High Intensity Health with Mike Mutzel, MS

#179: Jeffry Gerber, MD- Insulin Resistance Not Cholesterol Causes Heart Disease


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Dr. Gerber discusses why it's important to measure post-meal insulin and the strong relationship between hyperinsulinemia and heart disease.

Show Notes: http://highintensityhealth.com/179

Key Takeaways:


02:07 Focus on Nutrition: Dr. Gerber has been focusing on nutrition and lifestyle for 17 years. He lost 40 pounds on the Atkins diet. His research found that metabolic disease is the root cause of many of the chronic diseases of today.
03:59 Calories/Fat-based Diets: Metabolic disease is related to insulin, hormonal dysregulation, inflammation, oxidative stress and advanced glycation.  
05:08 Insulin Metabolism: Dr. Gerber measures fasting insulin and 2 hour insulin, based upon the work of Dr. Joseph Kraft.
07:07 Preventive Imaging: Cardiologists see you after damage has begun. Prevention can begin with a CT of the heart, calcium score and ultrasounds to look for early plaque development.
09:03 Glucose Challenge with Insulin Assay: A glucose challenge is an effective screening tool for diabetes, cardiovascular disease.
14:04 Insulin: Insulin can compensate for blood sugar, so you can have hyperinsulinemia with normal blood sugar levels. It precedes insulin resistance.
15:05 Keto-Adapted/Low Carb:  Taking a glucose challenge while keto-adapted, your insulin level would be flat during the insulin assay.
18:17 Cancer as a Metabolic Disease: Many forms of cancer are very sensitive to carbohydrates and glucose.
21:48 Insulin and Cholesterol: Cholesterol is a symptom of metabolic dysregulation.
27:50 Weight Loss and Appetite Control
29:49 Body Composition and Cardiovascular Risk: Not everyone should be on a low carb/ketogenic diet.
31:28 Diet:
33:31 Advanced Cholesterol Testing: With standard lipid testing, looking at ratios and patient history, Dr. Gerber can tell what the particle size will be without testing.  It can be used to confirm particle size, if necessary.
35:09 High/Low Cholesterol and Longevity: Often, people who have heart attacks are at goal cholesterol levels. A study of elderly people in Japan found that people with higher cholesterol live longer, challenging the cholesterol hypothesis.
37:04 Ketogenic Diet and Cholesterol: Cholesterol ratios improve with ketogenic diets, for the most part. HDL goes up. Triglycerides go down. Other metabolic markers like insulin and A1C improve. In as much as 1/3 of people LDL goes up, in 1/3 it stays the same and in 1/3 LDL will drop.
38:45 Dr. Gerber’s Morning Routine: He skips breakfast, but has bulletproof coffee. Occasionally, he will have eggs. He hits the gym for resistance training and cardio. We were designed to move. Time to unwind and be at peace is important.
40:45 Dr. Gerber’s Favorite Herb/Nutrient:
41:06 Dr. Gerber’s Elevator Pitch:

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