29: Family Gatherings, Is A Carb A Carb, Cataracts, And Hyperinsulinemia On Keto

29: Family Gatherings, Is A Carb A Carb, Cataracts, And Hyperinsulinemia 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 take another stab at answering your most pressing ketogenic questions in Episode 29!

KEY QUOTE: “We often use food to celebrate as a form of pleasure seeking. Eating that pizza just because it’s fun and brings pleasure, it’s actually a poor approach for someone who is horribly insulin resistant or overweight.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 29:

– How do you handle family gatherings where non-keto food is served without disappointing family members?

My girlfriend went to her best friend’s house and her family had made a huge homemade pizza. She felt like she had to eat what was put in front of her and she made the choice to just eat the toppings. But she felt like she was going to be judged by not eating everything and thus offending these people she loves. What’s the best way to deal with this kind of situation? My girlfriend and I have been in ketosis for the past month without being kicked out and I think the social aspect of eating this way is the hardest aspect of being successful.

Thank you again,


Exercise promotes the expression of brain derived neurotrophic factor (BDNF) through the action of the ketone body β-hydroxybutyrate

– Does the kind of carbohydrate you consume matter in limiting your intake while pursuing ketosis?

Hi Jimmy and the Doc! A carb is a carb is a carb…or is it?! I have been following keto for about a year now and have actually seen a large number of my friends join in and start eating ketogenic as well. However, we have found that there is a slight difference between us. Some of us have noted and realized that we are so insulin resistant that we keep need to keep our carbs around 20g daily while others of us can consume upwards of 40g and still be in ketosis. One person in our group has stated that eating carbs, whether it is from sugar or bread or vegetables, all turn turn to sugar in your body. So she claims she can fulfill her 35g of carbs by eating M&Ms if she wants to and it will still process in her body the same as if she were eating 35g of vegetables. I’m not sure that I believe this but I am curious what the implications are on the body when eating simple carbs like sugar, fake sugars, and flour vs. getting them from complex sources such as leafy greens and other types of low-carb fruits and veggies.

Thanks so much for taking the time to answer!


– Could eating a ketogenic diet act as a preventative or therapeutic treatment of cataracts?

Hello Jimmy and Doc,

I have this friend who recently found out she has a little cataract in her eye. Had she started keto earlier in her life, could this have been prevented?  Can ketosis actually help slow down the growth?  And is there any connection between your diet and eye health?

Thanks for all you do!


– Is it detrimental to fat-adaptation to come out of ketosis temporarily from time to time?

Hello Jimmy and the Doc! Can you be fat adapted and get kicked out of ketosis? I have been keto and fat adapted for over two years. I have lost 108 pounds and I lift heavy. Sometimes when I overdo the protein or eat enough berries to increase my carbohydrate intake, I measure my blood ketones four hours later and they’re 0.2 -0.4. Then it takes me 12- 24 hours to get blood ketones back above 1.0 mmol again.  So, am I still keto-adapted? Do I need to be worried about getting kicked out of ketosis like this? 


– How does someone with hyperinsulinemia deal with lower ketone levels?

Hi Jimmy and Dr. Adam,

My wife suffers from hyperinsulinemia and struggles to maintain a blood ketone reading of 0.6 mmol using a combination of intermittent fasting and eating within a 4-5 hour window. Her blood sugar reading average 4.4 mmol/L (80 mg/dl). From my personal experience, I know she’s not feeling the full effects of higher ketone readings such as mental clarity. Do you guys have any strategies for boosting these lower ketone readings in the presence of hyperinsulinemia?

Great show you guys! We enjoy your hard work and keto passion.


Simon from Australia

KEY QUOTE: “People think if they’re allowed 35g of carbs, I’m gonna have a slice of bread. What they’re not realizing is they’re missing the point. The effects of these carbs will still be detrimental to you than if you chose vegetables instead.” — Jimmy Moore

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
Exercise promotes the expression of brain derived neurotrophic factor (BDNF) through the action of the ketone body β-hydroxybutyrate

2 responses to “29: Family Gatherings, Is A Carb A Carb, Cataracts, And Hyperinsulinemia On Keto”

  1. Types Missives says:

    I’m also in Australia. I ordered and received exogenous ketones (KetoForce) from Keto Sports a few months ago. Enjoyed the show.

  2. deb says:

    Me too. Family eating is very difficult. Especially as I fast. Fly the freak flag high.