290 comments

  1. Chris Ward says:

    My HDL is 34 and has been unchanged. My triglycerides are 161 again largely unchanged but my LDL has gone down. I eat a lot of eggs. 3-4 a day. Yes I do have IR. Any suggestions?

  2. So happy to find you on face book, keto has given me many more years. My type 2 now normal. My cancer under control.
    My sleep 100% better. Love keto cooking. I know keto will be the norm for all someday. Archaeologists have said ancient people had beautiful teeth, they had no tooth paste or dentists could it be low carbs ? Farming is 10,000 years or there​ about, old. Love your appearances on keto talk good luck on you new venues.

  3. Kim Hoover says:

    I wish my grandparents new this they would still be here,could you give me some information on keto and memorie my husband is only 57and is very forgetful we both have been doing keto for 8months he lost over 50pound.

  4. Denize Marie says:

    I started keto diet 2 weeks ago, I’ve been taking Lovastatin for a year and my triglycerides are almost where they need to be. Is it dangerous to continue taking it with this diet. Thank you!!!

    • Joanne Smith says:

      Yes, loved your chat today. I have just been for my cholesterol results and I was 9.5 raised from 5.6 from my 2010 results. HDL 3.4 raised from 1.6, LDL 5.8 raised from 3.6. CRR was reduced from from 3.5 to 2.8. My Dr spent an extra 15 mins with me to understand the keto lifestyle. He is ok to keep tabs on my results and he can see there are other benefits to this lifestyle. I am going to send your link to his surgery so he can do some research of Cholesterol and keto. Thanks.

    • It depends on who you ask and believe.
      One of our admin just had a baby last week
      Did keto the entire pregnancy
      Baby and Mom are doing excellent.

      The big concern is that the baby will lack nutrition but let’s look at it logically.

      Humans have been having children for millennia
      It wasn’t until a hundred years ago that the diet began to zero in on high carb intake and only fifty odd years ago that fat became the super villain.
      Yet for thousands of years, humans ate meat and fat and carbs when they could and we are still here.

      The nutrition argument falls apart when you do some comparison. Lchf and keto foods are among the most nutrient dense foods available.
      If Mom is diabetic, it goes one step farther.
      If Mom was a whole wheat bagel, mom’s blood sugar will skyrocket and both she and her baby could suffer because of it.
      Pregnancy is not a symbiotic relationship.
      The two are not in a mutually beneficial situation,
      Baby is entirely dependent on Mom for it’s nutrition needs.

      I’m not a doctor or a researcher but I’m sure the research used to found these claims is just part of the mainstream that’s geared towards the truth as they see it. You know the very idiots who tell celiac patients to stay away from gluten and grains, which is not life threatening, yet till diabetics to eat carbs which is life threatening.

    • You can order these tests yourself if you live in the US
      Most states allow independent labwork.
      Google-
      Health testing centers dot com and direct labs dot com
      They won’t be cheap but the tests are highly discounted from the insurance price.

      You can also use just normal labs to get some clues to your metabolic health.
      Have the standard lipid panel
      The trigs to hdl ratio is a better predictor of heart risk than ldl or total cholesterol.
      You can read about this on doc’s opinion dot com just search the article ’10 pitfalls’ and ‘the triglyceride to hdl ratio’ Each article is thoroughly cited with links to the supporting research.

      A trigs to hdl ratio of 3 is a clue to insulin resistance and heart risk.
      Three or less signals that the metabolic shift to larger ldl particles is ongoing and that insulin resistance is less in play. As the ratio falls towards one out less, the risks lower.
      Fasting insulin can also be used as a sign of insulin resistance as Dr Nally mentioned in the video.
      Height to waist ratio can be a sign to insulin resistance. It hangs on several factors but it’s been shown to be a valid clue.
      You can also have the c reactive protein test ran and this will some how inflamed your body is or you can do the hs version which is sensitive enough to show cardiac inflammation. Small ldl is dependent on inflammation to do it’s dirty deeds.

      You can get a one page PDF of tests that drop clues to insulin resistance at diagnosis diet dot com, search for insulin resistance, the PDF is linked in the article.

    • No
      The ancestral diet is very similar, from what we know of it since no one did research thousands of years ago, to lchf and keto.
      There were no food like products filling grocery store shelves, no convenience stores on every corner.
      No food companies looking to keep the company in the black by using cheap fake outs like soybean oil to keep production costs low.

      Humans lived on meat and fat and carbs as they could find them. The carbs they ate them are nothing like the carbs in the standard diet now.
      Fruit today is around three times the size of fruit they ate due to the cross breeding and genetic modification that occurs today.

      Our ancestors did quite well on a lchf regimen for their entire lives. Had they not, humanity would be extinct.

      The very officials who say lchf should be short term, also bemoan the fact that most diets fail because they can’t be sustained for the long term.
      So on one hand they’re saying sure go for it but don’t stick to it. And on the other they say, it didn’t work because you didn’t stick with it. Makes perfect sense doesn’t it?????

      The best example of sustainability is Dr Bernstein.
      He is in his 70th year as a type one diabetic and is in our nearing his 40th year of low carb. He doesn’t do the high fat part but keep in mind that high fat doesn’t mean you eat coconut oil off the spoon or drink Olive oil shots!!! High fat doesn’t mean it’s a fat free for all.
      It means you take the fat that comes to you in your proteins, as ingredients in recipes and as your cooking medium and as Dr Nally mentioned, you adjust fat to feeling full.
      The keto world is rife with groups that tell folks to get fat in everyway they can but too much fat is too much energy and that’s going to cause the body to increase insulin resistance which is going to trigger fat storage and glucose conversion to body and blood fat aka body and blood triglycerides.

      So
      Long way round the barn
      The folks saying it should only be used temporarily
      Also say that no diet works unless it can be sustained.
      As a diabetic and a keto eater for seven and four years respectively, I can tell you it’s sustainable if your reason for it is important enough to you and your health.

    • Salt is a vital nutrient
      I am not a doctor so I can’t say yes or no
      I can say this
      Have your doctor test you for known causes of high blood pressure. Don’t accept a ‘who knows why’ diagnosis. If there is a problem, there is a reason.
      They may not understand the why completely but they can dig deeper and rule out definite causes.

      It is my opinion that most unknown cases of high blood pressure are most often a symptom of metabolic syndrome especially when combined with it’s other symptoms.

      The problem is most doctors treat these as stand alone condition instead of a group of symptoms of one disorder.
      To me it’s obvious when you dig into the symptoms.
      High triglycerides
      Low hdl
      Central obesity
      High blood pressure
      High fasting glucose
      Official diagnosis of metabolic syndrome aka insulin resistance syndrome aka Syndrome X takes only three of these five.
      But most doctors treat these like they were a single problem not a group of issues signalling a much bigger problem.

      So ask your doctor to evaluate your entire metabolic health.
      Have some heart disease testing
      Have your kidney function tested

      Dr Nally can guide you better than I but it is my opinion that if no hindrance to cardiac or kidney health can be specifically pinpointed then you should be fine with extra salt intake. If a hindrance is pinpointed then you should follow your doctor’s advice while you research and decide if increasing salt would be beneficial or not.

  5. Zhava Nevet says:

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  6. Ketan Pandya says:

    If rice causes heart dieses, all the Asian countries wound have died, world’s largest populations, China, Japan, India eats rice day in and day out and would have died ages back. Take a look at the country wise heart diseases chart and you you’ll see where the rice eating countries are and where the saturated fat eating countries are on the chart.

    • You realize that those in rice eating countries eat notably smaller portions of rice with meals than the “standard American” does, and second, you also realize that brown sea weed, a common staple in many of those countries, has a carbohydrate inhibitor that slows the rate of carbohydrate absorption.

    • Ketan Pandya says:

      Dr. Adam Nally Thank you for responding doctor. I can talk with a lot of confidence about the country I live in, I shifted from a northern state (wheat eating state) to southern state (rice eating) state of India for past 13 years now. I see the southern states here in India eat lots and lots of rice as part of their daily meals. I’m sure I’ll find a number or article to support this fact and there will be such for China and Japan as well. There have been books written on the way China eats, I’m sure you may have known about them. My rice intake has increased a lot, but only thing is I’ve moved to brown rice in order to maintain wholefood plant based diet. I’ve not heard that brown seaweed is popular here in southern states, nor heard about them in costal areas either but I don’t have the numbers to talk about it right now. About 90% of world’s rice is consumed in Asia, about 60% of them consumed by China, Indonesia and India alone. Asians eat more rice than global average and not all of them eat brown seaweed (although, I have heard about other plant based foods that slows down the carb digestion, inhibits carbs). Against that you may want to have a look at the cancer map (http://globalcancermap.com/) or the country wise data to see where the Asian countries stand in the list/map (http://www.wcrf.org/int/cancer-facts-figures/data-cancer-frequency-country). It will be useful if you can help us find answer to ‘why rice eating countries have less cancer rates”. EDIT: I completely missed we are talking about CHD, I see that the CVD rate (death) is higher, I was in impression that US has got more CVD rates than India and other Asian countries, but I’m bit confused it seems, getting right treatment and health budget is way higher in US, but not sure if that would make a very big difference. I’ll take a look at my data and come back if I have a question. Thank you.

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