If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam battle myths and share Ketonian wisdom in Episode 51.

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Here’s what Jimmy and Adam talked about in Episode 51:

Hey Jimmy and the Doc,   Thank you for this awesome podcast. I have learned so much from you guys. I read Keto Clarity a year ago and have been learning everything I can about ketosis ever since. My fasting blood glucose is always in the 70’s and 80’s, but my weight seems to go too low for my comfort. I’m 6’1” tall and weigh 178 pounds. I have heard you talk about how eating high-fat and high-carb at the same time is a really bad idea. I don’t necessarily want to go too high-carb, but will it cause me problems to stay high-fat but add a lot more real food sources of carbohydrates such as potatoes, berries, fruit, etc. to keep my weight over 180 where I’m most comfortable. My father had his first heart attack at 50 years old and even though my blood work is excellent, besides high LDL-C, this concerns me. Can you please clarify the dangers of high-fat, higher carb eating?   Thanks for all you do,   Rodney

HEADLINE: Can breakfast help keep us thin?

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1. Can hormone replacement therapy have a negative impact on blood ketone and blood sugar levels that would halt weight loss?   Hi Jimmy and Adam,   I love your Keto Talk podcast. I had a question about being on hormone replacement therapy while eating keto. I had surgical menopause when I was 26 and I’m currently on hormone replacement therapy (HRT). I've also been on keto for the past few years and I've always struggled with my weight. I’ve noticed that when I'm not on my estrogen therapy, I have no issues with losing weight. But the moment I start on HRT, I can't seem to lose the weight. On HRT, my blood ketones are only 0.4 mmol and my blood sugar is in the 90’s. When I’m off HRT, blood ketones reach 1.2 mmol and blood sugar is in the 60’s. My endocrinologist has a fit when I'm not my hormone replacement. So despite being on a low-dose of estrogen (3mg), could the HRT be negatively impacting my weight loss and my overall ability to stay in optimal therapeutic levels of nutritional ketosis?   Thanks for your help with this!   Lisa JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS
  2. Why don’t TOFI people gain weight eating low-fat? Would a ketogenic diet help them without weight loss?   Hi guys,   I look forward to your podcast every week.  It has helped keep me informed and motivated me in my keto journey since I began 9 months ago. I've lost 38 pounds so far with ease with no hunger or cravings. You guys rock!   I'm very interested in the biological mechanisms of ketosis and I know how much Dr. Nally loves geeking out on this kinda stuff. Regarding the Carbohydrate-Insulin Theory, can you explain how TOFI (thin outside, fat inside) people don't put on visible weight when they consume a high-carb, low-fat diet? Is it just genetics? And can you explain how a high-carb, low-fat diet creates inflammation in the body with or without the weight gain? Finally, how would a low-carb, high-fat, ketogenic diet help someone with TOFI?   Thanks so much,   Katy from Liverpool, England    3. If you don’t burn up fat you consume, then what happens to it in a ketogenic state?   I intermittently fast for 16 to 20 hours each day in addition to being on a ketogenic diet. I'm about 3 weeks in, and so far so good. If you are fully keto-adapted, then what happens to the fat that you consume and do not burn off for energy? If your insulin levels are low, that fat can’t possibly be stored, right? If that is true, then what happens to it?   I appreciate your input. THANKS!   Bo   KETO TALK MAILBOX   Hi Jimmy and The Doc! Love the show, I have a long drive to work everyday and you guys make it fly by! My question is about the impact of a ketogenic diet on sperm production? You talk about it boosting testosterone but does it actually boost sperm production?   Thanks guys!   Danielle in Sydney, Australia   BONUS: I’m a little surprised that The Doc is okay with aspartame as I have read that over 40 degrees Celsius it converts to formaldehyde. Why do you like it?   Griz GET FROZEN KETO PIZZA FOR THE FIRST TIME EVER

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- Isn't the problem with weight loss woe on keto too many calories?

Hi Jimmy and The Doc! You guys are the best! I love all the work you do to spread information and support for keto. But I do have a tiny bone to pick with you guys if you wouldn’t mind hearing me out!

I am a certified holistic health coach who has specialized in the ketogenic diet for many years now. I love it with my whole heart because the benefits are outrageous and undeniable! However, I have noticed some do not find weight loss success when attempting keto because of one MAJOR issue in my opinion. I see it time and time again. It’s the calories.

I'm not talking about a person mistakenly eating too many carbs for individual tolerance nor am I talking about accidentally eating too much protein. These are people who are fully keto-adapted with adequate blood ketone readings who are working out and sleeping great, managing stress well, and yet they are not losing weight. Why? It's because they are eating too many calories to give their body a reason to need to tap into body fat stores.

This is one of the things I have heard you guys repeatedly tell people often on Keto Talk—“calories don't matter, as long as it's coming from fat and as long as they are eaten to satiety.” But this doesn't actually work in real life for most people and it also doesn't make any logical sense. After all, if it were indeed sound and true, people would not be able to maintain weight in ketosis. Health coaches like me who have been in ketosis for years would just forever keep losing fat until we keeled over. But this isn't happening because if a person is maintaining ketosis, they are eating enough calories from fat that the body doesn't have to convert body fat into ketones and homeostasis is achieved.

I hear you guys say it's hard or darn near impossible to eat too much fat because you get full. But, most people coming into this have leptin resistance, binge eating disorder, and other issues that bypass satiety completely. Without proper coaching and calorie accountability they get totally out of control on keto just like any other plan. Now, I'm not saying health isn't still improving on keto even with excessive calories. Healing will indeed still happen. But not weight loss for most people. I can confidently say that after years of consulting that this is unfortunately the rule and not the exception.

Most people eat way past satiety after the first month or so of keto. It seems that at first they have such great appetite suppression from ketones and are able to stop before consuming calories in excess. But then that satiety dwindles and they start snacking on fat bombs, macadamia nuts, olives, cheese, and other non-protein or carb containing drinks or shakes with tons of cream. It’s an overload of fat calories. They are still having 1 to 2.5 blood ketone readings but they just keep packing in the calories from fat and stop losing weight. Every now and then even gain a little. It’s not water weight either, it’s body fat.

Then, they totally believe all the myths that keto doesn't work and you only lose water weight in the beginning and that consuming fat ultimately makes you fat. I HATE those myths. We know ketosis is da bomb diggity and will absolutely shift every metabolic marker in the right direction. And in my opinion weight loss is the least important. But not to my clients! And not to the average person interested in health and wellness. I get clients who have tried various high-fat programs and they end up at me after they get frustrated gaining weight and feeling cruddy.

I wholeheartedly believe this weight gain is completely unnecessary if keto-adaptation happened as a result of using the fat on our bodies preferentially over the fat on our plates. What are your thoughts on this? Thank you so much for addressing my little pet peeve and I hope I didn’t come across as a jerk! I want to see this movement succeed and thrive and this is one topic that we need to get right to communicate the best information to the masses.

You guys are my heroes so thank you for doing what you do!

Emily

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LINKS MENTIONED IN EPISODE 51

– Listen to Jimmy’s new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
– JIMMY AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code “LLVLC”)
– SUPPORT OUR SPONSOR: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
– SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
– SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– Dr. Adam Nally, DO from DocMuscles.com
– TODAY.COM article: Is The Ketogenic Diet Right For You?
– HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Arizona osteopath and certified bariatric physician Dr. Adam Nally from “Doc Muscles” who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at [email protected]. And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam celebrate 50 episodes of Keto Talk and answer your ketogenic diet questions.

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Here’s what Jimmy and Adam talked about in Episode 50:

-  What are the best and worst proteins on insulin response while eating a ketogenic diet?

Hey guys,

Which proteins provoke the largest and smallest insulin response? I'm trying to reverse my insulin resistance by keeping my protein lower (50-70g/day). But I wonder if the type of protein can make a difference. Specifically, I'm curious about collagen because I like to add it to my KetoCocoa for a quick, high fat meal replacement on-the-go meal. Thanks so much!

Amberly

HEADLINE: Is the ketogenic diet right for you? Nutritionists weigh in: http://www.today.com/health/ketogenic-diet-not-recommended-weight-loss-experts-say-t105932

JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS

1. Can a ketogenic diet help manage lipedema and are there any concerns going keto with this condition?

Hello Jimmy and Dr. Nally,

I suspect I have the fat disorder called lipedema, also known as “painful fat syndrome.” It is a chronic condition of adipose tissue and lymphatic vessel dysfunction which manifests as bilateral, symmetrical fatty excess on the hips and legs. It can be progressive, causing immobility and lymphedema. The lipedema fat is not accessible to normal weight loss techniques.  Despite the fact this afflicts approximately 11% of women, it is difficult to get a diagnosis for it in the United States. In the future, I will likely visit an endocrinologist who I know specializes in this. In the meantime, I have done a lot of reading and as a Masters Prepared Registered Nurse I feel I am interpreting the literature correctly in thinking I have lipedema.

I have been on a whole foods-based ketogenic diet for two years and frequently check my blood glucose and blood ketone levels. I have lost 25 pounds and am experiencing great improvements in my physical, emotional, and cognitive function.  Unfortunately, my legs and upper arms have not changed at all and with the onset of menopause, they just continue to grow. The pain is getting more frequent and I feel very sad that despite my success and warrior-like attitude, I may not be able to overcome this challenge.

My current endocrinologist recommends against eating a ketogenic diet and many of her statements sound like the typical outdated dietary advice. So here are my questions for you:  Do you have any experience with lipedema and the ketogenic diet? Do you see any reason why ketosis would be contraindicated? Do you have any suggestions for dealing with this disorder and halting its progression?

Thank you both for the wonderful podcast.  I geek out on the science and gain tools and motivation every time I listen.  Jimmy, you have changed my life—so THANK YOU!

Warm regards,

Susan

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2. If my blood sugar is high and my blood ketones are low while eating keto, then can I assume I’m burning muscle?

Jimmy and Adam,

Thank you for the podcast and all the great information about the ketogenic diet. I have been doing my own version of keto for the last two months and have had incredible success losing 25 pounds so far with 25 more to go. I feel amazing with no hunger cravings, tons of energy, and no more afternoon naps from the sugar crash.

Since I am likely losing weight because of the reduction in calories, I am now concerned that I am burning muscle for energy instead of my stored body fat. I assume I’m burning muscle because my blood glucose remains so high and ketones are very low despite not eating any carbohydrates except for vegetables. How can I seemingly still be a sugar burner without eatings sugar or carbs? I am really confused and disappointed by all of this and it’s making me feel discouraged about my ketogenic plan. I feel really energized and I’m losing weight, but I am nervous that the weight loss I am experiencing is muscle and not fat. Can you help put my mind at ease about this?

Thanks again and have a great day!!

Ryan

3. Is dehydration robbing me of energy on my ketogenic diet? What can I do to get properly hydrated while keto?

Hi Jimmy and The Doc,

I love Keto Talk because it encourages me in my own ketogenic journey. I’ve been in and out of ketosis for the past 3-4 years and I typically get kicked out because of some “carbage” that I allow in my diet. I’m a 30-year old male and consume around 3,000 calories daily eating a fat/protein/carbohydrate ratio of 75/20/5. My blood sugar runs 88-112 mg/dL and my blood ketones are 0.4-1.1 mmol.

My problem is with plummeting energy levels and dehydration as I work a physically demanding job outside in Florida’s hot summer weather as well as strength training for about 45 minutes/4 days a week. What can I do to stay hydrated? I currently drink over 3 liters of water/day and bring a Hass avocado with sea salt to work for a snack. Is it likely that my energy levels will increase if I stick with this more consistently over the long-term?

Here’s a rundown of the foods I eat on my ketogenic diet:

Fat: Kerrygold butter, grass fed beef, coconut oil, coconut butter, eggs, avocados, macadamia nuts, cream cheese

Protein: beef, chicken wings, eggs, canned oysters, lamb

Carb: mixed greens, asparagus, green beans, coconut butter, lemon, occasionally raw tomato. I ate a mango last week before my workout…can't say I regret it. It gave me a super boost.

Thanks in advance for your input.

Sincerely,

Frank

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KETO TALK MAILBOX

- Share more about the practical use of taking phentermine as part of a ketogenic approach

On Episode 47, Adam mentioned stimulant-based supplements and mentioned that he writes a prescription for phentermine for about one-third of his patient population for a few months. So I have a few questions about this:

1) When do you decide to prescribe phentermine?

2) How do you instruct patients to take it while starting a ketogenic diet? (i.e. dosage, when to take, etc.)

3) Do you also instruct patients to intermittently fast for several hours after taking the medication? (i.e. take it in the morning and then don’t eat until the afternoon)

I take phentermine to control my hunger but haven't taken any recently.  I'm one of those people who seems to be hungry all of the time despite increasing my fat and calories. My blood glucose is always under 100 and my A1c is 5.1. I have a hard time with getting keto-adapted and am looking to use phentermine for a few months to help me kickstart my keto journey.  I have successfully been in ketosis before so I know it will shut my hunger off.  I'm just having a hard time with the transition this time around.

Thanks so much for all that you do!

Leslie

iTunes review:

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LINKS MENTIONED IN EPISODE 50

– Listen to Jimmy’s new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
– JIMMY AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code “LLVLC”)
– SUPPORT OUR SPONSOR: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
– SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
– SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– Dr. Adam Nally, DO from DocMuscles.com
– TODAY.COM article: Is The Ketogenic Diet Right For You?
– HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

 

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam are rip-roaring ready to answer all of your low-carb, high-fat, ketogenic diet questions for you in Episode 49.

LISTEN TO JIMMY'S NEW FASTING TALK PODCAST
**Special THANK YOU to Angela and Jesse**

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JIMMY AND ADAM'S NEW KETO LIVING SUPPLEMENTS

Here’s what Jimmy and Adam talked about in Episode 49:
- Jimmy and Adam share about their new ketogenic-focused supplement line at KetoLiving.com with the introduction of KetoEssentials Multivitamin and Berberine Plus Blood Sugar Control Formula

- COMING SOON: The first-of-its-kind high-fat meal replacement Keto Living Powder

- STUDY THEY DISCUSS: Eat cheese, live longer

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1. Do I need to back off of my high-intensity workouts to improve blood sugar and blood ketone levels?

Hi guys,

I recently hit a weight loss plateau, so I decided to begin a small high-intensity training workout program called T25 Focus with Shaun T.  I test my morning glucose and ketones in the morning and I typically average about 1.5 mmol ketones and about 82 in my blood glucose. After day two of the workout, I decided to test my blood sugar and ketones thinking the exercise I did about an hour prior would increase my ketone levels. But imagine my shock when I tested and had a higher blood glucose level of 113, and lower ketones at 0.6 mmol.  Was the exercise too intense which caused stored glycogen to be released?  Should I be doing less intense exercise to keep my ketones and blood sugar in check?  

Thanks for your help,

Josh, Ketonian for life

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2. Can blood thinners diminish the presence of ketones in the blood?

Hi Jimmy and the Doc,

I love your podcast and I’m guessing like many other Ketonians out there that I stumbled on it. I’m glad I did and have ever since listened to nearly all of them once and about to go through them a second time. Awesome job keep up the great work!

My question for you guys is about the blood thinner I’m taking called Warfarin. Can blood thinners be impacting my blood ketones levels in any way? As a nurse, my gut response to this question would be no. But when I tested my blood ketones, the level was just 0.4 mmol. My usual blood ketone level prior to taking the blood thinners was closer to a range 0.6-1.2 mmol. When I test my breath ketones with a Ketonix, it indicates I have very strong ketones in the yellow to red range.

I have been keto for almost a year now and eat as clean as I possibly can. The only carbs I consume come from salad veggies and avocado. Is there any evidence supporting my theory that blood thinners reduce the level of ketones in the blood?

Keep up the great work you two!

Warm regards,

Barry

3. Can a ketogenic diet help someone dealing with psoriatic arthritis?

Hi Jimmy and the Doc,

I love your show and especially the experience that Dr. Nally has with using keto with so many patients in his office. I have a niece who was recently diagnosed with psoriatic arthritis and I was wondering if The Doc has any experience with or research looking at patients who have this condition where a ketogenic diet would help.

Thanks for any insights,  

Dave from Toronto

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KETO TALK MAILBOX

- Are advanced glycation end products (AGEs) a concern for people eating a ketogenic diet?

Hi Jimmy and the Doc,

I am reading about advanced glycation end products (AGEs) and their content in foods. The high-fat and animal-based foods seem to contain the highest levels of AGEs, along with other popular keto foods such as avocados and almonds. What is your take on this seemingly disturbing problem with eating a low-carb, high-fat diet and have you come across any resources that can dispute these claims?

Warmest regards,

Penny

iTunes review:

YOUR GO-TO PLACE FOR KETO FOODS

Use coupon code KETOTALK for special discount
NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 49
- Listen to Jimmy's new Friday podcast: Fasting Talk with Jimmy Moore & Dr. Jason Fung Featuring Megan Ramos
- JIMMY AND ADAM'S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- SUPPORT OUR SPONSOR: Get YOUR 60-Day FREE TRIAL to GoKetoAthlete.com (Use coupon code LLVLC at checkout)
- SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Get a full selection of ketogenic-friendly foods at OneStopKeto.com (FREE SHIPPING on orders over $99 and use coupon code KETOTALK for a special discount)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam are back and better than ever to take on your questions in the new year starting today in Episode 48.

**THANK YOU to James, Kathryn, and Masaya from Japan**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

JIMMY AND ADAM'S NEW KETO LIVING SUPPLEMENTS

Here’s what Jimmy and Adam talked about in Episode 48:

- What can I do to deal with the cravings that desserts bring on when I am most vulnerable?

Hey Jimmy & Adam,

I’m a sugar addict. My current streak of not eating sugar and other crappy carbage is 42 days, but the holidays are always the toughest when I struggle the most. Dessert is my biggest downfall and, unlike Dr. Nally who can get back on the wagon within a few days, it takes me a couple of months to recover. It was Thanksgiving, then Christmas, then New Year’s…and now Valentine’s Day, Easter, Fourth of July and more are coming up in the next few months. My willpower is very strong before the winter holidays, but I need a good strategy for staying strong through all these temptations. I’ve been looking for good dessert alternatives, but even maple syrup, honey, stevia, and the other sweeteners seem to set my cravings off. Is abstinence from all sweets altogether the only answer for someone like me?

Thanks for your great podcast.

Dave

CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet

1. What are the signs other than testing that my body is running primarily on ketone bodies?

Hi Jimmy and The Doc,

I enjoy your Keto Talk podcast and I have a question for you guys. I am mostly Paleo (eating the 80/20 lifestyle) but have always been curious about the ketogenic diet and have even tried it a couple times. But I haven't been able to stick with it for very long. I don't have any health issues (my insulin is normal, I’m at a healthy weight, I exercise regularly), but I am interested in maybe implementing some form of keto lifestyle for changing my body composition.

My question for you guys is when do you know you are in ketosis other than testing with a ketone strip or getting blood work done? What specific signals does the body give you to let you know ketones are your primary fuel source? I have noticed that when I am low-carb, high-fat, I can feel some change in my body in terms of energy and a spring in my step. But I also get a cold feeling running down the back of my throat. Is this normal when in ketosis?

Thanks for your help and I look forward to hearing from you!

Cal

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2. Why isn’t my A1c going down on my ketogenic diet? Would taking Metformin help?

Hi Jimmy and Adam!

I love this podcast and I've learned a ton of information about ketosis along with reading Keto Clarity. I have Hashimoto's and was recently diagnosed with Celiac Disease. I am on Armour thyroid and my thyroid labs have been consistently doing well for the past few years. However, my A1c has been in the pre-diabetic range (5.7-6.0) for the last few years despite my best efforts to reduce it through diet. Two months ago I went keto hoping to bring it down while also treating my Hashimoto’s. Imagine my surprise when my latest labs show my A1c is still 5.8 despite keep carbs under 20 grams a day and carefully watching my protein intake.

Is 2 months not long enough for me to see real improvement in my A1c? My endocrinologist tested me for adult onset type 1 diabetes, but that came back negative. All my other blood work looks great except for the A1c and my liver panel. Could the liver abnormalities impact the A1c? I wonder if someone like me could stand to benefit from taking a low dose of Metformin to give an extra push with my ketogenic diet. I’m using the Ketonix to test for the presence of ketones in my breath and I’m almost always positive for ketosis. Do I just need to be more patient? I am fully committed to keto regardless, but just wondered about these other things.

Thank you for all of your hard work. It is greatly appreciated!

Rhonda

LISTEN TO JIMMY'S NEW FASTING TALK PODCAST

3. Does surgical menopause increase carb cravings? Will keto prevent a recurrence of cancer?

Jimmy & Doc Nally,

I had surgical menopause in 2015 in response to persistent PCOS and early stage breast cancer and it gave me peace of mind that those cysts would not become cancerous. However, this surgery has caused other issues now. Most notably, I’m finding it harder to MENTALLY do keto because I feel like I am having more cravings and less willpower than ever before. I’ve done low-carb and ketogenic diets with great success previously, but menopause seems to have changed something in me. Did something actually change or is this all in my head? And do we have any evidence that a ketogenic diet will prevent a recurrence of cancer?

Thanks for sharing your answers to my questions!

Dee

KETO TALK MAILBOX

- How do I determine whether going ketogenic is right for me?

Hey Jimmy and The Doc,

I’m really grateful for discovering your podcast. I think we will look back on these past few years as the place where the truth about food and health began to come to the surface. I have been listening to KetoTalk and it has convinced me that going keto is the way to go for me. You guys have often said that you need to find what works for you and that a ketogenic approach isn’t necessarily for everyone.

My problem is if I want to get into full on keto mode, it sounds like that I need a doctor to help me get started who would be willing to help me to do something that many in that profession thinks runs counter to his belief about health. But Dr. Nally has clearly said that a ketogenic diet isn't for everyone, so here’s my question for you guys—how do I know whether or not it is right for me? Do I have to be metabolically broken and how do I know if I am? And if a ketogenic diet is not right for me, then what is?

It seems this message of low-carb, high-fat, ketogenic diets is still so fringe and it’s difficult to explain it to doctors, friends, and even my own family where my wife says if sugar was so bad for you, then why would they sell it in stores? This is an uphill battle that I face here in the real world and would love your help in navigating through it all.

Grace and peace to you and yours,

Tim

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LINKS MENTIONED IN EPISODE 48
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- Jimmy Moore from "Livin' La Vida Low-Carb"
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- CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet
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If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam celebrate this final episode of the year by answering 20 of your questions on low-carb, high-fat, ketogenic diets today in Episode 47.

**THANK YOU to Cecilia, Ken, Patrice, and Kristin**

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Here’s what Jimmy and Adam talked about in Episode 47:

- Thriving on raw eggs, world's oldest person marks 117th birthday in Italy

1. Do I need to detox my liver and gallbladder before attempting to go keto?

Hello Jimmy and The Doc!

Ever since I decided to adopt a ketogenic lifestyle, I’ve wondered if I should do a number of liver and gallbladder flushes before trying to get keto-adapted? It’s usually recommended to eat low-fat for a few days during this flushing period so that would likely kick me out of ketosis anyway. I feel like my body has a difficult time detoxing and I wanted to do a series of liver flushes to get my liver working optimally again.

I am a Holistic Lifestyle Coach and have the ability to run labs for liver function. My mother, grandmother, and great grandmother have all had to have their gallbladders removed and I want to keep mine! Would really love to hear your thoughts on this.

Thank you so much for all of your work!

Kind Regards,

MariaPaula

2. Is using exogenous ketones an effective way to boost ketones when they are at their lowest?

Hey guys,

Is there any emerging research on what the most effective dose of exogenous sources of beta-hydroxybutyrate should be? And what is the best time of day to use them? Through my own N=1 experimentation, I have found that I'm out of ketosis for about 3 hours after I wake up in the morning. Then by midday I'm right back into ketosis with levels steadily increasing as the day goes on. After working out in the evenings, I am usually in the red zone on the Ketonix.

But then by the following morning I'm back to green again. So I'm wondering if I should take a supplement like KETO//OS in the mornings upon waking up since this is when my levels are naturally at their lowest or if I should take it in the afternoon or evenings to accentuate my natural rhythm. Are there any studies looking at the relationship between circadian rhythms and ketones or the use of exogenous ketones that could help me in my situation? My purpose in eating ketogenic is disease prevention and anti-aging.

Thanks,

Jamie

3. Is my depression preventing me from getting the full benefits of keto? Do depression drugs work differently in the presence of ketosis?

Greetings gentlemen,

I’m sure many people who are trying the ketogenic diet suffer from major depressive disorder. I recently stayed in nutritional ketosis averaging 1.0-5.0 mmol/L and heavily supplemented with electrolytes for 5 weeks but did not experience the increased energy that I hear being reported by others. Although I lost weight and didn’t have to eat as often, I still had some pretty intense carb cravings.

Could my depression be interfering with the benefits of nutritional ketosis? And if I push through these cravings now, will remaining in a ketogenic state eventually help me deal with the depression? I also wonder what some of the most commonly-prescribed selective serotonin reuptake inhibitors such as Lexapro, Prozac, and Zoloft do in conjunction with keto to interact and work differently than a standard diet.

Thanks for any insights,

Ryan

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4. Can I use green banana flour resistant starch and stay in ketosis while taking care of my microbiome?

Hey Jimmy and Adam,

I'm starting on a new health mission to feed and nurture my microbiome. The mechanism for this feeding is a daily high-fat smoothie that contains coconut milk, protein powder, MCT oil, some berries, and banana flour resistant starch to make a high-fat, moderate protein, low-carb keto smoothie. I have a few questions for you guys about this:

- Is this Green Banana Flour Prebiotic Resistant Starch keto-friendly? I've read on the Internet that the starch does not spike blood sugar. Is that true? The product I'm using has 7.5 grams of carbs per tablespoon. What say you?

- Will resistant starch on a ketogenic diet over time transform my microbiome from being fat to lean?

- Do you have additional suggestions or thoughts for the care and feeding of the microbiome while remaining in a state of nutritional ketosis?

I look forward to listening to your podcast every week as I'm truckin' down the road. You always have little nuggets of info that I can apply directly to my keto lifestyle.

With much regards from your fellow Healthy Ketonian,

Truckin' Chuck

5. Is taking L-Glutamine a good or bad idea when you are on a ketogenic diet?

Hi Jimmy and Dr. Nally,

Thank you for your podcast and I never miss an episode of Keto Talk. I have been eating LCHF for 4 months and have lost 40 pounds so far. I have become interested in taking it to the next level with ketogenic and I am having a hard time getting into ketosis while my weight loss has stalled out. I am taking 8 grams of L-Glutamine a day on the recommendation of Maria Emmerich from one of her books and it definitely seems to help me with sugar cravings. But I heard that L-Glutamine can turn into sugar through gluconeogenesis. Now I'm totally confused and need your help to clear up whether I should be taking this supplement or not. 

Thanks so much,

Shawna

6. Why is my blood pressure still so high despite cutting my carb intake?

Hi Jimmy and The Doc,

I enjoy your show and like hearing about all your experiences and advice concerning keto living. It seems that most people are able to lower their high blood pressure readings very quickly after cutting their carbs. But this has not occurred in my case, even after a year or so. I did hear that there could be other reasons apart from eating high-carb that could lead to high blood pressure. What are they?

Thanks again for your great show,

Rhonda

7. Should I be concerned about toxins from filter fat in my bacon grease fat?

G'day Jimmy and Adam,

A huge THANK YOU for your helpful and informative podcast and for being so generous with your experiences and knowledge beyond this podcast! You both are changing lives for the better!

My question relates to cooking for a ketogenic lifestyle. I hear many people suggesting cooking with bacon grease or bacon fat as we call it here in Australia. I was talking to my local butcher about and mentioned that I cook with bacon fat and he became very alarmed by this. He explained that there are two types of animal fat—one healthy that is what he describes as clean fat and one not so healthy which he calls filter fat. The filter fat contains massive amounts of toxins which is why my butcher recommends cooking with lard or tallow sourced from fat around the kidneys.

Is this something Ketonians should take into consideration or not? Personally I tell people to eat the best your budget will allow and this isn't always organic and grass-fed. We eat bacon everyday and I'm certainly not changing that habit. But maybe the idea of reusing the bacon fat saved from cooking our morning bacon isn't such a good idea after all. I just thought I would bring this up as it is relevant to those of us in the keto community. What are your thoughts?

Sincerely loving the keto lifestyle,

Peter and Susie in Australia

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8. Why is peanut butter demonized and almond butter glorified on a ketogenic diet?

Hi Jimmy and The Doc,

I’d like for you guys to settle the seemingly neverending debate about why peanut butter is technically not keto,and why almond butter is so much better. The carb difference between the two is negligible assuming you’re getting a nut butter that has no sugar added to it and the fatty acid profile doesn’t look dramatically different either. I do notice that almond butter has a SLIGHT advantage over peanut butter in the omega 3 to omega 6 ratios but both are very low on omega 3’s as compared to their respective omega 6 ratios. And both look to be within .5 grams of polyunsaturated fat per 1 oz. serving.
So why does peanut butter get demonized while almond butter looks to be a very similar food from a nutritional perspective? I thought this would be a fun topic for you guys to cover on Keto Talk as I know this has been a hot topic of debate on the Internet within low-carb and ketogenic circles.

Thanks for the insights,

Matthew

9. Does being in a ketogenic state produce complications with taking birth control pills?

Dear Jimmy and The Doc,

Thank you for your outstanding podcast because it adds so much value to my life. I have a question that I hope you can help me with. My girlfriend has joined me in eating a well-formulated ketogenic diet for just over a month and she feels fantastic in almost every way. The only problem is her period has arrived sooner than it usually does and lasts longer, too. When it happened once, she thought it was an anomaly but then it happened again. She is taking birth control (Lutera) and always had regular and consistent periods while on the pill with little to no side effects.

Are there any potential complications with taking birth control while on a ketogenic diet? If the birth control is causing this issue, what alternatives does Doc Nally recommend? Or will all of this come back into balance with time?

Thank you so much for your help and thank you again for your valuable work.

Yours truly,

Aaron

10. Are there any studies looking at ulcerative colitis and a ketogenic diet?

Hello Jimmy and Doc Nally!

Love the show, especially when you two tackle the latest research, and I have been a faithful listener and Ketonian since I discovered your show back in March!

I have a family member who is suffering from ulcerative colitis and I was wondering if you guys might be able to shed some light on this disease and how a ketogenic diet might improve or reverse it. Is there any research on using a nutritional therapy like keto to treat it or are people doomed to be on medications forever?

Thank you so much for all of the wonderful work you do!

Julie

11. Does a high-fat diet like ketogenic increase inflammation in the prostate?

I have been having some serious prostate problems and they seem to be getting worse on the keto diet which I've done for about 6 months. My blood work is great though. I ran across a study from the American Urology Association that states that high-fat is inflammatory for the prostate: see page 3 of 4 under Epidemiology

I am losing my mind over this prostatitis. It’s very painful even though the doctors all say they cannot find anything. Maybe I am the one in a million exception to the rule where eating high-fat does not work for me. Anyways, any feedback you might have would be greatly appreciated.

Thanks for all your help,

Gil

- Cancer spread is increased by a high fat diet, ground-breaking evidence shows

12. Is there any issue with someone taking a fat-burning supplement while eating ketogenic?

Hi guys,

I've listened to the majority of your episodes and I think I have a topic you haven’t addressed yet. What are your thoughts about the plethora of stimulant-based fat-burning supplements that are being marketed out there? I've heard Dr. Atkins scolded his patients very earnestly in his practice for "cheating" instead of just believing in the diet. You can never really be sure that these supplements actually contain the intended ingredients, but the fact is these stimulants typically are intended to stimulate catabolic hormone pathways supposedly to enhance fat burning and "promote thermogenesis" (in the calorie counting paradigm). But if you're insulin resistant in some way, isn't it probably a really bad idea to be spiking catabolic hormones all willy-nilly when part-and-parcel of insulin resistance is an impaired ability for insulin to control these hormones at the expense of letting your body find the right levels through the ketogenic diet itself?

Thank you for answering my question and I have been enjoying listening to the show a lot.

Basil

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13. Does an increase in Vitamin D levels diminish ketone levels in the body?

Hello Jimmy and Dr. Adam,

I have a simple question for you: Does Vitamin D impact ketones? I only ask this because I have noticed a few times some noticeably lower ketone readings after a long day in the sun. I have a feeling movement while outside is also playing a role in this. Any thoughts on this?

Kyle

14. Is a ketogenic diet an acceptable nutritional therapy for people with organ transplants?

Hello Jimmy and The Doc,

I’m wondering about the impact of a ketogenic diet for organ transplant recipients. I had a liver and kidney transplant in 2001 and was starting to experience problems after about seven years when my husband and I switched to a low-carb diet and very quickly saw all my markers improve. We’ve been eating this way since 2009 and we’re both in great shape. I’ve been telling my nephrologist and my hepatologist what I’m doing, but I can’t persuade them to recommend this way of eating to other transplant patients. Am I just lucky to see my health improve eating keto or could this help other transplant recipients, too?

Cheers,

Anne

15. What do I need to do to experience the robust energy that is supposed to come from ketosis?

I’ve been more or less keto for over two years now and I have to say I don’t really have a “feeling” of when I’m in ketosis. My energy level never really went up all that much and I hear people talk about how great they feel in ketosis. The truth is I’m envious of them because I’ve never experienced this myself. I know there are a LOT of things that relate to energy level: stress, emotional issues that can drain a person, thyroid, electrolytes, etc. How can someone like me who is keto obtain the typical energy level that other Ketonians are experiencing? Where would you start and what would you want to rule in or out? I have a very low CRP, no calcium in the heart, TSH normal and more.

Thanks for helping me figure this out!

Dr. Jim

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16. Is eating a high-fat diet without significantly reducing carbohydrates a concern for cardiovascular health?

Hi Jimmy and Doc Muscles!

I’ve been listening to Keto Talk since the beginning and really enjoy the banter between you two! You both do a great job of making all the information you provide easy to understand. I have a question that seems to have been answered in a roundabout way previously on your podcast. But I would love an answer that is specific to my concern.

I have been dealing with autoimmune issues for a few years now. Psoriasis since my 20s, and possible rheumatoid arthritis for about 2 years now. I’m 40 years old and had always followed recommended dietary guidelines, but that didn’t prevent these issues from happening. I follow a mostly AIP, lower-carb diet, but I know that I am not in ketosis most of the time.

My carbs include small amounts of fruit (usually about 1 serving per day), sweet potatoes, and all vegetables. I sometimes make AIP friendly treats that are low in sugar, but do contain some starch. I now eat higher amounts of fat than I ever have from Kerrygold butter, cream, avocados, coconut oil and olive oil. I feel really good most of the time and love how I can wait longer between meals and don’t seem to get hangry. I stay quite active, work standing up, kick box 2-3 days per week, do a little yoga, and still mix in a little running, biking and swimming from my triathlon days.

My question for you guys is this: If I am not in ketosis most of the time while eating 50-100 grams of carbs with my higher consumption of fat, am I jeopardizing my cardiovascular health? I don’t believe I have a blood sugar issue. I test it sporadically, and even after a higher carb meal, it is under 120. My total cholesterol jumped from 208 to 269 during the last 3.5 years, LDL went up to 139, triglycerides in the 50s, HDL in the 90’s. Of course, my HMO doctor wants me to retest in three months because it is so high.

Thanks so much! I wait anxiously for your new episodes every week! You guys are great!

Karen

17. Can toxins released from fat stores while eating keto lead to eczema?

I’ve been doing keto really well and keeping my daily carbs under 20 grams and I feel great. My energy and mental clarity are awesome and my waist has dropped from a size 41 to a size 35 in only 6 months. But I've developed a serious and painful case of eczema on my feet. These blisters are huge and my guess is that my body was holding onto toxins in my fat cells which are now being released and overloading my body leading to the eczema. Am I right about what’s happening or is there some other mechanism at work with this? If it is toxins being dumped into my bloodstream, then what is the best method to deal with this? Should I slow down on my ketogenic diet or should I attempt chelation or some other method to bind and remove these toxins.

Thank you for everything you do!

Georgia

18. Is it better to have a little bit of real sugar sources instead of sugar alternatives?

Dear Jimmy and Adam,

For long-term health, I eat low-carb/higher fat and I prefer to eat whole foods. So when I see recipes that use erythritol, stevia, and similar sugar alternatives, I replace those with honey, pure maple syrup, molasses, table sugar, and brown sugar instead. I also cut the amount of sugar in recipes by about 50-70% or sometimes omit the sweetener entirely.

Erithrytol and other "tols" also upset my stomach and gut. What so you think about using small amounts of "real" sugars as I described? I am fortunate to have a healthy metabolism and can tolerate a few more carbs than my husband, for example, who is carb-sensitive like you guys. Would a small amount of a sugar (say 2 Tbs total at the most) be too much for him?

Thanks guys! I love Keto Talk and am a big fan.

Katie

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19. Do you get all the gut health benefits of eating spinach if it is cooked vs. raw?

Dear Jimmy and Doc Nally,

Does it matter If I eat my spinach cooked in butter versus raw? I am trying to eat the two cups of spinach daily for gut health that Dr. Nally recommends.

Thank for all you do!

Jill

20. What, if any, impact does the use of cannabis have on ketosis?

Hey guys!  I love your show and I've learned so much from it—so thank you.  Now my controversial question: Medical and recreational cannabis is starting to become legal in many states, so I have to ask this—does cannabis use have any effect whatsoever on ketosis or a ketogenic diet?

Thanks for addressing this!

Michael

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LINKS MENTIONED IN EPISODE 47
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- SUPPORT OUR SPONSOR: Visit QuestKeto.com to discover the new ketogenic-friendly meals and snacks
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
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- SUPPORT OUR SPONSOR: Pre-order Maria Emmerich's December 27, 2016 book The 30-Day Ketogenic Cleanse
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- Thriving on raw eggs, world's oldest person marks 117th birthday in Italy
- Cancer spread is increased by a high fat diet, ground-breaking evidence shows
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam share massive keto knowledge with you today in Episode 46.

**THANK YOU to Steve, Mary, Coin and Jewelry, DD, and Jay**

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Here’s what Jimmy and Adam talked about in Episode 46:

TESTIMONIAL FROM LISTENER

Hey Jimmy!

I wanted to update you and Doc Nally on how it has being going using Symlin (synthetic Amylin) to help reduce my insulin requirements and high morning blood sugar levels. I have to tell you I’m absolutely blown away by how well it’s working and the major metabolic improvements I’m seeing in just 10 days of using it so far! I’ve dropped 19 pounds in just 10 days right in the middle of my birthday and Thanksgiving. I’ve been able to totally drop my fast acting insulin and have brought my basal insulin down from 34 units twice daily to 22 units twice daily because I was having low blood sugars!

I test my blood glucose 7-8 times a day to keep an eye on that and my readings have all been in the normal range even with much lower insulin injections. In fact, the A1C “estimator” on my glucose logging app is showing my A1C dropped by .4 in 10 days. I’m sleeping WAY better. I’m feeling full after meals now instead of starving an hour later because the insulin and Amylin are better regulated.

Thank you, Dr. Nally! I had never even heard of Amylin before he mentioned it on Keto Talk. I’m becoming an expert now that I’m researching it more and more and seeing the effects it has on me personally. Now I want to help more diabetics learn about this “other hormone” that I suspect is missing in a lot of unknowing people!

You guys are awesome! Thanks again.

Jacki

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- What scientific studies and references can I use to counter anti-leto arguments?

Hi Jimmy and Dr. Nally,

I have been listening to Keto Talk since about Episode 20 and have been hooked every since. I am a Registered Dietitian in Washington state and I promote low-carb to my patients. I recently had a fellow dietitian reprimand my efforts to promote fat in the diet as healthy. It’s very frustrating!

She said that promoting saturated fat was not evidence-based especially for key cholesterol markers, but I have found several studies that show saturated fat as healthy or at worst neutral in the context of a lower-carb diet.  My own n=1 experiment has put my triglycerides at 75 and my HDL at 84 eating around 100g carbs daily with plenty of animal fat in my diet. The other “evidence based” crap that is promoted in our clinic has to do with getting 130g of carbs as the daily minimum. In Episode 41, Dr. Nally said the liver creates about 280g of glucose daily via gluconeogenesis.

Is there a study or cited reference I can get my hands on? Any help is appreciated. I am so thankful that low-carb is accessible and I have joined the Diet Doctor website as a member to stay up to date on the latest, greatest in low-carb. I am pretty immersed in the low-carb culture online and it’s always such a shock when my own colleagues haven’t figured it out yet. My next step is to attempt full-on keto. Thanks for all you do. It keeps me going in a world of carboholics!

Kris

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1. What transports ketones from the liver to the cells? Is it insulin like it is for glucose?

Hey guys,

The information you share on this podcast is priceless, so please keep it up. I have a quick question for you to address: If insulin is the vehicle that transports glucose to the cells of the body for energy and high insulin levels is what leads to inflammation and disease then, what is the vehicle that transports ketone bodies from the liver to all the cells? Please tell me it’s not insulin because that would be weird,

Thanks in advance,

Chris

2. Does Bulletproof coffee on a ketogenic diet stall or prevent fat loss?

Several keto experts online rail against Bulletproof coffee for people who are doing strict keto. They claim it may be stalling people looking to produce fat loss. I would love to hear your opinion on this. Thank you so much for what you do. I love your books, Jimmy!

Thank you,

Aaron

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3. If you have had weight loss surgery, how do you best implement a ketogenic diet?

Hi Jimmy and Adam,

I just finished listening to the audiobook for Keto Clarity and I’m now listening for the second time. I had gastric sleeve surgery over a year ago and have lost 100 pounds. With 2/3 of my stomach gone I can't eat very big meals and was wondering if you could give me some ideas on how to make the ketogenic diet work for someone like me.

Thanks,

Roger

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Hi Jimmy and Dr. Nally,

I’m curious about doing ketosis seasonally like our ancestors would have been where carbs are virtually gone during the fall/winter/spring months and then the sweeter and starchier foods are abundant during the summer. I'd love to hear a discussion on what this cycle of eating would have looked like so I can mimic it today.

Ken

iTunes review:

GET THE 30-DAY KETOGENIC CLEANSE BY MARIA EMMERICH

Maria's latest book releases on December 27, 2016
NOTICE OF DISCLOSURE: Paid sponsorship FIND OUT WHAT YOU'RE EATING ON YOUR KETO DIET

GET 50% OFF A 3-MONTH GOLD SUBSCRIPTION
NOTICE OF DISCLOSURE: Paid sponsorship GET QUALITY LOW-CARB MEATS FROM BUTCHERBOX

USE COUPON CODE LLVLC FOR $10 OFF YOUR FIRST BOX
NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 46
- SUPPORT OUR SPONSOR: Visit QuestKeto.com to discover the new ketogenic-friendly meals and snacks
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Pre-order Maria Emmerich's December 27, 2016 book The 30-Day Ketogenic Cleanse
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- 'We've been deceived': Many clinical trial results are never published
- TrialsTracker.ebmdatalab.net
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam offer of words of wisdom for their Ketonian friends in Episode 45.

**Special THANK YOU to Jane, Sandra, Maria, Erika, Mary, Angela, and Brook**

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Here’s what Jimmy and Adam talked about in Episode 45:

- I'm in great shape but my ketones are in the tank. Why?

Hi Jimmy and Adam!

I am a 34-year old male in great shape and have around 12% body fat. I’ve been eating LCHF for about 2 years now and was doing IF for the first 14 months. I decided to try a strictly ketogenic lifestyle about 4 months ago and I am finding it almost impossible to get into nutritional ketosis. The highest reading I’ve tested on my Precision Xtra was 0.7 and I tend to average around 0.2-0.3 daily. I have no idea what I am doing wrong.

I have tried everything from 40 net carbs to 20 total carbs. Slashed my protein to less than 90 grams a day and my meals average around 3-10 total carbs with 55-70 grams of super clean fats. I take MCT 3 times a day and even have a Ketonix breath ketone analyzer. I do not eat any sneaky carbs or sugars—never have and never will. My fasting blood glucose always seems to be in the 70’s and I just can’t figure out what’s up with my ketone levels. I try to consume around 250 grams of fat a day.

I work 7 days a week and am literally on my feet all day. My sleep is around 6.5-7.5 hours a night and I am militant with my regimen. I do take a lot of supplements but nothing from what I’ve read about them should be keeping me out of ketosis. I am beginning to think I have something else gong on. My energy is nonstop from the moment I get up until I go to bed. I do not drink. I feel fine, but I just know that I have never crossed into the 1.0 mmol and can’t for the life of me understand why. Digestion is fine, hydration is fine, electrolytes are good and my recent blood tests were great except for my doctor’s puzzled look at how and why I feel and look so good with a cholesterol of 249 and an LDL-C of 174. I am not worried about those because my HDL/LDL and triglycerides/HDL ratios are well within range. I workout 2-3 times a week. PLEASE HELP ME figure this out.

Thank you and I absolutely love your show!

Michael

- Eating Lots of Carbs, Sugar May Raise Risk of Cognitive Impairment, Mayo Clinic Study Finds

1. Does being in ketosis lead to cold, clammy hands and feet?

Hey Jimmy and Doc,

I've been keto for over a year now and feel great! My energy levels are up, inflammation is down, and I lost a few pounds too. The only negative thing that I have noticed since starting this is my hands and feet are constantly cold and clammy. Is this even related to being ketogenic? If so, what can I do to fix this?

Keep up the great work guys!

PJ

2. Does better sleep and exercise suppress hunger due to a rise in ketone levels?

Hi Jimmy and Dr. Nally,

I sometimes wake up in the middle of the night hungry. I’ve heard you guys talk about getting adequate fat at the dinner meal and I try to make sure of that. But this hunger in the middle of the night is annoying. I am usually able to drink some water and go back to sleep without eating anything. Then when I wake up in the morning, I’m no longer hungry. I’ve also noticed that sometimes I’ll wake up in the morning hungry and will go running or lift weights at the gym. Counterintuitively, after the workout I am no longer hungry and can even skip lunch. Is it safe to assume that the reason the hunger goes away in these instances is because I am able to sleep longer and exercise which helps me go deeper into ketosis?  What do you and Doc Nally think?

Thanks!

Rob

3. How did our early ancestors get salt in their ketogenic diet?

I have a puzzling question for you guys about Paleo and ketogenic diets. If we are to believe that our early ancestors ate a low-carb, moderate protein, high-fat diet, then what were their sources of sodium? Surely they needed it then just as much as we do in modern times. How dd they get it into their diet? And if they didn’t consume adequate levels of salt while in ketosis much of the time, how did they survive without it? What foods were consumed to provide this key element in their diet? Thanks so much for taking the time to answer this one. I Iove Keto Talk because I learn so much. I only wish I lived in Surprise, Arizona so I could see Doc Muscles on a regular basis since finding a low-carb friendly doctor isn't that easy.

Thanks again!

Theresa

KETO TALK MAILBOX

- Isn't the problem with weight loss woe on keto too many calories?

Hi Jimmy and The Doc! You guys are the best! I love all the work you do to spread information and support for keto. But I do have a tiny bone to pick with you guys if you wouldn’t mind hearing me out!

I am a certified holistic health coach who has specialized in the ketogenic diet for many years now. I love it with my whole heart because the benefits are outrageous and undeniable! However, I have noticed some do not find weight loss success when attempting keto because of one MAJOR issue in my opinion. I see it time and time again. It’s the calories.

I'm not talking about a person mistakenly eating too many carbs for individual tolerance nor am I talking about accidentally eating too much protein. These are people who are fully keto-adapted with adequate blood ketone readings who are working out and sleeping great, managing stress well, and yet they are not losing weight. Why? It's because they are eating too many calories to give their body a reason to need to tap into body fat stores.

This is one of the things I have heard you guys repeatedly tell people often on Keto Talk—“calories don't matter, as long as it's coming from fat and as long as they are eaten to satiety.” But this doesn't actually work in real life for most people and it also doesn't make any logical sense. After all, if it were indeed sound and true, people would not be able to maintain weight in ketosis. Health coaches like me who have been in ketosis for years would just forever keep losing fat until we keeled over. But this isn't happening because if a person is maintaining ketosis, they are eating enough calories from fat that the body doesn't have to convert body fat into ketones and homeostasis is achieved.

I hear you guys say it's hard or darn near impossible to eat too much fat because you get full. But, most people coming into this have leptin resistance, binge eating disorder, and other issues that bypass satiety completely. Without proper coaching and calorie accountability they get totally out of control on keto just like any other plan. Now, I'm not saying health isn't still improving on keto even with excessive calories. Healing will indeed still happen. But not weight loss for most people. I can confidently say that after years of consulting that this is unfortunately the rule and not the exception.

Most people eat way past satiety after the first month or so of keto. It seems that at first they have such great appetite suppression from ketones and are able to stop before consuming calories in excess. But then that satiety dwindles and they start snacking on fat bombs, macadamia nuts, olives, cheese, and other non-protein or carb containing drinks or shakes with tons of cream. It’s an overload of fat calories. They are still having 1 to 2.5 blood ketone readings but they just keep packing in the calories from fat and stop losing weight. Every now and then even gain a little. It’s not water weight either, it’s body fat.

Then, they totally believe all the myths that keto doesn't work and you only lose water weight in the beginning and that consuming fat ultimately makes you fat. I HATE those myths. We know ketosis is da bomb diggity and will absolutely shift every metabolic marker in the right direction. And in my opinion weight loss is the least important. But not to my clients! And not to the average person interested in health and wellness. I get clients who have tried various high-fat programs and they end up at me after they get frustrated gaining weight and feeling cruddy.

I wholeheartedly believe this weight gain is completely unnecessary if keto-adaptation happened as a result of using the fat on our bodies preferentially over the fat on our plates. What are your thoughts on this? Thank you so much for addressing my little pet peeve and I hope I didn’t come across as a jerk! I want to see this movement succeed and thrive and this is one topic that we need to get right to communicate the best information to the masses.

You guys are my heroes so thank you for doing what you do!

Emily

iTunes review:

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LINKS MENTIONED IN EPISODE 45
- SUPPORT OUR SPONSOR: Become a Nutritional Therapy Practitioner through the Nutritional Therapy Association at NutritionalTherapy.com
- SUPPORT OUR SPONSOR: Pre-order Maria Emmerich's December 27, 2016 book The 30-Day Ketogenic Cleanse
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- Eating Lots of Carbs, Sugar May Raise Risk of Cognitive Impairment, Mayo Clinic Study Finds
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam take on a whopping 15 of your most pressing low-carb, high-fat, ketogenic diet questions in Episode 44.

**THANK YOU to Rochelle, Michael, Noel, Sacha, Hobie, and Carol**

KEEP KETO TALK ON AIR:
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Here’s what Jimmy and Adam talked about in Episode 44:

1. Will taking steroids kick me out of ketosis from the higher blood sugar readings and lead to weight gain?

Hi Jimmy and Adam,

I’ve been in very strict ketosis since the Low-Carb Cruise, including giving up my beloved cream and cheese and all sweeteners, and I’m seeing great results. My FBG is averaging 70-100 each morning, and that’s a Type 2 Diabetic on no medications with my doctor’s blessing for four years. Also, I’ve dropped significant weight since the cruise!

I tore the lateral meniscus in my right knee and was given a steroid injection in my knee for it. The orthopedic physician said to expect higher blood sugars due to the steroid. Indeed I have already noticed that. Yesterday I saw readings of 140 and 158 and this morning my FBG was 130—much higher than I’ve seen since the cruise. My knee definitely feels better from the steroid, but from what I’ve read online, I can expect to see higher blood sugar readings for several more weeks after taking it.

What I don’t want to do is be kicked out of ketosis because of this nor do I want to gain any of this hard earned weight loss. Is this asking too much? FYI, I don’t even use medications anymore for my diabetes because I’ve managed it so well by eating a LCHF diet for about 5 years. If need be, I could call my doctor and get a temporary prescription for something to deal with these higher numbers….or, is a temporary raise in blood sugar readings not something to be concerned about?

Thanks in advance, and thanks for your podcasts, I’ve listened to all of them and will go back soon and listen again. I love your sense of humor with each other and the info you share is so positive and effective!

Sincerely,

Elaine

2. I’m getting great ketone levels, but I’m slowly gaining weight and not sleeping well. What’s the deal?

Hi guys,

I have been keto for five months and my blood ketones range from 2.0 to 3.5. I am a 49 year old female on hormone replacement for menopause. I have not had one cheat and I eat around 1100-1300 calories a day. I keep my protein around 50-60g a day and total carbs at 20g or less. But I am slowly gaining weight and feel soft. My body measurements are slightly increasing as well. I walk 10,000 steps a day, but my sleep sucks with me waking up all through the night. But my ketones remain good. I have tried upping my calories, lowering my calories, and changing my sweetener. My thyroid is fine and I'm at a loss. Any suggestions?

Thanks,

Stacey in Surprise, AZ

3. Is there any harm being done if someone isn’t all in eating a ketogenic approach?

I have to tell you that I love Keto Talk.  You cover many of my questions as I am just getting started on keto. One thing I am concerned about is that my husband is not fully on board with this lifestyle.  Since I do the cooking he eats what I present. But he tends to sneak in a few extra carbs when someone offers a piece of pie, potatoes, or corn, for example. I don't want to do any damage to his health so my solution has been to cook with healthy fats, eat real food, and offer him extra veggies, keep protein moderate and not nag him when he has a piece of fruit or any of the previously mentioned foods. He does have some weight to lose but does not have blood glucose issues like me. Plus, he drinks alcohol daily. Do you think I am helping or hurting him? I have heard people say keto is an "all or nothing” approach.  I feel good and I have noticed that we both have more energy so I don't want to go backwards. 

Thank you for getting the word out to all of us.  You guys are so easy to listen to!

Donna

4. How best should a long-distance runner fuel themselves in a keto-adapted state?

Hello Jimmy and Doc Nally!

Podcast junkie here. I’ve been listening to Jimmy’s podcasts and combing through old episodes for over two years now. You guys are knocking it out of the park with this new podcast.

I recall that Doc Nally was a long distance runner for some time.  I am looking to get back into long distance running (half marathons, possibly a full marathon in the future) and am puzzled about the best approach for long run fueling for the keto-adapted runner. I really enjoy the sense of community in those events and am a sucker for a fancy finisher’s medal.

Specifically, for long runs leading up to a half marathon, would simple electrolyte replenishing be sufficient?  Or is some sort of slow release starch such as UCANN SuperStarch appropriate for those distances (or maybe for training over a half marathon)? I want to stay away from Gatorade and gels going forward and welcome your thoughts.

Thank you both for a wonderful, informative podcast!

Carina from Orlando, Florida

5. Am I doing something wrong with my ketogenic diet because my blood ketones never get close to 4.0 mmol?

Hi Jimmy,

First, thanks for putting together the Clarity Saga (Cholesterol & Keto) and keep up the good work. Cutting to the chase, I have a question for you:

On social media, there’s a lot of people who proudly hold up their sky high ketones numbers as trophies. I don’t want to say any bad thing about anyone specific as many of these people are inspirational to those of us doing keto. But sometimes all I see from them are posts with blood ketone readings over 4 mmol/l. Are these people getting those numbers because they’re measuring after meals? I’m simply asking this because, on a good day, I get readings below 1mmol/l (fasted, first thing in the morning) and can end up my day reaching 3 mmol/l (before dinner, by 9pm). My glucose is typically around 80mg/dl. That said, what is the best time to take my blood ketone readings?

Regards from Brazil,

Bob

6. What role does ketosis play in the injury recovery process?

Hi Jimmy and The Doc,

I happened to be talking to a couple of friends who are recovering from sports injuries, particularly connective tissue injuries (one with knee ligaments and cartilage damage, the other with a torn bicep tendon). Keto has lots of benefits, but I'm not sure I've heard anyone mention injury recovery.  I doubt keto would play a significant role, positive or negative, but maybe it does. Great podcast.  Keep up the great work.

Thanks!

Pete

7. What is the ideal ketogenic plan for getting strong, building muscle, and getting ripped for an athlete?

Hey guys, I'm 30 years old and a huge fan and love listening to you two give out great advice. The one thing that I have yet to hear is advice for bodybuilders and powerlifters. I think you could do an entire podcast episode just on this topic, but I would really like to know the best macronutrient breakdown or sample eating plan for 190 pound male that wants to stay strong, build muscle, get ripped and vascular. Arnold Style! 

I've been doing the keto thing for almost two months now and have lost some weight (I was 208 for powerlifting and now I'm 195). I don't have to eat 8 meals a day anymore, and have great energy. But I don't feel as though I'm getting as lean as I could. Think about the muscle and fitness guys. I know they are all on anabolics, but is it possible to get that look or close to it on keto if I train hard and eat right? I'm not a normal person or an overweight person, I'm an athlete and I would love your advice on how athletes should run their keto lifestyle. 

sample eating plan:

black coffee
tablespoon of coconut oil
tablespoon of butter 

4 eggs
3 slices of bacon
spinach and onions
28g of shredded cheese
hot sauce 

5 ounces of ground beef (83/17)
veggies
28g of shredded cheese 

Steak or Fish cooked in olive oil and/or butter
Salad or veggies
Feta cheese or sour creme
whole avocado (150g's) 

Maybe a scoop of whey and almond milk - totally dependent on training 

30g Carbs
125g Protein
225g - 300g Fat 

THANK YOU SO MUCH GUYS!! KEEP UP THE AWESOME WORK! Mike Peltz from Revolution Training is my coach and I know he works with Dr. Nally.

Zack

8. Is there something I can do in my ketogenic diet to maintain healthy kidney function?

Hey Jimmy and Adam!  

I absolutely love your show.  I previously tried keto and failed several times, but you have motivated me greatly this time and I am now officially keto-adapted.  I don't miss carbage anymore and love not being hungry all the time. I used to eat 200g of protein per day on the SAD diet and of course 40% carbs.  

I found out I have high creatinine levels of 142. I switched to keto three months ago and checked my creatinine again and now it's 154. I take 2g (HCL) of creatine in my workout, 5g (blend from BPI) in post workout. I am hoping by removing creatine from my diet and eating less meat that my kidneys will begin to function properly. I was discouraged that only changing to keto has seemingly made my kidneys worse, but it could have been what I ate the night before.  

I historically eat a lot of red grass fed beef but obviously that has been reduced via keto. I weigh 200 pounds at 9% body fat and aim for about 80g of protein.  I'm cutting out creatine and checking my cholesterol and CRP and kidney functions in a couple months. Can you share any tips to maintain healthy kidneys on the ketogenic lifestyle. I understand that you lose a lot of salt on keto that needs to be replenished. I drink a gallon of water per day and then coffee on top of that.  I also take essential amino energy for my workouts.  Keep up the great work...love listening to you and the Doc!

Eric

9. How long would it take me to reverse my keto-adaptation where I preferentially burn glucose over ketones?

Jimmy and The Doc,

I absolutely love the show guys!  After growing up being a busy, athletic young man, I was hit pretty hard at 18 years old with severe sciatic pain when I went away to West Point. Not being able to run or exercise due to the pain, I ended up being medically discharged and sent back home. Because of its insidious nature, it was a full 15 years before I knew the pain's cause: Ankylosing Spondylitis. In the meantime, as my pain levels continued to increase, my activity levels dropped as well. Unfortunately, my diet remained unchanged: unadulterated junk. Exacerbating the problem further, I was eventually put on pain management, which knocked my testosterone in the dirt and took away any motivation I would have otherwise had to do something about my ever-worsening situation. To add insult to injury, my primary care doctor, with the best of intentions, put me on exogenous testosterone, but failed to monitor or manage my estradiol. This put me on a carb-fueled, estrogen-enhanced high-speed railway to morbid obesity, insulin resistance, metabolic syndrome, and the parade of horrible things that were to follow. It all looked bleak until I discovered the ketogenic diet (and kicked the meds and found a good endocrinologist who has helped me reverse some of the hormone issues).

I went fully keto in March this year and combined it with an intermittent fasting/Bulletproof Coffee protocol (skipping breakfast and lunch M-F) with ketogenic meals for dinner and on the weekends. I’ve already lost a lot of weight and things are moving in the right direction. But here’s my question: Volek and Phinney say that keto-adaptation can take between 4-8 weeks to happen depending on the person. But what about the converse of that? Once you are keto-adapted, how long would it take for you to get out of being keto-adapted? I understand a cheat meal will kick you out of ketosis, but how quickly would your body revert to burning glucose as the primary fuel source over ketones? And if you eat high-carb dinners on a cruise, for example, and continue to intermittent fast with MCT oil during the daytime, would that preserve the keto-adaptation in the short term of 7-10 days?

I have no intention of going back to my old ways of eating. But my wife would like to take a cruise, and thinking ahead, I'm curious as to how far I can stray off course without sacrificing keto-adaptation.  If it's too risky, then I'll just stay the course.

Keep up the awesome work!

Tim

10. Are egg yolks and fatty cuts of meat on my ketogenic meal plan raising arachidonic acid leading to inflammation?

Jimmy & Adam,

I am a long-time listener to Keto Talk and the Livin’ Lavida Low Carb shows.  I have read Keto Clarity, Cholesterol Clarity, and have purchased the Ketogenic Cookbook and I have enjoyed all three.  Recently, I began reading Barry Sears’ The Anti-Inflammation Zone. Sears writes, “Eating the wrong kind of fat will increase your levels of AA (arachidonic acid), which will generate silent inflammation . . . egg yolks and fatty cuts of meat contain high levels of AA.  So eating foods rich in AA is like adding kerosene to a fire.” Please give me your take on this.  I am a diabetic (currently with normal blood sugars due to low carb eating), I have managed to lose 100+ pounds, but I also have Atrial Fibrillation, intermittent gout, and high blood pressure.  I tested for high sensitivity C-reactive Protein about a year ago, and it was extremely high (above 10).  Therefore, I am very interested in lowering my inflammation levels.

Keep up the good work with Keto Talk.  It is one of my very favorite podcasts!

Thanks,

Gary

11. Are sugar-free Monster Energy drinks okay to be consuming on my ketogenic diet?

Hi Jimmy,

I just listened to Keto Talk and your discussion on diet soda. I’m eating about 2,500 to 2,700 calories a day and it’s broken down to

I appreciate you guys very much!  Thank you!

Harry

12. How can someone who has had a vertical sleeve gastrectomy get into ketosis?

Jimmy and The Doc,

I LOVE your podcast and listening to you two chew the fat! I found this show the other day and have listened to all of them already.  Can't wait until next Thursday for a new one. I am almost 1 year post op from a vertical sleeve gastrectomy and I would love to go keto. I am not sure how to modify this to suit my eating requirements. I can only eat 2-3 ounces of food at a time and already steer clear of carbs, but I can't seem to get into ketosis.  I was wondering if there is something out there that could help me with the macros.  Thank you and keep on keeping on.

Thank you!

Jolene

13. Does a ketogenic diet cause hormones to go into a tailspin in women and what can be done about it?

I got very strict and serious about keto two weeks ago and everything was going good. But then I started getting dizzy, losing my vision, blood pressure changes etc. which all felt like hypoglycemia. I went to the ER and they checked me out and said I am very healthy and suspected it could be metabolic or thyroid related. When I went to see my GP, he said the ketogenic diet threw my hormones into a tailspin and triggered almost all of my symptoms. A friend of mine who started keto the same week I did had to stop the diet for all the same reasons as mine. Her doctor told her to stay with a higher carb amount until her hormones leveled back again then go slowly so as to not shock an already unstable hormone level. After visiting several women’s keto group, this seems to be a common problem for women on keto. It’s a very scary feeling so I hope women get the answers they need to deal with this. What can we do?

April

14. Do you need carbs to break down fat as is being taught in medical school? How does it fit in the Krebs Cycle?

How does keto work with the Krebs cycle? I'm taking Anatomy and Physiology 2 and just walked out of a class where my teacher kept insisting every way until Tuesday that you must have carbs to break down fat because of the limiting effect of C4/oxaloacetic acid. I still plan on sticking to keto, but would like to be able to back up my science. Thanks!

Cynthia

15. Can ketones produced by a low-carb, high-fat diet trigger insulin production like carbs do? Why or why not?

Hey Jimmy and the Doc,

I love your show but I have a question: From my understanding when I eat carbs those are broken down into glucose which trigger insulin production and that opens muscle and fat cells. But can eating fats that are converted into ketones trigger insulin as well?

Justin

iTunes review:

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"LLVLC" FOR FREE SHIPPING & 10% OFF
NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 44
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- Make plans to attend the 2nd Annual Conference on Nutritional Ketosis and Metabolic Therapeutics coming to Tampa, Florida on February 1-4, 2017
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam have another educational and entertaining show for you in Episode 43.

**Special THANK YOU to Louann, Laura, Richard, Chris, Pedro, and Diane**

KEEP KETO TALK ON AIR:
MAKE A DONATION HERE

 

Here’s what Jimmy and Adam talked about in Episode 43:

- Should I be concerned about the fat related digestion results of my stool analysis?

Hi guys,

I recently had a CDSA stool analysis to look for more information about my health. Under the absorption category, my fat related digestion is all quite high. I am wondering if this is common with keto since the test is norm referenced vs non-keto or is this something that needs to be addressed? Also of note is that the pH is quite high. Again, is this a keto thing? And what suggestions would you have?

Thank you,

Joe

- Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence

1. Can a ketogenic diet be beneficial for morning sickness during pregnancy?

Hey Jimmy and The Doc,

Love your show and never miss it.

My wife is 6 weeks pregnant and she suffers a LOT with morning sickness. She just can't stand it. I’ve been keto for about 10 months now (and loving it), but she is not. In fact, she does not have any desire or hunger at all because of all the morning sickness. And I'm afraid eating the fat on a ketogenic diet would make it worse since she is not fat adapted.

My question is: what role could a ketogenic diet play in relieving these morning sickness episodes? Is it safe to start a ketogenic diet at this point in the pregnancy? Would the keto adaptation phase of 2-4 weeks make it even worse given the possibility of keto flu and electrolyte imbalance?

I really want this topic to be addressed. Thanks a lot and keep up the good work,

Fernando from Rio de Janeiro, Brazil

2. Is eating ketogenic detrimental to someone with a binge eating disorder?

I've been living keto most of the time for the last year and a half, and I've lost 130 pounds so far. I'm still overweight, but I spent most of my adult life well over 300 pounds for a 5'4" woman. Needless to say, this is a huge change. Aside from the weight loss, eating keto has also helped to lessen the depression I've been struggling with since puberty. The problem I'm having is that I periodically get sucked into days of binge eating non-keto foods, which leaves me dealing with not only re-acclimating to ketosis but also a significant biochemical mood dive. When I'm on track (which is most of the time) my macros are 80/15/5, and I weigh/measure/plan/track my food so that's quite accurate. My total carbs are around 20g/day. I very rarely test my ketones due to the cost of strips, but when I do my numbers are between 1.5 and 4. I test my fasting blood glucose regularly and it's usually in the 70s.

When I'm looking at books and online programs for dealing with binge eating or food addiction, they all seem to be against even standard low-carb diets, much less keto. Their reasoning is that the restrictions lead to binge eating. Have you found that people with binge eating or food addiction problems need to eat a more "balanced" whole foods diet in order to mentally recover? I really don't want to walk away from keto because it's been so amazing for me, but I'm also scared that I'll get sucked fully back into binge eating junk and end up back to where I started. Eating keto does decrease my cravings and appetite but for me they never quite go away. I've tried intermittent fasting and it's consistently tipped me over into binging.

Thank you for what you do! I really like listening to your podcast.

Elizabeth

3. Are my carb cravings late in the day while eating keto physiological or habitual?

I’m insulin resistant and know that I do better and feel better on a keto diet. I’ve been low carb for 5 years. Everyday, I vow that it will be the day that I stick to a strict keto diet. I do great in the mornings eating bacon, greens, and eggs for breakfast, maybe some dinner leftovers for lunch such as a protein with cooked veggies or leftover salad. But the late afternoon and evening after dinner is when my best-laid plans fall apart. I grab a few handfuls of popcorn that my teenage daughter brought home and stashed in the pantry. Or I eat a bowl of sugar-free (but obviously not junk free or very low carb) ice cream I bought during my last trip to the store. Or I’ll go in the cupboard and grab a small piece of dark chocolate, but I’ll go back for one or two more pieces before I’m satisfied.

Are these cravings for something sweet and creamy, or salty and crunchy physiological or habitual? I know they keep me from being totally keto. One of the things I tell myself when I reach for that handful of popcorn or that bowl of sugar-free ice cream is, “I’ve been on track most of the day/week/month, I can treat myself to some of this.” Sometimes I don’t tell myself anything, I just have this deep craving, this obsessive thought, that something sweet and creamy will quench my craving. It’s like cigarettes or something!

Do you guys have any clue what can I do about it?

Margaret

KETO TALK MAILBOX

- What impact do steam rooms and saunas have on ketone levels?

Hi Jimmy and Doc Nally,

Love the podcast. Very informative and loads of useful info. I have a question regarding the use of steam rooms and saunas. Will the use of these have any effect good or bad on ketone production? I typically use a steam room with temperature over 40 degrees Celsius once a week. Obviously it speeds up heart rate and is supposed to help the liver detox.

Thanks for any info you might have!

Jason from England

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LINKS MENTIONED IN EPISODE 43
- SUPPORT OUR SPONSOR: Try quality low-carb meats from ButcherBox (use coupon code LLVLC at checkout for $10 your first box)
- Make plans to attend the 2nd Annual Conference on Nutritional Ketosis and Metabolic Therapeutics coming to Tampa, Florida on February 1-4, 2017
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- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- Glycemic Control for Patients With Type 2 Diabetes Mellitus: Our Evolving Faith in the Face of Evidence
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from "Livin' La Vida Low-Carb" and Arizona osteopath and certified bariatric physician Dr. Adam Nally from "Doc Muscles" who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions--send an email to Jimmy at [email protected]. And if you're not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam continue answering YOUR questions about the ketogenic diet in Episode 42.

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Here’s what Jimmy and Adam talked about in Episode 42:

- How can a low-carb, high-fat diet RAISE blood sugar?

Since I got diagnosed six months ago I've tried fasting, only to stop when my blood sugar went way up. This book does a great job of explaining why, and why working through that is worth it and will lead to lower sugar levels later. It also does a great job of suggesting what changes to make to make fasting safer without having access to expensive lab tests. Continuing to supplement with bone broth should stabilize electrolytes with negligible effects on insulin levels.

I do wish the book addressed those of us who get very insulin resistant on high fat diets. I've gone on low carb only to see my blood sugar numbers skyrocket. I switched to a fat fast only to see them keep climbing to exceed 300. I was craving rice and vegetables so I broke my fast with a big bowl and the next morning my blood sugar was down to 122. I know that there is some sort of genetic link to the 20% or so of diabetics that cannot tolerate high fat, but there is no information about that here at all.

I personally feel best and my numbers are normal when I eat moderate protein, starches only in the form of vegetables, beans, and berries, and very low fat. The problem with this is when I "cheat" and eat something bad, my numbers go higher and higher than ever before each time. Is the answer to eat high fat with something starchy once a week? Or is the answer to fast longer than when my blood sugar hits 300? I've been experimenting on myself for months but I still can't seem to figure out how to reverse this. I wish the book was more comprehensive for people like me.

Katy, left as a review of The Complete Guide To Fasting

- A change in diet could help stop your migraines

1. What is the average blood glucose of someone eating a ketogenic diet?

For people on a pure ketogenic diet, what is the average blood glucose supposed to be? Jimmy, I’ve heard you say yours runs around 100 when you’re eating keto. I wonder if anyone else has levels of 55-65 and feels great like me? And do you think that in days of old for people living in Northern climates, they would have kept such low BG levels in the winter months losing the weight they put on in the summer from eating carbohydrates that were more plentiful?

Laura

2. Do you have to count free-form amino acid supplements into your total intake of protein?

The reason I am contacting you is regarding the process of gluconeogenesis or converting protein to glucose and remaining in ketosis. My questions are as follows:    

- Does the body process free-form, amino acid supplements the same way as it processes amino acids provided in food?  

- If I’m following a ketogenic diet and taking free-form amino acid supplements, would I have to factor in the amino acid supplements as part of the total intake of protein (so as not to go over the prescribed limit) in order to stay in ketosis? 

Thank you in advance for your attention.  I look forward to your reply.

Sincerely,

Dee Dee

3. If a pregnant woman eats keto, will that express epigenetic obesity genes in the baby forcing keto for life?

I have been researching the topic of ketosis in pregnancy as I have been using it to control latent autoimmune diabetes and I want to continue through my pregnancy (I’m currently 2 months pregnant). I've listened to the many podcasts you have done on the topic and know it’s is generally safe for the mother and baby.

However, my only concern is nobody seems to address the topic of epigenetics. I've been trawling through loads of research and blogs and reading about how ketosis metabolically mimics starvation, especially if ketone levels are high like mine with an average of 6.0 mmol. How do we know this does not send starvation signals to the fetus. Will the baby be forced to eat a ketogenic diet for life lest they suffer from obesity due to the thrifty gene being switched on?

Thanks,

Ruth

KETO TALK MAILBOX

Adam, thank you for your service to our country. My dad was career Air Force, my son-in-law is currently a special forces' officer in the Navy, and my son who is a senior in high school is planning on attending The Citadel! We are thankful for the men and women who selflessly protect and serve our country.

And thank you guys so much for the excellent information in your podcast, websites, and books.  I am a mom of 7 and have been keto-adapted for four months after following a Paleo diet for years.  I have lost 20 pounds and am down to my ideal body weight with an average blood glucose level of 77-80 each day. I feel great!

My question is for my 20 year old daughter. She is a college student majoring in culinary arts and business. She has been diagnosed with essential tremors which are affecting her ability to execute fine details in cake decorating, fine cutting skills, etc.  She currently takes a women’s probiotic, True Calm, magnesium, krill oil, Vitamin D3, Vitamin K2, and liver capsules. These supplements are great, but I truly believe the keto lifestyle would greatly reduce or slow the progression of the tremors.  

Like most college students, she does not get enough sleep and has pressing deadlines and events to prepare for. Her recent blood work showed triglycerides at 120 and fasting glucose of 90. We have diabetes that run in our family also. My daughter has been drilled with the food pyramid in her nutrition classes, but I think she would be open to suggestions from an outside source (other than her mother!).

If she were your daughter, what would you recommend? Thank you for considering my question! I am thankful for the resources God has provided through you guys. Thank you again for educating us all.

Thanks,

Robin

iTunes review:

ATTEND THE FIRST KETOGENIC CONFERENCE OF 2017
GET FROZEN KETO PIZZA FOR THE FIRST TIME EVER

"LLVLC" FOR FREE SHIPPING & 10% OFF
NOTICE OF DISCLOSURE: Paid sponsorship FIND OUT WHAT YOU'RE EATING ON YOUR KETO DIET

GET 50% OFF A 3-MONTH GOLD SUBSCRIPTION
NOTICE OF DISCLOSURE: Paid sponsorship GET ALL YOUR TRADITIONAL FATS FROM FATWORKS

Use coupon code KETOTALK for 10% off
NOTICE OF DISCLOSURE: Paid sponsorship

LINKS MENTIONED IN EPISODE 42
- Make plans to attend the 2nd Annual Conference on Nutritional Ketosis and Metabolic Therapeutics coming to Tampa, Florida on February 1-4, 2017
- SUPPORT OUR SPONSOR: Go to RealGoodPizzaCo.com for delicious low-carb frozen pizza (Get free shipping and 10% off your order with coupon code "LLVLC")
- SUPPORT OUR SPONSOR: Try Cronometer to track your keto progress (get 50% off a 3-month gold subscription)
- SUPPORT OUR SPONSOR: Get your traditional fats like lard and tallow from FatWorksFoods.com (Get 10% off your order using the coupon code KETOTALK)
- Jimmy Moore from "Livin' La Vida Low-Carb"
- Dr. Adam Nally, DO from DocMuscles.com
- A change in diet could help stop your migraines
- HELP KEEP KETO TALK ON THE AIR: MAKE A DONATION HERE