Coffee & Electrolytes, Cancer Diet Recommendation?, Lipids in Black People, Should I Increase My Carb Intake?, Water Before Bed

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Show Notes:

News topic du jour:

Over 100 Scientists, Doctors, & Leading Authorities Call For Increased Vitamin D Use To Combat COVID-19 Scientific evidence indicates vitamin D reduces infections & deaths

1. Coffee & Electrolytes [15:26]

Valerie says:

Hey Robb & Nikki!

I've read on the web that coffee depletes (or can deplete) electrolytes. Is this accurate? And if so, is it because it's a diuretic?

Thanks for all that you do! Been following you since 2013 when I first read the Paleo Solution and it "cured" my Crohn's disease. Have a good one :)

2. Cancer Diet Recommendation? [17:05]

Levi says:

Good day dream-team, Robb and Nicki,

I was recently informed through several CT scans, PET scans, and MRI scans my cancer has returned, spreading into my brain and into my lungs. In 2015, I was diagnosed with a stage-3 melanoma cancer, reaching into my lymph nodes in my neck. The tissue site and the lymph nodes were removed and I was cancer-free ever. However, last week, after days of excruciating headaches, I was led to the ER by my better-half, my wife. I am about to embark on several biopsies of my lungs, more scans to view my bone marrow, the beginning of radiation and immunotherapy, and a ton of prescriptions (narcotics, steroids, anti-seizure, etc.). Though I am going to take the advice and opinions of the team of doctors on my case, I have already become overwhelmed with the amount of information presented by them and other friends and family. My question is really centered on general recommendations for diet and pain management. I hear to take CBD and turmeric and DHA, to eat no sugar, to try juicing, etc. I am skeptical of any friend advice, but also do not want to blindly walk into radiation and immunotherapy with only Norco and steroids to get by. I am usually very active, working out five days per week, keeping a largely animal-based diet, staying low-carb. However, since this has begun, I am lethargic, easily off-balance, and sedentary, thus my movement has been limited to couch surfing. Also, I am 31 and plan to have a long life, so any recommendations that you can provide that are short-term and long-term will be appreciated and implemented.

Sorry for the rambling, but I think you get the gist. You two are rockstars and I will keep being one the six listeners every week.

Levi

https://peterattiamd.com/fasting-and-cancer/

3. Lipids in Black People [28:39]

Phillipa says:

Can you talk a bit about the differences in interpretation of lipid panels for black people? I understand that triglycerides are normally lower than white people and so the trig/HDL ratio is not a good estimate of insulin resistance. Is the LPIR score still as valid as a health measure in the black population? What are the most useful markers on a standard lipid panel if you cannot get a LPIR?

Thank you for all your wisdom....

Are There Clinical Implications of Racial Differences in HbA1c? Yes, to Not Consider Can Do Great Harm!

"Studies that have compared HbA1c levels by race have consistently demonstrated higher HbA1c levels in African Americans than in whites. These racial differences in HbA1c have not been explained by measured differences in glycemia, sociodemographic factors, clinical factors, access to care, or quality of care. Recently, a number of nonglycemic factors and several genetic polymorphisms that operate through nonglycemic mechanisms have been associated with HbA1c. Their distributions across racial groups and their impact on hemoglobin glycation need to be systematically explored. Thus, on the basis of evidence for racial differences in HbA1c, current clinical guidelines from the American Diabetes Association state: "It is important to take…race/ethnicity…into consideration when using the A1C to diagnose diabetes." However, it is not clear from the guidelines how this recommendation might be actualized. So, the critical question is not whether racial differences in HbA1c exist between African Americans and whites; the important question is whether the observed differences in HbA1c level are clinically meaningful."

4. Should I Increase My Carb Intake? [39:16]

Aidan says:

Hey Robb just read wired to eat and loved it I'm pretty active and been doing a ketogenic diet for the past six months and felt great at first then fell into some electrolytes issues I then started to implement a target approach with 50 g of carbs round my workouts with a mix of glucose and fructose however I still feel low in energy I have recently upped my carbs to 150-200g of carbs and feel a little better, I listened to chris Masterjohn recently and he said that even a sedentary person needs 200g of carbs to fuel the brain so I am a bit confused how I should tackle this and whether I should change to high carb as you have said in previous videos where people go wrong is where there in the middle not high carb or high fat and if It would be beneficial to specialise in one fuel source however I know how important fats are for health thanks

Aidan

5. Water Before Bed [44:08]

Katie says:

Hi Robb and Nicki! Thank you so much for all you do and for your relentless quest to uncover the truth, stay on top of science, and deliver it in an easily digestible way!

Here's what I'm pondering: I've read that it's ideal to stop drinking water after dinner and late into the evening in order to allow the kidneys to rest during sleep, as well as to avoid middle of the night bathroom breaks, which obviously disrupt sleep. (I've also read that needing to pee in the middle of the night can mean that the kidneys are being overly stimulated by their neighbors, the adrenal glands, but that might be another topic altogether). Anyways, in trying to make sure that I'm getting adequate sodium, I salt my food with a pretty heavy hand, but I find it makes me really thirsty in the late evening. I drink 1-2 LMNTs earlier in the day, and wondering, should I dial back on the salt at dinner? Or drink more before bed? Or just deal with a little thirst? As a side note, if I get thirsty in the evening and go to bed without water, I wake up without feeling thirsty. Overall, I feel like my hydration levels are pretty good.

Thanks again for all you do!

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Transcript:

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