1 00:00:00,100 --> 00:00:01,200 What's going on? Ladies and gents? 2 00:00:01,300 --> 00:00:04,700 Robert Sykes keto, Savage.com. And today I've got special guest 3 00:00:04,700 --> 00:00:06,400 Kristen bear on the line for you. 4 00:00:06,500 --> 00:00:10,100 She is a board certified, family medical doctor, and we dive into 5 00:00:10,100 --> 00:00:13,800 all things Quito and medicine. She was a former vegan has been 6 00:00:13,800 --> 00:00:17,600 45 years or was 45 years. I should say, as we talked about 7 00:00:17,600 --> 00:00:20,800 that kind of why she transitioned out of that from 8 00:00:20,800 --> 00:00:21,800 there. She went to paleo. 9 00:00:21,800 --> 00:00:25,000 So we talked about that. And then we drove into Quito and 10 00:00:25,000 --> 00:00:27,600 what she's noticed having been keto for as long as she has. 11 00:00:28,000 --> 00:00:29,800 And then we talked about how he do. 12 00:00:30,000 --> 00:00:32,900 Has kind of changed the game a lot within the medical 13 00:00:32,900 --> 00:00:35,500 community, kind of what the future of that may look like 14 00:00:35,500 --> 00:00:38,600 some some possible. Pitfalls some obstacles and some 15 00:00:38,600 --> 00:00:41,200 ways to overcome them. So really enjoyed the 16 00:00:41,200 --> 00:00:44,300 conversation, learned a ton from Chris and she's a wealth of 17 00:00:44,300 --> 00:00:45,900 knowledge. Hope you learned something as 18 00:00:45,900 --> 00:00:47,600 well. Sit back, relax. 19 00:00:47,600 --> 00:01:00,100 Enjoy the conversation. And we're live, Chris, and I are 20 00:01:00,100 --> 00:01:01,500 you. I'm good. 21 00:01:01,500 --> 00:01:02,800 Thanks. How are you doing? 22 00:01:02,800 --> 00:01:05,500 I'm doing great for anybody. That does not know which would 23 00:01:05,500 --> 00:01:08,100 be everybody. This is our second take on the 24 00:01:08,100 --> 00:01:09,800 podcast. We had a pretty good 25 00:01:09,800 --> 00:01:12,400 conversation the first time and then I literally lost all the 26 00:01:12,400 --> 00:01:14,400 audio. My computer crashed right? 27 00:01:14,400 --> 00:01:17,000 After we ended the recording and I just felt terrible. 28 00:01:17,000 --> 00:01:19,300 So I appreciate you jumping back on here with me. 29 00:01:19,800 --> 00:01:22,400 Yeah, no problem at all. It was a good conversation. 30 00:01:22,400 --> 00:01:25,100 Hopefully, we can recap the highlights of it. 31 00:01:25,600 --> 00:01:27,400 Yes. Well let's start with them. 32 00:01:27,800 --> 00:01:29,500 I guess this will be the second time here, a little background 33 00:01:29,500 --> 00:01:32,700 from you but give the audience a little background on you your 34 00:01:32,700 --> 00:01:36,100 past kind of what brought you into the space and kind of I 35 00:01:36,100 --> 00:01:39,100 know we talked about you doing quite a little a lot of 36 00:01:39,100 --> 00:01:42,200 different nutritional protocols prior to finding your way into 37 00:01:42,200 --> 00:01:47,200 the low carb keto space. Yeah, so my background I was 38 00:01:47,200 --> 00:01:52,200 diagnosed with lupus of probably about 10 years ago and at the 39 00:01:52,200 --> 00:01:55,200 time we didn't really get much nutritional training. 40 00:01:55,300 --> 00:01:58,700 In medical school but I was convinced there was something I 41 00:01:58,700 --> 00:02:03,400 could do to treat my autoimmune symptoms which were a mix of 42 00:02:03,400 --> 00:02:07,200 body aches joint. Pains fatigue headaches, just 43 00:02:07,200 --> 00:02:10,900 general malaise and not feeling well I was convinced. 44 00:02:10,900 --> 00:02:13,800 There was something I could do outside of traditional 45 00:02:13,800 --> 00:02:16,300 medication. So I started reading about 46 00:02:16,300 --> 00:02:20,200 alternative treatments and I came across a book that led me 47 00:02:20,200 --> 00:02:24,200 to a vegan diet as a means of controlling autoimmune disease. 48 00:02:24,200 --> 00:02:30,700 So, I was vegan for about five years and I did not feel any 49 00:02:30,700 --> 00:02:34,200 better. I actually think by symptoms got 50 00:02:34,200 --> 00:02:37,400 worse and at a whole bunch of other problems. 51 00:02:37,400 --> 00:02:39,600 Creep up during that time, like a B12. 52 00:02:39,600 --> 00:02:45,300 Deficiency started to develop horrible migraines, ulcers, I 53 00:02:45,300 --> 00:02:49,500 was extremely irritable and anxious and depressed, and went 54 00:02:49,500 --> 00:02:53,700 on antidepressants, and it was just, it was a rough few years 55 00:02:53,700 --> 00:02:57,600 so after Five years of the vegan lifestyle. 56 00:02:57,600 --> 00:03:01,700 I thought this is not working. I need to try something else and 57 00:03:01,700 --> 00:03:07,600 I discovered Rob Wolf's work with paleo and gave Leo a try 58 00:03:07,600 --> 00:03:11,100 and pretty quickly. I started to notice some 59 00:03:11,100 --> 00:03:16,800 improvements and definitely had more energy and my symptoms from 60 00:03:16,800 --> 00:03:20,800 lupus definitely improved but they weren't quite completely 61 00:03:20,800 --> 00:03:25,200 alleviated and I took it up a notch and did the Paleo 62 00:03:25,400 --> 00:03:29,200 Autoimmune protocol, which was great but I found it a little 63 00:03:29,200 --> 00:03:32,500 challenging to stick to for those who aren't familiar. 64 00:03:32,500 --> 00:03:36,400 It's it's pretty restrictive. You eliminate dairy grains. 65 00:03:36,400 --> 00:03:41,400 Nightshades nuts and seeds, and it's a pretty restrictive diet, 66 00:03:41,400 --> 00:03:45,500 but admittedly, I did feel better when when I was on it, 67 00:03:46,800 --> 00:03:50,800 but all this time, I just, it still was not feeling 100%. 68 00:03:50,800 --> 00:03:55,200 I was on and off of steroids plus daily medication for lupus, 69 00:03:55,300 --> 00:03:57,200 Yes. And I was on more and more 70 00:03:57,200 --> 00:04:00,600 medication for migraines, which word like the one thing that 71 00:04:00,600 --> 00:04:02,800 we're not getting better and if anything they were getting 72 00:04:02,800 --> 00:04:05,300 worse, they were getting worse while you were paleo. 73 00:04:05,900 --> 00:04:08,300 Yeah, yeah. And you know, some of it, you 74 00:04:08,300 --> 00:04:10,900 tribute, maybe it's stress lack of sleep. 75 00:04:10,900 --> 00:04:14,600 During this time, I was going through residency which is, you 76 00:04:14,600 --> 00:04:17,200 know, not the best years of your life. 77 00:04:17,300 --> 00:04:20,399 And, you know, there there are other factors that could have 78 00:04:20,399 --> 00:04:25,200 played in but I was really, really becoming debilitated by 79 00:04:25,400 --> 00:04:28,500 Daily migraines. I was throwing up and almost 80 00:04:28,500 --> 00:04:32,600 dysfunctional. When I had one that led me to a 81 00:04:32,600 --> 00:04:36,000 book called the migraine Miracle by dr. 82 00:04:36,000 --> 00:04:38,700 Josh Turk net. And that was the first time I 83 00:04:38,707 --> 00:04:42,200 had ever heard of the ketogenic diet all through medical school 84 00:04:42,200 --> 00:04:46,100 and residency, never heard of this way of eating, even as a 85 00:04:46,100 --> 00:04:49,600 treatment for epilepsy, never crossed our studies. 86 00:04:50,100 --> 00:04:56,800 So, I researched it for a while. First, because it was so, Out of 87 00:04:56,800 --> 00:04:59,300 the normal for what we're taught, right? 88 00:04:59,300 --> 00:05:04,000 You know, we're taught to eat low fat, high fiber, fruits and 89 00:05:04,000 --> 00:05:07,400 vegetables and then this keto diets telling us the opposite. 90 00:05:07,400 --> 00:05:12,400 Eat a high fat diet eliminate grains and I really just wanted 91 00:05:12,400 --> 00:05:15,100 to research it on my own first to make sure it wasn't going to 92 00:05:15,100 --> 00:05:21,000 give me a heart attack and I it just kind of opened up this 93 00:05:21,000 --> 00:05:24,500 whole new world of medicine that I had not been exposed to before 94 00:05:24,500 --> 00:05:27,800 and all these Research and how our nutritional guidelines came 95 00:05:27,800 --> 00:05:32,200 to be and I felt confident. It was safe to try and within a 96 00:05:32,200 --> 00:05:36,700 couple weeks, my migraines were completely gone and I was able 97 00:05:36,700 --> 00:05:41,500 to wean off of four medications pretty quickly and which I 98 00:05:41,508 --> 00:05:46,400 thought was miraculous after having tried everything else 99 00:05:47,100 --> 00:05:50,400 just simply changing. My diet was the most effective 100 00:05:50,400 --> 00:05:53,900 treatment for migraines. And what I wasn't expecting is 101 00:05:53,900 --> 00:05:57,100 that my autoimmune symptoms them's all seem to get better as 102 00:05:57,100 --> 00:06:00,000 well. So after that I started 103 00:06:00,000 --> 00:06:03,600 researching more and more about keto and other applications and 104 00:06:03,700 --> 00:06:05,600 the mechanisms of how it really worked. 105 00:06:05,600 --> 00:06:09,000 And I I've been a huge advocate for it ever since. 106 00:06:09,500 --> 00:06:13,700 That's also I want to dive into. So like you I mean most doctors 107 00:06:13,700 --> 00:06:16,800 and medical professionals like when they go through human 108 00:06:16,900 --> 00:06:20,500 Medical School residency. Like you're given a very minimum 109 00:06:21,400 --> 00:06:23,900 you touch on nutrition very minimally throughout all the 110 00:06:23,900 --> 00:06:26,200 teachings. I mean, I've heard some people 111 00:06:26,200 --> 00:06:30,800 say it's like not even a full page on a textbook hardly with, 112 00:06:30,800 --> 00:06:33,100 with that said, like when you're doing this. 113 00:06:33,100 --> 00:06:37,000 I mean, you're taught and told about how you got to, you know, 114 00:06:37,000 --> 00:06:40,100 mitigate any unnecessary saturated fats and whatnot. 115 00:06:40,400 --> 00:06:43,100 So it's like it's like not even coming from a textbook, was just 116 00:06:43,100 --> 00:06:44,900 kind of like here. Say like the word on the street 117 00:06:44,900 --> 00:06:47,000 so to speak, but then you start actually incorporating that 118 00:06:47,000 --> 00:06:50,200 style of eating and you notice improvements within a few weeks 119 00:06:50,600 --> 00:06:53,300 kind of crazy that. That's exactly it. 120 00:06:53,500 --> 00:06:58,200 We really did not have any Ditional education during during 121 00:06:58,200 --> 00:07:00,600 those years of medical school and residency. 122 00:07:00,600 --> 00:07:03,300 If anything we learned about vitamins and nutritional 123 00:07:03,300 --> 00:07:07,500 deficiencies but not what the proper human diet is. 124 00:07:07,800 --> 00:07:11,400 And it is just kind of going with the Norms of what everyone 125 00:07:11,400 --> 00:07:17,900 else is doing limit that and go with the Ada guidelines and the 126 00:07:18,300 --> 00:07:23,100 American diabetic Association and it's just it was not doing 127 00:07:23,100 --> 00:07:27,800 anything for me and Quickly, I came to realize where these 128 00:07:27,800 --> 00:07:31,400 guidelines came from and it's kind of faulty cherry-picked 129 00:07:31,400 --> 00:07:36,500 science and with people who have financially driven agenda. 130 00:07:36,600 --> 00:07:40,200 And it's a little concerning that so many health 131 00:07:40,200 --> 00:07:44,100 professionals and doctors succumb to all of these 132 00:07:44,100 --> 00:07:48,100 guidelines Without Really knowing where they came from and 133 00:07:48,400 --> 00:07:52,800 the dangers of what we're doing. Yeah, it is, it is mind-boggling 134 00:07:53,000 --> 00:07:56,000 backtracking a little bit more when you were Vegan for five 135 00:07:56,000 --> 00:08:01,600 years, when you were you doing, like a, some assuming you were 136 00:08:01,600 --> 00:08:05,100 pretty knowledgeable about vitamins nutrients efficiencies. 137 00:08:05,100 --> 00:08:09,100 That's what you were studying, basically, did you notice that? 138 00:08:09,700 --> 00:08:14,400 Like most, I feel like most vegans have a nutrient 139 00:08:14,400 --> 00:08:16,700 deficiency over a period of time. 140 00:08:16,800 --> 00:08:19,600 My maintain that lifestyle, that's honestly what a lot of 141 00:08:19,600 --> 00:08:22,900 people State when it comes to, like, all, like, podcast whatnot 142 00:08:22,900 --> 00:08:27,300 are talking about, how And vegan diets leads to some type of 143 00:08:27,308 --> 00:08:29,000 malnutrition nutrient deficiency. 144 00:08:29,400 --> 00:08:32,500 Were you pretty Keen keyed in on that and trying to be? 145 00:08:34,000 --> 00:08:36,100 I just want top of your nutrition and top of your 146 00:08:36,100 --> 00:08:39,500 supplementation and whatnot. While you were being, yes, I 147 00:08:39,500 --> 00:08:42,900 definitely tried and you, there's like, with keto, there's 148 00:08:42,900 --> 00:08:47,000 various ways to do a vegan diet, you can eat Whole Foods and be 149 00:08:47,000 --> 00:08:48,900 very clean about it or you can eat. 150 00:08:48,900 --> 00:08:53,100 You can still eat processed junkie carbs all the time and I 151 00:08:53,108 --> 00:08:57,700 really tried to eat a clean Diet then I ate a ton of beans and 152 00:08:57,700 --> 00:09:02,000 lentils and leafy greens. And peanut butter was my go-to. 153 00:09:02,300 --> 00:09:05,900 I was I was always hungry when I was vegan and I could I could 154 00:09:05,900 --> 00:09:09,600 eat a jar of peanut butter in a day which not healthy, not 155 00:09:09,600 --> 00:09:13,200 recommending it, but they did. Definitely try to keep an eye on 156 00:09:13,900 --> 00:09:16,900 a bunch of, you know, vitamins and minerals specifically 157 00:09:16,900 --> 00:09:21,400 protein and b12 which people become deficient in. 158 00:09:22,000 --> 00:09:24,400 And what I thought was interesting was we're always 159 00:09:24,400 --> 00:09:27,000 taught it beat. Of deficiency takes years to 160 00:09:27,000 --> 00:09:32,600 develop and I developed a B12 deficiency, less than two years 161 00:09:32,600 --> 00:09:37,000 in, you know, we're taught, it's 56 years without animal 162 00:09:37,000 --> 00:09:39,300 products, but no, it, it hit me pretty quickly. 163 00:09:39,300 --> 00:09:44,100 And that's with supplementation. So, I was not doing 164 00:09:44,800 --> 00:09:48,200 intermuscular injections, I was doing sublingual and, you know, 165 00:09:48,200 --> 00:09:50,900 not taking it every day as much as I could, but I thought I was 166 00:09:50,900 --> 00:09:53,300 taking enough where it would be a while. 167 00:09:53,300 --> 00:09:58,100 But I definitely, Flipped B12 deficiency pretty quickly. 168 00:09:59,000 --> 00:10:02,300 So is there like, I don't know, I feel like there's so many 169 00:10:03,100 --> 00:10:05,900 supplements out there for a vegan based diet, that kind of 170 00:10:05,900 --> 00:10:09,200 minimizes that yet. Even in spite of all those 171 00:10:09,200 --> 00:10:11,500 supplements, you feel like so many people are having these 172 00:10:11,500 --> 00:10:14,700 deficiencies. Like, is there, is there any way 173 00:10:14,700 --> 00:10:16,700 to like really hedge your bets, and make sure you're doing it 174 00:10:16,700 --> 00:10:19,600 right? You know, I think it takes. 175 00:10:20,100 --> 00:10:24,600 It takes a lot of planning and skill with someone who is 176 00:10:24,600 --> 00:10:27,900 qualified. To assess the nutritional status 177 00:10:27,900 --> 00:10:30,200 of foods. And what I think people forget 178 00:10:30,200 --> 00:10:35,700 is just because a certain food has however, much of this 179 00:10:35,700 --> 00:10:39,200 vitamin or that mineral or protein, that does not mean your 180 00:10:39,200 --> 00:10:41,900 body is able to absorb and utilize it. 181 00:10:42,000 --> 00:10:45,900 And I think that's the tricky part just because you're eating 182 00:10:45,900 --> 00:10:50,000 all of this plant-based protein or getting, you know, your B12 183 00:10:50,000 --> 00:10:53,000 supplements how much is your body actually absorbing and 184 00:10:53,000 --> 00:10:58,000 utilizing is a complete lie. Lee different amount and that is 185 00:10:58,000 --> 00:11:03,000 it's such an individual concept to that there isn't a 186 00:11:03,000 --> 00:11:06,800 one-size-fits-all. So it does take a lot of testing 187 00:11:06,800 --> 00:11:10,400 and a lot of planning and you really have to stay on top of it 188 00:11:10,400 --> 00:11:13,000 and getting your levels checked frequently and being in tune 189 00:11:13,000 --> 00:11:17,900 with how you feel and they think and it's goes with with every 190 00:11:17,900 --> 00:11:21,600 type of diet, people kind of get tunnel vision and they want to 191 00:11:21,600 --> 00:11:25,100 believe that the diet they're doing is perfect and working. 192 00:11:25,300 --> 00:11:28,500 For them and they tune out some of the red flags. 193 00:11:28,500 --> 00:11:32,400 That could be signaling that there is a problem. 194 00:11:32,400 --> 00:11:35,200 Totally, totally. So when you switch from that, to 195 00:11:35,200 --> 00:11:37,700 a Paleo Approach and you started incorporating meet again. 196 00:11:37,700 --> 00:11:40,700 Did you notice like a pretty Sudden Change with the 197 00:11:40,700 --> 00:11:44,300 introduction of meat? Yes, I think chicken was kind of 198 00:11:44,300 --> 00:11:47,200 the Gateway started with chicken. 199 00:11:47,600 --> 00:11:51,100 The remember thinking it was the most satisfying meal I had had 200 00:11:51,400 --> 00:11:57,400 in years and after that led to To fish and then in red meat 201 00:11:57,400 --> 00:12:02,700 following, but my energy and my moods improved right away. 202 00:12:02,700 --> 00:12:05,700 It's a, that was the biggest thing. 203 00:12:06,100 --> 00:12:09,200 And I was, like, I mentioned before when I was vegan, I was 204 00:12:09,200 --> 00:12:12,900 anxious and depressed, and just very irritable all the time. 205 00:12:13,400 --> 00:12:17,200 And within, I don't know, it wasn't long within maybe a month 206 00:12:17,200 --> 00:12:21,900 or two of incorporating meet back in Irene to off of my 207 00:12:21,900 --> 00:12:25,000 antidepressant to, which was a big deal for me. 208 00:12:25,200 --> 00:12:29,800 You know, I hated saying I was on antidepressants and I felt 209 00:12:29,800 --> 00:12:34,400 better without them and it was just really mind opening that 210 00:12:34,900 --> 00:12:39,300 adding meat and just I think a lot of it was the fat omega-3 211 00:12:39,300 --> 00:12:44,200 specifically that it really helped stabilize mood and energy 212 00:12:45,100 --> 00:12:47,500 with all this, you know, evidence in research. 213 00:12:47,500 --> 00:12:52,700 That points to the benefits of having a meat in your diet and 214 00:12:52,700 --> 00:12:54,300 just like the anecdotal evidence, like what you've 215 00:12:54,300 --> 00:12:57,000 experienced yourself. Is it, is it still kind of crazy 216 00:12:57,000 --> 00:13:02,100 to like hear all the medical recommendations of minimizing 217 00:13:02,200 --> 00:13:07,000 meat intake? Yes, I mean, it really is, it's 218 00:13:07,100 --> 00:13:12,400 a very frustrating part of my job and there is some basis. 219 00:13:12,400 --> 00:13:18,400 I mean, we don't know all the long-term effects of a very 220 00:13:18,400 --> 00:13:20,000 meat. Heavy diet like a carnivore 221 00:13:20,000 --> 00:13:21,500 diet. I do think there's a lot of 222 00:13:21,500 --> 00:13:25,000 benefit but it's the ultimate Elimination Diet, but I do, 223 00:13:25,300 --> 00:13:27,700 Definitely have some concerns still with the amount of 224 00:13:27,700 --> 00:13:32,400 saturated fat for people with genetic varieties. 225 00:13:32,400 --> 00:13:36,900 For example, with the apoe4 alleles and a bow, a to, there 226 00:13:36,900 --> 00:13:40,700 are some variations in how people metabolize saturated fat 227 00:13:41,800 --> 00:13:46,700 that I, you know, would maybe pause for these people before 228 00:13:46,700 --> 00:13:51,400 saying, you know, eat red meat Ribeyes every day of the week. 229 00:13:51,600 --> 00:13:55,000 But for in general, I do think it's safe to eat. 230 00:13:55,100 --> 00:13:59,400 That fat in certain quantities in some people are completely 231 00:13:59,400 --> 00:14:03,300 fine and can tolerate much higher limits but I think in 232 00:14:03,300 --> 00:14:08,800 general chicken seafood, red meat should be part of 233 00:14:08,800 --> 00:14:13,700 everyone's diet for the bio available nutrients and the 234 00:14:13,800 --> 00:14:17,500 nutritional benefit that they comes with eating these Foods. 235 00:14:18,200 --> 00:14:20,800 I feel like there's a especially a benefit to people with 236 00:14:20,800 --> 00:14:24,100 autoimmune issues from the the sake of it being such an 237 00:14:24,100 --> 00:14:26,300 elimination that you're kind of Wiping the Slate clean. 238 00:14:26,300 --> 00:14:29,000 Let your body have a, you know, a fresh start. 239 00:14:29,000 --> 00:14:33,400 So, to speak with with people that are totally healthy, don't 240 00:14:33,400 --> 00:14:37,600 have the autoimmune issues, are they, are they missing anything 241 00:14:37,600 --> 00:14:39,700 per se from not having the vegetation? 242 00:14:39,700 --> 00:14:42,100 I mean, I'm definitely Carnival rest. 243 00:14:42,100 --> 00:14:45,400 I'm not hardcore carnivore, but I eat predominantly meat-based 244 00:14:45,600 --> 00:14:49,300 for sure. But I mean, am I losing anything 245 00:14:49,300 --> 00:14:51,700 by not having ample amounts of vegetation? 246 00:14:52,400 --> 00:14:55,400 Yeah, so that's a that's a great question and definitely Only an 247 00:14:55,400 --> 00:14:59,000 area of debate and I think what people will jump at you first 248 00:14:59,000 --> 00:15:00,700 with is fiber. They're going to tell you, you 249 00:15:00,708 --> 00:15:04,500 need fiber for proper digestion and health and say it e. 250 00:15:04,900 --> 00:15:08,500 And if you're in ketosis and you're producing 251 00:15:08,800 --> 00:15:13,400 beta-hydroxybutyrate I don't believe there's a need for fiber 252 00:15:13,400 --> 00:15:17,900 in the diet. And the reason is fiber is 253 00:15:17,900 --> 00:15:21,900 fermented in the colon and it produces a substance called 254 00:15:21,900 --> 00:15:25,700 Burek acid and that kind of nourishes the Walls of the 255 00:15:25,700 --> 00:15:30,000 colon. And when you're in ketosis and 256 00:15:30,000 --> 00:15:35,100 producing these ketones, the beta-hydroxybutyrate and you're 257 00:15:35,100 --> 00:15:40,200 getting a very similar substance and it's believed that the 258 00:15:40,200 --> 00:15:44,700 butyrate is going to serve the same function as the butyric 259 00:15:44,700 --> 00:15:48,400 acid, that's the product of fermentation of fiber. 260 00:15:48,900 --> 00:15:54,600 So I do think that you are okay without fiber in your diet. 261 00:15:54,700 --> 00:15:56,700 Yes. There is going to be alterations 262 00:15:56,700 --> 00:16:00,400 of the gut microbiome but that isn't necessarily a bad thing. 263 00:16:00,400 --> 00:16:04,300 It's just different with dietary changes. 264 00:16:04,300 --> 00:16:07,300 If you're eliminating plant food, or going more, meat-based 265 00:16:07,500 --> 00:16:12,000 you're going to have a change in the gut microflora so we you 266 00:16:12,000 --> 00:16:16,200 know this is an area of a lot of research right now and we don't 267 00:16:16,200 --> 00:16:19,700 know what the long-term effects are going to be. 268 00:16:19,700 --> 00:16:22,300 But it doesn't seem to have a detrimental effect right now at 269 00:16:22,300 --> 00:16:27,200 least in the short term and they can even have Positive benefit 270 00:16:27,200 --> 00:16:32,000 and they think there is a lot of long-term benefit to having low 271 00:16:32,000 --> 00:16:35,700 amounts of insulin preventing insulin resistance, having the 272 00:16:35,700 --> 00:16:41,400 anti-inflammatory benefits of ketones as a specifically in 273 00:16:41,400 --> 00:16:44,600 terms of heart disease and neurological disease. 274 00:16:45,000 --> 00:16:49,200 So I don't at this point, I can't say with 100% certainty. 275 00:16:49,200 --> 00:16:52,000 But from the research that I've done, I don't think you're 276 00:16:52,000 --> 00:16:54,900 missing anything by eliminating plants. 277 00:16:55,000 --> 00:16:58,500 From the diet, they think it's a personal preference right now 278 00:16:58,500 --> 00:17:02,300 and it depends on the individual and that the genetics and their 279 00:17:02,300 --> 00:17:05,500 genetic makeup and just their taste and preference. 280 00:17:06,000 --> 00:17:09,700 But in general, it's an individual feel and I think 281 00:17:09,700 --> 00:17:11,599 you're going to get great nutrition. 282 00:17:11,599 --> 00:17:14,900 If you eat a nose-to-tail carnivore diet. 283 00:17:15,300 --> 00:17:18,400 Yeah, I agree. I feel like with any any major 284 00:17:18,400 --> 00:17:21,400 switch in your primary fuel source, you're going to have 285 00:17:22,099 --> 00:17:23,800 something like that gesture of rebound. 286 00:17:23,800 --> 00:17:27,000 So, to speak, I mean whether You're switching from you know a 287 00:17:27,008 --> 00:17:31,300 lot of vegetation to plant our to carnivore or the other way 288 00:17:31,300 --> 00:17:33,800 around or even if you're like you know, ki do. 289 00:17:33,800 --> 00:17:35,500 But eating a lot of salads and everything Stone. 290 00:17:35,500 --> 00:17:37,700 Then you try to go in dabble in carnivore. 291 00:17:37,900 --> 00:17:40,400 There's like a two to four week adaptation. 292 00:17:40,400 --> 00:17:42,400 Period. Would like your your gut has to 293 00:17:42,400 --> 00:17:44,800 get readjusted and your bathroom usage. 294 00:17:44,800 --> 00:17:46,700 May be all over the place during that adaptation period. 295 00:17:46,700 --> 00:17:50,100 But once you equalize I feel like it pretty much levels out. 296 00:17:50,700 --> 00:17:53,700 Yeah, I agree with that and it's true. 297 00:17:53,700 --> 00:17:57,000 It's just people getting nervous like, oh, it's been a couple 298 00:17:57,000 --> 00:17:59,400 days. My digestion is off. 299 00:17:59,700 --> 00:18:02,100 It's going to take longer than a couple days to adapt. 300 00:18:02,100 --> 00:18:05,500 I think that's a great time frame to 24 weeks and give it a 301 00:18:05,500 --> 00:18:08,600 solid two to four weeks, and it's going to be a little 302 00:18:08,600 --> 00:18:12,900 different from for everyone. It depends on what your gut 303 00:18:12,900 --> 00:18:16,700 microbiome is to begin with and what your diet was like, before 304 00:18:16,700 --> 00:18:21,300 you made the dietary changes to, I think what a lot of people do 305 00:18:21,300 --> 00:18:24,700 notice right away when they eliminate more plant food, is 306 00:18:24,700 --> 00:18:28,800 that Bloating goes down which is a nice benefit. 307 00:18:29,200 --> 00:18:33,300 So you talk to patients who say you know every time I eat I just 308 00:18:33,300 --> 00:18:37,200 feel bloated and distended and you take away the fiber the 309 00:18:37,200 --> 00:18:41,600 grains and plant food and that goes away pretty quickly. 310 00:18:42,300 --> 00:18:45,100 Yeah. Feel like that's like raw food 311 00:18:45,100 --> 00:18:47,700 raw vegetables. I mean if you're consuming a 312 00:18:47,708 --> 00:18:50,700 bunch of raw plant foods like that's all going to get 313 00:18:50,700 --> 00:18:53,200 fermented in the gun and you're going to have the gases that 314 00:18:53,200 --> 00:18:55,900 come as a result of that, which is what People feel so bloated. 315 00:18:55,900 --> 00:18:58,700 Whereas if you're if you are going to eat vegetables like me 316 00:18:58,700 --> 00:19:01,400 personally I always try and Veer towards something that's you 317 00:19:01,400 --> 00:19:05,700 know already fermented like a kimchi or sometimes sauerkraut 318 00:19:05,700 --> 00:19:06,300 or something. It that way. 319 00:19:06,300 --> 00:19:09,000 It's not going to have near the fermentation process inside of 320 00:19:09,000 --> 00:19:11,800 me. Yeah it makes a huge difference 321 00:19:12,200 --> 00:19:15,600 and just going back to where I was in my early 20s, you 322 00:19:16,000 --> 00:19:18,500 remembered not eating all day long. 323 00:19:18,500 --> 00:19:22,200 If I wanted to feel Slim in a dress that night just because I 324 00:19:22,200 --> 00:19:24,900 do if I ate something anything, I was going to feel bloated. 325 00:19:25,100 --> 00:19:27,700 Didn't more distended and it's great. 326 00:19:27,700 --> 00:19:31,100 Now, like once you figure out that it's just the the 327 00:19:31,100 --> 00:19:35,100 plant-based food that's going to cause that if you can go ahead 328 00:19:35,100 --> 00:19:39,000 and eat eggs or chicken or beef that day and be fine, not have 329 00:19:39,000 --> 00:19:42,000 to starve yourself and still feel great. 330 00:19:42,000 --> 00:19:44,700 When you go out that night, yeah, totally, it's liberating. 331 00:19:45,200 --> 00:19:48,300 Yes, it really is. What about like a lot of 332 00:19:48,300 --> 00:19:51,700 carnivores. They talk about plants as 333 00:19:51,700 --> 00:19:54,300 anti-nutrients basically. So they've got the like, the 334 00:19:54,300 --> 00:19:58,800 oxalates For example, in this vegetation, they not they have 335 00:19:58,800 --> 00:20:02,800 nutrients in them, but because of these anti-nutrients, it's 336 00:20:02,800 --> 00:20:05,700 basically causing more of a net negative effect than a positive 337 00:20:05,700 --> 00:20:08,300 effect, but you're taking right. Yeah. 338 00:20:08,300 --> 00:20:10,500 So oxalates are getting a lot of attention. 339 00:20:10,500 --> 00:20:13,900 These days and Sally Norton. If you're familiar with her work 340 00:20:13,900 --> 00:20:18,700 sheet is a great resource when it comes to oxalates. 341 00:20:19,000 --> 00:20:22,800 So we always talk about the benefits and nutrition of 342 00:20:22,800 --> 00:20:25,800 plant-based foods, but yeah, there's just Much attention to 343 00:20:25,800 --> 00:20:31,800 the anti-nutrients and the whole premise of antioxidants and 344 00:20:31,800 --> 00:20:36,200 getting this you know, benefit from plants. 345 00:20:36,200 --> 00:20:40,000 Is the concept of for me, sis is where you're putting low-grade 346 00:20:40,000 --> 00:20:44,300 stress on the body and it sort of rebuilds itself and comes 347 00:20:44,300 --> 00:20:48,600 back stronger, or it causes production of the body's 348 00:20:48,600 --> 00:20:50,400 internal antioxidant glutathione. 349 00:20:50,400 --> 00:20:54,500 But people ignore the fact, or they don't understand the 350 00:20:54,500 --> 00:20:57,700 concept of The family antioxidants work that you know 351 00:20:57,700 --> 00:21:03,200 you are placing some stress on the body plants are not don't 352 00:21:03,200 --> 00:21:06,600 want to be eaten their whole premise, they want to reproduce 353 00:21:06,600 --> 00:21:10,000 and replicate like humans. That's their biology. 354 00:21:10,000 --> 00:21:15,200 So they have these built-in components to distract their 355 00:21:15,200 --> 00:21:19,700 predators or poison their predators or other animals that 356 00:21:19,700 --> 00:21:26,000 want to eat them if you will. So their biology and their Their 357 00:21:26,000 --> 00:21:28,500 operating system is very different than the human 358 00:21:28,500 --> 00:21:32,100 operating system. So there are anti-nutrients and 359 00:21:32,800 --> 00:21:37,100 chemical reactions that occur when we ingest plants that are 360 00:21:37,100 --> 00:21:40,800 going to cause this low-grade stress on the body and there's 361 00:21:40,800 --> 00:21:45,500 varying levels of toxicity or anti-nutrients that come along 362 00:21:45,500 --> 00:21:49,900 with that and there's also phytic acid which binds to other 363 00:21:49,900 --> 00:21:52,900 vitamins and minerals and prevents their absorption. 364 00:21:53,400 --> 00:21:57,200 That's going back to Talking about the bioavailability in 365 00:21:57,200 --> 00:22:02,500 these plant-based Foods just because the plant has on the 366 00:22:02,700 --> 00:22:08,400 label for, you know, on the package that it has 70 percent 367 00:22:08,400 --> 00:22:10,800 of the daily. Recommended amount of iron that 368 00:22:10,800 --> 00:22:13,300 does not mean you're going to absorb all of that and that's 369 00:22:13,300 --> 00:22:15,400 largely because of the phytic acid and some of the 370 00:22:15,400 --> 00:22:19,600 anti-nutrients that go in it. Gotcha, gotcha. 371 00:22:20,000 --> 00:22:22,500 There. I mean, with, with animal 372 00:22:22,500 --> 00:22:26,200 products there's like I mean there Finally, some had created 373 00:22:26,200 --> 00:22:30,500 better than the others, but I feel like generally speaking, a 374 00:22:30,800 --> 00:22:33,800 poor quality Animal product is still going to have much less of 375 00:22:33,800 --> 00:22:37,300 a net negative effect than a high quality plant product. 376 00:22:37,300 --> 00:22:39,500 I mean, I may be wrong in assuming that but I feel like 377 00:22:39,500 --> 00:22:42,500 there's just a lot more - to be had with all these 378 00:22:42,500 --> 00:22:45,500 anti-nutrients and and acids and whatnot. 379 00:22:45,500 --> 00:22:47,300 That could be somewhat poisonous. 380 00:22:47,900 --> 00:22:51,200 No, I agree with that. And I completely agree with that 381 00:22:51,400 --> 00:22:54,800 and there is, I do have a lot of concerns with farming. 382 00:22:54,900 --> 00:23:00,200 Practices in this country specifically and there's varying 383 00:23:00,200 --> 00:23:02,800 levels of quality of meat and seafood. 384 00:23:03,000 --> 00:23:08,000 But in general I do think even a lower Quality Meat is going to 385 00:23:08,000 --> 00:23:11,900 be more beneficial than a lot of the plant-based food. 386 00:23:12,200 --> 00:23:14,600 I think, one thing that I would definitely caution people 387 00:23:14,600 --> 00:23:17,900 against is like the heavy metals and lot of the Seafoods 388 00:23:18,800 --> 00:23:21,400 depending on where you're getting in sourcing these fish, 389 00:23:21,400 --> 00:23:24,800 for instance, I used to live in Spokane, Washington. 390 00:23:25,000 --> 00:23:28,200 That the river was so, you know, bad with heavy metals that you 391 00:23:28,200 --> 00:23:31,100 were not allowed to eat more than one fish a year. 392 00:23:31,500 --> 00:23:34,800 Wow, easy. But I think that like stuff like 393 00:23:34,800 --> 00:23:38,300 that causes, you know, there to be a frowned upon issue with 394 00:23:39,200 --> 00:23:42,800 Justin of meat, but I feel like if you're conscious of that, you 395 00:23:42,800 --> 00:23:46,000 know, knowing where your food comes from, you can mitigate any 396 00:23:46,000 --> 00:23:47,900 of that on the front end and not to worry about it. 397 00:23:48,600 --> 00:23:52,500 Yeah, that that's very true. And this is a little out of my 398 00:23:52,500 --> 00:23:56,600 area of expertise but there are Are binders and and other 399 00:23:56,600 --> 00:24:00,400 supplements, you can take to help bind the heavy metals and 400 00:24:00,400 --> 00:24:06,300 toxins like spirulina and other sources to help mitigate some of 401 00:24:06,300 --> 00:24:09,200 that effect. But again that's that's a little 402 00:24:09,200 --> 00:24:10,400 out of my scope. I know dr. 403 00:24:10,400 --> 00:24:14,100 Mercola has done a lot of work with that and would be a good 404 00:24:14,100 --> 00:24:16,500 resource. But yeah sourcing sourcing is 405 00:24:16,500 --> 00:24:20,400 important and especially with Plastics in the oceans and 406 00:24:20,400 --> 00:24:24,800 things as well. I think people have that option. 407 00:24:25,000 --> 00:24:27,100 To buy higher quality Meat and seafood. 408 00:24:27,100 --> 00:24:29,300 It would definitely be to their benefit. 409 00:24:29,400 --> 00:24:31,100 Totally agree. Totally agree. 410 00:24:31,400 --> 00:24:34,800 So, so what is your area of expertise as it relates to the 411 00:24:34,800 --> 00:24:38,500 medical field. So I'm a board certified, family 412 00:24:38,700 --> 00:24:42,800 physician, and I'm actually studying to take a second board 413 00:24:42,800 --> 00:24:46,600 exam in obesity medicine, which will be in February. 414 00:24:46,600 --> 00:24:51,700 And I plan to take my practice and two full-time, Barry 415 00:24:51,700 --> 00:24:54,800 attrition and helping people, man. 416 00:24:54,900 --> 00:24:58,400 Manage the disease of obesity and all the comorbidities that 417 00:24:58,400 --> 00:25:03,200 come with that specifically diabetes and hypertension and 418 00:25:03,700 --> 00:25:09,300 just really want to kind of dive into lifestyle and nutrition and 419 00:25:09,600 --> 00:25:13,500 help help people get the proper education and diet to help 420 00:25:13,500 --> 00:25:17,100 manage their disease. I feel like working in Family 421 00:25:17,100 --> 00:25:19,400 Medicine like you do currently and you'll probably see the same 422 00:25:19,400 --> 00:25:23,700 thing when you transition to the bariatric surgery and whatnot 423 00:25:23,700 --> 00:25:27,500 our bariatric. Honey, do you notice like just 424 00:25:27,500 --> 00:25:29,900 certain patterns like pattern recognition? 425 00:25:29,900 --> 00:25:33,000 And a lot of the people you've worked with, like, with regard 426 00:25:33,000 --> 00:25:35,500 to Lifestyle habits, or nutritional Habits. 427 00:25:35,500 --> 00:25:39,900 Like, You know, people that are much healthier to, to be a 428 00:25:39,908 --> 00:25:41,500 certain way versus those that aren't healthy. 429 00:25:41,500 --> 00:25:44,300 All tend to follow a similar pattern, like what are some of 430 00:25:44,308 --> 00:25:46,500 those patterns you recognize? Yeah. 431 00:25:46,500 --> 00:25:50,700 I mean, there's it's very basic and what a used to take for 432 00:25:50,700 --> 00:25:55,200 granted as common knowledge, you realize people are still very 433 00:25:55,200 --> 00:25:57,900 unsure about. And one of the biggest things is 434 00:25:57,900 --> 00:26:01,100 sugar-sweetened Beverages. And in Family Medicine, I deal 435 00:26:01,100 --> 00:26:03,500 with a lot of pediatric patients, and adults. 436 00:26:03,900 --> 00:26:07,300 And it's shocking to see how many people are still drinking 437 00:26:07,300 --> 00:26:12,400 juice and soda is their main form of liquid during the day. 438 00:26:13,600 --> 00:26:18,400 There's one thing I would like to promote quickly is get those 439 00:26:18,400 --> 00:26:21,800 out of your diet completely. There's no no need for 440 00:26:21,800 --> 00:26:26,800 sugar-sweetened beverages. Other things I notice is people 441 00:26:26,800 --> 00:26:33,300 who exercise and specifically lift weights tend to pay a lot 442 00:26:33,300 --> 00:26:38,300 more attention to their diet. And what I do really worried 443 00:26:38,300 --> 00:26:41,900 about a sarcopenia which is decreasing muscle mass 444 00:26:41,900 --> 00:26:46,500 especially as patient's age and I think establishing a good 445 00:26:46,500 --> 00:26:49,100 resistance, training program, weight lifting, or just 446 00:26:49,100 --> 00:26:54,600 bodyweight exercises early on is a, it's a great thing to do, but 447 00:26:54,900 --> 00:26:57,300 In general, I think one patients. 448 00:26:57,300 --> 00:27:01,600 Start one aspect and if it's working out or trying to change 449 00:27:01,600 --> 00:27:03,700 their diet, the rest kind of follows. 450 00:27:03,700 --> 00:27:06,100 It's like they start seeing some success and then they want to 451 00:27:06,108 --> 00:27:10,800 take it to the next step. But, you know, in general, the 452 00:27:10,800 --> 00:27:14,500 healthier people, they work out regularly, they do some sort of 453 00:27:14,500 --> 00:27:18,300 strength training, they don't have sugar, sweetened beverages, 454 00:27:18,300 --> 00:27:20,900 they limit fast food. Those are kind of the big 455 00:27:20,900 --> 00:27:22,400 things. Yeah. 456 00:27:22,400 --> 00:27:27,600 And I never cease to be amazed at how How much people drink 457 00:27:27,600 --> 00:27:30,500 these sugar-sweetened beverages? My brother is his bad about it, 458 00:27:30,500 --> 00:27:34,300 he he's gotten better, but he used to drink these Fanta drinks 459 00:27:34,300 --> 00:27:37,400 and I didn't know it was a fan, what a Fanta was and I looked at 460 00:27:37,408 --> 00:27:41,700 the label in one serving is like, 79 grams of sugar. 461 00:27:41,700 --> 00:27:44,200 Like it blew my mind. Isn't that correct? 462 00:27:44,200 --> 00:27:48,700 And there's people that drink several of them a day and kids 463 00:27:48,700 --> 00:27:53,900 specifically, it's, it's crazy. I mean, you'll have someone who 464 00:27:53,900 --> 00:27:56,700 will lose 10 pounds. Pounds in a month, just from 465 00:27:56,900 --> 00:27:58,900 eliminating soda from their diet. 466 00:27:59,200 --> 00:28:01,700 Well what I understand is there's so many Alternatives 467 00:28:01,700 --> 00:28:06,600 like Z via you have your drink Z via I have not tried it but I 468 00:28:06,900 --> 00:28:09,900 I've heard good things about it. Yeah I mean it's just it's 469 00:28:09,900 --> 00:28:13,900 basically water that's sweetened with stevia but there's like 470 00:28:13,900 --> 00:28:18,000 literally a z via alternative for every popular soft drink 471 00:28:18,000 --> 00:28:19,500 either. I just like a Coke version. 472 00:28:20,200 --> 00:28:23,200 A yeah, you know, Cola, I mean there's there's everything and 473 00:28:23,200 --> 00:28:26,500 it's like to me. I mean, I don't have a very 474 00:28:26,500 --> 00:28:28,000 well. I'm not a connoisseur of soft 475 00:28:28,000 --> 00:28:30,600 drinks by any means, but I can't tell a difference. 476 00:28:30,600 --> 00:28:32,100 I don't feel like I'm missing out, so I feel like that would 477 00:28:32,100 --> 00:28:35,400 be an easy, easy switch. It would make such a huge 478 00:28:35,400 --> 00:28:37,900 impact. Yeah, and I think that's a great 479 00:28:37,900 --> 00:28:40,900 Point. These little switches do add up 480 00:28:41,200 --> 00:28:44,500 and I'm not a huge advocate for artificial sweeteners. 481 00:28:44,500 --> 00:28:48,700 But Stevia is one where I personally drink it on an 482 00:28:48,700 --> 00:28:53,000 occasion. I love grabbed Wolf's Lament The 483 00:28:53,000 --> 00:28:55,500 electrolyte supplement with Steve via in it. 484 00:28:55,500 --> 00:28:56,900 That's kind of my thing right now. 485 00:28:57,200 --> 00:29:00,800 But yeah, a lot of the artificial sweeteners. 486 00:29:00,800 --> 00:29:03,700 I think have have some side effects that are going to be 487 00:29:03,700 --> 00:29:06,100 unpleasant. But Stevia is the exception, I 488 00:29:06,108 --> 00:29:09,000 think that's a great alternative for sugar. 489 00:29:09,400 --> 00:29:11,000 Yes. Davey among friend of like this 490 00:29:11,300 --> 00:29:13,400 pretty pretty same for the most part for sure. 491 00:29:13,800 --> 00:29:15,000 Yeah. And you're absolutely right 492 00:29:15,000 --> 00:29:19,100 about, you know, people like that train and work out because 493 00:29:19,100 --> 00:29:22,200 when you do that, like when I first started working, I didn't 494 00:29:22,200 --> 00:29:24,900 I didn't give any thought to nutrition when I thought the it. 495 00:29:25,100 --> 00:29:29,400 This was on the training but you start following a healthier 496 00:29:29,400 --> 00:29:32,400 lifestyle and then it just branches and buds into so many 497 00:29:32,400 --> 00:29:35,500 different other aspects and nutrition is bound to follow. 498 00:29:35,900 --> 00:29:38,100 Because you want to maximize any of the work that you're putting 499 00:29:38,100 --> 00:29:39,900 in the gym. And I don't know. 500 00:29:39,900 --> 00:29:42,100 It's like there's a lot of misinformation out there in the 501 00:29:42,100 --> 00:29:46,000 gyms fears, like the locker room, talk is often filled with 502 00:29:46,300 --> 00:29:49,100 bad nutrition advice. But nutrition advice is often 503 00:29:49,100 --> 00:29:50,600 times better than no nutritional advice. 504 00:29:50,600 --> 00:29:53,300 Even if it's misinformed and there's just so many people out 505 00:29:53,300 --> 00:29:57,000 there that have no No common knowledge to like the basics of 506 00:29:57,000 --> 00:30:00,400 what even a macro nutrient is like that, that's Greek to some 507 00:30:00,400 --> 00:30:04,900 people. Yeah, it is it what I really 508 00:30:04,900 --> 00:30:09,100 like to talk to my diabetic patients, about is limiting 509 00:30:09,100 --> 00:30:11,100 their carbohydrates specifically. 510 00:30:11,400 --> 00:30:13,300 And this isn't even getting into Kido. 511 00:30:13,300 --> 00:30:16,900 This is just, let's decrease your carbohydrate consumption 512 00:30:17,400 --> 00:30:22,500 and some of the questions that I get, what we would you and I 513 00:30:22,500 --> 00:30:24,900 would probably be like, of course, that's a carbohydrate. 514 00:30:25,300 --> 00:30:27,900 They really don't know. You're asking about price, 515 00:30:27,900 --> 00:30:30,600 they're asking about oatmeal. They're asking about whole-grain 516 00:30:30,600 --> 00:30:34,800 bread and you realize you really have to start with the basics 517 00:30:34,800 --> 00:30:38,800 with people and explain what a carbohydrate is, what a protein 518 00:30:38,800 --> 00:30:43,300 is, what a fat is, how your body is going to respond to that in 519 00:30:43,300 --> 00:30:48,400 terms of insulin. And it's just, it's amazing how 520 00:30:48,400 --> 00:30:51,400 little nutritional information people get. 521 00:30:51,900 --> 00:30:54,800 It's kind of funny because like you and I we are in in the 522 00:30:55,000 --> 00:30:57,200 Cheetos fear. Like we're, we're rubbing 523 00:30:57,200 --> 00:30:59,400 shoulders with people that are making waves. 524 00:30:59,400 --> 00:31:02,200 We're making waves like we know a lot of we have a pulse 525 00:31:02,200 --> 00:31:08,200 basically on on the keto space but like for us I feel like 526 00:31:08,700 --> 00:31:10,500 we've we've been here for a while. 527 00:31:10,500 --> 00:31:13,000 We've kind of questioned whether or not we're at the peak of it 528 00:31:13,000 --> 00:31:15,100 all whether it's starting to start going down, but then you 529 00:31:15,108 --> 00:31:18,900 start hearing and talking to people that just don't really 530 00:31:18,900 --> 00:31:20,500 know much about nutrition at all. 531 00:31:20,700 --> 00:31:23,200 And it's like, wow, there's so much work that we have to do 532 00:31:23,200 --> 00:31:25,400 still so much. Work. 533 00:31:25,400 --> 00:31:29,400 I know it's great. You have these platforms such as 534 00:31:29,400 --> 00:31:33,400 Instagram and Facebook, where you can collaborate with 535 00:31:33,400 --> 00:31:38,100 like-minded people who are just as excited about keto and having 536 00:31:38,100 --> 00:31:41,000 benefits and the branch out into carnivore. 537 00:31:41,000 --> 00:31:43,800 And it's great. And you almost forget about the 538 00:31:43,800 --> 00:31:45,800 other segments of the population, which is the 539 00:31:45,800 --> 00:31:50,300 majority that have no idea what this is about kind of my next 540 00:31:50,300 --> 00:31:54,700 project going into 2020. I really want to help clear up 541 00:31:54,700 --> 00:31:59,400 the myth of Quito, just being a fad diet and the concept of 542 00:31:59,400 --> 00:32:01,700 dirty keto, which has become kind of my pet. 543 00:32:01,700 --> 00:32:06,900 Peeve voted right, that they can eat all these keto snacks and 544 00:32:06,900 --> 00:32:12,200 Alternatives and he do cookies and baked goods and bacon and 545 00:32:12,200 --> 00:32:15,500 butter. And it's it's not all about just 546 00:32:15,500 --> 00:32:18,600 being in ketosis. It's the nutrition that comes 547 00:32:18,600 --> 00:32:20,900 from the foods that you're eating as well for Optimal 548 00:32:20,900 --> 00:32:23,800 Health. And the I think there's a lot of 549 00:32:23,800 --> 00:32:26,300 work to be done still Yeah, it is. 550 00:32:26,300 --> 00:32:29,700 That's a good point because like, there's so much I mean, 551 00:32:29,700 --> 00:32:35,200 like he knows gotten so big now within our Circle that it's 552 00:32:35,200 --> 00:32:38,200 like, people don't know. They they feel like they can 553 00:32:38,200 --> 00:32:42,000 kind of it's like it's almost reverse rebounded in a way. 554 00:32:42,000 --> 00:32:45,200 Like you go super strict into it and then you start to like 555 00:32:45,500 --> 00:32:48,800 loosen up and I don't know, some people go, even stricter and 556 00:32:48,800 --> 00:32:51,200 some people loosen up and become incredibly lacks with it, but I 557 00:32:51,200 --> 00:32:54,800 feel like the whole dirty keto thing is is really popular. 558 00:32:54,900 --> 00:32:57,300 The right now as well. And I've never really been one. 559 00:32:57,300 --> 00:32:59,900 I mean I feel like dirty Quito is better than a bunch of 560 00:32:59,900 --> 00:33:01,500 processed carbs. Yeah. 561 00:33:01,500 --> 00:33:02,900 But I don't necessarily think that. 562 00:33:03,500 --> 00:33:05,600 I mean a lot of people are doing dirty keto know better. 563 00:33:05,600 --> 00:33:07,100 You know. Right. 564 00:33:07,200 --> 00:33:11,000 And you know I have a it isn't even a true patient. 565 00:33:11,000 --> 00:33:15,500 It's a actually one of my nurses husband's. 566 00:33:15,800 --> 00:33:20,400 I've been helping on the side, he's a diabetic and he has some 567 00:33:20,400 --> 00:33:23,400 weight that he wants to lose. And so we've been talking to him 568 00:33:23,400 --> 00:33:24,800 about Quito and he's doing a phenomenal. 569 00:33:25,000 --> 00:33:29,200 Nominal job and he's lost some weight but within a few days we 570 00:33:29,200 --> 00:33:34,500 got him off of his insulin and his hemoglobin A1c has gone down 571 00:33:34,500 --> 00:33:38,400 and his blood work just looks incredible but he's doing a 572 00:33:38,408 --> 00:33:43,100 dirty keto version and I find myself unable to argue with him 573 00:33:43,100 --> 00:33:46,200 right now because he's made such good progress. 574 00:33:46,600 --> 00:33:50,300 I'm hoping eventually we can kind of get him into some more 575 00:33:50,300 --> 00:33:55,000 nutrient dense foods but yeah even even dirty keto people Are 576 00:33:55,000 --> 00:33:57,600 having improvements in their metabolic Health, which is hard 577 00:33:57,600 --> 00:34:00,500 to argue against? Yeah, I feel like it's a good, I 578 00:34:00,500 --> 00:34:02,700 mean, if it's a stepping stone, then I'm all for. 579 00:34:02,700 --> 00:34:07,100 Like when I first started keto I was you know I was going through 580 00:34:07,100 --> 00:34:10,500 all the different recipe books and learn how to make keto 581 00:34:10,500 --> 00:34:13,500 cheesecake and keto like all these look like me was basically 582 00:34:14,500 --> 00:34:19,199 but now I feel like the longer I've been adapted and become you 583 00:34:19,199 --> 00:34:21,500 know self-sufficient with my nutrition. 584 00:34:21,500 --> 00:34:23,600 It's like I don't desire that anymore. 585 00:34:23,600 --> 00:34:26,300 I don't create any my don't feel like Missing out or sacrificing 586 00:34:26,300 --> 00:34:28,699 by not having it. So I don't have to make some 587 00:34:28,699 --> 00:34:31,300 kind of look like me or that has subpar ingredients. 588 00:34:32,100 --> 00:34:35,699 I was the exact same way I definitely started as more of a 589 00:34:35,707 --> 00:34:41,000 dirty keto and transitioned into a cleaner version and noticed I 590 00:34:41,000 --> 00:34:45,100 felt better and they think some of sometimes I'll still get 591 00:34:45,100 --> 00:34:47,100 sugar Cravings. It's definitely not. 592 00:34:47,100 --> 00:34:51,600 As much as one. I was eating a plant-based diet 593 00:34:51,600 --> 00:34:56,600 where I crave sugar every day but a all notice I'm more in 594 00:34:56,600 --> 00:35:01,700 tune with with cravings when I eat a healthier keto based diet 595 00:35:01,700 --> 00:35:04,600 and it's usually because I'm deficient in something else, I'm 596 00:35:04,600 --> 00:35:06,800 not getting enough protein, I didn't get enough fat. 597 00:35:06,800 --> 00:35:09,200 I'm dehydrated, I'm tired. I'm stressed. 598 00:35:09,900 --> 00:35:13,400 Feel like it allows you to become more in sync with your 599 00:35:13,400 --> 00:35:16,900 cravings and your appetite and you learn to trust your appetite 600 00:35:16,900 --> 00:35:18,600 again. Totally agree. 601 00:35:18,900 --> 00:35:21,800 I do feel like you know, whenever I do have like the keto 602 00:35:21,900 --> 00:35:24,800 sweets or whatnot, I notice an increase. 603 00:35:24,900 --> 00:35:26,700 Recent and cravings for more sweets. 604 00:35:26,700 --> 00:35:29,000 That like again, not near as bad as what I was eating carbs. 605 00:35:29,000 --> 00:35:32,900 But I started out as an uptick in my desire for those foods and 606 00:35:32,900 --> 00:35:35,800 I feel like I'd be Keen to get your opinion on this, but 607 00:35:36,000 --> 00:35:39,400 there's a lot of, you know, sweeteners that are are like 608 00:35:39,400 --> 00:35:41,300 they have a zero glycemic index score. 609 00:35:41,400 --> 00:35:43,200 So they're not really raising your blood glucose at all. 610 00:35:43,200 --> 00:35:46,300 And I've tested and not seen an increase in blood glucose, but 611 00:35:46,700 --> 00:35:50,100 I'm curious to see if it would result in increase in blood 612 00:35:50,100 --> 00:35:52,800 insulin, because you're still sending a signal to your brain 613 00:35:52,800 --> 00:35:54,700 that you are ingesting. Something sweet. 614 00:35:54,800 --> 00:35:58,000 I'm assuming it's going to result in an insulin response, 615 00:35:58,000 --> 00:35:59,500 right? Yeah. 616 00:35:59,500 --> 00:36:01,900 And that is the million-dollar question. 617 00:36:01,900 --> 00:36:05,100 And what we don't often hear about when people are talking 618 00:36:05,100 --> 00:36:09,500 about the glycemic index, just because your glucose is not 619 00:36:09,500 --> 00:36:12,800 raising, that doesn't tell us anything about what insulin is 620 00:36:12,800 --> 00:36:15,000 doing. To keep your glucose level 621 00:36:15,000 --> 00:36:19,000 stable. And that's also how people kind 622 00:36:19,000 --> 00:36:23,700 of miss the early warning signs of pre-diabetes and diabetes 623 00:36:23,700 --> 00:36:29,000 because They could have normal blood sugar levels, but that 624 00:36:29,000 --> 00:36:32,400 could be requiring a massive amount of insulin to keep it 625 00:36:32,400 --> 00:36:35,500 normal and just these artificial sweeteners. 626 00:36:35,700 --> 00:36:39,500 Maybe, your glucose is staying stable, but it could be all 627 00:36:39,600 --> 00:36:42,600 like, could be spiking your insulin regardless. 628 00:36:42,600 --> 00:36:48,500 So a lot of them I do stay away from, except for Stevia and monk 629 00:36:48,500 --> 00:36:51,900 fruit, like you said, but I think you also raised a good 630 00:36:51,900 --> 00:36:56,500 point about, you know, if I do have Some keto treats their 631 00:36:56,500 --> 00:36:59,300 snacks. If I eat them too often, I start 632 00:36:59,300 --> 00:37:03,400 to Crave sweetness again and they just have to stop it. 633 00:37:03,600 --> 00:37:07,900 You know, I think that's that's a slippery slope especially for 634 00:37:07,900 --> 00:37:10,800 people who have had a carbohydrate addiction or are 635 00:37:10,800 --> 00:37:12,800 trying to lose weight and trim down. 636 00:37:13,400 --> 00:37:17,200 And a lot of that, a lot of these people who are trying to 637 00:37:17,200 --> 00:37:20,200 lose weight, they do have some degree of insulin resistance. 638 00:37:20,500 --> 00:37:23,300 They do need to be careful with artificial sweeteners. 639 00:37:23,900 --> 00:37:26,800 Are you familiar? This concept of insulin 640 00:37:26,800 --> 00:37:31,100 resistance due to long-term get attention. 641 00:37:31,100 --> 00:37:34,600 Basically, you remove carbohydrates from your diet for 642 00:37:34,600 --> 00:37:39,400 so long that your body fails to know how to function in the 643 00:37:39,400 --> 00:37:42,300 presence of carbohydrates. And I've heard a lot of people 644 00:37:42,300 --> 00:37:45,200 talk about this lately and I'm just curious to know if you've 645 00:37:45,400 --> 00:37:49,400 if you've seen much research on that, I haven't done a lot of 646 00:37:49,400 --> 00:37:53,100 research on it, but from what I have done and this is kind of a 647 00:37:53,200 --> 00:37:56,400 normal physiological and That station just like when you're 648 00:37:56,400 --> 00:37:59,900 transitioning into ketosis, there's an Adaptive phase. 649 00:37:59,900 --> 00:38:03,500 It's going to take a while for your body to efficiently, use 650 00:38:03,500 --> 00:38:05,700 ketones. And sometimes it takes a few 651 00:38:05,700 --> 00:38:08,400 months for people. And when you eliminate 652 00:38:08,400 --> 00:38:12,200 carbohydrates from your diet, your body is going to have an 653 00:38:12,200 --> 00:38:15,700 adverse response initially, and then you're going to adapt 654 00:38:15,700 --> 00:38:18,500 again. So, if you've been carnivore for 655 00:38:18,500 --> 00:38:21,700 several years and then you start adding some carbohydrate back 656 00:38:21,700 --> 00:38:24,500 into your diet, you might have an elevated. 657 00:38:24,600 --> 00:38:29,600 Added glucose response, you might have some signs of insulin 658 00:38:29,600 --> 00:38:33,600 resistance initially, but then after a couple months, it does 659 00:38:33,600 --> 00:38:36,400 go back to Baseline and it does go back down, and it doesn't 660 00:38:36,400 --> 00:38:38,100 even take a couple months for some people. 661 00:38:38,100 --> 00:38:40,800 Sometimes it's a couple weeks to adapt. 662 00:38:40,800 --> 00:38:43,000 So I'm really not concerned about that. 663 00:38:43,000 --> 00:38:47,100 I think it's a normal response and there's an adaptation face 664 00:38:47,100 --> 00:38:50,400 and in your body's going to self-correct, don't think it's 665 00:38:50,700 --> 00:38:54,500 going to lead to diabetes or permanent insulin resistance. 666 00:38:54,700 --> 00:38:56,700 Any type of long-term consequence? 667 00:38:56,900 --> 00:38:59,300 Yeah that's been my thought towards the whole idea. 668 00:38:59,300 --> 00:39:02,000 I think you know like like you said with anything that's going 669 00:39:02,000 --> 00:39:07,500 to be an adaptation period And I feel like since glucose is a 670 00:39:07,508 --> 00:39:10,400 very efficient fuel source like your body Burns, it very 671 00:39:10,400 --> 00:39:13,300 readily. It's not going to take even as 672 00:39:13,300 --> 00:39:16,600 long to get back into use and that is it does for ketones to 673 00:39:16,600 --> 00:39:19,700 become efficiently use. So I feel like Peoples eye. 674 00:39:19,700 --> 00:39:23,500 People have legitimately swayed away from the keto diet for fear 675 00:39:23,500 --> 00:39:25,400 of becoming insulin. Austin, which is the most 676 00:39:25,400 --> 00:39:26,800 backwards thing I've ever heard in my life. 677 00:39:27,100 --> 00:39:31,700 Yes, I agree with that. I think the best, you know, I do 678 00:39:32,000 --> 00:39:35,800 like the concept of metabolic flexibility, and being able to 679 00:39:35,800 --> 00:39:40,800 use whatever substrate, your body has available for energy. 680 00:39:41,600 --> 00:39:44,900 And with that being said, I do think it's not a bad idea to 681 00:39:44,900 --> 00:39:50,000 take small periods away from being completely carb-free. 682 00:39:50,600 --> 00:39:53,100 I'm not saying that needs to be on a weekly basis or even a 683 00:39:53,107 --> 00:39:57,200 monthly basis. Door does that mean indulging 684 00:39:57,200 --> 00:40:01,400 and cookies and chips and cake but bringing back you know maybe 685 00:40:01,400 --> 00:40:05,200 some sweet potato or a healthier source of carbohydrate. 686 00:40:05,200 --> 00:40:10,100 Even if it's 100, 150 grams for a few days, making sure your 687 00:40:10,100 --> 00:40:14,300 body is properly utilizing glucose without these spikes. 688 00:40:14,300 --> 00:40:17,600 I think that's it. That's a fairly reasonable thing 689 00:40:17,600 --> 00:40:21,400 to do to keep yourself metabolically flexible but if 690 00:40:21,400 --> 00:40:24,400 you don't, I don't think it's going to cause any problem and 691 00:40:24,600 --> 00:40:29,000 They think staying in ketosis is one of the best things to do to 692 00:40:29,000 --> 00:40:32,700 keep your insulin levels though and prevent insulin resistance. 693 00:40:33,000 --> 00:40:36,100 Yeah, I'm gonna play Devil's Advocate with you because I am 694 00:40:36,100 --> 00:40:38,600 definitely on the side of just strict keto. 695 00:40:38,600 --> 00:40:40,900 I mean I don't say suggest that everybody does that. 696 00:40:40,900 --> 00:40:44,700 But me personally, I've been straight keto for years and I 697 00:40:44,700 --> 00:40:48,600 don't feel any desire or need to introduce carbs. 698 00:40:48,600 --> 00:40:50,900 I mean, like metabolic flexibility for me, is not 699 00:40:50,900 --> 00:40:54,500 something that I feel like I need because I doubt I'll be in 700 00:40:54,700 --> 00:40:57,100 Addition where I am forced to eat carbs. 701 00:40:57,100 --> 00:41:00,000 I feel like there's an abundance of food and that day and age we 702 00:41:00,000 --> 00:41:02,400 live in and I don't have to resort to carbs. 703 00:41:03,900 --> 00:41:07,300 Do you think that we kind of talked about this already? 704 00:41:07,300 --> 00:41:10,300 Like there's not really any long-term disadvantage to 705 00:41:10,300 --> 00:41:12,000 staying straight. Key to that, you're aware of, 706 00:41:12,700 --> 00:41:16,800 not that I'm aware of, no, and there's plenty of people for 707 00:41:16,900 --> 00:41:21,300 medical reasons such as epilepsy or they have a glute one 708 00:41:21,500 --> 00:41:24,400 transporter deficiency that do stay in Quito. 709 00:41:24,600 --> 00:41:30,800 Isis without going into metabolically flexible period 710 00:41:30,800 --> 00:41:33,600 where they're utilizing glucose again and they think that's 711 00:41:33,600 --> 00:41:36,900 fine. And you know, it's it's the 712 00:41:36,900 --> 00:41:42,900 concept of Bio individuality. If you do best in ketosis I have 713 00:41:42,900 --> 00:41:45,900 not seen any evidence or research to suggest you need to 714 00:41:45,908 --> 00:41:50,800 break that. It's all individual preference 715 00:41:50,800 --> 00:41:53,900 at this point. And I think as far as a health 716 00:41:53,900 --> 00:42:00,400 goes, I have seen no no reason to say you need to break break 717 00:42:00,400 --> 00:42:02,700 out of ketosis. Totally agree. 718 00:42:02,700 --> 00:42:05,500 Totally agree. I want to dive into the what's 719 00:42:05,500 --> 00:42:09,100 on the horizon for you. So you're getting another Board 720 00:42:09,400 --> 00:42:11,800 Test going through the bariatric program. 721 00:42:12,100 --> 00:42:14,800 So what does that entail? Exactly, right. 722 00:42:14,800 --> 00:42:19,200 So, there's so most people are familiar with bariatric surgery 723 00:42:19,200 --> 00:42:24,700 and getting the either sleeve or banding or gastric bypass. 724 00:42:24,800 --> 00:42:27,200 Yes. And within the past few years 725 00:42:28,200 --> 00:42:31,200 especially with the growing obesity epidemic, there's become 726 00:42:31,200 --> 00:42:35,900 more of a need for non-surgical. Berry attrition, 's that help 727 00:42:35,900 --> 00:42:38,800 manage. Not only the surgical patients, 728 00:42:38,800 --> 00:42:43,600 but all of the patients that are trying to fight obesity in a 729 00:42:43,600 --> 00:42:46,800 non-surgical way. And that's kind of what I want. 730 00:42:47,100 --> 00:42:48,600 That's not kind of what I want to focus on. 731 00:42:48,600 --> 00:42:51,900 That is exactly what I want to focus on where I'm kind of 732 00:42:51,900 --> 00:42:57,100 deviating from the norm. Is that a Of the focus for 733 00:42:57,100 --> 00:43:01,300 non-surgical Bariatrics is on weight loss medications that we 734 00:43:01,300 --> 00:43:04,100 do have some, some great medications that have come out, 735 00:43:04,100 --> 00:43:06,800 but like with any other medication, there's a lot of 736 00:43:06,800 --> 00:43:09,400 side effects and adverse reactions and possible 737 00:43:09,400 --> 00:43:12,300 complications that can arise from them. 738 00:43:12,600 --> 00:43:18,300 And in my preparation for the exam, and all the conferences 739 00:43:18,300 --> 00:43:22,400 and seminars, feel like we're just dropping the ball on 740 00:43:22,400 --> 00:43:26,800 lifestyle and nutrition. Yes, it's mentioned for a bit 741 00:43:27,000 --> 00:43:32,400 and it's just not not the focus. And part of the reason is just 742 00:43:32,400 --> 00:43:34,500 the structure of the medical system. 743 00:43:35,000 --> 00:43:39,200 We're really being forced to see as many patients as possible in 744 00:43:39,200 --> 00:43:42,800 a day and sometimes we have 5 or 10 minutes to spend with the 745 00:43:42,800 --> 00:43:45,900 patient. And as you know that is that 746 00:43:45,900 --> 00:43:49,300 doesn't even skim. The surface for a proper amount 747 00:43:49,300 --> 00:43:52,900 of time to talk to someone about overhauling their diet and 748 00:43:52,900 --> 00:43:57,900 lifestyle. So I am hoping to get this board 749 00:43:57,900 --> 00:44:01,000 certification out of the way in February and then I really want 750 00:44:01,000 --> 00:44:06,300 to have a more unique weight loss Focus where I can hopefully 751 00:44:06,300 --> 00:44:09,900 spend a decent amount of time with patients on a regular 752 00:44:09,900 --> 00:44:14,900 basis, teaching them more about lifestyle and nutrition and 753 00:44:15,100 --> 00:44:19,200 different options for them. And if needed, you know, we can 754 00:44:19,200 --> 00:44:22,400 do the more traditional medications to help assist and 755 00:44:22,400 --> 00:44:24,500 stuff by really, really want to focus. 756 00:44:24,800 --> 00:44:29,100 The nutrition and lifestyle and that's going to be a bit of a 757 00:44:29,107 --> 00:44:34,100 challenge and traditional hospital just because the 758 00:44:34,100 --> 00:44:37,500 pressures from hospital Administration and everything. 759 00:44:37,500 --> 00:44:42,400 So hopefully, I can get my own Clinic started at some point and 760 00:44:42,600 --> 00:44:46,900 going to do things my way and hopefully achieve some success 761 00:44:46,900 --> 00:44:49,100 for patients. Yeah, I mean, that would be 762 00:44:49,100 --> 00:44:51,200 awesome. I feel like I've talked with 763 00:44:51,200 --> 00:44:53,500 several doctors in the space and one of their largest 764 00:44:53,500 --> 00:44:56,800 frustrations is They've got all this knowledge and experience 765 00:44:56,800 --> 00:45:00,500 with you know how keto can be a healthy alternative to what 766 00:45:00,500 --> 00:45:04,200 people are doing. But I mean you cannot Som 767 00:45:04,200 --> 00:45:06,500 something that doesn't have. That's not literate in this 768 00:45:07,100 --> 00:45:11,000 nutritional protocol. I mean, you cannot expect them 769 00:45:11,000 --> 00:45:13,100 to walk away after a five-minute conversation and have any 770 00:45:13,100 --> 00:45:15,300 direction whatsoever, that's applicable. 771 00:45:15,300 --> 00:45:19,100 I mean you have to actually sit down and give some serious time 772 00:45:19,100 --> 00:45:21,200 to them and the way everything structure now. 773 00:45:21,200 --> 00:45:24,500 I mean, it's just not feasible and it's frustrating. 774 00:45:24,500 --> 00:45:27,100 So, So I can see where the frustration comes from because 775 00:45:27,100 --> 00:45:29,600 it's a broken system. I mean you're basically 776 00:45:29,600 --> 00:45:33,900 penalized if you're not seeing X-Men number of patients and the 777 00:45:33,900 --> 00:45:36,000 way the world Works around money. 778 00:45:36,300 --> 00:45:39,900 I mean, hospitals are structured so that they can prescribe 779 00:45:39,900 --> 00:45:42,900 medication and see a lot of, a lot of patients that's just not 780 00:45:42,900 --> 00:45:47,300 really a recipe for a successful nutritional education towards. 781 00:45:47,300 --> 00:45:49,500 Yeah, that's it. Exactly made. 782 00:45:49,500 --> 00:45:52,400 It takes two minutes to write a prescription for someone. 783 00:45:52,400 --> 00:45:56,600 It takes an hour to properly. Their nutrition and start to 784 00:45:57,000 --> 00:46:00,400 pave the way for Change. And unfortunately, in medicine, 785 00:46:00,700 --> 00:46:07,000 you're not paid for, for quality of time spent, you're paid to do 786 00:46:07,000 --> 00:46:09,200 procedures and you're paid by volume. 787 00:46:09,800 --> 00:46:13,700 So the hospital Administration, they want you to pump out a lot 788 00:46:13,700 --> 00:46:18,700 of patients every day and that's just not conducive to the the 789 00:46:18,700 --> 00:46:20,400 type of work I want to do right now. 790 00:46:21,000 --> 00:46:24,600 You feel like there's a like a bubble so to speak in the 791 00:46:24,800 --> 00:46:27,600 Medical realm, that could bust. Like when you look at 792 00:46:27,600 --> 00:46:31,600 prescription drugs for instance and the cost of prescription 793 00:46:31,600 --> 00:46:35,900 drugs and the rising obesity epidemic as an example, I mean, 794 00:46:36,500 --> 00:46:38,200 the drugs are getting ridiculous. 795 00:46:38,200 --> 00:46:42,000 I mean people are not able to afford these forever and the 796 00:46:42,000 --> 00:46:43,200 insurance. I mean, I feel like there's got 797 00:46:43,200 --> 00:46:45,800 to be, there's got to be a Tipping Point at some at some 798 00:46:46,400 --> 00:46:47,900 point in the near future. I would imagine. 799 00:46:48,300 --> 00:46:52,200 Yes, it's going to implode. It's just a matter of time. 800 00:46:52,200 --> 00:46:55,900 The costs are completely out of control. all there's really 801 00:46:55,900 --> 00:47:00,500 nothing being done to get that contained medications are out of 802 00:47:00,500 --> 00:47:05,900 control co-pays deductibles, it's going to burst and what's 803 00:47:05,900 --> 00:47:10,100 that is we have such great technology and Innovation and 804 00:47:10,100 --> 00:47:14,500 resources in this country but accessing them and providing 805 00:47:14,500 --> 00:47:19,100 quality Care is still lacking compared to other models in 806 00:47:19,100 --> 00:47:23,600 different countries and it's just it's incredibly frustrating 807 00:47:23,900 --> 00:47:28,600 for It's for providers and everyone in between and I think 808 00:47:29,800 --> 00:47:33,500 it is it's just a matter of time before a major overhaul is 809 00:47:33,500 --> 00:47:37,200 coming and I think unfortunately it's gonna take some bad 810 00:47:37,200 --> 00:47:40,700 outcomes before before it changes. 811 00:47:41,000 --> 00:47:43,700 Yeah, film, almost pessimistic for saying it but I feel like 812 00:47:43,800 --> 00:47:48,800 we're so stubborn and money-driven as a nation really 813 00:47:48,800 --> 00:47:51,300 that we're not going to stop doing what we're doing, as long 814 00:47:51,300 --> 00:47:53,500 as we're making money. So it's like, it almost has to 815 00:47:53,500 --> 00:47:56,500 implode and For us to open our eyes and recognize. 816 00:47:56,500 --> 00:48:01,100 There's got to be a better way. Yes, I actually share the same 817 00:48:01,100 --> 00:48:04,900 sentiment. It's unfortunate and I don't 818 00:48:04,900 --> 00:48:09,900 know how to change it sooner or for the better but just the 819 00:48:09,900 --> 00:48:12,700 whole landscape of medicine. If you kind of look at the 820 00:48:12,800 --> 00:48:18,400 rising cost of Health Care in the past, couple decades, you'll 821 00:48:18,400 --> 00:48:24,300 see on the graphs at the same time, there's been this huge 822 00:48:24,300 --> 00:48:27,500 right. Eyes in the kind of middle 823 00:48:27,500 --> 00:48:31,600 management, all these administrative positions and 824 00:48:31,600 --> 00:48:34,800 it's just insane. There's people that have never 825 00:48:34,800 --> 00:48:39,200 treated patients with business backgrounds, that are now 826 00:48:39,200 --> 00:48:45,300 dictating how doctors and other health care providers are doing 827 00:48:45,300 --> 00:48:51,500 their jobs and it's just crazy to me that people, without any 828 00:48:51,500 --> 00:48:55,300 patient care experience or telling doctors how Have to 829 00:48:55,300 --> 00:48:57,200 treat patients. How many patients they have to 830 00:48:57,200 --> 00:49:02,200 see a day and telling them to conform to all these, you know, 831 00:49:02,200 --> 00:49:05,400 guidelines and Norms. When there's every patient is 832 00:49:05,400 --> 00:49:07,500 different. You can't treat one patient the 833 00:49:07,500 --> 00:49:10,400 same as another. And you think that's, that's a 834 00:49:10,408 --> 00:49:13,000 huge part of the problem too. We have to get the business 835 00:49:13,000 --> 00:49:17,100 aspect out of medicine again. And I as you said it's also 836 00:49:17,100 --> 00:49:21,000 money-driven now and once people start knowing how to make money 837 00:49:21,000 --> 00:49:24,000 from it, they're not they're not going to relent that power. 838 00:49:24,100 --> 00:49:28,700 I think it's It's really gonna take a major overhaul to change 839 00:49:28,700 --> 00:49:31,200 this. Yeah, well what I'd love to see 840 00:49:31,200 --> 00:49:35,100 personally just has an individual is, I mean the way 841 00:49:35,100 --> 00:49:38,100 the way human psychology works at least at least for me is like 842 00:49:38,100 --> 00:49:40,700 there has to be a risk reward system in place, you know. 843 00:49:40,700 --> 00:49:43,700 So like for insurance, for instance, you know, I think it 844 00:49:43,700 --> 00:49:48,300 makes sense for people that are very healthy, you know, 845 00:49:48,300 --> 00:49:53,200 health-conscious nutrition oriented to, to see a benefit 846 00:49:53,400 --> 00:49:55,800 from an expense stamp. Towards their health insurance. 847 00:49:55,800 --> 00:49:58,800 Like they should, they shouldn't have to pay the same amount that 848 00:49:58,800 --> 00:50:01,400 somewhere that has no care to learn. 849 00:50:01,400 --> 00:50:03,100 No, no self-discipline. No. 850 00:50:03,400 --> 00:50:05,500 I mean, literally means fast food every day. 851 00:50:05,500 --> 00:50:09,500 Like they're all lumped into the same equation and then charge 852 00:50:09,500 --> 00:50:13,400 the same rate. And it's like, let's incentivize 853 00:50:13,400 --> 00:50:17,200 people indirectly by money. Like if money is the driving 854 00:50:17,200 --> 00:50:20,800 Factor, let's incentivize them to save more money, by giving 855 00:50:20,800 --> 00:50:24,100 them better rates if they actually take care of themselves 856 00:50:24,100 --> 00:50:26,900 and put put the best foot forward to learn about this. 857 00:50:27,600 --> 00:50:30,500 I love that concept. I really do and it's you're 858 00:50:30,500 --> 00:50:33,200 right, it's not fair that people who are taking care of 859 00:50:33,207 --> 00:50:37,400 themselves are paying the same price for those who really 860 00:50:37,400 --> 00:50:40,400 aren't. The only thing about that model 861 00:50:40,400 --> 00:50:43,700 that makes me a little nervous. It's who's defining, what is 862 00:50:43,700 --> 00:50:47,800 healthy, especially in this day and age, where there's so much. 863 00:50:48,000 --> 00:50:52,300 Bad all between different diet forms like vegan versus 864 00:50:52,300 --> 00:50:55,000 carnivore. And you know, what's the Chance 865 00:50:55,000 --> 00:50:57,400 of cholesterol. I worry that. 866 00:50:58,700 --> 00:51:02,000 Government guidelines are going to mandate, what's healthy and 867 00:51:02,000 --> 00:51:05,100 what's not and you know if you eat meat that's going to be 868 00:51:05,100 --> 00:51:08,100 considered unhealthy or something like that. 869 00:51:08,100 --> 00:51:11,800 It makes me a little nervous as to who's going to dictate what's 870 00:51:11,800 --> 00:51:14,000 healthy. And what's not, it's true, it's 871 00:51:14,000 --> 00:51:15,800 true. We seem to like open up our own 872 00:51:16,500 --> 00:51:21,500 board certified keto specific Sanctuary with their own keto 873 00:51:21,500 --> 00:51:23,900 Insurance, their own keto doctors, their own key to Health 874 00:51:23,900 --> 00:51:27,200 Care System would just be like, total, like was just ostracize 875 00:51:27,200 --> 00:51:31,200 herself or anybody else. Hey, I'm all for that having my 876 00:51:31,200 --> 00:51:33,200 own keto Clinic. As is my dream? 877 00:51:33,200 --> 00:51:37,100 That's that's my goal someday. Hopefully in the next few years 878 00:51:37,100 --> 00:51:42,000 I can I can make it work and give it cheap rates to people 879 00:51:42,000 --> 00:51:44,900 who are complying with the keto lifestyle will shoot. 880 00:51:44,900 --> 00:51:47,200 If we can do that, then we can just lead by example and 881 00:51:47,200 --> 00:51:49,800 hopefully others. You know that are not in belief 882 00:51:49,800 --> 00:51:51,800 at the front. End will say that we're doing 883 00:51:51,800 --> 00:51:56,400 something right and suit, right? But I think that is a great way 884 00:51:56,400 --> 00:52:00,800 to control costs to. I mean The money that people 885 00:52:00,800 --> 00:52:03,700 spend on medications for their diabetes and all the 886 00:52:03,700 --> 00:52:08,100 complications that come from it and other lifestyle diseases. 887 00:52:08,100 --> 00:52:10,600 It's mind-boggling. That's where you're really going 888 00:52:10,600 --> 00:52:13,200 to make a dent in health care costs. 889 00:52:13,200 --> 00:52:17,200 If we can get these diseases, under control through lifestyle 890 00:52:17,500 --> 00:52:20,500 and it's just, you're, I think you're right incentivizing. 891 00:52:20,500 --> 00:52:24,500 That is is going to be a great step in the right direction. 892 00:52:24,900 --> 00:52:27,800 I mean looking at like type 2 diabetes as an example. 893 00:52:27,800 --> 00:52:31,000 I mean, I don't You know what, the average cost of insulin is 894 00:52:31,000 --> 00:52:34,300 like for, you know, an average type 2 diabetic spending on 895 00:52:34,300 --> 00:52:36,200 insulin a day. Like what that breaks down to is 896 00:52:36,200 --> 00:52:38,300 it like a, like a public figure this known? 897 00:52:38,900 --> 00:52:41,600 Oh, you know what? I don't know, that's a great 898 00:52:41,600 --> 00:52:44,100 question. I should know that and I think 899 00:52:44,100 --> 00:52:46,800 it's probably dependent on the type of insulin. 900 00:52:46,800 --> 00:52:52,400 If they're on like a glargine plus this Pro like short-acting 901 00:52:52,900 --> 00:52:57,000 long-acting combination. I don't know, but I'm sure it's 902 00:52:57,000 --> 00:53:00,200 not cheap. Quite sure it's not cheap and 903 00:53:00,200 --> 00:53:03,000 that's in addition to probably the metformin that they're on 904 00:53:03,000 --> 00:53:07,600 and maybe another oral agent, typically insolence, kind of The 905 00:53:07,600 --> 00:53:10,300 Last Resort. Like once you exhaust all the 906 00:53:10,300 --> 00:53:14,000 oral medications then you go on to insulin and by then you're 907 00:53:14,000 --> 00:53:16,100 already having other complications you having 908 00:53:16,100 --> 00:53:19,300 retinopathy. You're having enough for apathy 909 00:53:19,900 --> 00:53:22,100 neuropathy. Just all types of complications 910 00:53:22,100 --> 00:53:24,500 where you're seeing three or four different Specialists on 911 00:53:24,500 --> 00:53:26,900 top of that. Yeah, and the solution is just 912 00:53:26,900 --> 00:53:29,700 more insulin. Yes, it's isn't. 913 00:53:29,700 --> 00:53:32,200 That crazy? Just it's so backwards. 914 00:53:32,200 --> 00:53:35,400 When you think about the physiology, you're treating this 915 00:53:35,400 --> 00:53:40,200 insulin resistance and lack of insulin sensitivity with more 916 00:53:40,200 --> 00:53:44,300 insulin, instead of getting rid of the culprit such as 917 00:53:44,300 --> 00:53:48,900 carbohydrates that are the reason people need insulin. 918 00:53:49,600 --> 00:53:51,900 Well, I'm excited for you to roll out. 919 00:53:51,900 --> 00:53:54,700 This this Clinic of your own. Do you have like a rough 920 00:53:54,700 --> 00:53:57,200 timeline on when this is forecasted? 921 00:53:57,900 --> 00:54:03,300 So, If all goes according to plan, I'm hoping once I get my 922 00:54:03,300 --> 00:54:07,400 board exam in February, hopefully work in a bariatric 923 00:54:07,400 --> 00:54:13,000 clinic for a year or so, can I learn the lay of the land and 924 00:54:13,000 --> 00:54:15,400 get get all my resources together? 925 00:54:15,400 --> 00:54:17,400 Hopefully in the next couple of years? 926 00:54:17,800 --> 00:54:21,700 We will we will see that might be a bit aggressive but I've got 927 00:54:21,700 --> 00:54:27,000 some good ideas going and some context I'm working with I'm 928 00:54:27,000 --> 00:54:29,600 currently in Chicago right now. Now, and I think it's going, 929 00:54:29,600 --> 00:54:34,000 it's just not a doctor friendly atmosphere and in Cook County 930 00:54:34,000 --> 00:54:35,900 here. So it's going to probably 931 00:54:35,900 --> 00:54:40,100 require a move as well, which I'm fine with, but I definitely 932 00:54:40,100 --> 00:54:42,700 want to get this going in the next couple years. 933 00:54:42,800 --> 00:54:44,800 Come to Arkansas. I think I'm the only keto person 934 00:54:44,800 --> 00:54:46,800 in Arkansas. We need it, are you? 935 00:54:48,100 --> 00:54:51,300 Hey, I'm I'll go wherever wherever I could make this 936 00:54:51,300 --> 00:54:52,500 happen. I will go. 937 00:54:52,900 --> 00:54:54,800 All right, all right. Well cool deal, Chris and I'm 938 00:54:54,800 --> 00:54:57,800 excited for you. I really am where can people go 939 00:54:57,800 --> 00:54:59,400 to find out more So you can follow along. 940 00:55:00,000 --> 00:55:04,400 So right now my main presence is on Instagram and I'm at 941 00:55:04,400 --> 00:55:09,100 doctoring keto and my website is getting underway. 942 00:55:09,100 --> 00:55:12,700 Hopefully I'll be able to put more attention into that after 943 00:55:12,700 --> 00:55:15,400 this board exam is over. And that's also doctoring. 944 00:55:15,400 --> 00:55:19,000 He do.com. But Instagrams, the the best 945 00:55:19,000 --> 00:55:20,900 place to get in touch with me right now. 946 00:55:21,300 --> 00:55:22,600 Awesome! Are you going to any of the 947 00:55:22,600 --> 00:55:24,900 conference's coming up? I am. 948 00:55:24,900 --> 00:55:31,100 I am going to be at low carb. USA in Boca Raton in mid-January 949 00:55:31,400 --> 00:55:34,700 and then right after that, I'll be going to the metabolic Health 950 00:55:34,700 --> 00:55:38,000 Summit in Long Beach. I think that's like the first 951 00:55:38,000 --> 00:55:41,300 week in February and then I want to get to Quito con this year. 952 00:55:41,300 --> 00:55:44,500 I think that's in June. So those are the big ones on my 953 00:55:44,500 --> 00:55:47,200 radar right now. Well I will be those as well so 954 00:55:47,200 --> 00:55:49,000 I will look forward to meeting you in person. 955 00:55:49,000 --> 00:55:51,900 Yeah, that'll be great. Until next time Chris you have a 956 00:55:51,908 --> 00:55:53,800 good one and let me know if there's ever anything I can do 957 00:55:53,800 --> 00:55:55,500 for you. Thank you so much. 958 00:55:55,500 --> 00:55:57,900 It was great talking to you. Likewise take care.