Tag: Calorie Restriction

June 1, 2017

KetoTalk LIVE on the Boat: Episode #69

Listen in to our live audience recording of KetoTalk Episode #69 while cruising around Alaska!

Questions You Can Find Answers to On This Podcast:

– Can your fasting blood sugar creep up if you’ve been low carb for a long time?
– What combination of electrolytes do you need to prevent leg cramps while keto?
– Should I use a keto diet to treat an immunosuppressed system?
– How does a keto diet effect someone with low stomach acid levels?
– Does plaque leave your arteries when you go keto, or do you have it forever?
– What is the best time to test blood sugar?
– Why does some bacon have sugar, and should I be eating it? What about nitrates?
– How do you account for the variations in home glucose meter readings?
– Why are most artificial sweeteners not a good idea?
– Can keto help Reynaud’s Syndrome?
– Is there a role for energy balance on keto specifically after hormones have been normalized?
– Why do some people get keto rash?
– Is my raised blood sugar levels telling me that I am still healing?
– Stalled weight loss after gastric band
– Why do you sometimes go out of ketosis after exercise?
– What is the difference in using MCT oil vs coconut oil?
– What is the proper timing of supplementing with bone broth and other electrolytes?
– Are food sensitivity tests a good idea?
– If calories don’t matter, why do things like the rice diet work?
– Why do I wake up hungry in the middle of the night?

Dr. Nally’s KetoLiving Muti-Vitamin Formulation

April 14, 2016

Ketogenic Lifestyle Side-Effect: Pregnancy

Be warned, a ketogenic diet may cause pregnancy . . . !

Infertility and poly-cystic ovarian syndrome (PCOS) is a common occurrence in women with insulin resistance, pre-diabetes and diabetes. When treated with a ketogenic lifestyle, these symptoms often improve dramatically, and in fact, I’ve had a number of women in my medical practice, previously unable to conceive due to PCOS, get pregnant after changing to a ketogenic diet.

We discuss PCOS, as well as CrossFit, NSAIDs, Toxic Mold, And Calorie Restriction On Keto-Talk this week. Tune in here on you computer or down-load today’s podcast on iTunes for free. You won’t be sorry.

July 7, 2015

Bariatric Surgery vs Dietary Weight Loss

A recent study, published in JAMA Surgery, this week compares the three-year outcomes of bariatric surgery versus lifestyle intervention for type II diabetics. This particular study made the headlines of the Wall Street Journal because the outcomes revealed “Weight-Loss Surgery Better Than Diet and Exercise in Treating Type 2 Diabetes…”

Really?! That is news to me, a baratrician that’s been treating type II diabetes for over 15 years! This simple three year study in 62 patient contradicts what I’ve seen in my office for 15 years. This study and the media-hype associated with it are a serious problem. Why? Because the study was based on a flawed design.

We all know that baratric surgery has significant weight loss as a result. And, we all know that most of those patients with diabetes have significant improvement in their diabetes at the 2-5 year mark (what happens after 5 years is a completely different story). But why compare that to a poorly designed lifestyle protocol that failed to show successful weight loss? Yes, poorly designed.

This study was based on protocols from the Diabetes Prevention Program and the Look AHEAD trial, both of which were very large trials restricting calories, fat and increasing exercise. Both of these trials failed to show any significant weight loss and failed to produce any significant reduction in overall mortality. Why? Because both trials used the wrong dietary approach. We’ve know for years, as was emphasized by the Women’s Health Initiative study as well, that caloric restriction combined with exercise doesn’t reduce body weight in the long run by more than 1%. So the bariatric surgeons in the study above compare a known effective treatment to a known ineffective treatment? And, it gets Wall Street Journal Headlines. It’s a sad day for medicine. And an even sadder day for the treatment of obesity.

Is no one listening? Weight loss is not a question of thermodynamics – it is not the calorie in / calorie out dogma we’ve been brainwashed into believing over the last 50 years. Weight loss is hormonal. The study published in JAMA Surgery this week proves that. Baratric surgery effects grelin and the forced dietary changes reduce insulin (patients receive what equates to a low carbohydrate diet post bypass surgery). Both of which have significant effect on weight gain and loss. Caloric restriction and exercise affect neither of these.

Carbohydrate restriction, on the other hand affects insulin dramatically. Carbohydrate restriction turns off the tremendous excess insulin hormonal response that occurs in up to 85% of the patient’s I see in my office. Call me when the bariatric surgeons actually compare bariatric surgery to a true ketogenic diet.

March 27, 2015

Why Does Your Chicken Salad Stop Weight Loss?

I have multiple patients that come to my office that we follow and treat for weight loss and metabolic syndrome. They are discouraged that their weight loss has stopped or is very, very slow. The most frequent problem I find when they bring in their food journals is the “healthy chicken salad.”

“What?! But, Doc, Chicken Salad is healthy?! RIGHT?”

The chicken salad shows up on their journal almost daily. Somehow, we’ve been indoctrinated that the chicken salad is good for us. I want you to look closely at the image that was recently shared on the internet below. How is the nutrient value of your chicken salad any different than the Big Mac?

Why is this unhealthy? The carbohydrate content greater than 20-30 grams will cause a spike in insulin. When insulin spikes, the body is told to store fat (and it will store fat for up to 12 hours) . . . Yes, the 24 grams of fat in the salad now become dangerous in the presence of an insulin spike. In my patients with metabolic syndrome, they will produce between two and ten times the insulin and store two to ten times the fat. (Ten Big Macs would have tasted better . . . )

There is actually more carbohydrate in your salad than in the big mac. Why not add a strawberry shake just to finish putting the nail in the coffin? And we wonder why we are having trouble with weight loss?

The other issue, and probably of even greater importance, is that chicken breast has the second highest content of lysine & argenine (two of the 10 essential amino acids) count of all the poultry family. This is second only to turkey breast, which also contains a large amount of tryptophan (a third essential amino acid that spikes insulin). Why is this a problem? Because argenine, tryptophan and lysine all stimulate an insulin response on their own, separate from glucose. We need these amino acids, however, when our meals contain a predominance of these amino acids, it rasies insulin significantly in those who are insulin resistant (pre-diabetic).

Those 43 carbohydrates, plus the stimulus from a meat high in argenine, lysine and tryptophan, spike your insulin, kick you out of nutritional ketosis and slow weight loss for up to 48 hours.

Please, if you are following a low-carb or ketogenic diet, get rid of the chicken salad.

If you want to learn more about this, read my article on the eight most common reasons you can’t lose weight.

June 2, 2014

Inflammation Killer – A Ketogenic Diet

Symptoms of Inflammation seen in Diabetes Mellitus

A recent study published in the Annals of Internal Medicine demonstrate significant improvement in overall inflammation in type II diabetic patients following a carbohydrate restricted diet versus a low fat calorie restricted diet. Another bit of proof demonstrating what I’ve been seeing in my office over the last 8 years. The study reveals significant improvement in glycemic (blood sugar) control in those following a low carbohydrate diet as well as significant lowering of C-reactive protein, IL-1 and IL-6 over those following a low fat diet. You can see the study here.