Latest / Metabolic Mind / Q&A: Harvard Trained Psychiatrist Answers Your Mental Health and Diet Questions. Ep. 1

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Q&A: Harvard Trained Psychiatrist Answers Your Mental Health and Diet Questions. Ep. 1 · Metabolic Mind

• 0:00
  What
• 0:00
  is
• 0:00
  the
• 0:00
  difference
• 0:00
  between
• 0:01
  a
• 0:01
  low
• 0:01
  carb
• 0:01
  diet
• 0:02
  and
• 0:02
  a
• 0:02
  ketogenic
• 0:03
  diet?
• 0:03
  How
• 0:03
  high
• 0:04
  do
• 0:04
  ketones
• 0:05
  need
• 0:05
  to
• 0:05
  be
• 0:06
  for
• 0:06
  mental
• 0:06
  health
• 0:07
  benefits?
• 0:07
  How
• 0:07
  much
• 0:08
  protein
• 0:08
  should
• 0:08
  someone
• 0:08
  eat
• 0:09
  on
• 0:09
  a
• 0:09
  ketogenic
• 0:09
  diet?
• 0:10
  How
• 0:10
  long
• 0:10
  do
• 0:11
  I
• 0:11
  have
• 0:11
  to
• 0:11
  stay
• 0:11
  on
• 0:12
  this
• 0:12
  ketogenic
• 0:13
  diet?
• 0:18
  Welcome
• 0:18
  to
• 0:18
  the
• 0:18
  Metabolic
• 0:19
  Mind
• 0:19
  Podcast.
• 0:20
  I'm
• 0:20
  your
• 0:20
  host,
• 0:20
  Dr.
• 0:20
  Brett
• 0:21
  Scher.
• 0:21
  Metabolic
• 0:22
  Mind
• 0:22
  is
• 0:22
  a
• 0:23
  non
• 0:23
  profit
• 0:23
  initiative
• 0:24
  of
• 0:24
  Bouzouki
• 0:25
  Group
• 0:25
  where
• 0:25
  we're
• 0:25
  providing
• 0:26
  information
• 0:26
  about
• 0:27
  the
• 0:27
  intersection
• 0:27
  of
• 0:28
  metabolic
• 0:28
  health
• 0:28
  and
• 0:29
  mental
• 0:29
  health
• 0:29
  and
• 0:30
  metabolic
• 0:30
  therapies
• 0:31
  such
• 0:31
  as
• 0:31
  Nutrit
• 0:32
  ketosis
• 0:32
  as
• 0:33
  therapies
• 0:33
  for
• 0:33
  mental
• 0:34
  illness.
• 0:34
  Thank
• 0:35
  you
• 0:35
  for
• 0:35
  joining
• 0:35
  us.
• 0:36
  Although
• 0:36
  our
• 0:36
  podcast
• 0:37
  is
• 0:37
  for
• 0:37
  informational
• 0:38
  purposes
• 0:38
  only
• 0:38
  and
• 0:39
  we
• 0:39
  aren't
• 0:39
  giving
• 0:39
  medical
• 0:40
  advice,
• 0:40
  we
• 0:41
  hope
• 0:41
  you
• 0:41
  will
• 0:41
  learn
• 0:42
  from
• 0:42
  our
• 0:42
  content
• 0:42
  and
• 0:42
  it
• 0:43
  will
• 0:43
  help
• 0:43
  facilitate
• 0:44
  discussions
• 0:44
  with
• 0:44
  your
• 0:44
  healthcare
• 0:45
  providers
• 0:46
  to
• 0:46
  see
• 0:46
  if
• 0:46
  you
• 0:46
  could
• 0:46
  benefit
• 0:47
  from
• 0:47
  exploring
• 0:47
  the
• 0:48
  connection
• 0:48
  between
• 0:48
  metabolic
• 0:49
  and
• 0:49
  mental
• 0:50
  health.
• 0:55
  With
• 0:55
  all
• 0:55
  the
• 0:55
  new
• 0:55
  evidence
• 0:56
  and
• 0:56
  new
• 0:56
  discussion
• 0:57
  about
• 0:57
  ketogenic
• 0:58
  diets
• 0:59
  for
• 0:59
  treating
• 0:59
  mental
• 1:00
  illness,
• 1:00
  there
• 1:00
  are
• 1:00
  bound
• 1:01
  to
• 1:01
  be
• 1:01
  a
• 1:01
  number
• 1:01
  of
• 1:02
  questions
• 1:02
  that
• 1:02
  come
• 1:02
  up
• 1:03
  over
• 1:03
  and
• 1:03
  over
• 1:03
  again
• 1:03
  again.
• 1:04
  Well,
• 1:04
  welcome
• 1:05
  to
• 1:05
  our
• 1:05
  Mailbag
• 1:06
  episode.
• 1:06
  In
• 1:06
  our
• 1:07
  mailbag
• 1:07
  episodes,
• 1:07
  Dr.
• 1:08
  Georgia
• 1:08
  Ead
• 1:08
  and
• 1:09
  I
• 1:09
  are
• 1:09
  going
• 1:09
  to
• 1:09
  address
• 1:10
  some
• 1:10
  of
• 1:10
  the
• 1:10
  most
• 1:10
  common
• 1:11
  questions
• 1:11
  that
• 1:12
  come
• 1:12
  up.
• 1:12
  So
• 1:12
  by
• 1:13
  introduction,
• 1:13
  I'm
• 1:13
  Dr.
• 1:13
  Brett
• 1:14
  Schur.
• 1:14
  I'm
• 1:14
  a
• 1:14
  cardiologist
• 1:15
  with
• 1:15
  a
• 1:15
  focus
• 1:15
  on
• 1:16
  ketogenic
• 1:17
  diets
• 1:17
  as
• 1:17
  medical
• 1:18
  interventions
• 1:18
  and
• 1:19
  I'm
• 1:19
  the
• 1:19
  Medical
• 1:19
  Director
• 1:20
  at
• 1:20
  metabolic
• 1:20
  mind
• 1:21
  and
• 1:21
  Dr.
• 1:21
  Georgia
• 1:22
  Ede
• 1:22
  is
• 1:22
  a
• 1:22
  board
• 1:22
  certified
• 1:23
  Harvard
• 1:23
  trained
• 1:24
  psychiatrist
• 1:25
  who
• 1:25
  for
• 1:25
  over
• 1:25
  a
• 1:25
  decade
• 1:26
  has
• 1:26
  been
• 1:26
  treating
• 1:27
  mental
• 1:27
  illness
• 1:27
  with
• 1:28
  ketogenic
• 1:28
  diets.
• 1:29
  And
• 1:29
  we
• 1:30
  are
• 1:30
  going
• 1:30
  to
• 1:30
  start
• 1:31
  doing
• 1:31
  these
• 1:31
  Mailbag
• 1:32
  episodes
• 1:32
  where
• 1:32
  we're
• 1:32
  going
• 1:32
  to
• 1:32
  take
• 1:33
  your
• 1:33
  questions
• 1:34
  and
• 1:34
  answer
• 1:35
  on
• 1:36
  air,
• 1:36
  you
• 1:36
  know,
• 1:36
  on
• 1:36
  our
• 1:36
  videos
• 1:37
  and
• 1:37
  on
• 1:37
  our
• 1:38
  podcast.
• 1:39
  So
• 1:39
  please
• 1:40
  send
• 1:40
  us
• 1:40
  your
• 1:40
  questions
• 1:41
  wherever
• 1:41
  you're
• 1:42
  getting
• 1:42
  this.
• 1:42
  If
• 1:42
  it's
• 1:43
  on
• 1:43
  YouTube,
• 1:43
  leave
• 1:44
  us
• 1:44
  a
• 1:44
  comment.
• 1:44
  If
• 1:44
  it's
• 1:44
  on
• 1:45
  Instagram
• 1:45
  or
• 1:45
  x
• 1:46
  Twitter
• 1:47
  DM
• 1:47
  us
• 1:47
  with
• 1:48
  your
• 1:48
  questions
• 1:48
  that
• 1:48
  we
• 1:49
  can
• 1:49
  help
• 1:49
  address
• 1:50
  the
• 1:50
  most
• 1:50
  common
• 1:51
  concerns
• 1:52
  that
• 1:52
  come
• 1:52
  up
• 1:53
  so
• 1:53
  we
• 1:53
  can
• 1:53
  help
• 1:54
  people
• 1:54
  be
• 1:54
  better
• 1:55
  educated
• 1:56
  to
• 1:56
  either
• 1:56
  discuss
• 1:57
  with
• 1:57
  their
• 1:57
  clinician
• 1:58
  the
• 1:58
  best
• 1:59
  ways
• 1:59
  to
• 1:59
  potentially
• 2:00
  approach
• 2:00
  ketogenic
• 2:01
  therapy.
• 2:02
  So
• 2:02
  once
• 2:02
  again
• 2:03
  enjoy
• 2:04
  mailbag
• 2:04
  episode
• 2:05
  number
• 2:05
  one
• 2:05
  with
• 2:05
  myself
• 2:06
  and
• 2:06
  Dr.
• 2:06
  Georgia
• 2:07
  Ead.
• 2:07
  Many
• 2:07
  of
• 2:07
  the
• 2:07
  interventions
• 2:08
  we
• 2:08
  discuss
• 2:08
  can
• 2:08
  have
• 2:09
  potentially
• 2:09
  dangerous
• 2:09
  effects
• 2:10
  if
• 2:10
  done
• 2:10
  without
• 2:10
  proper
• 2:11
  supervision.
• 2:11
  Consult
• 2:12
  your
• 2:12
  healthcare
• 2:12
  provider
• 2:13
  before
• 2:13
  changing
• 2:13
  your
• 2:13
  lifestyle
• 2:14
  or
• 2:14
  medications.
• 2:15
  In
• 2:15
  addition,
• 2:15
  it's
• 2:15
  important
• 2:16
  to
• 2:16
  note
• 2:16
  that
• 2:16
  people
• 2:16
  may
• 2:17
  respond
• 2:17
  differently
• 2:17
  to
• 2:17
  ketosis
• 2:18
  and
• 2:18
  there
• 2:18
  isn't
• 2:19
  one
• 2:19
  recognized
• 2:19
  universal
• 2:20
  response.
• 2:27
  Georgia
• 2:27
  welcome
• 2:28
  to
• 2:28
  our
• 2:28
  first
• 2:28
  Meal
• 2:29
  Bag
• 2:29
  episode.
• 2:29
  How
• 2:29
  are
• 2:29
  you
• 2:30
  doing
• 2:30
  today?
• 2:31
  Good.
• 2:31
  How
• 2:31
  are
• 2:31
  you
• 2:31
  doing
• 2:31
  Brett?
• 2:32
  I'm
• 2:32
  great.
• 2:32
  I'm
• 2:33
  excited
• 2:33
  to
• 2:33
  get
• 2:33
  into
• 2:33
  these
• 2:34
  questions
• 2:35
  because
• 2:36
  look,
• 2:36
  we
• 2:36
  get
• 2:36
  so
• 2:37
  many
• 2:37
  questions
• 2:37
  about
• 2:38
  ketogenic
• 2:38
  therapy
• 2:39
  for
• 2:39
  mental
• 2:40
  health,
• 2:40
  and
• 2:40
  you've
• 2:40
  been
• 2:40
  doing
• 2:41
  this
• 2:41
  for
• 2:42
  over
• 2:42
  a
• 2:42
  decade,
• 2:43
  and
• 2:44
  how
• 2:44
  do
• 2:44
  you
• 2:45
  see
• 2:45
  it?
• 2:45
  Like
• 2:45
  a
• 2:45
  lot
• 2:45
  of
• 2:46
  these
• 2:46
  questions
• 2:46
  that
• 2:46
  we're
• 2:47
  going
• 2:47
  to
• 2:47
  talk
• 2:48
  about
• 2:48
  today
• 2:49
  and
• 2:50
  what
• 2:50
  you've
• 2:50
  experienced
• 2:51
  over
• 2:51
  the
• 2:51
  past
• 2:51
  decade
• 2:52
  or
• 2:52
  so,
• 2:52
  what
• 2:53
  stands
• 2:53
  out
• 2:53
  for
• 2:53
  you
• 2:54
  about
• 2:54
  the
• 2:55
  importance
• 2:55
  of
• 2:55
  these
• 2:55
  questions?
• 2:56
  Well,
• 2:57
  you
• 2:57
  know,
• 2:57
  even
• 2:58
  so,
• 2:58
  ketogenic
• 2:59
  diets
• 3:00
  in
• 3:00
  general
• 3:01
  for
• 3:01
  weight
• 3:01
  loss
• 3:02
  or
• 3:02
  for
• 3:02
  type
• 3:02
  2
• 3:03
  diabetes,
• 3:03
  blood
• 3:04
  sugar
• 3:04
  control,
• 3:05
  there
• 3:05
  are
• 3:06
  some
• 3:06
  basics
• 3:06
  that
• 3:07
  apply
• 3:07
  to
• 3:07
  everybody,
• 3:08
  but
• 3:08
  then
• 3:08
  ketogenic
• 3:09
  diets
• 3:09
  for
• 3:09
  mental
• 3:09
  health
• 3:10
  is
• 3:10
  a
• 3:10
  little
• 3:10
  bit
• 3:10
  different.
• 3:11
  There
• 3:11
  are
• 3:11
  some
• 3:11
  special
• 3:12
  things
• 3:12
  people
• 3:12
  need
• 3:12
  to
• 3:13
  know
• 3:13
  about
• 3:13
  ketogenic
• 3:14
  diets
• 3:14
  specifically
• 3:15
  for
• 3:15
  mental
• 3:15
  health.
• 3:16
  But
• 3:16
  the
• 3:16
  other
• 3:16
  reason
• 3:17
  I
• 3:17
  think
• 3:17
  it's
• 3:17
  good
• 3:17
  to
• 3:17
  go
• 3:18
  over
• 3:18
  these
• 3:18
  questions
• 3:18
  is
• 3:18
  because
• 3:19
  even
• 3:19
  for
• 3:19
  people
• 3:19
  who
• 3:20
  have
• 3:20
  been
• 3:20
  doing
• 3:20
  ketogenic
• 3:21
  diets
• 3:21
  for
• 3:21
  a
• 3:21
  while,
• 3:22
  or
• 3:22
  think
• 3:22
  they
• 3:22
  have
• 3:23
  been,
• 3:24
  there
• 3:24
  can
• 3:25
  be
• 3:25
  some
• 3:25
  points
• 3:26
  of
• 3:26
  confusion
• 3:27
  or
• 3:27
  sticking
• 3:27
  points
• 3:28
  or
• 3:28
  places
• 3:29
  where
• 3:29
  people
• 3:30
  may
• 3:30
  not
• 3:30
  realize
• 3:31
  why
• 3:31
  they're
• 3:31
  not
• 3:32
  getting
• 3:32
  the
• 3:32
  benefits
• 3:33
  that
• 3:33
  they
• 3:33
  were
• 3:33
  hoping
• 3:34
  for.
• 3:35
  And
• 3:36
  there
• 3:36
  are
• 3:36
  some
• 3:36
  really
• 3:36
  common
• 3:37
  questions
• 3:37
  that
• 3:37
  even
• 3:38
  veterans
• 3:38
  of
• 3:38
  ketogenic
• 3:39
  diets
• 3:39
  for
• 3:39
  mental
• 3:39
  health,
• 3:41
  it
• 3:42
  may
• 3:42
  help
• 3:42
  to
• 3:42
  get
• 3:42
  some
• 3:42
  clarity
• 3:43
  on
• 3:43
  those.
• 3:43
  So
• 3:44
  these
• 3:44
  questions
• 3:45
  are
• 3:45
  not
• 3:45
  just
• 3:45
  for
• 3:45
  beginners.
• 3:46
  They're
• 3:46
  for
• 3:46
  everybody
• 3:47
  who
• 3:47
  is
• 3:47
  interested
• 3:48
  in
• 3:48
  ketogenic
• 3:49
  fats
• 3:49
  for
• 3:49
  mental
• 3:49
  health.
• 3:50
  Yeah,
• 3:50
  I
• 3:50
  think
• 3:50
  that's
• 3:51
  a
• 3:51
  great
• 3:51
  lead
• 3:51
  in.
• 3:52
  And
• 3:52
  the
• 3:52
  first
• 3:53
  question,
• 3:53
  a
• 3:53
  question
• 3:54
  that
• 3:54
  comes
• 3:54
  up
• 3:55
  all
• 3:55
  the
• 3:55
  time,
• 3:55
  is,
• 3:56
  what
• 3:56
  is
• 3:56
  the
• 3:56
  difference
• 3:57
  between
• 3:57
  a
• 3:57
  low
• 3:57
  carb
• 3:58
  diet
• 3:58
  and
• 3:58
  a
• 3:58
  ketogenic
• 3:59
  diet?
• 3:59
  Because
• 4:00
  often
• 4:00
  it
• 4:00
  seems
• 4:00
  like
• 4:01
  people
• 4:01
  can
• 4:01
  use
• 4:02
  the
• 4:02
  two
• 4:02
  terms
• 4:03
  interchangeably,
• 4:04
  but
• 4:05
  when
• 4:05
  it
• 4:05
  comes
• 4:05
  to
• 4:06
  mental
• 4:06
  health,
• 4:06
  they're
• 4:07
  probably
• 4:07
  not
• 4:07
  the
• 4:08
  same.
• 4:08
  So
• 4:08
  give
• 4:08
  us
• 4:08
  some
• 4:08
  of
• 4:08
  your
• 4:09
  thoughts
• 4:09
  on
• 4:09
  that.
• 4:10
  So
• 4:11
  the
• 4:11
  difference
• 4:11
  between
• 4:11
  a
• 4:12
  low
• 4:12
  carb
• 4:12
  diet
• 4:12
  and
• 4:13
  a
• 4:13
  ketogenic
• 4:13
  diet,
• 4:14
  A
• 4:14
  low
• 4:14
  carbohydrate
• 4:15
  diet
• 4:15
  lowers
• 4:16
  glucose
• 4:17
  levels.
• 4:17
  A
• 4:17
  ketogenic
• 4:18
  diet
• 4:19
  lowers
• 4:19
  insulin
• 4:20
  levels,
• 4:21
  not
• 4:21
  just
• 4:21
  glucose
• 4:22
  levels.
• 4:22
  So
• 4:23
  on
• 4:23
  a
• 4:23
  simple
• 4:23
  low
• 4:24
  carbohydrate
• 4:24
  diet,
• 4:25
  all
• 4:25
  you're
• 4:26
  doing
• 4:26
  is
• 4:26
  keeping
• 4:27
  your
• 4:27
  carbs
• 4:27
  very
• 4:28
  low.
• 4:29
  That
• 4:29
  won't
• 4:30
  necessarily
• 4:31
  get
• 4:31
  you
• 4:31
  into
• 4:31
  ketosis.
• 4:32
  It
• 4:33
  depends
• 4:33
  on
• 4:33
  who
• 4:33
  you
• 4:33
  are.
• 4:34
  So
• 4:34
  how
• 4:35
  low
• 4:35
  is
• 4:35
  a
• 4:35
  low
• 4:35
  carb
• 4:36
  diet?
• 4:36
  Most
• 4:36
  people
• 4:37
  would
• 4:37
  say,
• 4:37
  well,
• 4:37
  it's
• 4:38
  below
• 4:38
  50
• 4:38
  grams
• 4:39
  per
• 4:39
  day
• 4:39
  of
• 4:39
  carbohydrate.
• 4:40
  But
• 4:40
  some
• 4:41
  would
• 4:41
  even
• 4:41
  say
• 4:41
  that
• 4:41
  below
• 4:42
  100
• 4:42
  grams
• 4:43
  per
• 4:43
  day
• 4:43
  counts
• 4:43
  as
• 4:44
  a
• 4:44
  low
• 4:44
  carb
• 4:44
  diet.
• 4:44
  And
• 4:45
  there
• 4:45
  are
• 4:45
  even
• 4:45
  some
• 4:45
  people
• 4:46
  who
• 4:46
  would
• 4:46
  say
• 4:47
  that
• 4:47
  the
• 4:47
  cutoff
• 4:47
  should
• 4:47
  be
• 4:48
  below
• 4:48
  130
• 4:49
  grams
• 4:49
  per
• 4:49
  day.
• 4:50
  But
• 4:51
  to
• 4:51
  be
• 4:51
  ketogenic,
• 4:52
  most
• 4:53
  people
• 4:53
  need
• 4:53
  to
• 4:53
  go
• 4:54
  below
• 4:54
  50
• 4:54
  grams,
• 4:55
  and
• 4:55
  many
• 4:56
  people
• 4:56
  need
• 4:56
  to
• 4:56
  go
• 4:57
  down
• 4:57
  to
• 4:58
  20
• 4:58
  grams
• 4:59
  to
• 5:00
  have
• 5:00
  the
• 5:00
  chance
• 5:01
  of
• 5:01
  getting
• 5:01
  into
• 5:01
  ketosis
• 5:02
  or
• 5:02
  being
• 5:02
  in
• 5:02
  ketosis
• 5:03
  on
• 5:03
  a
• 5:03
  regular
• 5:04
  basis.
• 5:04
  So
• 5:05
  some
• 5:05
  people
• 5:06
  say
• 5:06
  that
• 5:07
  if
• 5:07
  you
• 5:07
  lower
• 5:07
  carbohydrate
• 5:09
  to
• 5:09
  20
• 5:09
  grams
• 5:10
  or
• 5:10
  less,
• 5:10
  then
• 5:11
  that
• 5:11
  is
• 5:11
  automatically
• 5:12
  ketogenic.
• 5:13
  But
• 5:13
  it's
• 5:14
  only
• 5:14
  ketogenic
• 5:15
  if
• 5:15
  you
• 5:16
  are
• 5:16
  producing
• 5:17
  ketones.
• 5:18
  And
• 5:18
  there
• 5:18
  are
• 5:18
  plenty
• 5:19
  of
• 5:19
  people
• 5:19
  who
• 5:20
  limit
• 5:20
  their
• 5:20
  carbohydrate
• 5:21
  to
• 5:21
  20
• 5:21
  grams
• 5:22
  a
• 5:22
  day
• 5:22
  and
• 5:22
  that's
• 5:22
  all
• 5:22
  they're
• 5:22
  doing.
• 5:23
  They're
• 5:23
  not
• 5:23
  paying
• 5:23
  attention
• 5:24
  to
• 5:24
  anything
• 5:24
  else
• 5:25
  about
• 5:25
  their
• 5:25
  diet
• 5:25
  or
• 5:25
  lifestyle.
• 5:26
  And
• 5:27
  there
• 5:28
  are
• 5:28
  many
• 5:28
  people
• 5:28
  out
• 5:29
  there
• 5:29
  who
• 5:29
  are
• 5:29
  counting
• 5:30
  their,
• 5:30
  their
• 5:30
  carbs
• 5:31
  religiously,
• 5:32
  getting
• 5:32
  down
• 5:32
  to
• 5:32
  20
• 5:32
  grams
• 5:33
  and
• 5:33
  they
• 5:33
  are
• 5:33
  not
• 5:33
  in
• 5:34
  ketosis
• 5:34
  most
• 5:35
  of
• 5:35
  the
• 5:35
  time.
• 5:35
  That's
• 5:36
  a
• 5:36
  great
• 5:36
  point
• 5:36
  though.
• 5:36
  That
• 5:37
  is
• 5:37
  a
• 5:37
  great
• 5:37
  point
• 5:37
  because
• 5:38
  two
• 5:38
  people
• 5:38
  can
• 5:38
  be
• 5:38
  eating
• 5:39
  the
• 5:39
  same
• 5:39
  foods
• 5:40
  and
• 5:40
  that's
• 5:41
  quote
• 5:41
  a
• 5:41
  ketogenic
• 5:41
  diet.
• 5:42
  But
• 5:42
  if
• 5:42
  you're
• 5:42
  not
• 5:42
  in
• 5:43
  ketosis,
• 5:43
  it's
• 5:43
  not
• 5:44
  a
• 5:44
  ketogenic
• 5:44
  diet
• 5:44
  for
• 5:45
  you.
• 5:45
  So
• 5:45
  it's,
• 5:45
  it's,
• 5:45
  it's
• 5:46
  one
• 5:46
  of,
• 5:46
  probably
• 5:46
  the
• 5:46
  only
• 5:47
  diet
• 5:47
  that
• 5:47
  you
• 5:47
  can
• 5:48
  really
• 5:48
  test
• 5:49
  compliance,
• 5:49
  or
• 5:50
  compliance
• 5:50
  is
• 5:51
  the
• 5:51
  wrong
• 5:51
  word.
• 5:51
  You
• 5:51
  can
• 5:51
  test
• 5:52
  efficacy
• 5:52
  of
• 5:53
  the
• 5:53
  diet
• 5:53
  in
• 5:53
  getting
• 5:54
  the
• 5:54
  state
• 5:54
  that
• 5:55
  you
• 5:55
  want
• 5:55
  by
• 5:55
  testing
• 5:56
  your
• 5:56
  ketones.
• 5:56
  So
• 5:57
  I
• 5:57
  think
• 5:57
  that's
• 5:57
  such
• 5:58
  an
• 5:58
  important
• 5:58
  point
• 5:59
  that
• 5:59
  you
• 5:59
  just
• 6:00
  brought
• 6:00
  up.
• 6:00
  Now
• 6:00
  the
• 6:01
  other
• 6:01
  thing
• 6:01
  though,
• 6:01
  that's
• 6:01
  really
• 6:02
  interesting
• 6:02
  is
• 6:02
  a
• 6:02
  lot
• 6:03
  of
• 6:03
  people
• 6:03
  can
• 6:03
  go
• 6:04
  on
• 6:04
  a
• 6:04
  low
• 6:04
  carb
• 6:04
  diet.
• 6:05
  Like
• 6:05
  if
• 6:05
  you're
• 6:05
  eating
• 6:05
  the
• 6:05
  standard
• 6:06
  American
• 6:06
  diet,
• 6:07
  350
• 6:07
  grams
• 6:08
  of
• 6:08
  carbohydrates
• 6:09
  per
• 6:09
  day
• 6:09
  with
• 6:09
  ultra
• 6:10
  processed
• 6:10
  food
• 6:10
  and
• 6:11
  refined
• 6:11
  carbs
• 6:12
  and
• 6:12
  sugars,
• 6:13
  and
• 6:13
  you
• 6:13
  go
• 6:13
  to
• 6:14
  a
• 6:14
  hundred
• 6:15
  gram
• 6:15
  per
• 6:15
  day,
• 6:15
  low
• 6:16
  carb
• 6:16
  diet,
• 6:16
  chances
• 6:17
  are
• 6:17
  you're
• 6:17
  going
• 6:17
  to
• 6:18
  lose
• 6:18
  weight,
• 6:18
  chances
• 6:18
  are
• 6:18
  you're
• 6:19
  going
• 6:19
  to
• 6:19
  improve
• 6:19
  your
• 6:19
  metabolic
• 6:20
  health
• 6:20
  somewhat,
• 6:20
  chances
• 6:21
  are
• 6:21
  you're
• 6:21
  going
• 6:21
  to
• 6:22
  feel
• 6:22
  better.
• 6:23
  But
• 6:23
  when
• 6:23
  it
• 6:23
  comes
• 6:23
  to
• 6:23
  mental
• 6:24
  health,
• 6:24
  do
• 6:25
  you
• 6:25
  think
• 6:25
  that's
• 6:25
  really
• 6:25
  enough
• 6:26
  to
• 6:26
  treat
• 6:27
  bipolar
• 6:27
  depression,
• 6:28
  to
• 6:29
  treat
• 6:29
  schizophrenia,
• 6:30
  to,
• 6:31
  you
• 6:31
  know,
• 6:31
  put
• 6:32
  OCD
• 6:33
  into
• 6:33
  remission?
• 6:33
  Not
• 6:33
  that
• 6:34
  we
• 6:34
  have,
• 6:34
  you
• 6:35
  know,
• 6:35
  randomized
• 6:36
  controlled
• 6:36
  trials
• 6:36
  showing
• 6:36
  all
• 6:37
  that,
• 6:37
  but
• 6:37
  we
• 6:37
  have
• 6:37
  lots
• 6:37
  of
• 6:38
  clinical
• 6:38
  experience
• 6:38
  with
• 6:38
  it.
• 6:39
  Is
• 6:39
  that
• 6:39
  where
• 6:40
  you
• 6:40
  see
• 6:40
  the
• 6:40
  difference
• 6:40
  between
• 6:41
  low
• 6:41
  carb
• 6:41
  and
• 6:41
  keto?
• 6:42
  And
• 6:42
  yeah,
• 6:42
  so,
• 6:43
  so
• 6:43
  as
• 6:43
  we
• 6:43
  were
• 6:43
  saying
• 6:43
  before,
• 6:44
  low
• 6:44
  carb
• 6:44
  lowers
• 6:45
  glucose
• 6:45
  levels
• 6:46
  and
• 6:46
  ketogenic
• 6:47
  diets
• 6:47
  lower
• 6:48
  insulin
• 6:48
  levels
• 6:48
  and
• 6:49
  you
• 6:49
  can't
• 6:49
  get
• 6:49
  into
• 6:49
  ketosis,
• 6:50
  you
• 6:50
  can't
• 6:50
  make
• 6:51
  ketones
• 6:52
  unless
• 6:53
  there
• 6:53
  are
• 6:53
  three.
• 6:53
  There
• 6:54
  are
• 6:54
  three
• 6:54
  steps
• 6:54
  to
• 6:55
  getting
• 6:55
  into
• 6:55
  ketosis.
• 6:56
  And
• 6:57
  so
• 6:57
  the
• 6:57
  first
• 6:57
  is
• 6:58
  you
• 6:58
  have
• 6:58
  to
• 6:58
  lower
• 6:59
  your
• 6:59
  blood
• 7:00
  sugar
• 7:00
  levels
• 7:00
  and
• 7:01
  a
• 7:01
  low
• 7:01
  carb
• 7:02
  diet
• 7:02
  will
• 7:02
  do
• 7:02
  that.
• 7:03
  The
• 7:03
  second
• 7:04
  step
• 7:04
  though
• 7:04
  is
• 7:04
  you
• 7:05
  have
• 7:05
  to
• 7:05
  lower
• 7:05
  your
• 7:05
  insulin
• 7:06
  levels
• 7:06
  to
• 7:06
  the
• 7:06
  fat
• 7:07
  burning
• 7:07
  point.
• 7:08
  And
• 7:08
  that
• 7:08
  we
• 7:09
  can
• 7:09
  talk
• 7:09
  about
• 7:09
  in
• 7:09
  a
• 7:10
  little
• 7:10
  while,
• 7:11
  may
• 7:11
  require
• 7:12
  doing
• 7:12
  more
• 7:12
  than
• 7:13
  just
• 7:13
  counting
• 7:13
  your
• 7:14
  carbohydrate.
• 7:15
  And
• 7:15
  the
• 7:15
  third
• 7:15
  thing
• 7:16
  you
• 7:16
  have
• 7:16
  to
• 7:16
  do
• 7:16
  is
• 7:16
  you
• 7:16
  have
• 7:16
  to
• 7:17
  burn
• 7:17
  off
• 7:17
  a
• 7:17
  certain
• 7:17
  amount
• 7:18
  of
• 7:18
  stored
• 7:18
  starch
• 7:19
  in
• 7:19
  the
• 7:19
  liver
• 7:20
  called
• 7:20
  glycogen.
• 7:21
  You
• 7:21
  have
• 7:21
  to
• 7:21
  burn
• 7:22
  down
• 7:22
  enough
• 7:22
  of
• 7:23
  that
• 7:23
  so
• 7:23
  that
• 7:23
  the
• 7:23
  body
• 7:23
  gets
• 7:24
  the
• 7:24
  signal,
• 7:25
  we're
• 7:25
  running
• 7:26
  out
• 7:26
  of
• 7:26
  carbohydrate
• 7:28
  energy.
• 7:29
  We
• 7:29
  better
• 7:29
  start
• 7:30
  burning
• 7:30
  fat.
• 7:31
  And
• 7:31
  when
• 7:32
  you're
• 7:32
  burning
• 7:32
  fat
• 7:33
  vigorously
• 7:33
  enough,
• 7:34
  the
• 7:34
  liver
• 7:34
  will
• 7:34
  turn
• 7:35
  some
• 7:35
  of
• 7:35
  that
• 7:35
  fat
• 7:36
  into
• 7:36
  ketones.
• 7:37
  It'll
• 7:37
  chop
• 7:38
  fat
• 7:38
  molecules,
• 7:39
  it'll
• 7:39
  break
• 7:40
  them
• 7:40
  down
• 7:40
  into
• 7:40
  these
• 7:41
  small
• 7:41
  fragments,
• 7:42
  these
• 7:42
  ready
• 7:43
  to
• 7:43
  burn
• 7:43
  fragments
• 7:44
  called
• 7:44
  ketones
• 7:45
  that
• 7:46
  cross
• 7:46
  the
• 7:46
  blood
• 7:47
  brain
• 7:47
  barrier
• 7:47
  and
• 7:48
  can
• 7:48
  bridge
• 7:48
  any
• 7:49
  energy
• 7:49
  gaps
• 7:49
  that
• 7:49
  might
• 7:50
  be
• 7:50
  there.
• 7:50
  Supplement
• 7:51
  brain
• 7:52
  energy.
• 7:53
  And
• 7:53
  if
• 7:54
  you
• 7:54
  have
• 7:55
  a
• 7:55
  mental
• 7:55
  health
• 7:55
  condition
• 7:56
  that
• 7:57
  is
• 7:58
  rooted
• 7:58
  in
• 8:00
  brain
• 8:01
  energy
• 8:01
  production
• 8:02
  problems,
• 8:03
  then
• 8:03
  ketones
• 8:04
  are
• 8:04
  going
• 8:05
  to
• 8:05
  be
• 8:05
  essential
• 8:06
  for
• 8:06
  you
• 8:07
  to
• 8:08
  improve
• 8:08
  those
• 8:08
  symptoms
• 8:09
  of
• 8:09
  the
• 8:09
  mental
• 8:09
  health.
• 8:10
  That's
• 8:11
  very
• 8:11
  different
• 8:11
  than
• 8:11
  trying
• 8:12
  to
• 8:12
  get
• 8:12
  your
• 8:12
  blood
• 8:12
  sugar
• 8:13
  levels
• 8:13
  under
• 8:13
  control.
• 8:13
  If
• 8:13
  you
• 8:14
  have
• 8:14
  type
• 8:14
  2
• 8:14
  diabetes.
• 8:15
  If
• 8:15
  you
• 8:15
  have
• 8:15
  type
• 8:15
  2
• 8:16
  diabetes
• 8:16
  and
• 8:16
  you
• 8:17
  want
• 8:17
  to
• 8:18
  get
• 8:18
  your
• 8:18
  blood
• 8:18
  sugar
• 8:19
  levels
• 8:19
  under
• 8:19
  control,
• 8:19
  you
• 8:20
  don't
• 8:20
  need
• 8:20
  to
• 8:20
  get
• 8:21
  into
• 8:21
  ketosis,
• 8:21
  you
• 8:21
  just
• 8:22
  need
• 8:22
  to
• 8:22
  lower
• 8:22
  your
• 8:23
  glucose
• 8:23
  levels.
• 8:24
  Yeah.
• 8:24
  Such
• 8:24
  a
• 8:24
  critical
• 8:25
  point
• 8:25
  that
• 8:25
  it's
• 8:26
  getting
• 8:26
  the
• 8:26
  ketones
• 8:27
  in
• 8:27
  your
• 8:27
  brain
• 8:28
  that
• 8:28
  can
• 8:28
  really,
• 8:29
  I
• 8:29
  don't
• 8:29
  know,
• 8:29
  you
• 8:30
  could
• 8:30
  say,
• 8:30
  supercharge.
• 8:31
  The
• 8:31
  effect
• 8:31
  of
• 8:31
  your
• 8:31
  diet
• 8:32
  is
• 8:32
  like
• 8:32
  a
• 8:32
  sort
• 8:32
  of
• 8:33
  simplistic
• 8:33
  way
• 8:33
  of
• 8:33
  saying
• 8:34
  it.
• 8:34
  So,
• 8:34
  yeah,
• 8:35
  I
• 8:35
  think
• 8:35
  that,
• 8:35
  I
• 8:35
  think
• 8:35
  that's
• 8:36
  really
• 8:36
  important
• 8:36
  to
• 8:36
  note.
• 8:37
  Yeah.
• 8:37
  Ketogenic,
• 8:38
  not
• 8:38
  just
• 8:38
  a
• 8:39
  low
• 8:39
  carbohydrate
• 8:40
  diet,
• 8:40
  it's
• 8:40
  a
• 8:40
  low
• 8:40
  insulin
• 8:41
  diet.
• 8:41
  So
• 8:42
  it's
• 8:42
  low
• 8:42
  enough
• 8:42
  that
• 8:43
  fat
• 8:43
  burning
• 8:43
  switches
• 8:44
  on
• 8:44
  and
• 8:44
  produces
• 8:45
  ketones.
• 8:45
  You
• 8:45
  don't
• 8:45
  see
• 8:46
  ketones
• 8:47
  on
• 8:47
  your
• 8:47
  meter
• 8:48
  0.5
• 8:49
  millimole
• 8:49
  or
• 8:50
  higher
• 8:50
  on
• 8:50
  your
• 8:50
  blood
• 8:51
  ketone
• 8:51
  meter.
• 8:51
  It's
• 8:52
  not
• 8:52
  a
• 8:52
  ketogenic
• 8:53
  diet,
• 8:53
  it's
• 8:53
  just
• 8:53
  a
• 8:53
  low
• 8:54
  carb
• 8:54
  diet.
• 8:54
  And
• 8:55
  that
• 8:55
  leads
• 8:55
  us
• 8:55
  to
• 8:55
  our
• 8:55
  next
• 8:56
  question.
• 8:56
  Kind
• 8:56
  of
• 8:57
  perfectly.
• 8:57
  This
• 8:58
  is
• 8:58
  a
• 8:58
  question
• 8:58
  we
• 8:59
  get
• 8:59
  often,
• 9:00
  often,
• 9:00
  often,
• 9:01
  how
• 9:01
  high
• 9:02
  do
• 9:02
  ketones
• 9:03
  need
• 9:03
  to
• 9:03
  be
• 9:04
  for
• 9:04
  mental
• 9:05
  health
• 9:05
  benefits?
• 9:05
  And
• 9:06
  of
• 9:06
  course,
• 9:06
  we
• 9:07
  can't
• 9:07
  give,
• 9:07
  you
• 9:07
  know,
• 9:08
  an
• 9:08
  individual
• 9:08
  recommendation
• 9:09
  to
• 9:09
  say,
• 9:09
  this
• 9:09
  is
• 9:10
  for
• 9:10
  you,
• 9:10
  where
• 9:10
  your
• 9:11
  ketone
• 9:11
  level
• 9:11
  needs
• 9:12
  to
• 9:12
  be.
• 9:12
  But
• 9:13
  in
• 9:13
  general,
• 9:13
  that
• 9:14
  question
• 9:14
  comes
• 9:14
  up
• 9:15
  a
• 9:15
  lot.
• 9:15
  So
• 9:15
  how
• 9:15
  do
• 9:16
  you
• 9:16
  respond
• 9:16
  to
• 9:16
  that?
• 9:16
  Yeah.
• 9:17
  So
• 9:17
  how
• 9:17
  high
• 9:18
  do
• 9:18
  your
• 9:18
  ketones
• 9:18
  need
• 9:18
  to
• 9:19
  be
• 9:19
  for
• 9:19
  mental
• 9:19
  health?
• 9:20
  That's
• 9:20
  the
• 9:20
  most
• 9:21
  common
• 9:21
  question
• 9:21
  I
• 9:21
  get
• 9:21
  from
• 9:22
  clinicians
• 9:22
  in
• 9:22
  my
• 9:22
  training
• 9:23
  program
• 9:23
  and
• 9:23
  the
• 9:23
  most
• 9:23
  common
• 9:24
  question
• 9:24
  I
• 9:24
  get
• 9:24
  from
• 9:24
  patients.
• 9:25
  And
• 9:25
  so
• 9:25
  the
• 9:26
  answer
• 9:26
  is,
• 9:26
  we
• 9:27
  don't
• 9:27
  know.
• 9:28
  And
• 9:28
  it
• 9:28
  probably
• 9:28
  depends
• 9:29
  on
• 9:29
  who
• 9:30
  you
• 9:30
  are.
• 9:30
  Right,
• 9:31
  so
• 9:31
  which
• 9:31
  is
• 9:32
  an
• 9:32
  answer
• 9:32
  that
• 9:32
  nobody
• 9:33
  likes.
• 9:33
  Right?
• 9:33
  Nobody
• 9:33
  likes.
• 9:34
  That
• 9:34
  answer
• 9:35
  is
• 9:36
  the
• 9:36
  truth.
• 9:36
  The
• 9:36
  truth.
• 9:36
  The
• 9:37
  Truth
• 9:37
  shall
• 9:37
  set
• 9:37
  you
• 9:37
  free.
• 9:38
  So
• 9:39
  emerging
• 9:40
  data
• 9:40
  from.
• 9:41
  There
• 9:41
  are
• 9:41
  pilot
• 9:41
  clinical
• 9:42
  trials,
• 9:42
  in
• 9:43
  particular
• 9:44
  Dr.
• 9:44
  Ian
• 9:44
  Campbell's
• 9:46
  pilot
• 9:46
  trial
• 9:47
  for
• 9:47
  bipolar
• 9:47
  disorder,
• 9:48
  suggest
• 9:49
  that
• 9:49
  ketone
• 9:50
  levels
• 9:50
  do
• 9:50
  matter
• 9:51
  for
• 9:52
  symptom
• 9:53
  management.
• 9:53
  So
• 9:54
  at
• 9:54
  least
• 9:54
  in
• 9:54
  the
• 9:54
  early
• 9:55
  phase
• 9:55
  of
• 9:55
  treatment.
• 9:56
  And
• 9:56
  in
• 9:56
  his
• 9:57
  study,
• 9:57
  for
• 9:57
  example,
• 9:57
  he
• 9:58
  found,
• 9:58
  and
• 9:58
  people
• 9:59
  were
• 9:59
  measuring
• 9:59
  their
• 9:59
  ketones
• 10:00
  every
• 10:00
  day
• 10:00
  in
• 10:00
  his
• 10:01
  study,
• 10:01
  that.
• 10:02
  That
• 10:03
  the
• 10:03
  higher
• 10:03
  the
• 10:03
  ketone
• 10:04
  levels
• 10:04
  were,
• 10:04
  the
• 10:05
  better
• 10:05
  people's
• 10:05
  mood
• 10:06
  and
• 10:06
  anxiety
• 10:06
  and
• 10:07
  impulsivity
• 10:07
  symptoms
• 10:08
  were,
• 10:08
  for
• 10:08
  example.
• 10:09
  Right.
• 10:09
  But
• 10:09
  this
• 10:09
  is
• 10:10
  very
• 10:10
  early
• 10:10
  days
• 10:11
  when
• 10:11
  it
• 10:11
  comes
• 10:11
  to
• 10:11
  the
• 10:11
  research.
• 10:12
  The
• 10:12
  newer
• 10:13
  trials
• 10:13
  that
• 10:13
  are
• 10:13
  going
• 10:13
  to
• 10:13
  be
• 10:14
  coming
• 10:14
  out
• 10:14
  soon
• 10:15
  will
• 10:15
  have
• 10:16
  even
• 10:16
  more
• 10:16
  information
• 10:17
  about
• 10:17
  the
• 10:17
  relationship
• 10:18
  between
• 10:19
  depth
• 10:19
  of
• 10:19
  ketosis
• 10:20
  and
• 10:21
  degree
• 10:21
  of
• 10:21
  mental
• 10:22
  health
• 10:22
  improvement.
• 10:22
  That
• 10:22
  will
• 10:22
  be
• 10:23
  really
• 10:23
  interesting.
• 10:24
  But
• 10:25
  if
• 10:25
  I
• 10:25
  had
• 10:25
  to
• 10:25
  guess,
• 10:26
  based
• 10:27
  on
• 10:27
  my
• 10:27
  clinical
• 10:27
  experience
• 10:28
  and
• 10:29
  that
• 10:29
  of
• 10:29
  my
• 10:29
  colleagues,
• 10:30
  is,
• 10:30
  I
• 10:30
  think
• 10:30
  it's
• 10:30
  going
• 10:30
  to
• 10:31
  vary
• 10:31
  quite
• 10:31
  a
• 10:31
  bit
• 10:32
  depending
• 10:33
  on
• 10:33
  who
• 10:33
  you
• 10:33
  are,
• 10:33
  how
• 10:34
  metabolically
• 10:34
  healthy
• 10:35
  you
• 10:35
  are,
• 10:36
  what
• 10:36
  medications
• 10:37
  you're
• 10:37
  taking,
• 10:37
  what
• 10:38
  kind
• 10:38
  of
• 10:38
  condition
• 10:38
  you're
• 10:39
  up
• 10:39
  against,
• 10:40
  and
• 10:41
  really
• 10:41
  what's.
• 10:42
  What's
• 10:42
  the
• 10:42
  root
• 10:43
  cause
• 10:43
  of
• 10:43
  your
• 10:43
  mental
• 10:43
  health
• 10:44
  problem?
• 10:44
  There
• 10:44
  are
• 10:45
  some
• 10:45
  mental
• 10:45
  health
• 10:45
  problems
• 10:46
  which
• 10:46
  I
• 10:46
  think
• 10:46
  are
• 10:46
  going
• 10:46
  to
• 10:47
  need
• 10:47
  very
• 10:47
  high
• 10:47
  ketone
• 10:48
  levels.
• 10:49
  Things
• 10:49
  like
• 10:50
  neurodegenerative
• 10:50
  diseases
• 10:51
  like
• 10:51
  Alzheimer's
• 10:52
  disease,
• 10:53
  perhaps
• 10:53
  bipolar
• 10:54
  disorder
• 10:54
  and
• 10:55
  other
• 10:55
  conditions
• 10:55
  where
• 10:56
  we
• 10:56
  may
• 10:56
  not
• 10:56
  need
• 10:57
  deep
• 10:58
  ketosis
• 10:58
  at
• 10:58
  all.
• 10:59
  We
• 10:59
  may
• 10:59
  not
• 10:59
  even
• 10:59
  need
• 11:00
  to
• 11:00
  be
• 11:00
  in
• 11:00
  ketosis
• 11:00
  at
• 11:01
  all.
• 11:01
  I
• 11:01
  have
• 11:01
  got
• 11:01
  patients
• 11:02
  with
• 11:03
  anxiety
• 11:03
  disorders,
• 11:04
  for
• 11:04
  example,
• 11:05
  mild
• 11:05
  depression,
• 11:08
  certain
• 11:08
  types
• 11:08
  of
• 11:09
  adhd,
• 11:09
  other
• 11:09
  types
• 11:10
  of
• 11:11
  milder
• 11:11
  conditions
• 11:12
  where
• 11:13
  they
• 11:14
  don't
• 11:14
  even
• 11:14
  need
• 11:14
  to
• 11:14
  be
• 11:14
  in
• 11:15
  ketosis
• 11:16
  most
• 11:16
  or
• 11:16
  even
• 11:17
  most
• 11:17
  of
• 11:17
  the
• 11:17
  time
• 11:18
  or
• 11:18
  even
• 11:18
  at
• 11:18
  all.
• 11:19
  Some
• 11:19
  people
• 11:20
  just
• 11:20
  benefit
• 11:21
  from
• 11:21
  getting
• 11:21
  those
• 11:22
  glucose
• 11:23
  and
• 11:23
  insulin
• 11:23
  levels
• 11:24
  down.
• 11:24
  But
• 11:25
  most
• 11:26
  people,
• 11:27
  this
• 11:27
  is
• 11:27
  clinical
• 11:28
  experience
• 11:28
  talking,
• 11:29
  and
• 11:29
  of
• 11:29
  myself
• 11:30
  and
• 11:30
  my
• 11:30
  colleagues
• 11:32
  aiming
• 11:32
  for
• 11:32
  somewhere
• 11:33
  between
• 11:34
  1.0
• 11:35
  millimole
• 11:36
  and
• 11:36
  3.0
• 11:37
  millimole
• 11:38
  is
• 11:38
  a
• 11:38
  great
• 11:38
  place
• 11:39
  to
• 11:39
  start.
• 11:40
  It
• 11:40
  doesn't
• 11:40
  mean
• 11:41
  that
• 11:41
  everyone
• 11:42
  is
• 11:42
  going
• 11:42
  to
• 11:42
  benefit
• 11:43
  in
• 11:43
  that
• 11:43
  range.
• 11:43
  Some
• 11:44
  people
• 11:44
  need
• 11:44
  to
• 11:44
  go
• 11:44
  even
• 11:44
  higher
• 11:45
  and
• 11:45
  it
• 11:45
  doesn't
• 11:46
  mean
• 11:46
  that
• 11:46
  everybody
• 11:47
  needs
• 11:47
  to
• 11:47
  be
• 11:47
  in
• 11:47
  that
• 11:48
  range,
• 11:49
  but
• 11:49
  that's
• 11:50
  where
• 11:50
  most
• 11:50
  people
• 11:50
  are
• 11:51
  going
• 11:51
  to
• 11:51
  start
• 11:51
  to
• 11:51
  notice.
• 11:52
  Benefit
• 11:52
  is
• 11:52
  above
• 11:53
  1.0
• 11:54
  millimole.
• 11:55
  And
• 11:55
  really
• 11:56
  we're
• 11:56
  talking
• 11:56
  about
• 11:56
  consistent
• 11:57
  ketosis
• 11:58
  being
• 11:58
  in
• 11:59
  ketosis
• 12:00
  as
• 12:00
  much
• 12:01
  of
• 12:01
  the
• 12:01
  time
• 12:01
  as
• 12:01
  you.
• 12:02
  As
• 12:02
  you
• 12:02
  possibly
• 12:02
  can.
• 12:03
  Yeah.
• 12:03
  It's
• 12:04
  such
• 12:04
  an
• 12:04
  important
• 12:04
  point
• 12:05
  that
• 12:05
  consistent
• 12:06
  ketosis
• 12:06
  and,
• 12:08
  you
• 12:08
  know,
• 12:08
  that
• 12:08
  leads
• 12:08
  to
• 12:08
  another
• 12:09
  question.
• 12:09
  When
• 12:09
  should
• 12:10
  somebody
• 12:11
  monitor
• 12:11
  their
• 12:12
  ketones?
• 12:12
  Now,
• 12:13
  we
• 12:13
  know
• 12:13
  ketone
• 12:14
  levels
• 12:14
  vary
• 12:15
  greatly
• 12:15
  during
• 12:16
  the
• 12:16
  day,
• 12:16
  and
• 12:16
  if
• 12:16
  you're
• 12:17
  checking
• 12:17
  once
• 12:17
  per
• 12:17
  day,
• 12:18
  you're
• 12:18
  getting
• 12:18
  a
• 12:18
  snapshot.
• 12:19
  We
• 12:20
  don't
• 12:20
  yet
• 12:20
  have
• 12:21
  complete
• 12:21
  wide
• 12:22
  availability
• 12:23
  of
• 12:23
  the
• 12:23
  Continuous
• 12:23
  ketone
• 12:24
  monitors,
• 12:24
  although
• 12:25
  that's
• 12:25
  coming,
• 12:25
  and
• 12:25
  they're
• 12:26
  available
• 12:26
  in
• 12:26
  some
• 12:26
  places,
• 12:27
  which
• 12:27
  I
• 12:27
  think
• 12:27
  can
• 12:28
  really
• 12:28
  sort
• 12:28
  of
• 12:29
  revolutionize
• 12:29
  our
• 12:30
  understanding
• 12:31
  of
• 12:31
  ketosis
• 12:32
  and
• 12:32
  ketone
• 12:32
  levels.
• 12:33
  But
• 12:33
  when
• 12:33
  you're
• 12:34
  talking
• 12:34
  about
• 12:34
  a
• 12:35
  goal
• 12:35
  ketone
• 12:36
  level
• 12:36
  between
• 12:37
  1
• 12:37
  and
• 12:38
  3
• 12:38
  millimolar
• 12:39
  for
• 12:39
  treating
• 12:41
  someone's
• 12:42
  brain
• 12:42
  based
• 12:43
  disorder,
• 12:44
  when
• 12:44
  should
• 12:45
  they
• 12:45
  measure
• 12:45
  it
• 12:45
  to
• 12:46
  get
• 12:46
  that
• 12:48
  best
• 12:49
  understanding
• 12:49
  of
• 12:49
  where
• 12:49
  their
• 12:50
  ketones
• 12:50
  are?
• 12:50
  Yeah,
• 12:51
  that's
• 12:51
  a
• 12:52
  really
• 12:52
  important
• 12:52
  question,
• 12:52
  Brett,
• 12:53
  because,
• 12:53
  for
• 12:54
  example,
• 12:54
  if
• 12:54
  you're
• 12:54
  using
• 12:55
  a
• 12:55
  blood
• 12:55
  ketone
• 12:55
  meter,
• 12:57
  of
• 12:57
  course
• 12:58
  it's
• 12:58
  uncomfortable.
• 12:59
  The
• 12:59
  strips
• 13:00
  cost
• 13:00
  money.
• 13:01
  You
• 13:01
  don't
• 13:01
  necessarily
• 13:02
  want
• 13:02
  to
• 13:02
  be
• 13:02
  testing
• 13:03
  many,
• 13:03
  many
• 13:04
  times
• 13:04
  per
• 13:04
  day
• 13:04
  to
• 13:05
  see
• 13:05
  what's
• 13:05
  going
• 13:05
  on
• 13:06
  with
• 13:06
  your
• 13:06
  ketone
• 13:06
  levels.
• 13:07
  So
• 13:07
  most
• 13:08
  people
• 13:08
  who
• 13:08
  are
• 13:08
  using
• 13:09
  a
• 13:09
  blood
• 13:09
  ketone
• 13:09
  meter,
• 13:10
  as
• 13:10
  opposed
• 13:10
  to
• 13:11
  urine
• 13:11
  STR
• 13:11
  or
• 13:11
  a
• 13:12
  breath
• 13:12
  meter,
• 13:12
  which
• 13:12
  are
• 13:12
  far
• 13:13
  less
• 13:13
  accurate
• 13:13
  and
• 13:13
  reliable,
• 13:15
  then,
• 13:16
  you
• 13:16
  know,
• 13:17
  many
• 13:17
  people
• 13:17
  may
• 13:18
  not
• 13:18
  be
• 13:18
  able
• 13:18
  to
• 13:18
  afford
• 13:19
  to
• 13:19
  or
• 13:19
  be
• 13:19
  able
• 13:19
  to
• 13:20
  measure
• 13:20
  more
• 13:20
  than
• 13:20
  once
• 13:20
  a
• 13:21
  day.
• 13:21
  So
• 13:21
  if
• 13:22
  you're
• 13:22
  measuring
• 13:22
  just
• 13:23
  once
• 13:23
  a
• 13:23
  day
• 13:23
  with
• 13:23
  a
• 13:24
  blood
• 13:24
  meter,
• 13:25
  there's
• 13:25
  no
• 13:25
  consensus
• 13:26
  about
• 13:27
  the
• 13:27
  answer
• 13:27
  to
• 13:27
  this
• 13:28
  question.
• 13:28
  But
• 13:29
  my
• 13:29
  favorite
• 13:30
  time
• 13:30
  to
• 13:30
  recommend
• 13:31
  is
• 13:31
  first
• 13:32
  thing
• 13:32
  in
• 13:32
  the
• 13:32
  morning
• 13:32
  when
• 13:32
  you're
• 13:32
  fasting.
• 13:33
  When
• 13:33
  you
• 13:33
  wake
• 13:33
  up,
• 13:35
  it
• 13:36
  gives
• 13:36
  you
• 13:36
  a
• 13:36
  really
• 13:36
  clean
• 13:36
  baseline.
• 13:38
  You
• 13:38
  can
• 13:38
  compare
• 13:38
  from
• 13:38
  day
• 13:39
  to
• 13:39
  day
• 13:39
  what
• 13:39
  that
• 13:39
  looks
• 13:39
  like
• 13:40
  before
• 13:41
  all
• 13:41
  kinds
• 13:41
  of
• 13:41
  variables
• 13:42
  start
• 13:42
  to
• 13:42
  interrupt
• 13:43
  your
• 13:43
  day,
• 13:43
  like
• 13:44
  exercise
• 13:44
  and
• 13:45
  stress
• 13:45
  and
• 13:45
  meal
• 13:46
  timing
• 13:46
  and
• 13:46
  food
• 13:46
  choices.
• 13:47
  So
• 13:47
  it
• 13:48
  gives
• 13:48
  you
• 13:48
  a
• 13:48
  clean
• 13:48
  baseline
• 13:49
  day
• 13:49
  to
• 13:49
  day.
• 13:50
  And
• 13:50
  the
• 13:50
  other
• 13:50
  thing,
• 13:51
  and
• 13:51
  I
• 13:51
  think
• 13:51
  this
• 13:51
  is
• 13:51
  another
• 13:52
  common
• 13:52
  misconception
• 13:53
  about
• 13:53
  ketogenic
• 13:54
  diets.
• 13:55
  I
• 13:55
  really
• 13:56
  find
• 13:56
  that
• 13:56
  my
• 13:57
  patients
• 13:57
  do
• 13:57
  best
• 13:58
  when
• 13:58
  they
• 13:58
  wake
• 13:58
  up
• 13:58
  in
• 13:59
  ketosis,
• 13:59
  not
• 14:00
  when
• 14:00
  they
• 14:00
  have
• 14:00
  to
• 14:01
  wait
• 14:01
  until
• 14:01
  later
• 14:02
  in
• 14:02
  the
• 14:02
  day
• 14:02
  to
• 14:02
  get
• 14:02
  there.
• 14:03
  And
• 14:03
  if
• 14:03
  you're
• 14:04
  testing
• 14:04
  later
• 14:05
  in
• 14:05
  the
• 14:05
  day,
• 14:06
  ketones
• 14:06
  have
• 14:06
  a
• 14:06
  rhythm
• 14:07
  and
• 14:07
  they,
• 14:07
  they
• 14:07
  do
• 14:08
  tend
• 14:08
  to
• 14:08
  rise
• 14:09
  in
• 14:09
  many
• 14:09
  people,
• 14:11
  you
• 14:11
  know,
• 14:11
  towards
• 14:11
  the
• 14:11
  later
• 14:11
  part
• 14:12
  of
• 14:12
  the
• 14:12
  day.
• 14:12
  A
• 14:13
  lot
• 14:13
  of
• 14:13
  people
• 14:13
  are
• 14:13
  not
• 14:13
  waking
• 14:14
  up
• 14:14
  in
• 14:14
  ketosis
• 14:15
  and
• 14:15
  so
• 14:15
  they're
• 14:16
  chasing
• 14:16
  ketones
• 14:17
  for
• 14:17
  the
• 14:17
  rest
• 14:17
  of
• 14:17
  the
• 14:18
  day
• 14:18
  and
• 14:18
  they're
• 14:18
  only
• 14:18
  in
• 14:18
  ketosis
• 14:19
  towards
• 14:19
  the
• 14:20
  end
• 14:20
  of
• 14:20
  the
• 14:20
  day.
• 14:20
  And
• 14:21
  that's
• 14:21
  not
• 14:21
  gonna
• 14:22
  give
• 14:22
  you,
• 14:22
  in
• 14:23
  most
• 14:23
  cases,
• 14:24
  as
• 14:24
  good
• 14:24
  results
• 14:25
  as
• 14:25
  if
• 14:25
  you're
• 14:26
  in
• 14:26
  ketosis
• 14:26
  from
• 14:27
  first
• 14:27
  thing
• 14:27
  in
• 14:27
  the
• 14:28
  morning.
• 14:28
  Yeah,
• 14:28
  And
• 14:28
  I
• 14:29
  think,
• 14:29
  I
• 14:29
  think
• 14:29
  another
• 14:29
  helpful
• 14:30
  tip
• 14:30
  is,
• 14:30
  is
• 14:31
  maybe
• 14:31
  in
• 14:31
  the
• 14:31
  beginning,
• 14:32
  when
• 14:32
  you're
• 14:32
  first
• 14:33
  sort
• 14:33
  of
• 14:33
  learning
• 14:34
  about
• 14:34
  ke,
• 14:35
  is
• 14:36
  to
• 14:36
  test
• 14:36
  multiple
• 14:36
  times
• 14:37
  then,
• 14:38
  and
• 14:38
  to
• 14:38
  learn
• 14:39
  how
• 14:39
  your
• 14:39
  ketones
• 14:40
  vary
• 14:40
  during
• 14:40
  the
• 14:40
  day,
• 14:41
  how
• 14:41
  your
• 14:41
  meals
• 14:41
  affect
• 14:42
  them,
• 14:42
  how
• 14:42
  your
• 14:42
  exercise
• 14:43
  affects
• 14:43
  them,
• 14:44
  and
• 14:44
  then
• 14:44
  once
• 14:44
  you're
• 14:45
  more
• 14:45
  in
• 14:45
  sort
• 14:45
  of
• 14:45
  like
• 14:46
  a
• 14:46
  steady
• 14:46
  state,
• 14:46
  more
• 14:47
  of
• 14:47
  a
• 14:47
  routine,
• 14:48
  that's
• 14:49
  when
• 14:49
  you
• 14:49
  can,
• 14:49
  because
• 14:50
  of
• 14:50
  the
• 14:50
  Cost
• 14:50
  and
• 14:50
  the
• 14:51
  discomfort
• 14:51
  go
• 14:51
  to
• 14:52
  once
• 14:52
  a
• 14:53
  day.
• 14:53
  Although
• 14:54
  there's
• 14:54
  some
• 14:54
  debate.
• 14:54
  Do
• 14:55
  you
• 14:55
  check
• 14:55
  when
• 14:55
  your
• 14:55
  ketones
• 14:56
  are
• 14:56
  highest
• 14:56
  or
• 14:56
  do
• 14:56
  you
• 14:56
  check
• 14:57
  when
• 14:57
  your
• 14:57
  ketones
• 14:57
  are
• 14:57
  lowest?
• 14:59
  And
• 14:59
  if
• 15:00
  you're
• 15:00
  going
• 15:00
  to
• 15:00
  check
• 15:01
  twice
• 15:01
  a
• 15:01
  day,
• 15:01
  you
• 15:01
  want
• 15:02
  to
• 15:02
  check
• 15:02
  when
• 15:02
  they're
• 15:02
  the
• 15:02
  lowest
• 15:03
  and
• 15:03
  the
• 15:03
  highest.
• 15:03
  Possibly.
• 15:04
  But
• 15:04
  if
• 15:04
  you're
• 15:04
  only
• 15:04
  checking
• 15:05
  once
• 15:05
  a
• 15:05
  day
• 15:06
  and
• 15:06
  you
• 15:06
  see
• 15:07
  that
• 15:07
  your
• 15:07
  pattern,
• 15:07
  do
• 15:08
  you
• 15:08
  want
• 15:08
  to
• 15:08
  check
• 15:08
  when
• 15:08
  you're
• 15:08
  the
• 15:09
  lowest
• 15:09
  or
• 15:09
  the
• 15:09
  highest?
• 15:10
  Uh,
• 15:10
  I
• 15:10
  would
• 15:10
  like
• 15:11
  the
• 15:11
  lowest
• 15:11
  because
• 15:12
  I
• 15:12
  want
• 15:12
  that
• 15:13
  low
• 15:13
  to
• 15:13
  be
• 15:13
  higher.
• 15:14
  And
• 15:15
  so
• 15:15
  I,
• 15:15
  I,
• 15:15
  I,
• 15:16
  I
• 15:16
  really
• 15:16
  think
• 15:16
  it's
• 15:17
  important
• 15:17
  for
• 15:17
  people
• 15:17
  to
• 15:18
  make
• 15:18
  sure
• 15:18
  that
• 15:19
  their
• 15:19
  lowest
• 15:19
  ketone
• 15:20
  levels
• 15:20
  are,
• 15:21
  you
• 15:22
  know,
• 15:23
  I
• 15:23
  would,
• 15:23
  I
• 15:23
  would
• 15:23
  definitely
• 15:24
  not
• 15:24
  want
• 15:24
  to
• 15:24
  go
• 15:24
  below
• 15:24
  0.8,
• 15:25
  but
• 15:26
  1.0
• 15:27
  is
• 15:27
  a
• 15:27
  nice
• 15:28
  floor,
• 15:28
  I
• 15:28
  think,
• 15:29
  for
• 15:29
  a
• 15:29
  lot
• 15:29
  of
• 15:29
  people.
• 15:29
  And
• 15:30
  as
• 15:30
  I
• 15:30
  said,
• 15:30
  some
• 15:30
  people
• 15:31
  will
• 15:31
  need
• 15:31
  that
• 15:31
  bottom
• 15:32
  to
• 15:32
  be
• 15:32
  even
• 15:32
  higher.
• 15:33
  But
• 15:33
  if
• 15:33
  you're
• 15:33
  testing
• 15:33
  at
• 15:34
  your
• 15:34
  lowest
• 15:34
  point,
• 15:34
  you'll
• 15:34
  know
• 15:35
  if
• 15:35
  you're
• 15:35
  actually
• 15:35
  falling
• 15:35
  out
• 15:36
  of
• 15:36
  ketosis,
• 15:36
  which
• 15:37
  is
• 15:37
  one
• 15:38
  of
• 15:38
  the
• 15:38
  most
• 15:38
  common
• 15:39
  reasons
• 15:39
  for
• 15:39
  poor
• 15:39
  clinical
• 15:40
  results.
• 15:41
  So
• 15:41
  if
• 15:41
  you're
• 15:41
  not
• 15:41
  getting
• 15:41
  the
• 15:42
  results
• 15:42
  you're
• 15:42
  looking
• 15:42
  for,
• 15:43
  it
• 15:43
  might
• 15:44
  be
• 15:44
  that
• 15:44
  your
• 15:44
  ketones
• 15:45
  are
• 15:45
  not
• 15:46
  high
• 15:46
  enough,
• 15:47
  consistently
• 15:47
  enough.
• 15:48
  So
• 15:48
  another
• 15:49
  very
• 15:49
  common
• 15:50
  question
• 15:50
  is,
• 15:50
  I
• 15:51
  think
• 15:51
  I'm
• 15:51
  doing
• 15:51
  everything
• 15:52
  right
• 15:52
  and
• 15:52
  I'm
• 15:53
  trying
• 15:53
  to
• 15:53
  get
• 15:53
  my
• 15:53
  ketones
• 15:54
  in
• 15:54
  that
• 15:54
  1
• 15:54
  to
• 15:54
  3
• 15:55
  millimole
• 15:55
  range
• 15:55
  that
• 15:56
  I
• 15:56
  hear
• 15:56
  is
• 15:56
  mostly
• 15:57
  impactful
• 15:58
  for
• 15:58
  mental
• 15:58
  health.
• 15:59
  But
• 15:59
  I
• 15:59
  can't
• 16:00
  get
• 16:00
  it
• 16:00
  above
• 16:00
  0.5,
• 16:01
  I
• 16:01
  can't
• 16:01
  get
• 16:01
  it
• 16:01
  above
• 16:02
  0.8,
• 16:02
  and
• 16:03
  it's
• 16:03
  just
• 16:03
  inconsistent.
• 16:04
  What
• 16:05
  can
• 16:05
  I
• 16:05
  do
• 16:06
  to
• 16:06
  raise
• 16:06
  it
• 16:06
  now?
• 16:07
  With
• 16:07
  the
• 16:07
  caveat
• 16:08
  that
• 16:08
  this
• 16:08
  could
• 16:08
  be
• 16:09
  an
• 16:09
  hour
• 16:09
  long
• 16:09
  discussion
• 16:10
  in
• 16:10
  itself.
• 16:10
  But
• 16:10
  what
• 16:11
  are
• 16:11
  some
• 16:11
  of
• 16:11
  the,
• 16:11
  what
• 16:12
  are
• 16:12
  some
• 16:12
  of
• 16:12
  the
• 16:12
  highlights
• 16:13
  of
• 16:13
  what
• 16:13
  you
• 16:13
  think
• 16:13
  people
• 16:13
  can
• 16:14
  do
• 16:14
  to
• 16:14
  help
• 16:14
  with
• 16:14
  their
• 16:14
  ketone
• 16:15
  levels?
• 16:15
  Yeah,
• 16:15
  I
• 16:16
  mean,
• 16:16
  I've
• 16:16
  had
• 16:16
  so
• 16:16
  many
• 16:16
  people
• 16:16
  say,
• 16:17
  well,
• 16:17
  my
• 16:17
  metabolism
• 16:18
  must
• 16:18
  be
• 16:18
  broken,
• 16:19
  or,
• 16:19
  you
• 16:19
  know,
• 16:20
  I'm
• 16:20
  just
• 16:20
  different,
• 16:21
  or,
• 16:21
  you
• 16:21
  know,
• 16:22
  I'm
• 16:22
  too
• 16:22
  old
• 16:22
  or
• 16:22
  whatever
• 16:23
  it
• 16:23
  is.
• 16:23
  I
• 16:23
  just,
• 16:23
  I
• 16:24
  probably
• 16:24
  just,
• 16:24
  this
• 16:24
  is
• 16:24
  the
• 16:25
  best
• 16:25
  that
• 16:25
  my
• 16:25
  metabolism
• 16:26
  will
• 16:26
  do,
• 16:26
  and
• 16:26
  that's
• 16:27
  not
• 16:27
  true.
• 16:28
  So
• 16:28
  if
• 16:29
  your
• 16:29
  ketones
• 16:29
  are
• 16:30
  too
• 16:30
  low,
• 16:30
  your
• 16:31
  insulin
• 16:31
  is
• 16:31
  too
• 16:32
  high,
• 16:32
  it
• 16:33
  really
• 16:33
  is
• 16:34
  that
• 16:34
  simple.
• 16:35
  So
• 16:35
  to
• 16:35
  raise
• 16:36
  your
• 16:36
  ketones,
• 16:36
  you
• 16:37
  have
• 16:37
  to
• 16:37
  lower
• 16:37
  your
• 16:38
  insulin,
• 16:38
  and
• 16:39
  to
• 16:39
  lower
• 16:39
  insulin,
• 16:40
  you
• 16:40
  have
• 16:40
  to
• 16:40
  know
• 16:40
  what
• 16:40
  raises
• 16:41
  insulin.
• 16:42
  And
• 16:42
  everybody
• 16:42
  knows
• 16:43
  that
• 16:43
  carbohydrates
• 16:44
  raise
• 16:44
  insulin.
• 16:44
  And
• 16:44
  most
• 16:45
  people
• 16:45
  are
• 16:45
  doing
• 16:45
  a
• 16:45
  great
• 16:45
  job
• 16:46
  limiting
• 16:46
  their
• 16:46
  carbohydrate
• 16:47
  already.
• 16:48
  So
• 16:48
  carbohydrate
• 16:49
  raises
• 16:49
  insulin
• 16:49
  the
• 16:49
  most,
• 16:50
  especially
• 16:51
  processed
• 16:51
  carbs
• 16:52
  like
• 16:52
  sugar,
• 16:52
  flour,
• 16:53
  cereals,
• 16:53
  fruit
• 16:54
  juices.
• 16:55
  But
• 16:55
  protein
• 16:56
  also
• 16:56
  raises
• 16:57
  insulin,
• 16:57
  especially
• 16:59
  processed
• 16:59
  proteins
• 17:00
  like
• 17:00
  whey
• 17:01
  Protein
• 17:01
  powder
• 17:02
  raise
• 17:03
  insulin
• 17:03
  substantially,
• 17:04
  whereas
• 17:05
  pure
• 17:05
  fat
• 17:06
  has
• 17:06
  virtually
• 17:07
  no
• 17:07
  effect
• 17:07
  on
• 17:08
  insulin
• 17:08
  levels.
• 17:08
  So
• 17:08
  from
• 17:09
  a
• 17:09
  metabolic
• 17:09
  perspective,
• 17:10
  fat
• 17:10
  is
• 17:11
  the
• 17:11
  safest
• 17:11
  macronutrients
• 17:12
  you
• 17:12
  can
• 17:12
  eat.
• 17:13
  So
• 17:13
  carbs
• 17:13
  are
• 17:13
  the
• 17:14
  worst
• 17:14
  for
• 17:14
  insulin
• 17:14
  followed
• 17:15
  by
• 17:15
  protein.
• 17:15
  And
• 17:16
  then
• 17:16
  fat
• 17:16
  really
• 17:17
  doesn't
• 17:17
  touch
• 17:17
  insulin
• 17:18
  at
• 17:18
  all.
• 17:18
  So
• 17:18
  really
• 17:19
  step
• 17:19
  one
• 17:19
  is
• 17:19
  getting
• 17:19
  your
• 17:20
  macros
• 17:20
  right.
• 17:21
  So
• 17:21
  because
• 17:22
  carbohydrates
• 17:22
  followed
• 17:23
  by
• 17:23
  proteins
• 17:23
  are
• 17:24
  the
• 17:24
  macronutrients
• 17:24
  that
• 17:25
  raise
• 17:25
  insulin,
• 17:25
  you
• 17:26
  can
• 17:26
  think
• 17:26
  of
• 17:27
  carbohydrate
• 17:28
  plus
• 17:28
  protein.
• 17:30
  The
• 17:30
  way
• 17:30
  I
• 17:30
  describe
• 17:30
  it
• 17:31
  in
• 17:31
  the
• 17:31
  book
• 17:31
  is
• 17:31
  that's
• 17:32
  your
• 17:32
  ketone
• 17:32
  control
• 17:33
  knob.
• 17:34
  Because
• 17:34
  carbohydrate
• 17:35
  plus
• 17:35
  protein
• 17:36
  is
• 17:36
  your
• 17:36
  insulin
• 17:37
  control
• 17:37
  knob.
• 17:38
  The
• 17:38
  more
• 17:39
  carbohydrate
• 17:39
  and
• 17:39
  protein
• 17:40
  you
• 17:40
  eat,
• 17:40
  the
• 17:41
  higher
• 17:41
  your
• 17:41
  insulin
• 17:42
  levels
• 17:42
  will
• 17:42
  be,
• 17:42
  the
• 17:43
  lower
• 17:43
  your
• 17:43
  ketones
• 17:44
  will
• 17:44
  be.
• 17:44
  Ketones
• 17:45
  and
• 17:45
  insulin
• 17:45
  mirror
• 17:46
  each
• 17:46
  other
• 17:46
  like
• 17:47
  this.
• 17:47
  When
• 17:47
  ketones
• 17:48
  are
• 17:48
  high,
• 17:48
  insulin
• 17:48
  is
• 17:49
  low
• 17:49
  in
• 17:49
  and
• 17:49
  vice
• 17:49
  versa.
• 17:50
  So
• 17:50
  you
• 17:50
  want
• 17:50
  to
• 17:50
  lower
• 17:51
  your
• 17:51
  carbohydrate
• 17:52
  as
• 17:52
  much
• 17:52
  as
• 17:53
  you
• 17:53
  can.
• 17:53
  And
• 17:53
  since
• 17:54
  we
• 17:54
  have
• 17:54
  no
• 17:54
  biological
• 17:55
  requirement
• 17:56
  for
• 17:56
  it,
• 17:56
  you
• 17:56
  really
• 17:56
  can't
• 17:57
  go
• 17:57
  too
• 17:57
  low.
• 17:58
  And
• 17:58
  a
• 17:58
  lot
• 17:59
  of
• 17:59
  people
• 17:59
  already
• 17:59
  know
• 17:59
  to
• 18:00
  do
• 18:00
  that.
• 18:00
  But
• 18:00
  it's
• 18:01
  the
• 18:01
  overeating
• 18:01
  protein
• 18:02
  that
• 18:03
  is
• 18:03
  the
• 18:03
  most
• 18:03
  common
• 18:05
  problem
• 18:05
  that
• 18:05
  I
• 18:06
  see
• 18:06
  in
• 18:06
  clinical
• 18:07
  practice.
• 18:08
  And
• 18:09
  so
• 18:09
  I
• 18:09
  think
• 18:09
  that
• 18:10
  this
• 18:10
  is
• 18:10
  a
• 18:10
  really
• 18:10
  important
• 18:11
  thing.
• 18:11
  But
• 18:11
  there
• 18:12
  are
• 18:12
  other
• 18:12
  simple
• 18:12
  things
• 18:13
  people
• 18:13
  can
• 18:13
  do
• 18:13
  too,
• 18:14
  like
• 18:14
  eating
• 18:14
  less
• 18:15
  frequently,
• 18:16
  because
• 18:17
  everything
• 18:17
  we
• 18:17
  eat,
• 18:18
  except
• 18:19
  pure
• 18:19
  fat
• 18:20
  raises
• 18:20
  insulin
• 18:21
  to
• 18:21
  some
• 18:21
  extent.
• 18:22
  So
• 18:22
  nothing
• 18:23
  is
• 18:23
  more
• 18:23
  effective
• 18:24
  at
• 18:24
  lowering
• 18:25
  insulin
• 18:25
  than
• 18:26
  not
• 18:26
  eating
• 18:26
  at
• 18:26
  all.
• 18:27
  It
• 18:27
  drops
• 18:28
  insulin
• 18:28
  like
• 18:28
  a
• 18:28
  stone.
• 18:29
  And
• 18:29
  that's
• 18:29
  the
• 18:30
  power
• 18:30
  of
• 18:30
  intermittent
• 18:31
  fasting.
• 18:32
  I
• 18:32
  mean,
• 18:32
  those
• 18:32
  are,
• 18:32
  those
• 18:33
  are
• 18:33
  some
• 18:33
  great
• 18:33
  food
• 18:34
  related
• 18:34
  and
• 18:35
  eating
• 18:35
  related
• 18:35
  answers.
• 18:36
  But
• 18:36
  there's
• 18:36
  so
• 18:36
  much
• 18:37
  more
• 18:37
  that
• 18:37
  can
• 18:37
  still
• 18:38
  impact
• 18:38
  your
• 18:38
  ketones.
• 18:39
  Someone
• 18:39
  can
• 18:39
  say,
• 18:40
  you
• 18:40
  know,
• 18:40
  I'm
• 18:41
  following
• 18:41
  all
• 18:42
  the
• 18:42
  recommendations
• 18:42
  and
• 18:42
  my
• 18:43
  ketones
• 18:43
  still
• 18:43
  aren't
• 18:44
  up.
• 18:44
  But
• 18:45
  you
• 18:45
  know,
• 18:45
  you
• 18:45
  get
• 18:45
  to
• 18:45
  ask,
• 18:45
  how
• 18:46
  are
• 18:46
  you
• 18:46
  sleeping,
• 18:46
  how
• 18:46
  are
• 18:47
  you
• 18:47
  exercising,
• 18:47
  what's
• 18:48
  your
• 18:48
  stress
• 18:48
  level
• 18:48
  like,
• 18:48
  where's
• 18:49
  your
• 18:49
  cortisol
• 18:49
  levels
• 18:50
  at
• 18:50
  based
• 18:50
  on
• 18:50
  that?
• 18:50
  Stress,
• 18:51
  et
• 18:51
  cetera.
• 18:51
  So
• 18:52
  do
• 18:52
  you
• 18:52
  find
• 18:52
  in
• 18:52
  your,
• 18:53
  in
• 18:53
  your
• 18:53
  practice
• 18:53
  that
• 18:54
  those
• 18:54
  impact
• 18:54
  the
• 18:55
  level
• 18:55
  of
• 18:55
  ketosis
• 18:56
  as
• 18:56
  well?
• 18:56
  Yes.
• 18:56
  So,
• 18:57
  so
• 18:58
  although
• 18:58
  those
• 18:59
  affect
• 18:59
  glucose
• 19:00
  levels.
• 19:00
  Right?
• 19:00
  So,
• 19:01
  so
• 19:01
  stress,
• 19:01
  for
• 19:02
  example,
• 19:02
  affects
• 19:03
  glucose
• 19:03
  levels.
• 19:04
  So
• 19:05
  there
• 19:05
  are
• 19:05
  two
• 19:05
  places
• 19:05
  that
• 19:06
  glucose
• 19:06
  can
• 19:06
  come
• 19:06
  from.
• 19:07
  Everybody
• 19:08
  knows
• 19:08
  you
• 19:08
  can
• 19:08
  get
• 19:08
  it
• 19:08
  from
• 19:08
  food.
• 19:09
  But
• 19:09
  even
• 19:09
  if
• 19:10
  you're
• 19:10
  not
• 19:10
  eating
• 19:10
  any
• 19:10
  carbohydrate
• 19:11
  at
• 19:11
  all,
• 19:11
  even
• 19:12
  if
• 19:12
  you're
• 19:12
  eating
• 19:12
  no
• 19:13
  visible
• 19:13
  carbohydrate
• 19:14
  at
• 19:14
  all,
• 19:14
  let's
• 19:14
  say
• 19:14
  you're
• 19:15
  eating
• 19:15
  a
• 19:15
  carnivore
• 19:15
  diet
• 19:16
  that
• 19:16
  has
• 19:16
  no
• 19:16
  carbohydrate
• 19:17
  in
• 19:17
  it,
• 19:18
  no
• 19:18
  visible
• 19:19
  carbohydrate,
• 19:20
  that
• 19:20
  doesn't
• 19:20
  mean
• 19:21
  that
• 19:21
  your
• 19:21
  Blood
• 19:21
  sugar
• 19:21
  can't
• 19:22
  go
• 19:22
  up,
• 19:22
  your
• 19:23
  blood
• 19:23
  sugar
• 19:23
  can
• 19:23
  go
• 19:23
  up
• 19:24
  because
• 19:24
  there's
• 19:24
  another
• 19:24
  place
• 19:25
  that
• 19:25
  glucose
• 19:25
  can
• 19:26
  come
• 19:26
  from
• 19:26
  and
• 19:26
  that's
• 19:26
  from
• 19:27
  your
• 19:27
  liver.
• 19:28
  So
• 19:28
  under
• 19:28
  stress,
• 19:29
  for
• 19:29
  example,
• 19:29
  if
• 19:30
  you've
• 19:30
  got
• 19:30
  stress
• 19:30
  hormones
• 19:31
  like
• 19:31
  adrenaline
• 19:31
  and
• 19:32
  cortisol
• 19:33
  surging
• 19:33
  through
• 19:33
  your
• 19:33
  bloodstream
• 19:34
  that
• 19:34
  sends
• 19:35
  signals
• 19:35
  to
• 19:35
  your
• 19:35
  liver
• 19:36
  to
• 19:37
  break
• 19:37
  down
• 19:37
  the
• 19:37
  starch
• 19:38
  that
• 19:38
  it's
• 19:38
  stored,
• 19:40
  stored
• 19:40
  away
• 19:41
  and
• 19:41
  break
• 19:41
  it
• 19:41
  down
• 19:42
  into
• 19:42
  glucose
• 19:42
  and
• 19:43
  release
• 19:43
  it
• 19:43
  into
• 19:43
  the
• 19:43
  bloodstream.
• 19:45
  So
• 19:45
  this
• 19:46
  is
• 19:46
  how
• 19:46
  medicines
• 19:46
  like
• 19:46
  prednisone,
• 19:48
  steroid
• 19:48
  medications
• 19:49
  can
• 19:50
  raise
• 19:50
  blood
• 19:50
  sugar
• 19:51
  really
• 19:51
  quite
• 19:51
  substantially
• 19:52
  is
• 19:52
  because
• 19:52
  they
• 19:53
  trigger
• 19:53
  that
• 19:54
  cortisol
• 19:55
  liver
• 19:55
  mechanism.
• 19:57
  So
• 19:57
  there
• 19:57
  are
• 19:57
  definitely
• 19:58
  other
• 19:58
  things
• 19:58
  that
• 19:58
  can
• 19:58
  cause
• 19:59
  problems
• 19:59
  with
• 19:59
  glucose
• 20:00
  levels
• 20:00
  that
• 20:00
  are,
• 20:01
  that
• 20:01
  have
• 20:01
  nothing
• 20:01
  to
• 20:01
  do
• 20:02
  with
• 20:02
  food.
• 20:04
  So,
• 20:04
  yes,
• 20:04
  cortisol
• 20:05
  is
• 20:05
  a
• 20:05
  major
• 20:05
  player.
• 20:06
  Yeah.
• 20:06
  And
• 20:07
  so
• 20:07
  there's
• 20:07
  also,
• 20:08
  you
• 20:08
  know,
• 20:09
  if
• 20:09
  someone
• 20:10
  is,
• 20:11
  you
• 20:11
  know,
• 20:11
  their
• 20:11
  insulin
• 20:12
  levels
• 20:12
  are
• 20:12
  low,
• 20:12
  they're
• 20:13
  kind
• 20:13
  of
• 20:13
  doing
• 20:13
  everything
• 20:14
  quote
• 20:14
  unquote,
• 20:14
  right.
• 20:15
  It
• 20:16
  does
• 20:16
  seem
• 20:16
  like
• 20:16
  some
• 20:17
  people
• 20:17
  just
• 20:17
  have
• 20:18
  trouble
• 20:18
  getting
• 20:19
  their
• 20:19
  ketone
• 20:19
  levels
• 20:20
  up.
• 20:21
  So
• 20:21
  at
• 20:21
  some
• 20:22
  point
• 20:22
  do
• 20:22
  you
• 20:22
  recommend
• 20:23
  exogenous
• 20:24
  ketones
• 20:24
  or
• 20:25
  MCT
• 20:25
  oil,
• 20:25
  coconut
• 20:26
  oil,
• 20:26
  things
• 20:27
  like
• 20:27
  that
• 20:27
  to
• 20:27
  help
• 20:28
  boost
• 20:28
  ketones
• 20:28
  if
• 20:29
  you,
• 20:29
  they
• 20:30
  find
• 20:30
  they
• 20:30
  feel
• 20:31
  better
• 20:31
  from
• 20:31
  a
• 20:31
  mental
• 20:32
  health
• 20:32
  standpoint
• 20:32
  at
• 20:33
  those
• 20:33
  higher
• 20:33
  levels.
• 20:34
  So
• 20:34
  there's
• 20:35
  something
• 20:35
  else
• 20:35
  I
• 20:35
  would
• 20:35
  recommend
• 20:36
  first
• 20:36
  before
• 20:37
  we
• 20:37
  go
• 20:37
  to
• 20:38
  adding
• 20:38
  supplements
• 20:39
  and
• 20:39
  things
• 20:39
  like
• 20:40
  that,
• 20:40
  and
• 20:40
  that
• 20:40
  is
• 20:40
  exercise.
• 20:42
  So
• 20:43
  because
• 20:43
  again,
• 20:43
  these
• 20:44
  three
• 20:44
  things
• 20:44
  have
• 20:44
  to
• 20:44
  happen
• 20:45
  before
• 20:45
  your
• 20:45
  body
• 20:46
  is
• 20:46
  going
• 20:46
  to
• 20:46
  fire
• 20:46
  up
• 20:47
  your
• 20:47
  fat
• 20:47
  burning
• 20:48
  machinery.
• 20:49
  So
• 20:49
  your
• 20:49
  blood
• 20:50
  sugar
• 20:50
  levels
• 20:50
  have
• 20:50
  to
• 20:50
  come
• 20:50
  down,
• 20:51
  your
• 20:51
  blood
• 20:52
  insulin
• 20:52
  levels
• 20:52
  have
• 20:53
  to
• 20:53
  come
• 20:53
  down
• 20:53
  and
• 20:54
  you
• 20:54
  have
• 20:54
  to
• 20:54
  burn
• 20:55
  off
• 20:55
  some
• 20:55
  of
• 20:55
  that
• 20:55
  stored
• 20:56
  starch
• 20:56
  in
• 20:56
  the
• 20:56
  liver
• 20:57
  and,
• 20:57
  and
• 20:57
  working
• 20:57
  muscles
• 20:58
  will
• 20:59
  help
• 20:59
  you
• 20:59
  in
• 20:59
  this
• 20:59
  regard.
• 21:00
  So
• 21:00
  working
• 21:00
  muscles
• 21:01
  soak
• 21:01
  up
• 21:02
  glucose
• 21:02
  like
• 21:02
  a
• 21:02
  sponge
• 21:03
  from
• 21:03
  your
• 21:04
  bloodstream,
• 21:04
  no
• 21:05
  insulin
• 21:05
  required,
• 21:06
  so
• 21:06
  you
• 21:06
  can
• 21:06
  lower
• 21:07
  your
• 21:07
  glucose
• 21:07
  without
• 21:07
  an
• 21:08
  insulin
• 21:08
  spike.
• 21:09
  And
• 21:10
  exercise
• 21:11
  triggers
• 21:12
  the
• 21:12
  liver
• 21:12
  to
• 21:12
  break
• 21:13
  down
• 21:13
  stored
• 21:14
  glycogen
• 21:14
  to
• 21:14
  make
• 21:15
  glucose
• 21:15
  for
• 21:15
  the
• 21:16
  muscles
• 21:16
  to
• 21:16
  use
• 21:16
  for
• 21:17
  energy.
• 21:17
  So
• 21:18
  it
• 21:18
  starts
• 21:18
  burning
• 21:19
  down
• 21:19
  some
• 21:19
  of
• 21:19
  that
• 21:20
  stored
• 21:20
  starch
• 21:20
  in
• 21:21
  the
• 21:21
  liver.
• 21:21
  So
• 21:22
  that
• 21:22
  can
• 21:22
  help
• 21:22
  you
• 21:23
  get
• 21:23
  into
• 21:23
  ketosis
• 21:24
  faster
• 21:24
  and
• 21:24
  stay
• 21:25
  in
• 21:25
  ketosis
• 21:26
  more
• 21:26
  consistently.
• 21:28
  So
• 21:28
  it
• 21:28
  really
• 21:29
  the,
• 21:29
  the,
• 21:30
  the
• 21:31
  kind
• 21:31
  of,
• 21:31
  the
• 21:32
  bottom
• 21:32
  line
• 21:32
  with
• 21:33
  getting
• 21:33
  into
• 21:33
  better
• 21:33
  ketosis
• 21:34
  before
• 21:34
  you
• 21:35
  start
• 21:35
  looking
• 21:35
  at
• 21:35
  supplements
• 21:36
  is,
• 21:36
  and
• 21:37
  this
• 21:37
  is
• 21:37
  going
• 21:37
  to
• 21:37
  sound,
• 21:38
  you
• 21:38
  know,
• 21:40
  this
• 21:40
  is
• 21:40
  going
• 21:40
  to
• 21:40
  sound
• 21:40
  strange,
• 21:41
  but
• 21:41
  it
• 21:42
  really
• 21:42
  is.
• 21:42
  Eat
• 21:42
  less
• 21:43
  and
• 21:43
  exercise.
• 21:44
  The
• 21:45
  famous
• 21:45
  advice,
• 21:46
  the
• 21:46
  famous
• 21:47
  advice
• 21:48
  within
• 21:48
  the
• 21:49
  context
• 21:49
  of
• 21:49
  a
• 21:49
  ketogenic
• 21:50
  diet,
• 21:50
  though,
• 21:53
  that's
• 21:53
  great,
• 21:53
  that's
• 21:54
  great.
• 21:54
  So
• 21:55
  you've
• 21:55
  talked
• 21:55
  about
• 21:56
  protein
• 21:57
  raising
• 21:57
  insulin
• 21:58
  levels.
• 21:58
  So
• 21:59
  there's
• 21:59
  always
• 21:59
  this
• 22:00
  question
• 22:00
  that
• 22:00
  comes
• 22:01
  up
• 22:01
  about
• 22:01
  how
• 22:01
  much
• 22:02
  protein
• 22:02
  should
• 22:02
  I
• 22:03
  eat
• 22:03
  on
• 22:03
  a
• 22:03
  ketogenic
• 22:04
  diet?
• 22:04
  And
• 22:04
  again,
• 22:04
  it's
• 22:05
  going
• 22:05
  to
• 22:05
  vary
• 22:05
  from
• 22:05
  person
• 22:05
  to
• 22:06
  person.
• 22:06
  But
• 22:07
  first,
• 22:07
  there's
• 22:07
  an
• 22:07
  assumption
• 22:08
  that
• 22:08
  ketogenic
• 22:08
  diets
• 22:09
  are
• 22:09
  by
• 22:09
  definition
• 22:10
  high
• 22:10
  protein
• 22:10
  diets,
• 22:11
  which
• 22:11
  they
• 22:11
  are
• 22:11
  not.
• 22:12
  And
• 22:13
  second,
• 22:13
  there's
• 22:13
  a
• 22:13
  concept
• 22:14
  that
• 22:14
  the
• 22:15
  RDA
• 22:15
  for
• 22:15
  protein
• 22:16
  is
• 22:16
  0.8
• 22:16
  grams
• 22:17
  per
• 22:17
  kilo,
• 22:17
  which
• 22:17
  is,
• 22:18
  we
• 22:18
  know
• 22:18
  is
• 22:19
  maybe
• 22:19
  adequate
• 22:20
  for
• 22:20
  survival
• 22:21
  but
• 22:22
  not
• 22:22
  optimal
• 22:23
  for
• 22:23
  metabolic
• 22:24
  health
• 22:24
  and
• 22:24
  lean
• 22:25
  mass
• 22:25
  development.
• 22:26
  So
• 22:26
  with
• 22:27
  all
• 22:27
  that
• 22:27
  as
• 22:27
  a
• 22:28
  long
• 22:28
  lead
• 22:28
  in
• 22:29
  how
• 22:29
  much
• 22:29
  protein
• 22:29
  should
• 22:29
  someone
• 22:30
  eat
• 22:30
  on
• 22:30
  a
• 22:30
  ketogenic
• 22:31
  diet
• 22:31
  if
• 22:31
  they're
• 22:31
  using
• 22:32
  that
• 22:32
  ketogenic
• 22:33
  diet
• 22:33
  for
• 22:33
  a
• 22:34
  mental
• 22:34
  health
• 22:34
  benefit?
• 22:35
  The
• 22:35
  same
• 22:35
  amount
• 22:35
  of
• 22:35
  protein
• 22:36
  that
• 22:36
  everybody
• 22:36
  needs,
• 22:37
  regardless
• 22:37
  of
• 22:38
  what
• 22:38
  diet
• 22:38
  you're
• 22:38
  eating,
• 22:38
  everybody
• 22:39
  needs
• 22:39
  this.
• 22:40
  The
• 22:40
  protein
• 22:41
  rules
• 22:41
  are
• 22:41
  the
• 22:41
  same
• 22:42
  for
• 22:42
  all
• 22:42
  diets,
• 22:43
  but
• 22:43
  the
• 22:44
  main
• 22:44
  message
• 22:44
  is
• 22:45
  that
• 22:45
  the
• 22:45
  amount
• 22:45
  of
• 22:45
  protein
• 22:46
  that
• 22:46
  you
• 22:46
  need
• 22:47
  just,
• 22:47
  it
• 22:47
  depends,
• 22:48
  it
• 22:49
  varies,
• 22:49
  but
• 22:49
  it
• 22:49
  varies
• 22:50
  within
• 22:50
  a
• 22:50
  very,
• 22:51
  a
• 22:52
  widely
• 22:52
  agreed
• 22:53
  range.
• 22:53
  So
• 22:54
  like
• 22:54
  you
• 22:54
  said,
• 22:54
  there's
• 22:54
  no,
• 22:55
  there's
• 22:55
  controversy,
• 22:56
  there's
• 22:56
  no
• 22:56
  consensus
• 22:57
  around
• 22:57
  how
• 22:57
  much
• 22:58
  protein
• 22:58
  do
• 22:58
  we
• 22:59
  all
• 22:59
  need.
• 23:00
  Many
• 23:00
  of
• 23:01
  us
• 23:01
  would
• 23:01
  look
• 23:02
  at
• 23:02
  these
• 23:02
  standard
• 23:03
  recommendations
• 23:03
  and
• 23:03
  think
• 23:04
  that
• 23:04
  they're
• 23:04
  too
• 23:04
  low
• 23:06
  and,
• 23:06
  but
• 23:06
  there
• 23:07
  are
• 23:07
  also
• 23:07
  many
• 23:08
  of
• 23:08
  us
• 23:08
  who
• 23:08
  think
• 23:09
  that
• 23:09
  they
• 23:09
  should
• 23:09
  be
• 23:09
  much
• 23:10
  higher
• 23:10
  than
• 23:10
  others
• 23:11
  of
• 23:11
  us
• 23:11
  might.
• 23:11
  So
• 23:12
  there's,
• 23:12
  there's
• 23:13
  not
• 23:13
  a
• 23:13
  lot
• 23:13
  of
• 23:13
  agreement,
• 23:14
  but
• 23:14
  there
• 23:15
  are
• 23:15
  some,
• 23:16
  some
• 23:16
  things
• 23:16
  about
• 23:16
  which
• 23:17
  I
• 23:17
  think
• 23:17
  we
• 23:17
  can
• 23:17
  all
• 23:18
  agree
• 23:18
  is
• 23:18
  that
• 23:19
  protein
• 23:19
  requirements
• 23:20
  vary
• 23:21
  depending
• 23:21
  on
• 23:21
  how
• 23:22
  old
• 23:22
  you
• 23:22
  are,
• 23:22
  how
• 23:23
  tall
• 23:23
  you
• 23:23
  are,
• 23:24
  how
• 23:24
  active
• 23:24
  you
• 23:25
  are,
• 23:25
  and
• 23:25
  your
• 23:26
  health
• 23:26
  situation.
• 23:27
  So
• 23:27
  for
• 23:27
  example,
• 23:28
  whether
• 23:29
  you're
• 23:29
  recovering
• 23:29
  from
• 23:30
  an
• 23:30
  injury
• 23:30
  or
• 23:31
  you're
• 23:31
  pregnant
• 23:31
  or
• 23:32
  you're
• 23:32
  breastfeeding,
• 23:33
  that
• 23:33
  that
• 23:33
  will
• 23:33
  affect
• 23:34
  your
• 23:34
  protein
• 23:35
  requirements.
• 23:35
  And
• 23:35
  if
• 23:36
  you're
• 23:36
  very
• 23:36
  physically
• 23:36
  active,
• 23:37
  athletic,
• 23:38
  that
• 23:38
  may
• 23:38
  also
• 23:39
  affect
• 23:39
  your
• 23:39
  protein
• 23:40
  requirements
• 23:41
  to
• 23:41
  a
• 23:41
  small
• 23:41
  extent.
• 23:41
  So,
• 23:42
  but
• 23:44
  it's
• 23:44
  a
• 23:45
  broad
• 23:45
  range,
• 23:45
  depending
• 23:46
  on
• 23:46
  who
• 23:46
  you
• 23:46
  ask.
• 23:46
  But
• 23:47
  it
• 23:47
  to
• 23:47
  keep
• 23:48
  it
• 23:48
  simple,
• 23:48
  especially
• 23:48
  for
• 23:49
  people
• 23:49
  who
• 23:49
  think
• 23:49
  in
• 23:50
  pounds
• 23:50
  as
• 23:50
  opposed
• 23:51
  to
• 23:51
  kilograms,
• 23:51
  which
• 23:52
  is
• 23:52
  just
• 23:52
  harder
• 23:52
  for
• 23:52
  a
• 23:53
  lot
• 23:53
  of
• 23:53
  us
• 23:53
  to
• 23:53
  think
• 23:54
  in
• 23:54
  the
• 23:54
  United
• 23:54
  States
• 23:55
  anyway,
• 23:56
  it's
• 23:56
  somewhere
• 23:56
  between
• 23:59
  half
• 23:59
  a
• 23:59
  gram
• 24:00
  and
• 24:00
  a
• 24:00
  whole
• 24:00
  gram,
• 24:01
  0.5
• 24:02
  to
• 24:02
  1
• 24:02
  gram
• 24:03
  per
• 24:03
  pound
• 24:04
  of
• 24:04
  ideal
• 24:05
  body
• 24:05
  weight.
• 24:07
  I
• 24:07
  would
• 24:07
  say
• 24:08
  do
• 24:08
  not
• 24:08
  go
• 24:08
  below
• 24:09
  0.5
• 24:09
  grams
• 24:10
  per
• 24:10
  pound
• 24:10
  of
• 24:11
  ideal
• 24:11
  body
• 24:11
  weight,
• 24:12
  and
• 24:12
  that
• 24:12
  nobody
• 24:13
  should
• 24:13
  need
• 24:13
  to
• 24:13
  go
• 24:13
  above
• 24:14
  1
• 24:14
  gram
• 24:14
  per
• 24:15
  pound
• 24:15
  of
• 24:15
  ideal
• 24:16
  body
• 24:16
  weight.
• 24:17
  And
• 24:17
  so
• 24:17
  somewhere
• 24:17
  in
• 24:17
  the
• 24:18
  middle
• 24:18
  there
• 24:18
  is
• 24:18
  probably
• 24:19
  the
• 24:19
  sweet
• 24:19
  spot
• 24:19
  for
• 24:19
  a
• 24:20
  lot
• 24:20
  of
• 24:20
  us.
• 24:21
  But
• 24:22
  if
• 24:22
  you're
• 24:22
  very
• 24:23
  physically
• 24:23
  active,
• 24:24
  metabolically
• 24:24
  healthy
• 24:25
  or
• 24:25
  growing,
• 24:26
  you
• 24:26
  might
• 24:26
  need
• 24:26
  to
• 24:26
  be
• 24:26
  on
• 24:26
  the
• 24:27
  higher
• 24:27
  end.
• 24:27
  If
• 24:28
  you're
• 24:28
  sedentary,
• 24:29
  have
• 24:30
  a
• 24:30
  lot
• 24:30
  of
• 24:30
  weight
• 24:30
  to
• 24:30
  lose,
• 24:32
  or
• 24:32
  older,
• 24:33
  you
• 24:33
  might
• 24:33
  need
• 24:33
  to
• 24:33
  go
• 24:34
  a
• 24:34
  little
• 24:34
  bit
• 24:34
  lower
• 24:35
  to
• 24:35
  get
• 24:35
  into
• 24:35
  ketosis.
• 24:36
  Right.
• 24:37
  So
• 24:37
  that,
• 24:37
  that
• 24:38
  range
• 24:38
  and
• 24:38
  it's
• 24:38
  the
• 24:39
  math
• 24:39
  is
• 24:39
  easy
• 24:39
  because
• 24:40
  let's
• 24:40
  say
• 24:40
  that
• 24:41
  your
• 24:41
  ideal
• 24:41
  body,
• 24:41
  ideal
• 24:42
  body
• 24:42
  weight
• 24:43
  is,
• 24:43
  say
• 24:44
  you're
• 24:44
  a
• 24:44
  woman,
• 24:45
  120
• 24:46
  pounds,
• 24:47
  you're
• 24:47
  54
• 24:48
  of
• 24:48
  your
• 24:48
  ideal
• 24:48
  weights,
• 24:48
  120
• 24:49
  pounds.
• 24:50
  That's
• 24:50
  easy
• 24:50
  to
• 24:50
  do
• 24:50
  the
• 24:51
  math.
• 24:51
  You
• 24:51
  don't
• 24:52
  want
• 24:52
  to
• 24:52
  go
• 24:52
  below
• 24:52
  60
• 24:52
  grams
• 24:53
  per
• 24:53
  day,
• 24:53
  and
• 24:53
  you
• 24:54
  don't
• 24:54
  want
• 24:54
  to
• 24:54
  go
• 24:54
  above
• 24:54
  120
• 24:55
  grams
• 24:55
  per
• 24:56
  day.
• 24:56
  And
• 24:56
  somewhere
• 24:56
  in
• 24:56
  the
• 24:56
  middle
• 24:57
  is
• 24:57
  probably
• 24:57
  going
• 24:57
  to
• 24:58
  be
• 24:58
  where
• 24:58
  most
• 24:58
  people
• 24:58
  are
• 24:59
  going
• 24:59
  to
• 24:59
  fall.
• 24:59
  Yeah.
• 25:00
  And
• 25:00
  part
• 25:00
  of
• 25:00
  the
• 25:00
  great
• 25:01
  part
• 25:01
  about
• 25:01
  ketogenic
• 25:02
  diets,
• 25:02
  though,
• 25:02
  is
• 25:03
  you
• 25:03
  can
• 25:03
  measure
• 25:03
  its
• 25:04
  impact,
• 25:04
  Right.
• 25:04
  You
• 25:04
  can
• 25:05
  measure
• 25:05
  your
• 25:05
  ketone
• 25:06
  level.
• 25:06
  So
• 25:06
  it
• 25:07
  really
• 25:07
  is
• 25:07
  possible
• 25:07
  for
• 25:08
  someone
• 25:08
  to
• 25:08
  titrate
• 25:09
  their
• 25:09
  protein
• 25:09
  level.
• 25:09
  If
• 25:10
  they're
• 25:10
  doing
• 25:10
  sort
• 25:10
  of
• 25:10
  a
• 25:11
  controlled
• 25:11
  experiment,
• 25:11
  that's
• 25:12
  the
• 25:12
  only
• 25:12
  thing
• 25:12
  they're
• 25:12
  changing.
• 25:13
  You
• 25:13
  could
• 25:13
  really
• 25:14
  titrate
• 25:14
  your
• 25:14
  protein
• 25:15
  and
• 25:15
  see
• 25:15
  how
• 25:15
  it
• 25:16
  changes
• 25:16
  your
• 25:17
  ketone
• 25:17
  levels.
• 25:18
  But
• 25:18
  it's
• 25:18
  funny,
• 25:18
  this
• 25:19
  discussion
• 25:19
  about
• 25:20
  pounds
• 25:20
  and
• 25:21
  kilos.
• 25:21
  If
• 25:21
  we
• 25:21
  talk
• 25:21
  pounds,
• 25:22
  we
• 25:22
  lose
• 25:22
  all
• 25:22
  the
• 25:22
  Europeans.
• 25:23
  If
• 25:23
  we
• 25:23
  talk
• 25:23
  kilos,
• 25:23
  we
• 25:24
  lose
• 25:24
  all
• 25:24
  the
• 25:24
  Americans.
• 25:24
  It's
• 25:25
  like,
• 25:25
  why
• 25:25
  can't
• 25:25
  we
• 25:26
  agree?
• 25:26
  Why
• 25:26
  can't
• 25:26
  we
• 25:27
  just
• 25:27
  pick
• 25:27
  one
• 25:27
  metric?
• 25:28
  That's
• 25:29
  awful.
• 25:29
  So
• 25:29
  don't
• 25:30
  go
• 25:30
  below.
• 25:31
  So
• 25:31
  1
• 25:32
  gram
• 25:32
  per
• 25:32
  kg
• 25:33
  would
• 25:33
  be
• 25:33
  the
• 25:33
  absolute
• 25:34
  lowest,
• 25:34
  but
• 25:35
  more
• 25:35
  like
• 25:35
  1.2
• 25:36
  to
• 25:36
  1.67
• 25:37
  grams
• 25:38
  per
• 25:38
  kilo.
• 25:39
  Ideal
• 25:39
  body
• 25:39
  weight
• 25:40
  for
• 25:40
  those
• 25:40
  of
• 25:40
  you
• 25:40
  who
• 25:41
  think
• 25:41
  in
• 25:41
  kilograms.
• 25:41
  Right.
• 25:42
  And
• 25:42
  it's
• 25:42
  also
• 25:42
  really
• 25:43
  important
• 25:43
  to
• 25:43
  define
• 25:44
  your
• 25:44
  goal.
• 25:44
  If
• 25:45
  your
• 25:45
  goal
• 25:45
  is
• 25:46
  a
• 25:46
  ketone
• 25:47
  level
• 25:47
  to
• 25:48
  treat
• 25:48
  a
• 25:48
  mental
• 25:48
  health
• 25:49
  condition,
• 25:49
  that's
• 25:49
  very
• 25:49
  different
• 25:50
  than
• 25:50
  if
• 25:50
  your
• 25:50
  goal
• 25:51
  is
• 25:51
  building
• 25:51
  lean,
• 25:52
  lean
• 25:52
  mass
• 25:52
  and
• 25:53
  trying
• 25:53
  to
• 25:53
  build
• 25:53
  muscle.
• 25:54
  And,
• 25:54
  you
• 25:54
  know,
• 25:55
  one
• 25:55
  might
• 25:55
  be
• 25:55
  on
• 25:55
  the
• 25:55
  lower
• 25:56
  side
• 25:56
  and
• 25:56
  one
• 25:56
  might
• 25:56
  be
• 25:56
  on
• 25:57
  the
• 25:57
  higher
• 25:57
  side.
• 25:57
  So
• 25:57
  you
• 25:58
  got
• 25:58
  to
• 25:58
  define
• 25:58
  your
• 25:58
  goal
• 25:59
  as
• 25:59
  well,
• 25:59
  which
• 25:59
  I
• 25:59
  think
• 25:59
  is
• 25:59
  so
• 26:00
  important.
• 26:00
  Yeah,
• 26:01
  exactly.
• 26:01
  Exactly.
• 26:02
  Yeah.
• 26:03
  Another
• 26:04
  very
• 26:04
  common
• 26:05
  question
• 26:05
  is,
• 26:05
  all
• 26:06
  right,
• 26:06
  well,
• 26:06
  I'm
• 26:06
  going
• 26:07
  to
• 26:07
  try
• 26:07
  ketogenic
• 26:08
  diet
• 26:08
  for
• 26:08
  my
• 26:09
  mental
• 26:09
  health
• 26:09
  condition
• 26:10
  because
• 26:10
  I've
• 26:10
  heard
• 26:11
  so
• 26:11
  much
• 26:11
  about
• 26:11
  how
• 26:11
  it
• 26:11
  can
• 26:11
  improve
• 26:12
  and
• 26:12
  seeing
• 26:12
  the
• 26:12
  research,
• 26:13
  et
• 26:13
  cetera.
• 26:13
  But
• 26:14
  how
• 26:14
  long
• 26:14
  do
• 26:15
  I
• 26:15
  have
• 26:15
  to
• 26:15
  stay
• 26:15
  on
• 26:16
  this
• 26:16
  ketogenic
• 26:17
  diet?
• 26:17
  Is
• 26:17
  it
• 26:17
  forever?
• 26:18
  Is
• 26:18
  it
• 26:18
  just
• 26:18
  a
• 26:18
  few
• 26:19
  months?
• 26:19
  What
• 26:20
  do
• 26:20
  you
• 26:20
  think?
• 26:20
  Well,
• 26:21
  you
• 26:21
  know,
• 26:21
  again,
• 26:21
  you
• 26:21
  know,
• 26:21
  we
• 26:22
  really
• 26:22
  don't
• 26:22
  know.
• 26:22
  We
• 26:23
  don't
• 26:23
  have
• 26:23
  enough
• 26:23
  data
• 26:24
  to
• 26:24
  be
• 26:24
  sure
• 26:24
  about
• 26:25
  this.
• 26:25
  But
• 26:25
  we
• 26:25
  do
• 26:26
  have
• 26:26
  information
• 26:27
  from
• 26:27
  other.
• 26:27
  From,
• 26:28
  for
• 26:28
  example,
• 26:28
  the
• 26:28
  field
• 26:29
  of
• 26:29
  epilepsy
• 26:29
  to
• 26:30
  tell
• 26:30
  us
• 26:30
  that
• 26:31
  there's
• 26:31
  some
• 26:31
  intriguing
• 26:32
  information
• 26:32
  from
• 26:33
  the
• 26:33
  history
• 26:33
  of
• 26:34
  many
• 26:35
  decades
• 26:35
  of
• 26:35
  using
• 26:36
  ketogenic
• 26:36
  diets
• 26:37
  to
• 26:37
  treat
• 26:37
  epilepsy.
• 26:38
  And
• 26:38
  that
• 26:38
  intriguing
• 26:39
  information
• 26:39
  is
• 26:40
  that
• 26:40
  some
• 26:41
  children
• 26:41
  who
• 26:42
  were
• 26:42
  following
• 26:42
  ketogenic
• 26:43
  diets
• 26:43
  for
• 26:43
  seizure
• 26:44
  control
• 26:44
  were,
• 26:45
  after
• 26:45
  a
• 26:45
  few
• 26:45
  years
• 26:46
  able
• 26:46
  to
• 26:47
  stop
• 26:47
  the
• 26:47
  ketogenic
• 26:48
  diet,
• 26:48
  go
• 26:48
  back
• 26:48
  to
• 26:48
  eating
• 26:49
  normally,
• 26:49
  and
• 26:49
  their
• 26:50
  seizures
• 26:50
  never
• 26:50
  returned.
• 26:52
  So
• 26:52
  that
• 26:52
  suggests
• 26:53
  that,
• 26:53
  at
• 26:54
  least
• 26:54
  in
• 26:54
  those
• 26:55
  cases,
• 26:55
  that
• 26:55
  some
• 26:56
  very
• 26:56
  deep
• 26:56
  and
• 26:57
  permanent
• 26:57
  healing
• 26:58
  had
• 26:58
  taken
• 26:58
  place.
• 27:00
  And
• 27:01
  so
• 27:01
  we
• 27:01
  don't
• 27:01
  know
• 27:01
  if
• 27:02
  this
• 27:02
  is
• 27:02
  possible
• 27:02
  yet
• 27:03
  in
• 27:03
  the
• 27:03
  field
• 27:04
  of
• 27:04
  psychiatry
• 27:05
  or
• 27:05
  for
• 27:06
  adults.
• 27:06
  So
• 27:07
  for
• 27:07
  mental
• 27:07
  health
• 27:07
  conditions
• 27:08
  other
• 27:08
  than
• 27:08
  epilepsy
• 27:09
  or
• 27:10
  for
• 27:10
  adults,
• 27:11
  I
• 27:11
  can
• 27:11
  tell
• 27:11
  you
• 27:12
  that
• 27:12
  from
• 27:12
  my
• 27:12
  clinical
• 27:13
  experience,
• 27:13
  some
• 27:14
  of
• 27:14
  my
• 27:14
  patients,
• 27:15
  a
• 27:15
  small
• 27:16
  number
• 27:17
  of
• 27:17
  my
• 27:17
  patients
• 27:18
  have
• 27:18
  been
• 27:19
  able
• 27:19
  to,
• 27:21
  after
• 27:21
  a
• 27:21
  while,
• 27:22
  kind
• 27:22
  of
• 27:22
  loosen
• 27:22
  up
• 27:23
  their
• 27:23
  diet
• 27:23
  around
• 27:23
  the
• 27:24
  edges,
• 27:25
  not
• 27:25
  go
• 27:25
  back
• 27:25
  to
• 27:25
  the
• 27:25
  way
• 27:26
  they
• 27:26
  were
• 27:26
  eating
• 27:26
  before,
• 27:26
  clearly,
• 27:27
  but
• 27:27
  just
• 27:28
  loosen
• 27:28
  their
• 27:28
  diet
• 27:28
  up
• 27:28
  around
• 27:29
  the
• 27:29
  edges,
• 27:29
  not
• 27:30
  be
• 27:30
  in
• 27:30
  deep
• 27:30
  ketosis
• 27:31
  all
• 27:31
  the
• 27:31
  time,
• 27:31
  or,
• 27:32
  you
• 27:32
  know,
• 27:33
  add
• 27:33
  a
• 27:34
  few
• 27:34
  foods
• 27:34
  back
• 27:34
  in
• 27:34
  that
• 27:35
  they
• 27:35
  enjoyed,
• 27:35
  and
• 27:35
  they
• 27:35
  were
• 27:35
  able
• 27:36
  to
• 27:36
  maintain
• 27:36
  their
• 27:37
  mental
• 27:37
  health
• 27:37
  benefits.
• 27:38
  But
• 27:38
  most
• 27:39
  of
• 27:39
  my
• 27:39
  patients,
• 27:40
  that
• 27:40
  has
• 27:40
  not
• 27:40
  been
• 27:40
  the
• 27:40
  case.
• 27:41
  So
• 27:41
  most
• 27:42
  of
• 27:42
  my
• 27:42
  patients
• 27:43
  have
• 27:43
  seen
• 27:43
  their
• 27:43
  symptoms
• 27:44
  return
• 27:45
  within
• 27:46
  24
• 27:46
  to
• 27:46
  48
• 27:47
  hours
• 27:48
  of,
• 27:49
  of,
• 27:49
  of,
• 27:50
  of
• 27:50
  falling
• 27:51
  out
• 27:51
  of
• 27:51
  ketosis.
• 27:52
  And,
• 27:53
  and,
• 27:53
  but
• 27:54
  that's
• 27:54
  a
• 27:54
  really
• 27:55
  important
• 27:55
  learning
• 27:56
  opportunity,
• 27:57
  right?
• 27:57
  It's
• 27:58
  a
• 27:58
  great,
• 27:58
  in
• 27:59
  a
• 27:59
  certain
• 27:59
  way,
• 28:00
  it's
• 28:00
  a
• 28:00
  great
• 28:00
  experience
• 28:01
  to
• 28:01
  have
• 28:02
  because
• 28:02
  it
• 28:02
  tests.
• 28:03
  You're
• 28:03
  kind
• 28:03
  of
• 28:03
  testing
• 28:04
  the
• 28:04
  waters,
• 28:04
  right,
• 28:04
  to
• 28:04
  see,
• 28:05
  okay,
• 28:05
  where
• 28:05
  is
• 28:06
  the
• 28:06
  boundary
• 28:06
  for
• 28:07
  me
• 28:07
  and
• 28:08
  what
• 28:08
  is
• 28:08
  the
• 28:08
  safe
• 28:09
  outer
• 28:09
  limit
• 28:10
  for
• 28:10
  me?
• 28:10
  And,
• 28:11
  and
• 28:11
  because
• 28:12
  we're
• 28:12
  human
• 28:12
  beings,
• 28:13
  pretty
• 28:13
  much
• 28:13
  everybody
• 28:14
  does
• 28:14
  this,
• 28:14
  eventually
• 28:15
  they
• 28:15
  test
• 28:15
  the
• 28:15
  waters.
• 28:17
  That's
• 28:17
  how
• 28:17
  I
• 28:17
  know,
• 28:17
  because
• 28:18
  pretty
• 28:18
  much
• 28:18
  all
• 28:19
  of
• 28:19
  my
• 28:19
  patients
• 28:19
  try
• 28:20
  this,
• 28:20
  and
• 28:21
  most
• 28:21
  of
• 28:21
  them
• 28:22
  do
• 28:22
  not
• 28:22
  get
• 28:22
  away
• 28:22
  with
• 28:22
  it.
• 28:23
  Yeah,
• 28:23
  I
• 28:23
  mean,
• 28:23
  it's
• 28:23
  really
• 28:24
  amazing
• 28:24
  that,
• 28:24
  you
• 28:25
  know,
• 28:25
  we've
• 28:25
  heard
• 28:26
  people
• 28:27
  share
• 28:27
  their
• 28:27
  experience
• 28:28
  that,
• 28:28
  you
• 28:28
  know,
• 28:29
  on
• 28:29
  the
• 28:29
  weekends
• 28:29
  they
• 28:30
  eat
• 28:30
  with
• 28:30
  their
• 28:30
  kids,
• 28:30
  they
• 28:31
  kind
• 28:31
  of
• 28:31
  eat
• 28:31
  whatever
• 28:31
  they
• 28:32
  want,
• 28:32
  and
• 28:32
  then
• 28:32
  during
• 28:33
  the
• 28:33
  week,
• 28:33
  they
• 28:33
  go
• 28:33
  back
• 28:34
  into
• 28:34
  ketosis
• 28:35
  and
• 28:35
  they
• 28:35
  don't
• 28:35
  really
• 28:35
  notice
• 28:36
  a
• 28:36
  return
• 28:36
  of
• 28:36
  their
• 28:36
  symptoms.
• 28:37
  But
• 28:37
  interestingly,
• 28:38
  one
• 28:38
  individual,
• 28:39
  he
• 28:39
  says,
• 28:39
  all
• 28:39
  right,
• 28:39
  if
• 28:40
  I
• 28:40
  do
• 28:40
  it
• 28:40
  on
• 28:40
  the
• 28:40
  weekend,
• 28:40
  I'm
• 28:41
  okay,
• 28:41
  but
• 28:41
  if
• 28:41
  I
• 28:41
  stretch
• 28:42
  that
• 28:42
  to
• 28:42
  Monday
• 28:42
  or
• 28:42
  Tuesday
• 28:43
  now,
• 28:43
  I'll.
• 28:44
  Of
• 28:44
  a
• 28:44
  sudden
• 28:44
  my
• 28:44
  symptoms
• 28:45
  come
• 28:45
  back.
• 28:45
  But
• 28:45
  yet,
• 28:46
  on
• 28:46
  the
• 28:46
  other
• 28:46
  hand,
• 28:46
  if
• 28:46
  someone
• 28:47
  drops
• 28:47
  below
• 28:47
  3
• 28:48
  millimoles
• 28:49
  per
• 28:49
  liter,
• 28:49
  that's
• 28:50
  when
• 28:50
  they
• 28:50
  experience
• 28:50
  their
• 28:50
  symptoms
• 28:51
  come
• 28:51
  back.
• 28:51
  So
• 28:51
  it
• 28:52
  really
• 28:52
  is
• 28:52
  interesting
• 28:53
  how
• 28:53
  much
• 28:53
  variability
• 28:54
  there
• 28:54
  is.
• 28:55
  And
• 28:55
  this
• 28:55
  is
• 28:55
  where,
• 28:56
  I
• 28:56
  mean,
• 28:56
  we
• 28:56
  all
• 28:56
  have
• 28:57
  to
• 28:57
  sort
• 28:57
  of
• 28:57
  become
• 28:57
  our
• 28:58
  own
• 28:58
  scientists
• 28:58
  in
• 28:59
  a
• 28:59
  way
• 28:59
  and
• 29:00
  learn.
• 29:00
  But
• 29:00
  the
• 29:00
  safest
• 29:01
  thing,
• 29:01
  if
• 29:01
  you
• 29:01
  don't
• 29:01
  want
• 29:02
  to
• 29:02
  experiment,
• 29:02
  if
• 29:02
  you
• 29:02
  don't
• 29:03
  want
• 29:03
  to
• 29:03
  risk
• 29:03
  it,
• 29:04
  stay
• 29:04
  in
• 29:04
  ketosis.
• 29:05
  I
• 29:05
  mean,
• 29:05
  you
• 29:05
  know,
• 29:06
  there's
• 29:06
  really
• 29:06
  no
• 29:06
  harm
• 29:08
  other
• 29:08
  than
• 29:09
  giving
• 29:09
  up
• 29:09
  the
• 29:10
  foods
• 29:10
  that
• 29:10
  you
• 29:11
  may
• 29:11
  be
• 29:11
  missing.
• 29:12
  But
• 29:12
  that
• 29:12
  seems
• 29:13
  like
• 29:13
  a
• 29:13
  fair
• 29:13
  trade
• 29:13
  off
• 29:14
  for
• 29:14
  preventing
• 29:15
  A
• 29:15
  relapse
• 29:15
  of
• 29:16
  a
• 29:16
  serious
• 29:16
  psychiatric
• 29:17
  condition.
• 29:18
  Would
• 29:18
  you
• 29:18
  agree
• 29:18
  with
• 29:18
  that?
• 29:18
  Absolutely.
• 29:19
  Absolutely.
• 29:21
  As
• 29:21
  you
• 29:21
  were
• 29:21
  saying,
• 29:21
  there's
• 29:22
  no
• 29:22
  evidence
• 29:24
  to
• 29:24
  suggest
• 29:25
  that
• 29:25
  a
• 29:25
  well
• 29:26
  formulated
• 29:26
  ketogenic
• 29:27
  diet
• 29:27
  should
• 29:28
  be
• 29:28
  risky
• 29:29
  to
• 29:29
  any
• 29:29
  aspect
• 29:30
  of
• 29:30
  health
• 29:30
  long
• 29:31
  term.
• 29:33
  And
• 29:33
  so
• 29:33
  there's
• 29:34
  no
• 29:34
  reason
• 29:34
  to
• 29:34
  believe
• 29:35
  that
• 29:36
  that
• 29:36
  would
• 29:36
  be
• 29:37
  unsafe.
• 29:41
  And
• 29:41
  this
• 29:41
  is
• 29:42
  one
• 29:42
  of
• 29:42
  the
• 29:42
  things
• 29:42
  that
• 29:43
  a
• 29:43
  lot
• 29:43
  of
• 29:43
  people
• 29:44
  worry
• 29:44
  about
• 29:44
  with
• 29:44
  the
• 29:44
  ketogenic
• 29:45
  diet.
• 29:45
  They
• 29:45
  think,
• 29:45
  well,
• 29:45
  you
• 29:46
  know,
• 29:46
  this
• 29:46
  is
• 29:47
  a
• 29:47
  diet
• 29:47
  just
• 29:47
  for
• 29:48
  extreme
• 29:48
  circumstances,
• 29:49
  dire
• 29:49
  circumstances,
• 29:50
  special
• 29:51
  situations,
• 29:52
  there's
• 29:53
  some
• 29:53
  risk
• 29:53
  involved.
• 29:54
  So
• 29:54
  I
• 29:54
  don't
• 29:54
  want
• 29:55
  to
• 29:55
  stay
• 29:55
  on
• 29:55
  it
• 29:55
  too
• 29:55
  long.
• 29:56
  There's
• 29:57
  no
• 29:57
  risk
• 29:57
  that
• 29:58
  I'm
• 29:58
  aware
• 29:58
  of
• 29:59
  that's
• 29:59
  been
• 29:59
  shown
• 29:59
  in
• 30:00
  any,
• 30:00
  in
• 30:01
  any.
• 30:01
  There's
• 30:02
  no
• 30:02
  theoretical
• 30:02
  risk
• 30:03
  or
• 30:04
  demonstrated
• 30:05
  risk
• 30:05
  for
• 30:06
  a
• 30:06
  well
• 30:06
  formulated
• 30:07
  ketogenic
• 30:08
  diet
• 30:08
  that
• 30:08
  contains
• 30:09
  all
• 30:09
  the
• 30:09
  nutrients
• 30:10
  you
• 30:10
  need,
• 30:10
  enough
• 30:11
  protein,
• 30:11
  enough
• 30:12
  calories,
• 30:13
  nutritious
• 30:13
  foods
• 30:14
  for
• 30:15
  your
• 30:15
  needs.
• 30:16
  There's
• 30:16
  no
• 30:16
  reason
• 30:16
  to
• 30:17
  believe
• 30:17
  that
• 30:17
  being
• 30:17
  in
• 30:18
  ketosis
• 30:18
  for
• 30:19
  the
• 30:19
  rest
• 30:19
  of
• 30:19
  your
• 30:19
  life
• 30:20
  would
• 30:20
  be
• 30:20
  dangerous.
• 30:21
  All
• 30:21
  right,
• 30:21
  well,
• 30:22
  Georgia,
• 30:22
  I
• 30:22
  think
• 30:22
  this
• 30:22
  has
• 30:23
  been
• 30:23
  a
• 30:23
  really
• 30:23
  good
• 30:23
  exploration
• 30:24
  of
• 30:24
  some
• 30:25
  of
• 30:25
  the
• 30:25
  common
• 30:26
  questions
• 30:26
  we
• 30:26
  get,
• 30:26
  but
• 30:27
  of
• 30:27
  course
• 30:27
  there
• 30:27
  are
• 30:28
  many
• 30:28
  more.
• 30:29
  So
• 30:29
  I
• 30:29
  want
• 30:29
  to
• 30:29
  thank
• 30:30
  you
• 30:30
  for
• 30:30
  joining
• 30:30
  me
• 30:30
  today.
• 30:31
  But
• 30:31
  also
• 30:31
  sort
• 30:32
  of,
• 30:32
  you
• 30:32
  know,
• 30:32
  plant
• 30:33
  the
• 30:33
  teaser,
• 30:33
  we're
• 30:34
  going
• 30:34
  to
• 30:34
  do
• 30:34
  this
• 30:34
  again
• 30:34
  and
• 30:34
  we're
• 30:35
  going
• 30:35
  to
• 30:35
  talk
• 30:35
  about,
• 30:36
  you
• 30:36
  know,
• 30:36
  what
• 30:37
  happens
• 30:37
  if
• 30:37
  keto
• 30:37
  doesn't
• 30:38
  help
• 30:38
  your
• 30:38
  mental
• 30:38
  health
• 30:39
  or
• 30:39
  what
• 30:39
  if
• 30:39
  it
• 30:39
  makes
• 30:39
  it
• 30:39
  worse
• 30:40
  or,
• 30:40
  you
• 30:40
  know,
• 30:41
  some
• 30:41
  of
• 30:41
  the
• 30:41
  more
• 30:41
  specific
• 30:42
  things
• 30:42
  about
• 30:42
  the
• 30:43
  ketogenic
• 30:43
  diet,
• 30:44
  like
• 30:44
  sweeteners
• 30:44
  and
• 30:45
  dairy
• 30:45
  and
• 30:45
  like
• 30:45
  the
• 30:46
  processed
• 30:46
  foods
• 30:46
  and
• 30:46
  baked
• 30:47
  goods
• 30:47
  and
• 30:47
  things
• 30:47
  like
• 30:47
  that.
• 30:48
  And
• 30:48
  also
• 30:49
  this
• 30:49
  big
• 30:49
  comparison
• 30:50
  about,
• 30:50
  you
• 30:50
  know,
• 30:50
  vegetarian
• 30:51
  diets
• 30:51
  versus
• 30:51
  keto
• 30:52
  diets,
• 30:52
  who
• 30:52
  lives
• 30:52
  longer.
• 30:53
  What
• 30:53
  do
• 30:53
  we
• 30:53
  know
• 30:53
  about
• 30:54
  that?
• 30:54
  So
• 30:54
  thank
• 30:55
  you
• 30:55
  for
• 30:55
  joining
• 30:55
  me
• 30:56
  for
• 30:56
  this
• 30:56
  and
• 30:56
  I
• 30:56
  look
• 30:56
  forward
• 30:56
  for
• 30:57
  episode
• 30:57
  two
• 30:57
  where
• 30:58
  we
• 30:58
  can
• 30:58
  get
• 30:58
  deeper
• 30:58
  into
• 30:58
  these
• 30:59
  other
• 30:59
  questions.
• 31:00
  Me
• 31:00
  too.
• 31:00
  And
• 31:00
  I
• 31:00
  hope
• 31:00
  people
• 31:01
  will
• 31:01
  send
• 31:01
  in
• 31:01
  their
• 31:01
  questions,
• 31:02
  you
• 31:02
  know,
• 31:02
  because
• 31:03
  we
• 31:03
  really,
• 31:03
  we
• 31:03
  really
• 31:03
  want
• 31:04
  to,
• 31:04
  we
• 31:04
  really
• 31:04
  want
• 31:05
  to
• 31:05
  hear
• 31:06
  from
• 31:06
  you
• 31:06
  about
• 31:06
  what
• 31:06
  you
• 31:07
  think
• 31:07
  is
• 31:07
  most
• 31:08
  important,
• 31:08
  what
• 31:08
  kinds
• 31:08
  of
• 31:08
  things
• 31:09
  you're
• 31:09
  struggling
• 31:09
  with
• 31:09
  or
• 31:10
  what
• 31:10
  kinds
• 31:10
  of
• 31:11
  curiosity,
• 31:12
  what
• 31:12
  kinds
• 31:12
  of
• 31:12
  curiosity
• 31:13
  questions
• 31:13
  you
• 31:13
  have
• 31:14
  about
• 31:14
  ketogenic
• 31:14
  diets
• 31:14
  for
• 31:15
  mental
• 31:15
  health.
• 31:15
  So
• 31:15
  I
• 31:16
  hope
• 31:16
  we
• 31:16
  hear
• 31:16
  from
• 31:16
  you.
• 31:16
  Yeah,
• 31:17
  and
• 31:17
  like
• 31:17
  I
• 31:17
  said
• 31:17
  in
• 31:17
  the
• 31:17
  intro,
• 31:18
  you
• 31:18
  know,
• 31:18
  wherever
• 31:19
  you're
• 31:19
  watching
• 31:19
  this,
• 31:20
  if
• 31:20
  it's
• 31:20
  on
• 31:20
  YouTube,
• 31:20
  comment
• 31:21
  on
• 31:21
  YouTube,
• 31:21
  if
• 31:21
  it's
• 31:22
  on
• 31:22
  Instagram
• 31:22
  or
• 31:23
  Twitter
• 31:23
  or
• 31:23
  X,
• 31:23
  send
• 31:24
  us
• 31:24
  a
• 31:24
  dm.
• 31:24
  So
• 31:25
  we
• 31:25
  want
• 31:25
  to
• 31:25
  hear
• 31:25
  from
• 31:25
  you.
• 31:26
  So
• 31:26
  great
• 31:26
  point.
• 31:26
  Thank
• 31:26
  you.
• 31:27
  Yep,
• 31:27
  our
• 31:27
  favorite
• 31:28
  thing
• 31:28
  is
• 31:28
  questions,
• 31:28
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• 31:28
  bring
• 31:29
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• 31:29
  on.
• 31:30
  Fellow
• 31:30
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• 31:30
  health
• 31:31
  clinicians
• 31:31
  and
• 31:31
  healthcare
• 31:32
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• 31:32
  you
• 31:33
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• 31:33
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• 31:33
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• 31:33
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• 31:34
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• 31:34
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• 31:34
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• 31:35
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• 31:35
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• 31:36
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• 31:36
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• 31:36
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• 31:37
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• 31:37
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• 31:38
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• 31:38
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• 31:39
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• 31:39
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• 31:39
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• 31:39
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• 31:40
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• 31:40
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• 31:41
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• 31:41
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• 31:41
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• 31:42
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• 31:42
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• 31:43
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• 31:43
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• 31:43
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• 31:44
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• 31:44
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• 32:00
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• 32:00
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