28: Cardiomyopathy, NuSI Hall Study, Diet Soda, Insomnia, High Blood Pressure On Keto

28: Cardiomyopathy, NuSI Hall Study, Diet Soda, Insomnia, High Blood Pressure On 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 deliver some thorough answers to the most pressing ketogenic questions in Episode 28!

KEY QUOTE: “If you suddenly turn down the glucose drive (by lowering the carbohydrates consumed) but you leave the protein high enough to stimulate glucagon, you’re gonna stop fat loss but still lose body weight (as water).” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 28:

– Does a ketogenic diet lead to cardiomyopathy?

I came across this reference that suggested that a ketogenic diet had been associated with cardiomyopathy: http://www.neurology.org/content/54/12/2328.short

I wonder if you and the Doc have any thoughts on this. Thank you for your great podcast.

Barry in the UK

NuSI-funded Study Serves Up Disappointment for the Carbohydrate-insulin Hypothesis of Obesity

1. Why is diet soda bad on keto and what can I drink instead?

Hi Jimmy & The Doc,

I have been following a ketogenic lifestyle for almost a year—and there’s NO going back! Since last summer I have improved my health markers and lost 35 pounds (with 50 more to go) and have NO cravings. But my weight loss has stalled out since Christmas and your various podcasts & periscopes keep me inspired to NEVER eat the carbage on a regular basis again. One thing that still plagues me is my diet soda habit. Nothing else “hits the spot” like my Diet Dr. Pepper and I seriously need help in forming a strategy to get rid of the stuff. What exactly is so harmful about the diet sodas and how might that affect my weight loss on keto? What can I drink instead that might hit the spot since I’m not really a coffee or tea drinker.

Thanks for your help!


2. Does a ketogenic diet lead to insomnia and how can I overcome this?

Hi Jimmy and Adam,

Thank you for all your work in endorsing the keto way of living! I am having issues with maintaining ketosis due to insomnia, a racing mind, and loads of energy at bedtime. I’ve been Paleo for 3 years now but am still struggling to lose belly fat. I need to drop at least 8kg (18 pounds) to be at my ideal weight and I haven’t eaten bread, pasta, rice, sugar, fruit or sweet drinks for over three years. But I’m still struggling to lose that weight.

My question for you guys is how do I overcome the insomnia that seems to be caused by being in ketosis? I love my mental clarity and energy when in keto but it doesn’t last long because of the insomnia. I have tried 1/2 teaspoon of honey, 600 mg magnesium glycinate, and 1500mg L-Tryptophan at bedtime but all to no avail.  So I end up having a piece of my Paleo bread (10g of carbs) at 2am so I can get to sleep. I’ve always been a good sleeper before attempting a ketogenic diet.

Any suggestions in overcoming this would be great.


3. Would former contestants on The Biggest Loser be able to heal their bodies on keto?

Hey Jimmy and The Doc,

I’ve been reading a lot about the former contestants on The Biggest Loser gaining back their weight and messing up their metabolism even more than before they went on the show. Would these people benefit from eating a ketogenic diet? If they are constantly struggling with hunger, I would think eating low-carb, high-fat would be invaluable to them because it will satiate that hunger.

I read the description of what one of them was eating for breakfast: “one egg and two egg whites, half a grapefruit and a piece of wheat toast.” No wonder he’s so hungry! He’s basically eating sugar for breakfast. I would be hungry about 20 minutes after eating that and never feeling satiated. Why has no one recommended a ketogenic diet to them?

As for their slowed metabolic rate, I am not sure what to think. Is that something they can overcome or reverse? Or is it permanent? Does that happen to everyone who tries to lose weight or only those who take the very extreme and unsustainable approach The Biggest Loser takes which I would think would be massively stressful to your body and soul? How does that work and can what you eat to improve your metabolism?

Thanks so much for any insight you can provide.


KEY QUOTE: “I used to drink 16 cans of sugary Coca-Cola a day! When I first started low-carb, I switched over to diet soda. The thing that finally got me off diet soda for good 18 months ago was kombucha.” — Jimmy Moore

Hello Jimmy and Doc Nally. First I wanna say I listened to about 10 episodes today. I am so into what you guys are doing here. I was diagnosed as hypothyroid four years ago and recently diagnosed as diabetic with a fasting blood glucose of 254. I started keto in April and I’ve already gotten my A1c down to 6.1.

I’ve been checking my blood pressure and my readings have been over 150/90 several times. I can feel my arms and feet get numb throughout the day and I’m freaking out. When I eat half a grapefruit and tested again, I had two readings under 120/60.

Am I doing something wrong with keto? I listened to several podcasts episodes and couldn’t seem to find any information about blood pressure side effects. When I test with Ketostix, it shows I am in ketosis. My blood sugar has not risen above 100 mg/dL, so why is my blood pressure so high?

Thank you!


Here are the new iTunes reviews of Keto Talk this week:



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Jimmy Moore from “Livin’ La Vida Low-Carb”
Dr. Adam Nally, DO from DocMuscles.com
NuSI-funded Study Serves Up Disappointment for the Carbohydrate-insulin Hypothesis of Obesity
– Dr. Nally’s post: The Skinny About Sweeteners

4 responses to “28: Cardiomyopathy, NuSI Hall Study, Diet Soda, Insomnia, High Blood Pressure On Keto”

  1. Stephanie Moss says:

    Kind of surprised by your response to drink aspartame laden soft drinks when you, Jimmy, refer to it as nastytame on all of your other podcasts. Dr Perlmutter just sent out an email to his readers about avoiding artificial sweeteners (assuming this includes aspartame, sucralose, ace k, etc.) because people become less glucose tolerant by consuming them based on profound changes induced in gut bacteria. This finding was based on a 14 year study noted in the American Journal of Clinical Nutrition on 70,000 women finding artifical sweeteners to double the risk of developing type 2 diabetes compared to sugar laden soft drinks. Sugary drinks increased the risk of developing type 2 diabetes by 34% – artificially sweetened drinks doubled that risk. Anyway, I like your response better, Jimmy. Go slow or whatever, but eventually you must do something about the addiction. Hey Doc? Get off the junk man!

    • deb says:

      Who drinks diet soda? People who ALREADY have a weight problem. The data doesn’t show causality. It doesn’t show no-calorie sweeteners are bad, just that they don’t solve the obesity problem.

  2. deb says:

    Don’t you make your own kombucha or water kefir Jimmy?

    • deb says:

      It’s really easy. I got some water kefir grains from ebay and put them in a 2liter plastic bottle, topped up with juice of 3 lemons, water and 20g sugar, tightened and left it and days later it was sour and fizzy and the plastic bottle was starting to expand. I make it often during the summer. Limes are nice. Grapefruit disappointing. Also tried half water half orange juice and also very nice and totally sugar free after the kefir have done their job.