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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, 2019
Feb 28, 2019

In Episode 139 of Keto Talk, Jimmy and special guest co-host Dr. Gus Vickery answer your questions about Loose Stools From Higher Fat, Diabetic Neuropathy, Antibiotics While Fasting, San Filippo Syndrome, Regular Exercise On Keto and more!

We begin today's show with special guest co-host Dr. Gus Vickery from DrGusVickery.com talking about Dr. Vickery's basic philosophy on nutrition and health, and his unique seasonal use of fasting and ketosis with patients as a way of honoring ancestral design.

HOT TOPICS:

1. There’s a weight loss medication called CONTRAVE I’d like to use to help control carb cravings while I am adapting to keto. Is this a good idea?
2. When I try to stop taking the prescription version of Prilosec that I’ve taken for 15 years after starting keto, my heartburn is as bad as ever. Will keto help heal this?
3. What is the best way to eat a healthy ketogenic diet on a tight budget?

“There are times that we blow by satiety because the keto foods we eat taste so good, but if you listen carefully to your satiety signals you can get that dialed in.” – Jimmy Moore

“It's not normal for children to be diagnosed with metabolic syndrome and the number one cause is the change in our eating patterns.” – Dr. Gus Vickery

HEALTH HEADLINES:

Jimmy and Will answer your questions:

- What’s the solution to dealing with loose stools stemming from eating more calories and fat-based keto foods that normal?

Hi Jimmy and Dr. Vickery,

I’m a big fan of Keto Talk and I’ve listened to every episode since day one. I’ve been eating keto for the past four years and love this lifestyle. I’ve been constantly tweaking and refining what I’m doing to dial in the amount of food and macronutrient ratios that help me feel the best. So far so good.

But I will admit there are times on occasion that I overindulge in the amount of keto foods that I consume that puts more calories and especially fat into my body than my body would typically require. I can always tell when I’ve done this because I have very loose stools. I’ve listened to your show enough to know that is likely a result of eating more fat than I need or some gut health component.

The obvious solution is to stop doing that, but I’m wondering if there is anything I can do before, during, or after those times I have a bit more than normal to mitigate these side effects in my bowels. Thanks so much for your answer and keep up the great work!

Brian in Winnipeg, Manitoba, Canada

– Does diabetic neuropathy ever get fully healed once blood sugar becomes stabilized from eating a ketogenic diet?

Hi Jimmy and Gus,

I have type 2 diabetes as a 51-year old male, 6’3”, 255 pounds (down from 326 pounds since starting keto seven months ago. My A1C has dropped from 7.8 to 5.2 and I came off all my diabetes medications four months ago. The only remaining physical effect I’m dealing with from my pre-keto days is a a slight neuropathy in my feet. Will this ever improve completely or is the nerve damage just too severe for even keto to help heal? Thanks for all you help on this journey because your show has been a real inspiration.

Paul

– Does taking an antibiotic cause the body to respond adversely during extended fasting?

Hey Jimmy and Dr. Vickery,

Thank you for being a sounding board for all things keto and fasting! It has truly inspired me in my own journey. I have been eating keto since the beginning of the new year and I’ve noticed this way of eating makes fasting for upwards of 24 hours very easy to do. I tried my first 72-hour fast this week to see how I’d do and the first 24 hours was a cinch. Day two was a challenge, but I already knew that from hearing Jimmy talk about this so much. I was anticipating the “euphoria” of day three, but at hour 58 I woke up feeling absolutely horrible. I took some salt, drank coffee, pounded water, and did my best just to walk on the treadmill for a mile that day. After the workout I felt so bad that I knew it was time to end the fast because hunger pangs and food cravings at that point were just too much to bear.

I feel like I did everything right and saw blood ketones in the 2.0-3.5 range and blood sugar in the sixties feeling great. There is one monkey wrench in this story I haven’t shared yet, but on the night of day two of this 72-hour fast, I had to take an antibiotic. Is it possible that is the culprit in my hunger and symptoms that forced me to quit the fast? Is there a way to safely and effectively get the benefits of fasting if you are taking an antibiotic? Thanks for all of your guidance and support for the keto and fasting community!

Stephanie

– Would a ketogenic diet with periods of intermittent fasting perhaps help children who are afflicted with San Filippo Syndrome?

Hey guys,

I saw a story on the news last night about kids who get Alzheimer's-like symptoms and, dementia at the age of two and then go downhill fast living as long as five years. When I looked up this condition called San Fillipo Syndrome, it seems these kids have trouble breaking down sugar and clearing cellular trash. Do you know if this condition is being researched for the impact a ketogenic diet could play on it? Like epilepsy, perhaps a simple diet change and maybe some intermittent fasting may be all that's needed here. What role would the diet of the mother during pregnancy play in preventing a condition like San Fillipo Syndrome from developing? Thanks for your thoughts on this.

This Old Housewife

KETO TALK MAILBOX:

– What impact does engaging in regular exercise while eating keto have on cholesterol and general health?

Hello Jimmy and Gus,

I listen to Keto Talk frequently when I am working out at the gym. My story is quite unique as I once weighed in at 799 pounds at the age of 16. With lots of prayer and commitment to my own health, I was able to lose around 600 of those pounds. Today, I am a very active person and have been eating low-carb for the past nine years. In late 2018, I decided to shift my nutritional intake over to the ketogenic diet. I love to move and do an hour plus of cardio six days a week as well as strength training for 20 minutes 3-4 times per week. I have a standing desk at work, and I attempt to move as much as I can throughout the day - sometimes even doubling up on the cardio sessions!

My question for you guys is this: What impact does all this exercise that I do have on my cholesterol levels while eating a ketogenic diet? How well does engaging in regular exercise like I do pair with keto? Do you recommend that people eating low-carb, high-fat engage in some form of cardio to ensure proper heart health and weight management? Thanks for your help with my questions.

Justin

ITUNES REVIEWS:

Links:

– Listen to Dr. Gus Vickery on Episode 1469 of The Livin’ La Vida Low-Carb Show

DrGusVickery.com

Feb 21, 2019

In Episode 138 of Keto Talk, Jimmy and Dr. Will Cole answer your questions about Arteriosclerosis Reversal, Acetyl-CoA, Gastro Event Requiring Antibiotics And Pasta, Fasting And Appendicitis, Keto Aggravating Adrenals and more!

HOT TOPICS:

  • VEGAN CORY BOOKER SAYS MEAT EATERS’ DAYS ARE NUMBERED
  •  Why is cheating on your keto diet everyone once in a while a bad thing?
  •  What do you think about the new sweetener allulose being used in keto products?
  • Does using collagen, bone broth, and MCT oil break your fast and turn off autophagy? 
  • Could the carrageenan typically found in heavy cream be the cause of my skin issues?
  • Does having chronic pancreatitis requiring prescription pancreatic enzymes preclude someone from eating keto?

“Buyer beware when it comes to some of these food substitutes on the market.” – Jimmy Moore

“It's not fair that some of us can tolerate certain foods while others can't, but we have to accept where we are on our health journey at this moment.” – Dr. Will Cole

HEALTH HEADLINES:

Jimmy and Will answer your questions:

–  Is there any research showing reversal of arteriosclerosis with keto and other lifestyle changes?

 Hi Jimmy and Will,

 I’m a big fan of the ketogenic diet and you guys consistently provide some of the best information about this way of eating online. I’ve been doing a lot of research lately on how to reverse arteriosclerosis since it seems most people have some varying level of this develop during their lifetime. I've seen people talk about things like taking magnesium and the MK7 variant of Vitamin K2, but these are only theoretical in nature. Is there any scientific evidence that this actually reverses the progression of heart disease? Is there any research that demonstrates keto and other lifestyle approaches help with this reversal of arteriosclerosis? Thanks again for your fantastic podcast.

 Tom

– Is there any concern with an increased production of Acetyl-CoA when a Type 2 diabetic is eating keto?

 Hey guys,

 I have someone in my life who has a biochemistry background claiming that going keto is about the worst thing a person with Type 2 diabetes could possibly do because of excessive production of Acetyl-CoA and that it induces a state of ketoacidosis (which I know is flat-out wrong). When I inquired about the mechanism about how the higher Acetyle-CoA issue happens and what the end result would be from this, she responded with something about DNA damage being done on a neurological level. This doesn’t make any sense to me from what I know about healthy nutritional ketosis and I’d love to offer up a counterpoint to her arguments. She seems to be really confused and it would be great to help educate her on this. Thanks for your help!

 Sue

 

– What is the best way to recover my gut health from three rounds of strong antibiotics?

 Hello Jimmy and Dr. Cole,

 I recently had a gastro event that my gastroenterologist put me on two strong antibiotics (Cipro and Flagyl) for. As a keto dieter, I was shocked when he recommended that I eat lots of pasta before having a colonoscopy. When I told him I eat for ketosis, he chided me by staying that diet is merely political and not actually based on any sound science. I’m almost sure I have leaky gut and declined having the colonoscopy since the antibiotics have surely almost entirely wiped out my gut flora. I’m now eating the Specific Carbohydrate Diet (SCD) and am doing well on it so far. I did have to take another antibiotic (Methylpred) for a pulled tooth recently, so I know my gut health is majorly compromised now. Is there anything else I can do to help further improve my gut health so I don’t have to go through these rounds of antibiotics and recommendations of pasta anytime soon? This has been a very hard winter for me. Thank you for responding to my questions.

 Mary

 – Does extended fasting lead to appendicitis and gallstone development?

 Hey Jimmy and Will,

 I was inspired to start doing some longer fasting because of your podcasts and decided to do a 7-day fast. It was surprisingly easy for me to do and I felt great after it was finished. But one week after I finished that 7-day fast, I developed appendicitis. Was this somehow related to the fast or is this merely a coincidence? Checking Dr. Google didn’t help me answer this question at all which is why I’m writing to you today. They did find I had a developed a a gallstone which Dr. Valter Longo has said can happen on fasting. I’d love to go back to my regular 24-36 hour fasts, but now I’m scared because I don’t want to lose my gallbladder. Can you help reassure me about this issue?

 Thank you and best regards,

Andy in the Philippines

 

KETO TALK MAILBOX:

 – Is keto making my adrenal issues worse?

 Hi Jimmy and Will,

 Thank you for all you do on Keto Talk to get sound information about healthy eating out to the public. I’ve been keto for just over a year and have lost 32 pounds while improving many of the symptoms of insulin resistance. I’ve felt energetic for my active lifestyle of mountain biking, running, cross country skiing, and snowshoeing. However, lately I’ve been having a few episodes of what I suspect may be symptoms of adrenal insufficiency. I have dealt with low thyroid and my naturopath put me on thyroid hormone replacement to deal with this—but it didn’t help or hinder. The focus of my treatment has been on healing the gut microbiome and I’ve been consuming copious amounts of bone broth and fermented food like yogurt to help with that along with periods of intermittent fasting. 

 I recently dealt with a virus that wouldn’t let go leaving me pretty sick and worn out for about two weeks. When I started feeling better, I noticed my lymph nodes in my neck were noticeably swollen and tender to the touch. At night, the back of my legs were achy near the back side of my knees. Waking up in the morning felt like I was hungover with my eyes swollen, a low-grade headache, nausea, and incredibly lethargic. When my chiropractor touch my T12 on my back, I felt a hot stinging sensation and immediately because nauseous. She told me that is directly tied to the adrenals. Is keto making these adrenal issues worse? From what I’ve seen, the recommendation for adrenal problems is to eat more carbs, but I don’t want to do that for a lot of reasons. 

 Thank you for helping me try to figure this out. 

 Kathy

ITUNES REVIEWS:

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Feb 14, 2019

Today on Keto Talk, Dr. Will Cole shows us some examples of real-world patient cases that have been treated with functional medicine in episode 137.

Highlight Quote:

“My heart and passion is getting to the root cause of what's causing people to struggle, using functional medicine in a ketogenic context.”

-Dr. Will Cole
We talk a lot about health and healing through the prism of a real food ketogenic approach and looking at wellness from a Functional Medicine standpoint here on Keto Talk. Dr. Will Cole from DrWillCole.com is a practicing Functional Medicine Practitioner and brings us a special treat today as he gives us a look at some real world examples of conditions he has helped treat at his clinic using this unique approach. Here are some of the topics Jimmy and Will discussed in the patient examples in episode 137:

– Lyme / Viral major components

Face and lips swell any time she has an exposure to food she shouldn’t.
Dramatic increase of symptoms with exposures
Falls asleep at table eating/ Extreme fatigue.
– Alopecia

Hair growth after 4 months. Hair, eyelashes and eyebrows
Significant weight loss.
Significant anxiety decrease
– SIBO/ Stomach distention

Within one week up to 95 % of symptoms has resolved
First time her stomach has been flat in 4 + years.
Mood stabilized.
Major factors in case: stress and diet.
– Autistic

Improvements with interaction with parents
Improvements in mood
Trying to communicate
Mood stabilizing.
– Diabetic/ Mold exposure

Mold numbers consistently low.
Had remediation of kitchen and c3a has improved.
– Dizziness, autoimmunity , blurry vision (parasites)

Since dietary changes / improved vision / symptoms 60% resolved
Highlight Quote:

“When you get the hyper reactivity to mold, it's nothing to play with.”

– Jimmy Moore
ITUNES REVIEWS:

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Feb 7, 2019

In Episode 136 of Keto Talk, Jimmy and Dr. Will Cole answer your questions about ‘Dead Foods’ Thinking With Cooked Meat, Gut pH, Melasma And Sjögren’s Syndrome, Triglyceride Spike On Keto, Stage 3 Kidney Disease, Constipation and more!

HOT TOPICS:

World Cancer Research Fund recommendations on a healthy cancer preventing diet and their philosophy on eating red meat
Can you eat keto without having very much saturated fat because of an APOE4 genotype?
Are there special considerations with keto for people who have had their thyroid completely removed?
Why would Vitamin A levels skyrocket on keto and can there be a toxic elevation of it to be concerned about?
What’s the mechanism that would cause weight gain when people start eating low-carb, moderate protein, high-fat?
Why do nutritionists think a ketogenic diet will crash your adrenals and what could be done to prevent this?
“People that go keto need to be aware that their medicines might need to be adjusted.” – Jimmy Moore
“We know the brain benefits of the ketogenic diet. I would advocate people that are at risk of Alzheimer's disease to eat a whole food keto diet.” – Dr. Will Cole
HEALTH HEADLINES:

What are the long-term effects of a ketogenic diet?
Not all carbs are bad: Study shows high-carb diets can promote healthy brain aging
Skinny genes the 'secret to staying slim'
Trans Fats: Going, Going…Gone : COMMENTS ON THIS ARTICLE FROM LISTENER KATE:Everything was great until I got to the last paragraph:"While most vegetable oils are good substitutes [for transfats], tropical oils such as palm and coconut oil are high in saturated fat, and their effects on the heart are still unclear. There are also environmental concerns with palm oil: Increased demand has led to large-scale deforestation and animal habitat destruction in Indonesia and Malaysia as land is cleared for new palm plantations. All of this is just more reason to eat whole unprocessed foods, which are naturally free of artificial trans fats.”Seriously, are we now supposed to make food determinations based on “unclear effects” on the heart? and whether is harms the environment? Well then, I believe everything in the grocery store should be examined for these two things. Nothing would be left except products from local farms. And since when are vegetable oils considered "whole unprocessed foods”?I thought Berkeley Wellness was a pretty trustworthy publication - but this just shows me they are like any other tabloid magazine.
Getting yeast to make artificial sweets
STUDY: Diabetes type 2 warning - the one weight loss diet plan that could cause high blood sugar
Jimmy and Will answer your questions:

– How can a former raw vegan feel more confident about eating cooked meats when the mentality is these are dead foods compared with vegetables being life-promoting?

Hey guys!

I love this podcast and I’ve been keto for more than two years. One thing I still struggle with is feeling like I don't get enough veggies in my diet. I used to be mostly raw vegan and still think of plants as living foods that provide living properties like antioxidants that heal the body. Sometimes I feel torn between wanting to make veggie juices or green smoothies instead of cooked meats and other animal-based keto foods because I always thought of them as dead foods. The ironic thing is I know I feel best in ketosis with more energy, stable mood, and no joint pain. Should I be concerned about having these thoughts? Is it really okay to be consuming cooked meats and smaller amounts of non-starchy vegetables? I guess I’m looking for confirmation that this is enough nutrition to build healthy cells. Please help ease my mind.

Angie
– What is necessary for properly balancing the gut pH levels when you eat keto?

Hi Jimmy and Will,

I have read your books and am fully dedicated to the keto lifestyle. I was wondering if you guys could share your thoughts on how to stay properly balanced with your gut pH (alkaline vs. acid) while pursuing ketosis. It’s seems adding in a small amount of grains along with the non-starchy vegetables you consume on keto would be enough to balance this. Does this make sense or do you have another perspective on this that I’m not yet understanding. Any help on this would be greatly appreciated.

Kim
– Will autoimmune issues like melasma and Sjögren’s syndrome ever fully heal with a ketogenic nutritional approach?

Hello Jimmy and Dr. Cole,

I’m a 40-year old female who has been battling autoimmune disease (Sjögren’s syndrome) for more than 10 years and I’ve made great strides. I started to get melasma when I was 30 years old and I’m convinced that this is from my hormones going haywire. I am no longer taking plaquenil for pain and inflammation since going keto three months ago and I haven’t felt this good in years. But I really hate the melasma and want to see my body fully heal from this and my autoimmune disease. Will this eventually start showing signs of healing if I stay in nutritional ketosis? Anything else I can do along with keto to spur this on?

Dalaina
– Why would triglycerides spike early on eating keto? Will keto help stage 3 kidney disease?

Hi Jimmy and Will,

I started keto three weeks ago and recently had some blood work done that shocked me. I had a huge spike in triglycerides—up to 700! I have had traditionally high triglycerides 150-200 for years. I’ve increased my fat intake and consumed very low carbs (< 30 grams), yet it scared me to see this large jump in triglycerides. It is noteworthy that I am recently diagnosed with Type 2 diabetes and have stage 3 kidney disease. I also recently stopped my statin and beta blocker medications. So my questions for you guys is this:

1. Why did I see a spike in my triglycerides to 700 just three weeks into the diet ?
2. Is a ketogenic diet suitable for someone with stage 3 kidney disease?

I have listened to nearly all of your Keto Talk episodes going back to the very beginning. It’s always found this podcast so interesting and I love the great answers and information.

Ed
KETO TALK MAILBOX:

– Why is constipation a problem early on when I switched over from a Paleo diet to keto?

Hi Jimmy and Will,

I came to keto a couple of days ago from a Paleo diet and I used to have a very active bowel system, especially in the morning. I’ve never experienced constipation in my life, but I’ve gotten it eating keto and it’s showing up as a bloated belly. I’m struggling keeps my carbs low and protein moderated while all these fats on keto have made me nauseous and I’m hungry. What am I doing wrong? I drink a LOT of water, including bone broth and magnesium at night. I’m also eating spinach, chia seeds, and castor oil to try to get things moving. Do I need psyllium husks or digestive enzymes?

Thank you for your help!

Morena


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