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Well, hello ladies and gents, 
Robert Sykes, Keto, savage.com. 

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And today I've got special guest
Laura Buchanan, MD on the line 

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and we dive deep into the world 
of blood sugar regulation 

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following a ketogenic diet, low 
carb diet. 

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She works with patients, She has
got some interesting studies 

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coming out alongside the work 
she's been doing with Doctor 

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TRO. 
They have a massive client 

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demographic that they've been 
gathering data from. 

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They've got a rebuttal paper 
coming out and it's really 

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interesting. 
It's always interesting for me 

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to talk to people that are 
clinicians that are working with

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people directly that are boots 
on the ground, kind of getting 

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their feedback on what they're 
seeing amongst their population,

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patient population and then just
honestly picking her brain about

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how she's approached nutrition 
personally. 

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She's also got a 5 month old 
son, So what she's doing with 

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his nutrition, she has stayed 
pretty well keto low carb 

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throughout her pregnancy and 
breastfeeding and how that's 

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affected him. 
So just a great around 

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conversation around proper 
dietary guidelines and blood 

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sugar management, CGM, things of
that nature. 

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So thoroughly enjoy the 
conversation. 

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I've got no doubt that you will 
take something from it. 

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Without further ado, sit back, 
relax, enjoy the podcast with 

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Laura and we are live. 
Laura, how are you today? 

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I'm doing great. 
Thank you so much for having me.

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My pleasure, My pleasure. 
I'm excited to be chatting with 

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you. 
You work alongside Dr. Tro, whom

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I've met several times, and you 
are like what? 

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What leg of his umbrella, so to 
speak, are you most involved in?

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Yeah. 
So I see patients right 

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alongside and we work very 
closely. 

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We each have our own patient 
panel, but we curbside each 

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other, talk to each other about 
either interesting cases or just

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get bounce ideas off of each 
other. 

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And we both are heavily involved
with research and also on the 

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board of the Society of 
Metabolic Health Practitioners. 

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So many, many different hats 
staying busy with with that. 

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Many different hats indeed. 
And you've like on your social 

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profiles, you've kind of taken a
stance with a lot of anti aging 

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content, correct? 
Yeah, Yep. 

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I my goal is to really help 
people age successfully. 

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And I think the way to do that 
is really through your lifestyle

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choices. 
Yeah, I can. 

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And that's. 
Agree there? 

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Have you found the fountain of 
youth yet? 

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Have you discovered it? 
I I don't think I've found that 

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quite yet, but I I think a good 
healthy amount of low carb keto 

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and combination of physical 
activity, staying active is is 

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very important to that. 
Yeah, I always tell people the 

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trifecta of the fountain of 
youth is, you know, some form of

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resistance training, you know, 
activity, a low carb ketogenic 

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diet and then potentially some 
some form of intermittent 

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fasting if done strategically. 
But honestly, just the low carb 

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and the real food and activity, 
that's that's pretty much the 

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the gatekeeper there. 
Yeah, absolutely. 

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I have. 
I've heard some interesting 

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theories from different, I mean 
pretty well impressive 

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researchers in the cancer realm.
But believe if you do some 

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extended fasting, maybe whether 
that's three days or five days, 

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if it's once a year, there's 
some period of time that that 

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will significantly decrease your
cancer risk. 

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Yeah, I. 
Believe it. 

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I don't do a whole lot of extent
and fasting myself, but some of 

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the data is most definitely 
compelling. 

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I'd love to get some some back 
story on you. 

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Like what? 
What even got you interested in 

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this stuff? 
Like, did you have a health 

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scare in your prior life or 
what? 

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What happened was the catalyst 
for you kind of going down this 

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path? 
Yeah, so there's a few different

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things. 
I grew up playing sports and was

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very passionate about that. 
I played soccer, tennis, ran 

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track, and then in college I 
continued playing soccer and and

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tennis as well. 
And I actually, while exercising

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while playing soccer almost five
days a week, developed pre 

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diabetes and you've kind of 
heard the old adage you can't 

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outrun a bad diet. 
And I think I I fit that bill. 

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I didn't necessarily at the time
think I was eating a terribly 

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unhealthy diet, but truly in 
hindsight it was a a mix of the 

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standard American diet slash 
trying to be a a lower fat diet.

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So I was avoiding red meat and 
did that for about almost a 

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decade. 
I avoided red meat due to 

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initial concerns back then that 
I have since changed about 

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cancer risk and heart disease 
risk. 

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And so that was kind of one 
piece of it of my own health. 

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But then I think more 
importantly, actually during 

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that time I saw people that I 
was loved aging very 

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differently. 
So some of them were aging 

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extremely well and others 
unfortunately were dealing with 

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complications from chronic 
medical conditions like 

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diabetes. 
And it was just so drastic, the 

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different quality of life that 
they were having in their final 

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decade. 
And so that really just set it 

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in stone. 
What I wanted to do, I wanted to

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help people age successfully and
the way I could see this 

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happening was through the way 
they were eating and living 

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their lives. 
A decade without red meat is 

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quite the feat. 
Did you notice anything like 

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abrupt when when you 
reintroduced it? 

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Like was there any significant 
changes like on an acute level 

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that you noticed right off the 
bat? 

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None. 
And you know, I probably I did. 

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I'm sure I did have a burger 
every now and then at a party or

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something, but it was definitely
I avoided all throughout college

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and I I didn't have any 
significant issues. 

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I do remember one particular one
where I I I did develop severe 

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abdominal pain, but I was. 
I wonder if that was more just I

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I had eaten something bad rather
than it having to do with not 

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having had red meat and then to 
have eaten a large quantity of 

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it that evening. 
But I I don't know for sure, but

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I definitely now feel better and
that could be multifactorial 

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because not only now do I eat 
red meat on a daily basis, but I

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also eat much lower carb than I 
used to as well and and and 

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ketosis quite a bit. 
So you are well steeped in the 

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medical literature. 
You've got several studies 

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presented on your like Instagram
profile for instance. 

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What are some like like what the
red meat is an example? 

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There's all these studies that 
point to it as being 

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contributing towards cancer. 
When it comes to the research 

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that is hot and prominent right 
now, are there anything that is 

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just incredibly misguided that 
you feel is getting a lot of 

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press time that is likely 
steering people in the wrong 

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direction? 
Absolutely. 

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And it seems like there's 
something coming out all the 

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time, but it's the same bad type
of research that just keeps 

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looping around. 
So the with a lot of these 

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studies they give people a food 
frequency questionnaire or a 24 

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hour food recall and say you 
know either what did you eat in 

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the last 24 hours or what did 
you eat in the past year and you

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answer 100 questions about that.
And then they follow those 

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people for a decade without any 
additional follow up. 

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And they say based on that one 
food frequency questionnaire or 

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that 124 hour food recall, we 
are going to make the claim that

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it is those dietary choices that
led to this disease condition. 

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And that I mean that by itself 
is just terrible data. 

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We know food frequency 
questionnaires are not very 

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consistent if people were to 
fill them out on separate 

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occasions. 
Additionally, though, you don't 

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get the nuance. 
I eat and I'll eat half a pound 

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or more of ground beef at a 
single sitting. 

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But that's ground beef that I 
just cooked in my pan at home 

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with really nothing else in it. 
Maybe I maybe add a little salt 

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and pepper, but you compared 
that ground beef to someone who 

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has gone to McDonald's and got a
burger with French fries and a 

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milkshake or a soda in front 
alongside and those are two 

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completely different diets. 
Yet both of those are going to 

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check off on that food frequency
questionnaire that you're eating

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half a pound or a pound of 
ground beef. 

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Is there any solution to that 
problem? 

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Like like I don't know if the 
the way to gather data at scale 

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among such a large population 
demographic would be some form 

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of questionnaire, like what are 
some viable alternatives then? 

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One that's has been done with 
some of the intermittent fasting

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research that's pretty cool is 
they actually have people use an

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app and take pictures of their 
food. 

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And so that way you definitely 
would see, you know, what is 

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that individual eating alongside
at that single meal. 

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And that's of course a lot more 
work both for the researchers 

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and for the person in the study 
because they're having to take 

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pictures of the food. 
And then the researchers are 

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having to quantify that 
potentially with more AI coming 

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out, maybe there will be a newer
way that will help us get some 

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better nutritional research 
going. 

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But I think that's currently one
of the more more able ways to do

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it. 
The other way too is if someone 

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says they're eating a ketogenic 
diet, just measuring ketones, 

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you can't again guarantee what 
exactly what they're eating. 

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But if they're in ketosis, you 
know, they are excluding a large

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amount of carbohydrates. 
So that would be another way of 

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just kind of verifying a little 
bit what someone is reporting on

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their questionnaire because 
that's that's another problem I 

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see with one of the study that 
came out this year from the 

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American College of Cardiology, 
I think had wrote about it and 

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said that low carb increased 
cardiovascular disease risk. 

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But the low carb individuals, if
you trust the way they collected

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the data, we're still consuming 
over 120 grams of carbohydrates 

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per day, which although is it 
lower carb than the Standard 

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American diet, it is still not 
low carb and definitely not 

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keto. 
Yeah, I would think, you know, 

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with all the people that are 
tracking their intake via, you 

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know, apps like MyFitnessPal or 
you know, just the different 

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apps out there, they can 
certainly find some way to 

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synchronize all that data. 
Now granted that would probably 

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contribute to the healthy user 
bias because people that are 

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tracking their intake probably 
are doing other healthy habits 

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as well. 
But I feel like just from a 

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shared data standpoint, being 
able to access that would be 

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much more viable and informative
than just a basic food frequency

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questionnaire. 
Yeah, I know that's a great 

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idea. 
So when it comes to the the 

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fountain of youth, kind of going
back to that when when you were 

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seeing family, friends and loved
ones going through these health 

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declines, what were some of the 
common denominators that you 

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were noticing amongst those that
were more resilient as they age 

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versus those that seem to 
decline at a rapid rate? 

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Yeah, so definitely it was 
eating home cooked food. 

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Just whole real food. 
Not a lot of packaged food and 

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sweets were very rare, limited, 
and if they did have them it was

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a special occasion. 
Again, it was home cooked. 

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Wine or alcohol was also limited
to about no more than a glass 

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granny I'm thinking of. 
She had one glass of wine per 

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day and then she played tennis 
several times per week until she

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was 88 and then she continued to
be to walk and do activity. 

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After that, actually. 
So whereas on the other side it 

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was eating a lot of fast food, 
probably at at least multiple 

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times a week, sometimes more 
than once in a day, and enjoying

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some of the processed sugars and
candy on a regular basis as 

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well. 
And not being as physically 

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active, it's all kind of just 
opposites from one to the other.

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What is what is your take on 
this big push as of late towards

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kind of putting the the 
limelight on seed oils like do 

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you think because it's 
interesting, I've listened to 

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some podcast with you know, M DS
and medical professionals that 

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say look there's not enough data
to showcase that in a negative 

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light. 
Other people are very, very, you

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know, staunch on their stance 
that hey look this is 100% the 

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main contributing factor. 
Like what? 

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What is your take? 
What is the research showing as 

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it pertains to seed oils? 
Yeah, I think I've, I've 

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listened to some podcast too 
with Brett Palmer who had 

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several researchers on that were
were great. 

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He's, he's the low carb 
cardiologist that brought up 

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really good points pointing 
towards seed oils being very 

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harmful and then the others 
having logical reasoning 

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actually why they were not 
harmful. 

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And so my precautionary 
principle for me is I avoid them

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because they're heavily 
manufactured, very highly 

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processed. 
And there is we've seen in our 

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00:12:59,000 --> 00:13:01,520
patients just through using 
thousands of continuous glucose 

231
00:13:01,520 --> 00:13:04,640
monitors that some people 
actually do seem to have a 

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glucose response to them, which 
is interesting and a little bit 

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00:13:08,360 --> 00:13:12,440
hard to explain. 
Then also there is definitely 

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some mechanistic data about how 
they can be damaging to cells. 

235
00:13:17,400 --> 00:13:24,440
I Chris Kenobi, he's recently 
wrote a book actually, where 

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00:13:24,440 --> 00:13:29,800
they say they have met the 
Bradford Hill criteria is to 

237
00:13:30,000 --> 00:13:33,640
showing that these are causally 
very harmful to our body. 

238
00:13:34,320 --> 00:13:38,160
And so he's he does have some 
really interesting lectures that

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00:13:40,000 --> 00:13:43,160
make me feel cautious enough and
concerned enough to avoid them 

240
00:13:43,160 --> 00:13:45,720
and to recommend that my 
patients avoid them until I 

241
00:13:45,720 --> 00:13:48,600
think we have more data with 
human studies. 

242
00:13:51,000 --> 00:13:53,720
What do you think 'cause like 
with the, if you're noticing 

243
00:13:53,720 --> 00:13:57,040
increase in blood glucose with 
patients that are consuming more

244
00:13:57,040 --> 00:13:59,240
seed oils, is that 'cause 
there's no carbohydrate in the, 

245
00:13:59,360 --> 00:14:02,080
so it's just is that just an 
acute form of inflammation 

246
00:14:02,080 --> 00:14:03,640
that's causing that glucose 
response? 

247
00:14:04,160 --> 00:14:06,560
That's I wonder, yeah, it's 
somehow impacting insulin 

248
00:14:06,560 --> 00:14:10,040
resistance. 
And for some people, I think 

249
00:14:10,040 --> 00:14:12,880
like you point out, the 
inflammation component there is 

250
00:14:13,240 --> 00:14:16,000
very interesting. 
A case report was written in an 

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individual with Crohn's disease 
and they reversed his Crohn's by

252
00:14:21,800 --> 00:14:27,160
putting him on an animal food 
based ketogenic diet and they 

253
00:14:27,360 --> 00:14:32,160
removed all seed oils from diet 
and were very strict on that and

254
00:14:32,160 --> 00:14:35,680
even things as far as avoiding 
certain spices like cinnamon 

255
00:14:35,680 --> 00:14:40,000
that had oils in them. 
So they truly just wanted animal

256
00:14:40,000 --> 00:14:43,560
based only and he had an 
extremely leaky gut so that you 

257
00:14:43,560 --> 00:14:46,200
can measure that by having 
people take certain proteins in 

258
00:14:46,200 --> 00:14:48,480
and you can see which proteins 
go through the gut barrier. 

259
00:14:49,120 --> 00:14:55,800
And his was entirely reversed 
and inflammation gone by 

260
00:14:56,520 --> 00:15:00,200
consuming only animal products. 
Yeah, that is pretty compelling 

261
00:15:00,200 --> 00:15:02,520
indeed. 
I I think the jury is still out 

262
00:15:02,520 --> 00:15:05,840
on the seed oils and and to what
degree they are contributing 

263
00:15:05,840 --> 00:15:07,760
towards the obesity epidemic for
sure. 

264
00:15:08,120 --> 00:15:11,920
But for me, it's like you just 
simply look at how it's made. 

265
00:15:11,920 --> 00:15:14,320
The fact that they have to go 
through all these processing, 

266
00:15:14,320 --> 00:15:16,840
there's it's deodorized, it's 
rancid. 

267
00:15:17,480 --> 00:15:20,080
Like if if it was not 
deodorized, you wouldn't even be

268
00:15:20,080 --> 00:15:22,720
able to get it past your nose to
consume it in the 1st place Like

269
00:15:22,720 --> 00:15:24,840
that just doesn't seem like 
something I would want to eat on

270
00:15:24,840 --> 00:15:27,960
a daily basis. 
Yeah, that's that's exactly you 

271
00:15:27,960 --> 00:15:30,720
look at the if you've seen 
pictures that are manufacturing 

272
00:15:30,720 --> 00:15:34,680
plants and they're just this 
enormous industrial complex and 

273
00:15:34,680 --> 00:15:37,640
they go through yeah like you 
mentioned deodorizing and 

274
00:15:37,920 --> 00:15:40,680
several other heavy heavily 
processed. 

275
00:15:41,080 --> 00:15:46,080
So I I do tend to focus more 
towards whole food as the goal. 

276
00:15:46,480 --> 00:15:49,360
I mean I definitely use and for 
patients especially as they're 

277
00:15:49,360 --> 00:15:52,720
initially starting a low carb 
ketogenic diet, do use 

278
00:15:52,720 --> 00:15:56,360
replacement products, 
replacement low carb foods to 

279
00:15:56,360 --> 00:16:00,400
kind of help when the cravings 
hit Or if they're in a situation

280
00:16:00,400 --> 00:16:04,160
where people are eating cake 
around them to use a low carb 

281
00:16:04,160 --> 00:16:07,000
replacement that maybe does also
have some of that heavily 

282
00:16:07,000 --> 00:16:09,560
processing. 
And I acknowledge that's 

283
00:16:09,560 --> 00:16:12,360
probably not a health food, but 
if it's helping them maintain 

284
00:16:12,840 --> 00:16:16,960
their ketogenic lifestyle over 
time, you can slowly start using

285
00:16:16,960 --> 00:16:20,040
less of those replacement 
products and that's that's the 

286
00:16:20,040 --> 00:16:25,120
goal of working towards more all
natural whole food, less 

287
00:16:25,120 --> 00:16:28,040
processed things. 
Yeah, 100%. 

288
00:16:28,040 --> 00:16:30,720
I mean, I feel like, you know, 
if if somebody was to come into 

289
00:16:30,720 --> 00:16:34,760
the space having not known 
anything and following the 

290
00:16:34,760 --> 00:16:37,440
standard American diet and 
everybody was just hand them all

291
00:16:37,440 --> 00:16:39,320
the information, things they 
needed to avoid right off the 

292
00:16:39,320 --> 00:16:42,080
bat, it would be incredibly 
overwhelming and not likely 

293
00:16:42,160 --> 00:16:45,240
sustainable. 
But finding stepping stones 

294
00:16:45,240 --> 00:16:47,960
where they can just gain some 
momentum and make it sustainable

295
00:16:47,960 --> 00:16:49,800
is key. 
And if you know, if it's better 

296
00:16:49,800 --> 00:16:51,840
than what they were consuming 
the day prior, then it's 

297
00:16:51,840 --> 00:16:53,080
certainly a step in the right 
direction. 

298
00:16:53,080 --> 00:16:56,400
There shouldn't be this, you 
know, food judgment that's going

299
00:16:56,400 --> 00:16:58,200
on in the space right now. 
Like people just need to get 

300
00:16:58,200 --> 00:17:01,000
better than they were yesterday.
Absolutely. 

301
00:17:01,080 --> 00:17:03,080
Oh, I love that. 
Better than you are yesterday. 

302
00:17:03,520 --> 00:17:05,599
Totally. 
So you like what does your 

303
00:17:05,599 --> 00:17:08,839
day-to-day look like? 
Are you primarily working as a 

304
00:17:08,839 --> 00:17:12,720
clinician with patients or is it
more on the research side, like 

305
00:17:12,720 --> 00:17:13,960
what? 
What does that look like for you

306
00:17:13,960 --> 00:17:17,599
on a day-to-day? 
Yeah, so I am blessed in that I 

307
00:17:17,599 --> 00:17:23,040
now have a 5 month old and his 
his name is James and he's just 

308
00:17:23,160 --> 00:17:27,680
the the light of my life. 
But I I get to hang out with him

309
00:17:27,680 --> 00:17:30,160
in the morning before my nanny 
arrives. 

310
00:17:30,160 --> 00:17:34,280
And then once my nanny arrives, 
I start seeing patients and I'm 

311
00:17:34,280 --> 00:17:38,880
just part time seeing patients. 
And so I do that four days a 

312
00:17:38,880 --> 00:17:43,440
week, and I have blocks cut off 
every couple of hours so that 

313
00:17:43,440 --> 00:17:46,720
I'm able to go downstairs and 
actually continue breastfeeding.

314
00:17:47,480 --> 00:17:52,240
And then on part of the days 
when I don't have patients 

315
00:17:52,240 --> 00:17:54,560
scheduled, that's when I'll do a
little bit of research during 

316
00:17:54,560 --> 00:17:57,720
the middle of the day. 
But come 4:00, my nanny leaves 

317
00:17:58,000 --> 00:18:01,280
and then it's back to getting to
just hang out with James for the

318
00:18:01,280 --> 00:18:05,160
rest of the day. 
And yes, it's great. 

319
00:18:05,720 --> 00:18:08,000
What? 
What is your typical patient 

320
00:18:08,000 --> 00:18:09,600
avatar like? 
What are they generally coming 

321
00:18:09,600 --> 00:18:11,240
to you for? 
Yeah. 

322
00:18:11,240 --> 00:18:15,960
So I see almost two separate 
kind of patient populations, but

323
00:18:16,720 --> 00:18:20,120
a handful of patients that are 
looking to improve their 

324
00:18:20,120 --> 00:18:24,080
metabolic health and specific 
kind of focused on weight loss 

325
00:18:24,360 --> 00:18:28,880
and often times diabetes or 
hypertension kind of other 

326
00:18:28,880 --> 00:18:31,640
metabolic issues and coming in 
for a weight loss program. 

327
00:18:31,640 --> 00:18:35,120
So we have two different 
programs you could come in for a

328
00:18:35,120 --> 00:18:38,680
six month kind of high, high 
accountability. 

329
00:18:39,240 --> 00:18:41,240
You're having weekly 
appointments with myself for the

330
00:18:41,240 --> 00:18:42,680
health coach for that six 
months. 

331
00:18:43,120 --> 00:18:49,040
And then the other program is 
it's just seeing me and we can 

332
00:18:49,200 --> 00:18:51,560
we might have you know five or 
six appointments maybe a little 

333
00:18:51,560 --> 00:18:55,840
bit more during that first year 
and that again it could be 

334
00:18:55,840 --> 00:18:57,840
people who are focusing on 
weight loss. 

335
00:18:57,840 --> 00:19:01,000
But also, and I I really like 
working with both populations, 

336
00:19:01,400 --> 00:19:03,640
but people who are already 
healthy but they're trying to 

337
00:19:03,880 --> 00:19:06,880
optimize their health, trying to
figure out what is that next 

338
00:19:06,880 --> 00:19:08,920
thing I can do. 
I feel like I'm already eating, 

339
00:19:08,920 --> 00:19:10,800
right? 
I'm doing some exercise. 

340
00:19:11,400 --> 00:19:16,520
What additionally can I add to 
age better and to stay active as

341
00:19:16,520 --> 00:19:18,400
I get older? 
Because that's, I think 

342
00:19:18,400 --> 00:19:21,720
something that is 
underappreciated is sarcopenia, 

343
00:19:21,720 --> 00:19:24,840
which is just a loss of muscle 
mass and function as we get 

344
00:19:24,840 --> 00:19:28,480
older. 
And it is so prevalent now that 

345
00:19:28,480 --> 00:19:32,040
we have to see people who are 
suffering in their later years 

346
00:19:32,440 --> 00:19:35,400
because they just don't have the
muscle to actually be able to do

347
00:19:35,400 --> 00:19:38,440
the things they want to do. 
What would you say the average 

348
00:19:38,520 --> 00:19:41,320
age of the demographic you're 
working with is? 

349
00:19:42,480 --> 00:19:47,600
Oh, that's tough because I see 
people all over the place, but 

350
00:19:47,600 --> 00:19:50,400
it's maybe 40s to 50s. 
It would be average, but I see 

351
00:19:50,400 --> 00:19:53,280
people in their 20s as well as 
in their 70s. 

352
00:19:54,120 --> 00:19:59,120
Are those older demographics, 
are they starting to come to you

353
00:19:59,120 --> 00:20:01,680
proactively asking about keto 
and low carb, or is that 

354
00:20:01,680 --> 00:20:03,600
something that they're just not 
familiar with at all? 

355
00:20:04,720 --> 00:20:11,000
Some of them are actually 
wanting to use low carb keto and

356
00:20:11,000 --> 00:20:13,280
I've had a few that have. 
They've started on their own, 

357
00:20:13,280 --> 00:20:15,280
but then kind of want some 
additional guidance or 

358
00:20:15,280 --> 00:20:18,680
accountability. 
And definitely in the 

359
00:20:18,680 --> 00:20:22,720
demographics where it's kind of 
this the 70 year olds often 

360
00:20:22,720 --> 00:20:26,320
times it's wanting to figure out
how we can make these final 

361
00:20:26,560 --> 00:20:29,400
hopefully, maybe hopefully 
several decades, but these final

362
00:20:29,400 --> 00:20:35,680
years maintain their level of 
activity and functional ability 

363
00:20:36,360 --> 00:20:40,080
during during that time. 
And a lot of that is I think 

364
00:20:40,080 --> 00:20:42,680
actually trying to like you 
mentioned earlier but get people

365
00:20:42,680 --> 00:20:46,360
resistance training. 
So you've got to muscle mass and

366
00:20:46,360 --> 00:20:50,000
strength is just going to 
naturally decline with age and 

367
00:20:50,000 --> 00:20:53,680
it it it increases definitely 
over 50 and then even further 

368
00:20:53,680 --> 00:20:56,360
over 60. 
So really trying to help people 

369
00:20:56,360 --> 00:20:58,360
get resistance training back 
into their lives. 

370
00:20:58,920 --> 00:21:03,160
Have you noticed that a lot of 
your older population is just 

371
00:21:03,160 --> 00:21:05,280
simply not eating enough food in
general? 

372
00:21:05,280 --> 00:21:09,520
Like I think of my own, you 
know, grandparents and my my mom

373
00:21:10,400 --> 00:21:13,080
and she just often times was not
eating enough. 

374
00:21:13,080 --> 00:21:16,520
She is now because I've kind of 
talked about this, but so many 

375
00:21:16,520 --> 00:21:19,160
of the older demographics 
especially that the women, they 

376
00:21:19,160 --> 00:21:22,680
just, they don't move as much, 
they're not as active, they stop

377
00:21:22,680 --> 00:21:24,960
eating as much and that 
obviously contributes to the 

378
00:21:24,960 --> 00:21:31,280
sarcopenia as well. 100% You 
know, I initially I always ask 

379
00:21:31,280 --> 00:21:35,040
people what they're eating on a 
daily basis and each meals, 

380
00:21:35,040 --> 00:21:40,400
snacks, all that stuff. 
But almost inevitably they're 

381
00:21:40,400 --> 00:21:43,520
not getting enough protein in 
their diet and they're not 

382
00:21:43,520 --> 00:21:45,560
getting enough protein in a 
single sitting. 

383
00:21:45,560 --> 00:21:48,320
Because there is, as we get 
older, we developed this 

384
00:21:48,320 --> 00:21:51,320
anabolic resistance where we 
basically, in order to trigger 

385
00:21:51,320 --> 00:21:54,160
muscle protein synthesis, we 
need to consume a higher level 

386
00:21:54,160 --> 00:21:59,240
of protein in a single sitting. 
And often times that's just hard

387
00:21:59,240 --> 00:22:01,440
for them that you have to 
actually work with them to 

388
00:22:01,680 --> 00:22:05,080
increase the proteins at A at a 
given meal. 

389
00:22:05,760 --> 00:22:08,440
And most of the research as of 
late is showing that to be about

390
00:22:08,440 --> 00:22:10,760
30 grams, kind of as a a rough 
minimum. 

391
00:22:11,480 --> 00:22:13,120
Yeah, that's what I've seen as 
well. 

392
00:22:13,920 --> 00:22:17,160
Yeah it's it's crazy cause like 
I think of what I eat in a 

393
00:22:17,160 --> 00:22:20,520
day-to-day basis and I could put
down, I could put down a lot of 

394
00:22:20,520 --> 00:22:22,160
protein without even batting an 
eye. 

395
00:22:22,160 --> 00:22:25,440
But so many people just under 
eat and they're eating all these

396
00:22:25,440 --> 00:22:27,120
a lot. 
A lot of the older population, 

397
00:22:27,120 --> 00:22:30,680
they're they're turning to like 
boost shakes or something like 

398
00:22:30,680 --> 00:22:34,040
that, something that says 
contains 8 grams of protein with

399
00:22:34,040 --> 00:22:35,480
an exclamation point. 
And they're like, oh, I'm 

400
00:22:35,480 --> 00:22:38,000
getting my protein in for the 
day, but it's like not nearly 

401
00:22:38,000 --> 00:22:40,320
enough in a sitting, not nearly 
enough for the total day. 

402
00:22:40,720 --> 00:22:45,320
There's just so much ignorance 
around what adequate nutrient 

403
00:22:45,320 --> 00:22:47,640
intake is. 
And people are especially like 

404
00:22:47,640 --> 00:22:51,000
as they age, they they lose 
muscle, they gain body fat, and 

405
00:22:51,000 --> 00:22:54,480
they want to lean out. 
So they kind of eat less by 

406
00:22:54,480 --> 00:22:56,520
default. 
But they're not eating any of 

407
00:22:56,520 --> 00:22:59,960
the right foods by default. 
So it just is a downward spiral 

408
00:23:00,400 --> 00:23:04,640
that plagues them for years. 
Yeah, I I couldn't agree more. 

409
00:23:04,960 --> 00:23:07,680
The, you know, I was thinking 
like you mentioned your mom, My 

410
00:23:07,680 --> 00:23:10,600
mom as well, I've talked to her 
about this, this I'll tell her, 

411
00:23:10,600 --> 00:23:14,560
hey, you need to eat 4 eggs to 
get close to about 30 grams of 

412
00:23:14,560 --> 00:23:16,360
protein. 
And she looks at me like I have 

413
00:23:16,360 --> 00:23:20,000
to eat 4 eggs at once. 
And meanwhile, you know, I'll 

414
00:23:20,000 --> 00:23:23,400
eat 6 eggs at a time and my 
husband will eat six or more. 

415
00:23:23,400 --> 00:23:25,840
And in addition to the other 
food we're having alongside 

416
00:23:25,840 --> 00:23:30,760
that, but it's people wouldn't 
bat an eye about eating, say, 2 

417
00:23:30,760 --> 00:23:36,040
slices of pizza and two slices 
of pizza if you decide to equate

418
00:23:36,040 --> 00:23:38,720
the calories you're going to be 
eating. 

419
00:23:39,720 --> 00:23:42,040
I mean, you might be eating 12 
eggs depending on how large of a

420
00:23:42,040 --> 00:23:44,280
slice of pizza, or maybe 6 to 8 
eggs. 

421
00:23:45,440 --> 00:23:48,200
But there's also, I think, 
something been lost there with 

422
00:23:49,400 --> 00:23:52,840
just our processed food. 
Do you notice more pushback from

423
00:23:52,840 --> 00:23:56,080
that older demographic when it 
comes to increasing dietary fat?

424
00:23:56,080 --> 00:23:58,560
Because I feel like so many of 
them are steeped in that old 

425
00:23:58,560 --> 00:24:01,440
school way of thinking of you 
can't eat fat or else it's just 

426
00:24:01,440 --> 00:24:04,200
going to make you fat. 
Yeah, I think it just needs a 

427
00:24:04,200 --> 00:24:06,440
little bit more education 
because it is true there. 

428
00:24:06,440 --> 00:24:10,720
There is that concern there. 
But I have a PowerPoint that I 

429
00:24:10,720 --> 00:24:13,800
like to go over with patients. 
It's really the carbohydrates 

430
00:24:13,800 --> 00:24:17,000
that are driving your insulin 
levels to go up, which are going

431
00:24:17,040 --> 00:24:21,320
to be driving storing fat rather
than fat, which actually has a 

432
00:24:21,320 --> 00:24:25,800
very minimal response on insulin
will not be driving that 

433
00:24:25,800 --> 00:24:27,640
process. 
And so usually once we go 

434
00:24:27,640 --> 00:24:33,080
through that, they're OK with 
trying to alter their diet that 

435
00:24:33,080 --> 00:24:35,400
way. 
How do you get them to cut out a

436
00:24:35,400 --> 00:24:37,640
lot of the the sweets, you know 
like these? 

437
00:24:37,960 --> 00:24:40,240
Again I keep going back to the 
older demographic, but I feel 

438
00:24:40,240 --> 00:24:43,240
like you know we all, everyone 
listening to this has parents, 

439
00:24:43,240 --> 00:24:47,040
grandparents, great grandparents
that we'd want them to get 

440
00:24:47,040 --> 00:24:50,960
healthier but they they seem to 
be the hardest population to 

441
00:24:51,360 --> 00:24:52,720
educate. 
I don't know if it's just 

442
00:24:52,720 --> 00:24:56,840
because they're just they're 
they're steeped in their own 

443
00:24:56,840 --> 00:25:00,160
ways of thinking they they've 
got their own pattern routines. 

444
00:25:00,160 --> 00:25:04,120
But in family especially family 
is the hardest demographic to 

445
00:25:04,120 --> 00:25:05,920
get this shift. 
I mean, how have you, how have 

446
00:25:05,920 --> 00:25:11,160
you navigated those waters? 
Yeah, I think just often times 

447
00:25:11,160 --> 00:25:14,520
it's starting with finding 
replacements and you know if 

448
00:25:14,520 --> 00:25:17,240
they if someone says I can't 
live without that food, then 

449
00:25:17,240 --> 00:25:20,080
that's a food you really 
typically want to get out of 

450
00:25:20,080 --> 00:25:23,760
their life and but then find 
something that they can replace 

451
00:25:23,760 --> 00:25:25,240
it with. 
Because if you just try to say 

452
00:25:25,240 --> 00:25:28,440
you're never going to have that 
again and you don't give them an

453
00:25:28,440 --> 00:25:31,720
alternative and that's really 
hard and it's probably not going

454
00:25:31,720 --> 00:25:36,000
to be going to work. 
So that's the the first thing. 

455
00:25:36,520 --> 00:25:39,640
And then often times, you know, 
I think I've, I use a lot of 

456
00:25:39,640 --> 00:25:43,320
continuous glucose monitors. 
And when my patients put those 

457
00:25:43,320 --> 00:25:45,920
on and they see what these foods
are doing to their blood sugar 

458
00:25:45,920 --> 00:25:49,920
in real time and they see the 
monitors kind of spike up, they 

459
00:25:49,920 --> 00:25:53,040
realize wow this is not good for
my body. 

460
00:25:53,240 --> 00:25:58,120
I'm going to try to remove that 
food and then they can go have 

461
00:25:58,120 --> 00:26:00,880
the alternative and they see 
that their sugar stays nice and 

462
00:26:00,880 --> 00:26:05,320
flat and that that is some great
motivation. 

463
00:26:05,760 --> 00:26:08,200
When it comes to the CGM's, I'm 
a huge fan of CGM's. 

464
00:26:08,520 --> 00:26:11,040
I don't have one in currently, 
but I'll I'll throw one in 

465
00:26:11,040 --> 00:26:15,040
whenever I'm doing any type of 
experimentation and mine always 

466
00:26:15,040 --> 00:26:19,120
stays relatively flat as well. 
When you're when you put ACGM on

467
00:26:19,120 --> 00:26:21,760
someone that's not following a 
low carb diet and they do 

468
00:26:21,760 --> 00:26:26,320
experience a spike but then it 
has a healthy drop afterwards 

469
00:26:26,320 --> 00:26:28,680
because their body is insulin 
sensitive and doing as it 

470
00:26:28,680 --> 00:26:32,080
should. 
Is there like how would you have

471
00:26:32,080 --> 00:26:34,040
a conversation with them around 
that? 

472
00:26:34,040 --> 00:26:38,040
Like do you try and suggest that
it's better to to not have the 

473
00:26:38,040 --> 00:26:41,400
spike in the 1st place? 
Or if it's responding as it 

474
00:26:41,400 --> 00:26:43,320
should, you just kind of let 
them go about their ways? 

475
00:26:44,320 --> 00:26:46,240
Yeah. 
So it depends if they have pre 

476
00:26:46,240 --> 00:26:49,760
diabetes or diabetes then even 
if their body actually responds 

477
00:26:49,760 --> 00:26:53,320
fairly quickly then I'd still 
say hey we've we've got work to 

478
00:26:53,320 --> 00:26:54,640
do. 
And same thing. 

479
00:26:54,640 --> 00:26:58,040
If we see a lot of insulin 
resistance either through 

480
00:26:58,040 --> 00:27:01,560
checking something called an 
LPIR but a lipoprotein insulin 

481
00:27:01,560 --> 00:27:04,240
resistance score or their 
fasting insulin and their 

482
00:27:04,240 --> 00:27:09,400
fasting insulin level is really 
elevated then their sugars they 

483
00:27:09,400 --> 00:27:14,600
might respond and look OK but we
know that insulin is actually 

484
00:27:14,600 --> 00:27:17,400
still damaging their body. 
So kind of explaining that 

485
00:27:17,400 --> 00:27:21,320
they're still having damage done
to their body even if that 

486
00:27:21,320 --> 00:27:24,360
monitor is showing an OK, a 
healthy looking response. 

487
00:27:25,040 --> 00:27:29,760
Now say they have no signs of 
insulin resistance and they are,

488
00:27:29,800 --> 00:27:32,160
you know, they're healthy, they 
don't want to go keto 

489
00:27:32,160 --> 00:27:37,240
necessarily If they're not 
having big spikes over kind of 

490
00:27:37,240 --> 00:27:42,720
40 points is what I've 
recommend, then I'd say hey, 

491
00:27:42,720 --> 00:27:46,160
it's it's looking good. 
And the reason I picked 40, I've

492
00:27:46,160 --> 00:27:49,920
talked with several other docs 
and a researcher who's been 

493
00:27:50,720 --> 00:27:53,400
studying diabetes for decades is
on the initial Accord trial. 

494
00:27:54,040 --> 00:27:58,560
But we think 40 is a safe guess 
because we really don't know 

495
00:27:58,560 --> 00:28:03,000
what is the acceptable or what 
is the optimal increase that is 

496
00:28:03,000 --> 00:28:06,240
not going to be damaging the 
body when you eat carbohydrates 

497
00:28:06,240 --> 00:28:08,400
because we know there's going to
be some increase that's that is 

498
00:28:08,400 --> 00:28:11,200
normal. 
But there is some data 

499
00:28:11,360 --> 00:28:15,920
suggestive that if you have 
blood sugar increases above 65 

500
00:28:15,920 --> 00:28:18,160
points that that is causing 
damage. 

501
00:28:18,160 --> 00:28:20,960
So even if you have a normal 
A1C, but you're having that much

502
00:28:20,960 --> 00:28:25,320
glucose variability that it can 
increase risk for heart disease.

503
00:28:25,760 --> 00:28:32,160
So if 65 is damaging, hopefully 
40 is safe until we have more 

504
00:28:32,160 --> 00:28:35,720
studies done with. 
Now, I think as prevalent as 

505
00:28:35,720 --> 00:28:39,080
continuous glucose monitors on 
these studies will be done, 

506
00:28:39,080 --> 00:28:43,600
probably not in the too distant 
future, but that's that's my 

507
00:28:43,600 --> 00:28:47,280
typical approach to people. 
So generally speaking, a healthy

508
00:28:47,280 --> 00:28:52,760
glucose range being between 70 
and 90 for instance, so not 

509
00:28:52,760 --> 00:28:56,280
exceeding 40 beyond that 
baseline at any point. 

510
00:28:56,800 --> 00:28:59,320
Yep, exactly. 
Gotcha, gotcha. 

511
00:28:59,320 --> 00:29:03,760
Yeah, I'm constantly trying to 
get my family to prick their 

512
00:29:03,760 --> 00:29:06,240
finger or use ACGM just to 
enlighten them. 

513
00:29:06,240 --> 00:29:08,840
I feel like if they're if they 
see the date, if they see 

514
00:29:08,840 --> 00:29:11,360
something reflected back them on
a screen, that can be incredibly

515
00:29:11,360 --> 00:29:14,240
empowering, especially if 
they're not really well versed 

516
00:29:14,240 --> 00:29:18,120
in low carb keto, how it works. 
But they could just Simply put 

517
00:29:18,120 --> 00:29:20,480
them their arm, eat as they 
normally would, but then 

518
00:29:20,800 --> 00:29:22,560
retroactively look at what the 
data is showing. 

519
00:29:22,560 --> 00:29:26,080
It kind of opens their eyes. 
Yeah, yeah, because that's, I've

520
00:29:26,080 --> 00:29:30,280
seen many people who, you know, 
they're an A1C of 5.9, so it's 

521
00:29:30,280 --> 00:29:32,200
slightly elevated in the pre 
diabetes range. 

522
00:29:32,520 --> 00:29:35,720
They put on ACGM and they see 
the oatmeal they're eating as an

523
00:29:35,720 --> 00:29:40,200
example, bumps them up to 180 or
190 and for them it's not a big 

524
00:29:40,200 --> 00:29:41,720
deal. 
That's an eye opener and they 

525
00:29:41,720 --> 00:29:43,760
just switch from oatmeal to 
eggs. 

526
00:29:44,120 --> 00:29:47,880
And even that little change 
right there can be enough for 

527
00:29:47,880 --> 00:29:50,080
some people to normalize their 
sugars. 

528
00:29:50,960 --> 00:29:54,560
What are some other signs and 
symptoms apart from blood 

529
00:29:54,560 --> 00:29:57,880
glucose? 
Like if somebody is honestly, if

530
00:29:57,880 --> 00:30:00,840
somebody is not overweight. 
And I feel like with the people 

531
00:30:00,840 --> 00:30:04,240
that are not overweight, they 
are often times more blinded to 

532
00:30:04,240 --> 00:30:06,920
the fact that they may be not 
optimal because there's no 

533
00:30:07,200 --> 00:30:09,120
outward expression of that in 
the mirror that they're seeing 

534
00:30:09,120 --> 00:30:10,800
every single day. 
So what, what are some other 

535
00:30:11,080 --> 00:30:15,280
signs and symptoms independent 
of being overweight that you 

536
00:30:15,280 --> 00:30:17,520
would suggest people kind of 
take proxy of? 

537
00:30:18,480 --> 00:30:21,320
Yeah. 
So if blood pressure is rising 

538
00:30:21,760 --> 00:30:25,200
that that's something if you're 
checking labs, the insulin level

539
00:30:25,200 --> 00:30:28,880
you can definitely still see 
rising even if they're they're 

540
00:30:28,880 --> 00:30:34,240
not overweight. 
The CGMI think is still one of 

541
00:30:34,240 --> 00:30:39,040
the best features or tools in 
individuals like that. 

542
00:30:39,280 --> 00:30:44,480
I mean, my mom is a perfect 
example of she has, you know, a 

543
00:30:44,480 --> 00:30:49,720
BMI of probably 21 and when she 
put on a CGM, she was seeing a 

544
00:30:49,720 --> 00:30:53,160
lot of variability with what she
was eating sugars hitting the 

545
00:30:53,160 --> 00:30:56,120
200 point, which would be a 
diagnosis of diabetes. 

546
00:30:56,120 --> 00:31:00,960
If if you're having symptoms and
sometimes people can get what 

547
00:31:00,960 --> 00:31:04,120
you call acanthosis. 
Nitricans, which is darkening of

548
00:31:04,400 --> 00:31:06,920
the skin folds underneath 
armpits or behind the neck. 

549
00:31:07,640 --> 00:31:10,840
Skin tags can also be a sign of 
insulin resistance. 

550
00:31:11,600 --> 00:31:15,880
And then other labs you can see 
the liver enzymes start to go up

551
00:31:15,880 --> 00:31:20,120
so math will be or massively 
metabolic associated fatty liver

552
00:31:20,120 --> 00:31:23,320
disease. 
We also see that individuals 

553
00:31:23,320 --> 00:31:27,120
with normal BM is, but are 
eating kind of the typical 

554
00:31:27,120 --> 00:31:30,560
standard American diet or a lot 
of higher sugar, higher 

555
00:31:30,560 --> 00:31:33,480
carbohydrate foods. 
Gotcha, gotcha. 

556
00:31:34,040 --> 00:31:36,760
What about as far as the CGMS 
go? 

557
00:31:36,760 --> 00:31:39,240
Is there like a specific brand 
or company that you tend to 

558
00:31:39,440 --> 00:31:41,800
point people through? 
I know there's been several that

559
00:31:41,800 --> 00:31:44,560
have popped up lately, like 
Nutrisense levels. 

560
00:31:44,560 --> 00:31:46,840
Is there like a good user 
friendly one that people can 

561
00:31:46,840 --> 00:31:48,640
just be directed towards? 
Yeah. 

562
00:31:48,640 --> 00:31:51,560
So those are both great if you 
know you pay for the monthly 

563
00:31:51,560 --> 00:31:54,520
membership, you actually get 
feedback on your what's 

564
00:31:54,520 --> 00:31:59,040
happening with your blood sugar 
responses if your doctor will 

565
00:31:59,040 --> 00:32:01,680
prescribe you one and you don't 
necessarily need kind of that 

566
00:32:01,680 --> 00:32:05,800
program associated with it. 
The Dexcom or the Freestyle 

567
00:32:05,800 --> 00:32:09,560
Libre are both great. 
The Freestyle Libre is typically

568
00:32:09,560 --> 00:32:12,120
much more affordable when 
insurance does not cover it. 

569
00:32:12,120 --> 00:32:16,560
You can get it for about 75 to 
$100 per month and each sensor 

570
00:32:16,560 --> 00:32:21,280
lasts for two weeks and that's 
if you when you go to the 

571
00:32:21,280 --> 00:32:23,960
pharmacy you say hey I'm paying 
out of pocket I'm not paying the

572
00:32:24,600 --> 00:32:29,760
the with my insurance company as
they will not cover it And if 

573
00:32:29,760 --> 00:32:32,360
your doctor does not feel 
comfortable prescribing you a 

574
00:32:32,360 --> 00:32:34,920
CGM because you maybe you don't 
have diabetes, you're not on 

575
00:32:34,920 --> 00:32:38,360
insulin, then people can 
actually go into the doctor tro 

576
00:32:38,360 --> 00:32:42,280
app and you can order ACGM from 
us on the app. 

577
00:32:42,600 --> 00:32:47,800
We have to have one face to face
visit just to give let people 

578
00:32:47,800 --> 00:32:50,440
know some risks and benefits 
required by state laws. 

579
00:32:50,960 --> 00:32:53,600
But after that, if you want to 
keep on refilling it, there's no

580
00:32:53,600 --> 00:32:56,840
more visits required and we can 
keep on sending you the CGMS. 

581
00:32:57,440 --> 00:32:58,560
And that's with the the 
Freestyle. 

582
00:32:58,560 --> 00:33:00,120
Can we do it with the Dexcom as 
well? 

583
00:33:00,920 --> 00:33:02,960
Just with the freestyle. 
Gotcha. 

584
00:33:03,560 --> 00:33:05,360
Well, shoot, I might. 
I might have to do that because 

585
00:33:05,360 --> 00:33:08,040
I've got I've, I've used the 
freestyle several times. 

586
00:33:08,040 --> 00:33:12,160
But that would be something that
I would totally do for my family

587
00:33:12,160 --> 00:33:14,120
and friends. 
Like, just simply, proactively, 

588
00:33:14,120 --> 00:33:16,440
hey, look, here's the CGM. 
Slap it on your arm for two 

589
00:33:16,440 --> 00:33:20,040
weeks and see what happens. 
Yeah, yeah. 

590
00:33:20,040 --> 00:33:24,120
It's really I just there's not 
another tool currently that we 

591
00:33:24,120 --> 00:33:27,840
have available where you can get
that type of immediate feedback.

592
00:33:28,440 --> 00:33:32,720
Yeah, you mentioned that you 
have a 5 month old son named 

593
00:33:32,720 --> 00:33:34,640
James. 
Talk to me a little bit about 

594
00:33:34,720 --> 00:33:38,280
how you've approached his 
nutrition through your pregnancy

595
00:33:38,280 --> 00:33:41,400
and breastfeeding. 
Like, how is what you know now 

596
00:33:41,400 --> 00:33:43,920
about nutrition kind of shaped 
how you've started your 

597
00:33:43,920 --> 00:33:47,480
parenting journey? 
Yeah, so I throughout my 

598
00:33:47,480 --> 00:33:52,160
pregnancy and postpartum while 
breastfeeding, I've been low 

599
00:33:52,160 --> 00:33:55,760
carb and probably I don't know 
the percent of time in ketosis, 

600
00:33:55,760 --> 00:33:59,160
but because I only check my 
ketones periodically, but most 

601
00:33:59,160 --> 00:34:03,520
of the time when I would check 
them, I'm in some mild level of 

602
00:34:03,520 --> 00:34:07,560
ketosis, maybe .5 to one, and I 
just eat. 

603
00:34:08,719 --> 00:34:12,159
I make sure I get enough protein
during my pregnancy and still a 

604
00:34:12,159 --> 00:34:14,000
while now, breastfeeding. 
I'm probably getting close to 

605
00:34:14,000 --> 00:34:20,159
150 grams of protein a day and 
that's through rib eyes, ground 

606
00:34:20,159 --> 00:34:26,120
beef, salmon, sometimes chicken.
And then I do eat non starchy 

607
00:34:26,120 --> 00:34:30,520
vegetables and salads and 
sometimes it's just the quantity

608
00:34:30,520 --> 00:34:34,159
of non starchy veggies that will
sometimes bump me out of ketosis

609
00:34:35,840 --> 00:34:38,639
and James. 
There was one point during my 

610
00:34:38,639 --> 00:34:41,320
first trimester where I actually
had the most intense 

611
00:34:41,320 --> 00:34:45,760
carbohydrate cravings I can 
remember truly ever having. 

612
00:34:46,400 --> 00:34:48,880
And I did have a little bit of 
carbohydrates for about 3 weeks 

613
00:34:48,880 --> 00:34:52,320
during that first trimester. 
And then after those cravings 

614
00:34:52,320 --> 00:34:59,000
passed, I went back to low carb 
in ketosis and and everything 

615
00:34:59,000 --> 00:35:01,160
went great. 
I you know, I'd never developed 

616
00:35:01,160 --> 00:35:03,800
any leg swelling. 
I played tennis up until 38 

617
00:35:03,800 --> 00:35:06,840
weeks pregnant. 
I played on a tennis team until 

618
00:35:06,840 --> 00:35:09,920
32 weeks pregnant and it was 
after that 32nd week I decided 

619
00:35:09,920 --> 00:35:16,120
to stop playing in matches and 
and then the delivery and I was 

620
00:35:16,120 --> 00:35:18,040
very fortunate. 
Everything just was, you know, 

621
00:35:18,120 --> 00:35:22,920
very smoothly and now with 
breastfeeding it's been going 

622
00:35:22,920 --> 00:35:28,080
really good and he I'm still 
been in ketosis for probably 

623
00:35:28,080 --> 00:35:32,160
most of it and he just seems to 
be thriving on that. 

624
00:35:32,840 --> 00:35:35,320
Yeah, it's it's crazy that 
there's so much information out 

625
00:35:35,320 --> 00:35:38,560
there suggesting that, you know,
pregnant mothers should be 

626
00:35:38,560 --> 00:35:41,920
consuming these excessive 
amounts of carbohydrates in 

627
00:35:41,920 --> 00:35:44,680
order to further the development
of the fetus. 

628
00:35:44,680 --> 00:35:47,440
And it's like I I don't think 
that's the way it works. 

629
00:35:47,440 --> 00:35:49,800
I mean, like my wife Crystal, 
she was keto all throughout 

630
00:35:49,800 --> 00:35:53,000
pregnancy as well and has been 
all throughout the the 

631
00:35:53,000 --> 00:35:55,920
breastfeeding. 
And our son is in like the upper

632
00:35:55,920 --> 00:35:57,960
99th percentile of all the 
growth metrics. 

633
00:35:57,960 --> 00:36:00,600
It's like I don't know where 
that misnomer came from, but it 

634
00:36:00,600 --> 00:36:02,120
certainly doesn't seem to be the
case. 

635
00:36:02,960 --> 00:36:04,880
Yeah, and it's it's really 
interesting. 

636
00:36:04,920 --> 00:36:10,040
I actually there's a something 
called lactation lab where you 

637
00:36:10,040 --> 00:36:12,320
can send your milk till you get 
analyzed. 

638
00:36:12,760 --> 00:36:15,760
And so I wanted to just do some 
testing and I'm still in the 

639
00:36:15,760 --> 00:36:20,000
process of a couple other tests.
But I wanted to test what the 

640
00:36:20,000 --> 00:36:23,760
composition macro nutrients of 
my breast milk when I was in 

641
00:36:23,760 --> 00:36:27,720
ketosis versus kind of lower 
carb versus kicked myself out of

642
00:36:27,720 --> 00:36:32,800
ketosis. 
And the if you look at the K 

643
00:36:32,800 --> 00:36:36,760
cal's per oz kind of the average
is about 20 K cal's per oz for 

644
00:36:38,720 --> 00:36:41,200
kind of your regular milk or the
common formula. 

645
00:36:41,560 --> 00:36:45,960
And while in ketosis mine was 27
K cal's per oz and it was kind 

646
00:36:45,960 --> 00:36:49,760
of above the normal on fat and 
then upper limits of normal on 

647
00:36:49,760 --> 00:36:54,840
carbohydrate and protein. 
And then when I ate sweet 

648
00:36:54,840 --> 00:36:57,040
potatoes and had some 
grapefruits got me out of 

649
00:36:57,040 --> 00:37:01,600
ketosis, the the fat content 
dropped was cut in half, 

650
00:37:01,600 --> 00:37:05,560
actually still in the normal 
range and the fat and or in the 

651
00:37:05,560 --> 00:37:08,680
carbohydrate and protein stayed 
still kind of in the upper end 

652
00:37:08,680 --> 00:37:10,440
of normal. 
Because I still. 

653
00:37:10,440 --> 00:37:13,600
I think I was getting close to 
150 grams of protein even though

654
00:37:13,600 --> 00:37:18,120
I was just adding extra carbs in
and the cacals per oz dropped 

655
00:37:18,120 --> 00:37:23,320
down to 23 compared to 27. 
So the carbohydrate content of 

656
00:37:23,320 --> 00:37:26,840
milk stayed the same whether you
were consuming higher carbs or 

657
00:37:26,840 --> 00:37:29,680
keto. 
Yep, exactly, which I was very 

658
00:37:29,680 --> 00:37:31,840
interested to see that high carb
count. 

659
00:37:32,200 --> 00:37:33,680
I was wondering if that would be
impacted, huh? 

660
00:37:34,240 --> 00:37:35,240
That is interesting. 
Yeah. 

661
00:37:35,560 --> 00:37:38,480
We we've saved some fur breast 
smoke, so may have to send that.

662
00:37:38,480 --> 00:37:40,000
What? 
What's the name of the the lab 

663
00:37:40,040 --> 00:37:42,880
company again? 
Lactation Lab and they actually 

664
00:37:42,880 --> 00:37:46,080
have a 20% off right now with 
the holidays. 

665
00:37:46,560 --> 00:37:48,480
Yeah, we may have to try that 
for sure because I'd I'd be 

666
00:37:48,480 --> 00:37:51,960
curious to see what that data 
comes back as because I look at,

667
00:37:52,880 --> 00:37:57,080
you know, it just, it just makes
intuitive sense like we are a 

668
00:37:57,080 --> 00:37:59,040
species, I mean we're 
monogastric species. 

669
00:37:59,040 --> 00:38:02,520
We're not really up regulating 
what we're consuming like a cow 

670
00:38:02,520 --> 00:38:05,960
or something would be. 
And you look at a a fetus that's

671
00:38:05,960 --> 00:38:08,920
developing or some of this 
drinking the breast milk an 

672
00:38:08,920 --> 00:38:12,520
infant, it's like you really 
need to just prioritize the 

673
00:38:12,520 --> 00:38:14,800
quality of food that you're 
consuming for their benefit. 

674
00:38:14,840 --> 00:38:18,360
And if you're following a real 
food ketogenic diet, it seems 

675
00:38:18,360 --> 00:38:20,600
like that would be the most 
definite way to do so. 

676
00:38:21,760 --> 00:38:24,400
Yeah, absolutely. 
And that's James, his demeanor, 

677
00:38:24,400 --> 00:38:29,160
he's just he's such a happy baby
and he, you know this first 

678
00:38:29,160 --> 00:38:32,480
month of life I think he maybe 
cried for a couple of minutes. 

679
00:38:32,640 --> 00:38:36,360
I mean there is and he now is 
just is the biggest smile and 

680
00:38:36,760 --> 00:38:41,720
he's so he's just happy all the 
time and I definitely think the 

681
00:38:42,720 --> 00:38:47,400
the nutritional healthy eating 
is helping that and he with his 

682
00:38:47,400 --> 00:38:50,880
milestones. 
I mean he, I have a picture when

683
00:38:50,880 --> 00:38:53,040
he was a few days old he was 
holding his head upright. 

684
00:38:53,720 --> 00:38:58,640
I was just a few days old and 
you know he's continued to just 

685
00:38:58,640 --> 00:39:04,160
have really incredible muscle 
strength from that developmental

686
00:39:04,160 --> 00:39:08,360
standpoint. 
And I, you know, could be 

687
00:39:08,360 --> 00:39:11,960
genetics, but I think there's 
also definitely got to be some 

688
00:39:12,280 --> 00:39:15,600
the fact of the way I'm eating 
and therefore his nutrition. 

689
00:39:16,160 --> 00:39:20,280
So at five months, he does not 
likely have any teeth coming 

690
00:39:20,280 --> 00:39:22,800
through yet, right? 
Yeah, no teeth yet. 

691
00:39:23,040 --> 00:39:28,200
We've we gave him just like a 
lick of peanut butter just for 

692
00:39:28,200 --> 00:39:30,360
hopefully decreasing chance of 
allergy. 

693
00:39:30,360 --> 00:39:35,080
There's about maybe a 5% 
reduction in some of the studies

694
00:39:35,080 --> 00:39:38,680
if you look at in developing an 
allergy if you introduce those 

695
00:39:39,400 --> 00:39:43,360
more allergenic foods early on. 
But his first real meal, our 

696
00:39:43,360 --> 00:39:46,920
plan is going to be rib eye. 
Nice, nice. 

697
00:39:46,920 --> 00:39:48,400
That's a good first meal for 
sure. 

698
00:39:48,840 --> 00:39:52,000
Yeah, Rigel's eating like steaks
and eggs. 

699
00:39:52,000 --> 00:39:55,080
He eats the exact same things we
eat, just in smaller quantities.

700
00:39:55,200 --> 00:39:56,600
Cut up into smaller pieces, 
obviously. 

701
00:39:56,600 --> 00:40:01,680
But this idea of there needing 
to be a baby food or an infant 

702
00:40:01,680 --> 00:40:03,680
formula are just something 
separate from. 

703
00:40:04,040 --> 00:40:07,800
What we as adults consume 
boggles me like if it if it 

704
00:40:07,800 --> 00:40:09,800
fuels us properly, it's going to
fuel them properly. 

705
00:40:10,640 --> 00:40:14,120
I am totally with you. 
That is our plan all the way. 

706
00:40:14,360 --> 00:40:18,640
We we are, you know, eating 
healthy, whole, real food like 

707
00:40:18,640 --> 00:40:20,880
you are. 
And he's going to do the same. 

708
00:40:20,880 --> 00:40:26,680
And that's there's a lot of 
processed food now that's just 

709
00:40:26,680 --> 00:40:29,640
geared towards kids or fortified
with different things. 

710
00:40:30,520 --> 00:40:33,200
And recommending cereals is kind
of some of the first 

711
00:40:33,200 --> 00:40:37,000
introductory foods to kids, and 
it's the the nutrition content 

712
00:40:37,000 --> 00:40:40,800
of those is just not the same as
the animal products. 

713
00:40:41,120 --> 00:40:44,440
Yeah, I mean, you got a ways to 
go, but have you kind of thought

714
00:40:44,440 --> 00:40:49,720
about how you're going to 
mitigate against him just eating

715
00:40:49,720 --> 00:40:53,280
everything that he does at home,
but then going out and, you 

716
00:40:53,280 --> 00:40:56,720
know, going to school, going to 
daycare, going to social 

717
00:40:56,720 --> 00:40:59,120
settings outside the home and 
not having that control? 

718
00:40:59,120 --> 00:41:01,960
Like how do you plan on 
navigating that? 

719
00:41:03,080 --> 00:41:05,200
That's a great question. 
I think we're still trying to 

720
00:41:05,200 --> 00:41:08,000
figure it out. 
We, you know, we want to and 

721
00:41:08,000 --> 00:41:11,720
hopefully just instill in him 
that we're eating healthy food 

722
00:41:11,720 --> 00:41:16,520
to make our bodies strong. 
And so the other foods are not 

723
00:41:16,520 --> 00:41:18,080
going to be making his body 
strong. 

724
00:41:18,080 --> 00:41:21,840
And if he can focus on, I've 
just eating things to improve my

725
00:41:21,840 --> 00:41:25,000
body's health. 
And you know, at a young age, if

726
00:41:25,000 --> 00:41:27,360
we can start getting him to 
think about things that way, 

727
00:41:27,800 --> 00:41:33,160
hopefully that will just make 
him less likely to be tempted. 

728
00:41:34,760 --> 00:41:36,440
But I think it is going to be 
really challenging. 

729
00:41:36,440 --> 00:41:39,000
We'll probably have to do a 
little bit more figuring out 

730
00:41:39,000 --> 00:41:42,800
things when when he is going to 
school and has the option to eat

731
00:41:42,800 --> 00:41:45,960
all those things. 
Now, I've heard other people who

732
00:41:46,360 --> 00:41:49,320
have, they try to help make 
their kids have associations. 

733
00:41:49,320 --> 00:41:52,240
So say they went to a birthday 
party and they ended up eating a

734
00:41:52,240 --> 00:41:54,400
lot of cake and pizza. 
And then they have a stomach 

735
00:41:54,400 --> 00:41:57,600
ache later and say, you know, 
what led to that stomach ache? 

736
00:41:57,600 --> 00:41:59,560
What did you did you do 
something differently than you 

737
00:41:59,560 --> 00:42:01,400
usually do? 
Oh yeah, I ate the cake. 

738
00:42:01,920 --> 00:42:04,800
And just trying to make them 
make the associations of how 

739
00:42:04,800 --> 00:42:07,200
their body feels based on what 
they're putting in it. 

740
00:42:07,960 --> 00:42:11,240
How young is too young to slap 
ACGM on a kiddo? 

741
00:42:12,480 --> 00:42:15,240
Oh man, that's a that's a great 
question. 

742
00:42:15,760 --> 00:42:21,320
I don't, you know, with James, I
think I I don't see myself 

743
00:42:21,320 --> 00:42:25,320
putting one on him anytime soon.
I think Tro's, I want to say, 

744
00:42:25,320 --> 00:42:28,440
one of Tro's kids did, he wanted
to put one on, I want to say 

745
00:42:28,440 --> 00:42:31,120
around nine years old because he
was just very curious. 

746
00:42:31,240 --> 00:42:33,640
So I think if James saw me 
wearing one, which he definitely

747
00:42:33,640 --> 00:42:37,280
will see me wearing them and was
curious, I'd be OK with that 

748
00:42:37,280 --> 00:42:39,480
because I don't think there's 
going to be harm from it and I 

749
00:42:39,480 --> 00:42:42,600
could just help educate him what
he's seeing on there. 

750
00:42:43,160 --> 00:42:44,320
Yeah, I think that would be 
super cool. 

751
00:42:44,320 --> 00:42:47,720
I mean, like if if you can kind 
of parent in such a way that 

752
00:42:47,720 --> 00:42:49,760
makes that seem like a cool 
thing. 

753
00:42:49,760 --> 00:42:52,640
So like if they're out with 
their friends and they they've 

754
00:42:52,640 --> 00:42:55,400
got CGM on and you obviously 
don't want to make them 

755
00:42:55,400 --> 00:42:58,600
obsessive or like, you know, 
fixated on it in a negative 

756
00:42:58,600 --> 00:43:00,280
light. 
But like if they can just simply

757
00:43:00,680 --> 00:43:04,800
look at that and be like, OK, 
this is this blueberry muffin 

758
00:43:04,800 --> 00:43:07,200
that my friend's mom made that's
full of sugar. 

759
00:43:07,200 --> 00:43:08,680
It's probably not the best thing
for me. 

760
00:43:08,680 --> 00:43:11,680
I think just giving them that as
an option and empowering them 

761
00:43:11,680 --> 00:43:14,920
would be great. 
Yeah, yeah, I I love that idea. 

762
00:43:14,920 --> 00:43:20,000
And I think I'll probably let 
him kind of make the decision of

763
00:43:20,000 --> 00:43:21,640
if, if and when he wants to try 
one on. 

764
00:43:21,640 --> 00:43:25,600
But I I'm sure seeing the 
excitement and the fun that I 

765
00:43:25,600 --> 00:43:28,520
have with it, it's he'll 
probably be curious to try one 

766
00:43:28,520 --> 00:43:31,440
at a fairly young age as well. 
Yeah, totally, totally. 

767
00:43:31,760 --> 00:43:33,520
Well, what is in the the 
pipeline for you? 

768
00:43:33,520 --> 00:43:35,160
What studies have got your 
interest? 

769
00:43:35,160 --> 00:43:37,120
What are you working on that's 
specifically exciting? 

770
00:43:37,120 --> 00:43:39,000
Like what, what? 
What's got you stoked right now?

771
00:43:39,600 --> 00:43:41,360
Yeah. 
So right now the Society of 

772
00:43:41,360 --> 00:43:44,560
Metabolic Health Practitioners, 
the and you find out more about 

773
00:43:44,560 --> 00:43:46,920
them about the US on the 
smhp.org. 

774
00:43:47,360 --> 00:43:49,160
I'm a board member of that 
society. 

775
00:43:49,160 --> 00:43:52,760
But we have now, we have now 
have an Official Journal, the 

776
00:43:52,760 --> 00:43:57,440
Journal of Metabolic Health and 
this is going to be focusing on 

777
00:43:57,840 --> 00:44:02,200
therapeutic carbohydrate 
reduction, so low carb keto, but

778
00:44:02,880 --> 00:44:07,560
the actual hopefully either case
reports, prospective trials, 

779
00:44:07,560 --> 00:44:13,080
case series on different medical
conditions that TCR benefits. 

780
00:44:13,080 --> 00:44:17,160
So there's so much data now 
coming out there, but there's 

781
00:44:17,160 --> 00:44:21,000
not an Official Journal really 
or there wasn't prior to this 

782
00:44:21,440 --> 00:44:26,040
that emphasize this. 
So I'm very excited that this is

783
00:44:26,040 --> 00:44:30,640
now it's set up and we are 
actually going to be having, we 

784
00:44:30,640 --> 00:44:32,680
have, we still have to submit to
the journal, but we are 

785
00:44:32,680 --> 00:44:38,640
hopefully going to be having a a
rebuttal published to the 

786
00:44:38,640 --> 00:44:41,960
American Academy of Pediatrics 
paper that was just recently 

787
00:44:41,960 --> 00:44:46,240
released on implementing low 
carb for children with type one 

788
00:44:46,240 --> 00:44:48,520
diabetes, type 2 diabetes or at 
risk. 

789
00:44:48,520 --> 00:44:56,600
So children with obesity and 
they basically medicalized low 

790
00:44:56,600 --> 00:44:59,640
carb eating to such a degree 
that if I were a doctor not 

791
00:44:59,640 --> 00:45:04,080
trained in this area, I would 
never recommend that diet for of

792
00:45:04,080 --> 00:45:05,600
the patient. 
Because they said you needed to 

793
00:45:05,600 --> 00:45:11,320
check their the child blood work
five different times during the 

794
00:45:11,320 --> 00:45:14,520
first year that they started a 
low carbohydrate diet. 

795
00:45:15,240 --> 00:45:18,920
And they had you check 14 
different blood markers of 

796
00:45:18,920 --> 00:45:23,360
concerns and deficiencies. 
And these included things like 

797
00:45:23,360 --> 00:45:28,440
carnitine and selenium, which 
carnitine you're the primary 

798
00:45:28,440 --> 00:45:30,880
source of that is actually from 
animal products. 

799
00:45:30,880 --> 00:45:35,120
And so the idea that going on a 
low carb ketogenic diet would 

800
00:45:35,120 --> 00:45:37,720
lead to a carnitine deficiency 
is just silly. 

801
00:45:38,440 --> 00:45:41,440
And the how this happened was 
the studies that they were 

802
00:45:41,440 --> 00:45:47,240
citing in their paper were based
on primarily 4 to 1 ketogenic 

803
00:45:47,240 --> 00:45:52,520
diets, meaning diets that are 
made-up of 90% fat and only 10% 

804
00:45:52,520 --> 00:45:55,880
protein. 
And these are some of the kind 

805
00:45:55,880 --> 00:45:59,560
of earlier initial main diet 
used for children with epilepsy 

806
00:45:59,800 --> 00:46:03,360
who must have very high levels 
of ketones to keep their 

807
00:46:03,360 --> 00:46:06,640
seizures in remission. 
But because of that very high 

808
00:46:06,640 --> 00:46:10,120
fat, much lower protein content,
you do have to worry about some 

809
00:46:10,120 --> 00:46:12,960
nutritional deficiencies and you
have to be cognizant of that. 

810
00:46:13,400 --> 00:46:17,160
But on a well formulated 
ketogenic diet, you really 

811
00:46:17,160 --> 00:46:18,960
should not have to be worried 
about that. 

812
00:46:18,960 --> 00:46:23,400
It is a very nutritionally dense
diet of whole real food and you 

813
00:46:23,400 --> 00:46:26,480
can still eat your non starchy 
veg cheese and you can still 

814
00:46:26,480 --> 00:46:30,760
even eat some fruit and maintain
great improvements in metabolic 

815
00:46:30,760 --> 00:46:34,840
health for children with either 
type one type 2 or at risk for 

816
00:46:34,840 --> 00:46:38,360
diabetes. 
And so we, we wrote a rebuttal 

817
00:46:38,360 --> 00:46:42,440
to kind of go over some of the 
different concerns they brought 

818
00:46:42,440 --> 00:46:46,840
up and kind of explained why 
they're not valid and we need to

819
00:46:46,840 --> 00:46:51,440
actually really reconsider this.
So hopefully that'll be 

820
00:46:51,440 --> 00:46:53,400
published in the not too distant
future. 

821
00:46:54,240 --> 00:47:01,560
And and then I'm also working 
with TRO right now on our, we're

822
00:47:01,560 --> 00:47:07,400
making data, one year data from 
a cohort of individuals. 

823
00:47:07,400 --> 00:47:12,320
We've been working with this 
employer program and with it was

824
00:47:12,320 --> 00:47:14,960
less than about 100 patients in 
the past year. 

825
00:47:14,960 --> 00:47:19,840
We've had about 3000 lbs of 
weight loss, so that that's 

826
00:47:19,880 --> 00:47:21,680
really exciting. 
And there's some other pretty 

827
00:47:21,680 --> 00:47:26,080
cool improvements as far as 
stopping think over 70 

828
00:47:26,080 --> 00:47:30,280
medications while having 
improvements in their A1C, in 

829
00:47:30,280 --> 00:47:32,880
their blood pressure. 
And so we'll be presenting a 

830
00:47:32,880 --> 00:47:36,800
poster at the Symposium of 
Metabolic Health in Boca Raton 

831
00:47:36,800 --> 00:47:38,880
in January. 
Nice, nice. 

832
00:47:38,880 --> 00:47:40,840
That's awesome. 
I'm super excited about seeing 

833
00:47:40,840 --> 00:47:42,840
that information. 
Yeah. 

834
00:47:42,840 --> 00:47:45,480
Thank you. 
When when you like, if you were 

835
00:47:45,480 --> 00:47:49,560
to step back and look at all of 
this from a 30,000 foot view and

836
00:47:49,560 --> 00:47:52,480
you, you look at the cause, like
when you look at diets and 

837
00:47:52,480 --> 00:47:55,560
dietary trends, you know you see
things come and go. 

838
00:47:55,560 --> 00:47:58,960
You see these hypes form and 
then fall off. 

839
00:47:59,200 --> 00:48:01,640
And a lot of people assume the 
same is going to happen with 

840
00:48:01,640 --> 00:48:04,360
keto. 
But I feel like from a a medical

841
00:48:04,360 --> 00:48:07,280
standpoint, there's just this 
overwhelming sea of data and 

842
00:48:07,280 --> 00:48:10,600
research studies being done that
all cater towards a well 

843
00:48:10,600 --> 00:48:12,680
formulated ketogenic diet. 
And I would think, and I would 

844
00:48:12,680 --> 00:48:18,520
hope, that as more legitimate 
medical scientific research 

845
00:48:18,520 --> 00:48:21,000
comes to light about the 
benefits of a ketogenic diet, 

846
00:48:21,480 --> 00:48:25,360
the general public will start to
see it more as an efficacious 

847
00:48:25,600 --> 00:48:28,240
way to go about eating, as 
opposed to some dietary trend 

848
00:48:28,240 --> 00:48:32,480
that comes and goes. 
Yeah, I think you are on track 

849
00:48:32,640 --> 00:48:35,680
that it's in the early 2000s 
when Doctor Westman really 

850
00:48:35,680 --> 00:48:39,520
started doing some of these 
studies with kind of showing 

851
00:48:39,520 --> 00:48:45,000
that a ketogenic diet is safe 
and effective and kind of for 

852
00:48:45,000 --> 00:48:48,360
metabolic health. 
The from there it's just 

853
00:48:48,360 --> 00:48:54,480
exploded and we're seeing case 
reports of Crohn's disease, 

854
00:48:54,480 --> 00:48:57,920
ulcerative colitis, so that's 
inflammatory bowel disease. 

855
00:48:58,280 --> 00:49:00,720
There's so many anecdotes now 
and we need more of these 

856
00:49:00,720 --> 00:49:03,560
anecdotes to actually be written
up as case reports but of 

857
00:49:03,560 --> 00:49:07,720
different autoimmune conditions,
rheumatoid arthritis and 

858
00:49:08,120 --> 00:49:10,200
psoriasis. 
Just kind of debilitating 

859
00:49:10,200 --> 00:49:15,240
conditions being reversed 
entirely on a ketogenic diet and

860
00:49:15,280 --> 00:49:18,080
for some individuals even go 
into a carnivore diet having 

861
00:49:18,440 --> 00:49:20,160
this amazing improvements in 
their health. 

862
00:49:20,800 --> 00:49:25,720
And I think 1 area that I'm 
excited about and will actually 

863
00:49:26,400 --> 00:49:30,600
help maybe have the the public 
become more accepting of this as

864
00:49:30,600 --> 00:49:34,440
well is if we can get the 
medical professionals as trained

865
00:49:34,440 --> 00:49:37,520
in it. 
And when I went through medical 

866
00:49:37,520 --> 00:49:40,200
school, we had a two week 
nutrition elective that was just

867
00:49:40,200 --> 00:49:46,000
very underwhelming. 
And if we can actually create 

868
00:49:46,000 --> 00:49:49,800
and we we did actually in our 
residency, me, my husband and 

869
00:49:49,800 --> 00:49:54,240
another one of my Co residents, 
we created a nutrition elective 

870
00:49:54,240 --> 00:49:55,840
that people would take that was 
a month long. 

871
00:49:56,600 --> 00:49:59,160
That started with how did we get
here? 

872
00:49:59,160 --> 00:50:02,600
How did the dietary guidelines 
come about and how do you 

873
00:50:02,600 --> 00:50:06,000
properly analyse studies? 
Why are those studies that said 

874
00:50:06,200 --> 00:50:09,240
red meat causes cancer? 
Why are they not valid studies? 

875
00:50:09,560 --> 00:50:13,080
And then went into low carb 
nutrition and the benefits that 

876
00:50:13,080 --> 00:50:17,080
it can have on the body. 
And another resident actually 

877
00:50:17,080 --> 00:50:20,720
took this course and since then 
the other resident has stayed on

878
00:50:20,720 --> 00:50:25,960
his faculty and she is 
continuing this forward and is 

879
00:50:25,960 --> 00:50:29,920
continuing to grow it. 
And if it is successful and 

880
00:50:30,000 --> 00:50:34,720
residents continue to take it, 
provide positive feedback, then 

881
00:50:35,000 --> 00:50:39,200
potentially that could spread to
other residency programs in our 

882
00:50:39,200 --> 00:50:43,160
area, other medical schools 
almost like a grassroots 

883
00:50:43,160 --> 00:50:48,800
movement of getting low carb 
nutrition accepted from the 

884
00:50:48,800 --> 00:50:51,600
ground up. 
Yeah, that. 

885
00:50:51,800 --> 00:50:53,560
I mean I think it's definitely 
going to be a grassroots 

886
00:50:53,560 --> 00:50:56,720
movement, but seeing how much 
has come to light from the 

887
00:50:56,720 --> 00:50:59,520
medical space, from the 
scientific community, I'm 

888
00:50:59,520 --> 00:51:03,760
hopeful that it just keeps 
making itself more mainstream 

889
00:51:03,760 --> 00:51:07,120
and that trajectory continues to
to go as such. 

890
00:51:07,120 --> 00:51:12,920
Because I mean like the the 
anecdotal data is hard to deny. 

891
00:51:12,920 --> 00:51:16,520
And I just speaking for myself, 
like how I feel and perform on a

892
00:51:16,520 --> 00:51:19,200
day-to-day basis is night and 
day compared to what it was when

893
00:51:19,200 --> 00:51:20,720
I was following the Standard 
American diet. 

894
00:51:20,720 --> 00:51:23,400
And yeah, the more people we can
get to move in that direction, 

895
00:51:23,400 --> 00:51:25,880
the better. 
So hats off to you and the 

896
00:51:25,880 --> 00:51:27,960
people in the medical space that
are, you know, boots on the 

897
00:51:27,960 --> 00:51:30,640
ground, working with patients, 
working with clientele and 

898
00:51:30,640 --> 00:51:32,320
making a difference. 
I feel like that is what it's 

899
00:51:32,320 --> 00:51:34,360
going to take. 
Yeah. 

900
00:51:34,360 --> 00:51:36,160
Thank you so much. 
And I mean it's what you're 

901
00:51:36,160 --> 00:51:38,560
doing with this podcast as well 
and the information you're 

902
00:51:38,560 --> 00:51:42,960
helping spread and get out there
and that's it's also I think 

903
00:51:42,960 --> 00:51:48,000
really going to be so important 
to to just increase awareness. 

904
00:51:49,120 --> 00:51:51,920
You know, another area that is 
just want to bring up because 

905
00:51:51,920 --> 00:51:58,040
it's so exciting is this work 
that Chris Palmer is doing and 

906
00:51:58,160 --> 00:52:03,200
he's yeah, the work in the 
mental health field showing so 

907
00:52:03,200 --> 00:52:06,720
much significant improvement and
bipolar, schizophrenia, 

908
00:52:06,720 --> 00:52:11,960
schizoaffective and other mental
health conditions is just it's 

909
00:52:11,960 --> 00:52:14,200
really incredible. 
It truly is, yeah. 

910
00:52:14,200 --> 00:52:16,920
I think I've, I've seen him 
speak at a few different 

911
00:52:16,920 --> 00:52:19,800
conferences now and there 
there's just so many different 

912
00:52:19,800 --> 00:52:23,120
angles that that this is coming 
to light from Now you get it 

913
00:52:23,120 --> 00:52:25,520
from a a diabetic standpoint, 
you get it from an overweight 

914
00:52:25,520 --> 00:52:27,720
and obese standpoint, you've got
it from a psychological 

915
00:52:27,720 --> 00:52:29,520
standpoint. 
Now with Chris Palmer's work, 

916
00:52:29,880 --> 00:52:32,440
you I'm, I'm trying to move the 
needle from a performance 

917
00:52:32,480 --> 00:52:34,960
athlete standpoint realm. 
And. 

918
00:52:34,960 --> 00:52:37,000
Like, I feel like the more 
people from all these different 

919
00:52:37,000 --> 00:52:39,560
facets of life that are showing 
the benefits of this way of 

920
00:52:39,560 --> 00:52:41,840
eating, like you can't ignore 
that forever. 

921
00:52:43,320 --> 00:52:48,960
Yeah, yeah, that's. 
It's one of my mentors, he he 

922
00:52:48,960 --> 00:52:50,360
said. 
It's so unbelievable, it's 

923
00:52:50,360 --> 00:52:54,840
unbelievable. 
But as as the data accumulates, 

924
00:52:55,480 --> 00:52:59,160
I think you just you can't, you 
can't deny the data. 

925
00:52:59,680 --> 00:53:02,040
Yep, 100%. 
Well, Laura, I can't thank you 

926
00:53:02,040 --> 00:53:04,200
enough for taking the time, 
sharing your story, talking 

927
00:53:04,200 --> 00:53:07,600
about the, the demographic that 
you've worked with and just what

928
00:53:07,600 --> 00:53:09,360
you're doing in the space right 
now, what you've got coming with

929
00:53:09,360 --> 00:53:12,760
this research study and just how
you're educating people. 

930
00:53:12,760 --> 00:53:17,320
So huge appreciation there. 
Where do people go to find out 

931
00:53:17,320 --> 00:53:20,760
more about you get plugged in 
and just see kind of what you're

932
00:53:20,760 --> 00:53:22,080
working on on a day-to-day 
basis? 

933
00:53:22,560 --> 00:53:25,400
Yeah, so you can find me on 
Twitter and Instagram at Laura 

934
00:53:25,400 --> 00:53:29,200
Buchanan, MD and I've got a sub 
stack 

935
00:53:29,200 --> 00:53:33,000
agingsuccessfully.substack.com 
and then if you go to 

936
00:53:33,360 --> 00:53:38,000
doctortro.com if you're we are a
telemedicine practice and are 

937
00:53:38,000 --> 00:53:41,600
accepting patients in about all 
50 states, so would love the 

938
00:53:41,600 --> 00:53:44,440
opportunity to try to help 
improve your metabolic health. 

939
00:53:45,040 --> 00:53:46,720
I love it. 
I'll link out to all those, make

940
00:53:46,720 --> 00:53:49,920
it easy for people to find you 
all totally separate question. 

941
00:53:49,920 --> 00:53:52,800
But how do you like sub stack 
like when it comes to different 

942
00:53:52,800 --> 00:53:56,000
mediums to relay information 
like how is sub stack compared 

943
00:53:56,000 --> 00:53:59,840
to the others? 
I I've enjoyed using it, I've 

944
00:54:00,080 --> 00:54:02,000
just only follow a few people 
right now. 

945
00:54:02,000 --> 00:54:07,680
Anita Tyshols as a great sub 
stack, so I haven't delved into 

946
00:54:07,680 --> 00:54:15,000
it honestly a ton compared to 
say Twitter, but I have my 

947
00:54:15,000 --> 00:54:17,840
little experience in it. 
I I have enjoyed using it. 

948
00:54:18,080 --> 00:54:19,280
Nice. 
Well, I will definitely have to 

949
00:54:19,280 --> 00:54:21,840
check that out myself and see 
how it works for sure, because I

950
00:54:21,840 --> 00:54:22,880
don't even know how to use 
Twitter. 

951
00:54:23,480 --> 00:54:25,920
I'm kind of, I'm kind of behind 
the 8 ball in some of this 

952
00:54:25,920 --> 00:54:29,000
stuff, but awesome. 
Thank you so very much Laura. 

953
00:54:29,000 --> 00:54:31,440
I can't thank you enough. 
I appreciate your time and keep 

954
00:54:31,600 --> 00:54:32,960
making a difference in the world
out there. 

955
00:54:33,560 --> 00:54:34,880
Thank you so much. 
It was my pleasure. 

956
00:54:35,040 --> 00:54:36,800
Have a good one all. 
Right, you too.