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Tag Archives for " keto "

March 28, 2024

Using food to improve your mental health with Dr. Georgia Ede

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On episode 635 of the 40+ Fitness Podcast, we meet Dr. Georgia Ede and discuss her book, Change Your Diet, Change Your Mind and how food can be used to help with mental health issues. 

Transcript

Let's Say Hello

Rachel Discussion

Interview

Text – https://amzn.to/3xivF9q


Post Show/Recap

Post show with Rachel.

Music by Dave Gerhart

Patreons

The following listeners have sponsored this show by pledging on our Patreon Page:

– Anne Lynch– Ken McQuade– Leigh Tanner
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December 14, 2020

How to end carb confusion with Dr. Eric Westman and Amy Berger

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If you ask people who watch their carbohydrates how many you can eat, you'll get dozens of answers. Dr. Eric Westman and Amy Berger help you end your carb confusion.

Dr. Westman is an associate professor of medicine at Duke University. He is board-certified in obesity medicine and internal medicine and founded the Duke Keto Medicine Clinic in 2006 after eight years of clinical research regarding low carbohydrate ketogenic diets

Amy Berger is an Air Force veteran and certified nutrition specialist who specializes in helping people do keto without the crazy. She has a master's degree in human nutrition and writes about a wide range of health nutrition-related topics such as insulin, metabolism, weight loss, diabetes, thyroid function, and more.

Transcript

Let's Say Hello

[00:00:50.270] – Allan
Raz, how are you doing?

[00:00:54.250] – Rachel
Good, Allan. How are you today?

[00:00:56.020] – Allan
I'm doing well. We made it back down to Panama in one piece. Travel issues all the way along, running away from/dodging Covid, as I talked about earlier, because it just seemed like the caseloads that were really picking up. And we're seeing that now with the reporting on the news and all. But, you know, we're back here, case loads on the island and across most of Panama are reasonable. But, it just it's going to be here till it's not.

[00:01:22.900] – Rachel
Right.

[00:01:23.330] – Allan
We've got to take one day. And I know they're doing, you know, shutdowns again. And as we're going through this. And so I know it's really hard on folks right now. But, keep your chin up. Keep focused on New Year's coming. You can get through this where you've gotten this far. You can get through this. I just, you know, put your sights on what's important to you, your family, your health. And if it's your fitness, find ways to do it at home.

[00:01:47.750] – Rachel
Mm hmm. That's right. We didn't come this far to come this far. So we can just keep it up and we'll get through the holidays and into next year. It'll be great.

[00:01:56.650] – Allan
So how are things up in Michigan?

[00:01:58.630] – Rachel
Cold, like, if I could, we haven't seen a ton of snow quite yet, but I know some places around us are getting it. So I'm I'm looking forward to the snow because if it's going to be cold, it might as well be pretty. And running in the snow is pretty entertaining for me as well. So I'm looking forward to that.

[00:02:18.810] – Allan
Just watch for the ice. Particularly early in the season and late in the season where you get that melt and then refreeze and then snow on top. Just mind your footing.

[00:02:29.980] – Rachel
That's right.

[00:02:31.900] – Allan
Our guests today are actually pretty cool. I've met both of them at Ketofest and talked to both of them at Ketofest. And I've had both of them on the podcast before, Dr. Eric Westman and Amy Berger. So why don't we go give them a chat?

Interview

[00:03:28.840] – Allan
Amy, Dr. Westman, welcome to 40+ Fitness.

[00:03:32.080] – Dr. Westman
Thank you.

[00:03:32.920] – Amy
Thanks. Thanks for having us.

[00:03:34.180] – Allan
Well, Amy and I have to say welcome back because I have had you on before, so it's really good to see you two again and to be talking to you. You know, we've met at Ketofest and spent a little bit of time talking, so I'm very familiar with your work. And I was really excited to see the new book, End Your Carb Confusion: A Simple Guide to Customize Your Carb Intake for Optimal Health.

[00:03:55.000] – Allan
And it's kind of a it's a keto book obviously, when we talk low carb, most people are going to get into ketosis at some level. But this is this is something I think that makes it simple. So many carbs. They want simple rules. But you actually took the process and said, hey, we're not going to give you a cookbook, we're not going to do it. We're just going to say, look, here's how you understand what carbs are doing to you.

[00:04:18.580] – Allan
And here's a layout of a plan. And I think having that plan walks them through. It's like these are the foods you can eat. These are the foods you stay away from and you give the reasons why. I just think that is so very well put together. Book to end carb confusion.

[00:04:34.300] – Dr. Westman
Thank you. You know, we have been working in the low carb space and yes, I'm known as the keto Guy. As a researcher, I helped to validate the low carb diets over the last twenty years. And but I also realized there are a lot of other ways to go about things. And I'm in a clinic treating people grounded. And I think that's helped me understand that there are a lot of ways, there are a lot of carbs that some people can eat.

[00:05:03.010] – Dr. Westman
But in fact, I have a brother who can eat all of these carbs and he's never gained weight. So using kito diet in the clinic and the book, I would say it's keto and more. And we never say you have to do keto and we help you find out whether you do need it or not. And I have tried to bring in really the science not just from my own research, but the science on low glycemic diets, the science on just the lower carb types of diets that have come out well over the last twenty years.

[00:05:36.580] – Dr. Westman
But yes, I am an author on the new Atkins for a new You and keto clarity. And but this is my first solo venture. I'm trying to bring in all of the information I've learned from other researchers as well. I look to Christopher Gardner at Stanford, David Ludwig at Harvard, and the common theme is sugar is the bad guy, not fat.

[00:06:03.490] – Dr. Westman
And so knowing that I'm in a clinic still and busy, I teamed up with Amy Berger, who is a professional writer, I'm not. I'm a researcher and a scientific writer. And so Amy had a way of articulating the same ideas in a very readable format. So you're not going to be reading a lot of my words. They're also Amy's and she's been in this space for just about as long as me, not in the research world. But so I'm really trying to bring the knowledge that I've gained into a readable form.

[00:06:38.560] – Dr. Westman
And this, I hope, is for the general public to read. It's not, you know, low carb. Or I'm going to lock you up in a low carb prison. It's understanding how can my brother eat one hundred and fifty carbs a day and still be healthy? You know, it's understanding that.

[00:06:57.460] – Allan
Yeah. And Amy and Dr. Westman. Yes. That's the one thing I would say about this book is it didn't bury me in the science because a lot of books do. It was very clear. And I think, you know, for someone who's looking at this space and has just gotten scared or confused and again, don't they don't understand why can my significant other eat that way and not gain a pound? But I look at a donut and, you know, so it's very well done. I really appreciate it.

[00:07:29.440] – Allan
Let's take that conversation about sugar a little bit further, because for decades, just stay away from fat, stay away from fat, stay away from fat. And the food companies were really nice about making the food taste good by just replacing the fat with sugar. And that's been horrific on our help. Can you explain what exactly is going on in our body when we're ingesting too much sugar?

[00:07:53.590] – Dr. Westman
Sure. You know, we really rediscovered or gone back to one hundred years ago when this was all well understood. It's like we came through a period of time where it all got messed up, the focus on fat and the food. And so the understanding, of course, is deeper now. But it's been known for a long time that if you eat or drink sugar, you raise the blood sugar or glucose more specifically, and then that causes an insulin response in the body.

[00:08:24.070] – Dr. Westman
And it's glucose insulin response, we now understand, is the root cause for the atherosclerosis or the heart disease, the stroke, the kidney disease and diabetes. Of course, diabetes is defined as an elevated blood sugar. So patients again, I teach this in a clinic in North Carolina where I have to have a lot of different people understand what we're talking about. And they understand that if you drink sugar, like sweet tea, it raises the blood sugar. And why we've forgotten that is a whole other story.

[00:08:59.590] – Dr. Westman
But we start the book by talking about how things aren't perfect now. The focus on fat does not solve our problems. And the real reason is what sugar does in the body, sugar and insulin, glucose and insulin.

[00:09:15.050] – Allan
You know Amy, as I was into the book and we got into we got into the discussion of glycation, I think that's that was some of the, I guess, a wake up word for me. You know, when your blood gets sticky, bad things are going to happen.

[00:09:27.640] – Amy
Yeah, that's it's kind of an oversimplification, although kind of like you said, I mean, the subtitle of our book is A Simple Guide to Customising. You know, Eric and I both are frankly stunned at how complicated a very simple way of eating has been made out to be the last few years. So we we purposely wrote this book to appeal to a very broad audience, you know, maybe to be appealing to the people on Twitter and Facebook and Reddit that eat, sleep and breathe keto and low carb all the time.

[00:10:03.430] – Amy
But also, this is the book to give to your mother or your cousin, the one that has obesity or has diabetes. But they're never going to do a keto diet. They're never going to learn about Amthor and Autophagy and all this stuff. They just want to feel a little better. And anyway, with the with the glycation, you know, we we try to explain everything without the scientific jargon and the gobbledygook. It's all written in plain English.

[00:10:29.290] – Amy
And we explain why glycation is basically for people that don't realize that diabetes is really a vascular disease. It's a blood vessel disease. Cardiovascular disease is the number one actual cause of death in people with Type two diabetes. And this is why people with diabetes have so many problems with the eyes and the kidneys, because these organs or these tissues have tiny tiny, very, very fragile blood vessels, and when your blood is, for lack of a better word, very sticky with sugar and viscose, think of it like instead of water flowing through your veins.

[00:11:04.350] – Amy
Now you've got molasses trying to flow through your veins. Your heart's trying to pump this sticky sugar. And not only is a blood sticky, the blood vessels are mocked up and gonked up with sugar. The whole system is just more fragile. And this this is the root of many of the problems that people with diabetes have. But something that we really harp on in the book that is like a huge mission for me to help educate people about is that even when your blood sugar is normal so you don't have diabetes or prediabetes, your blood sugar can be totally normal.

[00:11:40.050] – Amy
But you might have a lot of these problems because you have really high insulin. The reason your blood sugar is normal is because that insulin is keeping it in check. So whether or not your blood sugar is normal, you still might be living with this long list of issues that come from these metabolic problems driven by by consuming too much carbohydrate.

[00:12:01.590] – Allan
Now, there's a phrase you used in the book, and I've used it and I've heard it before. Some of us can tolerate more carbohydrates than others. And you use the term carbohydrate threshold. Can you talk through that and why that's important for us to understand for ourselves so we can actually have a plan. Because I think so many people go in and say, well, you know, initially this was always advertised as the bacon diet because everybody was all excited they were going to get to eat bacon again.

[00:12:28.920] – Allan
And then, you know, then it was the butter in your coffee diet and then it was the MCT oil and now it's exogenous ketones and it's, you know, but simplifying it. We've got to take it back down and understand this is going to be somewhat of an experiment of N = 1 where you're the subject and it's what you can eat, what you can tolerate. That's going to be the most important thing. So can you talk about that concept of carbohydrate threshold and how it affects how we would approach the adapt your life way of eating?

[00:12:58.170] – Dr. Westman
This is a scientific genetic predisposition that we're talking about and we can put people in the right direction. So we have a questionnaire you complete to see if you're going to be someone who has more carbohydrate intolerance or a lower carb threshold to achieve good health or you have a higher carb threshold. And so we have a checklist of items to look at, but it's not perfect. There is some trial and error there. And we've explained that. And this is what I do in my clinic.

[00:13:30.610] – Dr. Westman
I'll start people out at if they're trying to lose weight at a very low carb level and then help people to introduce carbs, if they want to find their threshold. And we are shying away from the high tech use of ketones and blood measurements and breath. And you know, the watches, the digital watches that are non-invasive and you get ketones then, I think it would be reasonable but we don't ask anyone to do high tech measurements.

[00:14:02.250] – Dr. Westman
It's predicting what direction you should be in and then monitoring how you do. And so it's a genetic predisposition. I mean, it's as if what helped us survive in famines when there was no food around is now a liability so that those who are good storers of the extra energy are the ones who have the lower threshold of carbs. So you're going to hold on to it more. Of course, the more active you are, the more carbs you can have.

[00:14:31.800] – Dr. Westman
That's the the family member I have who is very active, can eat more carbs and is very healthy. But the threshold is really important in terms of the metabolic health and we help people find that out. And when I kind of step back, this is one of the first books to embrace a wide range of carbohydrates in the diet, acknowledging and recommending a wide range. But it's a lot lower than has been recommended if you're doing high carb types of diets in the past. But the carb threshold is really important and we are not using high tech ways for you to figure that out.

[00:15:11.200] – Amy
If I could just chime in quickly. I think we do have a range, but even our highest recommendation compared to a standard type Western diet is lower. But I think the reason, Dr. Westman, is an obesity medicine specialist and I think we talk a lot about weight, but in that checklist we have where people can help and determine what level they should be starting at. Weight is only a tiny piece of this. There is so many issues that you can be dealing with, even if you're at a quote unquote normal weight.

[00:15:42.390] – Amy
I hate that phrase, but a normal weight if you're not carrying excess body fat. But we do start depending on your medical situation, we start most people out at the very lowest level. Because when your carb intake is that low, like Dr. Wiseman was saying you don't have to measure your ketones, you don't have to measure your blood glucose. You're going to be in ketosis. You're going to be fat burning at that level. Everybody will. And then who can also be fat burning and be healthy at a higher level is variable.

[00:16:15.650] – Amy
But the reason we tend to start most people out at the lowest level is because it's the easiest way to do it. There's not a lot of guess work. You will be either ketogenic or burning fat at that point without weighing and measuring your food and calculating the macro. I mean, I love food. I love to eat. I refuse to turn my meals. I'm never going to open a spreadsheet when I sit down to the dinner table. Other people love to do that. And if you want to, great. But the plan that we've designed is designed so that you don't have to do any of that.

[00:16:48.410] – Allan
Yeah, it's it's funny because some of the science that would come out in the past, they would say we're gonna have a low carb group and a high carb group and then, you know, a lot of people in keto space would argue and say, oh, well, that's that's not keto, that's not low carb. And I'm thinking, well, if they were eating two hundred and fifty grams of sugar per day before, one hundred grams of sugar actually feels pretty darn low.

[00:17:13.820] – Amy
It's all relative. Yeah.

[00:17:15.360] – Allan
Yeah. So and then one of the funny things would come out of a lot of those studies would be, well it's unsustainable. You know, so they're thinking, OK, no one can go down to twenty five grams and stay there for the rest of their lives. But there's people who've been doing it for decades. So yes, you can. Can you talk about the three levels of the adapt your life eating style so people can have a general idea of what each of those entails?

[00:17:40.110] – Dr. Westman
Yeah, maybe I'll talk about the levels that you give, the detail on the different foods. I mean, that's that's another great thing about having a nutrition expert as a co-author on the book we make a good team. So again, it's kind of a rough these are cut points of numbers that are not written in stone. I can't imagine that there's an equation like Einstein that says this number represents this for everyone. But there's a phenomenon that we repeatedly see, and that is the lower the carbs, the more percentage of people will be in ketosis or have the metabolic effects of the ketosis.

[00:18:25.790] – Dr. Westman
And so we have kind of, the other main point is we use total carbs, not net carbs, because it's more precise. It's it's more scientific. The net carb is a whole other kind of distraction. So we start at about a 20 total carb per day sort of approach. And actually, it is very sustainable, as you say, if you learn how to do it right. And then we found that in other studies have used carbs up to about 50 per day.

[00:18:53.520] – Dr. Westman
And again, this is kind of a general rule of thumb. And then we have stories of people who are using these different levels in the books, in the book. And then for those who are very active, they're younger they might be cyclists doing competitive cycling. They are able to be healthy at a much higher carb level. And we again, the numbers not important is just a higher level, but with sugar being the bad guy now, not fat and the food, we have estimated that from clinical experience and studies, some people can have up to one hundred, one hundred and fifty grams of carbs per day and be healthy.

[00:19:34.580] – Dr. Westman
I mean this and so this kind of explains the person that you see, how can they eat all that and why you don't see what they're doing in terms of other lifestyle things and the metabolic flexibility or the carbohydrate tolerance is the big factor now. It's not fat anymore. In fact, I would just want to comment. We don't really make any comment on fat being bad. And so you can eat bacon on this kind of diet, too, even if you're not.

[00:20:03.260] – Dr. Westman
OK, so all we've got to sanitize the the idea that fat is is bad, then you're not going to read that. So we're resetting what someone should understand about food without even paying much attention to the old stuff that got us off track.

[00:20:22.430] – Amy
I think something that's unique about our book, though, is that we also don't demonize carbohydrate. I mean, look look around the world, there are quite literally billions of people that eat rice they eat beans, they eat food, they eat potatoes, and they're healthy. They're lean, they live well into old age. And so for us to say that cantaloupe is poison or black beans are killing you is kind of ridiculous.

[00:20:46.880] – Amy
And so but it depends on your health situation. You know, certain foods that might be perfectly suitable for one person are not suitable for the other person who has PCOS or diabetes or hypertension or whatever. But I think that's that's unique in that we acknowledge that you can actually eat carbohydrate, you know, and we also other than just recommending, OK, depending on where you're starting from, here's the carbohydrate level we recommend.

[00:21:17.300] – Amy
I think, something that's also different and that hopefully people are hungry for, no pun intended, is that we explain how to gradually increase your carbohydrate intake if you choose to. Like we were saying, you can live at twenty or thirty grams of carbs for your whole life if you want to. But let's say you you do a strict ketogenic diet. You lose two hundred pounds, you reverse your type two diabetes, you reverse that, everything's great.

[00:21:45.500] – Amy
Now what do you need to stay super strict keto forever or can you have that occasional sweet potato, can you have the occasional piece of fruit? And the answer is for most people probably, yes. And we we walk you through how to reintroduce that stuff slowly and systematically so that you don't regain the weight and you don't trigger a recurrence of all those health issues. But we're very clear that you don't have to increase the carbs. But if you want to, here's how to do it in a way that is most likely to work for you long term.

[00:22:18.980] – Allan
Well, I practice a thing I call seasonal ketosis where I do get strict keto for a period of time, usually starting in February after my birthday. And I'll go pretty much until August in more of a strict keto way of eating. I call that my famine season and then rolls around football season and, you know, Thanksgiving, Christmas and my birthday, like I said, and then I go into my feasting season. So, you know, if I had to give it a classification, I would say I'm in level one for much of the year.

[00:22:49.250] – Allan
And then when I'm ready to let loose, I'm in level three, but I'm still generally low carb at level three. But, you know, that's that's why I liked what you were offering there, because it does kind of give us that that flexibility to say if I'm meeting my goals, my health is good, I can I can let a little bit more carbs in and I can check and see how that's working for you, because you can always step back down to that level one if you need to. So, again, I really appreciated the way you put that forward.

[00:23:21.840] – Allan
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[00:23:51.480] – Allan
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[00:24:31.030] – Allan
Now, whenever anything gets cool, there's a profit to be made, companies are going to step in. So when fat became a problem, they start advertising low fat. When sugar became a problem, they started advertising low sugar. And when keto came along, paleo did it now, keto, they're suddenly going to be coming out with these keto friendly products and they're everywhere and they they have the right macros. So it's like, OK, this should be good. What one of the problems that we really have when you start looking at these commercialized keto products?

[00:25:03.850] – Dr. Westman
Amy, you want to take this one on first?

[00:25:06.490] – Amy
Well, yeah. So it's like you were saying earlier or I don't know if this is maybe before we started recording. Those things are great as a transition step. If you're not prepared to give up your cookies and your cake and your pie and your ice cream, better to have the keto version made with almond flour and arithmetical and coconut flour. And for some people, that'll work perfectly long term. For other people, because it's keto, it tends to be very high in fat, like it's made with coconut butter and oils and cream cheese.

[00:25:38.350] – Amy
But it also a lot of these products contain a lot of sugar, alcohol and a lot of added fiber, not intrinsic fiber, but fiber that they add for bulk or texture. And so these products are allowed to be labeled as either keto or very low in net carbs. And the problem is that some people's bodies react to sugar alcohols, these sort of non sugar sweeteners almost as if they're sugar, not not quite as extreme as regular sugar, but they're still having a blood glucose and insulin response.

[00:26:09.100] – Amy
And so not only are you having that response, but you're combining it with an item that's very, very high on fat. So these sort of, quote unquote, ice creams and keto cakes and stuff are one of the biggest reasons we see for fat loss not happening the way people want it to or for just things not progressing the way someone would want to. And I'm not opposed to these things, but you have to go by a result. If these things are a regular part of your diet and you're not happy with the results you're getting, that's one of the areas you would look to to maybe cut those things out.

[00:26:44.690] – Amy
It's kind of like let me put it this way, when you were saying, like in the 80s when everything was low fat and it was loaded with sugar. Oh, I can eat the whole box because it's low in fat. People are doing that now with the heat. Oh, it's low carb. So I can eat the whole pint of ice cream. It's low carb. I can eat the whole box of cookies. Low carb does not mean low calorie.

[00:27:04.340] – Amy
And I know we hate the C word in our community, but just because something's low in calories, you still have to deal with that food, just because it's low in carbs, that food, energy, those calories still have to be put somewhere.

[00:27:18.080] – Allan
Yeah, and I appreciate you mentioning sugar alcohols because I've never been a huge fan of those. I think when you are you're trying to go low carb and you want to make it something that's generally sustainable. We don't allow our bodies to reset our palate. You know, we're used to eating all the sugar. And so we like things sweet. You know, ketchup has a lot of sugar in it. People don't recognize that because you barely taste that sweetness, because we've been, you know, I guess for like, we were programmed. You know, they put more sugar in and we eat more and they put more sugar and we eat more.

[00:27:49.130] – Allan
Sugar alcohols, in my opinion, don't really give us that opportunity to really begin to taste the sweetness in Standard Foods. But that being said, I was I was standing in line with you, Dr. Westman, at keto Fest, and you said we need to do something, something we don't have to be perfect, but we just need to do something. And it's like, again, I take that back and say, you know, if you need a bridge, you know, these commercialized products or the sugar alcohols might be OK.

[00:28:17.150] – Allan
But you need to put that in context of where you where your instate is, where you want to go. So thank you for that, because that was that was pretty profound standing at a dinner line with you, Dr. Westman.

[00:28:27.470] – Dr. Westman
Well, you know, progress, not perfection, is kind of a general theme when you're helping someone that has a long journey and not only the sugar alcohols, I need them for the true carb addict to keep them away from sugar, sugar addiction being the most common carb that people are addicted to. But the other thing that I see in these products is they'll add the oils or to make the macros right. But then you well, at least when I drink them, I get stomach trouble.

[00:29:04.490] – Dr. Westman
So I don't think these have been well tested. And certainly they haven't been in the clinical trials of keto so we're trying to go back to the real food idea. Don't add in these other products. And certainly if you're drinking something that gives you a stomach issue, that's not keto, that's the product.

[00:29:25.790] – Allan
Yeah, well its a big thing. I tell people you know, one of the big tips for weight loss is don't drink your calories. So if you're adding fat to your coffee, you might like it that way. But in a general sense, you're adding calories to, you're drinking them. So it's not filling you up as much as you would think it would.

[00:29:43.730] – Dr. Westman
There are all these new things new that have not been tested. You know, the idea of putting oils in the coffee and in medium chain triglyceride, it will raise your ketone level momentarily. But if you have then five of those over the course of the day, you're going to be stopping your endogenous fat burning. So, and you want ketones to come from your body fat if you're trying to lose weight. And so we explain that in the book that the way you look at these things is different, depending on what you're trying to accomplish.

[00:30:20.990] – Dr. Westman
And I see a lot of people who really don't need the keto metabolism, but they're doing it because it's fashionable and then, you know, six months later, well, what do I do now? Well, they didn't need it in the first place or maybe one month later. And so that's how we can help you figure out with this book what carb threshold still is going to be healthy for you. So, you know, let's say you drank the keto Kool-Aid, but you really don't need it.

[00:30:48.530] – Dr. Westman
We're going to help you figure that out. And on the other hand, if you're scared about keto, that's OK, we may actually end up convincing you or reassuring you that you can eat carbs, you can have fruit, you can have some bread and still be healthy. So we're trying to demystify it and also take the fear away of it. This the end of carb confusion and it might be able to end your carb fear or keto fear as well as a title.

[00:31:18.050] – Allan
And one of the things you had in level one that I understood is, you know, we're going to have to if we're going to be less than 20 grams of carbs, that's pretty much going to negate fruit from that level. But what was interesting was you also negated nuts and cheese. And I was like, oh, well, you know, fat head pizza, you've got it. You know, it's just a cheese bomb. So, you know, everybody in keto eats cheese, right?

[00:31:43.160] – Allan
That's the big thing we take away is the bacon and the cheese, but you also say we probably should be cutting back on the nuts or eliminating the nuts and the cheese while we're in this phase one. Can you talk about that?

[00:31:55.120] – Dr. Westman
Yeah, those are probably the most common reasons that the kind of casual keto you read on the Internet, learn it from a friend, why it doesn't work for people. So if you do have a carb issue a carbohydrate intolerance, insulin resistance is the same same term prediabetes, then calories will matter and trigger foods can make you eat more of them so you overcome the calorie and carb limits. So implicit in our approach and remember, this is an approach that's been used over a hundred and fifty years.

[00:32:33.390] – Dr. Westman
So it's really not all that new. But a common mistake is over consuming nuts, the cheese, the cream in the coffee or tea. So we do have and explain to why those things need to be limited. Fortunately, it's not hard to limit them once your appetite is gone. So it's not as an extreme. Oh, I can't give that up because as long as we as long as we've gotten started and your appetite is down, it's easier to make those adjustments.

[00:33:02.040] – Dr. Westman
But those are common mistakes that we see. I'm doing keto, but it's not working, thats too many nuts, too much cheese and cream.

[00:33:11.300] – Amy
And to be clear, those foods are suitable for a ketogenic diet. It's just if your goal is fat loss, those foods are just they call a hand to mouth or hand to mouth disease. You sit down with a bag of almonds and you're supposed to have an ounce. And before you know it, the bag is gone. And and the thing is also with nuts, I personally find they don't even fill me up. I can have half a bag of nuts and still feel like I barely ate anything.

[00:33:38.010] – Amy
So nuts are actually not permitted at al on the lowest level of our diet. Cheese is permitted, but the total quantity is limited. And again, it's not you know, those foods are high in fat but low in carbs, but they're just so easy to massively overdo. And that's really why they're limited. And they are reintro, nuts and seeds are reintroduced on level two. So, you know, if you're someone that is very, very sick or very, very overweight, starting out, make it your goal to get to the point where you can progress to level two and maybe reintroduce those things.

[00:34:14.220] – Amy
But yeah, that's yeah, that's I mean, that's really the rationale. Just because something is low in carbs doesn't mean it's going to be the best thing for you to eat.

[00:34:25.350] – Dr. Westman
My clinical experience is quite a privilege and I've been involved in research and taking care of patients. And and it's also humbling because I'll have people come back and they look me in the eye and say it's not working. So I have to figure out why and help people. Usually it's we get a lot of information at first. And there's one little thing that didn't seem that big and all that. But still, you have to understand what we're explaining and presenting is something that really works.

[00:34:57.930] – Dr. Westman
And it's been hammered through years of clinical experience and people looking in the eye saying, hey, you know, fix me. So this isn't just some off the shelf kind of rearrangement of foods, which I see, again, is another theme where you could be on the bookshelf and there are 15 different books and you don't know which one to start with. We're talking about one that has been vetted through clinical and personal experience for for a long time.

[00:35:30.750] – Dr. Westman
So you can have that confidence. In fact, we were discussing in writing the book. Do we include scientific references even? And finally it came down to we don't have to. We don't we don't have one scientific reference in this because it's all proven. It's all you have to have a study that shows the sun's coming up tomorrow, you know, I mean, so, again, we want to make it simple, not distractor with the glit.

[00:35:58.620] – Dr. Westman
In fact, books that have hundreds of references. I think sometimes they're protesting too much. But, you know, look at all the science, but no this is practical. It really works. And it comes from our experience with real people.

[00:36:12.540] – Amy
And frankly, nothing, at least in my opinion, nothing that we say in the book is all that controversial. Nothing really needs to be backed up. Oh, well, here's a study that shows this crazy thing we're saying. Nothing, we're not even demonizing some of the things that others in the larger low carbon and keto space really worry about, like artificial sweeteners, not not the sugar alcohols, but things like sucralose and aspartame and saccharin, like Splenda, Sweet'N Low, that stuff.

[00:36:42.930] – Amy
Because that really doesn't have the same metabolic effect as the sugar alcohols, it's almost negligible. Those things we don't fearmonger about the what they call the seed oils. If you're on a budget and you can't spend eight dollars for a bottle of avocado oil, salad dressing, it's OK for you to get the ranch dressing with the soybean oil. You can go to the discount store and get the the ground beef for three dollars a pound. It doesn't have to be grass fed.

[00:37:08.080] – Amy
All that great stuff. The food quality local farms is fabulous if you can afford it. But this plan, Dr. Weissman's patients are the entire spectrum of financial resources, of educational level of socioeconomic status. This approach has to work for every single one of them, every race, every ethnicity, whoever walks through that clinic door, this needs to work. And so we're kind of like, we take all comers, whether you're a millionaire and you have a personal chef or you're going to go to the fast food drive thru and get the boneless burger, guess what? This is going to work as long as you stay within your carb limit.

[00:37:51.060] – Allan
Yeah. And so the way I looked at this, I was like, this is like if you're if you're keto curious or low carb curious. This is a this is a good book to introduce you to it because it's not super deep in science. I mean, it's backed up. I promise you. I've seen the studies that back up everything that Dr. Westman and Amy are saying in this book. So it's there. And then if you're someone who's done keto and then plateaued, I think this is going to give you a lot of answers for why what you're doing right now might not be working for you.

[00:38:22.860] – Allan
And it's a lot of the things we talked about today. It's not understanding your carb threshold. It's getting into the the recipes, you know my feed and Facebook is every other every other post in my Facebook right now from keto is some kind of sweet how to make a pie, how to make a tart, how to make a cookie, how to make a cake, how to make you know. And so, yeah, if you're if you're filling up with that kind of stuff, there's probably reasons why you're getting too many calories.

[00:38:48.750] – Allan
And like you said, Amy, while a lot of people in the community don't want to count calories, you don't have to. But if you're eating calorie dense food, you're eating probably eating more calories than your body really needs. And if you're not losing weight, you're definitely eating more calories than your body probably needs. And we don't like to hear that in the Keto community. But guess what? Both camps are a little bit right. And if you put them together, you have a really good plan.

[00:39:16.590] – Allan
And in your book, End Your Carb Confusion, I think you do an excellent job with the experience you have putting that in there. So thank you so much again for letting me profile this book. I do have one final question for each of you. So I'll start with you, Amy. I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay well?

[00:39:39.210] – Amy
Three strategies and tactics. It depends on how we define happiness, health and all that, I and you know, you sent this question ahead of time and I didn't give it that much thought. I because I guess I thought it was more defining them than how to do it.

[00:39:55.440] – Amy
I mean, whatever you need to do to be able to participate in life the way you want to, whether it's having the mobility to go do the physical pursuits you want to do, or whether it's feeling well enough mentally and emotionally to interact with people the way you want to and enjoy the hobbies you want. I don't think six pack abs are not required for any of that. So don't let health and pursuit of some kind of optimal physique come at the expense of your mental and emotional health, because I see that all the time in our community.

[00:40:31.650] – Amy
And it's what's the point of looking great if you're miserable all the time on the inside? So I would say eat and socialize and move in such a way that you are able to do all the things you want to do physically and and intellectually.

[00:40:49.660] – Allan
Thank you, Dr. Westman, and I'll ask you the same question, I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay well?

[00:41:01.550] – Dr. Westman
I love that and, you know, I've often wondered what the doctor's role is, and doctor means teacher back in the root word, and I've often thought that the health side of things that the doctor really is just an adviser, and I'm trying to get people to live as long and as happy and as healthy a life as they can help to optimize that very consistent with your definition. And going beyond our book. It's mind body, spiritual wellness. And so we talk about nutrition.

[00:41:40.940] – Dr. Westman
Getting nutrition right helps you in that direction. In so many ways. It just by changing the foods, I see people rediscovering all these other aspects of their lives that were thrown off just because of the food. So we start with nutrition and then I think being physically active and happy and then emotionally, spiritually community helps with that a lot, too. So it's more complicated than we can dive into in this book, but those are the principles that we use when we approach this book.

[00:42:15.290] – Allan
Thank you.

[00:42:15.980] – Amy
Yeah, that's if I just just real quick, if I can kind of piggy back, because I almost forgot, in the book, we do mention that. You know, once you start to feel better physically because, you know, a lot of people have brain fog and low mood and this shift in diet has this cascading effect that once you actually start feeling better and you have more energy and you're thinking a sharper, it's easier to re-engage with those other aspects of your life with the physicality and the spirituality and all that other stuff that maybe you literally weren't able to do because you were so limited by your physical health.

[00:42:53.880] – Allan
Great. So, Amy, Dr. Westman, if someone wanted to learn more about the book, End Your Carb Confusion or what you guys are doing, where would you like for me to send them?

[00:43:03.170] – Dr. Westman
End Your Carb Confusion is available at any any bookstore, Amazon or Barnes & Noble or any bookseller coming out very soon or this week. And then the deep dive. I've actually started a adapt to your life academy, where if you really want to get into detail beyond the book and this is a custom made simple course that we have available now. It's called AdaptYourLifeAcadem.com. And then Drwestmanonline.com is a resource to help figure out where to go based on the things that I understand are most helpful on the Internet. End Your Carb Confusion is available now.

[00:43:50.570] – Allan
Amy?

[00:43:51.590] – Amy
Yeah, right now my website is, we had a little glitch, so it's www.tuitnutrition.com. But you actually have to put the w w w dot if you just put tuitnutrition.com at the moment it won't come up. And I'm also on YouTube. My YouTube channel is the same tuitnutrition and that's my handle on Twitter.

[00:44:13.520] – Amy
And Dr. Westman is also on Twitter. And adapt your life, look for that on YouTube as well. They have I mean, hundreds and hundreds of hours of interviews, not just with Dr. Westman, but Ken Berry and all kinds of experts and doctors and nutritionists and trainers that have been interviewed by the company. So lots of stuff there, too.

[00:44:34.100] – Allan
Great. You can go to 40plusfitnesspodcast.com/464 and I'll be sure to have links, all the links mentioned here today. Dr. Westman, Amy, thank you so much for being a part of 40+ Fitness.

[00:44:45.650] – Amy
Thank you.

[00:44:48.700] – Dr. Westman
Your welcome.


Post Show/Recap

[00:44:51.940] – Allan
Raz, welcome back.

[00:44:53.410] – Rachel
Wow, that was a great interview, Allan. A lot of good stuff in there today.

[00:44:57.880] – Allan
Yeah. You know, whenever I get to talking to someone about Keto, you know, sometimes it can get really technical. And I think a lot of people get scared away by something that sounds so, so strict, something so difficult. And a lot of times you're thinking about, well, how do I keep my carbs below 25 grams when I love bread and I love biscuits and I love potatoes and I love, you know, vegetables and fruit and ice cream and cakes and all the other stuff.

[00:45:24.280] – Allan
I mean, you know, we're buried in carbs. You walk into a grocery store and quite literally, the entire middle of the grocery store is just a big stack of shelves of carbs in boxes, bags, cartons. It's insane. So, you know, what they've come up with, with their adapt approach. And, you know, it just makes it a little easier to understand what's in the food you're eating. Everybody wants an easy button.

[00:45:52.720] – Allan
And, you know, it would be great if we could just, like, make it easy and just say it's it's this or it's that. A lot of times I run my challenges and we find that place, you know, or I have I have the lose a size challenge thing that we go through. It's eight weeks. Or I mean its in 28 days. And then I have my other weight loss program. It's eight weeks and we kind of just stage through there to find where people are comfortable.

[00:46:19.520] – Allan
We push a little bit more and we push a little bit more. You know, it's it's sometimes easier to start with the hard part and then kind of ease back and find your place. But we all have our threshold. And I think that was a really important concept.

[00:46:32.440] – Rachel
Yeah, that was really important because actually I've been playing around with my carb levels lately as well and trying to switch up my diet a little bit because I've been at a plateau. So I know it's time for a change. But it was really interesting to see how people just naturally have different levels of carbs that they can manage without feeling the bad side effects or that or messing around with the blood sugar levels. So that's a really interesting but hard to get to a point.

[00:47:01.720] – Allan
Yeah. You know, self experimentation is one of those where you try something. You've got to give it time and see if it works, you know. So it's you know, it's one of those things where you're going to be investing time a lot of time. So in some cases a lot of time because you're going to say, OK, for four weeks, I'm going to eat this way and then I'm going to do some measurements. And when I look at what happened and see if it's working, if it's working, I stick with it.If not, maybe I ratchet it down a little bit more. Maybe I do something different. You can't add too many things in there or you don't know exactly what it is that's doing the good stuff or the bad.

[00:47:36.520] – Allan
So finding that Mark, you know, and if you want to get technical with it, you know, you can do the glucose meters and the ketone meters. I'm a big fan of my keto mojo when I'm, you know, really trying to get down into ketosis, particularly in the early stages of it. So I'll do the keto mojo and I'm checking my blood sugar, I'm checking my ketones, and then I'm just finding that spot. I've been doing this now for eight years.

[00:48:00.970] – Rachel
Wow.

[00:48:01.480] – Allan
I kind of know, you know, OK, if I eat this way, this is what's going to happen to my body. And almost invariably it does. Now, that said, as I've gotten older. I've noticed that my carb tolerance has gone down, so, you know, if I try to eat more carbs just to find my line, my line has been slowly edging downward over time. And as a result, when I go into my feasting mode, I actually put on more weight faster than I did the first few years that I did this.

[00:48:30.730] – Allan
So I have to still kind of I can't go completely crazy out there eating all the carbs, but I do have to pay a little bit of attention to what I'm doing or I can go a little overboard on it. But I think it's just knowing yourself, given that self-awareness is really, really important in the tools, any tool you want to use, they try to make it really simple.

[00:48:50.350] – Allan
Try this than that and what you can and can't eat. But simple is good for most of us. It'll work just fine. But if you're somebody who needs a little bit more hard data, there are ways to do that.

[00:49:02.050] – Rachel
Yeah, I've got one of those meters myself and I'll be getting that out pretty soon once I settle in and a couple of swaps that I want to make. You know, I've been eating similar foods. I eat a lot of eggs, brussel sprouts, a lot of beef, a lot of chicken. I feel like I'm in a rut with my food. So it's time to switch it up. And and once I do that, then I'll get out the meter and see how it how it feels or how it works.

[00:49:25.930] – Allan
It's the worst tragedy in the world was the sacrifice of Brussels sprouts. We can't get them down here. And so we had two bags of them that we were going to bring down, I guess, technically smuggling, because you're not supposed to bring vegetables and fruits into the country. But we had them in our bags and bags were coming up overweight because the max weight the couple would carry is 50 pounds. We just could not get our weight right. We just couldn't get it to work. So we were like, OK, this has to go.

[00:49:57.070] – Allan
And well, we let go of a lot of stuff before we let go of the Brussels sprouts. But that was kind of the last thing is, oh, I've got to leave the Brussels sprouts. It was either that or the beef jerky and deer jerky. And I'm like, no, the deer jerky is going. I'm sorry brussel sprouts.

[00:50:13.300] – Rachel
Yeah.

[00:50:13.600] – Allan
Yeah. So I had to make that sacrifice, but I hated leaving those in the hotel room when we checked out.

[00:50:19.210] – Rachel
Such a bummer.

[00:50:22.600] – Allan
And I didn't even get to eat that many Brussels sprouts when I was up in the States, which was another sad thing is that most restaurants aren't serving it. So unless you cook it for yourself, it's really again. I don't want to make I don't want to depress myself. I've got.

[00:50:36.580] – Rachel
Well, that's right. That's right. You just got to make a list of all the things that you can eat and enjoy eating and then you won't miss so many other things.

[00:50:45.850] – Allan
Yeah. And then I think the other thing that I just want to kind of emphasize from this conversation we had was, you know, when I was standing in the food line, at keto Fest with Dr. Westman, it was you know, it just kind of one of those moments when he said, you know, we just need to do something.

[00:51:03.160] – Rachel
Right.

[00:51:03.850] – Allan
The word keto, if that scares you, then it's not keto, its just low carb. I'm just lowering my carbs a little bit to see if that helps me on my weight loss journey, helps me feel and look healthier. You say you're lowering your carbs. And if that means that the way you're doing that is eating Atkin bars and, you know, canned tuna, then that's the way you're doing it. If it means that you're just looking for lower carb options ketchup and, you know, maybe even some of the fake pastas and making, you know, fake biscuits and things like that, that's fine. If that's what helps you get that start, you just have to take that first step.

[00:51:42.100] – Allan
We're after progress, not perfection.

[00:51:44.560] – Rachel
Right, right. You know, I like to tell people just just move that needle, just just move it slightly and make some simple swaps, you know? And, you know, if you do measure your carbs and you eat whatever one hundred grams of carbs a day or something slide that down to ninety, slide it down to eighty five, I mean, you don't have to make these huge cuts. Why make a huge cut that will make you want to binge later or that you can't live with that makes you unhappy just as long as you move that needle just slightly. I think it would make a big difference.

[00:52:15.520] – Allan
Yeah. Sometimes it's as simple as saying instead of eating the banana and putting that in my morning smoothie, I'm not going to put the banana in there. I'm just gonna put the berries, you know, the protein powder and then put some ice and blend it all up. And that's going to be my breakfast. And I'm just not going to put the banana in there and try it, you know, so that cut 100 grams of calories, a hundred calories out of your meal at most, which is mostly sugar.

[00:52:43.330] – Allan
You know, you're cutting that out. And so it's it can be simple stuff like that. And I'm in no way saying don't eat bananas, that they're unhealthy. But just like Amy said, you know, we're not villainizing any food. We're just saying being aware how your body reacts to it is really what this math is all about. That's how you solve this weight loss problem, is understanding food for your body. It's unique to you. People all over the world are eating rice and beans, as Amy said, but, you know, we we need to find what food fits us best for, what our particular goals are now.

[00:53:22.120] – Allan
And that can change over time. You know, someone right now that's not very active probably doesn't need a lot of carbs. But if you're doing the exercise, then your body can handle that. Insulin is just a really cool thing. We demonize that a lot of times in the keto space, but we need insulin to protect our brain, to get the blood sugar out of our our body, you know, get it out of the blood and store it.

[00:53:47.290] – Allan
Now, if we're burning it, which means, let's say you went outside this morning before breakfast and you ran for two or three miles. You're going to have used up leg, muscle glycogen predominantly in your leg muscles, which are larger muscles. So they hold a good bit of glycogen and the liver and you're going to keep, and that's going to keep your blood sugar, insulin and glucagon they're going to keep your blood sugar level through that whole process at that point.

[00:54:12.730] – Allan
At that point, yes. You can go ahead and have a little bit more carbs with your breakfast because you've given it somewhere to go besides body fat. A lot of people try to do it on the other side with calories. And you say, well, oh, I ran three miles, I burned 400 calories. That means I can have a Snickers bar.

[00:54:31.450] – Rachel
Right! Oh, no, no. Yeah, I go for the food is fuel at that point. And as a runner right now, I'm running pretty consistently four to six miles every day or for five to six days a week. And then on the weekends I'll do a longer run, maybe 10 or 13 miles. And you can tell that on those days, like my nutritional needs on a 4 mile day, is far different from my nutritional needs on a 10 or 13 mile day.

[00:54:58.990] – Rachel
And that's something else to keep in mind, too. So when you do plan out whether or not you have that banana in your smoothie, just think about what your exercise has been for that day or the next day.

[00:55:09.880] – Allan
Yeah. And the plan they kind of put in here, their adapt plan, they call it. It basically is a lot easier than counting calories. I can tell you, if you're just counting carbs, that's all you're doing is one number, it's very easy to count your carbs. It's very easy to look that stuff up on the Internet if it's not on the label, which, you know, you shouldn't be eating a lot of things with labels. The actual real food doesn't have labels or they don't have to market it.

[00:55:32.320] – Allan
You know, chicken doesn't need a marketing. You see the chicken, you know what the chicken tastes like, you buy the chicken and that's the way it's supposed to be. Which is kind of a little funny side story. Our dog loves chicken and rice mixed in with kibble with the dog food. We've started doing that down here. But she doesn't know what a chicken looks like. So when she sees these chickens are running around the road because they're all over the place down here, I'm thinking myself, she doesn't know that that's what she's having for dinner.

[00:56:02.440] – Allan
And if she did, what would it change her behavior? Because she just ignores them. And I'm like, thats your favorite food.

[00:56:07.450] – Allan
If she only knew

[00:56:08.680] – Allan
That's your favorite food in the whole world and you don't even know it. We've never fed you cat, but for some reason you instinctively want to chase the cat. But there's a funny little funny little side story there. But so, yeah, you know, you don't have to think of it as keto. They say it's somewhat of a keto book. I called it somewhat of a keto book, but I don't want you to think that. I think it's just really finding that place, though. How many carbs can I tolerate based on my activity and my biology and my genetics and going from there to find an optimal way for you to eat?

[00:56:44.260] – Rachel
Yeah, that sounds like a really great book.

[00:56:47.650] – Allan
All right, Rachel, anything else we need to go over before we get off the call here?

[00:56:54.460] – Rachel
Now, that was a really good interview. I'd like to take a look at that book as well.

[00:56:58.720] – Allan
Yeah. And this would be a good book to buy now as we as we get into, because we're coming really close to, you know, the Christmas season, Hanukkah, end of the year with New Year's and all of that. And it tends to be a time when we overindulge, particularly in the sweets. So kind of having a good idea of, you know, these levels of carbs and starting to pay some attention to it. This is a good time to do it.

[00:57:23.530] – Allan
So you're not putting on pounds that you been thinking about January, trying to take off.

[00:57:29.320] – Rachel
Good points.

[00:57:30.020] – Allan
Don't put them on there in the first place. Then you don't have to lose them again.

[00:57:33.340] – Rachel
That's right. That's great.

[00:57:36.010] – Allan
Have a great week, Rachel. I'll talk to you next week.

[00:57:37.330] – Rachel
Thanks. You too. Take care.

Patreons

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Another episode you may enjoy

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How to use keto for optimal wellness and longevity – Lori Shemek

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In her book The Ketogenic Key: Unlock the Secrets to Lose Weight, Slow Aging, Stop Inflammation, and Prevent Disease, Lori Shemek shows us how to use the ketogenic diet for optimal wellness. Most of the health issues we deal with today are caused by poor nutrition choices. With all of the health and fitness information available, it can get really confusing. Lori helps us understand how to make keto an everyday lifestyle that gives us better health.

This episode of the 40+ Fitness Podcast is sponsored by Reel Paper. Reel paper sells toilet paper made from 100% bamboo, which grows faster, requires less water, creates more oxygen, a.k.a. less greenhouse gases, and doesn't require replanting after harvesting. Yes, sustainable toilet paper is available for you now, conveniently shipped for free to your home. We must begin treating the earth better and you can do it by going to 40plusfitnesspodcast.com/tp and get 25% off with the discount code. 40plus.

[00:02:55.110] – Allan
Rachel, how are you doing?

[00:02:57.160] – Rachael
Great, how are you, Allan?

[00:02:58.430] – Allan
I'm doing really good. How's your week been?

[00:03:01.710] – Rachael
Good. Had a good week, got in a couple of good runs. One was in total rain, but it was awesome. Yeah.

[00:03:09.360] – Allan
Good. Good. Yeah. I actually on Monday put in 13 miles walking. So it was a little over three and a half hours of walking.

[00:03:21.470] – Rachael
Wow.

[00:03:21.750] – Allan
I loved it. Almost got hit by a truck. A friend of mine was coming around the corner. You know, I think he was going a little too fast and I was wiping the sweat off my forehead because I was somewhere around mile 11 and I was just a little tired. I wasn't quite paying attention and I had my headphones on and just about, smack. But, you know, other than the initial cortisol hit that I got, that gave me a little bit more energy to finish that about walk. It was a really good walk.

[00:03:49.800] – Rachel
Good, Glad you're OK.

[00:03:51.840] – Allan
All right. So let's go ahead introduce today's guest. Our guest today is a doctor in psychology with a certification as a nutritional consultant and a life coach. She's written several books, including the book we're going to talk about today, the Ketogenic Key. And she's been featured on TV, on the Doctors, on various radio shows, speaking and helping clients, companies, and others optimize their health, reversed inflammation, and create weight loss success. With no further ado. Here's Dr. Lori Shemek.

Transcript

[00:04:22.230] – Allan
Dr. Lori, welcome to 40+ Fitness.

[00:04:25.080] – Dr. Shemek
Hey, Allan, thank you so much for having me. You know, it's an honor.

[00:04:29.160] – Allan
Well, I'm really excited to talk to you because it's actually been a while since we we talked. I was on your podcast, I think it was about three, three years ago. Maybe. I don't know.

[00:04:41.290] – Dr. Shemek
Wow, a lot has changed in three years, hasn't it?

[00:04:43.770] – Allan
It absolutely has. A whole different world.

[00:04:46.830] – Allan
Now, your book is called The Ketogenic Key, Unlock the Secrets to Lose Weight, Slow Aging, Stop Inflammation, and Prevent Disease.

[00:04:56.730] – Dr. Shemek
Right.

[00:04:57.420] – Allan
That's a pretty big key.

[00:04:59.380] – Dr. Shemek
Yeah, it is. And, you know, it's it's actually ketosis, which promotes all of those wonderful benefits. And so, like you and I were discussing earlier, I should have named the book The Ketosis Key, because it is the driving factor in all of these wonderful things like weight loss, you know, slower aging, longevity, inflammation, reduction, et cetera, et cetera. So, yeah, it's it's definitely the key ketosis. So it's not just the ketogenic diet either. It's the ketogenic diet. It's intermittent fasting, it's exogenous ketones or supplementation and exercise. And the great thing is you can do them separately or together. And if you do even two of them together, it's very powerful.

[00:05:48.420] – Allan
Yeah, I guess I'd sit there and say I do what I call seasonal ketosis. And so I'll spend a year in ketosis, which I am right now, and then I'll spend a good part of the year out of ketosis because I like tailgating and drinking beer and eating crap food and just watch a football game and then, you know, the first Thanksgiving and Christmas come around and my birthday's in February and so that's my feasting season.

[00:06:16.650] – Dr. Shemek
Clean up month.

[00:06:17.200] – Allan
Just let it go.

[00:06:18.020] – Dr. Shemek
Yeah.

[00:06:18.250] – Allan
Just let it go. And then after after my birthday in February, then I'll say, OK, now I'm going to hit by my fasting season. So my famine season like ancestors would have had when it was colder weather and there wasn't access to any vegetation to eat. And so now they're having to eat more fatty foods to get the sustenance and they're going into ketosis. In many cases they're fasting because you can't keep meat without a refrigerator and other means so they had to eat what they kill pretty quickly.

[00:06:54.440] – Allan
But they'd wake up in the morning some mornings and there would not be any food there. So they'd get up and they go, you know, do their hunts and they find their food and then they have maybe a pretty nice lunch, then a really good dinner. And so they're in a natural, you know, intermittent fasting mode. And I found every time I get into ketosis, I just naturally fall into intermittent fasting it's just a natural thing.

[00:07:19.770] – Dr. Shemek
Right. And that's what's so beneficial about all of these is that, you know, you do enter a state of ketosis and it's even more powerful if you do intermittent fasting, in fact. So if you can tag on intermittent fasting to any of the other options that we list in the book, then you're even, it's even more powerful. So it's all out there, all powerful in and of themselves, which is a really wonderful way to look at your health.

[00:07:50.460] – Dr. Shemek
But when you combine, like I was saying earlier, just even two of them, you're doing incredible, power stuff.

[00:07:59.850] – Allan
I'm doing three of your four right now, ‘m eating really low carb. And so that's putting me into nutritional ketosis. And I measured it the other day. I'm also doing exercise. So I do these long haul walks almost every morning that I can. I'll walk for two, three hours and then, you know, that puts me a little deeper into ketosis and I'll do that fasted. So, you know, waking up in the morning.

[00:08:24.760] – Dr. Shemek
Oh, perfect.

[00:08:25.430] – Allan
My last dinner was at seven o'clock, six thirty seven o'clock. We tend to eat a little early and then, you know, so it's then I got at least two, two and a half hours before I go to bed. So I go to bed then.

[00:08:37.320] – Dr. Shemek
Thats even better.

[00:08:38.370] – Allan
I wake up in the morning. I wait until, you know, about eight o'clock and that's when it's a little warmer than I think most people want to walk, but I don't care. I'll Honey badger that and do a good long walk. And so by the time I get…

[00:08:52.740] – Dr. Shemek
Well that's a good…The heat is a good hormetic stressor as well. So another powerful factor.

[00:09:01.900] – Allan
Well, there was definitely some heat today, but so so, you know, here I am. I guess I'm sitting here at 12:30 as we're recording this. And I haven't eaten a thing today. I had some I had some coffee in the morning, but nothing in it. Just black coffee and did my long walk. And I'm going to do this and do a couple other things. And I'll probably be about two o'clock and I'll go ahead and have my first meal of the day.

[00:09:25.540] – Allan
So I'm putting all three of them together, which really works well for me. I had a kind of a setback and I'm going to I talked about this in an episode a couple of weeks ago about, you know, I think everybody talks about the covid 15. And I was a victim of it, too, you know, just being locked in our house because it was we were not allowed to go out at all. And so being locked in the house, I just really tapped my motivation and I was down. So I wasn't moving. I wasn't eating well. And, you know, I was taking in a little bit more alcohol than I should have and so I put on…

[00:10:01.510] – Dr. Shemek
You're not alone.

[00:10:02.530] – Allan
Yeah, I know.

[00:10:03.490] – Dr. Shemek
It's rampant right now. Yeah. And it's better in the States. It's better. You know, I think the world at large is getting a little bit better with covid, but yeah, it's, it's, it's rougher in some areas. But nonetheless many people have paid the price in one way or another with this horrible virus. So. Yeah, and it's and that's the, well the irony of the thing is that in order to get through it in a healthful way, we want to be you know, we want our immune to be stronger.

[00:10:39.070] – Dr. Shemek
And we do have that innate immunity. But with the, I guess, emotional eating and the lack of exercise, it puts us down a notch in terms of our immune strength. So, yeah, it's it's a tough road.

[00:10:53.320] – Allan
Yeah. So enter into the picture nutritional ketosis. And I'm happy to say that I started so really eating low carb in May, May 1st and since May 1st, I have lost all of that and more. So now I'm into my…

[00:11:09.940] – Dr. Shemek
Wow!

[00:11:10.600] – Allan
Because I kind of pushed off. I didn't do my famine season when I had planned to because of everything that was going on with, you know, issues and, you know, all that and then getting locked in. I was like, so that just didn't happen the way it would have normally happened for me when I got around to February. So I stepped up and said, OK, here I am in May, I need to start now. And I started and I've been generally in and out of ketosis for the last couple of months. And then this this last Monday or so I said, OK, that's it, I'm going deep. And that's when I started, you know, putting together those three.

[00:11:45.940] – Allan
But one of the things I wanted to get into, because I know the benefit of nutritional ketosis, because I can I can drop twenty pounds in three months really easy when I'm in ketosis. So the weight loss is that's a no brainer. That's going to happen for all of us. If we if we have the fat to lose, we will lose it. But I tried exogenous ketones when they first started coming out. They were nasty.

[00:12:15.360] – Dr. Shemek
Yes, I know. Right. Oh, I've heard some names you don't want to hear.

[00:12:20.930] – Allan
Oh yeah, I was like…

[00:12:20.960] – Dr. Shemek
It's like, oh thank God I've never had to try it and the delicious ones. Right.

[00:12:27.940] – Allan
OK, yeah well so I tried one, I tried them when I first, started coming out and I was like, oh my God. And I said, well I need to do this. I want to try. It's an experiment. You know, I'm on the podcast and I want to be able to talk about them. And, you know, I was thinking, OK, that really, the concern I had was if you go into if you start doing a ketogenic diet and your body's not used to using ketones, then you're peeing them out. And that's why we're able to measure them with the urine stick.

[00:12:57.500] – Allan
So my concern was if I just throw exogenous ketones on my body as a sugar burner, aren't I going to do the same thing? So I was really concerned about whether I was, I had spent,because they were expensive also.

[00:13:10.620] – Dr. Shemek
Right.

[00:13:11.610] – Allan
So I spent a lot of money on something that was really nasty. And I didn't, you know, other than saying maybe it would help me transition to keto or if I were doing a long distance endurance sport, then exogenous ketones would seem to make sense. But in the book, you put forward a case that it's even better than that, that there's a lot of use cases for them. Can you can you talk about that?

[00:13:35.860] – Dr. Shemek
Yeah. You know, and that's the thing when you use supplemental ketones, it really does put you into a state of ketosis within 30 minutes. That's the advantage. The problem is, is it doesn't stick around as long as if you were to be, say, on a ketogenic diet. Right. And so this is really one of the wonderful things about ketones in terms of a beta-hydroxybutyrate BHB, as it's referred to often. This ketone is powerful and that it can really mitigate all sorts of inflammatory conditions and other areas in terms of optimizing your health.

[00:14:14.230] – Dr. Shemek
So what we want to do is we want to up level our, you know, our physical fitness, our ability to to utilize these ketones. And when you become metabolically flexible and even if you're not, you're still utilizing them. Right. Your body really loves ketones. And it's just that it's just not equipped at that moment to say when you're, you first embark on a ketogenic diet to use them. And so, you know, the reason that people are feeling so good and wonderful and athletes do so well on it is because you're up leveling, you're boosting your mitochondrial health, your cellular health.

[00:14:59.680] – Dr. Shemek
There's more ATP going on. There's less glucose machinations, if you will, within the cell, which produces a whole lot of oxidation ROS. And that means it's similar to like a a car, an electric car which burns clean versus gasoline powered car, which burns dirty exhaust. Right. That's what happens when you burn glucose. But when you burn ketones for fuel, you have a better form of energy, a more therapeutic, if you will, form of energy that really optimizes every part of your health, including brain health.

[00:15:39.770] – Allan
So, yeah, so I guess as I look at exogenous ketones, I still go back to I think, you know, they're good, if you're when you're first trying to get in to ketosis, they're probably a pretty good thing to help you through the keto flu a little bit.

[00:15:53.190] – Dr. Shemek
Yeah, it will.

[00:15:54.470] – Allan
Making sure you're getting your electrolytes and plenty of water.

[00:15:58.790] – Dr. Shemek
Your potassium, right. Magnesium.

[00:16:01.310] – Allan
So I have the I have the the supplements and all that to try to make sure that particular as I go into this, losing my water, I'm going to be cool. I also, like I said, if you're an endurance athlete, there's some I think there's a lot of benefit to having them because at some level.

[00:16:17.010] – Dr. Shemek
Oh, yeah Allan.

[00:16:17.610] – Allan
And as a long distance thing.

[00:16:19.730] – Dr. Shemek
But you have to be careful because you know and now if it's if it's a for example, it's a high energy sport, one that, you know, say high intensity interval training or something. You have to be careful in terms of, you know, hitting that wall, if you will. But if it's an endurance sport, you're really good to go. Part of the reason is the steady state of energy that we have when we're using the supplemental ketones.

[00:16:47.690] – Dr. Shemek
We don't have that spike in blood sugar. So it keeps our glucose stable. And I'm not sure if you're aware that the Tour de France, the team there was one team that used exogenous ketones and they did, it was an incredible win using these ketones. And so that was in 2018. And then in 2019, a large number of these teams were using them. So there's still the competitive factor. But nonetheless, that first 28 go round, that team won simply with the exogenous ketones.

[00:17:26.510] – Allan
And that's what I'm saying, you know, when I when I was when I was training heavy, I was trying to get ready for a Spartan. I had hired a coach. And, you know, I go in there and the cool thing was, you know, of course he's a fitness geek and I'm a fitness geek and I'm going to be working out and he's training me and is like, you don't really need, he says you don't really need a trainer, and I'm I like absolutely need a trainer.

[00:17:46.040] – Allan
And he says, well, you know you know more about this stuff than I do. And I said, well, so. Give me a program. Let's talk about the programming. Let's talk about what's going on. And so, you know, he's trying to…

[00:17:55.690] – Dr. Shemek
Let me tweak it for you.

[00:17:57.320] – Allan
Well, I did very little tweaking. I actually did his program. It was built it was built a little bit more towards the being a 20 year old than I would normally have done. But it was still cool. And but we were talking about me being in ketosis and he was like, well, why are you doing that? You need the carbs to be able to get through the workout. I'm like, I can get through the workout just fine. I said, you know, I'm going to probably, and I did, when I, if I do a heavy deadlift session because I'm not relying on APT for energy, I huff and puff, I get exhausted because it's, you know, that exertion that I go through and a good set of ten on the deadlift is going to take me past thirty seconds.

[00:18:36.590] – Allan
And so that is a struggle. Even exogenous ketones would not push me past that struggle.

[00:18:42.710] – Dr. Shemek
Yeah.

[00:18:43.060] – Allan
With the weight lifting, the way I was doing it, very heavy and I because it was very heavy, very slow. So you know, I understood that being in ketosis kind of put me at a disadvantage for that. But I could still push through every set. And I got really, really strong anyway because I also didn't have to deal with inflammation or any other things that were going on.

[00:19:02.870] – Dr. Shemek
Yeah, and that's exactly true. You know, it's it really is. The bottom line is that Ketones really offer the average athlete, right, a lot of benefit. And like, you know, you just mentioned the inflammation, which we can get into in a little while if you want. It just but it gives you these these exogenous ketones, give you more energy, it mental clarity, focus, and we make our own. If you're on the ketogenic diet, we have endogenous ketones, meaning they come from within. Right. And so when you combine the two, it's really amazing what the amount of energy you have.

[00:19:42.630] – Dr. Shemek
But I would venture to say that even though even if you were taking ketones with your power lifting, it helps you in some way because they really do help create more ATP within the mitochondria.

[00:19:55.010] – Allan
Yeah, you know, and I would say if it was helping me with anything, it was the fact that my my total workout time was an hour and while it might had been in sprints. You know, dead lift and go, dead lift and go, you know, and then I'm breathing heavy. When I got into the lighter lifts later, I still had the energy and those were less like that. And so, yeah, I absolutely agree that it helped.

[00:20:17.780] – Allan
But I actually think probably the best benefit and we'll get like I said, I do want to get into it is inflammation. Because every time we talk about a chronic disease, heart disease, cancer, you know, diabetes, you just, you know, Alzheimer's, Parkinson's, you just keep going on and on and. They take you back to the beginning, in the beginning is chronic inflammation, and you called it silent inflammation and I actually like that because it's scarier.

[00:20:52.880] – Dr. Shemek
It is, isn't it? Yeah. Yeah.

[00:20:54.620] – Allan
What what causes silent inflammation and how does the ketogenic diet help us address it?

[00:21:01.160] – Dr. Shemek
So we have, I'll just start off by talking about the two different types of inflammation. And the first type is called acute inflammation. And it's not so cute because it hurts. It's uncomfortable. It's that sprang, black and blue swollen ankle. It's that cut on the finger. It's that terrible sunburn or awful head cold. Right? So that is acute inflammation. We need it in order to heal. Without it, we're sitting ducks. Really. So let's take that cut on the finger.

[00:21:31.910] – Dr. Shemek
When you cut your finger, an enormous amount of inflammatory molecules are released. And soldiers, if you will, rush to the site to repair the wound. They repair the wound, the wound heals, the soldiers go away, the inflammation goes away and all is well. So that's acute inflammation. And, yes, we need it, even though it seems unreasonable because it doesn't feel good. But but we need it.

[00:21:56.970] – Dr. Shemek
So then the next type of inflammation is silent or chronic inflammation. And the name silent really suggests danger, doesn't it, because we don't know it's there until the symptoms start to occur. And so 75 percent of all Americans are walking around with silent inflammation and don't even know it. It is really such a sad situation, really, but it is the core underlying cause of most illness, disease, faster aging and weight gain. And you can look at silent inflammation is like having a sore on the inside of your body that never heals unless you intervene.

[00:22:38.540] – Dr. Shemek
And unlike acute inflammation, which emits just a trickle of inflammatory molecules, silent inflammation emits just acute inflammation emits an enormous amount. Silent inflammation emits just a trickle. Okay. And so you would think, well, this is better, right? And it isn't because it goes on 24/7 every single day, unbeknownst to you, where acute inflammation goes away. Once you're healed, it's gone. But sometimes the immune system goes, it becomes haywire. And this is what causes this over abundance, this overstimulation of the inflammatory pathways. And why it's called chronic inflammation is because it never goes away.

[00:23:31.830] – Allan
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[00:24:06.750] – Allan
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[00:24:33.330] – Allan
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[00:24:56.390] – Allan
Now, whenever you bring up the ketogenic diet around someone that really hasn't heard about it or they've heard about it, but they've heard it's deadly, it's going to kill you, you shouldn't be doing that because that's the worst way to eat, because it doesn't buy into the fat is bad mantra. But the reality of it is that when we eat a ketogenic diet, it actually can help improve the ratios and the things that we should be most concerned about when we're talking about fat and cholesterol. Can you get into that?

[00:25:31.250] – Dr. Shemek
Yes. And I'd also like to address the inflammation factor that at the ketogenic diet reduces inflammation in the body. It actually reverses inflammation. And that's because we are we are signaling NFR2, that is the master regulator of antioxidants signalling within the body. Right? And the ketogenic diet prevents the NLRP3 inflammasome from doing its dirty work within the cell. So it's just a very, very important way to eat. And a lot of people have misunderstood its benefits.

[00:26:16.250] – Dr. Shemek
They hear the word ketosis and they think it's keto-acidosis, which is a very harmful effect that happens to people who have diabetes and go into a state of ketoacidosis. So it's much different. But yes. So the the fat and the cholesterol, all of that has really been misunderstood. In fact, the ketogenic diet improves HDL and triglycerides. And this, you know, this is due, the improved HDL is due to a reduction in triglycerides that are created within the liver, which is a really good thing.

[00:26:59.930] – Dr. Shemek
You want a low triglyceride level for heart health. Right? Triglycerides really, really alert you to inflammation in your body. And if it's high, then you know that you need to do something different. And so they're an indication of your heart health as well. And there's the HDL triglyceride ratio that you can do to if it's one or under, you're good to go. If it's higher than than one, you need to do some work.

[00:27:34.850] – Dr. Shemek
But there's also an increase in LDL, which happens to some people on the ketogenic diet. And it's but generally it's not the LPa form which is or can be the most harmful. So it's the big fluffy cholesterol that's roaming around versus the little ones, the little dense lipoproteins. So that that is part of the the reason that the ketogenic diet is so great for your heart health. And, you know, there's also the misunderstanding about people think the ketogenic diet is a high protein diet when in fact it's a moderate protein diet. And, you know, they're afraid of of eating eggs. They're afraid of saturated fat. And it's really sad because we've, you know, really, you found out that there was a researcher's, his name was Ancel Keys, and he did a seven country study and cherry picked the data.

[00:28:36.770] – Dr. Shemek
Right. So blamed everything on saturated fat versus what really is causing the heart conditions. Heart disease with people we now know is the overconsumption of carbohydrates, especially refined sugar. And you know me, Allan, I really recommend people stop eating sugar. Eliminate it from your diet. And so it's the sugar, the process, simple carbohydrates, but it is not the saturated fat. In fact, there was a study I don't know if you recall, it was called a pure study.

[00:29:12.770] – Dr. Shemek
It was published in The Lancet in 2017 and it studied over 135,000 people across 18 different countries. And it turned out that those who ate the least saturated fat had the highest amount of heart disease and mortality. And those who ate the most saturated fat, of course, then had the lowest rates of stroke and heart disease.

[00:29:37.370] – Dr. Shemek
So right there, you know, you see it's a large study and you see the the correlation or the the amount of health with saturated fat. And so eggs were demonized and still are demonized, saturated fat is still demonized, but I think they're starting to come into their own. People are starting to understand and even reputable high ranking health experts in cardiology are saying, yep, you know, saturated fat is necessary for heart health, in fact. And and we do know that every time you take a bite of an inflammatory food, sugar, refined flours, etc, processed junk foods, crackers, cakes, cookies that you are eating, creating inflammation.

[00:30:30.720] – Dr. Shemek
And that's unfortunately sad because what's happening is up from a cellular level, you are harming the mitochondria within the cell. The more mitochondria you have, the healthier they are, the healthier you are in every way. And so you see people who are older and frail. They have very little mitochondria going on, OK, they're not really healthy mitochondria. And so if you're tired all the time, that's a sign that maybe you need to start boosting your mitochondrial health, your cellular health.

[00:31:08.130] – Allan
Yeah, unfortunately, the signal of fatigue is go eat some more sugar.

[00:31:14.950] – Dr. Shemek
Yeah, exactly.

[00:31:15.160] – Allan
So they actually get the opposite message out of that. Oh, if I, if I have some sugar I'll feel better, you know, and they yeah. They get the dopamine and they feel good but it's not really helping. And you know, I'm, I'm a perfect example of you know, when I check my cholesterol and triglycerides is when I'm in ketosis my HDL triglyceride ratio is off the charts. Good, even though my total cholesterol is high. So I'm one of those responders that, yes, my LDL goes up, but it only goes up about 30 points.

[00:31:50.950]
But my triglycerides can can I can get them down to 50. But if I'm you know, when I'm in my low feasting mode and I'm drinking beer and eating what I want to eat, they'll usually pop up to 150, maybe even 200 if I'm not careful. And I can actually get my HDL higher than my triglycerides when I'm eating a strict ketogenic diet. So it really can help you improve your lipid profile if you're if your doctor doesn't lose their mind about what the total number and the the LDL number is, because that that seems to be their focus more so than than triglycerides and the HDL.

[00:32:33.190] – Dr. Shemek
Yeah, it's true and you know, and a lot of people panic when, you know, I have family members calling me up and saying, Lori, my LDL is really high, it's 250 and they want to put me on statins. And, you know, it's that's it's really important for the patient to look at the numbers, the breakdown of the type of cholesterol. And that has been a big myth as well. So we're learning so much about heart health and what what produces a healthy heart. And so if you take anything away from this show, it should be that, you know that saturated fat is not going to hurt you. Now, if you are in, if you're 10% of the population who has a genetic condition that doesn't clear cholesterol from the body and cannot, then that's another issue.

[00:33:29.590] – Dr. Shemek
But that's 10 percent. So it's really important to make sure you're not you will you will know when you get your blood test if you are or not, it will be sky high. I mean, it won't be your typical high number. But again, if you take anything away from this show, make sure that you stop eating sugar, eliminate added sugars from your diet and refined junk foods that we spoke about earlier, because that is the key to optimal health in many cases.

[00:34:00.860] – Allan
One of the areas that, and I'm going to admit I'm confused when it comes to ketosis, because there's two there's two concepts, OK, so on one hand, a lot of people are looking at ketosis as a potential protocol to help with cancer treatment. They're not saying it can cure cancer or perhaps even prevent cancer, but particularly the cancers that rely on glucose. If you're keeping your overall blood sugar, you know, in control and you're doing ketosis, that will slow the growth of the cancer.

[00:34:37.130] – Allan
And then I go on the other side of the conversation and I say, OK, an individual that's trying to perform long distance athletic performance. Is this still going to be burning glucose and glycogen, so like where I went on a trip, you know, went on a run or a walk and I'm you know, I'm a 1000 calories in now, the human body can carry about 2000 calories.

[00:35:02.360] – Allan
But for my body to keep going, maybe even further, which people do you know they go hundreds of miles, it's crazy, but they do. And that but their body and they do it while they're in ketosis. So there's something happening there where our body is taking what it gets out of fat and it's turning it into blood sugar. And ketones, because we still kind of need both, your blood sugar is not going to zero is staying fairly stable, so we are producing some glycogen from somewhere, some glucose from somewhere, because at some point it burns out, it would burn out the muscles.

[00:35:40.230] – Allan
And so Ketones are producing the APT, but I guess I'm losing it as is if our if our body can produce with, say, zero carb, our body could still produce and keep our blood sugar stable. So when we're breaking down fat, we create the glysol, I guess its a black hole and we produce the ketone. So I guess I'm trying I'm having a hard time balancing those two things out to say that, yes, you're going to have enough sugar in your blood and in your muscles and in your liver for the athletic performance. But then it's also going to slow the growth of cancer because you're going to have less sugar. You understand what I'm saying?

[00:36:22.680] – Dr. Shemek
I do. I understand exactly what you're saying. And so what happens a lot of times is that the body is able we always have some glucose in storage in the liver. We always have it, you know, for those emergency situations and also to, the body can break down muscle for glucose as needed if it wants it. Right? So that's that. And then in terms of the the you know, the cancer and the sugar, you know, one theory is that cancer feeds on the sugar that you eat and a high fat diet, like the ketogenic diet starves as tumors.

[00:37:01.720] – Dr. Shemek
OK, and but one thing is for sure that you are with ketones in the mix, you are definitely balancing you're creating cellular homeostasis. Right? You're balancing your blood sugar. The insulin is low. And but yet you still have the the ability to make glucose within the body and it stores, glycogen within the liver and can be can be used for any type of situation necessary. Does that help?

[00:37:34.380] – Allan
Yeah, it does. I guess the question is it sounds bad whenever you say burn muscle for energy. I always thought that the ketogenic diet was muscle sparing. Well, so this, it has the ability to do it, whether no matter, you know, whether you're on a ketogenic diet or not, so it's called Gluconeogenesis and the body is able to utilize glucose by breaking down muscle, if that makes sense.

[00:38:04.600] – Allan
Yeah. OK.

[00:38:05.380] – Dr. Shemek
So, yeah no matter what.

[00:38:06.850] – Allan
If I chose to do these long distance things, I'm going to probably sacrifice some muscle along the way.

[00:38:16.180] – Dr. Shemek
Gluconeogenesis occurs.

[00:38:17.260] – Allan
And when I get past that point where, you know, I've used up my liver and muscle glycogen and my brain's going to still want a steady supply of blood sugar, at some level, it's not going to let you.

[00:38:31.390] – Dr. Shemek
And if you're fat adapted your metabolic metabolically flexible, then you can do either, OK. You can use your body can utilize glycogen, it can utilize fat for fuel, your own fat stores for fuel, dietary fat. So that's what, you know, we didn't mention. But that's what ketosis is, is your body takes dietary fat and your own fat stores breaks them down in the liver and it produces ketones. And one main ketone that I mentioned early on is called beta hydroxybutyrate BHB that produces all the magic, if you will, of the ketogenic diet. So, yeah.

[00:39:17.050] – Allan
Those are those are the ketones you're going to measure in your blood. So they're the ones that we used.

[00:39:22.330] – Dr. Shemek
Right.

[00:39:22.390] – Allan
We're breathing out, you know, in our breath, you can you can measure those out of the breath and then of course. And I forget the other one, but there's urine strips that pick up that that third one, I'm forgetting, I'm drawing a blank on the name of the third. But, you know, so that's how we're measuring those. And yeah, the one what's in the blood is what gets you. So.

[00:39:42.030] – Dr. Shemek
That's right. The BHB is the most important one. Yeah.

[00:39:47.560] – Dr. Shemek
Now, you talked about intermittent fasting, and as I said earlier, I, you know, just I just fall into these things. I did paleo and because I was eating relatively low carb, I didn't realize that I fell into ketosis the first time and realized what was happening. It was wonderful because in Paleo I lost 25 pounds and then in keto, I lost another 35.

[00:40:09.290] – Dr. Shemek
Wow.

[00:40:10.020] – Allan
So it was, you know, so boom. Yeah, it's just awesome. Over 11 months, you know, I knew something was going on. My breath was stinking and I was losing a lot of weight. And I was like, this is interesting. So I found out what ketosis was. That's how I actually discovered ketosis. And then, you know, I just naturally started getting into intermittent fasting because I wake up in the morning and I forget to eat because my body was using my body fat to keep me going.

[00:40:37.450] – Dr. Shemek
And you were satiated.

[00:40:39.310] – Allan
Oh, completely. Completely. And I tell the story, I, I got up one morning and I went out to my property to do some work. I had this, had some acreage in Florida and I had some ponds on it. So I went out there to clear and do some work and I worked out there pretty, pretty hard clearing the land work with, you know, what a sling blade is to cut down weeds and grass and such. I was using the sling blade and going for a few hours.

[00:41:02.250] – Dr. Shemek
Wow.

[00:41:02.680] – Allan
I said, OK, I'm going to go ahead. I did have a tractor out there to mow it down after I beat it down. And so then I get on the tractor and I cut a few things down. Then I take the tractor back up on my trailer and I still came to haul this thing home to my actual house. And I say I'm going to haul this out of here and my truck got stuck in my front yard of my property.

[00:41:23.000] – Allan
And I was like, this is ridiculous. I can't get out. So I had to call AAA. Well, AAA shows up and they the truck breaks while they're trying to pull me out. And so it was four hours later when they got the part, got everything fixed and got me out of the mud. So there's like I'm rolling on about six o'clock and I'm realizing I haven't eaten in 24 hours.

[00:41:44.680] – Dr. Shemek
Oh my goodness.

[00:41:45.760] – Allan
I didn't even think about it. You know, while he was out at his truck, I went fishing and I just sat there.

[00:41:51.070] – Dr. Shemek
Isn't that amazing? That's a really great example.

[00:41:52.790] – Allan
Yeah, I didn't catch anything but.

[00:41:53.530] – Dr. Shemek
A lot of people mean a lot of people are afraid not to eat. And that's that's it's really a it's a headset, it's a mindset, if you will. Because, you know, we've all not eaten. Intermittent fasting is simply not eating for a period of time. However long you want that time to be is is just fine. But the problem is most Americans are eating 24/7. We eat breakfast. We have snacks sometimes all the time.

[00:42:24.190] – Dr. Shemek
We have lunch, snacks, dinner, snacks, dessert until we go to bed. Right. That's not the way the human body was designed to evolve. The human body was designed on intermittent fasting, actually. So during those periods of time when you're not eating is when all the magic happens because this gives the body time to do the things, the cellular clean up, if you will, that it normally can't do while it's processing your food. It's the digestive process takes up a lot of energy, most of the energy outside of brain function in the body.

[00:43:01.480] – Dr. Shemek
And so when we don't eat this, this allows ourselves to go into cleanup mode. And it's called autophagy, and that's cellular housekeeping, essentially. It breaks down things, it's autophagy really mean self-heating, meaning that it can, you know, get rid of dying cells, it can remodel cellular parts. It can just really improve mitochondrial health, which we talked about before. And for those of you that don't know what mitochondria are or don't remember, they're little tiny organelles in the cells of our body that are crucial and vital not only to keep us alive, but to keep us healthy as well.

[00:43:45.670] – Dr. Shemek
So as we age these little organelles, these mitochondria, they begin to falter. They begin to lose their robustness, their health, and we lose a number of them. This just happens naturally as we age, right? Unless we intervene and do something about it. Well, intermittent fasting does this. The healthier you are, the better mitochondrial health you have. An intermittent fasting does is the ketogenic diet does this. Exogenous ketones, supplemental ketones do this. And exercise does this very effectively as well.

[00:44:21.900] – Dr. Shemek
So those are the four options you have and that I talk about in my book, the Ketogenic Key to get into ketosis, and that's what you want. So intermittent fasting is an easy way because if you don't like the ketogenic diet and you don't like to go very low carb, which, by the way, is 50 grams or less, 25 grams or less for even deeper ketosis, you don't have to. You can do intermittent fasting and then eat your your carbs later. OK, so that's what is so wonderful about intermittent fasting. Why I'm such a big fan of it.

[00:44:57.160] – Allan
Yeah. Now one of the things I did have a question about is because I was interviewing someone else and he mentioned fasting and autophagy and we got into it and his his opinion, I guess I haven't really seen any science on it is that intermittent fasting wasn't long enough to actually create autophagy that you had to really kind of be fasting two or more days before you'd really start to see those benefits. But so does intermittent fasting really get us that far?

[00:45:30.910] – Dr. Shemek
Intermittent fasting does. And so you're you are, you go into some autophagy while you sleep for eight hours. There's some. You do if you if you desire to fast for you know, you extend your breakfast, say by two hours, you're still you're going to incorporate more of it. But the sweet spot is really about 16 to 18 hours is when autophagy kicks in. But he's talking about deep autophagy. When you get into deep autophagy, this literally resets your metabolism.

[00:46:04.990] – Dr. Shemek
It resets your cellular health. So if you fast for 24 hours or longer, then you're really doing a great benefit for your body. But I don't recommend doing it more, you know, 48 hours or more, very often, once a month, maybe at the most, because you don't want to stress your body too much. It is a hormedic stressor, as it's referred to. And so you, you know, having a daily 12 hour, 16 hour fast is just fine. And then once in a while, doing the longer fasting.

[00:46:42.970] – Allan
Yeah. You know, I'm a big fan of intermittent fasting, but I always, always tell people if you're wanting to do something more extended, you need to you need to be talking to a doctor, particularly if you're on meds.

[00:46:53.680] – Dr. Shemek
Agree completely!

[00:46:53.720] – Allan
And if you're going to try the ketogenic diet and you're on metformin to control your blood sugar. You're on insulin. You know, this is going to help with your metabolic syndrome and your insulin resistance. But at the same time, you have to let your doctor know this is going on because this is going to change your blood sugar.

[00:47:13.950] – Dr. Shemek
Yeah.

[00:47:14.860] – Allan
Your medications are going to they're going to have to change and you have to be able to adjust to that. So when you're going to do something like this, the health benefits are huge. And when you're cutting inflammation down, when you're getting your blood sugar under control, you know, a lot of my clients, I'll get them down to start to start lowering their sugars. Let's just cut the sugar down. Nothing crazy. Just a little bit here, a little bit there.

[00:47:38.160] – Allan
And they're you know, they're watching their their overall blood sugar go down. They're like, oh, I need to call my doctor and get my metformin dose changed. And then, sure enough, they get on the doctor's like, what are you doing? I just changing what I'm eating, keep doing it, you know, because it's working.

[00:47:53.740] – Dr. Shemek
And that's part of intermittent fasting as you are, you're creating ketones. And it really is a superior fuel compared to glucose. And once you start using this fuel and your body becomes used to eating and using glucose and using your own fat or creating ketones, you will markedly you will feel the difference big time. So many people were relying on the toxic Western diet, which again is is highly processed with refined food, which is really an inflammatory diet. The keto diet focuses on eating very few grams of carbohydrates and eating more healthy fat. Right? And some protein.

[00:48:40.470] – Dr. Shemek
And intermittent fasting, which keeps, by the way, keeps insulin low and glucose low. But intermittent fasting flattens insulin and flattens glucose. And again, when there are no digestive processes essentially going on that the cells have to worry about, then the cellular inflammation begins to heal. It begins, the tissues begin to heal. You, you know, you have there's something called cell danger response that happens to people. If this inflammation becomes overwhelming to the body and the brain senses it. The mitochondria senses it, the cells around the in the body sense it.

[00:49:25.950] – Dr. Shemek
So when the brain gets the message that you've turned off this type of inflammation, the cell danger response or CDR, then things heal within the body. So it's really a wonderful tool to actually heal yourself.

[00:49:44.340] – Allan
Dr. Lori, I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay well?

[00:49:54.150] – Dr. Shemek
Just three. OK.

[00:49:58.550] – Allan
Just give them something until they get the book, OK?

[00:50:00.860] – Dr. Shemek
OK. So I think it's crucial to keep inflammation low, as we've been talking about throughout. And we do this by being very proactive and mindful of every single choice we have the opportunity to make. Right. And I underscore the word opportunity. So I would say living in antiinflammatory lifestyle, whether it's with the ketogenic diet or a Mediterranean type diet, will boost your health span and your life span, which in and of itself generates a really a better quality of life for you.

[00:50:36.680] – Dr. Shemek
And so I think that is, you know, when you are living without excess inflammation, we want a little bit because we want to be protected. Right. We want ourselves to be on guard. But we we don't want it to be an excess, which, as I mentioned earlier, 75 percent of our population is walking around with. And so it affects your mindset, your mental well-being, your fitness, your ability to move and and function freely and easily, and your health span, your immune system is all up regulated.

[00:51:10.010] – Dr. Shemek
So it's a really I think it's really important. So you want to remove excess carb intake, you want to use nutrients as well for to target specific situations, such as increasing mitochondrial density, like the supplement P2Q with your doctor's approval and you want to keep inflammation low. So exercise is another is another option, which is one of the most underutilized ways to increase mitochondrial health and uses as an antidepressant even. My two cents.

[00:51:49.410] – Allan
Thank you, Dr. Lori.

[00:51:50.730] – Dr. Shemek
You're very welcome.

[00:51:50.820] – Allan
If someone wanted to learn more about you, learn more about the book, the Ketogenic Key, where would you like for me to send them?

[00:51:58.830] – Dr. Shemek
I would love for your listeners to go to Amazon. On Amazon, you'll find all my books there, including this last one called the Ketogenic Key, and I think you'll find it a wonderful tool to help optimize your health and life as well.

[00:52:15.890] – Allan
You can go to 40plusfitnesspodcast.com/453, and I'll be sure to have the links to the books there. Dr. Lori, thank you for being a part of 40+ fitness.

[00:52:25.900] – Dr. Shemek
Thank you so much. Really. It's been fun.

[00:52:32.110] – Allan
All right, Rachel, now you're one of the neat people that does endurance running and you do keto, that used to not be a thing. We used to carb up the night before, you know, how much pasta can you shove in your mouth. You get up in the morning and you make sure you're still eating carbs and you carry carbs with you in these little packets. Or when it first came out it was these bars that were really hard to chew when your mouth was dry.

[00:53:02.950] – Rachael
So true.

[00:53:03.910] – Allan
But you're able to do endurance work and not have to worry so much with fuel.

[00:53:11.590] – Rachael
That's true. I've been keto for about two years now, a little over two years now, and it's helped my endurance quite a bit. I can tell you I could probably run 15 miles, fasted, well just on a cup of coffee. I drink coffee every morning no matter what, but I think the longest I've gone without needing any fuel has been 15 miles. But I don't do that on a regular basis. On a long run day I will eat something before I go out. But that's been one of the huge benefits of keto is not relying on a constant sugar load throughout a long day.

[00:53:51.930] – Allan
Yeah. And, you know, we talked about exogenous ketones and other things that you can use. So there are some strategies that you can put into it. But and I think I've said this before, if you're if you're going to try a strategy for a race, do it on your long runs practices, practice.

[00:54:08.550] – Rachael
That's right. Absolutely.

[00:54:09.930] – Allan
Make sure your body is going to react the way you want to. Yeah, I'm good to go for a good long time with without fuel. That fasted walk I did on Monday. I mean, the 13 mile walk on Monday. I did it completely fasted.

[00:54:23.800] – Rachael
Wow.

[00:54:25.270] – Allan
You know, when I came home, I took a nap because I was, you know, roughly I was going from about eight o'clock in the morning until close to noon by the time I stopped sweating and got a shower. And then I just went ahead and took a little nap about an hour or so, got a good sleep cycle in, and then, boom, I'm bouncing up, ready to eat and feeling like I earned it.

[00:54:47.140] – Rachael
Fantastic. Isn't that incredible?

[00:54:49.720] – Allan
Yeah.

[00:54:49.900] – Rachael
That is something.

[00:54:51.250] – Allan
And so, you know, I had I had kind of fallen off of the the wagon, I guess, as you will. I Normally do, a seasonal ketosis. And I'm just going to have an episode on that coming up in a couple of weeks. A few weeks, a couple of weeks, I guess. And, you know, I will normally go into a famine mode for this time of year around February. So I would have started around February. But with the pandemic and the stress and everything that was going on around that time, you know, like closing my gym and hoping I'd get to reopen it, just not knowing a lot of things, I didn't I kept feasting and put on the covid 15, you know.

[00:55:29.410] – Allan
So now we're going into the period of time when I would normally go into a feasting season, but I'm not ready to do that right now. I have lost all the weight and some. I'm back down to my fighting weight, what I normally run at during my my famine season. But I want to I want to push it a little bit further. And so I'm actually not going to to do what I normally do. I'm actually going to try to go through this next period and stay in ketosis.

[00:55:57.070] – Allan
And it'll be a challenge and probably a podcast episode about how to travel in keto, because I'm going to be traveling back to the States. It looks like they're going to be opening things up here to let us travel home and back, but they keep changing the rules so we won't really know till we get on the plane what we're supposed to do and hope that we did it right. But, yeah, I mean, I try to do the holiday season in the United States traveling around and try to make sure I stay in ketosis that time.

[00:56:26.050] – Allan
So food choices will be a tough selection, you know, just because there's a lot of foods that come out in the fall that we just really, really tend to enjoy and want. And many times they don't really fit our eating style.

[00:56:42.150] – Rachael
That's right. And it's hard to eat out unless you know the menu really well. It would be a good experiment. And looking forward to hearing what you experience with that.

[00:56:51.640] – Allan
Well, like everything it comes down to being prepared, you know, plan, plan, plan and plan some more. Have strategies. You know, if there's a food that you just love and it's the fall food and, you know, you're just going to want some of it, you have a strategy for it. So, you know, I'm going to make sure I carry some food with me. You know, when I go into a restaurant, there'll be a certain way that I'll order.

[00:57:16.680] – Allan
Sticking to the protein and, you know, vegetables that aren't coated in sugar, you know, and then and then with my mom, you know, it's like we do a meal. It's like I'll just go ahead and do some of the cooking. So I'll make a keto cranberry sauce because I love cranberry sauce and I'll do the chicken. I mean, the turkey and make sure it's a little bit more fatty cut the way I cook it. So it's going to be a little bit more fat added to it, which will make it juicy and delicious. And then you were saying, you know, we're getting into, I guess, the pumpkin spice season. I'm not I'm not that kind of person. I'm a black drinker. I just trained myself that way as when I was getting off of the diet sodas. But you found a recipe that you're pretty eager to give a shot.

[00:58:06.060] – Rachael
Yeah, I'm not a huge fan of the pumpkin spice, but I do love cinnamon and nutmeg. And this fall season, when the weather gets crisp, I actually do like to add a dash of cinnamon to my coffee, but I will be making some keto snickerdoodle muffins later on this afternoon. I found this recipe from Kirbie's Cravings and I've tried it several times and even my non-keto family members enjoy it as well. So it's a really nice fall treat.

[00:58:35.280] – Allan
Well, good. Well, we'll have a link in the show notes so you can find that. Just scan to the back of the show notes section and we will be sure to make sure that a link to that recipe is there.

[00:58:46.290] – Rachael
Absolutely. Yep.

[00:58:47.650] – Allan
Cool. All right. So Dr. Lori is a really cool person. I've known her for a while. I was actually on her podcast years ago. And, you know, so glad to see her out and writing this book because it was I think it was an awesome book. And I really enjoyed the conversation with her because I think, you know. We don't equate keto with much in the athletic field, we think of it in terms of, oh, I want to lose weight or oh, I've got diabetes and therefore I need to cut my sugar and then keto gets the bad rap, you know? And it's partially I think it's partially deserved because the initial people that were pushing keto kept talking about bacon.

[00:59:31.450] – Rachael
Yes.

[00:59:32.400] – Allan
You know, and I'm like, it's not the bacon diet. Stop the bacon. You know, it's not the bacon. Bacon's fine, it's a condiment. It's something you have with your eggs. Eggs is the main entree. And then the bacon just happens to be something you have on the side. Don't fill your plate up with bacon and then have a couple, a little bit of egg. It's that's not the way this is supposed to work. That's wrong. But, you know, I think people are upset with, you know, they don't know because they've been told for decades to stay away from the saturated fat that it's going to kill you. But the science is coming out now is un-refutable. It's the sugar that's killing it.

[01:00:09.700] – Rachael
Yes. And that was part of your discussion with Lori that I really enjoyed, was that it's not the bacon and egg diet, but that's getting into ketosis involves a little bit of diet and exercise, some intermittent fasting and the Exogenous ketones. So it's not just the bacon diet and there's a lot more to it and it has a lot of benefits.

[01:00:36.130] – Allan
Yeah. And I'd say if you're looking at it as a protocol. So first we're talking about diabetes or we're talking about Alzheimer's or epilepsy and those types of things then I do think there's a good place for the endogenous ketones. But just like I'll say with supplements, just like I'll say with medications, same thing with this. That's not food. You know, it's not what your body needs. We don't have a ketone deficiency because our body is going to make the ketones and eventually our body is going to learn how to use the ketones.

[01:01:09.760] – Allan
So if you're giving it more ketones than you use and you need, you're just going to pee them out. So, yes, you can spend thirty dollars to get the high end ketone little drinks that you can get on Amazon. They're little over thirty dollars for a two or three ounce bottle. You can get the ones that clear the salts that aren't quite as high octane and you can pay seven or eight bucks for about a two or three ounce thing of that, and they make them delicious.

[01:01:37.510] – Allan
So that tastes great. Now, they were horrible, horrible in the beginning, but they taste better now. You don't have a deficiency now if you're in an extreme endurance athlete. So you're looking at saying, OK, I need to make sure that I have fuel for this marathon or this ultra. And you're concerned that, you know, yeah, your body's not going to be able to burn enough body fat because maybe you just don't feel like you have that much body fat to burn. Then there's a place for them and you can factor that in.

[01:02:06.950] – Allan
But just recognize that you're investing in your performance and you need to know that they're working for you and then you're not just wasting your money. So I know there's people who are huge fans of them. It was interesting that Dr. Lori was a fan because she's not selling them, you know.

[01:02:26.910] – Rachael
Yes.

[01:02:27.260] – Allan
The fans, most of the big touting fans are the ones that are actually making them and they'll tell you how wonderful they are. But that's that's anything. Any supplement, anything. But the guy making it loves it.

[01:02:40.000] – Rachael
Yeah. For you. But there's a time and a place and as an endurance athlete myself, you know, if I have a rest day, my nutritional needs are going to be far different from when I'm on my long run day. So if I'm running 20 or 30 miles, I need way more nutrition and fuel as well as hydration that I would maybe on a rest day or just a day at the gym or something. So, yeah, there's a time and a place for all these different things.

[01:03:08.910] – Allan
Yeah. And I again, I look at exogenous ketones and I can't help but kind of lump them in with the term biohacking, you know, how do we hack this, how do we had that. And the human body was not meant to be hacked. It was it was meant to be treated well, nurtured and babied and given what it actually needs on a regular basis. When you're doing that, you've made up 95 percent of you being optimal.

[01:03:34.790] – Allan
And then these other little things you can do, you know, be at Infra-Red, be it taking glutathione or exigence ketones or any of those things. They're a little incremental steps past that now. Yes. If you're trying to take a minute off your marathon time. Yeah. Something like that might help, but you've got to be doing that other 95 percent first.

[01:03:56.420] – Rachael
For sure, yeah, we got to put the work in, get the muscles ready. Yeah, there's a lot to it than just what you're going to eat or drink that day.

[01:04:03.550] – Allan
Yeah it's not like I'm just going to go and take some endogenous ketones and run a marathon, you know. It's just not going to happen. I can definitely walk a half right now, but I could probably jog or run a half if I put my mind to it. But

[01:04:17.680] – Rachael
I'm sure.

[01:04:18.620] – Allan
But you know, I'm not going to just sit there and start taking a supplement or taking something like this and becoming a super athlete.

[01:04:25.590] – Rachael
Right.

[01:04:26.120] – Allan
But, you know, just the cool thing about keto and it's just something to pay attention to is the science is coming out and there's more and more of it that you can use ketosis as a protocol to cut down the inflammation. And I think that's the core of it. What is getting us sick is the food and the things we're doing to our body. It's creating inflammation.

[01:04:49.350] – Rachael
Absolutely.

[01:04:50.810] – Allan
The more we can heal our body by getting the proper rest, stress management, diet, exercise, the more we can get ourselves in balance in pretty much those four areas. And then relationships and family and everything else just, you know, get all of that balanced out and working for you and you're going to make up that 95 percent.

[01:05:09.920] – Allan
And then at that point, you can make some decisions if you want to do the tweaking and and twisting of knobs and just, you know, play mad scientist with your body. And then that's when it makes sense.

[01:05:20.480] – Rachael
Yeah, absolutely. I was resistant to try the ketogenic diet initially, but about three years ago I had a pretty bad ankle injury and I had a tendonosis. I had this inflamed tendon, and I was researching everything I could do to get my ankle back in the shape and the more I read about the ketogenic diet and reducing that inflammation, I thought, well, what's the what's the harm? I give it a try and see how it goes. And two years later, I'm still doing it and feeling better.

[01:05:56.600] – Allan
Yeah. And you know, the core reason I do seasonal ketosis is the reason a lot of people don't do ketosis at all. Those of them say, oh, it's unsustainable. You know, I like beer. You know, and if I have a beer or two beers, I'm going to fall out of ketosis. And if I'm doing that, you know, a few times a week as I'm, you know, going to football games and watching football, because, you know, of course, there's a football game on Sunday, there's a football game on Monday, there's a football game on Thursday, then there's another one on Friday, then there's one on Saturday.

[01:06:29.510] – Allan
And let's start the week all over again. I'm going to have a few beers during the season. Well, I guess I'm not this season, but normally I would. And then we roll right on into Thanksgiving or, you know, Halloween, Thanksgiving, Christmas and all the parties in between New Year's Eve. And then my birthday is right around the same week as the Super Bowl. So we just roll and, you know, roll into that part of the year.

[01:06:54.770] Allan
That's just too much for me to sit there and constantly tell myself, no, no, it's it just feels restricted. And that's the reason a lot of people fail at diets as diets are restrictive. But if you have a program like ketosis and you know how you're going to manage it and when you're in it and you're not completely tied in the fact that you're ketones, have to measure one measure, one point five every time you do it, then it becomes a really good, easy, sustainable way to eat and you get this huge amount of freedom.

[01:07:25.290] Allan
Because like you said, you go on a long training run, you don't have to carry three pack packets of Guu with you.

[01:07:31.440]
That's right. You can just go do the run, you know, have a little bit before and just go do the run. And when you get done, all you have to really worry about on the run was hydration.

[01:07:41.440]
Mm hmm. Yeah, absolutely.

[01:07:42.440]
They don't have to do all this extra stuff, you know, stop at a fast-food restaurant along the way just to get it right.

[01:07:51.270] Rachel
It does give me a lot of freedom, but it's also for me, it's still an easy way of eating. And and you mentioned Thanksgiving. It's it's my favorite eating day of the year. I love everything having to do with Thanksgiving. And my parents and my husband, they're always they're fantastic cooks. But we have had Thanksgiving the last two years and it's been just as delicious as as any other Thanksgiving meal I've ever had. So, I mean, it's totally possible to still eat the foods you love, just making them a little bit more healthier than normal.

[01:08:27.390] Allan
Cool. Well, I'm going to I'm going to challenge you. OK, we're coming up. You know, this is we're going into this this fall season and we're coming up on the Thanksgiving season soon. So why don't we do an episode where we where we're at the end of an episode where we do keto recipes, we drop a couple Thanksgiving keto recipes on folks so they'll have some things they can fall back on.

[01:08:50.740] Rachel
Absolutely. That would. Great.

[01:08:52.740] Allan
So that's my challenge. Get your favorite Keto recipe together for Thanksgiving or one or two of them. And then once we get into October, November, we'll start sharing some of those recipes.

[01:09:53.820] Rachel
Sounds great. I'm on it.

[01:09:06.300] Allan
Well, let's just say goodbye and we'll talk next week.

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Another episode you may enjoy

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November 1, 2018

Liz MacDowell – Can a vegan go keto?

 

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Can a vegan go keto? In her book, Vegan Keto, Liz MacDowell explains exactly how to do it and she provides some wonderful recipes to help you on your journey. On this episode, we discuss her book.

Allan (1:25): Liz, welcome to 40+ Fitness.

Liz MacDowell (1:30): Hi Allan. Thank you. It’s so nice to be here.

Allan (1:34): When I saw your book I was like, “I’ve got to get her on my show”, because it’s Vegan Keto, and I’ve had this conversation with various people over the years. I’m one of those folks right now that’s kind of the backlash against bacon. I’m like, “Please, let’s stop talking about bacon. This is not the bacon diet.” Unfortunately, most people that are vegetarian and vegan, that’s all they hear.

Liz MacDowell (2:02): Exactly.

Allan (2:04): I know they’re saying I can eat bacon, but they’re hearing you eat bacon. It’s a really hard message to explain to folks that we need to get away from the bacon.

Liz MacDowell (2:17): It’s so true. It’s almost like keto has a bit of a PR problem. It was so enticing at first to everyone to hear, “You can eat bacon”, because bacon is that food that’s always kind of tossed back and forth by doctors as either going to kill you now or going to kill you in two years. So people were excited to hear they could have a healthy diet with bacon, but I think it became the overarching message that it’s burgers and bacon and cheese and eggs.

Allan (2:43): We could’ve said the same thing about mayonnaise. You can have all the mayonnaise you want. It’s the perfect fat, if you get the right kind of fat in your mayonnaise. So if it’s an avocado-based mayonnaise, you can just eat as much mayonnaise as you want. That’s not the message of the keto diet, but unfortunately I think that’s where a lot of folks have kind of taken it.

Liz MacDowell (3:05): Exactly. It definitely seems incompatible at first when you think vegan diet and then you think ketogenic diet.

Allan (3:12): Right, but the other side of it is, I’ll be the first to admit that when you’re doing ketosis and the ketogenic diet, you are being restrictive in your food choices. When you’re being vegan, you’re being restrictive in your food choices. Putting the two together is now a compound of, you have to be very, very selective about every bit of morsel of food that goes into your body to meet both of those requirements.

Liz MacDowell (3:47): That is very true. It’s funny, I’ve been doing this for so long and I just kind of eat what I want now, but you’re practiced at it, you know what you can eat. So I don’t feel as though I’m being restricted at all. But then you think about it. When you go to a restaurant and the waitress asks if you have any dietary concerns, it’s almost embarrassing. I just don’t say anything at this point; I just order a salad.

Allan (4:11): Yeah. It’s like, “Don’t even give me the menu.”

Liz MacDowell (4:18): “I will just be ordering vegetables sides, thank you.”

Allan (4:23): And then just say, “Bring me some olive oil to spice it up a little.” And that was one of the interesting things – I’m starting to see this trend in the conversation. I had Dr. Will Cole on not long ago. His book is Ketotarian. He does show you in the book how you can be vegan and do this, how you can be vegetarian or pescatarian. He kind of blends it out there to say you can find an eating style and you can still make it work for keto. But I’m just now starting to hear this message come out, despite my telling people you can. It’s restrictive and it’ll take a lot of work, especially at the front, as you said. But you’ve been doing this for a while. That kind of surprised me, because I really have never heard of anyone sustainably doing this. And so, I’d like to share your story if you don’t mind.

Liz MacDowell (5:23): Yeah, absolutely. I first stumbled upon keto I think through reddit, where I stumble upon most things, in 2012 over the summer. And it was a period of my life where I hadn’t really been eating that well, I’d put on some weight, I was feeling lethargic, tired and sick all the time, and was really looking for a way to feel better both physically and emotionally, really. Because when you’re not feeling your best physically, you get really depressed. I don’t really know how I stumbled upon keto, but at some point in time someone directed me to this keto page where I started learning about all these blood sugar regulation issues, which hit home for me, because I had been hypoglycemic my entire life. And then you just read more and more. And the more I read about it, I thought it couldn’t hurt to try a high fat diet. I’d tried a super high carb diet, as I think most vegans go through the high carb phase, and that was disastrous for me. I know that works for some people. I’m not at all maligning that way of eating. I think that if it works for you, awesome. I just am not a person who can pound 300 grams of carbs a day and feel okay.

Allan (6:44): That was one of the struggles I had. I kind of stumbled into ketosis myself. I was eating Paleo, effectively, but I was keeping my protein at more of a moderate level, which by nature means I was eating more fat. So, with that I started noticing some physical changes – my breath, my energy level, that I just couldn’t explain. I know I’m eating high quality food, but I’ve eaten high quality food before and I didn’t feel like this, and my breath didn’t smell like this. Then I started doing some research and that’s where I came upon ketosis and I’m like, “Okay, let’s figure this out.” I went and got some stuff, and sure enough I’m in ketosis. And then I started reading up on it and understanding some of the other health benefits of it. There are so many studies out there that show that the vegan and vegetarian lifestyle, way of eating are also excellent ways to protect your health. I tried the pescatarian. I knew I couldn’t just play the figuring out the proteins thing. I know there are vegetarian bodybuilders and vegan bodybuilders out there. I know it can be done; it’s just I don’t have the mental energy to do it week in, week out. I know once I got past the dip, it would’ve been fine, but it was that first thing. So I said I’m going to do pescatarian and allow myself to eat fish, and I’m going to eat vegetables and grains and the whole bit.

And what I found was that I was hungry all the time, which caused me to binge on fruit and nuts. And I had to have food with me everywhere I went. I had food in my truck, food at my desk. I was pretty much eating all day, every day, just to keep my energy level. And I would do steel-cut oats in the morning for breakfast, but still by 10:00 I was starving. So I brought myself three servings of walnuts, and I had other food in my office. I just would sit there and binge for the rest of the day. So, there are ways that are going to help us be more healthful and we have to know ourselves, which is what I really appreciated about your story. You’ve now found that balance. You said, “Okay, I know what I can eat. I know how to eat this way.” Now, to do this, I think where most of us think that the vegan aspects of this would make it extremely difficult to hit your micronutrients. I had trouble thinking I could do it with the protein. But we also now have this consideration on, how do I get enough fat into my diet without just drinking olive oil? Can you talk a little bit about the macronutrients? But then I think the bigger story in the end is going to be the micronutrients, because we’re excluding so many foods. There are two layers of complexity here – the macros, which already seem challenging, and the micros, which add a whole another level of depth. Can you go through those a bit?

Liz MacDowell (9:46): Yeah, absolutely. I think part of what makes keto a little bit less intimidating than I would say a Paleo diet for vegans is the moderate protein aspect of it, because you don’t have to worry about hitting 100 grams of protein or 120 grams of protein, which honestly on a keto diet would be totally impossible to do without supplementing. Obviously depending on factors, but for most people I think you would really need to consume a lot of protein powder in order to achieve that 100 grams, 120 grams.

Allan (10:23): And the reality is, most of us don’t need that. When you look at what our output is and our muscle-building capacities, particularly those of us over the age of 40, we just need that maintenance level of protein, which is really a moderate protein. It’s not as high as Atkins or some Paleo paths would have you believe.

Liz MacDowell (10:42): Absolutely. I think that’s another thing where keto is actually less intimidating, because you really don’t need as much protein as people tell you you need. I think we’re all very afraid of not getting enough protein in our culture, which is crazy because we don’t have protein deficiencies all that often. But to hit those macros, I rely on things like hemp seeds, which provide omega three fatty acids, just fats in general; and a good dose of protein for very few carbohydrates. Olives are a great source of fat. I like coconut. I prefer to eat whole food sources as opposed to pouring oil on things. This is so silly, but I feel like I’m getting more food if it’s a whole food source, which volume-wise is true. And also because the olive obviously has a more rounded profile of nutrients than pure olive oil. But I think it’s mostly that I just like eating.

Allan (11:43): There are things that we’re getting from plants that we don’t necessarily get if we’re eating what would effectively be a fortified or processed food. And even if it’s cold pressed, olive oil did go through a process.

Liz MacDowell (11:59): Exactly. And heating it to cook your food, you lose a few more nutrients. Less so with the minerals, but still there is some nutrient loss. Again, I really enjoy eating food. I think you get a whole slew of other benefits. There are so many phytochemicals in plants that we don’t even understand their purpose, but you see studies over and over that show supplementing with the vitamin is okay, although sometimes deleterious to your health, but consuming the whole foods provides added benefits that are greater than the sum of its parts.

Allan (12:36): You hit on a couple of things as you were going through there. There is a higher likelihood with the restrictiveness of trying to be vegan and keto. There are some supplements that you’re going to have to figure out. The big one I know of is the B12. You’re only going to get that from meat and eggs, but if you’re not eating meat and eggs, which you wouldn’t be in vegan, you have to find out your B12. You can measure B12 when you go in and get a blood test, so you can see if you’re deficient, which most vegans probably are. But you supplement. And there are other micronutrients you talked about in the book that I’d really like to spend a little bit of time on.

Liz MacDowell (13:29): Absolutely. So you definitely hit on the big one, B12. What’s sneaky about B12 is your liver can store up to seven years of it. You might not know that you’re slowly becoming deficient year after year because your blood work is showing that you still have enough B12, but eventually it runs out. I read a lot of studies while writing this book, and one of them I was reading showed that a surprising number of meat eaters are also deficient in B12. I think part of that can be attributed to the fact that B12 isn’t really in the food, but rather it’s synthesized by gut bacteria. And so, if we have unhealthy gut flora, it could potentially lead to… I’m kind of spitballing here, but it could potentially lead to a B12 deficiency. I recommend B12 for vegans across the board, keto or not, because as you said, if you’re not eating these animal foods, and even if you are eating these animals foods, sometimes people are deficient. So, testing is important and just keep in mind that if your test shows you’re fine, you should still be aware of your B12 intake.

Vitamin D is another one. I take a vitamin D supplement as well. I’m very pale, so the sun just scorches me, so I don’t like to rely on endogenous production. I think vitamin D is another really important one for vegans because most of the food products that contain it are eggs or dairy milk. Those are things we’re just not consuming. B vitamins are obviously very important for energy production. They’re most commonly found in meat, really. You can find them in grains as well, but the ketogenic diet would not have grains typically.

Allan (15:24): Or at least very little of them, because you would hit your threshold pretty quickly.

Liz MacDowell (15:29): Right, exactly. Not a substantial amount or a significant amount. I actually don’t supplement B vitamins because I put nutritional yeast on of all my food. Not all of it, but you know what I mean. I try to get nutritional yeast in every day, which is a fantastic source of protein. It’s low in carbs and it contains a spectrum of B vitamins. You can even buy nutritional yeast that’s fortified with B12, which would eliminate the need to purchase a separate supplement for that.

Allan (16:01): Okay, cool. I didn’t realize until I read your book how fundamentally good yeast can be. It has a cheesy taste, so I’ve got to figure that out. You had a recipe in the book about these flax seeds that were sort of like fake Doritos. I’m going to try those. We’re recording this ahead of time, but I’m planning Ketofest, a Minifest here. I don’t know if you know Carl Franklin of 2 Keto Dudes, but he wants people to do these keto Minifests, and I agreed to host one. So Carl’s coming down here to Pensacola for us to do this thing. When you’re listening to this, it’s already passed. But I’m planning on making those for that event. I’ve got the recipe, I’ve got the ingredients on my phone, ready to walk to the grocery store later and pick up those things. So, I will be introducing the world to your recipe tomorrow.

Liz MacDowell (17:09): Amazing, thank you! I’m so excited! You’ll have to let me know how they turn out.

Allan (17:13): Absolutely. Now, you had some other items in there that I guess vegans don’t have to so much worry about, and that was the zinc and iodine.

Liz MacDowell (17:29): And magnesium and calcium, I think I list in there too. Exactly, these are minerals which are obtainable by eating whole foods. And in the book, as you know, I list out all the sources. Hemp seeds actually appear on a lot of those lists. I really love them. I’m going to keep telling people to eat them because I think they’re fantastic. Pumpkin seeds are also a great source of zinc, magnesium as well. A lot of these foods also overlap. It can be overwhelming at first to look at a list and say, “Oh no, I have to eat an ounce of that, an ounce of that, and an ounce of that.” But really, a lot of the times you can get double duty out of some of these foods.

Allan (18:10): That takes me to the next topic. When we go on what’s perceived as a restrictive diet… It’s funny, I’ll read a study about keto or about at least the high fat, low carb. And a lot of times the researchers will go through and I don’t think they like the conclusion. And so, they’re going to make a statement in their conclusion that, “This is unsustainable, therefore we should throw it out.”

Liz MacDowell (18:41): We have read similar studies, I see.

Allan (18:45): They basically poopoo their whole study. They still need to get it published because they’re looking for a university and they have to get published, and they’ve done all this work. They just don’t like the answer, so they say, “It’s unsustainable, so just do it the way we’ve been telling you to do it.” I can say for a lot of people that really are wanting to get into keto, but there’s this fear factor of, “I’m eliminating all the foods” – I can tell you when I first went Paleo, I had dreams about bread. I mean literal dreams, like I used to dream about women. But this was bread. Kind of an interesting dream to wake up from and say, “Do I smell bread cooking?” You put some guidance in your book about stress-free ways to get into keto, and I really appreciated the tips that you had in there. Would you mind sharing those?

Liz MacDowell (19:46): Thank you. Absolutely. I think my biggest thing is – and I mention this in the book too – my favorite adage is the best diet, or the best exercise routine, or the best supplement routine, or insert a thing here, is the one you can stick to. If you start right out of the gate with this tiny list of acceptable foods and this super strict schedule for eating and all of your apps and all this madness, it’s kind of like a second job to try and achieve this diet. It’s probably not going to work unless you’re already doing that with a different diet. I always think that you should ease into it and do what’s best for your body. And if that’s going cold turkey and diving in and hitting that 20 grams a day and giving up everything you’ve ever loved food-wise – if that works for you, that’s awesome. But it doesn’t really work for everyone. So, I often advocate just easing your way into it and picking a reasonable number of carbs to stick with, or even ignoring tracking altogether for their first little bit. Just focusing on eating low carb foods and seeing how you feel.

Allan (21:01): I completely agree and I think that’s one of the cool things. When I first saw your book listed, I thought it was a cookbook, just a cookbook. I was pleased to see that it wasn’t, that it had this other stuff in it to help someone. To me that is one way if you want to ease into this – to buy a book that has some recipes in it, and try the recipes, using them as a substitute for the meal you would have had otherwise. So if normally you would have had a dinner with an animal product, and potentially you would have had some starches and probably even some high glycemic vegetables, like carrots or whatnot – now you’re going in and saying, “Here’s an entree and here’s a side from this book. I’m going to have a ketogenic meal.”

Liz MacDowell (21:54): Exactly. And that’s one of my favorite ways, is just one meal at a time, or even one food group at a time. If you rely heavily on rice, maybe try switching out for cauliflower rice and see how that feels. I guess the most that you can do for yourself is be kind and listen to your body and understand that you are not like everyone else. You might not function all that well if you go from eating 250 grams of carbs a day down to 20 grams a day. I think most of us struggle with that at the beginning.

Allan (22:27): Absolutely.

Liz MacDowell (22:29): I think that when people take this “all or nothing” approach, some are great at it. Some people need that, but for others it can be really intimidating and kind of scare them off.

Allan (22:39): Okay. Other tips that you had?

Liz MacDowell (22:47): Don’t necessarily listen to people on the Internet – that’s a big one.

Allan (22:51): But they’re so sure of themselves.

Liz MacDowell (22:54): I know. They’re so angry about it too. I didn’t realize my breakfast impacted your day that much. I see this all the time. Someone posts a picture of their meal and then the comments on Facebook in the group, or on Instagram are like, “That’s not keto” or, “I can’t believe you’re eating this” or, “Who told you you could eat that?” Calm down, don’t listen to that. If that’s what makes your body feel good, then eat that food. Sometimes it’s genuinely people wanting to help someone else and saying, “I don’t know if you realize, but this has this much sugar in it”, or whatever. But you do see a little bit of unnecessary food policing, and I think that a big factor is to tune that out for a little while.

Allan (23:37): I’ll admit, there’ve been times when I saw something on a forum or something that was out there, and it was really more I didn’t want other people doing this.

Liz MacDowell (23:49): For sure.

Allan (23:53): She probably listens to the show; I’m calling her out again. But she would go to McDonald’s and tell them she wanted the McDouble, and give her two McDoubles but only give her the meat and the cheese. Basically she’s got four beef patties and the cheese that’s on each one. So, four slices of cheese and four beef patties, and she would eat that as a meal. I said I think that’s far too much protein. That would probably knock me out of ketosis because of the amount of protein. And she came back and says, “No, I tested. I’m staying in ketosis. It’s great. And I’m lifting heavy.” It works for her and it’s great. At that point I said, “Okay, I’m glad it works for you.” We’re all very, very different in the way that food affects us. I wish it was that simple – one size fits all, and then life would be beautiful. But unfortunately, there are foods I can’t eat because they adversely affect my health. And so, I do agree. Taking what you’re saying, someone is probably coming from a good place, but they’re not recognizing that what you’re doing and why you’re doing it, the motivations of what you have and the limitations of what you have are all there. So, I completely agree with you on that one.

Liz MacDowell (25:24): You also raise a good point though, in that I see a lot of things tagged on social media, I think to get more views, saying, “This is a keto recipe”, when in no universe it’s keto. Like the main ingredient is banana or something. So I think that’s another one.

Allan (25:38): And they’re not always that bad. But there are some of them where it’s like, “Okay, fine, but we don’t need keto cookies. We just don’t.”

Liz MacDowell (25:53): I think there are a lot of products out there that we don’t really need, that we’re kind of being told we do need.

Allan (25:59): Yeah. And I knew it was coming when keto started building up and everything. Now they’re selling fat bombs, now there are all these exogenous ketones.

Liz MacDowell (26:11): They’re everywhere. There’s an MLM for them.

Allan (26:14): Right. It’s cool to occasionally have some kind of treat from the past. It’s cool to say, “I would love to have a keto pizza.” And it’s cool – have a keto pizza. But everything you’re eating shouldn’t be the same kind of foods you were eating before. We’re in this to be healthy, so you start transitioning over to whole foods.

Liz MacDowell (26:46): I have a rule with myself where if I want that kind of junk food thing, I have to make it myself. If you really want it, then yes, you’ll go through the effort to spend an hour, an hour and a half in the kitchen, making the cookie or the donut. I guess it’s not really that long, but you know what I mean. You’ll go through the effort, and then it’s kind of worth it.

Allan (27:08): And as a special treat, because you’re saying, “I really do want this.” So when we were talking about your mock Doritos, they’re made with flax seeds. Everything that’s going to go in there is ground flax seeds and yeast. I’m going to lay them out and I’m going to put them in the pan and cook them. I think the total cooking time, all in, is 30 minutes.

Liz MacDowell (27:32): Yeah, it’s pretty simple.

Allan (27:34): So, I’m going to get two cookie sheets and make enough that everybody can try some. I’m going to have your book open to that page, printed out sitting right there and say, “If you guys want to take this home, there you go. Go get the book, because there’s a lot more in there.” There are 60 recipes in the book.

Liz MacDowell (27:52): That’s awesome, thank you.

Allan (27:55): This is a treat. I’m having people over to my house and we’re all keto. So I’m like, “Let’s try this treat.” But that shouldn’t be the staples of your everyday eating.

Liz MacDowell (28:04): Right, exactly. And I think it’s so easy to forget that. Although I’ll admit while I was writing that book, they became the staples of my everyday eating, because I was so hesitant to waste anything.

Allan (28:17): It’s both. I’ve tried to develop different types of recipes and tried to experiment with the food to try to get different effects and see what things are doing. And as you’re doing that experimentation, you eat what you made, and sometimes it’s not good, but you’re not going to throw that food out.

Liz MacDowell (28:37): That’s so true.

Allan (28:39): But I stumbled across something – I call it “Allan’s fluff”. It’s the weirdest thing. Again, it’s not vegan, so anyone that’s looking at vegan, this does not fit your profile at all. It fits mine.

Liz MacDowell (28:51): I’ll just ignore the parts that don’t apply to me.

Allan (28:53): All of it doesn’t apply, but I guess you could make it part of it. But it’s sour cream, and it’s vanilla-flavored, but unsweetened – basically it’s sweetened with Stevia – protein powder. Now, I’m using a whey protein, but you can use a pea protein. Again, it’s vanilla-flavored. When you mix those two things together – basically about a cup of the sour cream, so eight ounces of sour cream, and a scoop of the protein powder, so about 27 grams of protein – it fluffs up like whipped cream. Vanilla-flavored whipped cream. Yes, it’s delicious. So yesterday – again, we’re planning something coming up, and I was thinking, what if I put pumpkin spice in that? What would that be like? I was testing that, and of course I had to eat my creation. It was good. I stirred it too much, so now I know I need to put the pumpkin spice in while I’m stirring it together, so I don’t break it down, because it will break down if you keep stirring it. So, you’re experimenting; you’re learning new ways to make food or make things interesting. For me it’s a great dessert or just a little afternoon snack if I want something like that, but it’s not something that I’m eating on a daily basis.

Liz MacDowell (30:15): Right. Something I do in the summer actually is really similar to that. In the summer I say because my kitchen’s like 96 degrees and I just can’t be bothered sometimes. But I’ll take full fat coconut milk, and mix it with some protein powder and toss in a couple of frozen berries, like a quarter cup, and mix all that up and it becomes very fluffy and delicious.

Allan (30:35): Cool, awesome. And that’s all I’m saying – experiment and have fun with your food, because too many times when we stress out about food are the things that we can’t eat. And instead, start exploring the things that you can and the flavors and the textures and the different things that you want out of your food to make it that much more enjoyable, and quite frankly, delicious.

Liz MacDowell (31:00): Absolutely. And nutritious. The more variety you eat, the more nutrients your body is taking in. That’s always good. It’s funny too – I think since going keto, the foods that I eat on a regular basis have actually expanded. I feel like I get more variety in now because you’re paying so close attention at the very beginning to the foods you can eat, that you realize there’s a whole section of the supermarket or there are whole types of foods or vegetables that you never really thought about before that are great for keto, like so many different types of greens that I’d never tried before. Now I try to regularly eat mustard greens and dandelion greens – all the stuff that I never thought about before.

Allan (31:49): I snuck some dandelion greens in with some kale and spinach. My wife doesn’t know the difference. She just knows, “It tastes good. He made it.” But I knew it had a different nutrition profile than what we would normally eat, because I took the time to experiment with something else.

Liz MacDowell (32:07): I do that to my husband too – I sneak little bits of all the vegetables into food. You have to sometimes.

Allan (32:15): If I’m doing the cooking, you’re subject to what you get.

Liz MacDowell (32:18): Exactly. Cook’s rules.

Allan (32:21): Yeah. Now, you also told a personal story about some struggles you had when you first got started in exercise. Of course as a personal trainer I want to delve into that a little bit, because people will come to me and they’re like, “I’m keto, but I was told I shouldn’t exercise.” And I’m like, “No, that’s the exact opposite. You have to exercise.” As you put in the book, in the very beginning of this, while you’re going through adaptation, it can be a struggle. You’re going to feel much more fatigued and not have the performance. So I would say, don’t start keto one week before you’re going to do a 5K which you’ve been training for for months, because your performance is going to be off the charts bad. So, can you tell a little bit about your story and then how you would encourage folks to work towards exercising appropriately?

Liz MacDowell (33:21): Absolutely. And I’m laughing at that situation, but really with it, because I’ve been there. Not with a 5K, but as you mentioned, I talk in the book about when I first started keto, I thought I could just do exercise as normal and continue on my merry way, running on the treadmill or outside or whatever. And it turned out to not at all be the case for me. I hit a wall so hard. At the very beginning your body feels like lead, your muscles have nothing to give you. I was holding on to the sides of the treadmill; it was amateur hour. I listened to what was right for my body, which was I slowed the pace down and I realized that something had to give, and for me that was the speed at which I was doing things, or I guess the intensity. I know this isn’t right for everyone, because everyone’s body is different, but for me what I had to do was kind of dial it back, slow down, lay off the intense exercising and be a little more gentle with myself, and then ease back into it. But for some people they can eventually push through the first few terrible workout.

Allan (34:32): Yeah, and a lot of it’s going to depend on the type of work that we’re doing. In my example, I was lifting heavy, but that’s very anaerobic-type work. I just do a quick set and I’m done. The energy that I need is all coming from APT, so it’s there. For that set, I don’t need to go to muscle and liver glycogen. I have all the energy I need to get that done. I take my two-minute break and everything is reset and I go in again. When you’re running, or any kind of aerobic exercise, that’s where I see most people will have the most difficulty. If they haven’t set their mindset to understand that there’s going to be that decline in performance, it really can be disheartening.

Liz MacDowell (35:23): For sure. There are ways to improve your performance though. I’ve seen really great results with a lot of people that I’ve worked with them and I just know. Simply adding in a few extra carbs before their workout – just make a smoothie, put some berries in it, and then give yourself that sort of bridge, like the bridge energy to get yourself through that workout.

Allan (35:46): You’re timing your carbs in such a way that they’re optimal at the time you’re going to most need them. And the other side of it is because of the aerobic work that you’re doing and burning off the muscle glycogen, when that hits your system, your body’s not going to initially need to have a huge insulin spike to protect you from it, protect your brain from it. It’s going to say, “The muscles are working and they’re going to need this.” Insulin not only shuttles the blood sugar to fat cells, it also shuttles it to the muscle. Even that little spike of insulin is not a bad thing, if you have the energy expenditure to make up for it. So I agree – meal-timing is really key. And then the other side of it is, just sticking with it.

Liz MacDowell (36:37): And insulin is anabolic too, so it can help you to help those gains.

Allan (36:43): It does. So you can time the meals if you need to. My trainer at the time, we would have conversations about this, because he really didn’t understand what I was doing when I first started talking to him about it. He knew what ketosis was, but he was like, “No, no, no. I don’t want you coming into the gym in the morning having not eaten. You need to eat before you come here.” I said, “No, I’m coming in. I’m completely fasted. That’s how I’m going to train. I don’t really want to lift weights in the morning, but that’s when you can train me, so that’s when I’m going to do it.” And I would go in completely fasted and have the energy to do it. That said, it was expenditure and then rest, expenditure and rest. So that was very different. I have a friend that runs distance and she puts on well over 100 miles a month. Her husband’s gone keto and he said he did 11 miles. So, a lot of people see performance improvement after they get through to that adaptation, which can take several months. But once you get to full adaptation, your body learns how to manage the glycogen stores to allow you to do. Now, anything over, say, 90 minutes, you might need to refeed a little bit of carbs, but for anything less than 90 minutes, unless you’re really, really busting your butt, your body will adapt.

Liz MacDowell (38:16): Yeah. And along those lines, I think you just learn how much you need to refeed and when you need to refeed. I love hiking. I love hiking mountains. The White Mountains in New Hampshire are so much fun, and some of them are fairly sizable. You’ll have 5K, 6K feet of elevation gain, which is super fun. But it also is very intense and takes a little more than an hour. I tend to find that on those days I need to bring along carrots with me as a snack, or even an apple, which feels like such a weird treat, but there you go. At the end of the day I’m still in ketosis, because over the course of that day, you’ve used up all of that sugar.

Allan (38:55): Yeah. It never really had an opportunity to impact your metabolism, because it was immediately being shuttled into the work that you were doing.

Liz MacDowell (39:05): Right.

Allan (39:06): Cool. Liz, if someone wanted to learn more about you, learn more about this book… I’m interested to try some of the other recipes as well, but it’s not just a cookbook. There are 60 plus recipes in here and a lot of great information to help someone get into ketosis, but beyond that to understand how you can be vegan and keto. Where would you like for me to send them?

Liz MacDowell (39:34): MeatFreeKeto.com is my blog, where everything is, and that will have links to Vegan Keto, which is my cookbook – vegan keto book, and all that information.

Allan (39:46): So you can go to 40PlusFitnessPodcast.com/348, and I’ll be sure to have links to the book and to Liz’s website MeatFreeKeto. Liz, thank you so much for being a part of 40+ Fitness.

Liz MacDowell (40:00): Thank you so much for having me. This was such a fun chat.

Allan (40:09): If you enjoyed today’s episode, would you please take just one moment and leave us a rating and review on the application that you’re listening to this podcast right now? I’d really appreciate it, and it does help other people find the podcast, because it tells the people that are hosting these podcast episodes out there on their apps that you’re interested and they know that other people like you might be interested. So please do that. If you can’t figure out how to do that on your app, you can email me directly and I’ll try to figure it out for you. Or you can go to 40PlusFitnessPodcast.com/Review, and that’ll take you to the iTunes where you can launch that and leave a review there. I really appreciate the ratings and reviews. It does help the podcast, it helps me, so thank you very much for that.

Also, I’d really like to continue this conversation a little bit further, so if you haven’t already, why don’t you go ahead and join our Facebook group? You can go to 40PlusFitnessPodcast.com/Group, and that’ll take you to our Facebook group where you can request entry. It’s a really cool group of people, likeminded, all in our 40s, all trying to get healthy and fit. I’d really love to have you out there and have you a part of that conversation. So, go to 40PlusFitnessPodcast.com/Group.

 

 

 

Another episode you may enjoy

Keto for vegetarians and vegans with Dr Will Cole

October 4, 2018

Keto for vegetarians and vegans with Dr Will Cole

In his book, Ketotarian, Dr. Will Cole gives us a guide on keto for vegetarians and vegans. Many people believe that keto and vegetarians and vegans are two different paradigms, but Dr. Cole shows us that we can have the best of both worlds.

Allan (1:05): Dr. Cole, welcome to 40+ Fitness.

Dr. Cole (1:10): Thanks so much for having me.

Allan (1:11): The book is called Ketotarian: The (Mostly) Plant-Based Plan to Burn Fat, Boost Your Energy, Crush Your Cravings, and Calm Inflammation. And just to start out with, I have to thank you profusely for writing this book. If I see another “bacon, bacon, bacon” conversation about keto, if I had hair I would pull it out. It’s one of those things. Yes, we want high fat, but that doesn’t mean that you just do away with the fact that our body needs the nutrition from the food, and not just the fat. So, I really did appreciate your approach to, one, how you explain the process of this working, and two, you actually put it together for folks with recipes and everything else.

Dr. Cole (2:01): Thank you so much, I really appreciate that. And that’s honestly one of the main reasons why I wrote Ketotarian, was to bring something new to the conversation. Like you said, the “bacon” conversation has been done. We don’t need another conventional ketogenic cookbook or health book out there. So I think something fresh, a plant-based, ketogenic conversation has been started.

Allan (2:26): Yes, and that’s why more and more of my clients are asking about this, like, “I really don’t want to eat a lot of meat and I’m trying to stay more vegetarian or more vegan.” There’s been this conversation that’s swelled up from behind me on this. I eat a lot of plants, but it’s within the realms of knowing my macros and knowing what my body can tolerate. Could you take a few moments to explain what ketotarian actually means and how someone would consider doing something like this?

Dr. Cole (3:00): Sure. Ketotarian is a book that we’re talking about. It’s my plant-based ketogenic book. Half of the book is science and health tips and functional medicine sort of perspective, which is where I come from, and ethos of why we’re doing this. And the heart of wellness that I think has to be at the foundation for sustainable wellness is really having self-respect. Self-care is a form of self-respect, and eating healthy foods and taking care of yourself is a form of self-respect. It’s a different conversation that’s being started for a ketogenic book, but I think seeing patients I realized for someone to sustainably be successful for any way that they’re eating, it has to be coming from a place of self- respect, presence, and loving your body enough to nourish it with good foods. So that’s really the cornerstone of Ketotarian in the first half of the book, plus all the health benefits of ketosis and the health benefits of being plant-based, and all the science and research. It’s heavily referenced, as far as the scientific literature is concerned.

And then the second half of the book is recipes, meal plans, all this practical stuff and pretty pictures. There’s over 81 different vegan, keto, vegetarian-keto and pescatarian-keto, or what I call in the book Ketotarian – another play on words – plant-based, but with wild caught fish and shellfish. So people can eat one way, they can just be vegan-keto, or they can eat a mixture of vegan, vegetarian and pescatarian options. And it’s this 8-week, plant-based keto experience for people to shift their body from being a sugar burner to a fat burner, get the anti-inflammatory benefits of ketosis. That’s what they’re doing in ketotarian. So it’s a play on words. I had somebody point out to me, I kind of created a celebrity couple name out of the title of my book. So, like Brangelina, this is ketotarian. It’s this amalgamation of the best of both worlds of being plant-based and keto.

Allan (5:15): The interesting thing is, I have a lot of keto authors on here, and I have a lot of vegetarian and vegan authors on here. It’s because I don’t want to be prescriptive about what someone’s going to eat. I need them to be comfortable that this fits their lifestyle, this fits them as a person. I’ve even said that to people, that when I talk to someone who’s on the keto side, who’s really successful at it – has gotten rid of their inflammation, is healthy, or I talked to someone on the vegan side who’s healthy, they’re always talking about whole food. They’re not talking about packaged things. Some of them do go a little under the bacon side on the keto, but that all said, I think it created this “us versus them” that really didn’t have to exist.

Dr. Cole (6:02): Absolutely. It’s a very strange thing, but I think tribalism is really deep in America right now on many different levels. And I think that this is just one sort of weird aspect of tribalism where it’s completely unnecessary. The dogmatic sides of both camps is just unnecessary, because we actually have way more in common than we don’t. I think Ketotarian illuminated the fact that there are so many commonalities there. And ketogenic, that way of eating, really can be any modality of eating. It could be pescatarian, it could be vegetarian, it could be vegan, it could be more Mediterranean with the fish too. There are so many ways to do it. And then obviously we have the carnivore diet that’s coming up, which is a form of ketosis, a higher protein ketogenic approach. So you have really all these different forms of ketosis, therefore it doesn’t have to be this “us versus them”. It’s just a way of using food to our advantage, to put our body into this anti-inflammatory, fat-burning state.

Allan (7:12): One of the cool things that you brought up in the book is, this is really about being aware and mindful of the food that you are eating. So this is not just happenstance. Obviously, yes, if you eat a predominantly meat-based diet that’s not lean meats, you’re probably going to go into ketosis at some level. If you’re eating a high fat diet with bacon and all the other stuff that’s coming out of boxes that are marked “keto-friendly”, you’re going to go into ketosis. It takes a little bit more, I think, mindfulness and a more sound approach to food when you’re trying to do it from the vegan or vegetarian aspects. And you had this term you used in here called “ketotarianisms”. Could you take a minute to go through those? I think this really highlights what I’m after here, about how you start getting a lot more mindful about your food, you start focusing more on the quality, and you end up a lot healthier for it.

Dr. Cole (8:10): Yeah. So ketotarianisms are the basic tenants of this way of living and eating. It is basically when you are having a healthy fat, add a green, not-starchy vegetable, and then conversely, when you have a non-starchy vegetable, eat a healthy fat. And then eat when you’re hungry, eat until you’re satiated. These are some of the ketotarianisms that people can live. These are basic principles that really are common sense when you read them, if someone wants to keep it simple. In Ketotarian, I wanted to show all the biohacker, science stuff where people can lean into, or they want to take their wellness to the next level, but I realized there are going to be a lot of people that are reading Ketotarian that are new to this, that feel overwhelmed or, “Where do I start?” I think things like the ketotarianisms or the “keeping it simple” options in the book are really a good segue for people to lean into it and still get the benefits of these healthy, real foods without feeling like they have to go zero to 60 and understand all the science to get started. It’s really not necessary at all.

Allan (9:29): I had a client and he was telling me it’s blueberry season and he can’t help himself every time he goes to the farmer’s market. He wants to eat low carb. And our ancestors, when berries were abundant, they ate the berries. There’s nutrients in the berries that your body needs. Enjoy the berries while they’re in season, because you’re only going to get them for a few more weeks, and you’re not going to have the berries. I think a lot of us get tied up in the “We have to eat this way” or “We have to eat that way.” And there’s so much what I would call “biodiversity” of how each of us handles carbs, our insulin resistance, those types of things. One of the things that you had in the book that is a little different than the guidance I see from a lot of the keto space is that instead of focusing on total carbs, which the 20 grams of total carbs is the earmark out there – you’re going to go into ketosis if that’s what you’re eating. But you focus more on net carbs, which allows us effectively to eat a lot more high fiber vegetables. Could you talk about the net carbs? Having net carbs someone could probably get away with and still get into ketosis or get the benefits of the low carb eating. And then compare and contrast that with total carbs.

Dr. Cole (10:45): Sure. So, total carbs are the sum of all fiber, sugar and sugar alcohols and everything. Net carbs is subtracting fiber and sugar alcohols, if there are sugar alcohols in wherever you’re eating. But basically the fiber, the soluble fiber and the insoluble fiber, we’re subtracting in ketotarian, and many other ketogenic resources you’ll find in books and online too. But Ketotarian definitely does talk about how when we’re working on and focusing on real non-starchy vegetables and real plant foods, that’s when you use net carbs. You do not use net carbs whenever you’re eating junk food and boxed foods and you’re just trying to make yourself feel better by having carbs. At that point it’s not in its whole food form, it’s not in alignment fully with nature, and you can manipulate numbers, I think, for the sake of dieting that isn’t going to produce the same results as if you ate an avocado with tons of fiber, or any other vegetable with lots of fiber when it’s in this whole food form. That’s what we’re talking about when we’re considering net carbs.

So, in the book for all the recipes, I give the net carbs because it is basically subtracting all the fiber. What I allow for, or what I recommend I should say, in Ketotarian, is the first week or so – and sometimes people should do longer than a week – they should do about 25 grams of net carbs throughout the day. So every day their max should be 25 grams of net carbs or less. From there they can find their carbs sweet spot during these eight weeks of being in ketosis from this plant-based approach. Now, the max allowance in ketotarian is 55 grams of net carbs a day. I just wanted something basically average to allow people to have lots of vegetables in, but I know as a functional medicine practitioner that there’s biological variability. I realize that there are some people that will do better with a little bit less, there are some people that can get away with a little bit more. I have some people in ketosis up to 100 grams of net carbs from non-starchy vegetables, because they’re insulin sensitive, they don’t have a lot of inflammation, and they’re fine there. They’re fasting and they can get away with this. But most, I think 55 grams. Why I put it in the book is because it’s the middle of the road for most people to get the benefits here. They can implement it into intermittent fasting and time-restricted feeding, and we talk about that in the book. They can still get all these cool benefits while not restricting their plant foods.

Allan (13:33): The great thing about this is, so many of us, when we first start getting into ketosis or thinking about ketosis think we can’t have fruit. A lot of your recipes do actually have fruit in them. So this is an area where we are, because we’re going to go for the high fiber type of fruits. We are going to be able to eat more fruit with this. When I think about the number of how much food you can eat of non-starchy vegetables with that many grams of carbs – that’s pretty substantial. This is going to be the bulk of your food. This is going to be your entree, and not a meat entree. This is going to be your main source of energy and food, less so the proteins that we would normally have in a steak or something like that.

Dr. Cole (14:26): Exactly. It’s plant-centric. I think that people can pick their level of where they want to go with this. I’m not saying everyone has to be a vegan-ketogenic eater, but definitely when we bring the vegetarian options like the eggs or the ghee, or the pescatarian options with the fish or the shellfish – it’s still plant-centric. These are just different food medicines to bring into this clean, keto way of eating.

Allan (14:54): And that’s what I really liked about it – it said, “Here are the nutritional aspects of how you’re going to eat. These are the net carbs you can get.” And then beyond that, it went through and said, “If you want to make it a little easier to do this, then here’s the option for you to do the vegetarian versus the vegan, and here’s an add-on if you want to include some fish or shellfish. It’s going to have these particular benefits.” So, it’s something that somebody can really look at their way of eating and be thinking about, “How do I make this work for me?” It’s not just this fixed go. And your recipes also break that down, where there are some recipes that will have fish, some that will have eggs, and others that are completely vegan.

Dr. Cole (15:36): Yeah. And I think to your point, with your client with the berries, that’s something that I really wanted to have, this grace and lightness to food. We shouldn’t be stressing about and obsessing about our food and making food this arduous, negative thing. I wanted to recalibrate the conversation, especially in the keto world, which I think can be a little bit too obsessive with foods, and shaming, and orthorexic in a way. What I wanted to say is, “Let’s do this for eight weeks. Let’s shift the body into ketosis. Let’s get the benefits of ketosis.” But from there, like you said, seasonal ketotarian is mentioned in the book, because during the summer if you want to have more fruits and more natural carbs into your life, you normally buy seasonal fruits – then do that. Some people love that and enjoy that, but during the colder months they’re more in ketosis naturally and eating more of this primal way of cycling ketosis approach throughout the year. And some people do that cyclic approach throughout the week, where they’re doing two to three days higher carbs, the other days in ketosis. Again, this is all in the context of real foods. This, I think, needs to be talked about more in the ketogenic world, because so many of them are very dogmatic in the sense of, if you leave ketosis, you’re somehow doing your body an injustice, and that’s not the point of the ketogenic diet and it’s basically all or nothing. I don’t think it’s all or nothing. If you really say “all or nothing”, you obviously haven’t talked to patients or clients and seen biological variability, because you’ll be proven wrong all day long, hanging your hat on one way of doing anything when it comes to food.

Allan (17:28): They would have to kick me out of the Keto Club, because I do the seasonal ketosis. And that’s because there are certain times of the year where I know it’s going to be easier for me to maintain the low carb and just get a little bit tighter on things. And then there are going to be times when we’re in football season and we’re going to come up on New Year and things like that, and I’m going to want to have a beer. My brother owns a brewery, so I’m going to want to have a beer here and there. But I pick my times, I pick my battles, and I’ll go out of ketosis for a period of time. It’s something that’s natural to me, it’s something that feels good. And I don’t have any kind of metabolic problems, so it’s very easy for me to shift fuel sources, depending on how I approach food.

Dr. Cole (18:11): That’s great. That’s the goal of this eight weeks – to build that metabolic flexibility. And you’re right, not everybody has that. Some people with insulin resistance or diabetes or inflammatory problems can’t get away with that. But the goal is to build as much metabolic flexibility as your body allows you to.

Allan (18:31): Yeah. That’s the other aspect of it – some of us are going to go right into ketosis, not have a big problem with it. Others are going to suffer a little bit more, or some really are going to struggle to get into ketosis because their metabolism is a little bit racked and needs some repair. In the book, you share some tips for individuals that are struggling to get into ketosis. Would you mind sharing some of those tips?

Dr. Cole (19:00): I’m just thinking off the top of my head what’s in the book, but one is, if you’re eating a certain level of real food, net carbs or eating plant foods – I would try lowering the amount of carbs as your body adjusts. The state of ketosis – this metabolic, fat-burning, anti-inflammatory, brain-fueled state that we’re talking about here – is through carb restriction. So it’s not necessarily eating tons and tons of healthy fats, even though healthy fats can increase ketones too. But it’s really the carb restriction primarily that will do it. And then secondarily, it’s what do you fill in from that carb restriction? So, lowering your carbs more. If you’re higher net carbs, maybe lower it below 25 for a time as your body gets more fat-adapted that way.

Another tip to get in ketosis if you’re not in ketosis, is to help your body out with getting the benefits of ketosis and raising blood ketone levels with exogenous ketones. You can use MCT oil or different exogenous ketones in drinks or supplements, or you can increase the amount of circulating ketones in the body to get the benefits of it – basically get your boost of energy, help with brain function, etcetera. So if someone’s making that, they’re in this sort of metabolic purgatory where they’re not becoming a fat burner overnight. It may be they’re going through insulin resistance or other health problems, whether they’re slow to make that transition. You can kind of help your body along with some exogenous ketones as you’re making that metabolic transition.

And then some maybe lesser known ideas to help your body get into ketosis is to deal with stress levels and look at sleep, because cortisol fluctuations when someone’s in stress – that can impact the blood sugar, blood pressure, and ketone production. And looking at sleep levels, sleep optimization, which is another thing to consider. Those are some things that are maybe less commonly thought of when you’re talking about, “I’m going to go keto and get the benefits of going keto. I’m going to lose weight”, or whatever it is. You have to look at stress levels; these are important.

Another thing to consider is intermittent fasting. If someone’s not intermittent fasting, which will produce increased ketone levels as somebody is intermittent fasting, they should consider that. That’s another way to produce more ketones, get the benefits of ketosis, but it’s also the effect of ketosis. As someone becomes more and more fat-adapted, it’s a natural result of that. You’re just less hungry, your blood sugar’s more stable, you’re less irritable and hangry. So you just randomly will intermittent-fast, not because you’re trying to or you’re thinking about it, but because, “I’m eating when I’m hungry, and if I’m not hungry, I’m not going to eat.” If that involves not eating breakfast or having a lighter meal at a certain part of the day, these variations of intermittent fasting can happen too. So these are some ideas if someone’s having a difficulty, but we have other ones mentioned in the book too.

Allan (22:21): One of my favorites – obviously I’m a personal trainer, so I’m going to like the “movement” one. It’s interesting though – a lot of people will advise people starting into ketosis to actually avoid exercising. And I’ve always had the opposite opinion. While you might not want to exercise at the same intensity, the stress and the cortisol, there is some value to movement and exercise when you’re trying to get into ketosis.

Dr. Cole (22:47): Absolutely. That’s a great one. I think that movement and staying active should be a part of it. It shouldn’t just be food. I think movement is an important part of wellness. Like you said, you may adjust what you’re doing physical activity-wise, but you shouldn’t stop it.

Allan (23:06): Outstanding. Now, if someone wanted to get in touch with you to learn more about the book, where would you like for me to send them?

Dr. Cole (23:15): Everything’s at DrWillCole.com. There are links to the books, but it’s on Amazon and Barnes & Noble, and in independent bookstores too. But everything’s there. I’m seeing patients throughout the week, and we have primarily a virtual clinic where we do webcam consultations for people. So they can get a free health evaluation on DrWillCole.com too.

Allan (23:41): Cool. This is episode 340, so you can go to 40PlusFitnessPodcast.com/340, and I’ll have the links there to Dr. Cole’s site and to the book on Amazon. Dr. Cole, thank you so much for being a part of the 40+ Fitness podcast.

Dr. Cole (23:59): Thanks so much for having me.

Allan (24:06): If you enjoyed today’s episode, would you please take just one moment and leave us a rating and review on the application that you’re listening to this podcast right now? I’d really appreciate it, and it does help other people find the podcast because it tells the people that are hosting these podcast episodes out there on their apps that you’re interested and they know that other people like you might be interested. So please do that. If you can’t figure out how to do that on your app, you can email me directly and I’ll try to figure it out for you. Or you can go to 40PlusFitnessPodcast.com/Review, and that’ll take you to the iTunes where you can launch that and leave a review there. I really appreciate the ratings and reviews. It does help the podcast, it helps me, so thank you very much for that.

Also, I’d really like to continue this conversation a little bit further, so if you haven’t already, why don’t you go ahead and join our Facebook group? You can go to 40PlusFitnessPodcast.com/Group, and that’ll take you to our Facebook group where you can request entry. It’s a really cool group of people, like-minded, all in our 40s, all trying to get healthy and fit. I’d really love to have you out there and have you a part of that conversation. So, go to 40PlusFitnessPodcast.com/Group.

October 5th, here in Pensacola Beach. If you’re anywhere close, you should come down for this. I’m going to be teaching a cooking class on how to cook for Thanksgiving and remain keto. Also, we’re going to have talks from Carl Franklin of 2 Keto Dudes, and myself. It’s going to be a great time to meet other people in the area that are passionate about keto or want to learn more about keto. So, wherever you stand on that spectrum of either being keto and loving it or wanting to know more about keto, this is going to be a great opportunity for you to connect with people and learn a lot more about it. So I’d encourage you to go to 40PlusFitnessPodcast.com/Ketofest, and that’ll take you to the Eventbrite page. There’s a low fee, $15, to attend. That’s really just to offset some of the cost of food. I really want to help you learn about keto, I really want to make sure I get a good event out there, so I didn’t charge a lot for this. I want to make sure it’s accessible to most folks. If you’re anywhere in the area near Pensacola Beach, I’d encourage you to come down for it. It’s October 5th and it’s going to run from 4:00 until 9:00, and of course, maybe a little later than that. You don’t have to be here for the whole thing. It’s really just about learning about keto, learning how to cook keto, and tasting some of the delicious food, because dinner is included. So, go to 40PlusFitnessPodcast.com/Ketofest, and that will take you to the signup page for our little Keto Minifest. And again, Carl Franklin will be here, so it’s a great opportunity to meet him in person.

And then finally, I am still working on the book, and I do need your help. I need your help to be a part of the launch team. If you can go to WellnessRoadmapBook.com, you’ll see a little form there where you can sign up to be on the launch team. The launch team is going to get a lot of extra goodies that are not going out with the book. They’re going to get some previews, they’re going to get some bonus materials that you’re not going to get if you wait for the book to come out. I know you want to learn about the book, I know you want to be a part of it, so please go to WellnessRoadmapBook.com. Thank you.

Another episode you may enjoy

Keto Cure with Dr. Adam Nally

Managing ketogenic diet mistakes with Eric Stein

Our guest today has authored many books, including the one we’re going to talk about today, Ketogenic Catastrophe. He found a passion helping others after he cured his own IBS, gum disease and insomnia using the Paleo Diet and ketogenic eating. Really cool guy; I know you’re going to enjoy this interview.

Allan (1:08): Eric, welcome to 40+ Fitness.

Eric (1:12): Thanks for having me on. Great to be here.

Allan (1:14): The title, Ketogenic Catastrophe, I really could take that one of two different ways. One is disaster pants kind of style. What you were going after was, what are some of the mistakes that we make when we’re trying to get into ketosis and why do most people fail doing this? Then the other would be, are people having bad experiences with keto? The truth of the matter is keto is not for everybody, but it is a tremendous tool for weight loss, and what I’ve found, for dietary freedom.

I got into ketosis on accident. For those that aren’t fully familiar with what ketosis is, it’s basically where your body starts learning how to burn fat rather than sugar for energy. And because you’re eating predominantly a higher fat diet and not many carbs, your body just gets more comfortable with that and using ketones as a fueling system. I stumbled on it because I was doing Paleo. My version of Paleo was eating more of the healthy fats, so I was eating a lot of avocado, fish and beef. As a result of filling up on the fat, wasn’t eating a lot of anything else. Most of the vegetables I was eating were wholefood, fibrous vegetables like asparagus, broccoli and spinach. So I wasn’t getting a lot of carbs. And then I noticed that my breath was a little sour, more so than not. And I noticed that my body was burning a lot of body fat all of a sudden. I had plateaued – in Paleo dropped about 15 pounds, and then keto took off about, I’d say 45 pounds in just a few weeks. So I fell into it. I figured out what it was. I’m like, “What’s going on with my body? Why am I suddenly losing all of this fat and why am I smelling this way?” Then I got into it and I was like, “Okay, that’s what that is and that’s why that’s happening.”

It’s become more of a seasonal lifestyle for me now, because I’ve lost most of the weight that I wanted to ever lose. I got my body where I wanted to for what I wanted, and then I’m good. But in the book you’re actually talking about the mistakes that keep people from doing this, and I think that’s really important. I was reading a study, and it was a Harvard doctor that had done this study, and they found that the high fat, low carb diet helped people lose more weight than the people who ate the low fat, high carb diet. But in the end his conclusion was, it’s so hard to eat this high fat diet that we’re just going to keep prescribing the low fat diet. My hands hit my head and I’m like, “Oh my gosh.” But it’s not simple; there are some mistakes people make. And that’s what your book is getting into is, what are those mistakes that most people make that would keep them from being successful with this? And what are the tips and tricks and things that we can do to get past them?

Eric (4:12): Yeah, that’s basically what I’ve covered. I had a lot of stumbling when I first started with this whole keto diet thing. This was basically my attempt to share with whoever wants to read it, all of the mistakes that I went through. I think it was Warren Buffett who said, “You can learn from your own mistakes, but you don’t have to. You can learn from other people’s mistakes.” So, my goal with this whole thing was to just share everything that I personally went through in hopes that it will help others become more enlightened about the whole keto thing and just get through it, because it can be difficult. Like you said, it’s not the easiest thing to start. But what people should definitely take from this whole thing is that after you do it for a while, after you get comfortable with it, it becomes much easier too. You can do it seasonally, like you do as well, where you don’t have to do it all the time. So this was my attempt to really help people feel better in the long run.

Allan (5:14): I think that’s the thing. I don’t have any kind of resistance, insulin resistance, any metabolic problems. So for me, keto is just a way to have clarity, to feel better, to have freedom from food, because I can go a day without eating and I don’t panic because my blood sugar’s going to crash or something. So, keto is very comfortable for me, but I don’t do it all year round because there are periods of time when I want to drink beer and go tailgating and enjoy my life and the things that I’m going to do. I’m going to go to Thanksgiving with my mother, I’m going to go do New Year’s Eve with my wife. So, since I know I’m going to have that period of time, I just plan around it and say, “That’s my time to go off keto. I’m not going to feel as good. I’m going to have as much fun as I can and I’m going to make good selections.” So, I do drink the higher quality beers. But beyond all that, when it’s time to go back into my season of famine, so to speak, I get into it. I think a lot folks think it’s a lifestyle, yes. Once you get into it, then you have to stay in it, and that’s not entirely true for everybody. That’s why I think this book is particularly poignant because if you go in and out of ketosis on a regular basis, you’re going to deal with these things. The first one is what you call the “biggest mistake”, and I agree with you. Do you mind talking about what you think the biggest mistake is that most people will make when they’re trying to get into ketosis?

Eric (6:38): Sure. The biggest mistake by far – it’s very simple – it’s just giving up. If you can imagine training for a marathon, let’s say. You do all this prep work, and you get up to the race day, you’re feeling great. You start the marathon, you get through the first mile, 7th mile, 12th mile. You’re getting through it and all of a sudden you get to mile 25, right before the finish line, and you just give up. That’s what a lot of people do, is they get so close to the finish line, building this metabolic flexibility, this ability to burn fat instead of sugar, and right before they get there they just say, “You know what? I’m done.” To put it back to the marathon runner – it’s not like the marathon runner couldn’t finish. No, he just decided, “Well, I’m just not going to finish the race today.” So many people run into that because it’s difficult to get going in the beginning. It’s difficult because your body needs to produce the enzymes and all the wiring that’s required to burn fat for fuel. There’s an adjustment period, but once you get good at it, it becomes much, much easier, and over the long run obviously works out a lot better.

The biggest mistake that people make is they just can’t sack up and get through the first little part. And to give most people more credit here – a lot of keto diet books and a lot of keto diet advice is not the greatest advice out there. They tell people, “Cut your carbs down to 20 grams of carbs, even if you’re eating buckets of sugar each day, and then just do keto.” And you’re going to run into huge problems if you just make an abrupt switch like that. So, to give credit to everybody that’s tried and failed before – maybe you got some bad advice too. But absolutely the biggest mistake is just not pushing through and getting to the other side, because once you get to the other side, then it becomes much easier, even if you have those cheat days, like you say, go have a couple of beers. Once you get back on the train, it’s not nearly as hard to get going again, if that makes sense.

Allan (8:53): It does. I think the difference and the way I look at it is, when you’re talking about the marathon – the runner knows that there’s only 1.2 miles left to go in this race. They’re at mile 25 and there’s only a 1.2 to complete the race. Unfortunately with ketosis you don’t have that mile marker to tell you that it’s that close. I think that’s where that “quit” comes in. I remember I was in the army and I was going through air assault school. And at the end of air assault school you do this 25-mile run. And you’re carrying your M16 and you’re in boots and you do this 25-mile run. Each of the units has people in there, so my unit was there and they were cheering us all on. I was a front runner. I knew there was one guy in front of me, I just didn’t know how far he was in front of me. So I asked one of the guys, “How far is he ahead of me? Just tell me.” And they said, “Oh, he’s too far. You’re never going to catch him.” And I come around the corner and realize that I’ve got maybe half a mile to go and he’s only a hundred yards ahead of me. But by that time I had shut my mind down to the possibility that I could do this, and therefore I ended up coming in second.

I only say that because it’s probably closer than you think it is. Once you get into this and you’re starting to really have that struggle, look for the things that are going to motivate you to keep going. You talk in the book about measurement, and I do think that’s important. The urine strips are really good when you first get started, because they’re going to allow you to see the ketones are starting to build up in there. And they’re color coded so you can see it happening. Since your body doesn’t know how to use the ketones effectively, you’re peeing them out. Eventually the urine sticks won’t be any good for you because your body’s using those ketones and now you’re going to have to be looking to your blood and your breath to understand if you’re in ketosis. But for the most part you are, and you can feel it and you know it. I agree with you – as people are going, just push to the next step. Just take that next step. Keep at it just a little bit longer and you’ll get there. It’s a dip, and once you get past that dip, you’re going to enjoy what you’ve done.

Eric (11:04): Sure. And you can always test and tweak things all along the way too. You don’t have to stick yourself into a rigid structure. Now, if something’s not working for you, you can always pivot and try something new – maybe increase your exercise a little or decrease your exercise a little if you’re working too hard. You can always play with the different approaches and find out what works for you. But keep pushing forward, absolutely.

Allan (11:31): I think that’s another important thing. You’ve got this as mistake number 8 in the book, and it’s bio individuality. You talked about how the basic advice is 20 grams of carbs, and then they kind of stop there. I know from experience working with clients that if you get down to 20 and you stay at 20, you will get into ketosis, but there are some people that can go as high as maybe even 100 grams of carbs, because they’re athletic and they’re doing things. And there are other people that can get to 50. You’re going to have a carb threshold in there and it’s going to be individual to you. You’re going to have nutritional needs that are based on your environment and everything else. Can you talk a little bit about bio individuality and how you’ve seen it work for or against people who are trying to get into ketosis?

Eric (12:23): Sure. That phrase actually was originally coined by the Institute for Integrative Nutrition. They’re the folks that came up with that. Basically at a high level, it just means we’re all different. Some people can eat a vegan diet, and they feel great and it seems to work really well for them. Some people, like myself, feel awful. I’ve tried to do the vegan thing and it doesn’t work for me at all. I had no energy. It just was not something that really worked for me. And we’ve always got to think about where we came from. What has our family’s bloodline been eating for the past 10 generations? That’s going to play a role in how we metabolize things, what we’re used to eating, what our genetics are used to. So, everybody is so different, and this is especially true for the carbohydrate threshold. I’ve talked to people who could not get into ketosis until they got down to that 20 grams of carbohydrate. Now me personally, I was more along the lines of, I could get back into ketosis after eating 80 to 100 grams of carbs for dinner one night, and then the next day around lunchtime be back into a ketogenic state. All the books that I was reading about this, they said, “That’s impossible. It’s going to take you days. You have to do this, you have to do that.” And really, it’s just about finding where you fit, where you feel best and what works for you. And the mistake that people make is having this mindset that everybody’s the same. It’s like this cookie cutter thing, and it’s definitely not true.

Actually there’s a great story. One of my roommates from many years ago, he and I lived together, and this is right around the time when I was trying to clean up my diet and try to lose the weight that I had been gaining. And living with him, I watched him every day just eat fast food. And it was constant drinking sodas, drinking beers all the time and doing whatever he wanted, and he stayed lean. I had no idea. Here I was, even trying to eat healthier at the time, but I was still gaining and gaining and gaining, and I just watched him not gaining a pound. It was very frustrating and really killed a lot of my motivation because it’s like, “Why me? Why can’t I be like him?” At the end of the day, bio individuality means that none of us are going to be the same. Individual results may vary. That phrase is so perfect for many different things in life, but especially people who are trying the ketogenetic diet. You’ve got to really look at yourself and what you’re going through, because everybody’s going to be different. Somebody might lose 30 pounds in a month doing the keto diet and you may sit there and lose a pound and a half. But it could be just because your body is working on fixing other things first, or whatever reason genetically that you’re going to be slower to lose the weight. We have a lot of similarities, but at the base level we have a lot of differences as well.

Allan (15:48): Part of it is genetics, part of it is your hormone mix. I know a lot of people are coming at this metabolically damaged. I was reading another book that actually said the Baby Boomers, which I’m just short of – I’m an X Gen – but 50% of Baby Boomers have some form of metabolic syndrome. I’m just trying to wrap my mind around that.

Eric (16:12): That’s a big number.

Allan (16:13): It’s a huge number. So, we’re approaching this because we want to get healthy. Like you said, your roommate may have had no problem whatsoever. You might run into him today and it may have caught up with him.

Eric (16:29): It did.

Allan (16:32): Okay. It’s not a happy story, but it’s a story. I think the core of this is, there’s that individual that smoked cigarettes from the time they were 14 years old and they’re 104 and they still smoke. And then there’s the individual who got lung cancer in their 40s after smoking only 20 years. So we’re all going to have our own individual path. I think the good thing about knowing that is if you can stop comparing yourself to others and just recognize that what you’re doing is positive for yourself, you’re going to have a lot better mindset going into this whole thing.

Eric (17:08): Yeah, you nailed it right there. The comparison to others is a very difficult thing. It’s something I struggled with tremendously when I first started out on this journey. You definitely want to be sure to remember that what you’re doing is for yourself, and you’re going to be different than everybody else. There are probably people that are going to react the same, but just keep in mind what you’re doing it for.

Allan (17:36): Another big area where mindset comes to play is what you call mistake number 5, “The Social Trap”. I know when I first started this and realized I was eating this way and wanted to keep eating this way, my wife thought I was out of my mind. She was like, “There’s no way.” She’d seen me try other things, and when she saw me try this she said, “I understood the Paleo thing. I do not understand this. I can’t do that.” But she has since turned around. I took her to Ketofest and she met some people and she listened to a few talks. She now knows about keto and for the most part will eat keto most of the time. But that’s not always the case; some people are going to look at you like you’re insane. How do I deal with that going into this? Like you said in the book, I go to order my burger and I say, “Just wrap mine in lettuce. I don’t want the bread.” And you see that look in their eyes.

Eric (18:37): The looks come to you. It can depend on the group of people you’re with as well. Me personally, I had some ruthless friends. We would kind of joke with each other and make fun of each other, but then it can be difficult when you continue to do this thing, you pass up on the beer. I remember sitting at a table at a restaurant and doing the lettuce-wrapped burger and just getting that, “What are you doing? Why are you doing that?” What that elicits in a lot of people, and I know this because it happened to me, is almost a fear to do it. The next time you hang out with everybody, you want to just be like everybody else. You don’t want to be out of the crowd. As humans, we want to be a part of the group. It feels safe. We want to be like everybody else.

So, to have that situation where you’re walking into a wedding or something or you’re going out with your friends and maybe you go to an Italian restaurant and the bread bowl comes around somewhere, and you’re put in that precarious situation where you have to make your decision now. The bread’s coming to you, and you have to make the choice and the people are looking at you. The mistake that people make is falling victim to that social pressure, because it’s, again, going back to being worried about what other people are thinking of you. It’s a very real mistake that most books that are written about the keto diet just kind of glaze over. But it’s such an important piece of this, because we are social creatures, we thrive on being social. I personally love being social. But it was a difficult transition to get over that fear of what other people are thinking of you. It can be one of the most difficult things. It can be actually the one thing that will stop you.

Maybe you have a group of friends, there’s like six of you and everybody’s overweight, let’s just say. All of a sudden you guys are going out to dinner and you start passing on the bread bowl. People are going to look at you funny and they might not even want you to do that, because it’s like, “Hey, where do you think you’re going? We’re all in this together”, that kind of thing. The social aspect of it is such a huge piece. I recommend that people, before they go somewhere like dinner or a party, and you know the temptation is going to be there but you’re not ready to start doing the cheat days yet – visualize it. Walk yourself through the scenario. Imagine yourself passing as the bread bowl comes to you. And then you’re going to have a lot higher chance of success, because you’ve already got the mental rep. You’ve already done it once in your head: “No, thank you”, so it’s going to be easier when game time comes around. The social aspect of it is such a huge piece, especially if you’re an extrovert, you like to go out, you have a lot of friends. People can be judgy. It’s very powerful to know going into this why you’re doing it, the reasons you’re doing it for yourself, and to understand that it’s okay for other people to have opinions. It’s okay for other people to think what you’re doing is crazy. Some people even say it’s dangerous, if you can believe that. So just remember why you’re doing it, and when the time comes and you have that social pressure, to be prepared for it is going to make you more successful.

Allan (22:18): You just hit on something I want to emphasize here – this is your “why”, this is why you’re doing this, and you need to keep that top of mind as you go into this. Yes, the bread bowl comes around and you just pass the bread without taking a piece and someone comments on it. Fairly simple – you can say, “I just got my A1C in and it’s high. I’m prediabetic, and I need to change how I eat.” And when they recognize this is not about you being thinner and more attractive than them, this is actually something you’re doing for your health, it does change the conversation. You can tell them, “I can’t have the simple carbs anymore. I can’t have the beer anymore, because my A1C is too high and I need to get it down. I don’t want to use medication to do that.”

Eric (23:07): Just to touch on one thing that came to my mind – a lot of people, once they’ve done keto and lost weight, want to continue to do it. You can still run into situations where you’re not prediabetic, you don’t need to lose any weight. It becomes easier to say, “I just feel better. I feel better not doing this. I feel better passing on the bread bowl.” Down the road when you don’t have those things to lean on, like, “I need to weight” or “I’m not feeling well. I’m sick for some reason”… There are other aspects of the social trap that can come up, but like you said, keep in the front of your mind why you’re doing it.

Allan (23:56): I call that the “crabs in the bucket”. If you’ve ever seen crabs, none of the crabs can get out of the bucket because the other crabs are pulling the crab down to get on top of it. So the crabs can’t get out of the bucket. Just realize that’s what’s going on. If people keep harassing you about what your choices are, you know what’s working for you. You know why you’re doing this. At that point just stop participating in the food conversation with them, because they’re not looking out for your best interests. I know that’s easier to say than to do, but you have to have this mindset, as I said, going into this to say, “This is what I’m doing and why I’m doing it.”

Now, the other thing that I wanted to get into – you mentioned this earlier and this was one you called mistake number 17. So much advice out there tells people, particularly during the adaptation period, to not exercise. And I don’t entirely agree with this. We talk about bio individuality. I think some people can continue to do their workouts. I know I did and didn’t have a problem in the world. Maybe I’m unique, and that’s great. But I believe people can still get the benefits of exercise during that period of time. They don’t have to forgo it. Your thoughts?

Eric (25:08): I think it probably goes back to that bio individuality thing. I was reading Mark Sisson’s book, The Keto Reset Diet, and I was listening to one of his podcasts. He was talking about how he recommends people not exercise during the adaptation period, because for some it can be difficult. If you’ve been consuming a lot of sugar and you’re metabolically damaged, the process of adaptation can be difficult. He recommends that you just rest through it, which there’s validity there. I think everybody needs to take a look and see how they’re feeling. I personally think it’s a huge mistake to not exercise while you’re doing the keto thing, because having personally gone through it, exercise is so much more enjoyable when you’re doing keto. I have more strength and more energy than I know what to do with when I’m in that keto state. That being said, if you’re just looking at this for, “I just need to lose some weight”, you don’t have to exercise. But I think it’s a huge mistake to not add on this component of it to get your blood flowing. Even if it’s the most basic exercise, like power walking or going up and down some stairs, doing some body weight stuff, push-ups, sit-ups, cleaning your house vigorously. We think of exercise as it has to be in a gym, but there are so many different ways to get your heart pumping, get your body moving. It’s just going to only compound the results that you get.

So, you can do the keto thing and not exercise, but again, I think it’s a big mistake to not do that. And when you realize it too, when you actually get into that keto state – you’re burning ketones for energy – you’ll have this incredible outpouring of motivation too. You will want to go exercise, and you’ll have more energy. I know it sounds funny. People think that if they exercise, they’re going to be tired and have less energy, and it’s actually the opposite. You exercise and you will have more energy – kind of that, “You don’t use it, you lose it” thing. Along with that I’ve noticed that the more you exercise, the greater the mental clarity that you’ll get as well. I’m not sure exactly the mechanics behind why, but I’ve noticed that I’ve become much more mentally clear. It’s almost like you’ve been wearing a pair of prescription glasses your whole life that weren’t even supposed to be yours, like they were the wrong prescription. You suddenly take them off and the world just looks clear. Or you get in your car in the morning and the window’s fogged up, and you turn the defroster on. That’s what happens as you keep going through this. And exercise I think is just a tool to accelerate these benefits and really compound them for everybody.

Allan (28:20): I agree with you. I don’t think there’s a reason to forgo exercise, unless you’re metabolically damaged and you know that this could be a problem for you. Then take it easy and don’t stress yourself. But the reality of life is our muscles and our liver hold roughly about 90 minutes to two hours of moderate intensity work. So when folks are running marathons, they bonk it at mile 18 because that’s about the time that the glycogen that’s in their muscles and their liver starts to run out. You have that in your muscles and your liver all the time. That glycogen’s there all the time to fire off for energy. So, doing moderate intensity work, lifting weights, doing bodyweight work, walking, maybe even some jogging – that’s going to use that glycogen. Now, you are still taking in some carbs. We’re not complete carnivores, zero carb here. You are taking in some carbs and your body has the capacity to take some of the protein you eat and some of the fat and actually turn it into glycogen that you can then use to restore what you need for your muscles and your liver. Your body’s going to still do that. I just think what you force your body to do if you do keep your activity at a good steady pace is you actually force the adaptation a little bit faster. That’s my opinion. Again, I don’t have any scientific proof that that’s the case, but I do know when I have clients cut their sugar back and I have them walk in a fasted state, they lose weight faster. That’s happening in their bodies because it’s forcing them to use more of the glucose that they are eating. It’s forcing them to use the glycogen in their muscles, they’ve got to restore that, so that process just starts working for them.

On the mental clarity note, I don’t know if you’ve read the book Spark, but this was an excellent book that talked about exercise and cognitive health. They found that just having the kids do a PE class in the morning before school helps their grades immensely. Their test scores went up, they had more clarity in class, they were more focused in class. So, there is an exercise–neurological connection that you’re going to get clarity from exercising and yes, you’re going to get mental clarity from powering your brain on ketones. So I think there can be a multiplicative effect there if you’re doing both.

Eric (30:47): Yeah, absolutely. That makes perfect sense. That’s very interesting to hear about the kids. I’m just seeing my path and how my mental state has changed over the years now. I think that would be brilliant to make sure that kids did PE before school and didn’t get rice crispy cereal before school.

Allan (31:14): That’d be a lot better.

Eric (31:17): I look back on my upbringing. That’s what I had.

Allan (31:21): It was the standard American diet, what our government was telling us to eat. That goes to this whole thing, that ketogenic diet is not new. It’s been around for a long time, but it’s just starting to get to a point where people are recognizing they can get great health benefits from it, they can get weight loss from it. And the people that are on it become evangelists for it. It’s a growing trend as a way of eating. It’s not that it’s better than being a vegan or a vegetarian or anything else; it’s just a way of eating. It can benefit you, but it’s not for everybody, as I said earlier. I think if you’re wanting to lose some weight or you’re concerned about your metabolic numbers – your A1C is high, you’re prediabetic – there have been some great results using this. And again, most people that get onto it just feel great.

Eric (32:14): Absolutely.

Allan (32:16): The book is called Ketogenic Catastrophe. Eric, if someone wanted to get in touch with you, learn more about the book, learn what you’re doing, because you and your wife are doing a lot of great stuff over there – where would you like for me to send them?

Eric (32:29): My wife and I run a blog called AncestralJunkie.com, and that’s where we’ll be posting some articles. We’ve been a bit inactive lately. We have our son now and things have been a bit hectic, but we’re back on AncestralJunkie.com. And then you can find my other books – I’ve written a few others – on Amazon. If you search for Ketogenic Catastrophe, my name will pop up and there’s a couple of other things. If you go to the blog, you can get a free meal plan, a free grocery guide and some other goodies for just visiting. And we have a nice little newsletter that goes out. Today’s Friday, so Friday we send out a weekly newsletter where we’ll give you our top five articles and neat products that helped us or quotes that were motivating us, that kind of stuff. So you can get us at AncestralJunkie.com or on Amazon, is where my other books are located.

Allan (33:27): Okay. This is going to be episode 337, so you can go to 40PlusFitnessPodcast.com/337 and I’ll be sure to have links to all of those available there. So again, Eric, thank you so much for being a part of 40+ Fitness.

Eric (33:43): Thank you, Allan. I really appreciate you having me on, and thank you so much for what you’re doing for the health community and just the world at large here. You’re really making a difference, so thank you for that.

Allan (33:52) Thank you.


Thank you for being a part of the 40+ Fitness podcast. I’m really glad you’re here. I hope you enjoyed the conversation we had with Eric. Anyone that’s trying to use the ketogenic lifestyle as a way of eating often finds that they make mistakes, and Eric’s put together a really good book to talk you through how to manage those mistakes. So do check that out – Ketogenic Catastrophe. I have a link to that in the show notes, if you’re interested. And if you enjoyed today’s show, I really would appreciate if you would go to the “Review” section on your app, or go to 40PlusFitnessPodcast.com/Review, which will take you to the iTunes page. Leave a review for the podcast. I really read each and every one of these reviews. The ratings and reviews help us get noticed out there. So really, really important – please do take the time to give us a review; takes you a few minutes, and it can mean the world to someone finding the podcast and finding health. So, 40PlusFitnessPodcast.com/Review. Thank you for that.

A little bit on a personal note, I’ve kind of indicated over the course of the last few episodes that my wife and I are traveling around looking for potential retirement / downscaled life. It looks like we’re going to settle on Panama. That’s not set in stone at this point and it might not be a permanent move, but we are looking to potentially within the next six months sell our house and move out of the country, which will be a very different lifestyle. It’s a change that I’m doing because it will reduce risk from stress and will keep me kind of a in a lower keel, slow things down. I’m really looking forward to something like that. In looking at my health and fitness, that’s the one area where I can get the most bang for the buck. That’s my big rock. If you get into The Wellness Roadmap book once I get that issued, you’re going to learn a lot about how to identify those big rocks. For me, stress is the next big rock that I need to deal with.

I wanted to mention that I am setting up a mini Ketofest. I know I talked about going to Ketofest in July and doing a talk there. I’m going to do that talk again here at my home in Pensacola Beach, and that’s going to be on October 5th. Right now we’re looking at probably having it between 4:00 and 8:00 PM on October 5th. There will be food provided, there’s a small charge to cover off some of the costs of that food. Carl Franklin from 2 Keto Dudes is coming down here and he’ll also be giving a talk, and you’ll be able to meet him here at the mini Ketofest in Pensacola Beach. So do check that out – you can go to 40PlusFitnessPodcast.com/Ketofest. There you’ll find a link to the Eventbrite page. We can only handle a certain number of people. I do have a nice size house, but we still are going to have to limit the number of people that come so everybody can enjoy the food and the talks. So, you do want to go ahead and make sure you get yourself on that list. Go to 40PlusFitnessPodcast.com/Ketofest.

Now on the book, I’m not going to spend a lot of time on it, but it’s gone very, very well so far. I’m getting some blurbs back from folks which basically are just reviews. They’ve seen the book and they felt compelled to help me market the book by writing some really cool, really nice things. And I’m humbled by that. It’s really coming together. The next week I should get the proofs back from the editor and at that point I’ll be able to sit down and batten down and spend some quality time on the book to get that final finish in there. But we’re getting really close to having everything locked down and ready to go, so I’m pretty excited about that. If you want to be a little bit more in the know, get a little bit more detail on how the book is going, you can go to WellnessRoadmapBook.com. You can join the list and become a part of our launch team. That launch team is my go-to group, they’re the folks that I’m going to share the most information about the book. I’ll tell you a little bit about it on the podcast, occasionally I’ll mention it in the groups, but really if you want to be in the know about the book, when it’s coming live, discounts, bonuses, all kinds of stuff that I’m going to be putting out there – you need to join the launch team. So go to WellnessRoadmapBook.com and join the launch team today. Thank you.

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