44: Keto Talk Mailbox Blitz, Steroids, Injury Recovery, Getting Ripped, Healthy Kidneys, Monster Drinks

44: Keto Talk Mailbox Blitz, Steroids, Injury Recovery, Getting Ripped, Healthy Kidneys, Monster Drinks

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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 take on a whopping 15 of your most pressing low-carb, high-fat, ketogenic diet questions in Episode 44.

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KEY QUOTE: “If you’re not insulin resistant or diabetic, usually a small amount of complex carbohydrate right before a workout is not going to hurt you at all. It’s strategic to provide extra glucose for the glycolytically demanding exercise.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 44:

1. Will taking steroids kick me out of ketosis from the higher blood sugar readings and lead to weight gain?

Hi Jimmy and Adam,

I’ve been in very strict ketosis since the Low-Carb Cruise, including giving up my beloved cream and cheese and all sweeteners, and I’m seeing great results. My FBG is averaging 70-100 each morning, and that’s a Type 2 Diabetic on no medications with my doctor’s blessing for four years. Also, I’ve dropped significant weight since the cruise!

I tore the lateral meniscus in my right knee and was given a steroid injection in my knee for it. The orthopedic physician said to expect higher blood sugars due to the steroid. Indeed I have already noticed that. Yesterday I saw readings of 140 and 158 and this morning my FBG was 130—much higher than I’ve seen since the cruise. My knee definitely feels better from the steroid, but from what I’ve read online, I can expect to see higher blood sugar readings for several more weeks after taking it.

What I don’t want to do is be kicked out of ketosis because of this nor do I want to gain any of this hard earned weight loss. Is this asking too much? FYI, I don’t even use medications anymore for my diabetes because I’ve managed it so well by eating a LCHF diet for about 5 years. If need be, I could call my doctor and get a temporary prescription for something to deal with these higher numbers….or, is a temporary raise in blood sugar readings not something to be concerned about?

Thanks in advance, and thanks for your podcasts, I’ve listened to all of them and will go back soon and listen again. I love your sense of humor with each other and the info you share is so positive and effective!

Sincerely,

Elaine

2. I’m getting great ketone levels, but I’m slowly gaining weight and not sleeping well. What’s the deal?

Hi guys,

I have been keto for five months and my blood ketones range from 2.0 to 3.5. I am a 49 year old female on hormone replacement for menopause. I have not had one cheat and I eat around 1100-1300 calories a day. I keep my protein around 50-60g a day and total carbs at 20g or less. But I am slowly gaining weight and feel soft. My body measurements are slightly increasing as well. I walk 10,000 steps a day, but my sleep sucks with me waking up all through the night. But my ketones remain good. I have tried upping my calories, lowering my calories, and changing my sweetener. My thyroid is fine and I’m at a loss. Any suggestions?

Thanks,

Stacey in Surprise, AZ

3. Is there any harm being done if someone isn’t all in eating a ketogenic approach?

I have to tell you that I love Keto Talk.  You cover many of my questions as I am just getting started on keto. One thing I am concerned about is that my husband is not fully on board with this lifestyle.  Since I do the cooking he eats what I present. But he tends to sneak in a few extra carbs when someone offers a piece of pie, potatoes, or corn, for example. I don’t want to do any damage to his health so my solution has been to cook with healthy fats, eat real food, and offer him extra veggies, keep protein moderate and not nag him when he has a piece of fruit or any of the previously mentioned foods. He does have some weight to lose but does not have blood glucose issues like me. Plus, he drinks alcohol daily. Do you think I am helping or hurting him? I have heard people say keto is an “all or nothing” approach.  I feel good and I have noticed that we both have more energy so I don’t want to go backwards.

Thank you for getting the word out to all of us.  You guys are so easy to listen to!

Donna

4. How best should a long-distance runner fuel themselves in a keto-adapted state?

Hello Jimmy and Doc Nally!

Podcast junkie here. I’ve been listening to Jimmy’s podcasts and combing through old episodes for over two years now. You guys are knocking it out of the park with this new podcast.

I recall that Doc Nally was a long distance runner for some time.  I am looking to get back into long distance running (half marathons, possibly a full marathon in the future) and am puzzled about the best approach for long run fueling for the keto-adapted runner. I really enjoy the sense of community in those events and am a sucker for a fancy finisher’s medal.

Specifically, for long runs leading up to a half marathon, would simple electrolyte replenishing be sufficient?  Or is some sort of slow release starch such as UCANN SuperStarch appropriate for those distances (or maybe for training over a half marathon)? I want to stay away from Gatorade and gels going forward and welcome your thoughts.

Thank you both for a wonderful, informative podcast!

Carina from Orlando, Florida

5. Am I doing something wrong with my ketogenic diet because my blood ketones never get close to 4.0 mmol?

Hi Jimmy,

First, thanks for putting together the Clarity Saga (Cholesterol & Keto) and keep up the good work. Cutting to the chase, I have a question for you:

On social media, there’s a lot of people who proudly hold up their sky high ketones numbers as trophies. I don’t want to say any bad thing about anyone specific as many of these people are inspirational to those of us doing keto. But sometimes all I see from them are posts with blood ketone readings over 4 mmol/l. Are these people getting those numbers because they’re measuring after meals? I’m simply asking this because, on a good day, I get readings below 1mmol/l (fasted, first thing in the morning) and can end up my day reaching 3 mmol/l (before dinner, by 9pm). My glucose is typically around 80 mg/dl. That said, what is the best time to take my blood ketone readings?

Regards from Brazil,

Bob

6. What role does ketosis play in the injury recovery process?

Hi Jimmy and The Doc,

I happened to be talking to a couple of friends who are recovering from sports injuries, particularly connective tissue injuries (one with knee ligaments and cartilage damage, the other with a torn bicep tendon). Keto has lots of benefits, but I’m not sure I’ve heard anyone mention injury recovery.  I doubt keto would play a significant role, positive or negative, but maybe it does. Great podcast.  Keep up the great work.

Thanks!

Pete

KEY QUOTE: “I’m sad to hear that there’s so many so-called women’s keto groups out there that are saying women can’t do keto. How many women are being discouraged away from doing something that would be incredibly healthy for them?” — Jimmy Moore

7. What is the ideal ketogenic plan for getting strong, building muscle, and getting ripped for an athlete?

Hey guys, I’m 30 years old and a huge fan and love listening to you two give out great advice. The one thing that I have yet to hear is advice for bodybuilders and powerlifters. I think you could do an entire podcast episode just on this topic, but I would really like to know the best macronutrient breakdown or sample eating plan for 190 pound male that wants to stay strong, build muscle, get ripped and vascular. Arnold Style!

I’ve been doing the keto thing for almost two months now and have lost some weight (I was 208 for powerlifting and now I’m 195). I don’t have to eat 8 meals a day anymore, and have great energy. But I don’t feel as though I’m getting as lean as I could. Think about the muscle and fitness guys. I know they are all on anabolics, but is it possible to get that look or close to it on keto if I train hard and eat right? I’m not a normal person or an overweight person, I’m an athlete and I would love your advice on how athletes should run their keto lifestyle.

sample eating plan:

black coffee
tablespoon of coconut oil
tablespoon of butter

4 eggs
3 slices of bacon
spinach and onions
28g of shredded cheese
hot sauce

5 ounces of ground beef (83/17)
veggies
28g of shredded cheese

Steak or Fish cooked in olive oil and/or butter
Salad or veggies
Feta cheese or sour creme
whole avocado (150g’s)

Maybe a scoop of whey and almond milk – totally dependent on training

30g Carbs
125g Protein
225g – 300g Fat

THANK YOU SO MUCH GUYS!! KEEP UP THE AWESOME WORK! Mike Peltz from Revolution Training is my coach and I know he works with Dr. Nally.

Zack

8. Is there something I can do in my ketogenic diet to maintain healthy kidney function?

Hey Jimmy and Adam!

I absolutely love your show.  I previously tried keto and failed several times, but you have motivated me greatly this time and I am now officially keto-adapted.  I don’t miss carbage anymore and love not being hungry all the time. I used to eat 200g of protein per day on the SAD diet and of course 40% carbs.

I found out I have high creatinine levels of 142. I switched to keto three months ago and checked my creatinine again and now it’s 154. I take 2g (HCL) of creatine in my workout, 5g (blend from BPI) in post workout. I am hoping by removing creatine from my diet and eating less meat that my kidneys will begin to function properly. I was discouraged that only changing to keto has seemingly made my kidneys worse, but it could have been what I ate the night before.

I historically eat a lot of red grass fed beef but obviously that has been reduced via keto. I weigh 200 pounds at 9% body fat and aim for about 80g of protein.  I’m cutting out creatine and checking my cholesterol and CRP and kidney functions in a couple months. Can you share any tips to maintain healthy kidneys on the ketogenic lifestyle. I understand that you lose a lot of salt on keto that needs to be replenished. I drink a gallon of water per day and then coffee on top of that.  I also take essential amino energy for my workouts.  Keep up the great work…love listening to you and the Doc!

Eric

9. How long would it take me to reverse my keto-adaptation where I preferentially burn glucose over ketones?

Jimmy and The Doc,

I absolutely love the show guys!  After growing up being a busy, athletic young man, I was hit pretty hard at 18 years old with severe sciatic pain when I went away to West Point. Not being able to run or exercise due to the pain, I ended up being medically discharged and sent back home. Because of its insidious nature, it was a full 15 years before I knew the pain’s cause: Ankylosing Spondylitis. In the meantime, as my pain levels continued to increase, my activity levels dropped as well. Unfortunately, my diet remained unchanged: unadulterated junk. Exacerbating the problem further, I was eventually put on pain management, which knocked my testosterone in the dirt and took away any motivation I would have otherwise had to do something about my ever-worsening situation. To add insult to injury, my primary care doctor, with the best of intentions, put me on exogenous testosterone, but failed to monitor or manage my estradiol. This put me on a carb-fueled, estrogen-enhanced high-speed railway to morbid obesity, insulin resistance, metabolic syndrome, and the parade of horrible things that were to follow. It all looked bleak until I discovered the ketogenic diet (and kicked the meds and found a good endocrinologist who has helped me reverse some of the hormone issues).

I went fully keto in March this year and combined it with an intermittent fasting/Bulletproof Coffee protocol (skipping breakfast and lunch M-F) with ketogenic meals for dinner and on the weekends. I’ve already lost a lot of weight and things are moving in the right direction. But here’s my question: Volek and Phinney say that keto-adaptation can take between 4-8 weeks to happen depending on the person. But what about the converse of that? Once you are keto-adapted, how long would it take for you to get out of being keto-adapted? I understand a cheat meal will kick you out of ketosis, but how quickly would your body revert to burning glucose as the primary fuel source over ketones? And if you eat high-carb dinners on a cruise, for example, and continue to intermittent fast with MCT oil during the daytime, would that preserve the keto-adaptation in the short term of 7-10 days?

I have no intention of going back to my old ways of eating. But my wife would like to take a cruise, and thinking ahead, I’m curious as to how far I can stray off course without sacrificing keto-adaptation.  If it’s too risky, then I’ll just stay the course.

Keep up the awesome work!

Tim

10. Are egg yolks and fatty cuts of meat on my ketogenic meal plan raising arachidonic acid leading to inflammation?

Jimmy & Adam,

I am a long-time listener to Keto Talk and the Livin’ Lavida Low Carb shows.  I have read Keto Clarity, Cholesterol Clarity, and have purchased the Ketogenic Cookbook and I have enjoyed all three.  Recently, I began reading Barry Sears’ The Anti-Inflammation Zone. Sears writes, “Eating the wrong kind of fat will increase your levels of AA (arachidonic acid), which will generate silent inflammation . . . egg yolks and fatty cuts of meat contain high levels of AA.  So eating foods rich in AA is like adding kerosene to a fire.” Please give me your take on this.  I am a diabetic (currently with normal blood sugars due to low carb eating), I have managed to lose 100+ pounds, but I also have Atrial Fibrillation, intermittent gout, and high blood pressure.  I tested for high sensitivity C-reactive Protein about a year ago, and it was extremely high (above 10).  Therefore, I am very interested in lowering my inflammation levels.

Keep up the good work with Keto Talk.  It is one of my very favorite podcasts!

Thanks,

Gary

11. Are sugar-free Monster Energy drinks okay to be consuming on my ketogenic diet?

Hi Jimmy,

I just listened to Keto Talk and your discussion on diet soda. I’m eating about 2,500 to 2,700 calories a day and it’s broken down to

I appreciate you guys very much!  Thank you!

Harry

12. How can someone who has had a vertical sleeve gastrectomy get into ketosis?

Jimmy and The Doc,

I LOVE your podcast and listening to you two chew the fat! I found this show the other day and have listened to all of them already.  Can’t wait until next Thursday for a new one. I am almost 1 year post op from a vertical sleeve gastrectomy and I would love to go keto. I am not sure how to modify this to suit my eating requirements. I can only eat 2-3 ounces of food at a time and already steer clear of carbs, but I can’t seem to get into ketosis.  I was wondering if there is something out there that could help me with the macros.  Thank you and keep on keeping on.

Thank you!

Jolene

13. Does a ketogenic diet cause hormones to go into a tailspin in women and what can be done about it?

I got very strict and serious about keto two weeks ago and everything was going good. But then I started getting dizzy, losing my vision, blood pressure changes etc. which all felt like hypoglycemia. I went to the ER and they checked me out and said I am very healthy and suspected it could be metabolic or thyroid related. When I went to see my GP, he said the ketogenic diet threw my hormones into a tailspin and triggered almost all of my symptoms. A friend of mine who started keto the same week I did had to stop the diet for all the same reasons as mine. Her doctor told her to stay with a higher carb amount until her hormones leveled back again then go slowly so as to not shock an already unstable hormone level. After visiting several women’s keto group, this seems to be a common problem for women on keto. It’s a very scary feeling so I hope women get the answers they need to deal with this. What can we do?

April

14. Do you need carbs to break down fat as is being taught in medical school? How does it fit in the Krebs Cycle?

How does keto work with the Krebs cycle? I’m taking Anatomy and Physiology 2 and just walked out of a class where my teacher kept insisting every way until Tuesday that you must have carbs to break down fat because of the limiting effect of C4/oxaloacetic acid. I still plan on sticking to keto, but would like to be able to back up my science. Thanks!

Cynthia

15. Can ketones produced by a low-carb, high-fat diet trigger insulin production like carbs do? Why or why not?

Hey Jimmy and the Doc,

I love your show but I have a question: From my understanding when I eat carbs those are broken down into glucose which trigger insulin production and that opens muscle and fat cells. But can eating fats that are converted into ketones trigger insulin as well?

Justin

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  • This Old Housewife

    Regarding the kidney issues (creatinine and BUN levels), I have some anecdotal info for you (from cats AND myself): 500 mg. twice daily of both glycine (also known as L-glycine) and burdock root will bring your numbers down to normal levels, and you only have to do this for about a couple of weeks, because your kidney numbers being out of whack is only a temporary thing (unless you actually have kidney disease). It happened to me as well, and only lasted a couple of weeks. Now, my numbers are below normal, and I’m off the glycine and burdock root completely.

    If you want to continue adding the glycine, good keto food sources are bone broth, unflavored gelatin, and collagen powder. (All this info has been sent off to Dr. Jason Fung, a nephrologist by trade, as anecdotal info for him to try on his patients if he sees fit)

    I find that creatine (750 mg. twice daily) actually helps control my blood sugar, so you may want to keep that in your regimen–just tone down the dose to maybe 1000 mg. or less. No, I’m not a bodybuilder or anything–just a normal housewife.

    From the cats:
    About a decade ago, I had a pair of cats with diabetes and kidney disease, and managed to control their blood sugar with chromium picolinate + a prescription diet, and adding about 250 mg. of both glycine and burdock root to their wet food twice daily for the kidney issues. Their labs showed they had no symptoms of either problem as long as I kept up this regimen. Unfortunately for me, I knew nothing of insulin resistance at the time, and somehow the diabetes (which we thought was under tight control) ended up taking out their hearts through heart disease (this is called “total system failure” when heart + kidneys fail at the same time). The bright spot in all this is that the cats lived about twice as long as they would have under traditional treatment protocol.