That Pivotal Day 77 Years Ago

I was reminded this morning of today’s profound meaning.  Upon looking at the date, June 6, I remembered that 77 years ago tremendous sacrifice was made on our behalf.  The U.S., Canadian, and British allied forces, 160,000 of our bravest and strongest young men, invaded and captured the Nazi-held beaches in Normandy, France, in 1944. That is 77 years ago today.

Over last 21 years of my medical practice, I’ve had the tremendous privilege of caring for a few handfuls of these men that served on the beaches of Normandy or parachuted into France.  They rarely talked much about it, but there was something in their eyes.  Many of them have already passed on.  But, their nobility and honor brings me great joy when I see them or remember visiting with them.

Today, the day they called D-Day (the “D” simply stands for day and the term denotes the starting of a distinctive military field operation) marked the beginning of a 3-month strategy known as Operation Overlord.  Many historians believe this strategic action determined the course of World War II (1939-1945) by paving the way for allied expansion into France.

You really should take the next nine minutes and watch some recently colorized footage of our 18-26 year old grandfathers protecting our countries and pushing back German troops from France.  It is actual black and white footage that has been colorized.  You can watch that short nine minutes of footage here.  I am just amazed at the hundreds of thousands of young men that sacrificed to push back fascism and communism for our sacred freedoms today.

The totality of Operation Overlord was an elaborate orchestration of events aimed at opening a new western front on the Atlantic that could put pressure on Nazi Germany, along with the advancing allied forces from the south and the east. Here is another nine minute video that summarizes D-Day and Operation Overlord in a very understandable way.

To those men, their wives and families, I tip my hat, and I thank you.  Thank you from the bottom of my heart for your service and willingness to sacrifice you all for our freedom and peace upon the earth.  Wherever you are, may God bless you and your families.

Urgent Open Letter from Doctors Around the World

Over the last 14 months, I’ve been face-to-face (mask-to-mask when required by the government) with over 350 positive COVID-19 patients.  Thankfully, the majority of these patients only had mild to moderate symptoms of illness. Those with severe or prolonged symptoms were aggressively treated with combinations of antibiotics, steroids, ivermectin and/or hydroxychloroquine.  Our office has seen the whole gambit of symptoms with this virus, but fascinatingly, control of blood sugar and insulin levels has been the key to our patient’s staying healthy and/or recovering quickly.  I’m really not worried about this virus any longer.  I’m worried about the intentional confusion of my patients, of the populous of the country and of the people around the world.

A patient showed up in my office this week with thrombocytopenia (low platelets) and profound fatigue 5 days after receiving COVID vaccination that he felt pressured to get in order to keep his job.   He is not the first to show up with these concerns.

A second patient showed up with identical low platelets and bruising over her body after a positive COVID infection lasting three weeks. Her concern was that everyone around her, including her employer, was telling her she should now be vaccinated for COVID-19.

These are two of many people presenting to medical offices like mine, after being given “medical direction” by their employers and governments without the patient or their doctors fully understanding the potential risks of these therapeutics.  And, we can’t and won’t really know what the risks are until these vaccines have been under clinical trial for at least two years.

I have some serious concerns regarding these COVID-19 vaccines.  I have been openly vocal about COVID-19, masks and vaccine use and many of these concerns in various posts on Youtube, Facebook and Instagram.  Because of this, I have been ridiculed by other physicians, “experts” and people who I thought were trustworthy friends in the field of science, now towing the vaccine line.  But, towing the line or remaining silent would to me be death by 1000 cuts.

As I have stated before, I am NOT an anti-vaxxer. I support new medical interventions which are appropriately developed and deployed, after which safety, efficacy and informed consent can be appropriately given to the patient receiving these treatment.  This support includes vaccines.

My biggest concern with the COVID-19 vaccine is that it has the largest propaganda push I’ve ever seen in the 51 years of my life, being stoked by politicians and pharmaceutical companies around the globe.  This push comes AFTER the U.S. and most countries were no longer under severe threat of being medically overwhelmed, as a majority of the population of the world had been exposed and the worse of the pandemic had abated.

Second, in light of research to the contrary, this push is now being levied upon young children, teenagers and young adults, all of whom have little to no risk of severe illness if they contract COVID-19, assuming they haven’t already been exposed to this virus in the last 14 months.  Most individuals with asymptomatic or mild symptoms generate a highly functional T-cell response.  In fact, 50% of  those who have been exposed to coronavirus formed a T cell (cellular immunity) response without activation of B cell response (humoral immunity) and had no antibody formation  (Li X, Geng M, Peng Y, Meng L, Lu S. J Pharm Anal. Apr 2020; 10(2): 102-108).  We know that those who have had or been exposed to the virus have 2-4 years of T-cell immunity.  You can learn more about effectiveness of recent vaccines, T-cell and B-cell immunity in my coronavirus posts here.

To date, other than the continuously running “ticker tape of death” on CNN and multiple other news stations around the world, no conclusive evidence was presented to any of us in the medical community that an actual emergency still existed requiring emergent authorization of three vaccines – all three vaccines have yet to complete Phase IV clinical trials.

After 14 months, COVID-19 has a 99.7% survival rate.  95% of all COVID-19 deaths have comorbid conditions associated with the severity of the infection.  And, the average age of those dying with COVID-19 is 78 years old.  This data all comes from the CDC.  Oh, by the way in case you were wondering as you read that information, the global life expectancy for the average women is 75 years old, and for men it is 70 years old.   That doesn’t leave you with any questions, does it?!

I, and many collegues in the medical community, have serious concerns that premature and reckless approval of these COVID-19 vaccines occurred AFTER the severe threat had abated.  We know that the vaccines only decrease the severity of infection, they don’t actually prevent the infection in a statistically large enough group to be curative.   The push and marketing of vaccination with three products that do not actually prevent COVID-19 infection, are not actually curative,  and to date pose greater risks of side effects than any other vaccine on the market constitute “human experimentation” on a world stage.  Additionally, pushing these products from a governmental bully pulpit is propaganda of a dispicable nature.  This push has created situations between employers and employees that violate individual liberties and are violations of the Nuremberg Code.

In February, 2021, an open letter was written to the European Medicines Agency (EMA) by many concerned physicians and scientists from around the world with these an other concerns that have yet to be answered.  Neither the EMA or the CDC has addressed any of these issues for the medical community.  You can find the letter at Doctors For COVID Ethics.

I post a copy of that letter below:

Emer Cooke, Executive Director, European Medicines Agency, Amsterdam, The Netherlands 28 February 2021

Dear Sirs/Mesdames,

FOR THE URGENT PERSONAL ATTENTION OF: EMER COOKE, EXECUTIVE DIRECTOR OF THE EUROPEAN MEDICINES AGENCY

As physicians and scientists, we are supportive in principle of the use of new medical interventions which are appropriately developed and deployed, having obtained informed consent from the patient. This stance encompasses vaccines in the same way as therapeutics. We note that a wide range of side effects is being reported following vaccination of previously healthy younger individuals with the gene-based COVID-19 vaccines. Moreover, there have been numerous media reports from around the world of care homes being struck by COVID-19 within days of vaccination of residents. While we recognize that these occurrences might, every one of them, have been unfortunate coincidences, we are concerned that there has been and there continues to be inadequate scrutiny of the possible causes of illness or death under these circumstances, and especially so in the absence of post-mortems examinations. In particular, we question whether cardinal issues regarding the safety of the vaccines were adequately addressed prior to their approval by the European Medicines Agency (EMA). As a matter of great urgency, we herewith request that the EMA provide us with responses to the following issues:

      1. Following intramuscular injection, it must be expected that the gene-based vaccines will reach the bloodstream and disseminate throughout the body [1]. We request evidence that this possibility was excluded in pre-clinical animal models with all three vaccines prior to their approval for use in humans by the EMA.
      2. If such evidence is not available, it must be expected that the vaccines will remain entrapped in the circulation and be taken up by endothelial cells. There is reason to assume that this will happen particularly at sites of slow blood flow, i.e. in small vessels and capillaries [2]. We request evidence that this probability was excluded in pre-clinical animal models with all three vaccines prior to their approval for use in humans by the EMA.
      3. If such evidence is not available, it must be expected that during expression of the vaccines’ nucleic acids, peptides derived from the spike protein will be presented via the MHC I — pathway at the luminal surface of the cells. Many healthy individuals have CD8-lymphocytes that recognize such peptides, which may be due to prior COVID infection, but also to cross-reactions with other types of Coronavirus [3; 4] [5]. We must assume that these lymphocytes will mount an attack on the respective cells. We request evidence that this probability was excluded in pre-clinical animal models with all three vaccines prior to their approval for use in humans by the EMA.
      4. If such evidence is not available, it must be expected that endothelial damage with subsequent triggering of blood coagulation via platelet activation will ensue at countless sites throughout the body. We request evidence that this probability was excluded in pre-clinical animal models with all three vaccines prior to their approval for use in humans by the EMA.
      5. If such evidence is not available, it must be expected that this will lead to a drop in platelet counts, appearance of D-dimers in the blood, and to myriad ischemic lesions throughout the body including in the brain, spinal cord and heart. Bleeding disorders might occur in the wake of this novel type of DIC-syndrome including, amongst other possibilities, profuse bleedings and hemorrhagic stroke. We request evidence that all these possibilities were excluded in pre-clinical animal models with all three vaccines prior to their approval for use in humans by the EMA.
      6. The SARS-CoV-2 spike protein binds to the ACE2 receptor on platelets, which results in their activation [6]. Thrombocytopenia has been reported in severe cases of SARS-CoV-2 infection [7]. Thrombocytopenia has also been reported in vaccinated individuals [8]. We request evidence that the potential danger of platelet activation that would also lead to disseminated intravascular coagulation (DIC) was excluded with all three vaccines prior to their approval for use in humans by the EMA.
      7. The sweeping across the globe of SARS-CoV-2 created a pandemic of illness associated with many deaths. However, by the time of consideration for approval of the vaccines, the health systems of most countries were no longer under imminent threat of being overwhelmed because a growing proportion of the world had already been infected and the worst of the pandemic had already abated. Consequently, we demand conclusive evidence that an actual emergency existed at the time of the EMA granting Conditional Marketing Authorization to the manufacturers of all three vaccines, to justify their approval for use in humans by the EMA, purportedly because of such an emergency.

Should all such evidence not be available, we demand that approval for use of the gene-based vaccines be withdrawn until all the above issues have been properly addressed by the exercise of due diligence by the EMA. There are serious concerns, including but not confined to those outlined above, that the approval of the COVID-19 vaccines by the EMA was premature and reckless, and that the administration of the vaccines constituted and still does constitute “human experimentation”, which was and still is in violation of the Nuremberg Code. In view of the urgency of the situation, we request that you reply to this email within seven days and address all our concerns substantively. Should you choose not to comply with this reasonable request, we will make this letter public.

This email is copied to: Charles Michel, President of the Council of Europe Ursula von der Leyen, President of the European Commission. Doctors and scientists can sign the open letter by emailing their name, qualifications, areas of expertise, country and any affiliations they would like to cite, to Doctors4CovidEthics@protonmail.com

      • References

[1] Hassett, K. J.; Benenato, K. E.; Jacquinet, E.; Lee, A.; Woods, A.; Yuzhakov, O.; Himansu, S.; Deterling, J.; Geilich, B. M.; Ketova, T.; Mihai, C.; Lynn, A.; McFadyen, I.; Moore, M. J.; Senn, J. J.; Stanton, M. G.; Almarsson, Ö.; Ciaramella, G. and Brito, L. A.(2019).Optimization of Lipid Nanoparticles for Intramuscular Administration of mRNA Vaccines, Molecular therapy. Nucleic acids 15 : 1–11. [2] Chen, Y. Y.; Syed, A. M.; MacMillan, P.; Rocheleau, J. V. and Chan, W. C. W.(2020). Flow Rate Affects Nanoparticle Uptake into Endothelial Cells, Advanced materials 32 : 1906274. [3] Grifoni, A.; Weiskopf, D.; Ramirez, S. I.; Mateus, J.; Dan, J. M.; Moderbacher, C. R.; Rawlings, S. A.; Sutherland, A.; Premkumar, L.; Jadi, R. S. and et al.(2020). Targets of T Cell Responses to SARS-CoV-2 Coronavirus in Humans with COVID-19 Disease and Unexposed Individuals, Cell 181 : 1489–1501.e15. [4] Nelde, A.; Bilich, T.; Heitmann, J. S.; Maringer, Y.; Salih, H. R.; Roerden, M.; Lübke, M.; Bauer, J.; Rieth, J.; Wacker, M.; Peter, A.; Hörber, S.; Traenkle, B.; Kaiser, P. D.; Rothbauer, U.; Becker, M.; Junker, D.; Krause, G.; Strengert, M.; Schneiderhan-Marra, N.; Templin, M. F.; Joos, T. O.; Kowalewski, D. J.; Stos-Zweifel, V.; Fehr, M.; Rabsteyn, A.; Mirakaj, V.; Karbach, J.; Jäger, E.; Graf, M.; Gruber, L.-C.; Rachfalski, D.; Preuß, B.; Hagelstein, I.; Märklin, M.; Bakchoul, T.; Gouttefangeas, C.; Kohlbacher, O.; Klein, R.; Stevanović, S.; Rammensee, H.-G. and Walz, J. S.(2020). SARS-CoV-2-derived peptides define heterologous and COVID-19-induced T cell recognition, Nature immunology. [5] Sekine, T.; Perez-Potti, A.; Rivera-Ballesteros, O.; Strålin, K.; Gorin, J.-B.; Olsson, A.; Llewellyn-Lacey, S.; Kamal, H.; Bogdanovic, G.; Muschiol, S. and et al.(2020). Robust T Cell Immunity in Convalescent Individuals with Asymptomatic or Mild COVID-19, Cell 183 : 158–168.e14. [6] Zhang, S.; Liu, Y.; Wang, X.; Yang, L.; Li, H.; Wang, Y.; Liu, M.; Zhao, X.; Xie, Y.; Yang, Y.; Zhang, S.; Fan, Z.; Dong, J.; Yuan, Z.; Ding, Z.; Zhang, Y. and Hu, L.(2020). SARS-CoV-2 binds platelet ACE2 to enhance thrombosis in COVID-19, Journal of hematology & oncology 13 : 120. [7] Lippi, G.; Plebani, M. and Henry, B. M.(2020).Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: A meta-analysis, Clin. Chim. Acta 506 : 145–148. [8] Grady, D. (2021). A Few Covid Vaccine Recipients Developed a Rare Blood Disorder, The New York Times, Feb. 8, 2021. Yours faithfully, Professsor Sucharit Bhakdi MD, Professor Emeritus of Medical Microbiology and Immunology, Former Chair, Institute of Medical Microbiology and Hygiene, Johannes Gutenberg University of Mainz (Medical Doctor and Scientist) (Germany and Thailand) Dr Marco Chiesa MD FRCPsych, Consultant Psychiatrist and Visiting Professor, University College London (Medical Doctor) (United Kingdom and Italy) Dr C Stephen Frost BSc MBChB Specialist in Diagnostic Radiology, Stockholm, Sweden (Medical Doctor) (United Kingdom and Sweden) Dr Margareta Griesz-Brisson MD PhD, Consultant Neurologist and Neurophysiologist (studied Medicine in Freiburg, Germany, speciality training for Neurology at New York University, Fellowship in Neurophysiology at Mount Sinai Medical Centre, New York City; PhD in Pharmacology with special interest in chronic low level neurotoxicology and effects of environmental factors on brain health), Medical Director, The London Neurology and Pain Clinic (Medical Doctor and Scientist) (Germany and United Kingdom) Professor Martin Haditsch MD PhD, Specialist (Austria) in Hygiene and Microbiology, Specialist (Germany) in Microbiology, Virology, Epidemiology/Infectious Diseases, Specialist (Austria) in Infectious Diseases and Tropical Medicine, Medical Director, TravelMedCenter, Leonding, Austria, Medical Director, Labor Hannover MVZ GmbH (Medical Doctor and Scientist) (Austria and Germany) Professor Stefan Hockertz, Professor of Toxicology and Pharmacologym, European registered Toxicologist, Specialist in Immunology and Immunotoxicology, CEO tpi consult GmbH. (Scientist) (Germany) Dr Lissa Johnson, BSc, BA(Media) MPsych(Clin) PhD, Clinical Psychologist and Behavioural Scientist, Expertise in the social psychology of atrocity, torture, collective violence and propaganda, former member, professional body Public Interest Advisory Group (Psychologist) (Australia) Professor Ulrike Kämmerer PhD, Associate Professor of Experimental Reproductive Immunology and Tumor Biology at the Department of Obstetrics and Gynaecology, University Hospital of Würzburg, Germany, Trained molecular virologist (Diploma, PhD-Thesis) and Immunologist (Habilitation), Remains engaged in active laboratory research (Molecular Biology, Cell Biology (Scientist) (Germany) Associate Professor Michael Palmer MD, Department of Chemistry (studied Medicine and Medical Microbiology in Germany, has taught Biochemistry since 2001 in present university in Canada; focus on Pharmacology, metabolism, biological membranes, computer programming; experimental research focus on bacterial toxins and antibiotics (Daptomycin); has written a textbook on Biochemical Pharmacology, University of Waterloo, Ontario, Canada (Medical Doctor and Scientist) (Canada and Germany) Professor Karina Reiss PhD, Professor of Biochemistry, Christian Albrecht University of Kiel, Expertise in Cell Biology, Biochemistry (Scientist) (Germany) Professor Andreas Sönnichsen MD, Professor of General Practice and Family Medicine, Department of General Practice and Family Medicine, Center of Public Health, Medical University of Vienna, Vienna (Medical Doctor) (Austria) Dr Wolfgang Wodarg, Specialist in Pulmonary and Bronchial Internal Medicine, Hygiene and Environmental Medicine, Epidemiology, and Public Health; Honorary Member of the Parliamentary Assembly of the Council of Europe and former Head of the Health Committee of the Parliamentary Assembly of the Council of Europe; former Member of Parliament, German Bundestag; Initiator and Spokesman for the study commission ‘Ethics and Law in Modern Medicine’; Author and University Lecturer (Medical Doctor) (Germany) Dr Michael Yeadon BSc (Joint Honours in Biochemistry and Toxicology) PhD (Pharmacology), Formerly Vice President & Chief Scientific Officer Allergy & Respiratory, Pfizer Global R&D; Co-founder & CEO, Ziarco Pharma Ltd.; Independent Consultant (Scientist) (United Kingdom)

Sudden Hearing Loss After COVID Vaccination?

There is a great deal of interest in the otolaryngology (ENT) community and the general medical community at large with the perception that hearing loss rates have increased after COVID vaccinations. The American Academy of Otolaryngology-Head and Neck Surgery estimates that sudden sensorineural hearing loss affects 5 to 27 per 100,000 people annually, with about 66,000 new cases a year in the U.S.

Estimates of sudden sensorineural hearing loss after COVID-19 vaccination ranged from 0.3 to 4.1 per 100,000 per year based on the recent Vaccine Adverse Events Reporting System (VAERS) data according to Eric Formeister, MD, MS, of Johns Hopkins University School of Medicine in Baltimore, and co-authors in JAMA Otolaryngology-Head & Neck Surgery.

“Among the otolaryngology community and larger medical community, there is a lot of interest surrounding a perception of an increased rate of sudden hearing loss that has been observed in some patients after COVID vaccination,” Formeister told MedPage Today.

“However, sudden hearing loss can also occur naturally, so it is not known whether sudden hearing loss occurring after COVID vaccination is coincidental or may be related to the vaccine,” he added. “Further, some patients who have suffered sudden hearing loss after the first dose have been hesitant to receive the second dose due to safety concerns.”

Formeister and his colleagues found 147 reports of sudden hearing loss, deafness, deafness unilateral, deafness neurosensory, and hypoacusis associated with COVID vaccinations from December 14, 2020 to March 2, 2021 in the VAERS system.

However, Formeister and MedPage Today downplayed these 147 reports, stating that of these reports, only 40 had a temporal association (hearing loss onset occurred within 3 weeks of vaccination).   Because of how they were reported only these 40 were considered high credibility (they had been reported by a healthcare clinician with documented audiologic findings or steroid treatment).  Formeister states that these 40 reports were classified as “most likely.”  However, the Johnson & Johnson vaccine was not included in this report.

The mean age in the most likely group was 56 years old, and most cases (63%) involved women. Twelve people received Moderna vaccines and 28 received Pfizer. Sudden sensorineural hearing loss occurred an average of 4 days after vaccination. Thirty of the 40 cases were treated with steroids.

Based on about 86 million SARS-CoV-2 vaccine doses that had been administered in the U.S. during the study period and using only the 40 most likely reports, the researchers estimated a minimum incidence of 0.3 per 100,000 per year, assuming a single vaccine dose per person.

Maximum incidence using all 147 accounts in the VAERS database, based on two vaccine doses per person in the time period, was estimated to be 4.1 per 100,000 per year.  This took into account the fact that the exact number of unique individuals receiving a vaccine was unknown.

Formeister states that “These results so far provide evidence that COVID vaccination is not associated with sudden hearing loss” because it is statistically identical to the rate of hearing loss seen in the general public each year.

“One of the pushes behind this publication is to urge clinicians and patients alike to report adverse events to the Vaccine Adverse Events Reporting System, so we may accrue more data to allow a more accurate prediction of the rate of sudden hearing loss after COVID-19 vaccination,” he noted.

If you experience hearing loss symptoms after vaccination should contact their healthcare provider immediately.  Sudden sensorineural hearing loss is potentially treatable, but treatment efficacy is time-sensitive.

The reporting period did not include vaccines other than Pfizer and Moderna, the researchers acknowledged. VAERS reports are unverified and subject to underreporting bias. Because people may experience multiple adverse effects after vaccination and these may not be fully captured in VAERS and the reports of hearing loss may be more that we are aware.

 

Obesity, Anxiety and The Divided Mind

In past posts, we’ve discussed how to effectively and efficiently lose weight and open the gates of the fat cells.  We’ve talked about the keys to the back doors of the fat cells that must be opened to create effective lipolysis (releasing of fat from the fat cells) and weight reduction.

I want to focus, today, on another key found in the brain.  The brain neuropeptides play a huge role in metabolic balance of the body and have direct relationships to anxiety, stress and post-traumatic stress disorder (PTSD).  In the last few years, research into the hormones of the brain (neuropeptides) and body demonstrates that the “autonomic nervous system” plays a very significant roll in losing weight.

The autonomic nervous system is the part of the nervous system responsible for “fight or flight responses.”  If a bear rises up in front of you while you are strolling in the woods, and begins to chase you, the autonomic nervous system kicks in to speed up the heart rate, shunt blood to the muscles and turn down the processing of food in the gut while you run from or fight the bear.  This autonomic nervous system is also the system that links emotions (like happiness, sadness, stress, anger, depression) between the conscious and subconscious mind and creates the attachments of these emotions to specific memories.

The Divided Mind and Disease

A disconnect or poor communication between our conscious mind and subconscious mind wreaks havoc in the balance between memory, emotion, cognitive function, endocrine glands and immune system.  One example of this is the onset of panic attacks for no reason.  Another example is chronic fatigue and many symptoms found in autoimmune diseases.  This same autonomic nervous system, when malfunctioning, plays a significant roll in our ability to lose weight.   The subconscious mind triggers the autonomic nervous system without the conscious mind’s involvement.

Thanks to the work of John E Sarno, MD, and Candace B. Pert, PhD, the link between our subconscious mind and the autonomic nervous system is much more clear.  This opens the door to our understanding how the subconscious mind can have a profound effect on obesity.

This field of research requires one to understand a concept about the psyche initially outlined by Dr. Sigmund Freud and his colleague Dr. Josef Breuer (the Father of Psychoanalysis) in the 1880’s.  Misconceptions regarding the basic drives of the human psyche aside, they identified through their clinical evaluations that the human psyche is made up of three parts, the subconscious (the id), conscious (the ego), and the super-conscious (the superego).  They identified an essential concept that the subconscious is a more primitive and childish component of the mind functioning much more instinctually,  and that the ego and super-ego house the intelligent, ethical, and moral consciousness.  They also identified that a split or division can arise between these two partitions causing physiological conflict to arise (i.e. – onset of a panic attack for no reason).

Autonomic Nervous System is made up of two parts: Sympathetic and Parasympathetic divisions. These divisions act like a gas pedal or brake for various organs and functions.

It is important to understand, as Freud pointed out, that you cannot divide the mind into neat compartments suggested by these three divisions.  The mind acts as a single unit.  However, understanding the “id” and it’s instinctual functions being tied to the autonomic nervous system is central to understanding how subconscious can derail weight loss.

Freud and Breuer identified in their Studies on Hysteria that a simple subconscious idea or instinct could be strong enough to exert powerful physical responses without  sufficient intensity to become conscious thought recognized by the individual. This means that a physiologic motor response in the body could be stimulated without being conscious of the reason for the stimulus.  They, along with Jean-Martin Caharcot, Alfred Alder, Franz Alexander and Allan Walters, witnessed this multiple times clinically.  They came to the conclusions that pain and other nervous functions could originate and could actually be created by the mind.

The Mind has the Power to Create Disease

Dr. Pert’s research over the last 40 years has been able to clearly identify a communication system between the brain, the endocrine system and the immune system.  Dr. Pert’s research identified that memory and/or subconscious idea is directly tied to emotion through the brain hormones called neuropeptides that, when triggered, reproduce stored memory, emotion physical autonomic responses (like changes in heart rate, dry mouth, dilation or constriction of the pupils, sweating of the palms or trunk, chest pressure, etc) and even auto-immunity.

Memory, Emotion & Storage Controlled by Neuropeptides

Neuropeptides also participate in memory sorting, storage and recall .   In his recent book, Beyond Order, the clinical psychologist and professor Dr. Jordon Peterson explains that the miracle of memory is not that we remember, the miracle of memory is that we forget and that we only remember what is necessary.  The miracle of memory is that we only remember those things that are important and teach us meaning.  Because we can forget, we don’t drag the horrible details of the past along with us.  Our memories allow us to get free of the past.  All you need is three sleepless nights in which you cannot dispense with the past and you would understand that life would be a literal hell if we cannot dispense with the day, the memory and the emotions of each day. We must renew ourselves in this cyclical unconsciousness we call sleep and resetting of the memory.   It is during this time that memory, emotion and neurohormones are tied together.

Our memories are tied to emotions through neurochemical synapses created in the brain by the neuropeptides.  Forgetting and remembering are very complex and sophisticated cognitive processes.  Our subconscious reduces the memory, emotion and experience to it’s significance.  The significance is then recorded as memory with it’s associated emotion, then our brain lets go of the details.
If you think about it, we boil our lives down to the “jest” of the story and then we remember only the significance of that story with attached emotion.  This process saves us from being crushed by days, years and decades of the gory details of day to day experience.

Anxiety Provoking Memories are Experiences that Still Need Unpacking

If memories from 18 months or older are still bothering you, if they produce negative emotions, that is a sign that that memory has not been correctly or completely unpacked by the complex processes of the brain. It is essential that the brain unpack wisdom from the past that learning can occur and it can be applied to the future.  This process occurs so that you don’t do the same stupid thing over and over again.  Or, it is there so that you can repeat things that worked well.  That is the purpose of memory.  Not recollection, our memory is the extraction of wisdom for the lesson of life from vast experience.
If you have a memory that is still hurting you, making you anxious, causing, fear, guilt or shame, you have not undertaken the complex process of analyzing that memory, pulling out from it the moral, and dispensing with the details.   This is why writing down these specific memories is so very important.
You must write the bad memory out.  You must write out all of the details you remember and the emotions of that experience.  It allows the mind to do the complex processing of identifying wisdom and social moral barriers of uncertainty, anxiety, threat, fear and panic that are bothering you.  This is what therapy does when talking about and discussing the past.
If journaling and writing out the memory is not effective in resolving the anxiety or if you are unable to identify the memory causing the anxiety, you may want to consider hypnotherapy and directed meditation.  This has been very effective with many of my patients having anxiety relating to childhood experiences improperly tied to strong emotions.
W. Dennis Parker does a wonderful job in his book, Spiritual Mind Management, elucidating how our subconscious mind inappropriately ties emotion to simple experiences and memory, and how these can cause anxiety. For those with resistant anxiety to journaling and therapy, hypnotherapy has been very effective.

Other Hormones associated with Anxiety and Obesity

Over the last two decades, I’ve found that two other hormones play a huge role in handling stress, anxiety, brain repair and play a very large role in sleep.  Both of these hormones are derived directly from cholesterol.  Low fat, vegan and vegetarian diets lead to low cholesterol availability and I commonly see low levels of the following hormones in both men and women.
The first of these is Pregnenolone.  Pregnenolone is the precursor sex hormone derived from cholesterol in the blood stream.  When serum pregnenolone level is lower than 50 mg/dL anxiety, insomnia, hair loss, poor recovery from exercise and difficulty with concentration become chronic.  The cognitive cloudiness that occurs with low pregnenolone levels make the unpacking of traumatic experiences and the sorting of wisdom from day to day experience difficult due to poor sleep.  I have been amazed that just the simple supplementation of pregnenolone nightly reverses anxiety, improves sleep, stops chronic migraine headaches, increases cognition and frequently allows people to “feel normal again.”
The second hormone is Progesterone.  Interestingly progesterone is derived directly from pregnenolone.  If large amounts of mental or physical stress are occurring, pregnenolone is used to make DHEA, Cortisol and Cortisone.  Little is left to make progesterone which is necessary for further hair growth, sleep, focus, memory, the healing effects from stress and trauma in the brain.  Progesterone often acts like a “brain steroid” healing both brain and spinal cord from stress and trauma.
Any evaluation for anxiety, insomnia, PTSD or stress must include screening both of these hormones, because without them, I’ve seen patients suffer for years with failure of the standard approaches.
One other molecule that has hormonal activities in the arena of anxiety and weight loss is that of methylated folic acid.  Folic acid is converted into L-Methyl Folate within every cell of the body.  This is accomplished by and enzyme called methytetrahydrofolate reductase (MTHFR).  About 60-65% of the patients I see in my office with insulin resistance, impaired fasting glucose or diabetes have a deficiency in one or both of the MTHFR genes leading to poor conversion of folic acid to the methylated form.   This is detrimental as methylated folic acid is essential in using Vitamin B12 within every cell of the body.
Lack of effective MTHFR enzymes leads to neuropathy, anxiety, depression, obesity and in severe cases elevated homocysteine levels and schizophrenias.  You can learn more about that by reading my blog article on Folic Acid here and a youtube video on it here.

The Search for Individual Meaning is The Deepest of Human Instincts

The human psyche is stabilized by the search for and the experience of individual meaning within life. The subconscious instinct for understanding our individual meaning is the deepest thing about us as humans.  It is innate and is part of our survival instinct.  What if the instinct understanding or experiencing meaning meaning goes wrong?  Pathologizing or lying about that individual meaning causes one to become “lost.”  Understanding that the instinct for meaning can be distorted or lied about is the most frightening thing upon this planet.  If you pathologize that individual meaning with deceit, you will be in the hands of things you do not want to contemplate.  If you have no theory of good and evil, if you’ve never been exposed to malevolence and someone malevolent touches you, you’re done for.
Being true to one’s self or truthful with your understanding of individual meaning helps to properly orient a person in the world, and find middle ground between complete chaos on one side of life and rigid totalitarianism on the other.   Finding and living in that middle ground requires one to rely upon individual instincts founded in truth.   If you want to live in harmony with yourself and your instincts, and live in a middle ground between a life of chaos and one of totalitarianism, don’t feed yourself or surround yourself with indigestible lies, half-truths and deceit.  You certainly shouldn’t try to warp the world around you by intentionally sharing deceitful meaning.

Anxiety Arises from Naivete

The sheltered soul or naive person is raised with the mindset that “all people are innately good.”  The thought or concept that people are “fundamentally good” is a complete misconception.  Being “good” is very difficult.  It is by no means the default position of the natural man and the subconscious mind. Entropy, catastrophe, tragedy, malevolence and death is the default position of human nature and the subconscious mind.  Good struggles up against this continually.
The people who are most prone to post-traumatic stress disorder (PTSD) are usually naïve people who have been sheltered from malevolence – sheltered from those who are truly spiteful, hostile, vicious, malicious, malignant, vindictive, pernicious, vengeful, hateful, rancorous, and evil-minded.  This is a well known clinical fact and can be found throughout the psychology literature.  There is nothing about this fact that is questionable.  The naïve world view is that you believe the world is fundamentally good – you believe that good behavior is rewarded with good in return – and you don’t really believe that there is any such thing as evil, and you encounter someone who is malevolent (and often you encounter this in yourself).  That sheltering is general throughout our society.  Death no longer occurs at home, it usually occurs in a hospital.  People live in cities and are rarely exposed to the death of animals and the cycle of life seen 100 years ago in farm and ranch life.
Often in those with PTSD, people who have been sheltered from these things, do something, or are required to do something, so morally reprehensible that it damages them psycho-physiologically. Until their psychological framework of good and evil changes, it is very difficult to recover.   These people have no framework in which to conceptualize violent death, evil or the reprehensible act.  They are unable to balance the conscious and subconscious memories and emotions attached to reprehensible emotional guilt, and it destroys them.  This is very common among soldiers.  It’s not always what they saw, it’s what they did or what they were a part of.
Telling and teaching people that humans are innately good (which has been part of our school system teaching for decades) and that evil doesn’t really exist makes them ripe picking for the malevolent and there is nothing about that which is positive.  It leaves tremendous anxiety and psycho-physiological scars in the wake.  This sheltered outlook is cowardice masquerading as virtue.  We see it more and more in our society.
This is why a teenage boy or girl in a traditional Christian or Jewish school is wiser and happier than the 50 year old professor of philosophy in a secular college.  The person who innately understand that good and evil exist within the world have a much easier time coping with and handling stress and trauma that will cross all of our paths.

What does anxiety, chronic stress and PTSD have to do with obesity and weight gain?

Signals in our environment from very stressful life experiences on a daily basis, chronic underlying stress, chronic anxiety, radiation exposure, infectious organisms (such as bacteria and viruses), xenobiotic chemicals, allergens, intestinal bacterial metabolites and food-derived bioactive substances (including phytochemicals), all have influence on messages received by our genes that then influences their expression. Gene expression can turn on and off neuropeptides.  This can effect the autonomic nervous system turning the metabolism up or down.  The expression of our genes in turn controls our health and disease outcomes.  This is one of the reasons COVID-19 seems to effect some people more dramatically than others.

The hormonal counterbalance of blood sugar is regulated, in part, by the autonomic nervous system.  Changes to this system increase or decrease cortisol & glucose production, thereby affecting production of insulin and other weight mediating hormones.  Changes in neuropeptides from stress or anxiety can act just like eating a meal.

As blood sugar falls, the autonomic nervous system responds to balance the blood sugar.  If this system is dysfunctional or under chronic stress, cortisol and adrenalin will cause higher blood sugars due to the stress response and can trigger increased hunger inappropriately.

This is why chronic stress, poor sleep, or even getting cut off while driving in traffic is the equivalent of eating a donut to your hormone responses.  If you’re not exercising, theses hormones will cause weight gain without any change in your diet, and even with caloric restriction.

How Do You Combat Chronic Stress or Anxiety?

  1. Exercise – Because these hormones are released subconsciously, the only way to help control them is regular and consistent physical activity or exercise.  Exercise, 20-40 minutes 3-6 days per week, is often the only way my patients have been able to combat the weight gain from chronic stress, anxiety and PTSD.
  2. Adequate ProteinRecent studies have demonstrated that hitting protein thresholds in men ( > 150 grams per day) and women ( > 90 grams per day) increased growth hormone and decrease insulin, helping to offset the negative effect of stress and anxiety.  This is a key component of a ketogenic or carnivorous lifestyle.
  3. Sleep -Lack of sleep has been implicated in difficulty with weight loss and weight gain.  Lack of sleep places the body into a state of chronic stress. This elevates cortisol, lowers testosterone, increases insulin (there’s that insulin problem, again) and increases the other inflammatory hormones. This perfect storm of stress, driven by lack of restful sleep, plays a big role in fat loss. My average patient needs at a minimum of 6-7 hours of restful sleep to maintain and lose weight. This is where untreated sleep disorders like sleep apnea play a big role. If you have sleep apnea, get it treated. What else can you do to help improve sleep?
    • Remove the computer, iPad and cell phones from the room.
    • Lower the room temperature. Men sleep better around 68-70 degrees F and women sleep better when the temperature is <70 degrees F.
    • Close the blinds or shades to add or darken the room.
    • Don’t study or watch TV in the same room you sleep in. Your body gets used to doing certain activities in certain rooms of the house. The bedroom should be reserved for sleep.
    • Go to bed at the same time
    • Get up at the same time. 
  4. Journaling – Daily journaling of experiences is one of the most powerful keys to helping the brain sort powerful emotions related to anxiety and memory.
  5. Meditation – I’ve created a 23 minute relaxation/meditation audio file that you can listen to for 30 days to help change your subconscious script on weight loss.  You can find it here.
  6. Some people need additional help through hypnosis.  Talk to your doctor about a certified hypnotherapist near you.  If you are a patient of Dr. Nally’s, he offers these services. Set an appointment today.
  7. Additional Resources – If this information is helpful, you may find additional interest in the following books:
  • “Loving What Is ” by Byron Katie
  • “Overcoming Worry and Fear” by Paul A Hauck
  • “The Joys of Living” by Orison Swett Marden

What to Expect

It may take your body and body’s biorhythm 3-4 weeks to adjust to changes you make around exercise, journaling, protein & sleep habits. Be patient with yourself.

Knowing that these challenges plague people on and off throughout the year, and, seeing people get hung up on these issues, I’ve created the Ketogenic Lifestyle 101 Course.  This program gets you jump-started into ketosis and gives you the tools to overcome the individual hurtles you will experience on your health journey.

 

Vaccine Propaganda

Let’s call it what it is – propaganda.  Over the last few months, as I drive down the freeway, I continue to see Arizona Department of Transportation signs and other media advertising the number of people vaccinated, and how we are supposedly “saving our country by getting a shot.”  This morning at 7 am the message board on the 303 freeway loop stated:
“5.4 MILLION DOSES AND COUNTING. GET VACCINATED”
Now colleges & universities are considering mandating vaccination before allowing students to return to class.  Travel companies and international airlines have actually already mandated vaccination. I am actually horrified that our state officials pay for and  support this type of propaganda. The scientific evidence to support this type of health propaganda does not exist.  I’ve scoured the medical literature for it and it just doesn’t exist.
In fact, my patients are showing up in my office after being told by their cardiologists and gastroenterologists that they need their COVID vaccine.  I can guarantee that many of these specialists have never read the vaccine literature and have no idea of the side effect profile and/or risks of this or any other vaccine.
Let me start by stating up front that I am a strong proponent of vaccines.  We have many tried and true, fully vetted vaccines to prevent many diseases.  The science states that if you’ve already had the virus, you have two to four years of immunity. We know the vaccine doesn’t prevent the virus, it just decreases likelihood of severity for 4-6 months.  In fact, I’ve already had four patients in my office get a full blown COVID-19 infection post vaccination.  However, this and seven other essential points are being blatantly ignored by governments, churches, college campuses and other organizations encouraging, propagandizing and even “requiring” vaccination.
  1. Young adults are a healthy and immunologically competent and vibrant group that is at “extraordinary low risk for COVID-19 morbidity and mortality.”
  2. Even though the FDA granted Emergency Use Authorization (EUA) for three COVID-19 vaccines, they are not FDA approved to treat, cure or prevent any disease at this time.
  3. The COVID-19 vaccines on the market in the U.S., produced by Moderna, Pfizer, and Johnson & Johnson, have been associated with serious side effects. These adverse reactions result in absence from school and work, hospital visits, and even loss of life. More than 2,300 deaths have been reported to the Vaccine Adverse Event Reporting System (VAERS) as of April 20, 2021.
  4. Students who have recovered from COVID-19 already likely have protective immunity, and vaccination of these groups significantly increases risk of autoimmune reactions.
  5. Protections expressed by the Nuremberg Code require individuals “to be able to exercise free power of choice, without the intervention of any element of force.”
  6. Informed consent is the standard for all medical interventions. The FDA fact sheet for the healthcare provider reads: “The recipient or their caregiver has the option to accept or refuse [the] vaccine.”
  7. College-age women may be at unique risk for adverse events following administration of the experimental COVID vaccinations currently available. According to the CDC, all cases of life-threatening blood clots subsequent to receiving the J&J vaccine have so far occurred in younger women. In addition, “women are reporting having irregular menstrual cycles after getting the coronavirus vaccine,” and 95 miscarriages have been reported to VAERS following COVID vaccination as of April 24, 2021.

This is the position of the Association of American Physicians and Surgeons and it is my position.  This push for vaccination when these questions still remain may appear prudent in an emergency situation to those who have been selected and elected to lead us, however, after five months of availability to evaluate this approach it is actually coercive and blatantly ignores the science that supports these points.  This course of action is, in my opinion, an egregious lack of insight, or if done knowingly is actually malevolent.

As a family physician, whose job revolves around vaccination of children and adults, and one who is given the mission of providing appropriate preventative medical care to his community, I cannot in good conscience support the propaganda behind this vaccine.

Ten Life Lessons From Star Wars You Must Know

Commit to the life that you want to live – then live it.

“Do or do not… there is no try.” – Yoda in The Empire Strikes Back

We can spend our entire lives debating actions and, frozen in fear, fighting uncertainty.  Yet, in life, nothing is certain. We can either waste precious time in limbo or make a decision and stick with it!  Just start.

If you’ve fallen off track, just restart.  Try again.  You’re mindset should rejoice in success or learn from failure.

Surround yourself with people who are supportive of and believe in you.

“I find your lack of faith disturbing.” – Darth Vader in A New Hope

Even the great Lord Vader needed supportive people around him.  There is absolutely no reason to waste your time and energy on people who bring you down. Rather, fill your life with the believers and doers, people who inspire you and bring positive energy to your life. Otherwise, you may resort to the dark side…

Don’t lie to yourself. You usually already know what you should be doing.

“Already know you, that which you need.” – Yoda

Listen to your heart, The Force, and your conscience.  Listen to that Yoda voice you hear as you fall asleep or the nagging thoughts that simply won’t go away.  Though the road ahead seems perilous, the solution is within.  You know what you should be doing, just do it.

Don’t let the impossible hold you back.

“Sir, the possibility of successfully navigating an asteroid field is approximately 3,720 to 1,” stated C-3PO.

“Never tell me the odds!” retorted Han Solo

(The Empire Strikes Back)

Even if an asteroid field is hurling towards you and your odds of success are 3,720 to 1, don’t let this daunting ratio prevent you from following your heart.

If people aren’t laughing at your dreams, your dreams are NOT big enough.  You should be striving for big hairy audacious dreams.  Seriously.

Success often stems from overcoming failures.

“Strike me down and I will become more powerful than you can possibly imagine.” – Obi- Wan Kenobi in A New Hope

Success cannot flourish without hard work. Losing weight is hard, but being obese for a lifetime is even harder.  Success is only found through trial and error, profound dedication, and the ability to see setbacks as stepping stones towards later victory.

You may have to learn 301 ways that don’t work before you try the 302nd method that is successful.

Do not let fear guide your life

“Fear leads to anger. Anger leads to hate. Hate leads to suffering.” – Yoda in The Phantom Menace

Fear cripples us from doing what needs to be done. It prevents us from becoming the people we’re meant to be. It isolates us from others and makes us scared of those we do not understand. Historically speaking, fear has fueled many wars, genocides, persecutions, and riots. Clearly, Yoda was onto something. What are you actually afraid of?

Humor goes a long way

(As the garbage compactor closes in on Luke and Han Solo) “One thing’s for sure, we’re all gonna be a lot thinner.” – Han Solo in A New  Hope

When things get tough, it’s natural to freak out. However, freaking out isn’t the most productive or efficient way to solve a problem. Humor lightens the mood and allows everyone time to regroup and reassess the situation. It also keeps spirits high, enabling people to do what needs to be done. Plus, girls dig a guy who can crack a joke every now and again.

Humor is a method of alleviating stress and giving your brain a chance to reset for success.

Thoughts and actions directly impact the future

“Always remember, your focus determines your reality.” – Qui-Gon Jinn in The Phantom Menace.

What we spend our days thinking about, and actively pursuing, directly affects our future (for better or worse). Considering this, we should invest our time and energy into the things and people we’re passionate about, and the dreams we have, rather than focusing on the negative or filling our lives with empty distractions.

Sometimes we just need to let go

“Let go of your hate.” – Luke Skywalker in Return of the Jedi

There is no room for hate, fear, and regret in our lives. Often, we just need to let it go so that we may finally be free.

When in doubt, improvise

If you are backed into a corner, do your best and improvise, then move on and don’t waste your time.

If you find this helpful, check out my membership programs.

May the Fourth be with you today!!

The Ambulance Down in the Valley

Twas a dangerous cliff, as they freely confessed,

Though to walk near its crest was so pleasant;

But over its terrible edge there had slipped

A duke and full many a peasant.

So the people said something would have to be done,

But their projects did not at all tally;

Some said, “Put a fence ’round the edge of the cliff,”

Some, “An ambulance down in the valley.”

But the cry for the ambulance carried the day,

For it spread through the neighboring city;

A fence may be useful or not, it is true,

But each heart became full of pity

For those who slipped over the dangerous cliff;

And the dwellers in highway and alley

Gave pounds and gave pence, not to put up a fence,

But an ambulance down in the valley.

“For the cliff is all right, if you’re careful,” they said,

“And, if folks even slip and are dropping,

It isn’t the slipping that hurts them so much

As the shock down below when they’re stopping.”

So day after day, as these mishaps occurred,

Quick forth would those rescuers sally

To pick up the victims who fell off the cliff,

With their ambulance down in the valley.

Then an old sage remarked: “It’s a marvel to me

That people give far more attention

To repairing results than to stopping the cause,

When they’d much better aim at prevention.

Let us stop at its source all this mischief,” cried he,

“Come, neighbors and friends, let us rally;

If the cliff we will fence, we might almost dispense

With the ambulance down in the valley.”

“Oh he’s a fanatic,” the others rejoined,

“Dispense with the ambulance? Never!

He’d dispense with all charities, too, if he could;

No! No! We’ll support them forever.

“Aren’t we picking up folks just as fast as they fall?

And shall this man dictate to us? Shall he?

“Why should people of sense stop to put up a fence,

While the ambulance works in the valley?”

But the sensible few, who are practical too,

Will not bear with such nonsense much longer;

They believe that prevention is better than cure,

And their party will soon be the stronger.

Encourage them then, with your purse, voice, and

And while other philanthropists dally,

They will scorn all pretense, and put up a stout fence

On the cliff that hangs over the valley.

Better guide well the young than reclaim them when old,

For the voice of true wisdom is calling.

“To rescue the fallen is good, but ’tis best

To prevent other people from falling.”

Better close up the source of temptation and crime

Than deliver from dungeon or galley;

Better put a strong fence ’round the top of the cliff

Than an ambulance down in the valley.

By Joseph Malin

The Vaccine Passport Power Grab

I’ve been warning over the last 13 months about the slippery slope we are on as we’ve watched our freedoms being pushed away from us under the flag of “safety for all.” I am horrified to see that this has led down the road to fascism in the form of a “vaccine passport.”

It has been stated by a famous Democratic politician that a “good crisis should never go to waste.” And, this crisis is no different.

Let me start with a few things that others will probably get wrong about me. First, I am in favor of safe and effective vaccines. Because the Coronavirus vaccines were released under emergency conditions, I have been closely watching the safety profiles of the four coronavirus vaccine manufacturers. We are still not out of the woods, and there are still a number of questions that need to be answered for those of us with severe allergic reactions to other vaccines or medications, but these vaccines are effective at reducing disease severity.

As a practicing physician with over 20 years of experience who was trained at The Kirksville College of Osteopathic Medicine, I am dual boarded in Family Medicine and Obesity Medicine. Vaccines and preventative health for families and children is the bread and butter of my practice for the last 21 years. Vaccines are a wonder of medicine in the last 100 years. The ability of our nation to move forward with a series of vaccines to prevent illness in those at greatest risk is a modern marvel.

Second, I served as the chemical & biological warfare medical specialist for my AirForce Reserve medical unit. My job was to be prepared for all types of viral, bacterial and chemical exposures for the soldiers and pilots in my unit. I’ve spent years studying deadly viral, bacterial and chemical substances that can kill, maim and cause severe illness and appropriate prevention and treatment for those illnesses.

Third, I am strongly in favor of people making their own medical and person decisions. My job as a physician is to educate my patients on the risks and benefits and help them to make informed medical decisions. I completed a Health Policy Fellowship through the American Osteopathic Association and studied the effect of Health Policy on the individual and collective health freedoms of cultures around the world.

We know that by early summer, everyone in America will have been eligible for a vaccine. Between those who took the vaccine or those who have had COVID-19 infections, there is no doubt, herd immunity will have been reached and the danger from COVID-19 will be low. As of today, the CDC admits (though the deeply entrenched bureaucrat, Dr. Fauci, denies it) that those who have been vaccinated (and those who have been sick) are not getting sick and they are not passing the disease on to others. (1,2, 3)

This concept alone makes the idea of a Vaccine Passport a horrible idea, as it will have no impact on anyone and will destroy the freedoms we as Americans have experienced since the 1700’s.

A vaccine passport would determine your social suitability to engage in you everyday life.

  • Want to get some groceries? Show your vaccine card.
  • Want to get a burger at the restaurant? Show your vaccine card.
  • I recently registered to attend a conference in Las Vegas, but you cannot attend if you don’t have a vaccine card.
  • Want to go to a concert? Did you tell the government what vaccines you’ve had this month?
  • Want to travel or take a cruise? “Vaccine papers, please!”

We cannot let government tyrants and media fear-mongers push us into accepting this horrible idea that we need someone’s permission to live our lives.

As Senator Rand Paul recently stated in an article that inspired me to write this blog post, “I know for a fact, they want to keep this power. We should never have let them take it in the first place in the form of lockdowns, mandates and closings.

“Now that we know those didn’t work, and that they intend to keep pushing anti-science, anti-freedom ideas, we must resist.” (1)

We were told last June that schools are safe for children, yet many are still closed. Families and children have been irreparably harmed in many cases. Learning has fallen to an all time low, depression and suicide are on the rise at an alarming rate.

All of this has been created under the guise of “worshiping at the alter of government power.” (1)

We know that Lockdowns, mask mandates and closures caused huge loss in jobs, businesses and homes. And, we know that they didn’t work. They were ineffective. And, in many cases harmful.

Get a vaccine if you think you need it or you want it. Then throw away your mask, demand that the schools open back up, and live your lives free of government mandate and interference.

In the words of Sen. Paul, “Burn your vaccine passport if they try to give it to you, and vote out any politician who won’t do the same.” (1)

Reference:

  1. https://thehill.com/blogs/congress-blog/healthcare/546412-we-must-resist-the-latest-covid-era-power-grab-the-vaccine
  2. https://pubmed.ncbi.nlm.nih.gov/33219229/ 
  3. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.488.4644&rep=rep1&type=pdf

Experience Has A Price

A giant ship’s engine broke down and no one could repair it.  So, the owner hired a mechanical engineer with over 40 years of experience.
The engineer inspected the engine very carefully, from top to bottom. After seeing everything, the engineer unloaded his bag and pulled out a small hammer.
He gently knocked on an area of the engine with the hammer.  Soon, the engine came to life again. The engine was fixed!
Seven days later the engineer submitted his bill to the owner: the total cost of repairing the giant ship was $20,000.
“What?!” said the owner. “You did almost nothing. Give me a detailed itemized bill.”
The engineer responded:
1. Tap with a hammer: $2
2. Knowing where to knock and how much to knock: $19,998
The importance of appreciating one’s expertise and experience cannot be stressed enough. . . Because, that experience is the result of years of struggles, hours of trial and error, experiments, thousands of hours of reading, sleepless nights, pain and even tears.
If I do a job in 5-10 minutes it’s because I spent 20 years learning how to do that in 5-10 minutes. You owe me for the years, not the minutes.

What is Your Release Valve?

Twice a week I join up with my HEMA (Historical European Martial Arts) group and sword fight. My wife and I participated with group sparing yesterday. It is a wonderful group of peeps.

We all live very stressful lives. Stresses come in the form of phone calls, getting cut off in traffic, and angry outbursts from people around us. These short bursts of stress act like a bear chasing you through the woods. Every time that “fight or flight” signal kicks in, it is the physiological equivalent of eating a donut. Literally.

If you don’t already, you need a physical release valve. You must have a physical outlet 3-6 days per week to burn off the accumulating adrenalin and cortisol or your anxiety, depression and fatigue will overwhelm you. Research shows that progressive repetitive daily bouts of stress that aren’t physically dissipated leads to weight gain, anxiety and depression.


(After 50 years, I’ve finally figured out how to relax . . .)

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What Collagen Supplement Should I Use?

Many people are looking for natural sources of collagen.  Every day in my clinic, I get asked about which collagen supplement I recommend using.  People have been convinced over the years by great sales and marketing that they must have some form of supplemental collagen.  

This is an important question, because there are many benefits to collagen.  As the most abundant protein in our body, collagen is essential for:

·         Fighting signs of aging like wrinkles

·         Improving joint health and osteoarthritis

·         Healing Irritable Bowel & Leaky Gut Syndrome

·         Boosting metabolism

·         Improving mental health

·         Reducing the appearance of cellulite

·         Strengthening hair & nails

·         Great looking skin

WHAT IS COLLAGEN?

In the body, collagen is mostly found in the skin, bones, and joints.  It also is found in the lining of the gut. We’ve known for years that gut health is incredibly important for overall health!

Collagen in the body is made up of amino acids which wrap together to make a triple-helix structure.  The helix structure is why collagen is so strong.

The amino acids which make up collagen are:

·         Glycine: Makes up about 33% of collagen

·         Proline: Makes up about 10% of collagen

·         Hydroxyproline: Makes up about 10% of collagen

·         Hydroxylysine: Makes up about 1% of collagen

The 5 most common types are Type I, II, III, IV and V.

·        Type I Collagen is the most abundant in our body (over 90%)  and stronger than steel by weight. It is found in skin, hair, nails, muscle, joints and organs.

·        Type II Collagen makes up movable joints.

·        Type III (the so-called ‘baby collagen’) is the second most abundant collagen in human tissue.

·        Type IV forms basal lamina, the epithelium-secreted layer of the basement membrane.

·        Type V is present in cell surfaces, hair and placenta.

WHY YOU NEED COLLAGEN

Our bodies make collagen out of amino acids we consume through food.  However, as we age, our bodies ability to make collagen declines. Thus, around the age of 30, collagen production begins to diminish by about 1% to 2% yearly.  By the age of 40, you and I lose 10% to 20% of our collagen!

UV rays, cigarette smoke, pollution, poor diet lacking in the necessary amino acids causes our skin’s structural integrity to be compromised. 

Our dermis is made up of more than 80% Type I Collagen and 15% Type III Collagen, along with Elastin and Hyaluronic Acid, and specialized cells called ‘Fibroblasts’ (the essential ‘collagen factories’ that synthesize new collagen).  

Together they are the key components for the extracellular matrix which gives our skin its structure, elasticity and firmness.

 Collagen is the key foundational protein for healthy, youthful-looking skin.

To produce collagen, our bodies first need to have amino acids as the building blocks for collagen. Millions of people around the world were indoctrinated in the low-fat diet dogma taught in grade school since the 1970’s. If you’ve been eating a low fat, vegetarian or vegan diet, which is lacking in those crucial amino acids, your body won’t be able to produce enough collagen!

Why? Because those amino acids above are found in animal proteins and animal fats, specifically from the connective tissues of cows and pigs (amazing how bacon is necessary for everything, right?!)

To make things worse, naturally-occurring enzymes in our bodies also break down collagen.  Environmental factors like pollution, free radicals, and excessive sun exposure can also break down collagen.

THE #1 SOURCE OF COLLAGEN: Natrual GELATIN

When it comes to sources of collagen, you won’t find anything better than gelatin.  Why? Because gelatin IS collagen.  As mentioned above, gelatin comes from the connective tissue of cows, pigs and is found in whites and yolks of eggs. You can also get some types of collagen from fish.

Slow cooking or smoking beef and pork liquifies the connective tissues in these meats and creates the moistness that is so very delicious.

The great thing about gelatin is that it is easy for the body to digest and absorb.  But, don’t expect your wrinkles or joint pain to disappear overnight.

Yes, you can buy expensive collagen powders or gelatins and help pay for supplement company CEO’s boat. And, some of these have been shown to be effective in helping the skin.  However, most of the stuff you find in the supermarket is so highly processed that it isn’t likely to deliver any benefits.

Many collagen supplements found in powders can also cause diarrhea, bloating, a sensation of heaviness in the gut and stomachache.

Instead, save your money. Consume slow cooked beef & pork, eggs, fish and/or cook with bone broth.  It will do wonders for your hair, skin and nails and it tastes great.

Sources:

1.    https://www.ncbi.nlm.nih.gov/books/NBK21582/

2.    https://www.jmnn.org/article.asp?issn=2278-1870;year=2015;volume=4;issue=1;spage=47;epage=53;aulast=Borumand

3.    https://pubmed.ncbi.nlm.nih.gov/23949208/

 

What Law of the Universe are you Missing?

As a dual boarded physician in both family medicine and obesity medicine, Dr. Nally spent years training to understand the intricate physical laws of nature and science that keep the amazing human body functioning. When we understand how these physical laws of the natural world work, we are able to use them to our advantage.

Dr. Nally has written extensively about these laws in his twelve training modules found in the KetoClan Coaching Membership. Access to this information is invaluable and something you don’t want to miss.

You can also get access to his regular videos and live-streams at DocMuscles.Locals.com where he frequently shares clinical pearls and insights to help you along your journey to amazing health.

Doc Holiday Was Right . . .

Toward the end of Tombstone, one of my favorite movies, Wyatt Earp tells his long-time trusted friend, Doc Holiday, that he just wants to live a “normal life.” The doc’s response has resonated with me for years. His answer pierces the façade that society and civilization try to sell each of us.

“There is no such thing as a normal life. There is just life,” Said Doc Holiday.

Wyatt Earp & Doc Holiday in Tombstone.

In my 20+ years of medical practice, and almost 30 years of marriage and family, I have come to realize that the wisdom shared by this young tuberculosis infected physician was correct. What most people mean by a “normal life” is actually a calm, even, unchallenged life with neither great victories or disappointing defeats. This “normality” has a very seductive charm. A life that lacks pains, frights and failures is often dreamed of by the masses and is often portrayed on the big screen. And, in that portrayal, it emphasizes the want of challenge, opportunity and the delight of victory.

Yet, such a “normal life” is simply non-existent. Disruptions, explosions, setbacks, failures combined with celebrations and victories small and large are all part of life. The individual or family that mistakenly believes there is some way to play it safe, some private sanctuary where they can insulate themselves, has failed to take into account the mortality of an aging body, the prevalence’s of cancer, and the imperfect genetic codes we inherited. We fail to consider global financial collapse, war, and the sins and failings of a civilization of humans, each having their own moral agency. That is life. That is “real” life. We live within a test-tube of filth, mire and ever changing chaos.

We even fail to recognize the destruction that good things bring to a “normal life.” Consider an infant. The newborn baby has no respect for “normalcy.” As wonderful as the newborn child is, they seem intent on creating chaos around themselves until their needs are met, destroying the “normal” peaceful life and sleep of it’s parents.

Life Is Life

Life is life. In fact, life frequently sucks, and then we die. However, in between, there are some really joyful and momentous events that make living in this test-tube of filth and mire worth the struggle. This life was never meant to be lollipops, roses and sunshine. Days are hard, Relationships are hard. If they aren’t hard, you’re not growing. (That’s not to say abuse should ever be tolerated).

Take a relationship like marriage. Relationships are made, they don’t just happen. They are made and grow as two people strive for many of the same goals. The problem is most people don’t communicate their expectations, and frequently don’t even know what their expectations from a relationship actually are. Most people are afraid of commitment because they expect that the relationship should provide sunshine on the other side of the wedding ring and yet are shocked when that sunshine leaves a sunburn. Not knowing what their expectations should be, they leave when they don’t feel frequent pleasure and happiness.

The “normal” happy life is a façade. Most people raised on participation trophies misunderstand that the paradox of life is seeking pleasure from a relationship or a job first. That’s the most effective way of missing it. Lasting joy in life, a job, a relationship or a family occurs when one seeks that joy outside of one’s self, daily directing one’s focus on the principle of filling your life with purpose.

So, shall we call Doc Holiday prophetic? I don’t think he was a prophet, but, as a physician suffering from a chronic disease that would eventually end his life, he was correct in his assessment of life in general. The determination to create and cling to a “normal life” will result in frustration, cynicism and even bitterness because it cannot be done. In Doc Holiday’s experience, the brave doctor contracts a terminal illness like tuberculosis in his attempt to help others. The disruptions of “normalcy,” even the good ones, that affect us day to day become obstacles to the “normal.” This can cause resentment of the irritable baby, the spouse, the job, the co-worker, the daily routine and even those we desire to help.

The disruption may become such an obstacle to the facade of normal that a parent, for example, may resent the baby. Seeing that a baby, one of the most noble things a mother can bring into this world, can disrupt and even threaten the ease of someone’s “normal” life, the noble disruption may even lead one to consider aborting it. Society today worships at the alter of “normal.” Hence, the pursuit of the myth of the “normal life” actually allows the horrific to become normal.

Is there an antidote? There is. Life should be meaningful. Life should be purposeful. What brings meaning and purpose in a test-tube of mire and struggle?

All the Things We Experience Make Life Better

The Apostle Paul, in his letters to the Roman saints, gives the most expansive, all-encompassing statement about life in all of the religion and philosophy that I’ve ever read. “All things work together for good to them that love God, to them who are the called according to his purpose” (Romans 8:28).

All things, . . . not just the good stuff -not just the easy, normal stuff work for our good. It is the combination of good and bad that make this life meaningful. Seeing the meaning in your life takes an antidote against the cynicism and and bitter taste that the bad often leaves behind.

The antidote comes in a few steps:

Improve your health

As a doctor, I’m a huge advocate of improving your health which plays a dramatic role in happiness.  Losing as little as 10 lbs has been shown to improve energy, decrease your risk for major disease, improve sleep, improve sex life, and decrease inflammation.  Improvements in any of those areas will reduce stress and anxiety and increase happiness so you can imagine while improvements in ALL of these areas could dramatically change your life.

As an advocate of the ketogenic lifestyle, I’ve found that the majority of my patients are able to lose 5-15 lbs each month for the first three months using this approach.  They average 2-5 lbs pf weight reduction each month there-after while following a ketogenic approach over the long term.  Understanding that this is one of the long term keys to success in happiness I want to make sure you know that I’ve developed some custom strategies to help with this and will share them with you below.  This lifestyle decreases risk for diabetes by 75%, improves mental clarity, and slows the aging process. (Who wouldn’t want those side effects while eating bacon?)

Use food as an antidote

A number of studies have demonstrated that a ketogenic diet increases gamma-aminobutyric acid (GABA), a key neuro-hormone signaling satiety and pleasure, in the brain.  GABA increases sensations of happiness and euphoria.  (Yes, this is why eating bacon makes you and I happier.  It’s probably why the thought of bacon in the video above made you smile.)  Shifting into a ketogenic state at least periodically has the effect of increasing your sense of happiness throughout the day.   It is actually the ketone that does this.  Whether you get into ketosis through diet alone, or through the use of exogenous ketones, both methods are effective in aiding you in your quest for happiness.

Savor daily experiences and record them

Savor the daily experiences.  We live our lives at such a high speed, we often neglect to take time to enjoy the experiences around us.  A trip to down town Amarillo, Texas, a few years ago brought me to the front doors of a restaurant that served cream-cheese & sausage stuffed, bacon wrapped, jalapenos (try saying that 5 times fast).  I had a bit of time and decided to try them.  It was the first time in 3-4 days that I actually had the chance to slow down and savor the place around me, the flavors of the food, and the atmosphere of the restaurant.

BaconWrappedJalapeno #DocMuscles #KetonianKing
Bacon Wrapped Jalapeno’s & Happiness

Just taking a bit of time to savor these things made this experience a very memorable and happy experience that to this day I have not forgotten.

Take 3-5 minutes today to just think about where you are.  Savor the smell of a rose, the color of the sky, the shape of the clouds or the sight of a bird. These sensory images can, and will, leave indelible memories and release dopamine and serotonin naturally in the brain.  Savoring the daily experiences of life can be part of the process of meditation we will talk about below.

Volunteer

Doc Holiday could have groveled in the sadness of his illness and pain. But, instead, he risked his life to save the life of Wyatt Earp in Texas. Then, in 1879, he joined Earp in Las Vegas, New Mexico and then rode with him to Prescott, Arizona, and then to Tombstone. In Tombstone, local members of the outlaw Cochise County Cowboys repeatedly threatened Doc Holiday and spread rumors that he had robbed a stage. On October 26, 1881, Holiday was deputized by Tombstone city marshal Virgil Earp. The lawmen attempted to disarm five members of the Cowboys near the O.K. Corral on the west side of town, which resulted in the famous 30-second shootout, and the legendary stories and movie Tombstone.

Get involved and volunteer in meaningful activities around your neighborhood, church & community.  Research shows that voluntarily giving of time increases happiness in the giver.  It also allows one to see, participate with and help those around you who may be less fortunate.  Volunteering your time and energy regularly increases your gratitude we will discuss further below.

Express gratitude

Christ Leper #DocMuscles #KetonianKing

Expressing gratitude daily has been shown to dramatically increase your sense of well-being and happiness.  Expressing gratitude requires awareness.  It requires you to take inventory of everything around you (something you will already be doing if you are savoring your daily experiences).  Gratitude can be expressed in a journal, through prayer & meditation, or directly to those around you.  However, expressing gratitude requires effort.

In the Judaeo-Christian view, expressing gratitude is actually a method of expressing faith.  The 17th chapter of Luke holds a biblical example of this concept. When the leper returned to express his thanks to Jesus Christ for being healed, he wasn’t told “Your gratitude made you whole.”  Christ told him, “Thy faith hath made thee whole.”  He implied that the act of expressing gratitude is a demonstration of faith, a necessary and essential process in human development.

Recognize personal value

I’m not talking about your bank statement or personal financial statement.  I’m talking about recognizing the value of your soul.  The only successful non-medication based program to help people overcome addiction is the 12-Step Program through Alcoholics Anonymous.  The essential second step of the twelve is recognition that a power greater than ours is involved in our lives.  Whether, you believe in God or a greater universal power, recognition of your value is an essential perspective to gaining happiness.  This has been demonstrated thousands of times through the 12-Step Programs.

Often, the feeling we have of our personal worth is based on the love and interest we receive from those around us. Yet, this love is sometimes lacking. The love of men is often imperfect, incomplete, or selfish. What if you looked at yourself with the same benevolence, love, and confidence that God does? Imagine the impact it would have on your life to understand your eternal potential as God understands it. If you could view yourself through His eyes, what influence would that have on your life?  Recognition of this principle is essential to making any lasting change.

Look for the growth in who you are

The celebrated Greek poet, Pindar, said, “Become who you are.”  This is confusingly paradoxical.  How does one become who they already are?

Many of the younger generation grew up to the sounds and images of The Lion King. You probably remember the scene where Simba receives a visit from his father, Mufasa, the deceased king. After his father died, Simba fled from the kingdom because the guilt he felt about his father’s death. He wanted to escape his responsibility as heir to the throne.

Lion King #DocMuscles #KetonianKing

His father appears to him and warns him: “You have forgotten who you are and so have forgotten me. Look inside yourself, Simba. You are more than what you have become. You must take your place in the circle of life.” Then this invitation is repeated several times: “Remember who you are. … Remember who you are.

Simba, completely shaken by this experience, decides to accept his destiny. He confides in his friend, the shaman monkey, that it “looks like the winds are changing.”

The monkey replies, “Change is good.”

And Simba says: “But it’s not easy. I know what I have to do. But going back means I’ll have to face my past. I’ve been running from it for so long.”

Recognizing and accepting our past for what it was brings happiness. Hiding or running from our past prevents us from experiencing true joy.

Meditate

Meditation and prayer have been shown to actually change areas of the brain that relate to stress management and mood regulation.  People who meditate regularly over long periods of time have better ability to find and maintain positive states like joy and compassion. Richard Davidson and his colleagues found that meditation increases brain activity in areas related to happiness as well.

The ability for a person to access the subconscious mind and to address aberrant thinking errors attached to powerful emotions confers advantages that cannot be acquired through any other medical medium.   Wholeness of the mind, body and spirit are ultimately the goal.  Meditation & hypnotherapy change fragmented, unhappy people into integrated, happy people by simply helping people to identify and repair the broken subconscious thought patterns that can occur in all of our day to day lives.  Check out Dr. Nally’s information on mind-body medicine here.

Improve the quality of your relationships

Happiness has been linked to quality relationships as well.  Robert Wallinger, psychiatrist at Harvard University, conducted a 75 year multi-generational study on happiness.  He found that the quality of the relationships was powerfully connected to happiness. Lonely people were less happy and had poorer health.  People with higher-quality relationship or social ties were the happiest.

However, it wasn’t just having a relationship, but having one with a stable and consistently caring person that made the difference. Having lots of acquaintances or being in a relationship with an unreliable or abusive partner did not make people happier.  Amazingly, listening (savoring shared experiences) and complimenting (expressing gratitude) improve the quality of relationships.  (

Don’t know where to start? Start by sharing some bacon . . .

Allow others to help

I know you are probably familiar with the phrase “it is better to give than receive,” but did you know there is evidence to support the reverse mantra is also true?  Happiness also comes from allowing others to help. Think about it. When you are helping others, especially when they appreciate it, you feel happiness or joy. Others experience those same feelings when they are able to help you. Think of a child that wants to make you a meal. No matter what it looks like when it gets to you, you smile and feel happy at the effort, the child smiles back proud at their success. There is happiness in giving and receiving. 

So today’s your chance to receive.  As a doctor, I find myself shying away from sharing this information with you directly because I never want anyone to feel like my efforts are about me. I’ve spent years learning and understanding the benefits of a Ketogenic lifestyle and spent additional years researching products that work and my local patients are experiencing tremendous results! A friend told me that not sharing this information with people directly was actually being selfish. (Ouch!) “When you know someone has a problem that you can solve, shouldn’t you share it and then let them make their own decisions?”

Although that was painful to hear, it helped me commit to being more direct about how I can help all of you to feel better. If you are ready to change the way you feel and want to live a happier, healthier life, the time is NOW.  Put these 10 steps in action, click the link and get a copy of my diet. Then, enjoy the benefits of a Ketogenic or Carnivorous Lifestyle.

If you want to know more about what I do, keep reading my blogjoin my weekly newsletter by signing up below.  Then, watch my videos every week on YouTube and listen to my Podcast giving you free tips and tricks to stay healthier. I even developed my own line of vitamins and supplements specifically for myself and my patients.  If you know you are ready for a change, and you want to see how I can help, check out the variety of Ketogenic programs I offer to help you find the meaning in your life.

I Wish I Would Have Know This Sooner . . .

After graduation from medical residency, I served for four years as my AirForce Reserve unit’s biological/chemical weapons expert & physician. My job was to understand the risks of all the known biologic and chemical weapons that could be used on a human being, including severe viral and bacterial diseases that could pose a threat. My training was specifically focused on how to prevent and treat the effects of these illnesses in those under my care, military or otherwise.

I spent four years reading and researching where and when various types of masks, respirators and protective equipment would and should be used. Never once was a surgical or cloth mask ever found to be effective. Even N95 masks failed the rigors of these encounters.

This week our fearless Dr. Fauci says it’s “common sense” to wear two masks. So, my question to him and all of the other emperors of medicine is, what about three masks?

Even better yet, 10 masks makes even more “common sense!!” Where does this stop? (I stop at 11, because, my ears flop over at 12 masks.)

I’m thinking that 100 masks is 100% effective right?

I guess those filtered gas masks really aren’t essential then?!

One surgical mask decreases risk by 1-2% (yes, that’s the benefit of a mask that we’ve been required to wear). You’re more likely to have a 40% COVID risk reduction by throwing salt over your shoulder when you leave the house . . . (that’s the actual placebo effect).

The whole reason for mask wearing is to decrease “asymptomatic” transmission of COVID-19. That means, masks are supposed to decrease your risk of spreading or inhaling this virus when you or the person near you have no symptoms. Initially, we recommended wearing masks, because we did not know how infective the COVID-19 virus was to humans. We also knew that there was limited access to the N95 masks used in the hospital setting.

However, in the last 12 months, we’ve learned a great deal and we have a tremendous amount of data about treating this virus in the outpatient setting. You can follow Dr. Nally’s COVID-19 treatment protocol here.

How Contagious is COVID-19?

What’s the actual risk of spreading the virus when you have no symptoms? It’s about 0.06% if you have prolonged contact (3 hours continuous face-to-face) with a person within six hours of that person having onset of symptoms (i.e. – fever, sore throat, fatigue, headache, loss of taste or smell, or runny nose). It is very rare to be infected at all with COVID-19 asymptomatically if you contact a person 6-9 hours before they have symptoms.

In fact, a recent study revealed there were no positive tests (or asymptomatic spread) among 1,174 close contacts of asymptomatic cases.  So, why are we still wearing masks? Because it is politically convenient, increases fear, and increases your likelihood of getting a vaccine.

Are There Unintended Consequences of Mask Wearing?

Is wearing a mask to decrease a minimal risk by 1% more worth the risk? Increased bacterial and fungal infections that are on the rise as a consequence of chronic and continued daily mask wearing.

I’m seeing patients with increased frequency of facial rashes, fungal infections, non COVID-19 induced bacterial infections. Reports are coming from my colleagues, all over the world, that suggest bacterial pneumonias are on the rise.

Why? Because we are wearing and re-wearing of dirty masks. Untrained members of the public are wearing medical masks, repeatedly… in a non-sterile fashion… They’re becoming contaminated. They’re pulling them off of their car seat, off the rearview mirror, out of their pocket, from their countertop, and they’re reapplying a mask that should be worn fresh and sterile every single time. And, there is no way around this when 330 million people are required to wear a mask to go to Wal-Mart or Costco.

In a recent report in Emerging Infectious Diseases, the U.S. Centers for Disease Control and Prevention (CDC) suggests what experts have stated all along: There is no conclusive evidence that cloth masks protects users from coronavirus, especially since most people do not use them correctly and do not keep them clean.

The report actually says, “To our knowledge, only 1 randomized controlled trial has been conducted to examine the efficacy of cloth masks in healthcare settings, and the results do not favor use of cloth masks. More randomized controlled trials should be conducted in community settings to test the efficacy of cloth masks against respiratory infections.”

So, why, again, are we wearing these masks?

What is Your Chance of Surviving A COVID-19 Infection?

< 20 years old – 99.98%
20-50 years old – 99.97%
50-70 years old – 99.5%
> 70 years old – 95%

Those numbers are even better if your are following a ketogenic or carnivorous lifestyle.

Sadly, I’ve had patients over age 70 tell me “pneumonia is an old man’s best friend.”  It is very true that pneumonia, the common cold, influenza and COVID-19 can all cause death in the older frail adult.  This is not something new, though if you listen to CNN you may think death should never occur.

But, thousands of physicians and over 200 different journal articles within the last 11 months demonstrate that if you are treated with azithromycin and either hydroxychloroquine or ivermectin plus Zinc, Vitamin D, Niacin, Vitamin C and Melatonin, you improve your risk of survival of a COVID-19 infection by an additional 10-40%.  75% of those studies demonstrated significant improvement even when hydroxychloroquine was started late.  Africa has a mortality rate (1.3 per 100,000) that is 100 percent lower than the US (120 per 100,000) because they have hydroxychloroquine available over-the-counter and many people take it “every Sunday” as preventative medication for malaria.

Mind you, these medications were never FDA approved for treatment with COVID-19.  But, we as licensed physicians have the autonomy to use medication “off-label” as long as we have discussed the risks, side-effects and expectations of these medications and you are aware that they were never FDA approved.

I have treated hundreds of patients with these combinations with great success in my clinic over the last 11 months.

Yet, in the last two weeks Fry’s Pharmacies (Kroger Pharmacies) are now refusing to dispense hydroxychloroquine or ivermectin for any COVID related virus.  Why?  Because they can make a huge profit on the Experimental COVID-19 vaccine.  Why dispense a generic medication when you can make twice the profit from a vaccine?  However, this experimental vaccine’s effectiveness is still yet to be confirmed, and probably less effective on newer strains as stated by the Surgeon General this last week (https://news.yahoo.com/us-surgeon-general-covid-19-184157789.html).

In my opinion, this is malpractice on the part of Fry’s Pharmacy and malfeasance on the part of the pharmacist.

Until they issue a public apology to you and me, I recommending you and I stop using Fry’s Pharmacy all together.  Any company that mandates the use of an Experimental Vaccine with a side effect profile experienced by up to 20% of those who receive it, and at the same time refuses to provide access to proven treatments overseen by a physician should not receive the business or the trust of the public.  If your pharmacist refused to dispense these medications with a valid prescription from your doctor, please let me know.

The pharmacists claim they won’t dispense hydroxychloroquine or ivermectin “because the FDA has not approved their use for viral infections.”  Yet, these drugs are safe enough to be over the counter in many other countries and because of the vaccine, this is all political.  Both of these drugs have been use very safely for decades with millions of people around the world for multiple disease processes.

The FDA issued it’s updated statement on the use of ivermectin.  “Ivermectin is an antiparasitic drug that is approved by the Food and Drug Administration (FDA) for the treatment of onchocerciasis and strongyloidiasis. Ivermectin is not FDA-approved for the treatment of any viral infection. In general, the drug is well tolerated. It is currently being evaluated as a potential treatment for COVID-19.”  These drugs are considered “generally safe” for multiple disease processes used over long periods of time, and yet, the politics and finances of this issue have now become more important than your health.  Neither the FDA or the NIH has stated that these drugs are contrindicated, they just have not been approved, and because of that “they are not recommended.”

As of January 14, 2021, the NIH has stated that ” currently there are insufficient data to recommend either for or against the use of ivermectin for the treatment of COVID-19. Results from adequately powered, well-designed, and well-conducted clinical trials are needed to provide more specific, evidence-based guidance on the role of ivermectin for the treatment of COVID-19.”  Similar statements have been issued on hydroxychloroquine.  However, “well conducted clinical trials” will not occur for some time, as these types of studies take years to be designed, funded and put into place.  Because ivermectin and hydroxychloroquine are generic drugs, there is no incentive for any pharmaceutical company to run these types of studies. The FDA will never change it’s position for this same reason.

Any physician, organization or pharmacy that places politics and finances over your health and wellbeing and tries to get between the doctor and patient should experience you and I protesting with our wallets and our feet.

Two essential things come out of this.  First, the CDC, FDA and NIH have shown us as a nation how untrustworthy they are.  Second, if you and I are not vigilant, mandates for the use of an experimental and potentially dangerous vaccine will be come the “new normal.”

I recommend you go to https://stopmedicaldiscrimination.org/ and sign the petition to prevent travel companies, airlines and other businesses from mandating this and any other experimental vaccine.  And, then tell Fry’s Pharmacy and any other pharmacist that plays politics with your health where they can put the rest of their medications.

Sources:

  1.  Kory P, et al., Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19. FLCCC Alliance; Version 5; Nov 28, 2020.
  2. Rajter JC, et al. Use of Ivermectin is associated with lower mortality in hospitalized patients with corona-virus disease 2019. Chest Journal Open Access Jan 2021; 159(1): 85-92
  3. Guilherme Dias de Melo, Françoise Lazarini, Florence Larrous, Lena Feige, Lauriane Kergoat, Agnes Marchio, Pascal Pineau, Marc Lecuit, Pierre-Marie Lledo, Jean-Pierre Changeux, Herve Bourhy, Anti-COVID-19 efficacy of ivermectin in the golden hamster. bioRxiv 2020.11.21.392639
  4. Vora, Agam, et al. “White paper on Ivermectin as a potential therapy for COVID-19.” Indian Journal of Tuberculosis 67.3 (2020): 448-451.
  5. Gorial, Faiq I., et al. “Effectiveness of Ivermectin as add-on Therapy in COVID-19 Management (Pilot Trial).” medRxiv (2020).
  6. Scheim, David. “Ivermectin for COVID-19 Treatment: Clinical Response at Quasi-Threshold Doses Via Hypothesized Alleviation of CD147-Mediated Vascular Occlusion.” Available at SSRN 3636557 (2020)
  7. Rajter, Juliana Cepelowicz, et al. “ICON (Ivermectin in COvid Nineteen) study: Use of Ivermectin is Associated with Lower Mortality in Hospitalized Patients with COVID19.” medRxiv (2020). medRxiv.org
  8. Chowdhury, Abu Taiub Mohammed Mohiuddin, et al. “A comparative observational study on Ivermectin-Doxycycline and Hydroxychloroquine-Azithromycin therapy on COVID19 patients.” ResearchGate.net
  9. NIH Statement on Ivermectin:  https://www.covid19treatmentguidelines.nih.gov/statement-on-ivermectin/
  10. FDA Statement on Ivermectin: https://www.fda.gov/animal-veterinary/product-safety-information/faq-covid-19-and-ivermectin-intended-animals

 

The Habits of Happiness

Recent research reveals that those who are the happiest have three daily habits that they are consistent in following:

  1. Think of three new things you are thankful for each day and write them down.
  2. E-mail a two minute positive note or send a card to someone new every morning to praise them or thank them.
  3. Spend a few minutes each day writing about the most meaningful moments of the past 24 hours.

You will be amazed at how powerful these three simple habits are in bringing joy and happiness to your life.

The Nation Has Changed – Overnight

The world we lived in last Tuesday, is not he same world we live in today.  Historic changes have occurred.  We live today in a United States in name only.   There are now two distinct countries inside one nation the Leftist Nation and the Conservative Nation.  One of those “country’s” economies is under attack. The Leftist Nation has declared economic warfare on the rest of us.
The capital riots have given the Leftist Nation the ability to declare war on 75 million Americans.  Every word that any of us speak is going to be monitored, scrutinized and twisted.  How will each of us maintain a voice that can be heard by those needing to hear it?  Conspiracy theories have flourished because we have no media actually doing their job.
Parlor was officially de-platformed by Amazon Web Services.  Amazon, Apple, Facebook and Google did this in a coordinated effort.  The power structure of these companies has created a need of government and government needs hi-tech.  This is why they have aligned.
We have come to the point that Kathy Griffin, again, re-posted the gruesome bloody head of Trump in her hand on twitter last week – not a soul said a word. When Pornhub is purchased by Disney and Apple, Google and Amazon shut down conservative voices, ask yourself who the real enemy is?
Anything that Twitter, Facebook, Instagram, Google and Amazon will attack anyone with an opposing voice. Rational Americans recognize very clearly the hypocrisy of these actions.
I will never stop standing for liberty, for freedom of speech, for freedom of expression, and the right to bear arms. I will never stop supporting the entire Bill of Rights.
This will more profoundly effect every aspect of our lives, including health care.
The Leftist Nation has dismissed on a daily basis the concerns of 75 million people for four years. Then this powerful group of elites removed the only person that was supportive to this group of 75 million by de-platforming President Trump’s voice.  We are the United States in name only today, we are a house divided.
What will you and I do about it?

Davy Crockett & Why Congress Has NO Right to Give Charitable Relief

A “sockdolager” is a knock-down blow. This is a newspaper reporter’s captivating story of his unforgettable encounter with the old “Bear Hunter” from Tennessee.
From “The Life of Colonel David Crockett”, by Edward S. Ellis
(Philadelphia: Porter & Coates, 1884)

* * * * * * * * * * * * * * *

CROCKETT was then the lion of Washington. I was a great admirer of his character, and, having several friends who were intimate with him, I found no difficulty in making his acquaintance. I was fascinated with him, and he seemed to take a fancy to me.

I was one day in the lobby of the House of Representatives when a bill was taken up appropriating money for the benefit of a widow of a distinguished naval officer. Several beautiful speeches had been made in its support — rather, as I thought, because it afforded the speakers a fine opportunity for display than from the necessity of convincing anybody, for it seemed to me that everybody favored it. The Speaker was just about to put the question when Crockett arose. Everybody expected, of course, that he was going to make one of his characteristic speeches in support of the bill. He commenced:

“Mr. Speaker — I have as much respect for the memory of the deceased, and as much sympathy for the sufferings of the living, if suffering there be, as any man in this House, but we must not permit our respect for the dead or our sympathy for a part of the living to lead us into an act of injustice to the balance of the living. I will not go into an argument to prove that Congress has no power to appropriate this money as an act of charity. Every member upon this floor knows it.

We have the right, as individuals, to give away as much of our own money as we please in charity; but as members of Congress we have no right so to appropriate a dollar of the public money. Some eloquent appeals have been made to us upon the ground that it is a debt due the deceased. Mr. Speaker, the deceased lived long after the close of the war; he was in office to the day of his death, and I have never heard that the government was in arrears to him. This government can owe no debts but for services rendered, and at a stipulated price. If it is a debt, how much is it? Has it been audited, and the amount due ascertained? If it is a debt, this is not the place to present it for payment, or to have its merits examined. If it is a debt, we owe more than we can ever hope to pay, for we owe the widow of every soldier who fought in the War of 1812 precisely the same amount.

There is a woman in my neighborhood, the widow of as gallant a man as ever shouldered a musket. He fell in battle. She is as good in every respect as this lady, and is as poor. She is earning her daily bread by her daily labor; but if I were to introduce a bill to appropriate five or ten thousand dollars for her benefit, I should be laughed at, and my bill would not get five votes in this House. There are thousands of widows in the country just such as the one I have spoken of, but we never hear of any of these large debts to them. Sir, this is no debt.

The government did not owe it to the deceased when he was alive; it could not contract it after he died. I do not wish to be rude, but I must be plain. Every man in this House knows it is not a debt. We cannot, without the grossest corruption, appropriate this money as the payment of a debt. We have not the semblance of authority to appropriate it as a charity.

Mr. Speaker, I have said we have the right to give as much of our own money as we please. I am the poorest man on this floor. I cannot vote for this bill, but I will give one week’s pay to the object, and if every member of Congress will do the same, it will amount to more than the bill asks.”

He took his seat. Nobody replied. The bill was put upon its passage, and, instead of passing unanimously, as was generally supposed, and as, no doubt, it would, but for that speech, it received but few votes, and, of course, was lost.

Like many other young men, and old ones, too, for that matter, who had not thought upon the subject, I desired the passage of the bill, and felt outraged at its defeat. I determined that I would persuade my friend Crockett to move a reconsideration the next day.

Previous engagements preventing me from seeing Crockett that night, I went early to his room the next morning and found him engaged in addressing and franking letters, a large pile of which lay upon his table.

I broke in upon him rather abruptly, by asking him what devil had possessed him to make that speech and defeat that bill yesterday. Without turning his head or looking up from his work, he replied:

“You see that I am very busy now; take a seat and cool yourself. I will be through in a few minutes, and then I will tell you all about it.”

He continued his employment for about ten minutes, and when he had finished he turned to me and said:

“Now, sir, I will answer your question. But thereby hangs a tale, and one of considerable length, to which you will have to listen.”

I listened, and this is the tale which I heard:

* * * * * * * * * * * * * * *

SEVERAL YEARS AGO I was one evening standing on the steps of the Capitol with some other members of Congress, when our attention was attracted by a great light over in Georgetown. It was evidently a large fire. We jumped into a hack and drove over as fast as we could. When we got there, I went to work, and I never worked as hard in my life as I did there for several hours. But, in spite of all that could be done, many houses were burned and many families made homeless, and, besides, some of them had lost all but the clothes they had on. The weather was very cold, and when I saw so many women and children suffering, I felt that something ought to be done for them, and everybody else seemed to feel the same way.

The next morning a bill was introduced appropriating $20,000 for their relief. We put aside all other business and rushed it through as soon as it could be done. I said everybody felt as I did. That was not quite so; for, though they perhaps sympathized as deeply with the sufferers as I did, there were a few of the members who did not think we had the right to indulge our sympathy or excite our charity at the expense of anybody but ourselves. They opposed the bill, and upon its passage demanded the yeas and nays. There were not enough of them to sustain the call, but many of us wanted our names to appear in favor of what we considered a praiseworthy measure, and we voted with them to sustain it. So the yeas and nays were recorded, and my name appeared on the journals in favor of the bill.

The next summer, when it began to be time to think about the election, I concluded I would take a scout around among the boys of my district. I had no opposition there, but, as the election was some time off, I did not know what might turn up, and I thought it was best to let the boys know that I had not forgot them, and that going to Congress had not made me too proud to go to see them.

So I put a couple of shirts and a few twists of tobacco into my saddlebags, and put out. I had been out about a week and had found things going very smoothly, when, riding one day in a part of my district in which I was more of a stranger than any other, I saw a man in a field plowing and coming toward the road. I gauged my gait so that we should meet as he came to the fence. As he came up I spoke to the man. He replied politely, but, as I thought, rather coldly, and was about turning his horse for another furrow when I said to him: “Don’t be in such a hurry, my friend; I want to have a little talk with you, and get better acquainted.”

He replied: “I am very busy, and have but little time to talk, but if it does not take too long, I will listen to what you have to say.”

I began: “Well, friend, I am one of those unfortunate beings called candidates, and —”

“‘Yes, I know you; you are Colonel Crockett. I have seen you once before, and voted for you the last time you were elected. I suppose you are out electioneering now, but you had better not waste your time or mine. I shall not vote for you again.’

This was a sockdolager… I begged him to tell me what was the matter.

“Well, Colonel, it is hardly worthwhile to waste time or words upon it. I do not see how it can be mended, but you gave a vote last winter which shows that either you have not capacity to understand the Constitution, or that you are wanting in honesty and firmness to be guided by it. In either case you are not the man to represent me. But I beg your pardon for expressing it in that way. I did not intend to avail myself of the privilege of the Constitution to speak plainly to a candidate for the purpose of insulting or wounding you. I intend by it only to say that your understanding of the Constitution is very different from mine; and I will say to you what, but for my rudeness, I should not have said, that I believe you to be honest. But an understanding of the Constitution different from mine I cannot overlook, because the Constitution, to be worth anything, must be held sacred, and rigidly observed in all its provisions. The man who wields power and misinterprets it is the more dangerous the more honest he is.”

“I admit the truth of all you say, but there must be some mistake about it, for I do not remember that I gave any vote last winter upon any constitutional question.”

“No, Colonel, there’s no mistake. Though I live here in the backwoods and seldom go from home, I take the papers from Washington and read very carefully all the proceedings of Congress. My papers say that last winter you voted for a bill to appropriate $20,000 to some sufferers by a fire in Georgetown. Is that true?”

“Certainly it is, and I thought that was the last vote which anybody in the world would have found fault with.”

“Well, Colonel, where do you find in the Constitution any authority to give away the public money in charity?”

Here was another sockdolager; for, when I began to think about it, I could not remember a thing in the Constitution that authorized it. I found I must take another tack, so I said:

“Well, my friend; I may as well own up. You have got me there. But certainly nobody will complain that a great and rich country like ours should give the insignificant sum of $20,000 to relieve its suffering women and children, particularly with a full and overflowing Treasury, and I am sure, if you had been there, you would have done just as I did.”

“It is not the amount, Colonel, that I complain of; it is the principle. In the first place, the government ought to have in the Treasury no more than enough for its legitimate purposes. But that has nothing to do with the question. The power of collecting and disbursing money at pleasure is the most dangerous power that can be entrusted to man, particularly under our system of collecting revenue by a tariff, which reaches every man in the country, no matter how poor he may be, and the poorer he is the more he pays in proportion to his means. What is worse, it presses upon him without his knowledge where the weight centers, for there is not a man in the United States who can ever guess how much he pays to the government.

So you see, that while you are contributing to relieve one, you are drawing it from thousands who are even worse off than he. If you had the right to give anything, the amount was simply a matter of discretion with you, and you had as much right to give $20,000,000 as $20,000. If you have the right to give to one, you have the right to give to all; and, as the Constitution neither defines charity nor stipulates the amount, you are at liberty to give to any and everything which you may believe, or profess to believe, is a charity, and to any amount you may think proper. You will very easily perceive what a wide door this would open for fraud and corruption and favoritism, on the one hand, and for robbing the people on the other.

No, Colonel, Congress has no right to give charity. Individual members may give as much of their own money as they please, but they have no right to touch a dollar of the public money for that purpose. If twice as many houses had been burned in this county as in Georgetown, neither you nor any other member of Congress would have thought of appropriating a dollar for our relief. There are about two hundred and forty members of Congress. If they had shown their sympathy for the sufferers by contributing each one week’s pay, it would have made over $13,000. There are plenty of wealthy men in and around Washington who could have given $20,000 without depriving themselves of even a luxury of life. The Congressmen chose to keep their own money, which, if reports be true, some of them spend not very creditably; and the people about Washington, no doubt, applauded you for relieving them from the necessity of giving by giving what was not yours to give.

The people have delegated to Congress, by the Constitution, the power to do certain things. To do these, it is authorized to collect and pay moneys, and for nothing else. Everything beyond this is usurpation, and a violation of the Constitution.”

I have given you an imperfect account of what he said. Long before he was through, I was convinced that I had done wrong. He wound up by saying:

“So you see, Colonel, you have violated the Constitution in what I consider a vital point. It is a precedent fraught with danger to the country, for when Congress once begins to stretch its power beyond the limits of the Constitution, there is no limit to it, and no security for the people. I have no doubt you acted honestly, but that does not make it any better, except as far as you are personally concerned, and you see that I cannot vote for you.”

I tell you I felt streaked. I saw if I should have opposition, and this man should go talking, he would set others to talking, and in that district I was a gone fawn-skin. I could not answer him, and the fact is, I did not want to. But I must satisfy him, and I said to him:

“Well, my friend, you hit the nail upon the head when you said I had not sense enough to understand the Constitution. I intended to be guided by it, and thought I had studied it full. I have heard many speeches in Congress about the powers of Congress, but what you have said there at your plow has got more hard, sound sense in it than all the fine speeches I ever heard. If I had ever taken the view of it that you have, I would have put my head into the fire before I would have given that vote; and if you will forgive me and vote for me again, if I ever vote for another unconstitutional law I wish I may be shot.”

He laughingly replied:

“Yes, Colonel, you have sworn to that once before, but I will trust you again upon one condition. You say that you are convinced that your vote was wrong. Your acknowledgment of it will do more good than beating you for it. If, as you go around the district, you will tell people about this vote, and that you are satisfied it was wrong, I will not only vote for you, but will do what I can to keep down opposition, and, perhaps, I may exert some little influence in that way.”

“If I don’t,” said I, “I wish I may be shot; and to convince you that I am in earnest in what I say, I will come back this way in a week or ten days, and if you will get up a gathering of the people, I will make a speech to them. Get up a barbecue, and I will pay for it.”

“No, Colonel, we are not rich people in this section, but we have plenty of provisions to contribute for a barbecue, and some to spare for those who have none. The push of crops will be over in a few days, and we can then afford a day for a barbecue. This is Thursday; I will see to getting it up on Saturday a week. Come to my house on Friday, and we will go together, and I promise you a very respectable crowd to see and hear you.”

“Well, I will be here. But one thing more before I say good-bye. I must know your name.”

“My name is Bunce.”

“Not Horatio Bunce?”

“Yes.”

“Well, Mr. Bunce, I never saw you before, though you say you have seen me; but I know you very well. I am glad I have met you, and very proud that I may hope to have you for my friend. You must let me shake your hand before I go.”

We shook hands and parted.

It was one of the luckiest hits of my life that I met him. He mingled but little with the public, but was widely known for his remarkable intelligence and incorruptible integrity, and for a heart brimful and running over with kindness and benevolence, which showed themselves not only in words but in acts. He was the oracle of the whole country around him, and his fame had extended far beyond the circle of his immediate acquaintance. Though I had never met him before, I had heard much of him, and but for this meeting it is very likely I should have had opposition, and had been beaten. One thing is very certain, no man could now stand up in that district under such a vote.

At the appointed time I was at his house, having told our conversation to every crowd I had met, and to every man I stayed all night with, and I found that it gave the people an interest and a confidence in me stronger than I had ever seen manifested before.

Though I was considerably fatigued when I reached his house, and, under ordinary circumstances, should have gone early to bed, I kept him up until midnight, talking about the principles and affairs of government, and got more real, true knowledge of them than I had got all my life before.

I have told you Mr. Bunce converted me politically. He came nearer converting me religiously than I had ever been before. He did not make a very good Christian of me, as you know; but he has wrought upon my mind a conviction of the truth of Christianity, and upon my feelings a reverence for its purifying and elevating power such as I had never felt before.

I have known and seen much of him since, for I respect him — no, that is not the word — I reverence and love him more than any living man, and I go to see him two or three times every year; and I will tell you, sir, if everyone who professes to be a Christian lived and acted and enjoyed it as he does, the religion of Christ would take the world by storm.

But to return to my story. The next morning we went to the barbecue, and, to my surprise, found about a thousand men there. I met a good many whom I had not known before, and they and my friend introduced me around until I had got pretty well acquainted — at least, they all knew me.

In due time notice was given that I would speak to them. They gathered around a stand that had been erected. I opened my speech by saying:

“Fellow citizens — I present myself before you today feeling like a new man. My eyes have lately been opened to truths which ignorance or prejudice, or both, had heretofore hidden from my view. I feel that I can today offer you the ability to render you more valuable service than I have ever been able to render before. I am here today more for the purpose of acknowledging my error than to seek your votes. That I should make this acknowledgment is due to myself as well as to you. Whether you will vote for me is a matter for your consideration only.”

I went on to tell them about the fire and my vote for the appropriation as I have told it to you, and then told them why I was satisfied it was wrong. I closed by saying:

“And now, fellow citizens, it remains only for me to tell you that the most of the speech you have listened to with so much interest was simply a repetition of the arguments by which your neighbor, Mr. Bunce, convinced me of my error.

“It is the best speech I ever made in my life, but he is entitled to the credit of it. And now I hope he is satisfied with his convert and that he will get up here and tell you so.”

He came upon the stand and said:

“Fellow citizens — It affords me great pleasure to comply with the request of Colonel Crockett. I have always considered him a thoroughly honest man, and I am satisfied that he will faithfully perform all that he has promised you today.”

He went down, and there went up from the crowd such a shout for Davy Crockett as his name never called forth before.

I am not much given to tears, but I was taken with a choking then and felt some big drops rolling down my cheeks. And I tell you now that the remembrance of those few words spoken by such a man, and the honest, hearty shout they produced, is worth more to me than all the honors I have received and all the reputation I have ever made, or ever shall make, as a member of Congress.

“NOW, SIR,” concluded Crockett, “you know why I made that speech yesterday. I have had several thousand copies of it printed and was directing them to my constituents when you came in.

“There is one thing now to which I will call your attention. You remember that I proposed to give a week’s pay. There are in that House many very wealthy men — men who think nothing of spending a week’s pay, or a dozen of them for a dinner or a wine party when they have something to accomplish by it. Some of those same men made beautiful speeches upon the great debt of gratitude which the country owed the deceased — a debt which could not be paid by money, particularly so insignificant a sum as $10,000, when weighed against the honor of the nation. Yet not one of them responded to my proposition. Money with them is nothing but trash when it is to come out of the people. But it is the one great thing for which most of them are striving, and many of them sacrifice honor, integrity, and justice to obtain it.”

The Religion of the Mask

A commentator and pastor recently noted that we a have reached a mark where two seemingly contradictory ideology’s define our society.

  1. There is a denunciation of all claims of absolute truth.
  2. There is powerful fanaticism in which one position or group is absolutely right, nothing at all ambiguous, and any divergent view should be expunged, removed or destroyed.

Interestingly, the second ideology will always attempt to fill the void created by the absence of the first. This contradiction of ideologies held within the same human mind is the definition of “double-mindedness” found biblically. It is also one of the signs of the times.

It is and always has been, that in the absence of absolute truth, “my truth” progresses down the road of authoritarian power to become “kneel before Zod!” It is the direction that corrupts the soul drawing one, in the words of Emperor Palpatine, to seek for “Power, unlimited power!”

In the absence of absolute truth, the Beatitudes are replaced with fanaticisms. These are ever-changing, non-eternal, and often entirely arbitrary relating to one’s ability to hold or grab power. Humility and healing are thrown out with the bathwater and half-truths are elevated to the level of ultimate individual justice.

The latest fanaticism is our wearing of masks. We’ve progressed miles past science in this personal truth and we now sit squarely in the realm of voodoo. Yet, this voodoo gets louder and stronger and more obnoxious the more it is proven to be a complete and utter fraud.

In Arizona, we’ve had a mask mandate for almost 150 days, Ohio for 112 days, Maryland for 106 days, New York for 128 days. Yet all of these states are currently threatening more shutdowns of schools, business, and gatherings because of a new “surge” in coronavirus.

Absolutely nowhere upon the earth have masks been scientifically shown to slow COVID-19 in real time after almost 6 months of trying. Not a state, not a country, . . . nowhere has this mandate been effective. The science published by the CDC itself even said masks would be ineffective for control of respiratory bacterial and viral infections prior to COVID-19 rearing it’s ugly head.

Yet, today through the necromancy of media, mask wearing has become the sign of worthiness for worship at the alter of Baal. It’s become the symbol of false righteousness many times over. The witch doctor atop the CDC has incredulously taught us through a daily camera dance, much like the rain dance of old, that masks are better than a vaccine.

Masks are a vaccine, of sorts, not meant to kill the virus, but to kill hope, liberty and civility within the human soul. The more they don’t work, the more we continue to and agree to wear them. Action is our communication with Providence that our fear is our greatest certainty and the flatness of the earth actually brings us comfort.

It’s no wonder we’ve attempted to elected one of our elders with dementia. He is the mask personified. The twice failed presidential candidate with a 49 year track record of public “service” never once improving humanity, government or the human condition. Let’s just try using him harder this time. It has to work. What could go wrong?

This failure has literally become sacramentalized. Fundamentalization of failure into the religion of the mask becomes a personal truth, when the increasingly preposterous becomes our governing idol.

This is the exact opposite of creation. It is the only religion that can exist in the absence of absolute truth. God’s grace steps into the void and compels the creation of good and holy. In opposition to this, the religion of the mask is the fanaticism that propels the abuse of everything so that one might worship the oppressed and then celebrate the anointing of nothing at all. Power over the abyss is the destination of those that govern.

It is the greatest swindle of all time. It is working on you, and it is working on me . . . so sayeth the mask.

(Adapted from Steve Deace’s mask commentary)

– Update – November 18, 2020 –

The Danish Study on Masks was finally published today. It is the largest and the ONLY randomized control trial (RCT) on 6000 people wearing masks and the results . . .

Masks DON’T protect you!!!

Authors state, to the chagrin of the CDC, that the results were NOT statistically significant, but Reuters and NY Times is going to spin this to say they protect you from others . . . that statement is, again, NOT statistically significant.

The CDC, prior to changing its position on universal mask-wearing, had previously cited 10 randomized controlled trials that showed “no significant reduction in influenza transmission with the use of face masks.” Now, the CDC and other elite institutions would have us believe that coronavirus is somehow different. The Danes were the first to actually study the effect of large-scale universal mask-wearing specifically against the spread of COVID-19.

Remember in science class when you found out that the placebo effect was up to 40%? The FDA will NOT approve ANY drug or medical treatment unless is passes 40% effectiveness (placebo) for effect.

Masks ARE NOT, and never have been, any more effective than placebo. . . Period. Hard stop. End of story. And, the ONLY RCT trial ever done now proves it. I can give you a Skittle and you’re probably less likely to get COVID-19 then you are wearing a mask. . . the reason is placebo, up to 40% reduction if I tell you that “it’s a powerfully protective Skittle.”

Interestingly, this study was completed in October, but three medical journals refused to publish it because it “wasn’t politically correct.”

Hmmm. That should tell you something.

High Fat? High Protein? Low Protein? What is really ketogenic?

The daily question that I get asked by my patients, and from those around the internet, relates to burning one’s own fat. “Don’t you have to limit the calories and limit fat you eat to burn your own body fat?

It seems everyone has a differing opinion on this question and a few of them have two opinions (you know who you are).  Very few of these opinions are grounded in the actual science of weight loss.

I hear coaches, trainers and even a number physicians argue, name call and rant about the need to cut calories to lose fat.  Yet, most of my patients “cut their calories” 200-1000 per day without successful fat reduction.  They may increase their exercise by 400-600 calories per day and still no weight loss.  This is the same crazy ineffective instruction we’ve been given for the last 50 years.

To be honest, there is a percentage of those in the fitness and modeling worlds upon which this dogma is effective and that is because of normal insulin levels and significant exercise. However, for the other 85% of the world who work over 40-80 hours a week, have children and families, serve in our churches and occasionally have a social life, myself included, it doesn’t work.  If we were all paid to exercise 2 hours a day and take “butt selfies” on Instagram, it might be easier.

Yes, you will probably lose 20 lbs. with calorie restriction, but your testosterone will drop by up to 50%, sex hormone binding globulin will double, and over time your basal metabolic rate will slow due to dramatic and often permeant reduction in thyroid function.  This makes it nearly impossible to lose more than that 20 lbs, and then you will regain the weight once calorie levels return to normal within 18-24 months.  (No one ever talks about that little problem, do they?)

For those of you that want to see success in weight loss, let’s outline a few essential principles that the trainers, keto-coaches and social media talking heads aren’t mentioning.

First, insulin has to be kept at a baseline.  The reason that 85% of people don’t, won’t and can’t see effective weight loss beyond 20-30 lbs long term (greater than 2 years) with calorie restriction is that 85% of the population has some degree of insulin resistance.  It’s not a disease, it’s a syndrome associated with the effect of the standard American diet.  I wrote a whole book about it called The Keto Cure.  We know that insulin and catecholamines increase the rate by which fat is stored.

Second, glucacon is a counter active hormone to keep your blood sugar from bottoming out.  The presence of glucagon stimulates fat burningIntermittent fasting and ketogenic dietary intake allow blood sugar to drop below 70 mg/dL (3.9 mmol/L) causing glucagon release and stimulate increased release of free fatty acids from the fat cells.

Third, two hormones, epinephrine and norepinephrine, are produced when blood sugar drops below 67 mg/dL (3.7 mmol/L).  Exercise lowers blood sugar to this level and stimulates additional burning of fat by engaging the release of glucagon and epinephrine and norepinephrine.  Exercise, also, has three other myokine hormonal effects making weight loss more successful when the diet is correctly balanced.

The fourth principle that is essential to understand relates to growth hormone.  Growth hormone stimulates and preserves muscle tissue, has a suppressive effect on insulin. Growth hormone increases with exercise, sleep, intermittent fasting and when protein intake is at least greater than 90 grams per day in women and around 1 gram of protein per body weight in men.  This is notably higher than previous calculations on protein that I have written about in the past.  Recent research, also found here, here and here, demonstrates that increased protein above 90-100 grams per day enhances muscle growth and stabilization and further suppresses insulin production beyond what we previously understood.
——

——

Contrary to what the media has been saying about protein sources, not all protein is absorbed in the same way.  When it comes to absorption in the human gut and use by the human metabolism, protein sources differ in their effectiveness:

    • Egg protein utilization – 50%
    • Meat protein utilization – 40%
    • Cheese protein utilization 35-40%
    • Whey protein utilization – 18%
    • Vegetable protein utilization – 14%

Lastly, release of fat from the fat cell is mediated by natriuretic peptides and cGMP through the release of catecholamines, prostaglandins and nicotinic acid.  Interestingly, the major positive regulators of human lipolysis are catecholamines and natriuretic peptides (NPs). Fatty acid release from fat cells triples when catecholamines and natriuretic peptides are released.  Catecholamines are produced by exercise, stimulants and stress, and natriuretic peptides are stimulated by short change fatty acids (ketones).

For the science geeks in who follow my blog, I’ve included the following picture that summarizes the effects of these hormones on the fat cell.  The figure below shows the major pathways by which insulin, thyroid, catecholamines, testosterone and sympathomimetics effect fatty acid release from adipose tissue.

Primary signaling pathways in human lipolysis. Black and red lines indicate pro-lipolytic and anti-lipolytic signaling events, respectively. Arrows indicate stimulation and/or translocation and blunt lines indicate inhibition. Stimulation of lipolysis is dependent on PKA- or PKG-mediated phosphorylation of HSL and PLIN1. PKG is activated by cGMP, which is increased in response to activation of the GC-coupled NPR-A. Similarly, stimulation of the Gs-protein-coupled β1/2-ARs activates AC, which generates cAMP and activates PKA. Conversely, activation of Gi-protein-coupled α2-ARs inhibits AC and thereby reduces cAMP-dependent signaling to lipolysis. Stimulation of the insulin signaling pathway through the IR increases the activity of PDE3B, which converts cAMP to 5′-AMP, thus decreasing PKA activity and suppressing lipolysis. PKG activity is reduced by PDE5-mediated conversion of cGMP to 5′-GMP, although the upstream signals regulating this process are currently unknown. The dashed line indicates a putative Akt-independent insulin pathway acting selectively on PLIN1. α2-ARs, α2-adrenergic receptors; AC, adenylyl cyclase; TG, triglyceride; ATGL, adipose TG lipase; β1/2-ARs, β1- and β2-adrenergic receptors; CGI-58, comparative gene identification-58; DG, diacylglycerol; FFA, free fatty acid; GC, guanylyl cyclase; HSL, hormone-sensitive lipase; IR, insulin receptor; IRS1/2, IR substrates 1 and 2; MG, monoacylglycerol; MGL, monoglyceride lipase; NPR-A, type-A natriuretic peptide receptor; PDE3B, phosphodiesterase 3B; PDK, phosphoinositide-dependent kinase; PI3K, phosphatidylinositol 3-kinase; PKA, protein kinase A; PKB/Akt, protein kinase B; PLIN1, perilipin 1. (Journal of Molecular Endocrinology 52, 3; 10.1530/JME-13-0277)

The take home message from this information is this, effective long term weight loss cannot be achieved by calorie restriction.  Effective weight loss (specifically fat loss and muscle gain) is most effectively achieved when carbohydrates are restricted, protein is optimized, and proper exercise adequately triggers the release of fat burning hormones.

Click HERE and get a copy of my ketogenic diet.

Get a copy of my diet and 13 learning modules with coaching and online assistance by becoming a member of Dr. Nally’s KetoClan.

I’d like to know, what combination has been most effective for you?

Have a great day!

Adam (eat your bacon) Nally, DO

Keto Approved Foods

I’ve been living and teaching patients about using a low-carb/ketogenic and carnivorous lifestyles for over 16 years.  I get thousands of questions each month about what to eat. People ask:

  • “What foods are ketogenic lifestyle approved?”
  • “Can you just give me a list of approved keto foods?”
  • “But, can’t I just have some oatmeal?”

In the past, I’ve given people seven day diets, and I’ve given them food lists.  But, you know the proverb, “give a man a fish . . .”  People still seem confused.  I’ve tried teaching people the simple ketogenic principles, “teach a man to fish . . .”  and this helps a few others.  However, there still seems to be great confusion about what foods can and should be used in a ketogenic lifestyle.  Today, I thought I would try to combine both approaches and discuss the basic macro-nutrients that make up a well formulated ketogenic diet.

Carbohydrates

Let’s start with carbohydrates.  The first principle that must be followed to enter and stay in ketosis is keep insulin from spiking.  This is done by keeping total carbohydrate intake less than 20 grams per day.  The liver produces a small amount of carbohydrate every day to protect the brain.  Therefore, a low baseline level of continuous insulin production is essential to maintain life.  However, it’s the large spikes of insulin after ingesting carbohydrate containing meals that cause the problems.  We talk about this at length in my book The Keto Cure.

Carbohydrates are the foods that most commonly cause insulin to spike.  It is the rapid rise or spike of insulin levels that drive weight gain, arterial plaque formation, heart disease, inflammation, neuropathy, kidney stones, gout and thyroid problems.  Simple and complex carbohydrates cause insulin to surge.  Those same simple and complex carbohydrates are the sugars (monosaccharides & disaccharides) and starches (polysaccharides) found in foods.

Fibers are also complex carbohydrates (polysaccharides) in the form of cellulose, lignin and pectin that are more difficult for human digestive enzymes to break down into simple digestible forms of carbohydrate.  However, juicing, blending or cooking fibers releases the carbohydrate from the complex form and makes them available to our bodies.

Carbohydrates in their various forms are present in varying amounts in foods like fruit, vegetables, grains, beans, legumes, milk, and processed foods like candy, soda & sweets. (These are the foods to limit or completely avoid).

In general, raw leafy greens contain cellulose and the carbohydrates in these vegetables when eaten raw do not need to be counted.  You are free to eat as much as you desire.  However, cooking, blending or juicing the leafy green (as noted below) does break the cellulose bonds and increases carbohydrate absorption (that is why cooked, blended, or juiced vegetables taste “sweeter”).

NOTE: I recommend 1-2 cups of raw leafy greens per day.  Leafy greens are one of the highest sources of folic acid (spinach, asparagus & okra) and without them in the diet, there is a potential risk of folate deficiency if it isn’t present in animal fat sourcesa.  This is especially problematic in pregnant and breast feeding mothers.  Yes, I hear you, eggs and meat are another source of folic acid; however, leafy greens like spinach contain four times the folic acid that eggs and meats do.  Even iceberg lettuce contains more folic acid than eggs (this is why I caution pure carnivore diets in women of child bearing age without folic acid supplementation).

Foods that are loaded with sugars and starches that should be AVOIDED or USED WITH GREAT PRUDENCE include:

Non-Leafy Green Vegetables (1 cup raw or 1/2 cup cooked) – 10 grams of carbohydrate

Asparagus
Bamboo Shoots
Beans (yellow or green)
Beets
Broccoli
Brussell sprouts
Cauliflower
Cabbage
Celery Leaves
Egg Plant
Leeks
Mushrooms
Okra
Onions
Green Onions
Scallions
Pea Pods
Peppers: Green, Red, Sweet, Hot
Sauerkraut
Spinach
Summer Squash
Turnips
Tomato
Zucchini
(Corn, Carrots and Potatoes are not listed here due to their higher carbohydrate content)

Fruits (portions below) – 15 grams of carbohydrate

Apple (1 small)
Apple Juice (1/2 cup)
Apple Sauce (1/2 cup)
Apricots (2 fresh) Page | 5
Banana (1/2)
Berries (blueberries, black berries, strawberries, loganberries, raspberries – 1 cup)
Cantaloupe (1/4 of a 6 inch melon)
Cherries (12)
Cranberries (1 cup)
Dates (3)
Figs (Fres
Grapefruit Juice (1/3rd cup)
Grapes (17 small)
Honeydew melon (1/8th of a 7inch melon)
Kiwi (1)
Lemons (2)
Mango (1/2)
Nectar (1/3rd cup canned)
Nectarine (1)
Orange (1 small orange)
Orange Juice (1/2 cup)
Peach (1 medium)
Pear (1 small)
Pineapple (1/2 cup chopped)
Plumbs (2)
Prune Juice (1/3 cup)
Prunes (2 fresh or dried)
Raisins (2 Tbsp)
Rhubarb (1 cup cooked)
Tangerine (1)
Watermelon (4 inch x 1 ½ inch thick wedge)

Breads (portions below) – 20 grams of carbohydrate

Bread: white, wheat, French, rye, pumpernickel (1 slice)
Bagel (1/3rd)
Biscuit or Roll (1 small)
Breadcrumbs (1/4th cup dry, grated)
Bread-stick (1)
Buns: hamburger, hot dog (1/2 bun)
Cereal – cooked (1/2 cup)
Cereal – puffed (1 cup)
Cereal – flakes (1/2 cup)
Corn (1/3rd cup or 1 small cob)
Crackers:
Graham (three 2 ½ inch squares)
Oyster (1/2 cup)
Saltines (5)
Soda (3)
Zwieback (2)

Macaroni noodles (1/2 cup cooked)
Matzo (one 5 inch square)
Muffin – English (1/2 plain)
Muffin – bran (1 small) Page | 6
Toast – Melba (4 rectangles)
Pasta (1/2 cup) Peas – green (1/2 cup)
Pita bread (1 small)
Popcorn – air popped, dry (3 cups)
Potato – New, Russet or sweet (1/2 cup)
Pretzels (3/4th oz)
Rice – cooked (1/3rd cup)
Rice Cakes (2 plain)
Tortilla (1 small)

Dairy (portions below) – 25 grams of carbohydrate

Milk – whole, 1%, 2% and skim (1 cup)
Powdered Skim Milk – dry (1/3rd cup)
Yogurt:
Plain (1 cup)
Light – sweetened with NutraSweet (1 cup)
Regular – fruit filled (1/2 cup)
Cottage Cheese (2 cups)
American Cheese (12 slices)

You may use hard cheeses, cream cheese, sour cream, and mascarpone as great options on a ketogenic diet because they contain very little carbohydrate and are high in fats.

Proteins

Proteins are large molecules made of of long chains of amino acids and are essential for a vast array of functions within the human being including structural formation, enzymatic reactions, immune response, cell adhesion, DNA replication, and molecular transport to name just a few.  There are 22 amino acids that make up the protein molecules used in the human body.  Interestingly, microorganisms and plants can make all 22 of these amino acids on their own.  However, humans (and a number of other mammals) can’t make 15 of these amino acids on our own and we must obtain them from our diets.

How much protein do you actually need? Understanding your individual needs baseline protein needs can be calculated from your ideal body weight (IBW).  IBW can be very easily calculated from your height and your level of activity.  I give you this calculation because many female patients I see do not eat enough protein.  Lack of protein will halt weight loss (as the body thinks it is starving.)

Your daily protein need can be calculated by the following:

Males: IBW =  50 kg + 2.3 kg for each inch over 5 feet.  Males need 1.2 g protein per kg of IBW.

Females: IBW = 45.5 kg + 2.3 kg for each inch over 5 feet. Females need 1.0 g protein per kg of IBW.

If you are exercising more than 30 minutes 3 days per week then those values increase to 1.4 grams per kg for females and 1.6 grams per kg for males.

Example:

A 6 foot male’s IBW would be 50 kg + (2.3kg x 12 inches) = 77.6 kg  x 1.2g/kg if sedentary or 1.6g/kg if exercising 4-5 days per week. 

A 5 foot 4 inch females IBW would be 45.5 kg + (2.3kg x 4 inches) = 54.7 kg x 1.0g/kg if sedentary or 1.4g/kg if exercising 4-5 times per week.

 

This will give you a starting point for your daily protein needs and you can divide this number by the number of meals per day to get the protein needs at each meal.  However, many of my patients after three months of ketogenic living need more protein to continue seeing weight loss.

What if I eat too much protein? There is still significant controversy over exactly how much protein is necessary on a daily basis.  The reason is that many amino acids when ingested in significant amounts stimulate an insulin surge by themselves. These include arginine, lysine and tryptophan.  Eating proteins that are high in these three amino acids in my very insulin resistant patients will raise insulin enough to halt weight loss, cause worsening inflammation, raise blood pressure and cholesterol.

Do you have to avoid these foods on a ketogenic diet? No, however, when you are using them more than 2-3 times a week, weight loss is inhibited and one’s ability to maintain ketosis is blunted.

However, two recent studies(1, 2) demonstrate that when protein intake is increased beyond a certain threshold, growth hormone counterbalances the insulin response and stimulates muscle growth instead of weight gain. That threshold seems to be around 90 grams of protein per day as women and 150 grams of protein as men.

Yes, this is much higher protein in take than the calculation for baseline protein needs we’ve used for years outlined above.  We are learning a great deal about protein.  For years, we’ve been missing the mark on protein needs.  This revolves around the need of leucine to stimulate muscle growth.

What proteins can you use?  The following list should be helpful.  Remember that protein and fat often come packaged together in nature.  As we discuss below, to maintain adequate ketosis, total fat intake should between 70-90% of your total calories.  In order to maintain fat contents greater than 70%, you’ll want to use proteins sources that are the highest in fat (like red meat and pork) or add fat (like cooking in butter or coconut oil) to those that are lower in fat content.

Food:                                                                       Protein Content:                           Fat Content:

Ground Beef (75% Lean) –                                    16 grams per 4 oz.                                  78%

Steak (Ribeye) –                                                      39 grams per 8 oz.                                  74%

Steak (Top or Bottom Round) –                         33 grams per 6 oz.                                  53%

Bacon (pan fried) –                                                 3 grams per 1 slice                                 69%

Sausage (beef) –                                                      14 grams per 3.5 oz.                               79%

Sausage (pork) –                                                      17 grams per 3.5 oz.                               75%

Pork Chop (boneless) –                                         18 grams per 3 oz.                                  31%

Ham (cured whole boneless) –                           19 grams per 3.5 oz.                               28%

Sockeye Salmon –                                                  23 grams per 3 oz.                                  22%

Halibut –                                                                    23 grams per 3 oz.                                  19%

Chicken Breast (boneless, skinless) –                24 grams per 3 oz.                                  18%

Turkey Breast –                                                        24 grams per 3 oz.                                  15%

Tilapia –                                                                      21 grams per 3 oz.                                  13%

Yellowfin Tuna –                                                      25 grams per 3 oz.                                  10%

Light Tuna –                                                             22 grams per 3 oz.                                  8%

Deli Meats:

Pepperoni –                                                              18 grams per 3 oz.                                  83%

Roast Beef –                                                             21 grams per 3 oz.                                  48%

Canadian bacon –                                                   17 grams per 3 oz.                                  42%

Roast Turkey Breast –                                            18 grams per 3 oz.                                  15%

Snacks:

Beef Jerky (Jack Links) –                                          13 grams per 1 oz.                                  9%

Peanut Butter (Peter Pan Crunchy) –                 8 grams per 2 tbsp.                              76%

Macadamia nuts, raw                                             2.2 grams per 12 nuts                           89%

Mixed Nuts –                                                               6 grams per 2 oz.                                  79%

Almonds, raw –                                                          6 grams per 1 oz.                                   66%

Walnuts, raw –                                                           4 grams per 1 oz.                                    85%

Sunflower seeds, raw –                                            6 grams per 1 oz.                                    76%

Tofu –                                                                          12 grams per 3 oz.                                   30%

Greek Yogurt –                                                        23 grams per 8 oz.                                  0%

Cheeses:

Cream Cheese –                                                       11 grams per 3.5 oz.                               79%

Cheddar Cheese –                                                   24.6 grams per 3.5 oz.                           74%

Swiss Cheese –                                                         24 grams per 3 oz.                                 66%

Ricotta cheese –                                                      10 grams per 3.5 oz.                               63%

Eggs –                                                                        6 grams per 1 large egg                        70%

Look for foods who’s ratio of protein to fat is close to or greater than 1:1.  For example, eggs are 6 grams of protein and 6 grams of fat.

It is essential to understand that not all sources of protein are equal in their absorption in the human gut.

  • Egg protein utilization – 50%
  • Meat protein utilization – 40%
  • Cheese protein utilization – 40%
  • Whey protein utilization – 18%
  • Vegetable protein utilization – 14%

Therefore, the two most important things you can do to optimize your ketogenic lifestyle is lower the carbohydrate intake to less than 20 grams per day, and use adequate high quality protein. Muscle gain and fat loss are most effectively achieved when high quality protein is used.

If you are struggling or just getting started, get a copy of Dr. Nally’s Ketogenic Diet here.