85: Leg Cramps, Dip In Energy On Keto, Low Vitamin C Concern, Staying Keto In The Hospital, Anxiety

85: Leg Cramps, Dip In Energy On Keto, Low Vitamin C Concern, Staying Keto In The Hospital, Anxiety


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 Pittsburgh, PA functional medicine practitioner Dr. Will Cole from DrWillCole.com 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 Will peel back the layers of your low-carb, high-fat, ketogenic questions in Episode 85.


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KEY QUOTE: “Food comes first. I don’t think you can supplement your way into an optimum, healthy, ketogenic diet.” — Dr. Will Cole

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Here’s what Jimmy and Will talked about in Episode 85:


Hey, Jimmy and Dr. Cole,

I listened to your discussion in Episode 81 of Keto Talk about the difficulty in getting life insurance and I wanted to let you know that there are actually carriers that will issue up to $1 million policies up to the best rating class without having to go through any blood/urine profile or physical exam. If they are healthy and between the ages of 18-54 and have not been declined or rated from a life insurance carrier before, this option is available. It could be a good fit for someone that thinks their blood levels may be “abnormal” from the insurance company perspective and want to avoid doing labs. Just an FYI for people to talk to their insurance broker about this.




  1. Zero carb diets
  2. Exogenous ketones
  3. To Test or Not To Test For Ketones

Join The Keto Clarity Club For $1 Blood Ketone Test Strips!

That keto diet you think is working wonders could kill you

Furore over ketogenic diet

The Silicon Valley execs who don’t eat for days: ‘It’s not dieting, it’s biohacking’

Mick Jagger gets satisfaction from diet that could add 10 years to his life

KEY QUOTE “If you’re eating zero-carb, make sure you’re eating nose to tail to ensure you are getting all the micronutrients you need.  – Jimmy Moore

– Why am I having painful leg cramps while on keto outside of electrolyte imbalance? How do you resolve them without supplementation?

Hi, Jimmy and Dr. Cole,

I love this podcast, been listening since Day 1. I’ve been eating low-carb for several years and about a year and a half ago I went full-on keto. I love this way of eating and have seen a lot of benefits from it. I regularly see average ketones of 1.7 mmol/L. However, there is one drawback I experience at least once a week and upwards of four times a week. It’s the dreaded leg cramps. They are more common at night, often when I’m sleeping, but I’ve experienced them pretty much anytime throughout the day. I believe the ketogenic lifestyle truly is the ideal way to eat, but I shouldn’t be having this major and often quite painful side effect, right? I’ve heard you discuss the issue of muscle cramps in the past and how they’re typically due to dehydration and/or electrolyte depletion or imbalance. The quandary I now have is how can I really consider this ketogenic diet to be “ideal” if it leaves me with this leg cramp issue that I seemingly have to solve with supplementation. Obviously, if this way of eating was being implemented by our ancestors and it was causing them this problem, they wouldn’t have been able to solve it with supplements. I don’t have any major health issues and am not metabolically broken. But this nagging problem with my ketogenic diet makes me wonder how it can truly be the perfect way to eat? Any ideas why my electrolytes may be out-of-whack and leading to leg cramps? Or could the cramps possibly be due to something else I’m not aware of? I appreciate your help. Keep up the good work!



– STUDY: Red meat halves risk of depression

1. Why am I experiencing a sudden dip in my energy levels while eating ketogenic when energy has been great?

Dear Jimmy and Will,

I’ve been following the ketogenic diet for nearly a year at the age of 75 and have experienced great energy eating grass-fed meats, fresh farm eggs, and organic vegetables. But over the past month I’ve noticed my energy has taken a dive and I thought it might be the heat of the summer. But my blood pressure also dropped so low (70/42) that I had a tough time just standing up. My doctor had me wear a heart halter and discovered I have tachycardia. Of course, now I have to see a cardiologist and I’m sure he’s gonna flip out about my numbers eating keto: Total cholesterol 294, LDL-C 198, HDL-C 85, triglycerides 55, LDL-P 2100, small LDL-P 386, VLDL 11, fasting blood glucose 90, Vitamin D 97.0, C-Reactive Protein 1.1

Do you have any suggestions for me?


2. Is there concern about a low Vitamin C intake while eating a restricted ketogenic diet like the one outlined in The Plant Paradox?

Hi, Jimmy and Dr. Cole,

A friend of mine read the book The Plant Paradox by Dr. Steven Gundry and is following his dietary advice. After reviewing their recommendations (essentially no legumes, no grains, low/no fruit, no vegetables that contain seeds on the inside like cucumbers, squash, etc) it seems that she would easily fall into the ketogenic diet recommendations. She recently met with her naturopath who was leery of keto because of a supposedly low vitamin C intake. Do you have any insight into this and how a ketogenic dieter would get Vitamin C? I usually follow a Paleo/keto diet but have never considered micronutrient deficiencies as a concern because I am eating so much plant matter. Thank you in advance!


3. How do I avoid the onslaught of sugar and crappy carbage while I am in the hospital? Will they honor my request to keep the sugar and carbs out of my diet?

Hey guys,

What is a patient who eats keto supposed to do when they are in the hospital? I need to have aortic heart valve and stem replacement surgery someday and I worry about what this hospital stay will do to me. I’m a severely insulin resistant Type 2 diabetic who had an A1c of 10.4 prior to going on a ketogenic diet. Three months after going keto, that number dropped to 5.6. I’m keto for life now, but this hospital stay will be a challenge to avoid the crappy carbage they like to serve as well as the sugar-filled goop they put in the feeding tubes. I already know my healing won’t happen properly with high blood sugar and insulin levels and the hospital will simply medicate and inject me with insulin to deal with it. If I asked my hospital to avoid doing this, will they follow my wishes? I suppose I could just fast the entire time I am in the hospital, but do you have any suggestions about this? Thanks so much for helping me with this.



– Does a ketogenic diet help or hurt with anxiety issues?

Hey Jimmy and Will,

I just found and subscribed to Keto Talk—thank you for the great information! I’m thinking seriously about getting into the keto thing for myself, but I am doing my homework first. I am a 61-year-old carb addicted female who needs to lose at least 50 pounds. I was recently diagnosed as pre-diabetic and I want to get myself back to feeling happy and well again. My question for you guys revolves around how keto helps with anxiety issues. Is there any medical, scientific, or other data with ketogenic diets and anxiety? Or does it make anxiety worse (ugh…I hope not)?

Thank you again!


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That keto diet you think is working wonders could kill you
Furore over ketogenic diet
The Silicon Valley execs who don’t eat for days: ‘It’s not dieting, it’s biohacking’
Mick Jagger gets satisfaction from diet that could add 10 years to his life
– STUDY: Red meat halves risk of depression
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– DR. Will Cole D.C. from DrWillCole.com

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