70: High Bile Levels And Cancer Risk, Hypoglycemic Episodes, What Is Inflammation, Fermented Dairy Effects, AMA Keto Recommendation

70: High Bile Levels And Cancer Risk, Hypoglycemic Episodes, What Is Inflammation, Fermented Dairy Effects, AMA Keto Recommendation


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 to the regular Keto Talk format and answer your questions on the low-carb, high-fat, ketogenic lifestyle in Episode 70.



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**Special THANK YOU to Maria, Zachary, Jana, Andy, Patrick, Deb (Thank you for changing my life and keeping me focused. Many high fives and butt bumps!), Dietitian Kat, Eileen (You guys are awesome! I have learned so much and thoroughly enjoy listening to your fun banter during my walks. Keep up the good work.), Sharon, and Jason.**

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KEY QUOTE: “What most people are calling inflammation is actually a set of symptoms that are a result of increased insulin levels. ” — Dr. Adam Nally


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Here’s what Jimmy and Adam talked about in Episode 70:

– Jimmy and The Doc catch up and recap all of their travels over the past month.

– Jimmy gives an update on his homestead with his garden exploding with fresh wholesome food and having all of his chickens in full egg-laying production.

– Jimmy shares a recipe for crispy kale cooked in bacon grease

This Diet Guru Lost 20 Pounds Eating Two Pounds of Bacon Per Day

Jimmy shares a little housekeeping about question submissions. We look forward to your questions about keto, but when you submit them, make sure to keep it short and to the point. This ensures that your question can be used in the show.

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– Is there concern about very high levels of bile acid from a high-fat ketogenic diet leading to an increased cancer risk?

Hi Jimmy and Adam,

I was listening to Dr. Rhonda Patrick on Joe Rogan’s podcast where she mentioned that bile acid, namely, deoxycholic acid, is necessary to emulsify fat for absorption in the intestine and that a high consumption of fat – over 60% of calories – on a regular basis means the body is subject to higher levels of this acid. She stated outright that deoxycholic acid in higher than usual quantities causes damage to the DNA, even going so far as describing it as carcinogenic. Dr. Patrick noted that a ketogenic diet will ultimately result in the failure of the enzymes whose function is to repair DNA and thus will put the person at greater risk of cancer.

I am a Type 2 diabetic and have maintained a ketogenic diet for the past year. I was persuaded to adopt this diet by reading Keto Clarity and am regularly in a state of nutritional ketosis. My last HbA1c was 5.2% and my fasting insulin level was 4. I can’t imagine adopting some other approach despite the concerns about the higher levels of deoxycholic acid required to emulsify the fat. But is Dr. Patrick correct in her assessment of this cancer risk with keto? Thanks for your help!

Rob from Australia

STUDY: Rethinking nutrition labelling: Food is not just the sum of its nutrients

1. How do you handle dealing with hypoglycemic episode when you go on a ketogenic diet? Does adding in carbs resolve the issue?

Hi Jimmy and the Doc!

Thanks for a great podcast! I really enjoy the information, and particularly when The Doc geeks out on us. My question for you guys is about hypoglycemia. If a person starting keto experiences a hypoglycemic episode, what’s the best way to deal with it? I can do 2-3 days of a keto diet but then on the 3rd or 4th morning I wake up with low blood sugar levels and experience nausea, feeling shaky, unfocused, and sometimes seeing brown spots. My blood glucose dips into the 40s and resolves after eating an apple, or some raisins, or some sweet potato. But then I feel like crap for the whole day. I don’t get this reaction when I simply eat lower carb with some sweet potatoes or fruit during the day. But I really want to experience all the full benefits of being ketogenic. I know I can’t possibly be the only one who struggles with this.

Thanks and keep up the good work!


KEY QUOTE: “If you make a change in your diet that goes against the conventional wisdom of the medical community and it gets results, they can’t help but pay attention to what you’re doing .”  – Jimmy Moore

2. What is inflammation and why is it the evil bogeyman in our health? How exactly does a ketogenic diet lower inflammation?

Hey guys,

The keto community tends to throw around the topic of inflammation A LOT without much explanation about what it is. I think I know what it means, but I’m not 100% sure and I would venture to guess that most people don’t. Can you address this on the podcast and how exactly a ketogenic diet helps lower it?
Thanks for your help,



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3. Does consuming fermented dairy like cultured butter cause a rise in insulin to cause hunger? And will eating this kick me out of ketosis?

Hi Jimmy and the Doc,

I love your show! Although I’ve been at a healthy weight all my life, I’ve decided to follow a ketogenic diet to have a more positive relationship with food and to balance my moods. Your podcast has greatly inspired me! I recently bought a pack of cultured butter at the grocery store and after having some for the first time, I noticed that I was craving more of it which usually never happens when I consume fat. After doing some research I discovered that fermented dairy products tend to have a higher glycemic index than non-fermented. What is the impact of cultured butter on the hormones that control hunger and cravings? And could consuming fermented dairy products knock me out of ketosis?

Valerie from Ontario, Canada


– Is it common knowledge that the AMA promotes ketosis for a greater sense of well-being and pain reduction at the end of life?

Hey Jimmy and Adam,

I just lost my grandfather to pancreatic cancer. He chose to have no artificial nutrition through a feeding tube and IV in the last few days of his life. I believe that this allowed him to go into ketosis and eased his passing. I also found a reference to ketosis being beneficial at the end of life in an American Medical Association (AMA) publication. In researching this further, I found the following statement in the Education for Physicians on End-of-life Care Handbook by the AMA:

“Educate families about the studies that demonstrate that parenteral or enteral feeding of patients at the end of their lives neither improves symptom control nor lengthens life. Help them to understand that anorexia may be protective, as the resulting ketosis can lead to a greater sense of well-being and diminish pain.”

So my questions for you guys is this: Is this common knowledge in the medical community in general? We were never told this by any of my grandfather’s medical caretakers and instead were encouraged to have him drink Boost with 20-30g sugar/serving right to the end. In light of this, could exogenous ketones have helped him ease the pain more and remain lucid enough to engage with the family a period of time longer before passing?

I really hope that you can share about this on Keto Talk. At least this community may be able to help a dying loved one by NOT pushing sugary drinks on them even when the nurses and doctors insist. Or possibly asking for no dextrose in their IV, especially if the patient has already said that he is ready to pass. It may be helpful to share the AMA reference with family members and caregivers, and explain what ketosis is and that the patient may not be feeling hunger. Those of us who have experienced ketosis know this firsthand.

It takes courage to go against mainstream thinking, especially in the world of medicine and health. I appreciate that you do it every day with your podcasts, blogs, and books.

Thanks so much,


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