keep tons of data, including a food diary app I've had since before 2011, and countless spreadsheets. I have too much invested in my health to cheat.

One last thing to add is I've been going through a divorce for the past three years and it has been the most stressful time of my life. Is it possible this intense stress is having an impact on my lipids for them to become this deranged?I'm kinda at my wit's end, and would be forever grateful for any help you could provide.

Sincerely,

Sam

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4. Why do keto-adapted athletes see rises in total, LDL, and HDL cholesterol levels?

Hi Jimmy and Doc Nally,,

I love this podcast and really appreciate all the work you guys put into it each week. People like Dr. Jeff Volek say that keto-adapted athletes will tend to have very high total cholesterol, high LDL’s and high HDL’s. I run 4-5 times a week and have seen this happen to me. My total cholesterol has gone from 202 to 303, LDL from 118 to 194, and HDL went from 72 to 92. Peter Defty from Vespa says these number changes are a sign of being in superior health.  What do you think about why this happens?

Thanks so much,

Gina

5. How can people outside the United States convert cholesterol numbers from American units?

Hi Jimmy and Doc Nally,

I’ve been on a real food-based ketogenic diet since May last year and have lost 50 pounds so far with 50 more to go. I recently went to my doctor here in the UK to get my cholesterol numbers run and the numbers are all different from what you have in the states. When you share about numbers using the American units, it doesn’t mean anything to me. My doctor says my numbers are all good and to keep doing what I’m doing. What formula can I use to understand my numbers better. Here are my current results in English measurements (Adam, I added the American conversions parenthetically for our knowledge during the show):

Total cholesterol - 3.7 (143)
Triglycerides - 0.7 (62)
HDL - 0.9 (35)
LDL - 2.5 (96)
Blood Sugar - 4.4 (79)
A1c - 29 (???)

Thanks in advance and keep up the good work!

Mark in England

(ANSWER: Cholesterol: http://www.onlineconversion.com/cholesterol.htm and Blood Sugar: http://www.onlineconversion.com/blood_sugar.htm)

6. Can blood pressure lowering medications reduce your total cholesterol?

Hey guys,

I'm a 41-year old man currently taking Losartan for high blood pressure. I have been doing the ketogenic diet for a little over a month and have lost 27 pounds. My lab results show that my total cholesterol is very low at 111, HDL 44, LDL 57, and triglycerides 49. Additionally, my Carbon Dioxide level is high at 32 and my Alkaline Phosphate is low at 29. Are these levels along with my very low total cholesterol related to my blood pressure medication? I love your podcast and thank you for answering my question.

Thomas

7. Can BCAA’s and sweeteners be the culprit in rising cholesterol levels?

Hello Jimmy and the Doc,

First of all, thank you for bombarding us Ketonians with knowledge, science, and humor.  I have learned a lot about not only the ketogenic diet, but food and diseases in general.  I’m 30 years old with no real markers of chronic disease.  I workout 3 to 4 times a week for about 2 hours and started the ketogenic diet six months ago. I feel great with tons of energy, very little appetite, clear mind, and fat loss. When I ran my blood work after a 24 hour fast, my doctor demanded that I stop my diet immediately because the cholesterol went up too much. Total cholesterol went from 182 to 433 with most of it happening in the LDL-C. HDL rose from 54 to 62 and triglycerides rose from 89 to 102.

Adam was kind enough to explain to me in an email that fat doesn’t spike cholesterol…insulin and stress does. SO it got me thinking about what I’m eating and the only thing I can think of that could be the culprit are the branch chain amino acids I use on a daily basis. They have ACE-K in them and so does the sugar-free sweetener in my Starbucks coffee. Is it possible this is what is spiking my cholesterol so high? My A1c was 5.2 and fasting glucose 103. I temporarily stopped eating eating to please my doctor because I don’t want to challenge his authority in my health. But I want to gather as much information as I can before my next visit to try to show the science.

Thank you guys, and keep up the great work.

Eulises

8. Does eating keto eventually lead to the development of higher levels of Small LDL-P?

Hi Jimmy and Adam!

I listened to Dr. Sarah Hallberg’s presentation from the Low Carb Vail conference last year where she discussed changes in blood lipids in response to a ketogenic diet. She noted during her talk that a subset of ketogenic patients show a shift in LDL to the less favorable small, dense LDL particles over time eating keto. She hypothesized a mechanism that involved insulin possibly getting too low which leads to this negative effect on Small LDL-P. Have you seen this in your patients, Dr. Nally? If it does happen, what’s going on? And the real question is whether this matters at all in the context of a good A1c and low hsCRP levels.

Thanks for your great podcast! I love everything you guys are doing. I listen to lots of podcasts every week and I must say this one is my favorite. It makes my Thursdays feel like Friday because it always puts me in a good mood.

Dave

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9. Is having high HDL cholesterol a cause for concern when you’re eating a ketogenic diet?

Jimmy and Doc Nally,

I am one of your oldest listeners and followers living low-carb for the past twenty years. I’ve been explicitly low-carb, high-fat for the past five years. I started taking your BerberinePlus supplement five days before my latest lab work and my blood glucose fell to 84. However, my HDL rose to 180 with triglycerides at 51. I’ve read that having high HDL can be a bad thing. My LDL is 108 and total cholesterol 277. I do consume more C-8 MCT oil in my diet now. Is that why my HDL went up? To make matters worse, my doctor has gone vegan and we’re butting heads on nutrition. Is this very high HDL cholesterol level a concern? Thanks for sharing your thoughts. I always listen Keto Talk and really appreciate the time you invest in sharing your knowledge.

Love you guys,

Karen

10. Why would eating carbs like bread decrease LDL-P and LDL-C?

Hello Jimmy and Dr. Nally,

I have a question about my LDL-P and LDL-C numbers eating keto since December 2015. They have both increased dramatically and my doctor is panicking pushing me to start taking a statin. I refused since my triglycerides were 56 and HDL was 60. I got depressed in August 2016 and stopped eating keto for a period of time eating lots of bread and other very high-carb foods during that time. When I tested my cholesterol again in December 2016, I was stunned to discover my LDL-P and LDL-C both went way down. Why did eating carbs make these numbers better than when I was eating ketogenic?

Thank you so much for providing great information!  I love Keto Talk!

Ana

11. Does knowing your Apo E genotype determine what kind of fats you can consume for ketosis?

I'm wondering if you have any information on how your Apo E genotype affects fat metabolism on a LCHF diet. I'm an Apo E 3/4 and I've always been told to avoid saturated fats and opt for mono and polyunsaturated choices instead as my genotype has a harder time metabolizing saturated fats. Interestingly, statin drugs would have no effect on me because my cholesterol levels relate more to the way I process ingested fats. I've heard you guys say on the podcast that saturated fats are better for ketone production. So does your Apo E genotype determine what kind of fats you should be eating on a ketogenic diet?

Thanks,

Julie

12. What can a Ketonian do to lower Lp(a) and is it something to be concerned about?

Hey guys,

I would like to ask a question about the results of my Lipoprotein(a). It came back at 158 with a reference range of less than 30. My total cholesterol is 197 and all the other cholesterol numbers are perfectly within the reference range. I realize cholesterol is not something to be worried about, but should I be concerned about my Lp(a)? Apparently, diet and lifestyle changes don't do much to help with this. My doctor told me about a pill called Heart Plus (which consists of vitamin C, lysine, and proline) and said it takes a long time to lower Lp(a). Is this something to be concerned about?

Any advice you can give would be appreciated greatly.

Best regards,

Gabrielle

13. Will a ketogenic diet raise low cholesterol levels to help restore proper hormone levels?

Jimmy and the Doc,

I started keto on January 2nd as a 30-year old female with two children, 4 and 6. I’ve been experiencing very low cholesterol levels since the birth of my second child and my doctors have been struggling to find the appropriate doses of hormones to maybe fix these numbers. My most recent results showed my total cholesterol is 110. Will the ketogenic diet help me raise my total cholesterol up to a healthier level so my body will start producing appropriate levels of hormones again? I’ve already noticed short-term memory loss from the low cholesterol and I’m desperately looking for an answer. Is keto going to be the answer for me?

Thanks fromThe KetogenicTooLowCholesterolMom,

Kayla

KEY QUOTE: “There is strong evidence that cholesterol to triglyceride ratio has a strong evidence that that is something to really pay attention to.” — Jimmy Moore

 14. Why do middle-aged women see a dramatic rise in their cholesterol and is it a cause for concern?

Dear Jimmy and the Doc,

I am a 50-year old female who has been living low-carb for several years and doing keto fairly strictly for the past six months. Going keto has allowed me to finally take off that last ten pounds and I feel so good on this lifestyle. Last year at this time my cholesterol numbers looked fine with HDL 170 and LDL 109. I just had a more extensive blood panel done and my numbers now look scarily high with an LDL-C of 179. A few of my friends who are the same age as me and not eating keto have seen a similar jump in their cholesterol and been prescribed statins (something I want to avoid). I read that this LDL jump seems to be common in women around menopause and is the biggest factor in driving the large increase in statin prescriptions in my age group. What’s going on in women like me seeing increasing cholesterol levels and is it cause for concern? I would like to keep eating keto, but I fear my family history of heart disease on my father’s side will have my doctor telling me to get on a statin immediately.

Thanks so much for your advice,

Abby

Large Ldl Particle Number1356
Large/Med Vldl Particle Number11.1
Medium Hdl Particle Number5.2
Small Vldl Particle Number35.9
Vldl Triglycerides49.5
Vldl/Ldl Particle Number1533
Small Hdl Particle Number20
Vldl Particle Number46.3
Hdl Particle Percentile95.4
Idl Particle Number14
Ldl Size Percentile99.4
Large/Med Hdl Particle Number23.4
Ldl-P1499
Small Ldl-P<90
Triglycerides103
Medium Vldl Particle Number9.3
Vldl Size Percentile2.1
Pffa82
Lp-Ir Score<25
Prot And Pffa Calc643
Protein561
Lp-Ir Score Percentile1.5
Hdl Size Percentile97.7
Large Hdl Particle Percentile99.2
Large Vldl Particle Percentile33.2
Small Ldl Particle Percentile0.0
Ldl Size21.9
Hdl-P (Total)42.5
Cholesterol, Total290
Hdl-C90
Ldl-C 179

15. Are triglycerides a good or bad thing when you are consuming a ketogenic diet?

Can you explain the different types of fats in the body? I keep hearing about how bad triglycerides are on your cholesterol panel. And yet I also hear about triglycerides being oxidized in the liver for increasing ketone production? This seems like a contradiction! Do we want triglycerides in our body or not while pursuing nutritional ketosis?

Chris

16. Should I be concerned by my own test results if I have a family history of high cholesterol?

Hello Jimmy and the Doc!

Thank you guys for everything you do.  Your books, knowledge and podcasts are changing the lives of so many people in such a beneficial way.  I feel lucky to have discovered keto about four months ago and the journey so far has been nothing short of spectacular.

I'm a healthy, active male who enjoys rock-climbing in my home state of Colorado. I've noticed a tremendous improvement not only physically as it relates to my sport, but mentally as well. Since adapting I've been able to break down both physical and mental barriers that had stalled me for some time. It took me around 8 weeks to feel fully keto-adapted and get my blood ketone levels ranging consistently from .5-1.5.

Recently I made a visit to Dr. Jeffry Gerber’s office and everything checked out great except for my cholesterol. Here were my results: Total Cholesterol 315, HDL 91, LDL 210, and triglycerides 68.  My blood glucose was 79 and my A1c was 5.3. Thankfully Dr. Gerber didn’t freak out about my numbers and he concluded that my LDL particles are very likely the healthy fluffy kind with my triglyceride/HDL ratio being so good. Given my family history of high cholesterol, It's a bit concerning when I think that I may be one of the few that can't handle the ketogenic diet.

My question for you guys is this—what do you think the next steps should be for me given my recent lipid results?  Should I have my numbers checked again at some point in time? Or should I order the expensive NMR Lipoprofile or similar test? Or should I stop worrying and just assume all is well?  I'm not the type of person to assume anything, especially when the consequences could be so high. But I wanted to ask of your opinion before I drop $600 or more on a particle test.

Any input would be greatly appreciated.  Again, thanks for all you guys do!

Regards,

Derek

17. Can a ketogenic diet help reduce or completely eliminate calcified plaque?

Hello Jimmy and The Doc,

I love Keto Talk as well as Jimmy’s book Keto Clarity. The advice really helps those of us who are going against our doctors’ advice in an attempt to take control of our health. I have been keto for three years and wondered if it would help improve or possibly even reverse calcified plaque? I had a CT Heart Calcium Score done and saw it drop from 69 in 2014 to 64 in 2016. Will these improvements continue to get me back closer to a score of 0 or is the condition merely stabilized? Heart disease runs in my family and so I’m hoping going keto will buck this trend.

Thanks for your help!

Kevin

 
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LINKS MENTIONED IN EPISODE 54
– 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 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: PaleoValley Grass Fed Organs Without the Taste!
– 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
– Listen to Jimmy’s new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
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Feb 9, 2017

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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 bring clarity to all of your low-carb, high-fat, ketogenic diet questions for you in Episode 53.

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KEY QUOTE: “Can a person be keto adapted and not be in ketosis? Absolutely yes.” — Dr. Adam Nally

Did you catch the "real food" advertising in SuperBowl LI? What a fabulous sign that the trend line for real food is shifting!

Here’s what Jimmy and Adam talked about in Episode 53:

- Jimmy and Adam share highlights from the Metabolic Therapeutics Conference in Tampa

- How long until my body adjusts to burning fat for fuel? Can a person be a fat burner but not be in ketosis?

I’m almost 59 years old but very active. I trail run, cycle, downhill ski and strength train (heavy weights low reps all barbell). And when I retire in a year or two I plan on learning how to swim. I’ve been reading a lot about other people’s experiences with the Maffetone method of aerobic exercise and getting faster and faster at the same low heart rate over time. About six years ago, I practiced this method and saw results, but then everything started to regress over time. Maffetone suggests low-carb for a couple of weeks to determine your carb tolerance. After reading and implementing the ideas from Keto Clarity the past couple of weeks, I’m using the Ketostix urine ketone testing strips to determine my protein tolerance and what’s kicking me out of ketosis. Once I get all of this figured out, how long until my body adjusts to burning fat for fuel? And can a person be a fat burner but not be in ketosis?

Thanks so much!

Steve

- STUDY THEY DISCUSS: Burning more fat, less glucose could lead to diabetes, mouse models indicate

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1. What is the effect of consuming MSG on my ketogenic diet?

Hi Jimmy and the Doc!

I love the podcast and wish I could get it more then once a week! You guys provide such good information. I've been doing keto for 3 months and have lost 25 pounds. My question is about the monosodium glutamate (MSG) found in some low-carb foods like pork rinds, sunflower seeds, and processed meats. I do my best to avoid MSG but if I’m not careful and I eat something with MSG, my weight stalls and I noticeably feel my heart pounding. What effect does MSG have on a ketogenic diet?

Greg

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2. Will a ketogenic clear up my heartburn? Would taking digestive enzymes help?

Hey Jimmy and The Doc,

I’m a 31-year old female and I’ve been obese for most of my life. But over the last 2 1/2 years I've been able to lose about 70 pounds on a mostly low-carb Paleo diet. My weight has been stuck for the past 8 months and I'm thinking of trying keto to lose the last 30 pounds. I have pretty bad acid reflux and have been taking Prevacid every couple of days for a few years to keep the heartburn at bay.

I have two questions for you guys to address:

1) Do you think my heartburn is caused by my previous unhealthy diet which included grains, beer, and more and that it will clear up on it's own with keto? I'm worried that the Prevacid might be disrupting my ability to break down all the healthy fat i'm eating due to lowering my stomach acid.

2) Could my heartburn be a result of a disrupted microbiome? And if so, should I stop taking heartburn medicine altogether and hope it clears up? Would digestive enzymes be advisable? Any help or insight would be much appreciated.

I love listening to your show! Your podcast has inspired me to pursue a career in nutritional neuroscience (I’m currently finishing my Ph.D. in auditory neuroscience. I’m thinking about writing my dissertation on what causes heartburn).

Thank you for the help!

Jessica

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3. CDoes a ketogenic diet lead to impotence for middle-aged men?

Hi guys,

Love your podcast and it’s inspired me to look into the keto way of life. But I am concerned about impotence from eating a ketogenic diet. I have read a lot about this way of eating and unfortunately there seems to be a lot of comments from men in my age range (mid-40's) having impotence problems. Can you shed some light on this and tell me if it is a real problem for men when eating keto?

Thank you for your help,

John

KEY QUOTE: “Focus on the non-scale victories and celebrate them.” — Jimmy Moore

KETO TALK MAILBOX

– Is it normal to gain body fat percentage transiently when you first start eating keto?

Hi Jimmy and The Doc,

I read Keto Clarity and have been recommending it to many of my patients! I am a naturopathic doctor and have been running a weight loss program in my clinic where I started teaching patients the principles of ketosis. We have 8 participants and in the first two weeks of the program the majority of them lost weight. However, there were 2-3 people whose body fat percentage actually increased slightly. I can’t seem to find much info on this online and was wondering if you could tell me what’s going on. We use the Tanita scale to measure body fat changes. Could this be a transient thing as people begin increasing their fat intake initially? I’m not really sure how to explain this to my patients. Overall, everyone we have put through the program is feeling great and moving in the right direction. YAY!

I really appreciate any insight you may have. Thanks!

Dr. Inna, ND

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JIMMY AND DR. ADAM NALLY’S KETO LIVING SUPPLEMENTS


LINKS MENTIONED IN EPISODE 53
- 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: PaleoValley Grass Fed Organs Without the Taste!
- 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
- SCIENCE DAILY article: Burning more fat, less glucose could lead to diabetes, mouse models indicate
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

Feb 2, 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 shed some light on your questions about all things Keto in Episode 52.

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**Special THANK YOU to Taryam, Wendy, Edgar, Samuel, Sheila, Geri, and Jackson**

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

A WEBSITE DESIGNED FOR THE KETOGENIC ATHLETE

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NOTICE OF DISCLOSURE: Paid sponsorship

KEY QUOTE:  “If someone has the potential for forming kidney stones, I would caution them from getting dehydrated and cycling carbs.”  – Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 52:

- Does a ketogenic diet increase the prevalence of adult acne?
 
Hello Jimmy and the Doc,  
 
Thank you so much for your wonderful podcast. I’ve listened to every episode and learn something new every time.  My question for you is about my 58-year old husband who has a slight adult acne problem that flares up occasionally in the winter. We’ve been eating keto since June and his acne has gotten worse than it ever has. I’ve heard you mention that eating keto can help teenagers with their acne issues, but that doesn’t seem to be the case for my husband. He’s ready to give up on keto because of this issue. What is he doing wrong? Do you think this problem will calm down eventually if he continues with his well-formulated ketogenic diet or will it just keep getting worse?

 

Thank you for your help with this,
 
Nora
 
STUDY TO DISCUSS:  Diabetes Kills More Americans Than Had Been Thought: https://consumer.healthday.com/senior-citizen-information-31/misc-death-and-dying-news-172/diabetes-kills-more-americans-than-had-been-thought-719030.html
 
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1. What’s the effect of refined lard vs. pastured lard as a fat source on a ketogenic diet?
 
Hi guys,
 
I was listening to Dr. Ted Naiman's talk from The Low-Carb Cruise on The Livin’ La Vida Low-Carb Show and his comment about using lard on a ketogenic diet caught my attention. He mentioned his concerns with coupling fats and carbs using refined, empty-calorie sources of both, in rat studies. The fats he listed were vegetable oil and lard.  
 
I am curious what you guys think about lard and its place in a ketogenic diet. Lard is a fat that seems to be as good as its source which is only as good what it ate. Dr. Naiman did note that he’s referring to the "refined" version of lard, but my question for you guys is this: Would using home-rendered, sustainably-fed, and naturally pastured lard still be associated with this empty and inferior fat source? Looking at the profile of lard, its mixture of monounsaturated and saturated fats, not to mention the vitamin D content, it seems to be a well-rounded source of healthy fat.  
 
What’s your take on this? Thanks!
 
Jordan
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2. Does a ketogenic diet lead to heartburn? Why is this happening and what can I do about it?
 
Hey Jimmy and Dr. Nally! 
 
I absolutely love your podcast!  My question for you is this: Why have I experienced major heartburn since I started following a ketogenic diet? The only time I have ever had it before was during pregnancy. It gets so bad now that when I lay down for bed it's very difficult to sleep! Any suggestions on how to correct this problem? 
 
Thanks for your help! 
 
Jenny
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3. If you cycle carbs, then are you increasing your risk of kidney stones and other nutrition-related health issues?
 
Hi Jimmy and The Doc,
 
I am a 25 year old male amateur bodybuilder and powerlifter and I have been following a cyclical ketogenic diet. I carb up with high glycemic carbs on the weekend and eat ketogenic all during the week. I consume higher protein when I lift heavy five times a week. You guys sparked my interest in one of your podcasts where you discussed kidney stones and carbohydrate intake and I was curious about whether a cyclical ketogenic diet would increase my risk of kidney stones and other carb-related health issues.
 
Thanks for your help!
 
Jory
 

 KEY QUOTE: “Let's live our lives in such a way that we reduce inflamation rather than being hyperfocussed on which diet is better than others.” – Jimmy Moore

KETO TALK MAILBOX
 
- Why do I become so incredibly tired after eating?
 
Hi Jimmy and Doc Nally,
 
First, let me say how much I love love love this podcast. I look forward to my drive home from work on Thursday evenings because I know there will be a new episode of Keto Talk to enjoy. I find your podcast to be so informative, entertaining and real. There's so much information out there around health, nutrition and fitness that it's hard to sort through the noise sometimes. Coming back to this podcast keeps me grounded each week. Thank you both so much for the time you put into helping others reap the benefits of a ketogenic lifestyle.
 
I’ve been on a ketogenic diet for five months and have seen incredible success in my health markers. But I have experienced one strange issue that I’d like your help with. I eat around 7:00pm, fall asleep on the couch around 9:00 and actually go to bed around 10:00.  Then I'm up at 4:15am and I start a fasted workout of intense strength training or cardio for 1 hour six times a week. Most days, I don't break my fast until noon but will sometimes have coffee with a little heavy cream and a little MCT oil. I feel great throughout, but as soon as I eat something like a salad, I get sooooooo tired!  
 
I could actually curl up under my desk and take a nap if I thought no one would notice! It generally lasts about an hour. What in the world could be causing this? It's definitely not a "sugar crash" or a "carb coma" because it happens so quickly and I don’t eat those things anyway. I pay attention to getting adequate electrolytes, so I don't think that's it either. I am probably not getting enough sleep, but I feel rested when I wake up. Could it simply be that my body really needs that much energy to digest my food that’s leading to my symptoms? I welcome any ideas you may have on what could be causing this and any tricks I could apply to prevent it.  
 
Thanks so much!
 
Lori
JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS
 
iTunes review:

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