6. Low Carb from an Orthopaedic Surgeon's Perspective with Dr Doron Sher

In this conversation Dr Doron and Dr Max discuss weight loss, preventing surgery with low carb eating, insulin, the hormonal model of obesity, risks of bariatric surgery, ethical sourcing of meat, eating the animal nose-to-tail, and much more.

Dr. Doron Sher is an Orthopaedic Surgeon from Sydney, Australia. He was an early pioneer in using low carbohydrate and ketogenic diets in patients with osteoarthritis needing knee replacement surgery. He currently practices in Sydney at Randwick and Concord.

TIMESTAMPS

00:00:18 Dr Sher’s journey to surgery

00:01:03 The process of knee replacement

00:03:01 Obesity and overweight greatly exacerbates knee osteoarthritis and surgical risk

00:05:20 Diabetics have increased peri-operative risk

00:05:54 Traditional (ineffective) approaches to weight loss prior to surgery

00:07:52 Dr Sher’s encounters with low carb diets

00:09:18 Low carb benefits the Sher family

00:11:07 Patients are being let down by incorrect dietary advice

00:13:30 MMPs and AGEs exacerbate arthritis in insulin resistant patients irrespective of weight

00:15:03 On the harms of fruit and fructose consumption

00:17:39 Using continuous glucose monitoring to see which foods spike blood glucose

00:19:15 On the benefits fasting and time restricted eating

00:21:56 Diverting patients from knee replacement surgery with diet

00:24:19 Dr Sher’s recommended approach to low carb

00:25:19 Keep insulin low and eat more protein

00:29:20 On omega-6 polyunsaturated seed oils

00:32:44 The challenges of feeding patients a high protein, low carb diet in hospital

00:36:05 Thoughts on the benefits and harms of bariatric surgery

00:39:44 On ethically sourcing meat and animal foods

00:42:21 The challenges of low carb as vegetarian

00:44:04 On the purported links between red meat and cancer

00:45:00 Changing the healthcare system towards lifestyle-first care

00:47:48 Empowering patients with knowledge

00:48:15 Closing thoughts

DR DORON

Dr. Doron Sher - 'Carbs, Insulin and Fat' - https://www.youtube.com/watch?v=E16hfXmPGcA

Dr Sher's personal website – https://www.doron.com.au

DR MAX

https://www.twitter.com/maxgulhaneMD

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