30: Healing Metabolism, How Much Fat, Keto IV, High Insulin, & Measuring Insulin Resistance

30: Healing Metabolism, How Much Fat, Keto IV, High Insulin, & Measuring Insulin Resistance

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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 return with more keto Q&A just for you in Episode 30.

Here’s what Jimmy and Adam talked about in Episode 30:

– Will the body ever be able to handle more carbs and protein again after eating ketogenic for a period of time?

Love the show. I’m catching up on all the past shows and just finished Keto Clarity. I’ve transitioned from 20 years eating a low-fat, high-carb vegetarian diet. My body fat crept up to 35% and I’ve tried cutting calories, cutting fat, cutting dairy and never achieved the lean body I’m after…plus I was hungry all the time. I switched to Paleo for the last year at about 60g “net” carbs per day but didn’t lose weight.  Now I realize I was consuming too much protein for me and 60g net carbs is also too much. I suffered from TERRIBLE sugar cravings and I’d succumb and end up binging on candy for a day then feel bad about it.

Now I’ve been following a keto diet of 80% fat, 14% protein and 6% carbs for the past 3 weeks. I have zero sugar cravings, but I’m not yet fat adapted. Fortunately, you’ve armed me with the knowledge that this will take several weeks so I’m being patient and sticking with it! I understand that the body can be mysterious and tricky. So my question is this—will my metabolism alter itself throughout the years in a way that will make it harder and harder for me to stay in ketosis long-term? In other words, does the body ever evolve to have lower thresholds for carb/protein intake after years of being ketogenic that would subvert my best efforts to maintain ketosis?

Thanks for all you do!

Joe

A LOW-CARBOHYDRATE KETOGENIC DIET COMBINED WITH 6 WEEKS OF CROSSFIT TRAINING IMPROVES BODY COMPOSITION AND PERFORMANCE

1. What is the perfect percentage of fats while on a ketogenic diet?

Jimmy and The Doc,

I love listening to you and your insights on this way of eating! Thank you so much for sharing your wonderful knowledge. I’ve been doing keto for 2 months now and was wondering if there is a suggested percentage of saturated, monounsaturated and polyunsaturated fat that you would suggest that should make up my % for the day? It seems like I’m very high in saturated fat and low on the others. I’ve heard from others online that it should be 20% saturated and 80% poly/monounsaturated fats. What say you?

Best in Health,

Angela

2. Is there a keto-friendly IV solution when you are in the hospital?

Hi Jimmy and Doc Muscles,

I’m a subscriber, and listener since Episode 1. About a month ago, I had an emergency hospitalization with my gall bladder. I’ve been ketogenic for 18 months and getting amazing results. While I was in the hospital, they hooked me up to a glucose IV for the five days I was there. My records show my blood sugars got as high as 175. But being insulin resistant with glucose running 24/7, I suppose that’s not a surprise.  I could tell I was on glucose because I got hungry and pretty much stayed hungry until I was home for a few days and eating low-carb, high-fat again.  Is there an alternative us Ketonians can ask the hospital for?  I don’t suppose they make IVs of exogenous ketones or beta-hydroxybutyrate do they?

Thanks,
SiliconGraybeard
(another way of saying “old electrical engineer”)

3. Can you assume you have high insulin levels based on high blood glucose and low ketone levels?

Hi Jimmy & Doc,

Have either of you measured your insulin levels directly both in ketosis and out of ketosis, to verify:
1) that your insulin levels are too high out of ketosis (i.e., hyperinsulinemia / insulin-resistant), and
2) that being in ketosis normalizes the insulin levels?

Because there are many hormones and other factors at play, it strikes me that indirect markers of insulin levels such as blood glucose and BHB levels are potentially a weak proxy, at best. It would be like assuming that everyone who is excessively tired must have adrenal fatigue, when in fact there are many other possible causes for that symptom. If you haven’t done the direct testing of insulin levels for your individual cases, then are you not merely operating on educated speculation?

I fully understand that testing insulin per se is more difficult and much more expensive than testing BG or BHB. However, I am concerned that the widespread assumption of elevated insulin levels in discussions around weight, diet, carb levels, and more has become an across-the-board reflexive answer, rather than an empirically confirmed cause in individualized cases.

Regards,

Tim

– How do you determine how insulin resistant you are?

Hello Jimmy and Doc Nally,

Thank you so much for your podcast.  I have listened to about half of them and enjoy both the information and your synergy and humor. I have been on a ketogenic diet for 4 months and am happy to report I’m improving my hip to waist ratio and decreasing my disease risk factors.

I am curious how someone could determine how insulin resistant they might be?  I understand from listening that you both know you are very sensitive.  What are the indicators that help people figure this out?  And do epigenetics play a role such as the MTHFR gene mutation?

Really appreciate your message and the work you both are doing for all of us!

Sincerely,

Carrie Wolf, DC

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

THE KETOGENIC COOKBOOK NOW IN U.S. COSTCO STORES
TRY THE BEST KETO NUT YOU’VE EVER TASTED

USE COUPON CODE “LLVLC” FOR 10% OFF

NOTICE OF DISCLOSURE: Paid sponsorship
THE WORLD’S FIRST EXOGENOUS KETONES SUPPLEMENT

Get your own KETO//OS at GetMoreKetones.com

NOTICE OF DISCLOSURE: Paid sponsorship
KETO-FRIENDLY WINES FROM DRY FARM WINES

NOTICE OF DISCLOSURE: Paid sponsorship
LINKS MENTIONED IN EPISODE 30
Find your local Costco store in America to pick up a copy of The Ketogenic Cookbook
– SUPPORT OUR SPONSOR: Get the low-carb, high-fat, ketogenic-friendly Pili Nuts (Get 10% off your order with coupon code “LLVLC”)
– SUPPORT OUR SPONSOR: Try the KETO//OS exogenous ketones supplement
– SUPPORT OUR SPONSOR:Get truly Ketogenic wine delivered to you from Dry Farm Wines
Jimmy Moore from “Livin’ La Vida Low-Carb”
Dr. Adam Nally, DO from DocMuscles.com
A LOW-CARBOHYDRATE KETOGENIC DIET COMBINED WITH 6 WEEKS OF CROSSFIT TRAINING IMPROVES BODY COMPOSITION AND PERFORMANCE
– RELATED PODCAST: The Livin’ La Vida Low-Carb Show #1137: Bonus Keto Talk Episode, Constant Ketosis, Type 1 Diabetic, Burning Sensation