38: Keto Talk Mailbox Blitz, Ignore Body Fat, Racing Heart, Cystic Fibrosis, Intolerant To High-Fat

38: Keto Talk Mailbox Blitz, Ignore Body Fat, Racing Heart, Cystic Fibrosis, Intolerant To High-Fat


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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 give more answers to your questions all about keto today in Episode 38.

**THANK YOU to Linda, Stephen, Mary, Jacob, Angela, Stefan, Shannon, James, David, Mark, Joshua, Santokh, Ben, Diana, Hector, Dewayne, Tina, Lauren, Suzanne, Mark, Carmita, Karen, Kate, Robert, Shaun, Virginia, Suanne, David, Thomas, Laura, Brady, Mike, Krista, Catherine, Sharon, Ted, Gregory, April, and Karen.**

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KEY QUOTE: “You can try to calculate out the mathematics of protein and how quickly it converts to glucose through gluconeogenesis. But that number just doesn’t work when you look at the fact this process can either be sped up or inhibited by the presence of insulin and glucagon.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 38:

– The role of probiotics in nutritional ketosis (this study and this study)

1. Should I ignore my body fat percentage if all my health markers are superb while eating keto?

Hey guys, I love Keto Talk and hope you can help me with my question. Here it is: How important is my body fat percentage number?

Both my parents died in their 70s of heart disease and dementia and I was slowly following the same path. One year ago I decided that I would do whatever it takes to not be like them and discovered keto and intermittent fasting. My brain and skin are now clearer, I’ve lost 10 kg and for the first time in my life at the age of 44 I have great cholesterol, blood pressure, heart rate, liver, glucose and vitamin D levels. My psoriasis and inflammation are gone, I sleep better and have more energy.

But my body fat percentage measured by a Tanita scale has plateaued at around 32%. Last year when I began eating keto, it was around 38%. My goal is to be in the “normal range” but if everything else is great, should I just ignore the body fat percentage?

Thank you for any advice!

Liza from Australia

2. Does eating ketogenic reduce your desire for consuming alcoholic beverages?

Hey Jimmy and The Doc,

Thanks for your podcast and the Clarity books.  I’m 8 days into eating 20 grams of carbs and moderate protein and feeling great. Interestingly, my habitual hankering for a glass of wine or vodka soda at 5PM has totally vanished. I haven’t heard about this effect anywhere.  Have you guys heard of this?

Thanks for all you do,

Marilyn

3. Can taking blood pressure-lowering medications negatively impact ketone levels?

Do blood pressure medications, such as thiazides as diuretics, impact my ketogenic diet in any way? I know that these drugs have a tendency to spike blood sugars and assume that would mean they would be detrimental to getting into ketosis.

Thanks for your insights.

Hank

4. Should you cut your meals in half to minimize the negative impact of protein on ketosis?

I was wondering if cutting meals in half and spacing them out by a couple hours is good for keeping the protein lower in one sitting. I make an omelet with 27g of protein, 55g fat, and 1g carb and I eat half and then save the other half for three hours later because I’m not sure whether or not that’s too much protein at one time.

Any advice on this would be awesome!

Thanks and love the podcast,

Trevor

AND

Love you guys and your podcast. You are changing a multitude of lives.

I’ve read Keto Clarity and many other books about ketosis, but I’ve still got questions about protein.  Here’s the deal.  For my height of 5’6” and age of 65, I should be getting in around 80 grams a day.  But what happens when I’m not hungry, which is not unusual when you are keto-adapted, and I only end up eating one meal in a day. Am I supposed to eat all 80 grams in that one meal?  That’s a lotta protein as well as a lot of food to try and choke down.

Thank you,

Kathy

5. Does eating keto make your blood pressure drop too low and what can you do about it?

Hi Jimmy and Adam,

I’m eating ketogenic and have been experiencing what I thought was brain fog which turns out to be low blood pressure.  A friend recommended I measure my BP and it was 106/66 yesterday. I stopped at a pharmacy on the drive in to work this morning (the feeling is most noticeable when I am driving) and measured three more times with readings of 114/72, 108/66, and 107/63.

I tried supplementing with salt tablets to see if that would help, but this didn’t make me feel any better and my hands and feet started swelling. I’ve always had perfect blood pressure before starting keto. Other than adding more salt to my diet, are there any other ways to increase my blood pressure to a more normal range?  I don’t want to abandon this way of eating, but if carbs are going to make me feel better I may have to.

Thank you again!

Faith

6. Why are my triglycerides high while eating a ketogenic diet?

Hi Jimmy and Adam! I’ve really been enjoying your Keto Talk show! I’ve been doing a zero-carb keto for four months. I’m feeling great and really enjoying it. However, my triglycerides are high at 180. My other parameters are all good. Fasting blood glucose is 60, morning blood ketones are between 3.0-5.0 mmol, HDL is over 50, blood pressure is 98/73. Are my trigs high because I’m underweight and have been losing weight? My body fat is just 14.9% and my BMI is 17.

Thanks again for a great show!

Michelle

KEY QUOTE: “I’m wondering if that 30-50 grams of net carbs where you’re getting 50-70 total grams of carbs is why your ketones are too low. Stop worrying about percentages.” — Jimmy Moore

7. Why does my heart race whenever I consume saturated fat eating ketogenic?

Dear Master Jimmy and Dr. Adam,

Can you guys talk about saturated fat just not agreeing with me? I noticed a high quality sugar-free chocolate bar with 22 grams of saturated fat would send my heart racing for 1-3 hours. Now I am leery of consuming anything with a high saturated fat content.

I have mindfully used monounsaturated fat oils like avocado and macadamia nut oil and really noticed this disappear completely. I get the rest of my fat from avocados, macadamias and pecans, and heavy cream as I tolerate dairy very well. I had a comprehensive food allergy testing done and nothing came back with a sensitivity. When I attempted to have a tablespoon chunk of cream cheese on my avocado, the same thing emerged with a racing heart for a couple of hours. The same thing happened with a couple of tablespoons of grass-fed butter. This seems to show up within minutes of ingesting saturated fat.

Keto has changed my life, giving me outstanding energy and stamina, much improved sleep, and a mental clarity never experienced before. Am I just stuck only eating monounsaturated fats on my ketogenic diet?

You guys are beyond awesome! Thank you both for your all the wisdom you share weekly.

Dennis

8. What are the exact signs I am looking for that show I’m fully keto-adapted?

Hey Jimmy and The Doc,

I’m a nutritionist who was a vegetarian for years and most recently Paleo and now here I am doing keto.  I have a blood ketone meter and have ketone readings consistently between 1-3. I’ve been at it for a couple of weeks now and in excellent health. What I want to know is what the exact signs are that am I looking for in my body or blood ketone levels to make sure I am fully keto-adapted?

Thanks so much,

Angela

9. Why is my weight loss so slow while eating keto?

Hi Jimmy and Doc Muscles,

I am a new listener to your wonderful podcast and love it. I look forward to every episode.

I’m a lifelong dieter losing and gaining the same 70 pounds or so many times. I love the keto diet and believe in it since beginning it in February. I have only lost 18 pounds while my husband has lost 65. I know I shouldn’t compare myself to him, but I wonder if the reason I am going pretty slow on this is that my body is saying “yeah, right. Here we go again.”

I keep track of my macros as I keep a food diary. This so-called uncomplicated way of eating has become a very complicated way of eating for me.  I am staying under 20g of carbs daily. I do enjoy a daily diet soda and I have a fairly sedentary lifestyle. I will admit I don’t think I have been as faithful as I should be from time to time as unfortunately my carb cravings really haven’t subsided. I find myself hungry often.

I am 56 years old and post-menopausal. I use urine ketone test strips and I have NEVER registered as anything other than “trace.” Is it possible I not only have never obtained ketosis, let alone become keto-adapted? Any advice?

Debbie

10. Is percentage of carbs or the number of carbs most important to get into ketosis?

Hey guys,

I love your show for all the good advice and knowledge you share. My question is about carb intake. I am currently struggling with the amount of carbs to take in. Currently I’m consuming about 50-70 grams of total carbs a day and if you subtract fiber it would be more like 30-50 grams of carbs a day.

I’m active lifting 5 times a week and run or bike another 3 times and am wondering if carb percentage is more important (I’m currently at 10% of calories in my diet) or the 50-gram mark?  Any suggestions about this? Am I doing this all wrong?

Thanks for your time and looking forward to your answer. If this helps, most days when I test my ketones with the Ketonix I’m in the green.

Cheers!

Chris

11. Is there any connection between a ketogenic diet and cystic fibrosis?

Any information about Ketogenic and Cystic Fibrosis?

Thank you so much!

Ted

12. Are there some people who can’t tolerate eating a high-fat diet?

Hello Jimmy & the Doc! I’m a huge fan! If podcasters had groupies, I would be that groupie with you guys. You’ve helped me tremendously, most recently, in convincing my husband that we needed to slow down on the peanut butter!

Here’s my weird question I haven’t encountered anyone else talking about this who didn’t have their issues resolved by “giving it time” or by taking some kind of bile or enzyme supplement, so I’m a little worried.

My gallbladder was removed several years ago. When I first started eating keto, I had some loose stools that evened out more or less as I continued this lifestyle. Then it came back, and it was so much worse. I’m not sure if I can identify exactly when it returned, but it seems I’m not digesting anything anymore and my weight loss has stalled. The last 8 months or so have been very high stress, so I’m ashamed to admit I fell off the wagon a few times for a few weeks at a time. The liquid bowel movements would stop in those periods when I was back on carbs.

I take an ox bile supplement with most of my meals. I eat grass-fed gelatin on an almost-daily basis to work on repairing my gut. I eat plenty of greens and drink plenty of water. I’ve cut out most supplements to try to figure out if one of those was the culprit. I quit dairy for several weeks, no change.

I think my question is this: Are there some people who simply can’t tolerate high-fat? If so, what is the lowest amount of fat that I could consume and still remain in ketosis? I realize that may be hard to answer and may vary from person to person…but I had to ask

Thanks again for your time and all that you do. You’re literally making the world a better place.

Kristen

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Diet rapidly and reproducibly alters the human gut microbiome
A single species of gut bacteria can reverse autism-related social behavior in mice
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