50: Protein and Insulin, Lipedema, Burning Muscle on Keto, Dehydration, Phentermine

50: Protein and Insulin, Lipedema, Burning Muscle on Keto, Dehydration, Phentermine

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

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KEY QUOTE:  “On a low-fat diet, which is naturally high in carbs, the carb response drives more inflammation.”  – Dr. Adam Nally

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

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

Hey guys,

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

Amberly

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

JIMMY AND ADAM’S NEW KETO LIVING SUPPLEMENTS

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

Hello Jimmy and Dr. Nally,

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

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

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

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

Warm regards,

Susan

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

Jimmy and Adam,

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

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

Thanks again and have a great day!!

Ryan

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

Hi Jimmy and The Doc,

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

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

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

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

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

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

Thanks in advance for your input.

Sincerely,

Frank

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KEY QUOTE: “This truly is going to be the year of Keto.  Much in the same way that Paleo took off about 5 years ago, we’re going to see huge inroads with ketogenic diets in 2017.” – Jimmy Moore

KETO TALK MAILBOX

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

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

1) When do you decide to prescribe phentermine?

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

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

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

Thanks so much for all that you do!

Leslie

iTunes review:

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LINKS MENTIONED IN EPISODE 50

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

 

49: Cheese, High-Intensity Workouts, Blood Thinners, Psoriatic Arthritis, Advanced Glycation Endproducts

49: Cheese, High-Intensity Workouts, Blood Thinners, Psoriatic Arthritis, Advanced Glycation Endproducts

LISTEN AND DOWNLOAD AT ITUNES If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot… Continue Reading

44: Keto Talk Mailbox Blitz, Steroids, Injury Recovery, Getting Ripped, Healthy Kidneys, Monster Drinks

44: Keto Talk Mailbox Blitz, Steroids, Injury Recovery, Getting Ripped, Healthy Kidneys, Monster Drinks

LISTEN AND DOWNLOAD AT ITUNES If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot… Continue Reading