77: Lump In Throat, Stomach Pain, Skinny Fat, Hemorrhoids, Lowering BMR

77: Lump In Throat, Stomach Pain, Skinny Fat, Hemorrhoids, Lowering BMR


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 chew the fat and get to the marrow of all things low-carb, high-fat, ketogenic in Episode 77.

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KEY QUOTE: “It’s not so much that we kill the cancer cells by lowering insulin, it’s that we kill the cancer cells by not giving them fuel.” — Dr. Adam Nally


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Here’s what Jimmy and Adam talked about in Episode 77:

– Thoughts on Jimmy wearing a Freestyle Libre flash glucose monitor for the past week with curious results (blood sugar going down when eating ketogenic meals, the impact stress has played on the readings, Mexican food experiment and the recovery from that)

Hi Jimmy and Adam,

Someone posted this article where they ask if sugar feeds cancer. The “expert” claims that it’s not sugar that’s responsible for the growth of cancer cells but rather insulin. They conclude from this that we should not be avoiding carbs. Maybe it’s just me but isn’t this “expert” just shooting themselves in the foot by drawing this conclusion? If insulin is supposed to be the culprit in causing cancer and carbohydrates are the primary instigator in these raised insulin levels, then wouldn’t lowering carb intake then be a wise strategy decrease insulin? Ummm, hello? The conclusions of this “expert” are really poorly thought out and even contradictory. This type of thinking completely boggles my mind.



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Sugar and Cancer from Oncology Nutrition as part of the Academy of Nutrition & Dietetics

Don’t believe the American Heart Assn. — butter, steak and coconut oil aren’t likely to kill you by Nina Teicholz

Embracing the low-carb trend

A Carbohydrate Deficient Diet That Builds Muscle And No, It’s Not Keto

KEY QUOTE: “There’s some really bright people that have their thinking caps on in this audience.  – Jimmy Moore

– Why do some Ketonians seem to experience a lump in their throats when they start eating keto?

Hello Jimmy and Adam,

I’ve been keto for about 6 weeks after eating Paleo for eight years. My wife and I are measuring our blood glucose and blood ketones every morning and keeping track of it. I will occasionally experience a lump in my throat since starting keto and my Google searches about this show a lot of theories about what it is, including acid reflux. We eat a very clean low-carb, high-fat, ketogenic diet with no processed foods and plenty of fresh leafy greens, grass-fed meats, butter, coconut oil, avocado, cheese, and more. Do you know what might be causing this because it seems to be a common problem reported by low-carb/ketogenic dieters.

Love your show!



– STUDY: Visceral adiposity and metabolic syndrome after very high–fat and low-fat isocaloric diets: a randomized controlled trial

1. Why would someone eating ketogenic experience very intense stomach pain and unbearable acid reflux? What can be done to resolve this issue?

Jimmy and Adam,

I love your podcast and have been on keto for six months. I am now inspired to help others start their own keto journey. Unfortunately, one of the people I’ve tried to help is a close friend who started keto about a month after I did and she has been experiencing some very intense stomach pain and unbearable acid reflux. Her doctor ran all the GI test and it all came back clear. The only solutions mainstream medicine has to offer is pills, pills, and more pills. She did suffer from bulimia for seven years and this is likely where her problem started. Do you have any suggestions on what she should do to resolve this? I’m guessing it’s a gut bacteria/enzyme issue and she’s been taking apple cider vinegar and cold water to no available so far.

Thanks for al the info you are puting out!


2. For someone who is skinny fat, how do get body fat percentage into a healthy range without getting too skinny?

Hello Jimmy and Doc Nally,

I found your podcast three weeks ago and am finding it very informative in my ketogenic journey. I’m 61 years old and could be considered skinny fat. I’ve been ketogenic for 18 months and got down to 115 pounds, but still with a body fat of 30%. I ordered a Ketonix to test breath ketones, but urine ketone testing strips show I’m in ketosis. So my question for you guys is this: Should I be concerned if I continue to lose scale weight but the body fat percentage is not getting into a healthy range?My rheumatologist is concerned that I’m losing too much weight and wonders if I’m eating enough. How do I convince my doctors that I’m doing okay? Also what body fat percentage should I be shooting for? Thanks so much! My husband and I have learned so much from you and he’s down 25 pounds while getting off his blood pressure medications. We will never go back to the SAD diet ever again.

Thanks for your help,



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3. Can a ketogenic diet help to heal some very painful hemorrhoids?

Hi Jimmy and The Doc,

I’m a big fan of your podcast and it’s been a fabulous resource for my keto journey this past year as it has healed my eczema and IBS completely. My question for you is about my husband who is experiencing some very painful hemorrhoids. He eats what he thinks are “healthy choices,” works out six days a week, doesn’t smoke, and drinks on occasion. He also had gallbladder surgery a couple of years ago. I’ve been trying to get him on board with keto in the hopes it could give him some relief from the hemorrhoid pain. Can a ketogenic diet help him with this? Your input is greatly appreciated!



– Is a lowering of the basal metabolic rate (BMR) from eating a ketogenic diet actually beneficial to longevity? Are “normal” BMR levels too high based on SAD dieters?

Hi Jimmy and Dr. Nally,

I love the inspiration and support I receive from Keto Talk. Prior to going keto, a dietitian had me on a weight loss diet that included low-fat and calorie-counting. Predictably, I was constantly hungry despite losing weight eating that way. But I couldn’t maintain it and the regain was rapid. The dietitian told me that my metabolism had slowed down meaning I needed to eat less and less calories to start losing weight again. Dr. Nally has said many times that eating too few calories will lower your basal metabolic rate (BMR) and the benefits that come from the restriction of carbohydrates in the context of a well-formulated ketogenic diet. This is probably a much more complex system than we even know, but I wonder if what we regard as a “normal” BMR is different for Ketonians vs. SAD dieters since the BMR test ranges is based on mostly people eating non-keto. This might sound controversial, but what if the ketogenic diet lowers BMR and that helps improve longevity? Could it be that lowering BMR below what is considered “normal” is actually the real normal range for healthy living? I hope this question provokes a potential knowledge spill.

Kind regards,

Frank in Brisbane, Australia


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– JIMMY AND ADAM’S NEW SUPPLEMENT LINE: Try the KetoEssentials Multivitamin and Berberine Plus ketogenic-enhancing supplements
– Sugar and Cancer from Oncology Nutrition as part of the Academy of Nutrition & Dietetics
– Don’t believe the American Heart Assn. — butter, steak and coconut oil aren’t likely to kill you by Nina Teicholz
– Embracing the low-carb trend
– A Carbohydrate Deficient Diet That Builds Muscle And No, It’s Not Keto
– STUDY: Visceral adiposity and metabolic syndrome after very high–fat and low-fat isocaloric diets: a randomized controlled trial
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– Dr. Adam Nally, DO from DocMuscles.com

3 responses to “77: Lump In Throat, Stomach Pain, Skinny Fat, Hemorrhoids, Lowering BMR”

  1. Biddus Nowus says:

    “Every cell in your body can use ketones” = wrong.

  2. LyndaF says:

    Another great show, thanks guys! One thing that came to my mind regarding the stomach pain is for the person to look into the possibility of histamine intolerance. An overload of histamine can occur on a keto/primal diet due to the fermented foods that we are encouraged to eat that are supposed to be good for our gut. However, the bacteria in these fermented foods (and some probiotics) can produce a lot of histamine and if one’s body can’t handle it, a variety of seemingly unrelated symptoms can occur, including stomach aches, eczema, itchiness, and even anxiety. Leftovers, cheese, fish, avocados chocolate, spinach and more can have high histamine levels. It’s worth looking into if other things have been ruled out. After eating very low histamine for a year, I can now eat some of my favorites like avos, cheese and chocolate, but stay away from yogurt and try not to overdo the amount of histamine I ingest. Symptoms can change and there are other factors involved and other ways to help deal with it. Good luck!

  3. Timothy “Tim” Lisbon says:

    My stomach pain, to my surprise was to diet soda! I was doubled over at times. This happened 4 years ago and before Keto but I surely drank diet soda for decades before that. I would recommend a Keto elimination diet perhaps it is something that has cropped up as a reaction.