We’re back for another info-packed episode of Keto Talk! In this episode, Jimmy and Dr. Will Cole answer your questions about Edema After Starting Keto, Upper Respiratory Infection, Pituitary Microadenoma, Swollen Ankles On Keto, Increased Blood Pressure And Racing Heart Eating Very Low-Carb , and more!
“Saturated fats can handle a higher temperature as a general rule, and the benefits far outweigh the concerns.”- Dr. Will Cole
“Folks think that you can’t eat keto after having their gallbladder removed. Christine had hers removed in 2006 and she eats more fat than I do.”Jimmy Moore
– Why did I develop edema in my lower extremities after I started eating a low-carb, high-fat, ketogenic diet?
Hey Jimmy and Will,
I am a natural bodybuilder and have been for over 40 years now. For the past decade, I’ve consume a 100% grass-fed and non-GMO organic diet. In fact I was Paleo before I even knew what that was. In 2017 I started on keto and it was an easy move over from Paleo. I got into a state of nutritional ketosis very quickly with blood sugar in the 80’s and blood ketones between 1-2. My blood pressure improved to 110/75 and fasting insulin down to 3.8. I felt great and had no medical issues whatsoever.
But then I noticed something pop up out of nowhere last year where I developed edema in my calves, ankles, and feet. I tried upping my magnesium, drinking more water, taking in substantially more sodium, moderating my protein, and doing an 18/6 intermittent fasting schedule. None of it has worked. I weigh 150 pounds have have 9% body fat. Do you have any further suggestions I can do to help with this? What is it about going keto that perhaps let to this condition?
– Why have I developed several upper respiratory infections ever since I started keto when I’ve never been sick like this in my life?
Hi Jimmy and Will.
Thank you for what you guys do for everyone in the keto community. I only just found this podcast this year and have binged listened to almost all of them. I am a registered nurse and have taking care of the sickest of the sick in the city of Pittsburgh. I now work normal M-F hours with low stress. I’m on Synthroid for Hashimoto’s hypothyroidism, but my immune system has been so stellar I’ve hardly ever gotten sick. But ever since starting on keto, I’ve had three upper respiratory infections eating this way. While I’ve lost 20 pounds, have great brain health, increased my energy, and spontaneously intermittent fast for 16 hours at a time while stabilizing my blood sugar and increasing my blood ketone levels, these respiratory issues are discouraging and throwing me for a loop. I’m assuming it’s a gut health thing that needs to be healed from years of neglect before starting keto. How do I provide a boost to my immune health to prevent another infection from developing?
Thanks for your help,Rosslyn
– How do I manage my cravings to consume way too many calories on keto because of my pituitary microadenoma condition?
Hi Jimmy and Dr. Cole,
I’ve been on a weight loss journey for about a year, and went keto 6 months ago. Before keto, I lost over 15 pounds, then switched to keto to optimize my athletic performance and brain function while continuing to lose weight. I also wanted to try to heal my hormones with a low-carb, high-fat diet. I have a pituitary microadenoma which is essentially a small tumor on my pituitary gland that secretes high levels of prolactin. These high levels of prolactin suppress estrogen production. In short, it means I have high prolactin, low estrogen, and have not had a period in 2 years which ultimately is leading to infertility.
I am wondering if this hormone imbalance could be suppressing my weight loss and/or increasing my hunger and questioning whether keto would be a useful tool to balance my hormones. I haven’t lost any weight since beginning on keto and I still struggle with food addiction/binge eating. Unlike what other people report eating a ketogenic diet, I don’t really get full or reach satiety until I’ve consumed way too many calories. I know calories aren’t what they’ve been made out to be, but they do have to count because they’ll get stored as body fat if consumed in excess, right? Got any tips for me?
Thanks guys and keto on!Kayla from Canada
– What can I do about the swelling in my ankles and lower legs that started happening after I went keto?
I love your podcast! I’ve been keto for over a month and have been testing for blood ketones. I’m doing well but I have been retaining water in my ankles and lower legs. I get leg/shin cramps at night so I have been adding a magnesium/potassium supplement to help. They have eased up quite a bit but the swelling has increased. Ketones are still strong, but my weight loss stalled out after losing eight pounds. I had a total hysterectomy at 35 years old with no hormone replacement therapy and I’m 56 now. Any suggestions on what to try next?
Thank you for your help,Dede
KETO TALK MAILBOX:
– Why does my blood pressure and heart rate shoot way up when I am eating very low-carb keto and engaging in periods of fasting?
Hey Jimmy and Dr. Cole,
I’m listening to an older episode where a woman had asked about cortisol and low-carb. I haven’t taken a test for it yet, but when I fast, long-term or intermittent, and consume a very low-carb diet (under 20), my blood pressure shoots through the roof and I get major heart palpitations. When this happens, I purposely knock myself out of ketosis and my heart rate and blood pressure normalize again. I’ve been keto for four months and I’m not really losing any weight yet. I’ve felt pretty good eating this way, but I have noticed being a bit more tired than normal at times. I take all the recommended electrolyte supplements and plenty of water and salt. So what am I doing wrong?
After being gone for several weeks as Jimmy and Will have dealt with the busyness that comes with summer, we’re back for a couple of months before Jimmy heads off for his much deserved six-month sabbatical (more on this coming up). In this episode of Keto Talk, Jimmy and Dr. Will Cole answer your questions about Keto For Type 1.5 Diabetes, Myasthenia Gravis, Keto For Cancer Support, Period Carb Cravings, Female Balancing Testosterone While Keto, and more!
“It’s not always the goal to produce higher and higher ketones, you should be at a therapeutic level for you.”
Dr. Will Cole
Why do we have to be “at war” over our food choices?
Welcome to the 2020 diet wars
Why do I have pain in my kidneys when I am in the midst of doing intermittent fasting?
Why are my blood ketones low when I am intermittent fasting, but then go higher when I eat dietary fat?
Are there any concerns about having much higher blood ketone levels in the 5-8 range while extended fasting?
Is it worse on the body to do a 2000-calorie OMAD vs. spreading out the food over a couple of meals in a feeding window?
Why do I get major diarrhea whenever I take any dosage level of magnesium in supplement form?
“My goal would to have a blood ketone level of zero, but all the benefits of nutritional ketosis. I want to use up all of the ketones I make.”
PBFA and Upton’s Naturals challenge Mississippi law restricting plant-based and cell-cultured ‘meat’ labeling
Carbs: How low can we go?
Comparisons to Soda Reveal Unexpected Consequences of Drinking Fruit Juice
A cancer researcher who’s been keto for 6 years thinks our modern diets are an ‘axis of illness’ — here’s what he eats instead
STUDY: Low-carb diets like keto ‘reduce diabetes and stroke risk even without weight loss’
– Is engaging in fasting or a low-carb/keto diet a prudent nutritional strategy for someone with Type 1.5 diabetes?
My question is about my mom who is in her 60s and was diagnosed with Type 2 diabetes a few years ago. Her diabetic nurse jokes she is a Type 1.5 because her pancreas is not producing much insulin. She eats a low-carb diet but still has trouble controlling her blood sugar. It’s not out of control but higher than ideal. She says there doesn’t seem to be any discernible pattern to it.
Her diabetic nurse has her on a consistent low dose of insulin daily. At her last check-up she was spilling a little protein into her urine. I encourage her to try eating less veggies to lower carb count because she eats tons of them. But she does eat lots of eggs, cheese, and nuts. I think those are her main staples apart from the veggies. She eats healthy fats but maybe not enough of them and some berries as well.
I know she’s not a big fan of eating meat—no pork or chicken. She used to drink a glass of wine at night but I think she’s cut back on that. She tried fasting but it didn’t agree with her. I’m now wondering if she’s fat-adapted. She says sometimes she is lightheaded in the morning which makes me think her blood sugar or blood pressure is low at that time. Or maybe she needs more electrolytes like salt. I’m wondering if because her pancreas doesn’t work well whether fasting or low-carb/keto are still a good treatment protocol.
Any advice you can give would be greatly appreciated as she gets frustrated and scared and I don’t know what else to suggest. Thanks for taking the time to read this!
– Will eating a ketogenic diet cause the condition Myasthenia Gravis to become worse?
Hey Keto Talk dudes,
My ears perked up when I heard Jimmy mention that his mom suffers with Myasthenia Gravis (MG) in a recent episode. I have been searching for MG and keto information, but there doesn’t seem to be much connection with them. I had been low-carb off and on for years, but this past January decided to try a more strict keto plan to “clean up” after an indulgent holiday season. Within a week I woke up with an odd drooping eyelid and a few days later started suffering from intermittent but terrible double vision. After several visits to the eye doctor and a neuroopthalmologist that included an expensive MRI and inconclusive blood tests plus other weird symptoms of intermittent but profound weakness in my legs and neck, he thought I had MG. Of course, he blamed keto for bringing it on. But now he’s got me wondering if keto is doing more harm than good with this condition. I’m willing to take any supplements or do other strategies to help with this so I can stay on my keto diet.
Thanks for helping me with this,
– Where can you turn to find quality information and professional support for treating cancer with a ketogenic approach?
Hey Jimmy and Dr. Cole,
I have been doing a ketogenic/LCHF diet for three years on my own after reading Keto Clarity and listening to your podcast. Now my mother has been diagnosed with lung cancer and her functional medicine doctor is encouraging her to begin keto. I know there is a difference between what I am doing and what is necessary for therapeutic levels of ketosis for something like cancer. My question is where can we find information on or get guidance from someone who can guide her through starting this diet correctly? Every cancer center has dieticians available, but none of them know anything about keto or fasting or anything remotely useful other than “drink Ensure” “don’t lose weight” “eat plenty of calories” etc. Where do you find someone with real knowledge?
– How can I control the major carb cravings that overcome me during my time of the month?
Hi Jimmy and Will,
I started listening to your podcast in the Fall and began seeing a Naturopath which has changed my life! I was diagnosed with hypothyroidism and started taking supplements to balance my hormones and heavy painful periods. I began taking desiccated thyroid about a month ago and it has made a huge difference to my energy and mood levels. I have not eaten sugar in over 6 weeks which I have found to be very helpful in balancing my hormones and moods. My periods are not as heavy but still very heavy and I struggle with major carbohydrate cravings right before my period starts. I usually end up caving in and eating pizza or something very carby then feeling terrible the next day. Any helpful suggestions for managing this? Do I need to up my fat or protein intake around this time of the month?
Thank you very much,
KETO TALK MAILBOX:
– How can I effectively balance my testosterone levels as a woman without resorting to a hysterectomy or oral contraceptives?
Hi Jimmy & Will,
I could use some ideas from you about balancing testosterone. I am 36 years old, have been keto for almost a year, and dropped 35 pounds effortlessly. I have PCOS and stopped taking oral contraceptives after 20 years of use. I cannot tell you how much better I feel off of them. However, my testosterone levels are now quite high. I have used the at home Everlywell hormone testing and it measured at 159ng/dl (normal 16-55). The hair on top of my head is very thin, my cycles are unpredictable with a lot of mid-cycle spotting, and I have painful large zits on my face, neck, and chest. I found an article on PubMed referencing licorice root as an aid to lower testosterone in women. So I started taking a conservative dose to start (1g, recommended was 3.5g). What else can I do to help this? When I went to my OBGYN with my concerns, his options were to have a total hysterectomy so I don’t have to deal with periods, get back on oral contraceptives, or an IUD. The only lab work he wanted to run was a CBC to make sure I wasn’t anemic from all the bleeding.
I have made so much progress with keto so far eliminating pain from the cysts and getting my blood sugar and weight under control that I refuse to believe I have to take hormones to make this better. The only other lab markers that were off was my end of day cortisol at 3.4ng/ml (n=0.4-1.0), and my progesterone:estradiol ratio at 49 (n=100-500). My estrogen was previously low so I started supplementing with a phytoestrogen. I think stopping that will bring this ratio back down. I am reluctant to spend my time going to another MD if those are my options.
We’ve been gone for several weeks as Jimmy and Will have dealt with the busyness that comes with summer, but we’re back for a couple of months before Jimmy heads off for his much deserved six-month sabbatical (more on this coming up). In this episode of Keto Talk, Jimmy and Dr. Will Cole answer your questions about Therapeutic vs. Fat Loss Ketosis, Impact Of Dietary Fat On Reflux, Trigeminal & Occipital Neuralgia Migraines, Ankle Swelling, and more!
“Sometimes even in the context of the Keto Diet, you need to address other problems like binge eating.”— Dr. Will Cole
Where have Jimmy and Will been the past two months?
“I’ve noticed that just the act of slowing down has caused me to think about things I haven’t had time to think about and it’s spilling out.”— Jimmy Moore
– Is it possible to be in a therapeutic level of ketosis that isn’t ideal for producing adequate fat loss?
I have been doing keto religiously for the last six weeks and I already love it! I lost eight pounds pretty quickly and then it slowed down dramatically ever since. I started testing my blood ketones and had a 2.5 reading in the morning. When I calculated my glucose/ketone index, it was 1.67 and I’m concerned that I have reached a therapeutic level of ketosis that’s not conducive necessarily for weight loss. How do I get the fat-burning benefits of ketosis to kick in so I can get off this plateau? I am in a caloric deficit right now eating 1300 calories with my macros being 12g total carbs, 130g fat, and 82g protein. I try to reach a gallon of water a day, I sleep 7-8 hours a night, and my stress levels are good. I also workout 5-6 days a week, do 3 days of heavy lifting a week, and two days of HIIT training. Overall, I feel great in terms of my energy and strength. What do you think is going on with me?
I really appreciate any and all help you can provide,
– Is the high-fat aspect of keto making the symptoms of LPR worse? What can someone with this do?
Hi Jimmy and Will,
Ever since going keto I’ve developed a case of laryngopharyngeal reflux (LPR)—no real heartburn, just throat burning, trouble breathing, coughing, ear ache, stuffy nose, etc. I’m convinced all these symptoms are a result of the high-fat intake on my ketogenic diet. A number of people online have been reporting similar symptoms after starting on nutritional ketosis and seeing it resolve after going off of it. I’ve even seen my dad who had this same condition and doesn’t eat keto have problems, too, because of the fat he eats in his diet. So what do I do? I’ve tried using digestive enzymes, eating smaller meals, reducing my fat as much as possible while still trying to maintain ketosis, but nothing seems to work. I’ve been tested for H. Pylori twice, but both times it came back negative. I’m using keto specifically for my mental health, so I really don’t want to give it up since I’m getting those benefits. I’m at a loss about what to do. Can you help?
– Will a ketogenic diet give me relief from my constant migraines due to trigeminal/occipital neuralgia?
Hi Jimmy and Dr. Cole,
I recently discovered the Keto Talk podcast in January and I’m really loving it so far. I have been experimenting with a keto diet for managing trigeminal/occipital neuralgia that gives me nearly constant migraines all the time. I had nerve decompression surgery last year and while it has helped, it’s still not as much as we’d hoped it would be. I’m hearing a lot of people in the migraine community say they have eliminated their migraines completely with keto nutrition. My doctor are completely skeptical about that and they keep saying I’ll see little to no effect from changing my diet. The ironic part is the daily medicines that I am taking to manage this—Lyrica, Vimpat, Metroprolol and the emergency pain medicines Trammadol, OxyContin, and a clonidine tablet for high blood pressure negatively impacts my metabolism enough that it makes someone like me trying to get into ketosis that much harder. What do you think about this and how I should proceed?
Thank you for all you do, I appreciate your show and I have learned so much listening. I’m working my way through older podcasts as well as the current ones.
– What do I need to tweak in my ketogenic diet to keep my ankles from swelling up in warmer weather?
Hi Jimmy and Will,
I’ve been keto for 10 months with blood ketones ranging from 0.4-2.1 and my A1c is very healthy at 5.0. I’ve learned so much from your show and was hoping you could offer advice on how a ketogenic diet and/or certain supplements could help me control swelling in my ankles that tends to happen when the weather warms up. I’m 53 years old and have lost about 30 pounds since starting keto. Three different doctors have all told me that need to be wearing compression socks or taking water pills to help with this. I was really hoping that keto would help with this problem, but with the warmer weather my left ankle is swelling up. I walk 3 miles a day for exercise but also sit a lot for my work. The swelling generally goes away overnight, but returns the next time I have to sit a lot for work or when I travel. I drink plenty of water and supplement with 400-600mg of magnesium oxide and pink Himalayan sea salt everyday. Is there anything else I can do to help control this swelling?
Thank you so much for any advice you can offer!
KETO TALK MAILBOX:
– How can eating a ketogenic diet help me with the loud tinnitus I’m experiencing from Meniere’s disease?
Hi Jimmy and Dr Cole,
I love you two SO SO much! I never miss an episode. Dr Cole worked with my mother and completely changed her life! My question for you guys is about Meniere’s disease and keto. I was recently diagnosed with this and I have had tinnitus ever since I can remember. Two and a half months ago, the ringing suddenly got really loud nearly overpowering all the other noises surrounding me. Needless to say, my sleep quality dropped and after seeing an ENT, Chiropractor, Audiologist, an Acupuncturist, and even an Atlas Orthogonal, I am spiraling out of control, exhausted, and not knowing where to turn. My general practitioner told me I had to change my diet from keto to eating more FRUITS, VEGETABLES, and WHOLE GRAINS. He also said I had to lower my salt significantly. Honestly I would do anything at this point to make it go away, but I can’t with good conscious and two other autoimmune diseases (Interstitial Cystitis and Reynauds) switch to a high-carb, low salt diet. I tried to explain to my doctor that on keto that it was necessary for electrolytes. What do you guys think about this?
Thank you for your help,