27: Keto Talk Mailbox Blitz, Low Energy, Headache, Stomachache, Breastmilk While Keto

27: Keto Talk Mailbox Blitz, Low Energy, Headache, Stomachache, Breastmilk While Keto


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 blaze through a bunch of listener questions in Episode 27!

Here’s are the 12 questions Jimmy and Adam answered in this special Keto Talk Mailbox Blitz extended podcast today:

– Testimonial from someone who learned his lesson why it’s important to stay ketogenic all the time

Hey Jimmy and Doc,

Just listened to your new Keto Talk podcast and what a great show you guys do. You mentioned pancreatitis in a recent episode and I wanted to share an experience I had with this. I cheated on the diet with lots of carbage and sugar. The next day I experienced an acute inflammation of the pancreas. It wasn’t a full blown case of pancreatitis but it was painful and lasted a few days. It also felt like I was having some gallbladder pain. My lipase level was 40 which was still within normal but still high. I can see how someone who was prone to this could easily have a severe reaction resulting in hospitalization. I have decided being on the ketogenic diet isn’t something to play around with. Now I’m all Keto all the time. I guess insulin resistance stays with me even though I lost a lot of weight. Thanks for taking on the tough areas and having great topics that are relevant in the real world. Thanks for your podcast!

Faithful Ketonian,


Three-decade study confirms saturated fats are bad for health

1. Is increased testosterone from a ketogenic diet a bad thing for women?

I think I heard Doc Nally say that going on a ketogenic diet increases testosterone in response to someone asking if ketosis can promote muscle building.  But isn’t increased testosterone less than ideal for women because it promotes the development of PCOS? Or is the increase in testosterone levels while in ketosis only something that happens in men?


2. Why am I still struggling with low energy and low ketones after months of being in ketosis?

Hey Jimmy and the Doc, I am a 40-year old woman and I have been in ketosis for 5 months now. I believe in this way of eating, but am still struggling with spells of low energy and low ketones. I really want to experience the endless energy and mental clarity that everyone talks about. My ketones remain around 0.5 mmol and never higher. I still don’t feel great on keto like I had hoped. On a positive note, my cravings have now gone, but I really want to feel better. Do you think I just need to give it more time for my body to adjust? I loved Keto Clarity and love this podcast. Thanks for your help!

Michelle in the UK

3. Can being in nutritional ketosis above 1.0 mmol cause painful headaches?

After 12 weeks on keto, I have only lost 15 pounds and 2.5% body fat. While I’m not pleased with this slow progress, I’m even more concerned with the massive headaches I get when I go over 1.0 mmol on the blood ketone meter. What is it about ketosis that could be causing these headaches?

Thanks for your great podcast!


4. Do artificial sweeteners and stevia raise insulin?

Hi Jimmy and The Doc,

Thank you for all the brilliant advice on your Keto Talk podcast. I like to listen to your shows frequently and they really keep me motivated in a world that thinks I’m “keto-crazy.”

I have been on and off a ketogenic diet for about two years now and I have been back in ketosis for four weeks now. I’m determined to stick to it and have finally taken the plunge by giving up the artificial sweeteners. This means no sugar-free gum, no sugar-free sweets and the hardest thing of all for me is no Diet Coke! However, I am still using Stevia. I heard that just eating something sweet causes insulin to be released. Is this true?

I look forward to your answer.

Fozia from the UK

5. Is my ketogenic diet causing me to cramp up before and during my half marathon racing?

Hi guys,

I’m a 43 year old triathlete who’s been on low-carb and keto for a couple of years to increase my endurance. I’m quite happy with my performance during training, but I am consistently cramping during my most recent races up to a half ironman distance. There are two different things I do prior to racing: 1) 12-24 hours before my race, I increase my carb intake from less than 50 g a day with 2 additional small sweet potatoes. Then I switch back to next to no carbs for the remaining 12 hours prior to racing. 2) I take 2 puffs of Ventolin inhaler as a preventer 30 mins before racing. I’ve had a couple of race-induced asthma attacks and they were not a pleasant experience so I tried adding the inhaler as suggested by my GP.

The issue is I’m cramping up badly even during warmups. I tried increasing my salt intake and magnesium glycinate supplement leading up in the weeks before racing. I’m concerned that it’s a combination of keto and the inhaler causing these issues. Do you have any ideas for me to prevent these cramps? Keep up the good work.

Ivan from Malta

6. Is MCT oil a better fat to use on a ketogenic diet than other fats like coconut oil, cream, or butter?

Hi Jimmy and Adam,

I hear a lot of debate amongst people I know who are keto about which fat is best to use, especially in coffee or hot tea. Everyone has their own opinions about coconut oil, heavy cream, butter, ghee, MCT oil, avocado oil, etc. I am hearing from a lot of people to skip the coconut oil and use MCT oil instead. While I do have MCT and use it occasionally in tuna or on salads, now I’m wondering if I should use it everywhere and skip the other oils like coconut and avocado oil. What is you take on this for us Ketonians? Do you guys think there is an added benefit in using MCT over other fats or is is merely personal preference?

Thanks so much!


7. Why do I have a constant stomachache while I’m on a ketogenic diet?

Hey Jimmy and The Doc,

I’m about 3 weeks into this ketogenic lifestyle and I’ve been experiencing a lot of stomachaches. I’m assuming this is because I came from a low-fat way of eating prior to this. Is there a way to help with the transition or is this pain just something I need to learn to live with?

Love the show and I’m looking forward to joining you guys on the Low-Carb Cruise in 2017!



8. Do you have to be in ketosis to burn fat?

Thanks so much for the helpful information about keto that you discuss on your podcast. It has been a great help to me since my doctor put me on a low carb diet due to early signs of insulin resistance. I have a question that I’m still unclear about. Do you have to be in ketosis to burn fat?  I’ve heard a lot of discussions that you are automatically a fat burner when you consume 150g or less of carbs daily. There seems to be mixed messaging from lots of different people on whether or not you can burn fat outside of ketosis.

Thanks again for your great work!


9. Does being in ketosis lead to daily spotting and extended periods?

Hi Jimmy! Long time listener and loving the new show with Dr. Nally! I got inspired by your N=1 experiment with nutritional ketosis and went full keto improving my sleep, eliminating my cravings, and full of energy. It was a miracle diet for me and everything was perfect except for when I started to have spotting/on my period every single day. I let it go for four months because I just felt so good in ketosis. I contacted you and you connected me to Jackie Eberstein who recommended I increase my carbohydrates in 5g increments until the issues resolves itself. I didn’t want to do that at the time since I knew the cravings would come back. After seeing my gynecologist who wanted to put me on hormone medications, I instead binged on carbs and fell down that rabbit hole losing my period for the next year. Am I the only one this has happened to? Why did this happen?

You and Doc Muscles keep up the good work. You are changing lives and Jimmy you were the first low-carb person I ever listened to! Thank you for all you have done.


10. Are ketones in my baby’s breastmilk safe for her to consume? And why did my milk supply drop when I went keto?

Hi Jimmy, I’m an avid listener of all your podcasts, but I especially like Keto Talk. I gave the ketogenic diet a shot last year before I got pregnant with my second daughter and I loved how I felt on it. I had a difficult pregnancy and wasn’t able to continue the diet, but now that my daughter is 3 months old I’m ready to do something to lose the 20 pounds of baby weight that I have left to lose. I’m breastfeeding still and I just want to make sure that ketones in my body and in my breastmilk will be safe for my baby. Dr. Atkins recommended in his book for breastfeeding moms to consume a maintenance level of carbs while pregnant and breastfeeding.

Additionally, my milk supply when I started low-carb (but not ketogenic) after the birth of my first child significantly dropped. At the time I didn’t know that I needed to add salt and other minerals to my diet when reducing the carbs so that may have solved the problem. Before I go full-on ketogenic this time, I am wondering if there is anything else I can do differently to maintain my milk supply this time around. Looking around the Internet, I found this to be a common concern. Has The Doc encountered this with any of his patients?

Thanks so much you guys! Looking forward to hearing about any insights you might have.


11. What is the impact of the supplement creatine on ketones, blood sugar, and insulin levels?

Hey guys! I am a big fan of the two of you and information you provide! I have a question today about creatine and ketosis. I lift weights 5 days a week and love it. I focus more on powerlifting than traditional bodybuilding and have seen great results the last four months switching over to a ketogenic diet. Before I dialed in my protein consumption to get into ketosis I always took two supplements: creatine and whey protein. I still take some protein right after a workout (maybe 15-20 grams) but nothing like I did before learning about protein’s impact on ketosis.

With my protein consumption dialed in, I wanted to ask how the consumption of creatine impacts ketosis, glucose, or insulin levels? I typically have 7-10 grams of creatine per day. My ketone levels and glucose appear to be fine, but I still wanted to make sure there are no adverse effects I should be aware of as it relates to ketosis.

Thank you for your time!!


12. Can I ease into ketosis as a way to avoid the dreaded “keto flu?”

Hi guys! I’m new to keto and am LOVING this podcast! Thank you so much for taking the time and effort to do it! I want to start my ketogenic diet by easing into it as a way to avoid experience the pain associated with the ”keto flu.” I’m looking at it like a drug addict coming off the drug they are addicted to, I’d like to wean myself off of sugar and carbs. Is there any reason why doing this would be a bad idea?

Thank you for answering my question! I SO appreciate your show!


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Three-decade study confirms saturated fats are bad for health

9 responses to “27: Keto Talk Mailbox Blitz, Low Energy, Headache, Stomachache, Breastmilk While Keto”

  1. Lori says:

    Great Podcast, guys! Went full bore Keto on August 8 2016 to try and combat migraines. Felt AMAZING the first 28 days (adapted in about 5 days). First time in my adult life I’d gone that long without a migraine. But then… BAM. I’ve had a headache now for 16 days straight, a different kind of headache than my usual migraines. Doing about 20 grams carbs, and have been tracking fat and protein as well and I’m at a 70/20/5 ration. You mentioned the headaches in this episode and possible carb withdrawl. Would that happen 28 days in? Or should I check to see if I’ve gone hypoglycemic? Trying to figure out the best approach to get back to feeling great. Add more carbs? Less carbs? More protein? Kind of lost right now, but don’t want to give up. I’ve had too many good things come about as a result of being ketogenic, but totally can’t live with these headaches.

  2. deb says:

    I am convinced the headaches area sign the insulin level in the body is dropping. I used to get these after eating keto (regardless of caffeine).

  3. deb says:

    Dr Nally you need to think/talk more about insulin I think. Think of everything in terms of insulin and it is a useful tool to do so I think.

  4. deb says:

    Insulin spikes in response to insulin only in the obese. The obese have like a hyper-insulin response. You guys really need to talk about insulin and look at the insulin graphs showing the differences between normal and obese/diabetic/insulin resistant. This is the key point of how fasting and keto works.

  5. deb says:

    The point is who cares if sweetener stimulates insulin if you are fasting with no sweeteners and then eat a low carb dessert after your meal with sweeteners in it. When you view ALL food as insulin stimulating (versus no food) and look at the insulin graphs and the insulin levels of normal and obese during fasting then making the fast an absolute water/tea fast is more important than whether or not you have sweeteners when you do eat. It changed my perspective. And my waistline.

  6. deb says:

    I get a cramp in the evening if I eat potatoes and cheat. It is like every time I have ever eaten potatoes. Even if they are fries and I have tons of butter. Keto and cheating don’t go. Even if you don’t do it with refined carbs. Sweet potatoes are higher in carb than potatoes.

  7. deb says:

    Rachel – stomach aches? Where is the pain? Could be gall bladder starting to work/clearing stones if the pain is acute and in the side. I had this years ago.

  8. deb says:

    Mary – polyps can sometimes cause spotting. It is common and they can be lasered off.