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She Cured 5 Mental Illnesses in 12 Weeks · Metabolic Mind

• 0:00
  But
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  of
• 0:00
  course,
• 0:00
  there
• 0:00
  are
• 0:00
  a
• 0:00
  couple
• 0:01
  of
• 0:01
  people
• 0:01
  that
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  maybe
• 0:01
  are
• 0:02
  pushing
• 0:02
  back,
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  and
• 0:03
  one
• 0:03
  person
• 0:03
  even
• 0:04
  said,
• 0:04
  with
• 0:04
  a
• 0:04
  conventional
• 0:05
  treatment,
• 0:06
  it's
• 0:06
  impossible.
• 0:07
  You
• 0:07
  can't
• 0:07
  get
• 0:07
  results
• 0:08
  like
• 0:08
  this.
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  But
• 0:08
  then
• 0:09
  also,
• 0:09
  they
• 0:09
  didn't
• 0:10
  believe
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  that
• 0:10
  this
• 0:11
  was
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  true
• 0:11
  either.
• 0:11
  They
• 0:12
  said,
• 0:12
  in
• 0:12
  their
• 0:12
  words,
• 0:12
  that
• 0:13
  it
• 0:13
  was
• 0:13
  clinically
• 0:13
  implausible.
• 0:19
  Welcome
• 0:20
  to
• 0:20
  the
• 0:20
  Metabolic
• 0:20
  Mind
• 0:21
  Podcast.
• 0:21
  I'm
• 0:21
  your
• 0:21
  host,
• 0:22
  Dr.
• 0:22
  Brett
• 0:22
  Scher.
• 0:23
  Metabolic
• 0:24
  Mind
• 0:24
  is
• 0:24
  a
• 0:24
  nonprofit
• 0:25
  initiative
• 0:25
  of
• 0:25
  Bouzouki
• 0:26
  Group
• 0:26
  where
• 0:27
  we're
• 0:27
  providing
• 0:27
  information
• 0:28
  about
• 0:28
  the
• 0:28
  intersection
• 0:29
  of
• 0:29
  metabolic
• 0:30
  health
• 0:30
  and
• 0:30
  mental
• 0:30
  health
• 0:31
  and
• 0:31
  metabolic
• 0:32
  therapies,
• 0:32
  such
• 0:32
  as
• 0:33
  nutritional
• 0:33
  ketosis
• 0:34
  as
• 0:34
  therapies
• 0:35
  for
• 0:35
  mental
• 0:35
  illness.
• 0:36
  Thank
• 0:36
  you
• 0:36
  for
• 0:36
  joining
• 0:37
  us.
• 0:37
  Although
• 0:38
  our
• 0:38
  podcast
• 0:38
  is
• 0:38
  for
• 0:39
  informational
• 0:39
  purposes
• 0:40
  only
• 0:40
  and
• 0:40
  we
• 0:40
  aren't
• 0:41
  giving
• 0:41
  medical
• 0:41
  advice,
• 0:42
  we
• 0:42
  hope
• 0:42
  you
• 0:43
  will
• 0:43
  learn
• 0:43
  from
• 0:43
  our
• 0:43
  content
• 0:44
  and
• 0:44
  it
• 0:44
  will
• 0:44
  help
• 0:44
  facilitate
• 0:45
  discussions
• 0:46
  with
• 0:46
  your
• 0:46
  healthcare
• 0:46
  providers
• 0:47
  to
• 0:47
  see
• 0:48
  if
• 0:48
  you
• 0:48
  could
• 0:48
  benefit
• 0:48
  from
• 0:49
  exploring
• 0:49
  the
• 0:49
  connection
• 0:50
  between
• 0:50
  metabolic
• 0:51
  and
• 0:51
  mental
• 0:51
  health.
• 0:56
  If
• 0:56
  you
• 0:56
  have
• 0:57
  multiple
• 0:57
  psychiatric
• 0:58
  diagnoses,
• 0:58
  would
• 0:58
  you
• 0:59
  be
• 0:59
  amazed
• 0:59
  to
• 1:00
  learn
• 1:00
  that
• 1:00
  one
• 1:00
  treatment,
• 1:01
  a
• 1:01
  nutritional
• 1:02
  intervention,
• 1:02
  could
• 1:03
  put
• 1:03
  them
• 1:03
  all
• 1:04
  into
• 1:04
  remission?
• 1:05
  Well,
• 1:05
  it's
• 1:05
  possible.
• 1:06
  And
• 1:06
  a
• 1:06
  new
• 1:06
  case
• 1:07
  report
• 1:07
  that
• 1:08
  was
• 1:08
  recently
• 1:08
  published
• 1:09
  shows
• 1:09
  that
• 1:09
  someone
• 1:10
  with
• 1:10
  bipolar
• 1:10
  depression,
• 1:11
  with
• 1:11
  binge
• 1:11
  eating
• 1:12
  disorder,
• 1:12
  with
• 1:12
  anxiety,
• 1:13
  with
• 1:14
  ptsd,
• 1:14
  with
• 1:14
  adhd,
• 1:15
  was
• 1:15
  able
• 1:15
  to
• 1:16
  put
• 1:16
  them
• 1:16
  all
• 1:16
  into
• 1:16
  remission
• 1:17
  with
• 1:18
  ketogenic
• 1:18
  therapy.
• 1:19
  And
• 1:19
  I'm
• 1:19
  joined
• 1:20
  by
• 1:20
  Dr.
• 1:20
  Erin
• 1:20
  Bellamy,
• 1:21
  who's
• 1:21
  a
• 1:21
  PhD
• 1:22
  in
• 1:22
  psychology
• 1:22
  and
• 1:23
  from
• 1:23
  Integrative
• 1:24
  Ketogenic
• 1:24
  Research
• 1:25
  and
• 1:25
  Therapies.
• 1:25
  And
• 1:26
  she
• 1:26
  published
• 1:26
  this
• 1:27
  case
• 1:27
  report
• 1:27
  of
• 1:28
  a
• 1:28
  patient
• 1:28
  she
• 1:28
  saw
• 1:29
  with
• 1:29
  dramatic,
• 1:30
  dramatic
• 1:30
  results.
• 1:31
  Now,
• 1:31
  none
• 1:31
  of
• 1:31
  this
• 1:32
  is
• 1:32
  medical
• 1:32
  advice,
• 1:32
  and
• 1:33
  it
• 1:33
  may
• 1:33
  not
• 1:33
  reflect
• 1:34
  everybody's
• 1:34
  response
• 1:35
  to
• 1:35
  ketogenic
• 1:36
  therapy,
• 1:36
  but
• 1:36
  the
• 1:36
  fact
• 1:37
  that
• 1:37
  someone
• 1:37
  could
• 1:37
  respond
• 1:38
  so
• 1:38
  profoundly
• 1:39
  really
• 1:40
  should
• 1:40
  make
• 1:40
  us
• 1:40
  all
• 1:41
  pay
• 1:41
  attention.
• 1:41
  So
• 1:41
  here's
• 1:42
  the
• 1:42
  interview
• 1:42
  with
• 1:42
  Erin
• 1:43
  Bellamy.
• 1:43
  Please
• 1:44
  remember
• 1:44
  that
• 1:44
  our
• 1:44
  channel
• 1:44
  is
• 1:45
  for
• 1:45
  informational
• 1:45
  purposes
• 1:46
  only.
• 1:46
  We're
• 1:46
  not
• 1:46
  providing
• 1:47
  individual
• 1:47
  or
• 1:48
  group
• 1:48
  medical.
• 1:48
  Or
• 1:48
  healthcare
• 1:49
  advice
• 1:49
  or
• 1:49
  establishing
• 1:50
  a
• 1:50
  provider
• 1:50
  patient
• 1:51
  relationship.
• 1:51
  Many
• 1:51
  of
• 1:51
  the
• 1:52
  interventions
• 1:52
  we
• 1:52
  discuss
• 1:52
  can
• 1:53
  have
• 1:53
  potentially
• 1:53
  dangerous
• 1:54
  effects
• 1:54
  if
• 1:54
  done
• 1:54
  without
• 1:54
  proper
• 1:55
  supervision.
• 1:56
  Consult
• 1:56
  your
• 1:56
  healthcare
• 1:56
  provider
• 1:57
  before
• 1:57
  changing
• 1:57
  your
• 1:58
  lifestyle
• 1:58
  or
• 1:58
  medications.
• 1:59
  In
• 1:59
  addition,
• 1:59
  it's
• 2:00
  important
• 2:00
  to
• 2:00
  note
• 2:00
  that
• 2:00
  people
• 2:01
  may
• 2:01
  respond
• 2:01
  differently
• 2:02
  to
• 2:02
  ketosis,
• 2:02
  and
• 2:02
  there
• 2:03
  isn't
• 2:03
  one
• 2:03
  recognized
• 2:04
  universal
• 2:04
  response.
• 2:11
  Hey
• 2:11
  Aaron,
• 2:12
  welcome
• 2:12
  back.
• 2:13
  Thanks
• 2:13
  for
• 2:13
  joining
• 2:13
  me
• 2:13
  again
• 2:13
  at
• 2:14
  Metabolic
• 2:14
  Mind.
• 2:15
  Thank
• 2:16
  you
• 2:16
  so
• 2:16
  much
• 2:16
  for
• 2:16
  having
• 2:16
  me.
• 2:17
  It's
• 2:17
  always
• 2:17
  an
• 2:17
  honor.
• 2:18
  Yeah,
• 2:18
  we
• 2:18
  had
• 2:18
  you
• 2:18
  on
• 2:18
  before
• 2:19
  to
• 2:19
  talk
• 2:19
  about
• 2:20
  your
• 2:20
  PhD
• 2:21
  thesis
• 2:21
  publication
• 2:23
  and
• 2:23
  but
• 2:23
  now
• 2:23
  about
• 2:24
  a
• 2:24
  really
• 2:24
  exciting
• 2:25
  case
• 2:25
  report
• 2:26
  that
• 2:26
  you
• 2:27
  published
• 2:27
  recently
• 2:28
  that
• 2:28
  I
• 2:29
  really
• 2:29
  want
• 2:29
  to
• 2:29
  talk
• 2:29
  about
• 2:30
  because
• 2:31
  it
• 2:32
  sets
• 2:32
  so
• 2:32
  many
• 2:32
  different
• 2:33
  examples,
• 2:33
  right?
• 2:33
  The
• 2:34
  example
• 2:34
  of
• 2:34
  the
• 2:34
  power
• 2:35
  of
• 2:35
  ketogenic
• 2:35
  therapy,
• 2:37
  the
• 2:37
  example
• 2:38
  of
• 2:39
  the
• 2:40
  risks
• 2:40
  and
• 2:41
  shortfallings
• 2:42
  of
• 2:42
  treatment
• 2:43
  for
• 2:43
  polydiagnoses
• 2:45
  and
• 2:45
  maybe
• 2:46
  even
• 2:46
  a
• 2:46
  whole
• 2:46
  shift
• 2:47
  in
• 2:47
  how
• 2:47
  we
• 2:47
  approach
• 2:48
  psychiatry,
• 2:49
  the,
• 2:49
  the
• 2:50
  transdiagnostic
• 2:51
  model
• 2:51
  as,
• 2:51
  you
• 2:51
  know,
• 2:51
  maybe
• 2:52
  a
• 2:52
  mechanism
• 2:52
  instead
• 2:53
  of
• 2:53
  a
• 2:53
  symptom.
• 2:53
  So
• 2:53
  one
• 2:54
  case
• 2:54
  report
• 2:54
  brings
• 2:55
  up
• 2:55
  all
• 2:55
  these
• 2:55
  different
• 2:55
  concepts
• 2:56
  which
• 2:56
  you
• 2:56
  explore
• 2:57
  in
• 2:57
  your
• 2:57
  paper.
• 2:58
  So
• 2:58
  let's
• 2:59
  talk
• 2:59
  about
• 2:59
  this
• 2:59
  case
• 2:59
  report.
• 3:01
  I
• 3:01
  mean,
• 3:01
  it
• 3:02
  was
• 3:02
  pretty
• 3:02
  dramatic.
• 3:03
  One,
• 3:03
  the
• 3:04
  number
• 3:04
  of
• 3:04
  diagnoses
• 3:05
  the
• 3:05
  person
• 3:06
  was
• 3:06
  quote
• 3:07
  unquote
• 3:07
  labeled
• 3:07
  with.
• 3:08
  And
• 3:08
  two,
• 3:09
  the
• 3:09
  dramatic
• 3:10
  impact
• 3:11
  that
• 3:12
  ketogenic
• 3:12
  therapy
• 3:13
  had.
• 3:13
  So
• 3:14
  start
• 3:14
  with
• 3:14
  a
• 3:14
  little
• 3:14
  background
• 3:15
  on
• 3:15
  who
• 3:15
  this
• 3:16
  person
• 3:16
  was
• 3:16
  and
• 3:16
  how
• 3:17
  you
• 3:17
  came
• 3:17
  to
• 3:17
  work
• 3:17
  with
• 3:18
  them.
• 3:18
  Yeah,
• 3:18
  absolutely.
• 3:19
  So
• 3:20
  this
• 3:21
  was
• 3:21
  a
• 3:23
  38
• 3:23
  year
• 3:23
  old
• 3:24
  female
• 3:24
  who
• 3:25
  came
• 3:25
  to
• 3:25
  me
• 3:25
  back
• 3:26
  at
• 3:26
  the
• 3:26
  end
• 3:26
  of
• 3:26
  last
• 3:27
  year
• 3:28
  and
• 3:28
  she,
• 3:29
  you
• 3:29
  know,
• 3:30
  through
• 3:30
  my
• 3:30
  private
• 3:30
  practice,
• 3:31
  I
• 3:31
  work
• 3:32
  kind
• 3:32
  of
• 3:32
  one
• 3:32
  to
• 3:32
  one
• 3:33
  with
• 3:33
  people
• 3:33
  and
• 3:33
  in
• 3:33
  groups
• 3:34
  with
• 3:34
  people
• 3:34
  to
• 3:35
  help
• 3:35
  implement
• 3:35
  ketogenic
• 3:36
  therapy
• 3:37
  specifically
• 3:37
  for
• 3:37
  mental
• 3:38
  health.
• 3:38
  So
• 3:39
  I
• 3:39
  think
• 3:39
  perhaps
• 3:39
  she
• 3:40
  had
• 3:40
  seen
• 3:41
  me
• 3:41
  with,
• 3:42
  you
• 3:42
  know,
• 3:42
  the
• 3:42
  previous
• 3:42
  conversation
• 3:43
  you
• 3:43
  and
• 3:43
  I
• 3:43
  had
• 3:44
  had
• 3:44
  and
• 3:44
  reach
• 3:45
  out
• 3:45
  and
• 3:45
  she,
• 3:47
  she
• 3:47
  was
• 3:47
  really
• 3:47
  struggling.
• 3:48
  And
• 3:49
  previous
• 3:49
  to
• 3:50
  this
• 3:50
  conversation,
• 3:51
  you
• 3:51
  know,
• 3:52
  I
• 3:52
  had
• 3:52
  spoken
• 3:52
  to
• 3:53
  her
• 3:53
  and
• 3:53
  said,
• 3:54
  I'm
• 3:54
  going
• 3:54
  to
• 3:54
  be
• 3:54
  having
• 3:54
  this
• 3:55
  chat.
• 3:55
  Is
• 3:55
  there
• 3:55
  anything
• 3:56
  that
• 3:56
  you
• 3:56
  would
• 3:56
  like
• 3:56
  to
• 3:57
  add?
• 3:57
  And
• 3:57
  she
• 3:57
  just
• 3:57
  reminded
• 3:58
  me
• 3:58
  that
• 3:59
  she
• 3:59
  had
• 3:59
  felt
• 4:00
  really
• 4:00
  lost
• 4:01
  and
• 4:01
  broken
• 4:01
  were
• 4:02
  her
• 4:02
  words.
• 4:03
  She
• 4:03
  felt
• 4:04
  lost
• 4:04
  and
• 4:04
  broken.
• 4:05
  She
• 4:05
  had
• 4:05
  just
• 4:05
  been
• 4:06
  doing
• 4:06
  everything
• 4:06
  that
• 4:07
  she
• 4:07
  thought
• 4:07
  she
• 4:08
  should
• 4:08
  be
• 4:08
  doing
• 4:08
  and
• 4:09
  could
• 4:09
  be
• 4:09
  doing.
• 4:10
  She
• 4:10
  had
• 4:11
  multiple
• 4:11
  diagnoses,
• 4:12
  as
• 4:12
  you
• 4:12
  see,
• 4:13
  you
• 4:13
  know,
• 4:13
  everything
• 4:14
  from
• 4:14
  PTSD,
• 4:15
  ADHD,
• 4:16
  binge
• 4:16
  eating,
• 4:17
  bipolar
• 4:17
  2,
• 4:19
  depression,
• 4:19
  anxiety,
• 4:21
  and
• 4:21
  she
• 4:22
  had
• 4:22
  some
• 4:22
  physical
• 4:22
  health
• 4:23
  issues
• 4:23
  as
• 4:23
  well
• 4:23
  as
• 4:23
  a
• 4:24
  result.
• 4:24
  And
• 4:26
  you
• 4:26
  know,
• 4:26
  some
• 4:26
  things
• 4:26
  had
• 4:27
  been
• 4:27
  working
• 4:27
  to
• 4:27
  a
• 4:28
  point
• 4:28
  but
• 4:28
  never
• 4:28
  had
• 4:29
  really
• 4:29
  reduced
• 4:29
  the
• 4:30
  symptoms
• 4:30
  for
• 4:30
  her.
• 4:31
  So
• 4:31
  she
• 4:31
  was
• 4:32
  in
• 4:32
  a
• 4:32
  really,
• 4:33
  really
• 4:33
  difficult
• 4:34
  place.
• 4:35
  And
• 4:36
  so
• 4:36
  she
• 4:36
  reached
• 4:37
  out
• 4:37
  and
• 4:37
  we
• 4:37
  had
• 4:38
  a
• 4:38
  conversation
• 4:38
  about
• 4:39
  what
• 4:39
  she'd
• 4:39
  been
• 4:39
  doing
• 4:40
  and
• 4:40
  we
• 4:40
  spoke
• 4:40
  about
• 4:40
  ketogenic
• 4:41
  therapy.
• 4:43
  And
• 4:43
  you
• 4:43
  know,
• 4:44
  she
• 4:44
  had
• 4:44
  played
• 4:45
  around
• 4:45
  with
• 4:45
  it
• 4:45
  a
• 4:45
  little
• 4:46
  bit.
• 4:46
  She
• 4:46
  had
• 4:46
  followed
• 4:46
  an
• 4:47
  animal
• 4:47
  based
• 4:47
  diet
• 4:48
  for
• 4:48
  a
• 4:48
  while,
• 4:48
  but
• 4:49
  really
• 4:50
  she
• 4:50
  hadn't
• 4:51
  got
• 4:51
  the
• 4:51
  therapeutic
• 4:52
  levels
• 4:52
  of
• 4:52
  ketones,
• 4:53
  she
• 4:53
  hadn't
• 4:54
  tried
• 4:54
  that
• 4:55
  and
• 4:55
  she
• 4:55
  hadn't
• 4:56
  been
• 4:56
  able
• 4:56
  to
• 4:56
  reach
• 4:57
  it.
• 4:57
  And
• 4:58
  so
• 4:58
  when
• 4:58
  we
• 4:59
  implemented
• 4:59
  it
• 5:00
  and
• 5:00
  she
• 5:01
  followed
• 5:01
  my
• 5:02
  guidance
• 5:02
  on
• 5:02
  the
• 5:02
  program,
• 5:04
  her
• 5:04
  words,
• 5:05
  she
• 5:05
  said
• 5:05
  that
• 5:05
  it
• 5:06
  took
• 5:06
  her.
• 5:06
  I'm
• 5:06
  just
• 5:06
  looking
• 5:07
  now
• 5:07
  from
• 5:08
  a
• 5:09
  mind
• 5:09
  shattered,
• 5:09
  now
• 5:10
  restored.
• 5:10
  So
• 5:11
  she
• 5:11
  felt
• 5:11
  completely
• 5:11
  transformed.
• 5:14
  Such
• 5:14
  a
• 5:14
  short
• 5:14
  amount
• 5:15
  of
• 5:15
  time.
• 5:16
  Yeah.
• 5:16
  What
• 5:16
  was
• 5:16
  the
• 5:16
  time
• 5:17
  frame?
• 5:17
  It
• 5:17
  was
• 5:17
  like
• 5:17
  12
• 5:17
  weeks,
• 5:18
  right?
• 5:18
  Yeah,
• 5:19
  12
• 5:19
  weeks.
• 5:20
  So
• 5:20
  the
• 5:21
  way
• 5:21
  I
• 5:21
  do
• 5:21
  things
• 5:21
  is
• 5:22
  we
• 5:22
  kind
• 5:22
  of
• 5:22
  take
• 5:23
  some
• 5:23
  assessment,
• 5:23
  mood
• 5:24
  assessments
• 5:24
  at
• 5:24
  baseline
• 5:25
  and
• 5:26
  then
• 5:26
  we
• 5:26
  do
• 5:26
  it
• 5:26
  again
• 5:26
  of
• 5:26
  four
• 5:27
  weeks,
• 5:27
  eight
• 5:28
  weeks,
• 5:28
  if
• 5:28
  people
• 5:28
  remember
• 5:29
  12
• 5:29
  weeks,
• 5:30
  and
• 5:30
  really
• 5:30
  all
• 5:30
  the
• 5:31
  way
• 5:31
  up
• 5:31
  to
• 5:31
  24
• 5:32
  weeks,
• 5:32
  six
• 5:32
  months,
• 5:33
  that's
• 5:33
  the
• 5:33
  duration
• 5:34
  of
• 5:34
  the
• 5:34
  program.
• 5:35
  But
• 5:35
  by
• 5:35
  the
• 5:36
  time
• 5:36
  12
• 5:36
  weeks
• 5:37
  came
• 5:37
  along,
• 5:38
  she
• 5:38
  was
• 5:38
  already
• 5:39
  scoring
• 5:39
  zeros
• 5:40
  across
• 5:40
  the
• 5:40
  board
• 5:41
  and
• 5:41
  continue
• 5:42
  to
• 5:42
  do
• 5:42
  so.
• 5:43
  And
• 5:43
  so
• 5:43
  there's
• 5:44
  no
• 5:44
  point
• 5:44
  on
• 5:44
  repeatingly
• 5:45
  giving
• 5:46
  the
• 5:46
  zeros.
• 5:47
  But
• 5:47
  we
• 5:47
  can
• 5:47
  say
• 5:47
  from
• 5:48
  12
• 5:48
  weeks
• 5:48
  that
• 5:49
  was
• 5:49
  the
• 5:49
  first
• 5:49
  time
• 5:50
  she
• 5:50
  got
• 5:50
  the
• 5:50
  zeros
• 5:51
  across
• 5:51
  the
• 5:51
  board
• 5:51
  and
• 5:52
  has
• 5:53
  pretty
• 5:53
  much
• 5:53
  maintained
• 5:54
  that
• 5:54
  ever
• 5:54
  since.
• 5:55
  Yeah,
• 5:55
  so
• 5:55
  let's
• 5:55
  reflect
• 5:56
  on
• 5:56
  that.
• 5:56
  I
• 5:56
  mean,
• 5:56
  zeros
• 5:57
  across
• 5:57
  the
• 5:58
  board,
• 5:58
  let's
• 5:58
  sort
• 5:58
  of
• 5:59
  explain
• 5:59
  that
• 5:59
  a
• 5:59
  little
• 5:59
  bit
• 6:00
  more
• 6:00
  because,
• 6:00
  you
• 6:00
  know,
• 6:01
  there
• 6:01
  are
• 6:01
  these,
• 6:02
  these
• 6:02
  scoring
• 6:02
  systems,
• 6:03
  the
• 6:03
  PHQ9,
• 6:04
  the
• 6:04
  GAD7,
• 6:05
  there's
• 6:05
  a
• 6:05
  binge
• 6:05
  eating
• 6:06
  score
• 6:06
  and
• 6:06
  they're
• 6:08
  sort
• 6:08
  of
• 6:08
  like,
• 6:08
  you
• 6:08
  know,
• 6:09
  severe,
• 6:09
  moderate,
• 6:10
  mild,
• 6:11
  and
• 6:12
  no
• 6:12
  evidence
• 6:12
  based,
• 6:13
  no
• 6:13
  evidence
• 6:13
  of
• 6:13
  disease.
• 6:14
  You
• 6:14
  can
• 6:14
  sort
• 6:14
  of
• 6:14
  rate
• 6:15
  them
• 6:15
  like
• 6:15
  that.
• 6:17
  And
• 6:17
  if
• 6:17
  you
• 6:18
  get
• 6:18
  anybody
• 6:18
  into
• 6:18
  the
• 6:19
  no
• 6:19
  evidence
• 6:19
  of
• 6:19
  disease,
• 6:20
  which
• 6:20
  for
• 6:20
  some
• 6:20
  might
• 6:20
  be
• 6:21
  like
• 6:21
  below
• 6:21
  7
• 6:21
  or
• 6:22
  below
• 6:22
  5
• 6:22
  or
• 6:22
  something
• 6:23
  like,
• 6:23
  that's
• 6:23
  amazing.
• 6:24
  But
• 6:24
  to
• 6:24
  get
• 6:24
  down
• 6:24
  to
• 6:25
  zero,
• 6:25
  to
• 6:26
  get
• 6:26
  down
• 6:26
  to
• 6:26
  zero,
• 6:27
  where
• 6:27
  there's,
• 6:28
  you
• 6:28
  know,
• 6:28
  and
• 6:28
  some
• 6:28
  of
• 6:28
  these
• 6:28
  are
• 6:29
  subjective
• 6:29
  and
• 6:30
  some
• 6:30
  are,
• 6:30
  you
• 6:31
  know,
• 6:31
  filled
• 6:31
  out
• 6:31
  by
• 6:31
  the
• 6:31
  patient,
• 6:32
  some
• 6:32
  are
• 6:32
  given
• 6:32
  by
• 6:32
  the
• 6:33
  clinician,
• 6:33
  but
• 6:34
  to
• 6:34
  consistently
• 6:35
  among
• 6:35
  multiple
• 6:36
  different
• 6:37
  categories
• 6:37
  have
• 6:38
  a
• 6:38
  zero.
• 6:39
  I
• 6:39
  mean,
• 6:39
  how
• 6:40
  often
• 6:40
  do
• 6:40
  you
• 6:40
  think
• 6:40
  that
• 6:40
  happens
• 6:41
  or
• 6:41
  how
• 6:41
  remarkable
• 6:42
  is
• 6:42
  that?
• 6:43
  Yeah,
• 6:43
  it's
• 6:44
  remarkable.
• 6:44
  I
• 6:44
  mean,
• 6:45
  even
• 6:46
  if
• 6:46
  I
• 6:46
  look
• 6:46
  at
• 6:46
  all
• 6:46
  the
• 6:47
  other
• 6:47
  people
• 6:47
  that
• 6:47
  I
• 6:47
  work
• 6:47
  with,
• 6:48
  we
• 6:48
  usually
• 6:49
  bring
• 6:49
  people
• 6:49
  down
• 6:50
  into
• 6:50
  that
• 6:50
  normal
• 6:50
  range.
• 6:51
  So
• 6:51
  it
• 6:51
  could
• 6:51
  be
• 6:52
  0
• 6:52
  to
• 6:52
  4
• 6:52
  on
• 6:53
  a
• 6:53
  scale
• 6:53
  is
• 6:53
  normal
• 6:54
  and
• 6:54
  they
• 6:54
  might
• 6:55
  just
• 6:55
  kind
• 6:55
  of
• 6:55
  Bob
• 6:55
  around
• 6:56
  between
• 6:56
  0
• 6:57
  to
• 6:57
  4
• 6:57
  or,
• 6:58
  you
• 6:58
  know,
• 6:58
  might
• 6:59
  be
• 6:59
  0
• 6:59
  to
• 6:59
  5.
• 6:59
  They
• 7:00
  might
• 7:00
  just
• 7:00
  bob
• 7:00
  around
• 7:01
  between
• 7:01
  there
• 7:01
  over,
• 7:02
  you
• 7:02
  know,
• 7:02
  every
• 7:03
  four
• 7:03
  weeks.
• 7:04
  That's
• 7:04
  typical.
• 7:05
  That's
• 7:05
  incredible
• 7:06
  too.
• 7:06
  You
• 7:06
  know,
• 7:07
  they've
• 7:07
  come
• 7:07
  down
• 7:07
  from
• 7:08
  severe
• 7:08
  in
• 7:08
  some
• 7:09
  cases
• 7:09
  and
• 7:10
  they
• 7:10
  just
• 7:10
  kind
• 7:10
  of
• 7:10
  bob
• 7:11
  around
• 7:11
  in
• 7:11
  that
• 7:12
  normal
• 7:12
  range.
• 7:13
  But
• 7:13
  to
• 7:13
  bring
• 7:14
  it
• 7:14
  down
• 7:14
  to
• 7:14
  zero
• 7:15
  and
• 7:15
  then
• 7:15
  just
• 7:15
  to
• 7:16
  repeatedly
• 7:16
  have
• 7:17
  zeros
• 7:17
  and
• 7:17
  then
• 7:18
  also
• 7:18
  for
• 7:18
  it
• 7:19
  to
• 7:19
  be
• 7:19
  across
• 7:20
  lots
• 7:20
  of
• 7:20
  different
• 7:21
  measures
• 7:21
  of
• 7:22
  depression,
• 7:22
  anxiety,
• 7:23
  PTSD
• 7:23
  and
• 7:24
  so
• 7:24
  on
• 7:25
  is
• 7:25
  remarkable.
• 7:27
  But
• 7:27
  I
• 7:27
  think
• 7:27
  it
• 7:27
  also
• 7:28
  just
• 7:28
  goes
• 7:28
  to
• 7:28
  show
• 7:29
  that,
• 7:30
  you
• 7:30
  know,
• 7:31
  it
• 7:31
  was
• 7:32
  the
• 7:32
  one
• 7:32
  thing
• 7:32
  that
• 7:32
  she
• 7:33
  was
• 7:33
  clearly
• 7:33
  looking
• 7:34
  for.
• 7:34
  You
• 7:34
  know,
• 7:35
  how
• 7:35
  many
• 7:35
  people
• 7:35
  are
• 7:35
  like
• 7:36
  her
• 7:36
  out
• 7:36
  there?
• 7:36
  We
• 7:37
  don't
• 7:37
  know.
• 7:37
  That's
• 7:37
  what
• 7:38
  we're
• 7:38
  trying
• 7:38
  to
• 7:38
  figure
• 7:38
  out.
• 7:39
  But
• 7:40
  what
• 7:40
  it
• 7:40
  shows
• 7:41
  is
• 7:41
  that
• 7:41
  it
• 7:41
  is
• 7:42
  possible.
• 7:43
  And
• 7:44
  I
• 7:44
  was
• 7:44
  looking,
• 7:44
  you
• 7:45
  know,
• 7:45
  I've
• 7:45
  had
• 7:45
  a
• 7:45
  great
• 7:45
  response
• 7:46
  from
• 7:46
  this
• 7:46
  since
• 7:46
  it
• 7:47
  came
• 7:47
  out.
• 7:48
  But
• 7:48
  of
• 7:48
  course
• 7:48
  there
• 7:48
  are
• 7:48
  a
• 7:49
  couple
• 7:49
  of
• 7:49
  people
• 7:49
  that
• 7:49
  maybe
• 7:50
  are
• 7:50
  pushing
• 7:50
  back
• 7:51
  and
• 7:51
  one
• 7:52
  person
• 7:52
  even
• 7:52
  said,
• 7:53
  you
• 7:54
  know,
• 7:54
  with
• 7:54
  the
• 7:54
  conventional
• 7:55
  treatments
• 7:56
  it's
• 7:57
  impossible,
• 7:57
  you
• 7:57
  can't
• 7:58
  get
• 7:58
  results
• 7:58
  like
• 7:58
  this.
• 7:59
  But
• 7:59
  then
• 7:59
  also
• 8:00
  they
• 8:00
  didn't
• 8:01
  believe
• 8:01
  that
• 8:01
  this
• 8:02
  was
• 8:02
  true.
• 8:02
  Either
• 8:02
  they
• 8:02
  said,
• 8:03
  in
• 8:03
  their
• 8:03
  words,
• 8:03
  that
• 8:04
  it
• 8:04
  was
• 8:04
  clinically
• 8:04
  implausible.
• 8:06
  I
• 8:06
  think
• 8:07
  we
• 8:07
  just
• 8:07
  need
• 8:07
  to
• 8:08
  get
• 8:09
  excited
• 8:09
  about
• 8:09
  the
• 8:10
  fact
• 8:10
  that
• 8:11
  actually
• 8:11
  it
• 8:11
  is
• 8:12
  happening
• 8:12
  for
• 8:12
  some
• 8:12
  people
• 8:13
  and
• 8:13
  therefore
• 8:14
  it
• 8:14
  warrants
• 8:15
  a
• 8:15
  closer
• 8:15
  look
• 8:15
  to
• 8:16
  see,
• 8:16
  well,
• 8:16
  you
• 8:17
  know,
• 8:17
  what
• 8:17
  is
• 8:17
  going
• 8:17
  on?
• 8:18
  You
• 8:18
  know,
• 8:18
  what
• 8:19
  is
• 8:19
  it?
• 8:19
  Is
• 8:19
  it
• 8:19
  the
• 8:19
  ketones?
• 8:20
  What
• 8:20
  is
• 8:20
  it
• 8:20
  that's
• 8:21
  doing
• 8:21
  this?
• 8:22
  That's,
• 8:22
  of
• 8:22
  course,
• 8:22
  you
• 8:22
  know,
• 8:22
  what
• 8:23
  Metabolic
• 8:23
  Mind
• 8:24
  and
• 8:24
  the
• 8:25
  researchers
• 8:25
  are
• 8:26
  working
• 8:26
  on
• 8:26
  right
• 8:27
  now.
• 8:27
  I
• 8:27
  think
• 8:27
  that's
• 8:28
  well
• 8:28
  said
• 8:28
  that
• 8:28
  it
• 8:28
  deserves
• 8:29
  a
• 8:29
  closer
• 8:29
  look.
• 8:29
  And
• 8:30
  that's
• 8:30
  really
• 8:30
  what
• 8:30
  this
• 8:31
  is.
• 8:31
  The
• 8:31
  big
• 8:32
  flashy
• 8:32
  neon
• 8:33
  sign
• 8:33
  that
• 8:33
  this
• 8:33
  is
• 8:34
  is
• 8:34
  like,
• 8:34
  hey,
• 8:35
  look
• 8:35
  over
• 8:35
  here,
• 8:35
  look
• 8:36
  what
• 8:36
  can
• 8:36
  be
• 8:36
  possible?
• 8:37
  Let's
• 8:37
  dig
• 8:37
  into
• 8:37
  it
• 8:38
  more.
• 8:38
  But
• 8:39
  so
• 8:39
  sad
• 8:39
  that
• 8:40
  somebody
• 8:40
  just
• 8:40
  didn't
• 8:41
  believe
• 8:41
  it.
• 8:41
  So
• 8:41
  it's
• 8:42
  not
• 8:42
  plausible.
• 8:42
  I
• 8:42
  mean,
• 8:43
  so
• 8:43
  sad.
• 8:43
  And
• 8:44
  especially
• 8:44
  since
• 8:45
  you
• 8:45
  published
• 8:45
  in
• 8:45
  the
• 8:46
  paper
• 8:46
  the
• 8:47
  qualitative
• 8:49
  response
• 8:49
  and
• 8:50
  the
• 8:50
  other
• 8:51
  aspects
• 8:51
  of
• 8:51
  her
• 8:52
  life
• 8:52
  that
• 8:52
  change.
• 8:52
  I
• 8:52
  mean,
• 8:52
  it's
• 8:53
  one
• 8:53
  thing
• 8:53
  to
• 8:53
  see
• 8:53
  a
• 8:53
  score
• 8:53
  change,
• 8:54
  but
• 8:54
  tell
• 8:55
  us
• 8:55
  some
• 8:55
  of
• 8:55
  the
• 8:55
  things
• 8:55
  she
• 8:56
  relayed
• 8:56
  about
• 8:56
  how
• 8:57
  her
• 8:57
  life
• 8:57
  has
• 8:57
  changed.
• 8:58
  Yeah,
• 8:58
  yeah,
• 8:59
  exactly.
• 8:59
  And
• 8:59
  I
• 9:00
  think
• 9:00
  that's
• 9:00
  the
• 9:00
  importance
• 9:00
  of
• 9:01
  adding
• 9:01
  in
• 9:01
  that
• 9:02
  qualitative
• 9:03
  measurement,
• 9:03
  which,
• 9:03
  you
• 9:03
  know,
• 9:04
  I'm
• 9:04
  so
• 9:05
  mad
• 9:05
  about.
• 9:07
  To
• 9:08
  me,
• 9:08
  I
• 9:08
  say
• 9:08
  this
• 9:08
  to
• 9:09
  my
• 9:09
  clients
• 9:09
  all
• 9:09
  the
• 9:09
  time,
• 9:10
  that,
• 9:10
  yes,
• 9:10
  we're
• 9:10
  going
• 9:11
  to
• 9:11
  do
• 9:11
  the
• 9:11
  charts
• 9:11
  and
• 9:11
  we're
• 9:12
  going
• 9:12
  to,
• 9:12
  you
• 9:12
  know,
• 9:12
  track
• 9:12
  your
• 9:13
  changes,
• 9:13
  objective
• 9:14
  measures
• 9:14
  over
• 9:14
  time.
• 9:15
  But
• 9:15
  really,
• 9:16
  I
• 9:16
  care
• 9:16
  the
• 9:16
  most
• 9:17
  about
• 9:17
  how
• 9:17
  you
• 9:18
  feel.
• 9:18
  Like,
• 9:18
  how.
• 9:18
  What
• 9:19
  are
• 9:19
  you
• 9:19
  telling
• 9:19
  me
• 9:20
  about
• 9:20
  your
• 9:20
  life?
• 9:21
  Because
• 9:21
  these
• 9:22
  forms
• 9:22
  don't
• 9:22
  pick
• 9:23
  up
• 9:23
  everything.
• 9:23
  You
• 9:24
  know,
• 9:24
  if
• 9:24
  I
• 9:24
  don't
• 9:24
  give
• 9:25
  you
• 9:25
  the
• 9:25
  right
• 9:25
  form,
• 9:25
  it's
• 9:26
  not
• 9:26
  going
• 9:26
  to
• 9:26
  check
• 9:26
  the
• 9:27
  right
• 9:27
  thing.
• 9:29
  So
• 9:30
  when
• 9:30
  you
• 9:30
  speak
• 9:30
  to
• 9:30
  an
• 9:31
  individual
• 9:31
  about
• 9:32
  their
• 9:32
  experience
• 9:33
  and
• 9:33
  how
• 9:33
  it's
• 9:34
  been,
• 9:34
  you
• 9:34
  get
• 9:35
  so
• 9:35
  much
• 9:36
  more
• 9:36
  about
• 9:36
  their
• 9:36
  life.
• 9:37
  And
• 9:38
  so,
• 9:38
  you
• 9:39
  know,
• 9:39
  here's
• 9:39
  a
• 9:40
  young
• 9:40
  woman
• 9:41
  who,
• 9:42
  she
• 9:42
  had
• 9:42
  put
• 9:42
  her
• 9:43
  life
• 9:43
  on
• 9:44
  hold.
• 9:44
  You
• 9:45
  know,
• 9:45
  she
• 9:45
  wasn't
• 9:45
  able
• 9:46
  to
• 9:46
  pursue
• 9:46
  her
• 9:47
  postgraduate
• 9:49
  or
• 9:49
  her
• 9:50
  postgraduate
• 9:50
  education.
• 9:51
  She
• 9:52
  wanted
• 9:52
  to
• 9:52
  move
• 9:52
  into
• 9:52
  private
• 9:53
  practice,
• 9:53
  but
• 9:53
  she
• 9:53
  didn't
• 9:54
  think
• 9:54
  she
• 9:54
  was
• 9:54
  able
• 9:55
  to.
• 9:56
  When
• 9:56
  we
• 9:56
  met,
• 9:56
  she
• 9:57
  was
• 9:57
  off
• 9:57
  work.
• 9:58
  She,
• 9:58
  you
• 9:59
  know,
• 9:59
  she
• 9:59
  wasn't
• 9:59
  in
• 9:59
  a
• 10:00
  position
• 10:00
  to
• 10:01
  maintain
• 10:02
  and
• 10:02
  keep
• 10:02
  and
• 10:02
  hold
• 10:03
  the
• 10:03
  job
• 10:03
  that
• 10:03
  she
• 10:03
  had.
• 10:04
  It
• 10:04
  was
• 10:04
  that
• 10:04
  tough.
• 10:05
  And
• 10:06
  so
• 10:06
  after
• 10:06
  just
• 10:07
  a
• 10:07
  couple
• 10:07
  of
• 10:07
  months,
• 10:07
  for
• 10:08
  her
• 10:08
  to
• 10:08
  then
• 10:08
  say,
• 10:09
  you
• 10:09
  know,
• 10:09
  I.
• 10:10
  I
• 10:10
  feel
• 10:11
  it's
• 10:11
  not
• 10:11
  that
• 10:12
  she's
• 10:12
  bouncing
• 10:12
  off
• 10:12
  the
• 10:12
  walls
• 10:13
  with
• 10:13
  joy.
• 10:13
  Absolutely
• 10:14
  not.
• 10:14
  It's
• 10:15
  more
• 10:15
  that
• 10:16
  she
• 10:16
  feels
• 10:17
  that
• 10:18
  she's
• 10:18
  able
• 10:18
  to
• 10:18
  get
• 10:19
  up
• 10:19
  in
• 10:19
  the
• 10:19
  morning
• 10:19
  and
• 10:20
  she
• 10:20
  can
• 10:20
  take
• 10:20
  on
• 10:21
  whatever
• 10:21
  the
• 10:21
  day
• 10:22
  throws
• 10:22
  at
• 10:22
  her
• 10:23
  and
• 10:23
  she
• 10:23
  knows
• 10:24
  that
• 10:24
  she
• 10:24
  will
• 10:24
  weather
• 10:25
  it
• 10:25
  and
• 10:25
  navigate
• 10:26
  it
• 10:26
  no
• 10:26
  matter
• 10:26
  what.
• 10:27
  She
• 10:28
  has
• 10:28
  the
• 10:28
  words
• 10:29
  that
• 10:29
  come
• 10:29
  up
• 10:29
  Often
• 10:30
  not
• 10:30
  just
• 10:30
  from
• 10:30
  her,
• 10:30
  but
• 10:31
  from
• 10:31
  other
• 10:31
  clients
• 10:32
  are
• 10:32
  words
• 10:32
  like
• 10:33
  resilience
• 10:33
  and
• 10:34
  confidence
• 10:35
  in
• 10:36
  themselves
• 10:37
  and
• 10:37
  their
• 10:37
  ability
• 10:38
  and
• 10:38
  also
• 10:38
  in
• 10:39
  their
• 10:39
  ability
• 10:39
  to
• 10:40
  manipulate
• 10:40
  ketones
• 10:41
  to
• 10:41
  get
• 10:41
  them
• 10:41
  where
• 10:41
  they
• 10:42
  want
• 10:42
  to
• 10:42
  feel
• 10:42
  good
• 10:42
  as
• 10:43
  well.
• 10:43
  So
• 10:44
  having
• 10:45
  that,
• 10:45
  that
• 10:45
  growing
• 10:46
  sense
• 10:46
  of
• 10:46
  confidence
• 10:47
  and
• 10:47
  the
• 10:47
  ability
• 10:48
  to
• 10:48
  get
• 10:48
  through
• 10:48
  the
• 10:48
  day
• 10:49
  and
• 10:49
  also
• 10:50
  know
• 10:50
  that
• 10:50
  there
• 10:51
  that
• 10:51
  her
• 10:51
  mood
• 10:52
  is
• 10:52
  going
• 10:52
  to
• 10:52
  stay
• 10:53
  stable
• 10:54
  as
• 10:54
  long
• 10:54
  as
• 10:54
  she
• 10:55
  ticks
• 10:55
  the
• 10:55
  boxes,
• 10:56
  you
• 10:56
  know,
• 10:57
  that
• 10:57
  are
• 10:57
  important
• 10:57
  to
• 10:58
  her.
• 10:58
  With
• 10:58
  ketogenic
• 10:59
  therapy
• 10:59
  and
• 10:59
  other
• 11:00
  therapies,
• 11:00
  other
• 11:01
  metabolic
• 11:01
  therapies
• 11:02
  like
• 11:03
  sleep
• 11:03
  and
• 11:03
  so
• 11:03
  on,
• 11:04
  she's
• 11:05
  able
• 11:05
  to
• 11:05
  get
• 11:05
  through
• 11:05
  the
• 11:05
  day
• 11:06
  without
• 11:06
  issue.
• 11:06
  And
• 11:07
  now
• 11:07
  she
• 11:08
  has
• 11:08
  set
• 11:08
  up
• 11:08
  her
• 11:09
  private
• 11:09
  practice,
• 11:10
  something
• 11:10
  that
• 11:10
  she
• 11:11
  thought
• 11:11
  was
• 11:11
  absolutely
• 11:13
  out
• 11:13
  of
• 11:13
  reach.
• 11:14
  She's
• 11:14
  able
• 11:14
  to
• 11:15
  do.
• 11:16
  And
• 11:17
  also
• 11:17
  just
• 11:18
  simply,
• 11:18
  as
• 11:19
  she
• 11:19
  said
• 11:19
  previously,
• 11:20
  just
• 11:20
  simply
• 11:20
  being
• 11:20
  able
• 11:21
  to
• 11:21
  show
• 11:21
  up
• 11:22
  in
• 11:23
  life
• 11:23
  as
• 11:24
  the
• 11:24
  person
• 11:25
  that
• 11:25
  she
• 11:25
  is,
• 11:26
  she
• 11:26
  knows
• 11:27
  she
• 11:27
  is.
• 11:27
  Yeah.
• 11:27
  So
• 11:28
  getting
• 11:28
  this
• 11:28
  score
• 11:29
  on
• 11:29
  a
• 11:29
  clinical
• 11:31
  scale
• 11:31
  is
• 11:32
  great,
• 11:33
  but
• 11:33
  getting
• 11:33
  your
• 11:34
  life
• 11:34
  back
• 11:34
  is
• 11:34
  really
• 11:35
  what
• 11:35
  it's
• 11:35
  all
• 11:35
  about.
• 11:35
  And
• 11:36
  so
• 11:36
  impressive.
• 11:37
  Fellow
• 11:37
  mental
• 11:38
  health
• 11:38
  clinicians
• 11:38
  and
• 11:39
  healthcare
• 11:39
  providers,
• 11:40
  you
• 11:40
  now
• 11:40
  have
• 11:40
  access
• 11:41
  to
• 11:41
  a
• 11:41
  suite
• 11:41
  of
• 11:42
  free
• 11:42
  CME
• 11:43
  lectures
• 11:43
  on
• 11:43
  metabolic
• 11:44
  psychiatry
• 11:45
  and
• 11:45
  metabolic
• 11:45
  health.
• 11:46
  Each
• 11:46
  of
• 11:46
  these
• 11:47
  CME
• 11:47
  sessions
• 11:47
  provide
• 11:48
  insight
• 11:48
  on
• 11:49
  incorporating
• 11:49
  metabolic
• 11:50
  therapies
• 11:50
  for
• 11:50
  mental
• 11:51
  illnesses
• 11:51
  into
• 11:51
  your
• 11:52
  practice.
• 11:52
  These
• 11:53
  CME
• 11:53
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• 11:53
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• 11:54
  approved
• 11:54
  for
• 11:54
  AMA
• 11:55
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• 11:55
  1
• 11:55
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• 11:56
  CNE
• 11:57
  nursing
• 11:57
  credit
• 11:58
  hours
• 11:58
  and
• 11:58
  continuing
• 11:59
  education
• 11:59
  credit
• 12:00
  for
• 12:00
  psychologists.
• 12:01
  And
• 12:01
  they're
• 12:02
  completely
• 12:02
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• 12:02
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• 12:02
  charge
• 12:03
  on
• 12:03
  mycme.com
• 12:04
  now
• 12:04
  back
• 12:05
  to
• 12:05
  the
• 12:05
  video.
• 12:06
  So
• 12:06
  you
• 12:06
  mentioned
• 12:07
  the
• 12:07
  ketones,
• 12:07
  so
• 12:07
  I
• 12:07
  want
• 12:08
  to
• 12:08
  sort
• 12:08
  of
• 12:08
  narrow
• 12:08
  down
• 12:09
  on
• 12:09
  that
• 12:09
  because
• 12:10
  you
• 12:10
  also
• 12:10
  mentioned
• 12:11
  in
• 12:11
  the
• 12:11
  paper
• 12:11
  that
• 12:12
  she
• 12:12
  had
• 12:12
  been
• 12:12
  on
• 12:12
  an
• 12:12
  animal
• 12:13
  based
• 12:14
  diet,
• 12:14
  so
• 12:14
  essentially
• 12:15
  like
• 12:15
  a
• 12:16
  low
• 12:16
  level
• 12:16
  keto
• 12:17
  diet,
• 12:17
  but
• 12:17
  didn't
• 12:18
  get
• 12:18
  the
• 12:18
  same
• 12:18
  effects
• 12:19
  that
• 12:19
  she
• 12:19
  got
• 12:20
  when
• 12:20
  she
• 12:20
  was
• 12:21
  in
• 12:21
  a
• 12:21
  more
• 12:22
  formalized
• 12:22
  ketogenic
• 12:23
  medical
• 12:23
  therapy
• 12:24
  with
• 12:24
  you,
• 12:25
  where
• 12:25
  her
• 12:25
  ketones
• 12:26
  got
• 12:26
  in
• 12:26
  the
• 12:26
  3
• 12:26
  to
• 12:27
  5
• 12:27
  range
• 12:28
  and
• 12:28
  then
• 12:28
  that
• 12:29
  seemed
• 12:29
  to
• 12:29
  make
• 12:29
  the
• 12:29
  difference.
• 12:30
  So
• 12:30
  again,
• 12:30
  a
• 12:30
  suggestion
• 12:31
  doesn't
• 12:31
  prove
• 12:32
  it,
• 12:32
  but
• 12:32
  certainly
• 12:33
  a
• 12:33
  strong
• 12:33
  suggestion
• 12:34
  that
• 12:35
  the
• 12:35
  higher
• 12:35
  ketone
• 12:35
  level
• 12:36
  is
• 12:36
  kind
• 12:36
  of
• 12:36
  what
• 12:36
  our
• 12:36
  brain
• 12:37
  needed
• 12:37
  to,
• 12:37
  to
• 12:38
  reset
• 12:38
  or
• 12:38
  to
• 12:38
  heal.
• 12:39
  So
• 12:39
  tell
• 12:39
  me
• 12:39
  about
• 12:39
  that
• 12:40
  aspect.
• 12:40
  Yeah,
• 12:41
  absolutely.
• 12:41
  So
• 12:42
  for
• 12:42
  her
• 12:43
  it
• 12:43
  did
• 12:43
  seem
• 12:44
  like
• 12:44
  those
• 12:44
  higher
• 12:45
  ketone
• 12:45
  levels
• 12:45
  are
• 12:46
  what
• 12:46
  she
• 12:46
  needed,
• 12:47
  not
• 12:47
  doesn't
• 12:48
  seem
• 12:48
  to
• 12:48
  be
• 12:48
  for
• 12:48
  everyone.
• 12:49
  Right.
• 12:50
  So
• 12:50
  when
• 12:50
  she
• 12:50
  was
• 12:51
  doing
• 12:51
  the
• 12:51
  animal
• 12:52
  based
• 12:52
  approach,
• 12:53
  before
• 12:53
  she
• 12:53
  came
• 12:53
  to
• 12:54
  work
• 12:54
  with
• 12:54
  me,
• 12:55
  she
• 12:55
  was
• 12:55
  getting
• 12:55
  ketones
• 12:56
  kind
• 12:56
  of
• 12:56
  up
• 12:57
  to
• 12:57
  about
• 12:57
  1.5
• 12:58
  ish,
• 12:58
  but
• 12:59
  she
• 12:59
  wasn't
• 12:59
  able
• 12:59
  to
• 13:00
  keep
• 13:00
  them
• 13:00
  there.
• 13:01
  She
• 13:01
  also,
• 13:02
  as
• 13:03
  as
• 13:03
  many
• 13:03
  women
• 13:04
  do,
• 13:05
  you
• 13:05
  know,
• 13:06
  the
• 13:06
  ketones
• 13:06
  kind
• 13:06
  of
• 13:07
  ebb
• 13:07
  and
• 13:07
  flow
• 13:07
  with
• 13:08
  the
• 13:08
  menstrual
• 13:08
  cycle.
• 13:09
  And
• 13:09
  so
• 13:09
  she
• 13:10
  had
• 13:10
  times
• 13:10
  in
• 13:10
  the
• 13:10
  month
• 13:11
  where
• 13:11
  the
• 13:12
  ketones
• 13:12
  were
• 13:12
  just
• 13:13
  so
• 13:13
  low
• 13:13
  and
• 13:14
  she
• 13:14
  really
• 13:14
  wasn't
• 13:15
  able
• 13:15
  to
• 13:15
  get
• 13:15
  them
• 13:15
  up.
• 13:15
  And
• 13:16
  that
• 13:16
  brought
• 13:16
  with
• 13:16
  it
• 13:16
  a
• 13:17
  lot
• 13:17
  of
• 13:17
  negative
• 13:17
  symptoms.
• 13:19
  So
• 13:19
  she
• 13:19
  really
• 13:19
  struggled
• 13:20
  to
• 13:20
  get
• 13:20
  ketones
• 13:21
  up
• 13:21
  to
• 13:22
  above
• 13:22
  1.5.
• 13:23
  She
• 13:23
  gained
• 13:24
  a
• 13:24
  lot
• 13:24
  of
• 13:24
  weight
• 13:25
  on,
• 13:25
  on
• 13:26
  that
• 13:26
  diet
• 13:26
  as
• 13:27
  well.
• 13:28
  And
• 13:28
  though
• 13:29
  physically
• 13:29
  she
• 13:30
  noticed
• 13:30
  some
• 13:30
  benefits,
• 13:32
  she
• 13:32
  wasn't
• 13:32
  getting
• 13:33
  the
• 13:33
  mental
• 13:33
  health
• 13:33
  benefits
• 13:34
  that
• 13:34
  she
• 13:34
  was
• 13:35
  after.
• 13:36
  And
• 13:36
  so
• 13:37
  when
• 13:37
  we
• 13:37
  swapped
• 13:38
  it,
• 13:38
  then
• 13:38
  I
• 13:38
  started
• 13:39
  with
• 13:39
  her
• 13:39
  on
• 13:40
  a
• 13:40
  1.5
• 13:41
  to
• 13:41
  1
• 13:41
  ketogenic
• 13:42
  ratio
• 13:42
  and
• 13:43
  we've
• 13:43
  kind
• 13:43
  of
• 13:43
  slowly
• 13:43
  moved
• 13:44
  to
• 13:44
  a
• 13:44
  two
• 13:44
  to
• 13:44
  one
• 13:45
  ratio.
• 13:46
  Once
• 13:46
  she
• 13:47
  started
• 13:47
  increasing
• 13:48
  the
• 13:48
  fat
• 13:49
  within
• 13:50
  a
• 13:50
  couple
• 13:50
  of
• 13:50
  weeks,
• 13:51
  you
• 13:51
  know,
• 13:52
  the
• 13:52
  difference
• 13:52
  was,
• 13:53
  was
• 13:53
  I
• 13:53
  could
• 13:54
  observe
• 13:54
  it
• 13:54
  and
• 13:55
  she
• 13:55
  could
• 13:55
  observe
• 13:55
  it,
• 13:56
  you
• 13:56
  know,
• 13:56
  very
• 13:56
  early
• 13:57
  on
• 13:57
  she
• 13:58
  was
• 13:58
  saying,
• 13:58
  you
• 13:59
  know,
• 13:59
  I'm
• 13:59
  already
• 13:59
  feeling
• 14:00
  so
• 14:00
  much
• 14:00
  calmer,
• 14:02
  that
• 14:02
  kind
• 14:02
  of
• 14:02
  morning
• 14:03
  dread
• 14:03
  is
• 14:04
  not
• 14:04
  there.
• 14:05
  And
• 14:05
  she
• 14:05
  noticed
• 14:06
  that
• 14:07
  once
• 14:07
  she
• 14:07
  was
• 14:07
  able
• 14:07
  to
• 14:08
  get
• 14:08
  the
• 14:08
  ketones
• 14:08
  up
• 14:09
  to
• 14:09
  kind
• 14:10
  of
• 14:10
  like
• 14:10
  high
• 14:10
  twos,
• 14:11
  threes,
• 14:12
  that's
• 14:12
  really
• 14:13
  where
• 14:13
  she
• 14:13
  felt
• 14:14
  the
• 14:14
  symptoms
• 14:15
  subside.
• 14:18
  Then
• 14:18
  when
• 14:18
  she
• 14:18
  came
• 14:19
  down,
• 14:19
  if
• 14:19
  she
• 14:19
  had
• 14:19
  periods
• 14:20
  of
• 14:20
  time
• 14:20
  where,
• 14:21
  especially
• 14:21
  with
• 14:21
  sugar,
• 14:22
  around
• 14:22
  Christmas
• 14:23
  time,
• 14:23
  as
• 14:23
  you'll
• 14:23
  see
• 14:24
  from
• 14:24
  the
• 14:24
  graph,
• 14:25
  when
• 14:26
  the
• 14:26
  ketones
• 14:26
  came
• 14:27
  down,
• 14:27
  her
• 14:27
  symptoms
• 14:28
  came
• 14:28
  back
• 14:29
  quite
• 14:29
  full
• 14:29
  on.
• 14:30
  And
• 14:30
  so
• 14:30
  then
• 14:30
  she'd
• 14:31
  have
• 14:31
  to
• 14:31
  bring
• 14:31
  the
• 14:31
  ketones
• 14:32
  up,
• 14:32
  back
• 14:32
  up
• 14:33
  to
• 14:33
  that
• 14:33
  3,
• 14:34
  4
• 14:34
  range
• 14:35
  for
• 14:35
  her
• 14:35
  to
• 14:35
  really
• 14:36
  feel
• 14:36
  that
• 14:36
  symptom
• 14:37
  relief,
• 14:38
  which,
• 14:39
  you
• 14:39
  know,
• 14:40
  that
• 14:41
  higher
• 14:41
  end
• 14:41
  of
• 14:41
  the
• 14:41
  therapeutic
• 14:42
  level.
• 14:43
  Not
• 14:43
  everybody
• 14:44
  needs
• 14:44
  to
• 14:44
  be
• 14:44
  there.
• 14:45
  You
• 14:45
  know,
• 14:45
  I
• 14:45
  have
• 14:45
  other
• 14:45
  people
• 14:46
  who
• 14:46
  don't
• 14:46
  need
• 14:46
  to
• 14:47
  be
• 14:47
  that,
• 14:47
  that
• 14:48
  high
• 14:48
  in
• 14:48
  order
• 14:48
  to
• 14:49
  get
• 14:49
  that
• 14:49
  relief,
• 14:50
  but
• 14:50
  it
• 14:50
  just
• 14:50
  shows
• 14:51
  that
• 14:51
  some
• 14:51
  people
• 14:52
  do
• 14:53
  and
• 14:53
  she
• 14:54
  doesn't
• 14:54
  get
• 14:54
  the
• 14:54
  benefits
• 14:55
  when
• 14:55
  she's
• 14:55
  in,
• 14:56
  you
• 14:56
  know,
• 14:56
  the
• 14:56
  high
• 14:56
  ones,
• 14:57
  low
• 14:57
  twos,
• 14:58
  so
• 14:58
  she
• 14:58
  only
• 14:58
  gets
• 14:59
  it
• 14:59
  at
• 14:59
  the
• 14:59
  higher
• 14:59
  range,
• 15:00
  which
• 15:00
  I
• 15:00
  think
• 15:00
  is
• 15:00
  really
• 15:01
  interesting.
• 15:01
  Yeah,
• 15:02
  super
• 15:02
  interesting.
• 15:03
  And,
• 15:03
  and
• 15:04
  also
• 15:04
  shows,
• 15:04
  you
• 15:04
  know,
• 15:05
  we
• 15:05
  often
• 15:05
  hear,
• 15:05
  well,
• 15:06
  maybe
• 15:06
  people
• 15:07
  get
• 15:07
  better
• 15:07
  on
• 15:07
  a
• 15:07
  keto
• 15:08
  diet
• 15:08
  just
• 15:08
  because
• 15:08
  they're
• 15:08
  eating
• 15:09
  better
• 15:09
  and
• 15:09
  they're
• 15:09
  cutting
• 15:09
  out
• 15:10
  the,
• 15:10
  you
• 15:10
  know,
• 15:10
  the
• 15:11
  processed
• 15:11
  foods
• 15:11
  and
• 15:12
  the,
• 15:12
  and,
• 15:12
  and
• 15:12
  the
• 15:13
  high
• 15:13
  carb
• 15:13
  foods
• 15:13
  and
• 15:14
  the
• 15:14
  junk
• 15:14
  and,
• 15:14
  and
• 15:15
  that's
• 15:15
  why
• 15:15
  they
• 15:15
  get
• 15:15
  better.
• 15:15
  But
• 15:16
  this
• 15:16
  sort
• 15:16
  of
• 15:16
  gives
• 15:17
  some
• 15:17
  evidence
• 15:17
  that,
• 15:18
  well,
• 15:18
  no,
• 15:18
  I
• 15:18
  mean,
• 15:18
  eating
• 15:19
  better
• 15:19
  can
• 15:20
  certainly
• 15:20
  help,
• 15:20
  but,
• 15:21
  but
• 15:21
  maybe
• 15:21
  it's
• 15:22
  not
• 15:22
  the
• 15:22
  therapeutic,
• 15:23
  you
• 15:23
  know,
• 15:24
  the
• 15:24
  therapeutic
• 15:24
  arrow
• 15:25
  that
• 15:25
  really
• 15:25
  is
• 15:25
  going
• 15:25
  to
• 15:25
  make
• 15:25
  the
• 15:26
  difference.
• 15:26
  And
• 15:26
  that's
• 15:26
  where
• 15:27
  ketogenic
• 15:28
  therapy
• 15:28
  and
• 15:28
  really
• 15:29
  titrating
• 15:29
  those
• 15:30
  ketones
• 15:30
  up
• 15:31
  can
• 15:31
  make
• 15:31
  a
• 15:31
  difference.
• 15:31
  But
• 15:32
  as
• 15:32
  you
• 15:32
  say,
• 15:32
  it's
• 15:32
  different
• 15:33
  for
• 15:33
  everybody
• 15:33
  too.
• 15:33
  And
• 15:33
  that's
• 15:34
  part
• 15:34
  of
• 15:34
  the
• 15:34
  frustrating
• 15:34
  part,
• 15:35
  right?
• 15:35
  Somebody
• 15:35
  can
• 15:35
  see
• 15:36
  amazing
• 15:36
  benefits
• 15:37
  with
• 15:37
  the
• 15:37
  ketone
• 15:38
  levels
• 15:38
  of
• 15:38
  one
• 15:38
  and
• 15:38
  some
• 15:39
  need
• 15:39
  to
• 15:39
  push
• 15:39
  it
• 15:39
  to
• 15:40
  three
• 15:40
  or
• 15:40
  four.
• 15:41
  And
• 15:41
  that's
• 15:41
  where
• 15:41
  we
• 15:42
  sort
• 15:42
  of
• 15:42
  need
• 15:42
  to
• 15:42
  learn
• 15:42
  more
• 15:43
  about
• 15:43
  who,
• 15:43
  who's
• 15:44
  in
• 15:44
  what
• 15:44
  camp
• 15:44
  and
• 15:45
  how
• 15:45
  to
• 15:45
  address
• 15:45
  them.
• 15:46
  Yeah,
• 15:47
  yeah.
• 15:48
  I
• 15:48
  think
• 15:48
  the,
• 15:49
  you
• 15:49
  know,
• 15:50
  it
• 15:50
  says
• 15:50
  a
• 15:50
  lot
• 15:51
  like
• 15:51
  we've
• 15:51
  come
• 15:51
  a
• 15:51
  long
• 15:51
  way
• 15:52
  with
• 15:52
  our
• 15:52
  research
• 15:53
  and
• 15:53
  with
• 15:53
  the
• 15:53
  clinical
• 15:54
  application.
• 15:55
  But
• 15:56
  you
• 15:56
  know,
• 15:56
  you
• 15:56
  could
• 15:56
  read
• 15:57
  this
• 15:57
  case
• 15:57
  study
• 15:57
  and
• 15:57
  say,
• 15:58
  I
• 15:59
  just
• 15:59
  need
• 15:59
  to
• 15:59
  do
• 15:59
  that
• 16:00
  and
• 16:00
  I'm
• 16:00
  going
• 16:00
  to
• 16:00
  get
• 16:01
  those
• 16:01
  results.
• 16:02
  And
• 16:03
  it's
• 16:03
  not,
• 16:03
  you
• 16:04
  know,
• 16:04
  you
• 16:04
  don't
• 16:04
  see
• 16:04
  the
• 16:05
  behind
• 16:05
  the
• 16:05
  scenes
• 16:06
  like
• 16:06
  the
• 16:06
  tweaking
• 16:06
  of
• 16:07
  the
• 16:07
  diet
• 16:07
  each
• 16:07
  week
• 16:08
  to
• 16:08
  move
• 16:08
  from
• 16:08
  a
• 16:08
  1.5
• 16:09
  to
• 16:09
  a
• 16:10
  2
• 16:10
  to
• 16:10
  1
• 16:11
  ratio.
• 16:11
  You
• 16:12
  know,
• 16:12
  you
• 16:12
  don't
• 16:12
  see
• 16:13
  all
• 16:13
  of
• 16:13
  the
• 16:13
  other
• 16:14
  like
• 16:14
  the
• 16:14
  other
• 16:15
  metabolic
• 16:15
  therapies
• 16:16
  that
• 16:16
  we
• 16:16
  bring
• 16:16
  in
• 16:16
  gradually
• 16:18
  and
• 16:18
  you
• 16:18
  know,
• 16:19
  just
• 16:19
  her
• 16:20
  being
• 16:20
  completely
• 16:21
  100%
• 16:21
  compliant,
• 16:22
  you
• 16:22
  know,
• 16:22
  with
• 16:23
  the
• 16:23
  ketone
• 16:23
  levels
• 16:24
  and
• 16:24
  the
• 16:24
  glucose
• 16:24
  levels
• 16:25
  daily,
• 16:26
  really
• 16:26
  just
• 16:26
  being
• 16:27
  fully
• 16:27
  committed
• 16:27
  to
• 16:28
  feeling
• 16:28
  better.
• 16:29
  So,
• 16:30
  you
• 16:30
  know,
• 16:30
  you
• 16:30
  could
• 16:31
  take
• 16:31
  this
• 16:31
  at
• 16:31
  face
• 16:31
  value
• 16:32
  and
• 16:32
  say,
• 16:32
  oh,
• 16:32
  this
• 16:32
  is
• 16:33
  great,
• 16:33
  it's
• 16:33
  going
• 16:33
  to
• 16:33
  be
• 16:34
  easy.
• 16:35
  It's
• 16:35
  not
• 16:35
  easy,
• 16:36
  but
• 16:36
  it's
• 16:36
  definitely
• 16:37
  easier
• 16:38
  if
• 16:38
  you've
• 16:38
  got
• 16:39
  guidance
• 16:39
  and
• 16:39
  support
• 16:40
  and
• 16:40
  whatnot.
• 16:42
  But
• 16:42
  it
• 16:42
  does
• 16:43
  go
• 16:43
  to
• 16:43
  show
• 16:43
  that
• 16:44
  there
• 16:44
  is
• 16:45
  that
• 16:45
  personalization
• 16:46
  that
• 16:46
  needs
• 16:47
  to
• 16:47
  happen.
• 16:48
  And
• 16:48
  I
• 16:48
  always
• 16:49
  say,
• 16:50
  you
• 16:50
  know,
• 16:50
  I
• 16:50
  say
• 16:51
  to
• 16:51
  people,
• 16:51
  we're
• 16:51
  heading
• 16:52
  for
• 16:52
  the
• 16:52
  therapeutic
• 16:53
  range.
• 16:54
  If
• 16:54
  you
• 16:54
  feel
• 16:54
  better
• 16:55
  before
• 16:55
  we
• 16:55
  get
• 16:56
  there,
• 16:56
  happy
• 16:57
  days.
• 16:57
  Right.
• 16:58
  You
• 16:58
  can
• 16:58
  either
• 16:58
  stay
• 16:59
  there
• 16:59
  or
• 17:00
  you
• 17:00
  can
• 17:00
  experiment
• 17:01
  and
• 17:01
  see
• 17:01
  if
• 17:01
  higher
• 17:02
  feels
• 17:02
  even
• 17:03
  better
• 17:03
  than
• 17:03
  how
• 17:03
  you
• 17:04
  feel.
• 17:06
  If
• 17:06
  we
• 17:06
  get
• 17:06
  to
• 17:06
  the
• 17:06
  therapeutic
• 17:07
  range
• 17:07
  and
• 17:07
  you
• 17:07
  don't
• 17:08
  feel
• 17:08
  anything,
• 17:08
  we're
• 17:08
  going
• 17:08
  to
• 17:09
  hang
• 17:09
  out
• 17:09
  there
• 17:09
  for
• 17:09
  a
• 17:09
  little
• 17:10
  while
• 17:10
  and
• 17:10
  see
• 17:10
  how
• 17:10
  you
• 17:11
  do.
• 17:11
  And
• 17:11
  then
• 17:11
  we
• 17:12
  might
• 17:12
  come
• 17:12
  back
• 17:12
  down
• 17:13
  and
• 17:13
  see
• 17:13
  if
• 17:13
  it
• 17:14
  changes.
• 17:14
  Because
• 17:15
  you
• 17:15
  don't
• 17:15
  want
• 17:15
  to
• 17:16
  follow
• 17:16
  a
• 17:16
  super
• 17:16
  restrictive
• 17:17
  diet
• 17:17
  if
• 17:18
  you
• 17:18
  are
• 17:18
  feeling
• 17:18
  benefits
• 17:19
  at
• 17:19
  a
• 17:19
  lower
• 17:20
  level
• 17:20
  of
• 17:20
  ketones.
• 17:21
  But
• 17:21
  then
• 17:21
  likewise
• 17:22
  you
• 17:22
  might
• 17:23
  need
• 17:23
  that
• 17:23
  higher
• 17:24
  range
• 17:24
  or
• 17:24
  that
• 17:24
  higher
• 17:25
  level
• 17:26
  in
• 17:26
  order
• 17:26
  to
• 17:27
  feel
• 17:27
  the
• 17:27
  relief
• 17:27
  that
• 17:28
  you
• 17:28
  need.
• 17:28
  And
• 17:28
  you
• 17:28
  might
• 17:29
  need
• 17:29
  to
• 17:29
  hang
• 17:29
  out
• 17:29
  there
• 17:30
  for
• 17:30
  a
• 17:30
  while
• 17:31
  before
• 17:31
  you
• 17:32
  truly
• 17:32
  feel
• 17:32
  that.
• 17:33
  So
• 17:34
  again,
• 17:34
  it's
• 17:35
  not
• 17:35
  always
• 17:36
  quick
• 17:36
  like
• 17:36
  12
• 17:37
  weeks,
• 17:37
  you
• 17:37
  know,
• 17:38
  often
• 17:38
  it
• 17:38
  can
• 17:38
  take
• 17:38
  a
• 17:39
  little
• 17:39
  bit
• 17:39
  longer
• 17:39
  as
• 17:40
  well.
• 17:40
  It's
• 17:40
  important
• 17:40
  to
• 17:42
  mention
• 17:42
  that.
• 17:43
  Yeah.
• 17:43
  And
• 17:43
  then
• 17:43
  the
• 17:43
  other
• 17:44
  aspect
• 17:44
  of
• 17:44
  it,
• 17:44
  I
• 17:44
  mean
• 17:44
  there's
• 17:45
  the
• 17:45
  ketones
• 17:45
  and
• 17:46
  there's
• 17:46
  the
• 17:46
  what
• 17:46
  the
• 17:47
  diet
• 17:47
  can
• 17:47
  do
• 17:48
  to
• 17:48
  your
• 17:48
  body.
• 17:49
  But
• 17:50
  then
• 17:50
  there's
• 17:50
  also
• 17:50
  sort
• 17:51
  of
• 17:51
  the
• 17:51
  slippery
• 17:51
  slope
• 17:51
  of
• 17:51
  the
• 17:52
  trigger
• 17:52
  foods
• 17:52
  like
• 17:52
  she
• 17:53
  was
• 17:53
  a
• 17:53
  self
• 17:53
  admitted
• 17:54
  sugar
• 17:54
  addict
• 17:54
  and
• 17:55
  that
• 17:55
  definitely
• 17:55
  seems
• 17:56
  like
• 17:56
  it
• 17:56
  tripped
• 17:56
  her
• 17:56
  up,
• 17:57
  you
• 17:57
  know,
• 17:57
  over
• 17:58
  the
• 17:58
  holidays
• 17:58
  like
• 17:59
  you
• 17:59
  mentioned.
• 17:59
  So
• 17:59
  having,
• 18:00
  that's
• 18:00
  where
• 18:00
  maybe
• 18:01
  having
• 18:01
  a
• 18:01
  so
• 18:02
  called
• 18:02
  stricter
• 18:03
  diet
• 18:03
  could
• 18:03
  be
• 18:03
  beneficial
• 18:04
  to
• 18:04
  really
• 18:04
  get
• 18:04
  rid
• 18:04
  of
• 18:05
  all
• 18:05
  those
• 18:05
  trigger
• 18:05
  foods
• 18:06
  and,
• 18:06
  and
• 18:06
  really
• 18:07
  limit
• 18:07
  the
• 18:07
  risk
• 18:07
  of
• 18:08
  that.
• 18:08
  So
• 18:08
  I
• 18:08
  think
• 18:08
  that's
• 18:08
  another
• 18:09
  important
• 18:09
  example.
• 18:10
  Absolutely.
• 18:11
  And
• 18:11
  she
• 18:12
  was
• 18:12
  very,
• 18:14
  you
• 18:14
  know,
• 18:14
  with,
• 18:14
  with
• 18:15
  things
• 18:16
  like
• 18:16
  ultra
• 18:16
  processed
• 18:17
  food
• 18:17
  addiction
• 18:17
  and
• 18:17
  binge
• 18:18
  eating,
• 18:19
  you.
• 18:19
  There
• 18:19
  are
• 18:20
  phases
• 18:20
  of
• 18:21
  being
• 18:21
  in
• 18:21
  that.
• 18:22
  Right.
• 18:22
  And
• 18:22
  you
• 18:22
  have
• 18:23
  to
• 18:23
  get
• 18:23
  to
• 18:23
  a
• 18:23
  point
• 18:23
  where
• 18:24
  you
• 18:24
  are
• 18:24
  open
• 18:24
  and
• 18:25
  honest
• 18:25
  with
• 18:25
  yourself
• 18:26
  about
• 18:27
  what
• 18:27
  foods
• 18:28
  take
• 18:28
  you
• 18:28
  down
• 18:29
  because
• 18:29
  there
• 18:30
  might
• 18:30
  be
• 18:30
  foods
• 18:30
  that
• 18:31
  are
• 18:31
  quote
• 18:31
  unquote
• 18:31
  ketogenic
• 18:32
  that
• 18:32
  are
• 18:32
  going
• 18:32
  to
• 18:33
  take
• 18:33
  you
• 18:33
  down
• 18:33
  and
• 18:33
  you
• 18:34
  are
• 18:34
  going
• 18:34
  to
• 18:34
  end
• 18:34
  up
• 18:34
  binging
• 18:34
  on.
• 18:35
  Like
• 18:35
  common
• 18:35
  ones
• 18:36
  are
• 18:36
  like
• 18:36
  things
• 18:36
  like
• 18:36
  cheese
• 18:37
  and
• 18:37
  nuts
• 18:37
  and,
• 18:38
  and,
• 18:38
  and
• 18:38
  heavy
• 18:39
  whipping
• 18:39
  cream.
• 18:41
  So
• 18:41
  it's
• 18:42
  not
• 18:42
  always
• 18:42
  the
• 18:43
  ultra
• 18:43
  processed
• 18:44
  foods.
• 18:44
  Sometimes
• 18:44
  it
• 18:45
  moves
• 18:45
  or
• 18:45
  it
• 18:45
  shifts
• 18:46
  to
• 18:46
  things
• 18:46
  that
• 18:46
  are
• 18:46
  quote
• 18:47
  unquote
• 18:47
  keto.
• 18:48
  So,
• 18:48
  you
• 18:49
  know,
• 18:49
  she
• 18:49
  was
• 18:49
  very
• 18:49
  honest
• 18:50
  from
• 18:50
  the
• 18:50
  start,
• 18:50
  which
• 18:51
  is
• 18:51
  important.
• 18:52
  And
• 18:52
  she
• 18:52
  was
• 18:53
  able
• 18:53
  to
• 18:53
  notice
• 18:54
  which
• 18:55
  foods
• 18:55
  she
• 18:56
  had
• 18:56
  to
• 18:56
  remove
• 18:56
  because
• 18:57
  she
• 18:57
  was
• 18:57
  just
• 18:57
  not
• 18:57
  getting
• 18:58
  on
• 18:58
  with
• 18:58
  them
• 18:58
  or
• 18:59
  they
• 18:59
  were
• 18:59
  causing
• 19:00
  her
• 19:00
  a
• 19:00
  lot
• 19:00
  of
• 19:00
  food
• 19:01
  noise.
• 19:02
  And
• 19:02
  as
• 19:03
  you
• 19:03
  can
• 19:03
  see
• 19:03
  from
• 19:03
  the
• 19:04
  study,
• 19:04
  she,
• 19:05
  she
• 19:05
  kind
• 19:05
  of,
• 19:06
  she
• 19:06
  reduced
• 19:07
  her,
• 19:08
  the,
• 19:08
  the
• 19:09
  variety
• 19:09
  of
• 19:09
  foods
• 19:10
  down
• 19:10
  to
• 19:10
  just
• 19:10
  a
• 19:11
  couple
• 19:11
  of
• 19:11
  different
• 19:11
  things
• 19:12
  that
• 19:12
  she
• 19:13
  feels
• 19:13
  that
• 19:13
  she
• 19:14
  can
• 19:14
  eat
• 19:15
  safely
• 19:17
  and
• 19:17
  she
• 19:17
  doesn't
• 19:17
  get
• 19:18
  food
• 19:18
  noise.
• 19:18
  She
• 19:18
  doesn't
• 19:19
  feel
• 19:19
  the
• 19:19
  need
• 19:19
  to
• 19:19
  binge.
• 19:20
  It's
• 19:20
  predominantly
• 19:20
  animal
• 19:21
  based
• 19:21
  for
• 19:21
  her.
• 19:22
  That's
• 19:22
  what
• 19:22
  she,
• 19:23
  that's
• 19:24
  what
• 19:24
  she
• 19:24
  works
• 19:24
  well
• 19:25
  on.
• 19:25
  But
• 19:25
  she
• 19:26
  feels
• 19:26
  comfortable
• 19:26
  and
• 19:27
  safe
• 19:27
  around
• 19:27
  those
• 19:27
  foods.
• 19:28
  And
• 19:29
  the
• 19:30
  other
• 19:30
  thing
• 19:30
  to
• 19:30
  note
• 19:31
  is
• 19:31
  that,
• 19:31
  you
• 19:31
  know,
• 19:31
  often
• 19:32
  we
• 19:32
  talk
• 19:32
  about
• 19:33
  tracking
• 19:33
  food
• 19:34
  on
• 19:34
  an
• 19:34
  app
• 19:35
  so
• 19:35
  that
• 19:35
  you
• 19:35
  can
• 19:35
  learn
• 19:35
  about
• 19:36
  the
• 19:36
  macronutrients
• 19:37
  and
• 19:37
  so
• 19:37
  on.
• 19:37
  It's
• 19:38
  a
• 19:38
  very
• 19:38
  important
• 19:39
  part
• 19:39
  of
• 19:39
  the
• 19:39
  process
• 19:40
  because
• 19:41
  you
• 19:41
  need
• 19:41
  to
• 19:41
  learn
• 19:42
  how
• 19:42
  many
• 19:42
  carbs
• 19:43
  are
• 19:43
  in
• 19:43
  different
• 19:43
  foods
• 19:44
  and
• 19:44
  you
• 19:44
  need
• 19:44
  to
• 19:44
  know
• 19:45
  how
• 19:45
  much
• 19:45
  fat
• 19:45
  and
• 19:46
  how
• 19:46
  much
• 19:46
  protein.
• 19:47
  And
• 19:48
  so
• 19:48
  in
• 19:48
  the
• 19:48
  beginning
• 19:49
  when
• 19:49
  she
• 19:49
  was
• 19:49
  tracking,
• 19:51
  it
• 19:51
  brought
• 19:52
  up,
• 19:53
  and
• 19:53
  this
• 19:53
  is,
• 19:54
  this
• 19:54
  is
• 19:54
  quite
• 19:54
  common,
• 19:55
  it
• 19:55
  brought
• 19:55
  up
• 19:56
  a
• 19:57
  sense
• 19:57
  of
• 19:59
  wanting
• 19:59
  to
• 19:59
  restrict
• 20:00
  food
• 20:00
  because
• 20:01
  she
• 20:01
  had
• 20:01
  had
• 20:02
  eating
• 20:02
  disorder
• 20:03
  history.
• 20:03
  She
• 20:04
  had
• 20:04
  even
• 20:04
  been
• 20:04
  in
• 20:04
  hospital
• 20:05
  for
• 20:06
  some
• 20:06
  of
• 20:06
  the
• 20:06
  eating
• 20:06
  disorder
• 20:07
  behaviors
• 20:07
  and
• 20:07
  so
• 20:08
  on.
• 20:08
  And
• 20:08
  it
• 20:08
  got
• 20:08
  quite
• 20:09
  dicey
• 20:09
  and
• 20:09
  quite
• 20:10
  bad
• 20:10
  at
• 20:11
  one
• 20:11
  point.
• 20:11
  So
• 20:12
  it
• 20:12
  brought
• 20:13
  up
• 20:13
  these
• 20:13
  feelings
• 20:14
  for
• 20:14
  her.
• 20:15
  And
• 20:15
  so
• 20:15
  we
• 20:15
  had
• 20:15
  a
• 20:16
  conversation
• 20:16
  about
• 20:17
  it
• 20:17
  and
• 20:18
  I
• 20:19
  said
• 20:19
  focus
• 20:20
  on
• 20:20
  learning
• 20:20
  or
• 20:21
  reminded
• 20:21
  her,
• 20:21
  should
• 20:22
  I
• 20:22
  say
• 20:22
  focus
• 20:22
  on
• 20:22
  learning.
• 20:23
  Learning
• 20:23
  about
• 20:24
  the
• 20:24
  macronutrients.
• 20:25
  We're
• 20:25
  not
• 20:25
  bothered
• 20:26
  about
• 20:26
  the
• 20:26
  calories
• 20:27
  right
• 20:27
  now.
• 20:28
  If
• 20:28
  you
• 20:29
  want
• 20:29
  to
• 20:29
  gain
• 20:29
  weight,
• 20:29
  stay
• 20:30
  the
• 20:30
  same
• 20:30
  or
• 20:30
  lose
• 20:31
  weight,
• 20:31
  we
• 20:31
  could
• 20:31
  figure
• 20:31
  that
• 20:32
  out.
• 20:32
  But
• 20:32
  we're
• 20:33
  not,
• 20:33
  that's
• 20:33
  not
• 20:33
  the
• 20:33
  purpose
• 20:34
  of
• 20:34
  this.
• 20:34
  We're
• 20:34
  trying
• 20:35
  to
• 20:35
  understand
• 20:36
  macronutrients.
• 20:38
  We're
• 20:38
  not
• 20:38
  tracking
• 20:39
  calories.
• 20:40
  It's
• 20:40
  just
• 20:40
  the
• 20:41
  macros.
• 20:41
  When
• 20:41
  you
• 20:42
  Calculate
• 20:42
  them,
• 20:42
  give
• 20:42
  you
• 20:42
  the
• 20:43
  calories.
• 20:44
  So
• 20:44
  as
• 20:44
  soon
• 20:44
  as
• 20:44
  she
• 20:45
  shifted
• 20:45
  her
• 20:45
  thinking
• 20:46
  to,
• 20:47
  oh,
• 20:47
  I
• 20:47
  am
• 20:47
  learning
• 20:48
  about
• 20:48
  macronutrients
• 20:49
  and
• 20:49
  learning
• 20:50
  how
• 20:50
  to
• 20:50
  make
• 20:51
  and
• 20:51
  create
• 20:52
  my
• 20:52
  plate,
• 20:52
  I'm
• 20:53
  not
• 20:53
  worried
• 20:53
  about
• 20:54
  calories,
• 20:54
  once
• 20:55
  she
• 20:55
  made
• 20:55
  that
• 20:55
  shift,
• 20:56
  those
• 20:57
  feelings
• 20:57
  melted
• 20:57
  away
• 20:58
  and
• 20:58
  she
• 20:59
  was
• 20:59
  able
• 20:59
  then
• 20:59
  to
• 21:00
  get
• 21:00
  on
• 21:00
  fine
• 21:01
  with
• 21:01
  the
• 21:01
  tracking
• 21:01
  until
• 21:02
  such
• 21:02
  time
• 21:02
  as
• 21:02
  she
• 21:02
  was
• 21:03
  able
• 21:03
  to
• 21:03
  just
• 21:03
  create
• 21:03
  the
• 21:04
  meals
• 21:04
  without
• 21:04
  needing
• 21:05
  to
• 21:05
  track,
• 21:06
  which
• 21:06
  is
• 21:06
  where
• 21:06
  she
• 21:06
  is
• 21:07
  now.
• 21:07
  Yeah,
• 21:08
  such
• 21:08
  an
• 21:08
  important
• 21:08
  point,
• 21:09
  how
• 21:09
  the
• 21:09
  tracking
• 21:10
  can
• 21:10
  really
• 21:10
  teach
• 21:10
  you
• 21:11
  so
• 21:11
  much
• 21:11
  and
• 21:11
  then
• 21:12
  you
• 21:12
  won't
• 21:12
  need
• 21:12
  it
• 21:13
  potentially
• 21:14
  as
• 21:14
  you
• 21:14
  move
• 21:14
  on.
• 21:15
  So
• 21:15
  that's
• 21:15
  great.
• 21:16
  Well,
• 21:16
  now
• 21:16
  let's
• 21:16
  use
• 21:16
  this
• 21:17
  case
• 21:17
  example
• 21:18
  though,
• 21:18
  as
• 21:18
  sort
• 21:18
  of
• 21:18
  like
• 21:18
  a
• 21:19
  broader
• 21:19
  example
• 21:19
  because
• 21:20
  it's
• 21:20
  easy
• 21:20
  to
• 21:20
  think
• 21:21
  of
• 21:22
  bipolar
• 21:22
  disorder
• 21:23
  as
• 21:23
  one
• 21:23
  thing,
• 21:24
  anxiety
• 21:25
  as
• 21:25
  one
• 21:25
  thing,
• 21:25
  binge
• 21:26
  eating
• 21:26
  as
• 21:26
  one
• 21:27
  thing.
• 21:27
  But
• 21:28
  no,
• 21:28
  in
• 21:28
  the
• 21:28
  real
• 21:28
  world
• 21:29
  it's
• 21:29
  messy
• 21:29
  and
• 21:29
  there
• 21:30
  is
• 21:30
  frequently
• 21:30
  a
• 21:31
  combination
• 21:32
  of
• 21:32
  symptoms
• 21:33
  which
• 21:33
  will
• 21:33
  lead
• 21:34
  to
• 21:34
  multiple
• 21:34
  diagnoses.
• 21:35
  So
• 21:35
  you
• 21:35
  brought
• 21:35
  up
• 21:35
  in
• 21:36
  the
• 21:36
  paper
• 21:36
  this
• 21:36
  concept
• 21:37
  of
• 21:37
  a
• 21:37
  sort
• 21:37
  of
• 21:37
  a
• 21:37
  trans
• 21:38
  diagnostic
• 21:39
  system
• 21:39
  or
• 21:39
  focusing
• 21:39
  on
• 21:40
  mechanisms
• 21:40
  rather
• 21:41
  than
• 21:41
  symptoms.
• 21:42
  Tell
• 21:42
  me
• 21:42
  how
• 21:42
  this
• 21:43
  case
• 21:43
  sort
• 21:43
  of
• 21:43
  helps
• 21:44
  you
• 21:44
  think
• 21:44
  about
• 21:44
  that.
• 21:45
  Well,
• 21:46
  I
• 21:46
  think
• 21:48
  it
• 21:48
  was
• 21:48
  shouting
• 21:49
  at
• 21:49
  me
• 21:49
  and
• 21:50
  also
• 21:50
  shouting
• 21:50
  at
• 21:51
  Nicole
• 21:51
  who
• 21:51
  is
• 21:52
  the
• 21:52
  co
• 21:52
  author
• 21:52
  on
• 21:52
  the
• 21:53
  paper
• 21:54
  because
• 21:54
  there
• 21:55
  are
• 21:55
  so
• 21:55
  many
• 21:55
  or
• 21:56
  there
• 21:56
  were
• 21:56
  so
• 21:56
  many
• 21:57
  diagnoses
• 21:57
  there.
• 21:58
  So
• 21:59
  which
• 21:59
  one
• 21:59
  were
• 21:59
  we
• 22:00
  targeting?
• 22:00
  And
• 22:01
  you
• 22:01
  know,
• 22:02
  which
• 22:02
  takes
• 22:03
  priority
• 22:03
  and
• 22:04
  really
• 22:04
  none
• 22:05
  of
• 22:05
  them
• 22:05
  take
• 22:05
  priority.
• 22:06
  They
• 22:06
  are
• 22:06
  all
• 22:06
  as
• 22:06
  important
• 22:07
  as
• 22:07
  one
• 22:07
  another.
• 22:08
  And
• 22:09
  so
• 22:09
  it,
• 22:10
  you
• 22:10
  know,
• 22:10
  after
• 22:10
  a
• 22:11
  conversation
• 22:11
  and
• 22:12
  going
• 22:12
  through
• 22:12
  the
• 22:12
  research
• 22:13
  and
• 22:13
  referring
• 22:14
  back
• 22:14
  to
• 22:16
  Dr.
• 22:16
  Chris
• 22:17
  Palmer's
• 22:17
  paper
• 22:18
  on
• 22:18
  try
• 22:19
  on
• 22:19
  a
• 22:19
  trans
• 22:19
  diagnostic
• 22:20
  model,
• 22:21
  we're
• 22:22
  reminded
• 22:22
  that
• 22:22
  actually
• 22:23
  pretty
• 22:23
  much
• 22:24
  all
• 22:24
  of
• 22:24
  these
• 22:24
  mental
• 22:25
  health
• 22:25
  conditions
• 22:26
  have
• 22:26
  shared
• 22:26
  mechanistic
• 22:27
  pathways.
• 22:28
  You
• 22:28
  know,
• 22:28
  things
• 22:29
  like
• 22:29
  oxidative
• 22:30
  stress,
• 22:30
  inflammation,
• 22:31
  brain
• 22:31
  glucose,
• 22:32
  hypometabolism,
• 22:33
  all
• 22:33
  of
• 22:33
  these
• 22:33
  things
• 22:34
  are
• 22:35
  shared
• 22:35
  across
• 22:36
  all
• 22:36
  of
• 22:36
  these
• 22:36
  mental
• 22:37
  health
• 22:37
  conditions.
• 22:38
  And
• 22:39
  I
• 22:39
  tell
• 22:39
  people
• 22:40
  all
• 22:40
  the
• 22:40
  time,
• 22:41
  I've
• 22:41
  never
• 22:41
  met
• 22:42
  two
• 22:42
  people
• 22:43
  with
• 22:43
  the
• 22:43
  same
• 22:44
  diagnosis
• 22:45
  who
• 22:45
  have
• 22:45
  the
• 22:46
  same
• 22:46
  symptoms
• 22:46
  and
• 22:46
  who
• 22:47
  are
• 22:47
  acting
• 22:47
  the
• 22:47
  same.
• 22:49
  So
• 22:49
  it's
• 22:49
  never
• 22:49
  made
• 22:50
  sense
• 22:50
  to
• 22:50
  me
• 22:52
  the
• 22:52
  way
• 22:52
  we,
• 22:53
  the
• 22:53
  way
• 22:53
  we
• 22:53
  practice
• 22:54
  and
• 22:54
  the
• 22:54
  way
• 22:54
  we
• 22:54
  treat.
• 22:56
  So
• 22:56
  after
• 22:57
  thinking
• 22:57
  about
• 22:57
  it
• 22:58
  and
• 22:58
  kind
• 22:58
  of
• 22:58
  going
• 22:58
  over
• 23:00
  or
• 23:00
  discussing,
• 23:00
  you
• 23:01
  know,
• 23:01
  the
• 23:01
  idea
• 23:02
  of
• 23:02
  this
• 23:03
  being
• 23:03
  trans
• 23:03
  diagnostic
• 23:04
  remission
• 23:05
  across
• 23:06
  all
• 23:06
  of
• 23:06
  these
• 23:07
  diagnoses,
• 23:07
  it
• 23:08
  makes
• 23:08
  sense
• 23:09
  because
• 23:09
  what
• 23:09
  we're
• 23:10
  doing
• 23:10
  is
• 23:10
  if
• 23:10
  we're
• 23:11
  targeting
• 23:11
  the
• 23:11
  shared
• 23:12
  pathways,
• 23:14
  those
• 23:14
  symptoms
• 23:14
  are
• 23:14
  just,
• 23:15
  they're
• 23:15
  all
• 23:15
  going
• 23:15
  to
• 23:15
  subside.
• 23:16
  It
• 23:16
  doesn't
• 23:16
  matter
• 23:16
  if
• 23:16
  the
• 23:16
  anxiety
• 23:17
  is
• 23:17
  from
• 23:18
  the
• 23:18
  PTSD
• 23:19
  or
• 23:19
  the
• 23:19
  anxiety
• 23:20
  is
• 23:20
  the
• 23:20
  anxiety
• 23:21
  or
• 23:21
  anxiety
• 23:22
  is
• 23:22
  linked
• 23:22
  in
• 23:22
  with
• 23:22
  the
• 23:23
  depression.
• 23:24
  You
• 23:24
  know,
• 23:25
  the,
• 23:25
  the
• 23:25
  ketones
• 23:26
  are
• 23:26
  anxiolytic.
• 23:27
  So
• 23:28
  they're
• 23:28
  not
• 23:28
  saying
• 23:29
  we're
• 23:29
  going
• 23:30
  to
• 23:30
  target
• 23:30
  the
• 23:30
  PTSD
• 23:31
  anxiety
• 23:31
  and
• 23:31
  not
• 23:32
  the
• 23:32
  anxiety
• 23:32
  associated
• 23:33
  with
• 23:33
  depression.
• 23:34
  They're
• 23:34
  just
• 23:35
  anxiolytic
• 23:35
  and
• 23:35
  they're
• 23:36
  going
• 23:36
  to
• 23:36
  reduce
• 23:36
  the
• 23:36
  anxiety.
• 23:38
  And
• 23:38
  so
• 23:39
  I
• 23:39
  think
• 23:39
  actually
• 23:40
  this
• 23:40
  is
• 23:41
  quite
• 23:41
  important
• 23:41
  because
• 23:43
  it
• 23:43
  would
• 23:43
  be
• 23:43
  great
• 23:43
  if
• 23:44
  we
• 23:44
  would
• 23:44
  start
• 23:44
  looking
• 23:45
  at
• 23:45
  perhaps
• 23:46
  symptom
• 23:46
  clusters.
• 23:47
  We
• 23:47
  can
• 23:48
  continue
• 23:48
  to
• 23:48
  look
• 23:48
  at
• 23:48
  diagnoses
• 23:49
  for
• 23:50
  sure.
• 23:50
  But
• 23:51
  what
• 23:51
  if
• 23:51
  we
• 23:51
  also
• 23:51
  looked
• 23:52
  at
• 23:52
  cluster
• 23:53
  of
• 23:53
  symptoms,
• 23:54
  like
• 23:54
  grouping
• 23:54
  people
• 23:55
  not
• 23:55
  by
• 23:55
  diagnosis,
• 23:56
  but,
• 23:57
  okay,
• 23:57
  their
• 23:58
  most
• 23:58
  significant
• 23:59
  or
• 23:59
  severe
• 24:00
  symptom
• 24:00
  is
• 24:00
  anxiety.
• 24:01
  And
• 24:02
  so
• 24:02
  let's
• 24:02
  have
• 24:02
  a
• 24:02
  close
• 24:03
  look
• 24:03
  at
• 24:03
  that.
• 24:03
  Or
• 24:04
  really
• 24:04
  it's
• 24:04
  that
• 24:05
  morning
• 24:05
  dread
• 24:06
  and
• 24:06
  that
• 24:06
  deep
• 24:06
  depression.
• 24:07
  Let's
• 24:07
  have
• 24:08
  a
• 24:08
  look
• 24:08
  at
• 24:08
  that.
• 24:08
  Or,
• 24:09
  you
• 24:09
  know,
• 24:10
  maybe
• 24:10
  it's
• 24:11
  their
• 24:11
  cognitive
• 24:11
  deficits
• 24:12
  and
• 24:12
  their
• 24:13
  inability
• 24:13
  to
• 24:13
  focus.
• 24:14
  Let's
• 24:15
  look
• 24:15
  at
• 24:15
  that
• 24:16
  rather
• 24:16
  than
• 24:16
  sticking
• 24:17
  with
• 24:17
  the
• 24:18
  diagnosis
• 24:18
  label,
• 24:19
  because
• 24:19
  there's
• 24:20
  definitely
• 24:20
  some
• 24:20
  bleeding
• 24:21
  between
• 24:21
  the
• 24:21
  diagnosis
• 24:22
  because
• 24:22
  of
• 24:22
  those
• 24:23
  shared
• 24:23
  pathways.
• 24:24
  Yeah.
• 24:24
  And
• 24:24
  if
• 24:24
  you
• 24:24
  say
• 24:24
  let's
• 24:25
  look
• 24:25
  at
• 24:25
  that,
• 24:25
  but
• 24:26
  you're
• 24:26
  really
• 24:26
  saying
• 24:27
  let's
• 24:27
  look
• 24:27
  at
• 24:27
  a
• 24:27
  potential
• 24:28
  sort
• 24:28
  of
• 24:28
  root
• 24:29
  cause
• 24:29
  or,
• 24:30
  you
• 24:30
  know,
• 24:30
  mechanistic
• 24:31
  impact
• 24:31
  there,
• 24:32
  then
• 24:33
  that's
• 24:33
  where
• 24:33
  ketogenic
• 24:34
  therapy
• 24:34
  can
• 24:34
  potentially
• 24:35
  be
• 24:35
  so
• 24:35
  beneficial,
• 24:36
  because
• 24:36
  like
• 24:36
  you
• 24:36
  said,
• 24:37
  it's
• 24:37
  not
• 24:37
  a
• 24:37
  drug,
• 24:38
  for
• 24:38
  one
• 24:38
  thing,
• 24:39
  but
• 24:39
  it's
• 24:39
  treating
• 24:40
  mechanisms
• 24:41
  of.
• 24:41
  And
• 24:41
  you.
• 24:42
  And
• 24:42
  you
• 24:42
  list
• 24:42
  a
• 24:42
  number
• 24:43
  of
• 24:43
  them
• 24:43
  in
• 24:43
  your
• 24:43
  paper
• 24:43
  about
• 24:44
  the
• 24:44
  insulin
• 24:44
  resistance
• 24:45
  and
• 24:45
  altered
• 24:45
  glucose
• 24:46
  metabolism
• 24:47
  and
• 24:47
  neuroinflammation.
• 24:48
  And
• 24:48
  that
• 24:49
  kind
• 24:49
  of
• 24:49
  goes
• 24:49
  against
• 24:50
  this
• 24:50
  concept
• 24:51
  of,
• 24:51
  you
• 24:51
  know,
• 24:52
  a
• 24:52
  very
• 24:52
  elegant
• 24:53
  targeted
• 24:53
  pharmaceutical.
• 24:54
  It's
• 24:54
  almost
• 24:55
  the
• 24:55
  opposite
• 24:56
  of
• 24:56
  that,
• 24:56
  which.
• 24:56
  Which
• 24:57
  I
• 24:57
  think
• 24:57
  maybe
• 24:57
  is
• 24:58
  why
• 24:58
  some
• 24:58
  people
• 24:59
  are
• 24:59
  a
• 24:59
  little
• 24:59
  reticent
• 25:00
  to
• 25:00
  embrace
• 25:00
  it
• 25:01
  because
• 25:01
  of
• 25:01
  the.
• 25:02
  Just
• 25:02
  the
• 25:02
  concept
• 25:02
  is
• 25:03
  hard.
• 25:03
  So
• 25:04
  I
• 25:04
  like
• 25:04
  how
• 25:05
  you
• 25:05
  highlighted
• 25:05
  that
• 25:05
  in
• 25:06
  your
• 25:06
  paper.
• 25:06
  So
• 25:07
  do
• 25:07
  you
• 25:07
  think
• 25:07
  we
• 25:07
  should
• 25:08
  be
• 25:08
  saying
• 25:09
  let's
• 25:09
  treat
• 25:10
  mechanisms
• 25:11
  rather
• 25:11
  than
• 25:12
  symptoms
• 25:12
  or
• 25:12
  diagnoses?
• 25:13
  I
• 25:13
  think
• 25:13
  we
• 25:14
  could
• 25:14
  be
• 25:14
  guided
• 25:14
  by
• 25:15
  the
• 25:15
  mechanisms
• 25:16
  and
• 25:16
  then
• 25:17
  treat
• 25:17
  the
• 25:18
  symptoms
• 25:19
  just
• 25:19
  because
• 25:19
  I
• 25:19
  have
• 25:19
  an
• 25:20
  issue
• 25:20
  with
• 25:20
  labels.
• 25:21
  But
• 25:21
  maybe
• 25:22
  that's
• 25:22
  just
• 25:22
  a
• 25:22
  me
• 25:22
  thing.
• 25:22
  But
• 25:23
  I
• 25:23
  definitely
• 25:23
  have
• 25:23
  an
• 25:23
  excuse.
• 25:24
  And
• 25:24
  it's
• 25:24
  hard
• 25:24
  to
• 25:24
  assume
• 25:25
  that
• 25:25
  we
• 25:25
  know
• 25:25
  every
• 25:26
  mechanism,
• 25:26
  too.
• 25:26
  So
• 25:27
  that.
• 25:27
  That
• 25:27
  is
• 25:27
  absolutely
• 25:28
  fair.
• 25:28
  Right?
• 25:29
  Yeah.
• 25:29
  And
• 25:29
  that's
• 25:30
  what
• 25:30
  I.
• 25:30
  And
• 25:30
  that's
• 25:30
  why
• 25:30
  I'm
• 25:31
  saying
• 25:31
  both,
• 25:31
  because
• 25:32
  I
• 25:32
  think
• 25:33
  I
• 25:33
  said
• 25:33
  this
• 25:33
  last
• 25:33
  time
• 25:34
  we
• 25:34
  were
• 25:34
  talking,
• 25:34
  like,
• 25:35
  when
• 25:35
  I
• 25:35
  did
• 25:35
  my
• 25:35
  PhD,
• 25:36
  I
• 25:36
  found
• 25:37
  like,
• 25:37
  53
• 25:38
  mechanisms
• 25:38
  of
• 25:38
  depression
• 25:39
  and
• 25:39
  then
• 25:39
  53
• 25:40
  ways
• 25:40
  that
• 25:41
  the
• 25:41
  ketones
• 25:41
  can
• 25:41
  counteract
• 25:42
  that.
• 25:42
  And
• 25:42
  then
• 25:43
  I
• 25:43
  was
• 25:43
  like,
• 25:43
  whoa,
• 25:43
  what
• 25:43
  am
• 25:43
  I
• 25:44
  doing?
• 25:44
  So
• 25:44
  can
• 25:45
  you
• 25:45
  imagine,
• 25:45
  like,
• 25:45
  if
• 25:46
  we
• 25:46
  spend
• 25:47
  at
• 25:47
  least
• 25:47
  a
• 25:47
  year
• 25:48
  on
• 25:48
  each
• 25:48
  of
• 25:48
  those,
• 25:49
  that's
• 25:49
  50
• 25:50
  years,
• 25:50
  just
• 25:50
  looking
• 25:50
  at
• 25:51
  those
• 25:51
  50
• 25:51
  mechanisms
• 25:52
  of
• 25:52
  depression,
• 25:53
  and
• 25:53
  we
• 25:53
  don't
• 25:53
  have
• 25:54
  that
• 25:55
  an
• 25:55
  amount
• 25:55
  of
• 25:55
  time
• 25:56
  just
• 25:56
  to
• 25:56
  hang
• 25:56
  around
• 25:56
  and
• 25:57
  wait
• 25:57
  because
• 25:57
  people
• 25:57
  are
• 25:58
  sick
• 25:58
  and
• 25:58
  they
• 25:58
  need
• 25:59
  the
• 25:59
  support
• 25:59
  and
• 26:00
  guidance
• 26:00
  now.
• 26:01
  So
• 26:02
  that's
• 26:02
  why
• 26:02
  I
• 26:02
  think,
• 26:03
  you
• 26:03
  know,
• 26:03
  we've
• 26:03
  got
• 26:03
  fantastic
• 26:04
  researchers
• 26:05
  right
• 26:05
  now
• 26:05
  that
• 26:05
  are
• 26:06
  really
• 26:06
  working
• 26:06
  on
• 26:06
  understanding
• 26:07
  the
• 26:07
  mechanisms
• 26:09
  and
• 26:09
  we're
• 26:09
  doing
• 26:09
  it
• 26:10
  at
• 26:10
  the
• 26:10
  speed
• 26:10
  of
• 26:10
  light
• 26:11
  too.
• 26:11
  So
• 26:12
  that's
• 26:12
  great
• 26:12
  because
• 26:13
  we're
• 26:13
  getting
• 26:13
  that
• 26:13
  information
• 26:14
  quick
• 26:14
  time.
• 26:15
  But
• 26:16
  then
• 26:16
  at
• 26:16
  the
• 26:16
  same
• 26:16
  time,
• 26:17
  while
• 26:17
  we're
• 26:17
  waiting
• 26:17
  for
• 26:17
  more
• 26:18
  of
• 26:18
  those
• 26:18
  mechanisms
• 26:18
  to
• 26:19
  become
• 26:19
  visible,
• 26:20
  we
• 26:20
  can
• 26:21
  treat
• 26:21
  those,
• 26:22
  the
• 26:22
  symptoms,
• 26:23
  right,
• 26:23
  the
• 26:23
  anxiety,
• 26:24
  depression,
• 26:24
  low
• 26:25
  motivation.
• 26:27
  The
• 26:27
  other
• 26:27
  thing
• 26:27
  that
• 26:28
  I
• 26:28
  say
• 26:28
  to
• 26:28
  people
• 26:28
  is
• 26:29
  when
• 26:29
  we
• 26:30
  look
• 26:30
  at
• 26:30
  those
• 26:30
  shared
• 26:31
  pathways,
• 26:32
  so
• 26:32
  oxidative
• 26:33
  stress,
• 26:33
  neuroinflammation,
• 26:34
  brain
• 26:35
  hypoglucometabolism,
• 26:36
  you
• 26:36
  know,
• 26:37
  insulin
• 26:37
  resistance
• 26:37
  and
• 26:38
  so
• 26:38
  on,
• 26:38
  there's
• 26:39
  about
• 26:39
  five
• 26:39
  or
• 26:39
  six
• 26:40
  that
• 26:40
  are,
• 26:41
  there's
• 26:42
  probably
• 26:42
  more,
• 26:42
  but
• 26:43
  those
• 26:43
  are
• 26:43
  the
• 26:43
  ones
• 26:43
  that
• 26:44
  I'm
• 26:44
  very
• 26:44
  familiar
• 26:45
  with
• 26:45
  in
• 26:46
  terms
• 26:46
  of
• 26:46
  those
• 26:46
  being
• 26:47
  shared
• 26:47
  across
• 26:48
  different
• 26:48
  diagnoses.
• 26:50
  And
• 26:50
  I
• 26:50
  say
• 26:51
  to
• 26:51
  people,
• 26:52
  we
• 26:52
  don't
• 26:53
  know
• 26:54
  which
• 26:55
  one
• 26:55
  caused
• 26:56
  your
• 26:57
  mental
• 26:57
  health
• 26:58
  issue.
• 26:58
  Like,
• 26:59
  was
• 26:59
  it
• 26:59
  the
• 26:59
  neuroinflammation,
• 27:00
  Was
• 27:00
  it
• 27:01
  the
• 27:01
  oxidative
• 27:01
  stress?
• 27:02
  We
• 27:02
  don't
• 27:02
  know.
• 27:03
  Was
• 27:03
  it
• 27:03
  a
• 27:03
  neurotransmitter
• 27:04
  imbalance?
• 27:05
  We
• 27:05
  can't
• 27:05
  actually
• 27:06
  test
• 27:06
  that.
• 27:06
  So
• 27:07
  we
• 27:07
  don't
• 27:07
  know.
• 27:08
  We
• 27:08
  can
• 27:08
  test
• 27:08
  neurotransmitters,
• 27:09
  but
• 27:09
  we
• 27:09
  can't
• 27:10
  test
• 27:10
  for
• 27:10
  the
• 27:10
  imbalance.
• 27:11
  So
• 27:12
  we
• 27:12
  don't
• 27:12
  know.
• 27:13
  And
• 27:13
  you
• 27:13
  can
• 27:13
  take
• 27:15
  a
• 27:15
  drug
• 27:15
  or
• 27:15
  you
• 27:16
  do
• 27:16
  a
• 27:16
  therapy
• 27:16
  to
• 27:17
  target
• 27:17
  those.
• 27:18
  So
• 27:18
  if
• 27:18
  you
• 27:18
  go
• 27:18
  to
• 27:18
  the
• 27:19
  doctor,
• 27:19
  they'll
• 27:19
  say,
• 27:19
  yeah,
• 27:20
  you
• 27:20
  got
• 27:20
  a
• 27:20
  neurochemical
• 27:21
  imbalance,
• 27:21
  neurotransmitter
• 27:22
  balance,
• 27:23
  take
• 27:23
  this
• 27:23
  medication.
• 27:24
  But
• 27:25
  then
• 27:25
  it's
• 27:25
  like,
• 27:25
  well,
• 27:25
  does
• 27:26
  it
• 27:26
  work?
• 27:26
  Does
• 27:26
  it
• 27:26
  not?
• 27:27
  We
• 27:27
  don't
• 27:27
  know
• 27:28
  what
• 27:28
  the
• 27:28
  cause
• 27:28
  is.
• 27:29
  And
• 27:30
  they
• 27:30
  all
• 27:30
  overlap.
• 27:31
  So
• 27:31
  the
• 27:31
  insulin
• 27:32
  resistance
• 27:32
  influences
• 27:33
  inflammation,
• 27:34
  inflammation
• 27:34
  influences
• 27:35
  oxidative
• 27:35
  stress.
• 27:36
  Throw
• 27:37
  in
• 27:37
  the
• 27:37
  medications,
• 27:38
  they
• 27:38
  all
• 27:38
  have
• 27:39
  a
• 27:39
  high
• 27:39
  metabolic
• 27:40
  price
• 27:40
  tag.
• 27:40
  So
• 27:40
  then
• 27:41
  they
• 27:41
  cause
• 27:41
  a
• 27:41
  bunch
• 27:41
  of
• 27:42
  issues
• 27:42
  too,
• 27:42
  though
• 27:43
  they
• 27:43
  can
• 27:43
  be
• 27:43
  extremely
• 27:44
  effective
• 27:45
  in,
• 27:45
  you
• 27:45
  know,
• 27:46
  they
• 27:46
  can
• 27:46
  be
• 27:46
  life
• 27:46
  saving
• 27:46
  in
• 27:47
  certain
• 27:47
  circumstances.
• 27:49
  So
• 27:49
  then
• 27:49
  you're
• 27:49
  just
• 27:49
  like,
• 27:49
  well,
• 27:51
  how
• 27:51
  are
• 27:51
  you
• 27:51
  meant
• 27:52
  to
• 27:52
  figure
• 27:52
  out
• 27:52
  what
• 27:52
  caused
• 27:53
  it?
• 27:53
  And
• 27:53
  then
• 27:54
  you
• 27:54
  have
• 27:54
  to
• 27:54
  figure
• 27:54
  out
• 27:54
  what
• 27:55
  caused
• 27:55
  it
• 27:55
  in
• 27:55
  order
• 27:55
  to
• 27:56
  treat
• 27:56
  it.
• 27:56
  But
• 27:57
  ketogenic
• 27:58
  therapy,
• 27:59
  we
• 28:00
  have
• 28:00
  research
• 28:01
  to
• 28:01
  show
• 28:01
  that
• 28:01
  ketogenic
• 28:02
  therapy
• 28:03
  improves
• 28:04
  every
• 28:05
  single
• 28:05
  one
• 28:05
  of
• 28:06
  those.
• 28:07
  And
• 28:08
  so
• 28:09
  I
• 28:09
  say
• 28:09
  that
• 28:09
  to
• 28:10
  people,
• 28:10
  let's
• 28:10
  use
• 28:11
  the
• 28:11
  ketogenic
• 28:11
  therapy.
• 28:12
  Now
• 28:13
  you
• 28:14
  can
• 28:14
  go
• 28:14
  and
• 28:14
  figure
• 28:14
  out
• 28:15
  what
• 28:15
  the
• 28:15
  root
• 28:15
  cause
• 28:16
  was.
• 28:16
  But
• 28:16
  in
• 28:16
  the
• 28:16
  meantime,
• 28:17
  the
• 28:17
  ketogenic
• 28:18
  therapy
• 28:18
  is
• 28:19
  improving
• 28:19
  your
• 28:19
  metabolic
• 28:20
  and
• 28:20
  mental
• 28:20
  health.
• 28:22
  And
• 28:22
  that's,
• 28:23
  I
• 28:23
  think
• 28:23
  that's
• 28:23
  the
• 28:23
  safest
• 28:24
  way
• 28:24
  to
• 28:24
  approach
• 28:24
  it,
• 28:25
  right?
• 28:25
  Now,
• 28:25
  rather
• 28:26
  than
• 28:26
  just
• 28:26
  waiting
• 28:27
  to
• 28:27
  try
• 28:27
  and
• 28:27
  figure
• 28:28
  out
• 28:28
  what
• 28:28
  the
• 28:28
  root
• 28:29
  cause
• 28:29
  is,
• 28:29
  to
• 28:30
  then
• 28:30
  find
• 28:30
  a
• 28:30
  treatment
• 28:31
  that's
• 28:31
  very
• 28:31
  specific.
• 28:32
  Makes
• 28:33
  a
• 28:33
  lot
• 28:33
  of
• 28:33
  sense.
• 28:33
  Makes
• 28:33
  a
• 28:34
  lot
• 28:34
  of
• 28:34
  sense.
• 28:34
  And.
• 28:35
  And
• 28:35
  I
• 28:35
  guess
• 28:35
  another
• 28:35
  point
• 28:36
  to
• 28:36
  bring
• 28:36
  up
• 28:36
  is
• 28:37
  it's.
• 28:37
  I
• 28:37
  don't
• 28:38
  mean
• 28:38
  to
• 28:38
  portray
• 28:39
  it
• 28:39
  as
• 28:39
  a
• 28:39
  ketogenic
• 28:40
  therapy
• 28:41
  or
• 28:41
  medication,
• 28:42
  one
• 28:42
  versus
• 28:42
  the
• 28:42
  other.
• 28:43
  Right.
• 28:43
  So,
• 28:44
  you
• 28:44
  know,
• 28:44
  in
• 28:44
  this
• 28:45
  particular
• 28:45
  case,
• 28:45
  she
• 28:45
  wasn't
• 28:46
  on
• 28:46
  medications,
• 28:47
  but
• 28:47
  you
• 28:47
  have
• 28:47
  patients
• 28:47
  you
• 28:48
  work
• 28:48
  with
• 28:48
  who
• 28:48
  use
• 28:48
  ketogenic
• 28:49
  therapy
• 28:49
  as
• 28:49
  sort
• 28:50
  of
• 28:50
  adjunctive
• 28:50
  therapy
• 28:51
  or
• 28:51
  adjunctive
• 28:52
  treatment
• 28:52
  to
• 28:53
  their
• 28:53
  medications?
• 28:54
  Yeah,
• 28:54
  absolutely.
• 28:55
  Absolutely,
• 28:55
  I
• 28:55
  do.
• 28:56
  I've
• 28:56
  got
• 28:56
  a
• 28:56
  bit
• 28:56
  of
• 28:56
  a
• 28:57
  mix
• 28:57
  of
• 28:57
  everyone,
• 28:58
  and
• 28:59
  some
• 28:59
  people
• 29:00
  find
• 29:00
  that
• 29:01
  the
• 29:01
  ketogenic
• 29:02
  therapy
• 29:03
  is
• 29:03
  enough,
• 29:04
  so
• 29:04
  they
• 29:04
  get
• 29:05
  the
• 29:05
  support
• 29:05
  of
• 29:05
  a
• 29:05
  psychiatrist,
• 29:06
  and
• 29:06
  then
• 29:07
  the
• 29:07
  psychiatrist
• 29:07
  supports
• 29:08
  them
• 29:08
  to
• 29:08
  taper
• 29:09
  down.
• 29:10
  Sometimes
• 29:10
  people
• 29:11
  come
• 29:11
  off
• 29:11
  the
• 29:11
  medication
• 29:12
  altogether
• 29:13
  and
• 29:13
  they
• 29:13
  maintain
• 29:13
  ketogenic
• 29:14
  therapy
• 29:14
  and
• 29:14
  are
• 29:15
  very
• 29:15
  strict
• 29:15
  with
• 29:15
  it.
• 29:16
  Other
• 29:16
  people
• 29:17
  will
• 29:17
  lower
• 29:18
  the
• 29:18
  medication,
• 29:19
  but
• 29:19
  keep
• 29:19
  a
• 29:20
  low
• 29:20
  level
• 29:20
  of
• 29:20
  medication
• 29:21
  at
• 29:22
  the
• 29:22
  same
• 29:22
  time
• 29:22
  as
• 29:23
  having
• 29:23
  the
• 29:23
  ketogenic
• 29:23
  therapy
• 29:25
  so
• 29:25
  that
• 29:25
  they've
• 29:25
  got
• 29:25
  a
• 29:26
  little
• 29:26
  bit
• 29:26
  of
• 29:26
  peace
• 29:26
  of
• 29:26
  mind.
• 29:27
  The
• 29:27
  medication
• 29:27
  is
• 29:28
  still
• 29:28
  doing
• 29:28
  what
• 29:28
  they
• 29:29
  believe
• 29:29
  it's
• 29:29
  doing
• 29:29
  for
• 29:30
  them.
• 29:30
  Maybe
• 29:30
  it's
• 29:31
  keeping
• 29:31
  the
• 29:31
  hallucinations,
• 29:32
  delusions
• 29:33
  down,
• 29:33
  maybe
• 29:34
  it's
• 29:34
  keeping
• 29:34
  their
• 29:34
  mood
• 29:35
  stable.
• 29:36
  And
• 29:37
  so.
• 29:37
  And
• 29:37
  then
• 29:37
  other
• 29:38
  people
• 29:38
  have
• 29:39
  already
• 29:40
  come
• 29:40
  off
• 29:40
  medication
• 29:41
  previously
• 29:41
  with
• 29:42
  the
• 29:42
  support
• 29:42
  of
• 29:42
  a
• 29:43
  psychiatrist,
• 29:43
  but
• 29:43
  they
• 29:44
  are
• 29:44
  not
• 29:44
  feeling
• 29:45
  good.
• 29:45
  And
• 29:45
  then
• 29:46
  they've
• 29:46
  used
• 29:46
  ketogenic
• 29:47
  therapy,
• 29:47
  which
• 29:47
  has
• 29:48
  then
• 29:48
  helped
• 29:48
  to
• 29:48
  improve
• 29:49
  their
• 29:49
  symptoms.
• 29:50
  So
• 29:51
  I'm
• 29:51
  very
• 29:51
  much
• 29:51
  on
• 29:51
  the
• 29:52
  same
• 29:52
  page
• 29:52
  as
• 29:52
  you.
• 29:53
  It
• 29:53
  can
• 29:54
  be
• 29:54
  done
• 29:54
  at
• 29:54
  the
• 29:55
  same
• 29:55
  time
• 29:55
  as
• 29:55
  using
• 29:56
  medication.
• 29:57
  And,
• 29:58
  you
• 29:58
  know,
• 29:58
  ketogenic
• 29:59
  therapy
• 30:00
  will
• 30:00
  often
• 30:00
  offset
• 30:01
  a
• 30:01
  lot
• 30:01
  of
• 30:01
  the
• 30:02
  metabolic
• 30:02
  complications
• 30:03
  that
• 30:03
  come
• 30:03
  with
• 30:04
  taking
• 30:05
  some
• 30:05
  of
• 30:05
  the
• 30:05
  medications.
• 30:06
  Like,
• 30:07
  for
• 30:07
  example,
• 30:07
  you
• 30:07
  know,
• 30:08
  if
• 30:08
  you're
• 30:08
  taking
• 30:08
  olanzapine
• 30:09
  and
• 30:09
  olanzapine
• 30:10
  is,
• 30:11
  you
• 30:11
  know,
• 30:11
  you're.
• 30:12
  You're
• 30:12
  gaining
• 30:12
  weight
• 30:13
  as
• 30:13
  a
• 30:13
  result,
• 30:13
  using
• 30:14
  ketogenic
• 30:14
  therapy,
• 30:15
  that
• 30:15
  can
• 30:15
  help
• 30:15
  to
• 30:16
  bring
• 30:16
  the
• 30:16
  weight
• 30:16
  down.
• 30:17
  And
• 30:17
  then
• 30:17
  at
• 30:18
  the
• 30:18
  same
• 30:18
  time,
• 30:18
  you
• 30:18
  get
• 30:19
  the
• 30:19
  benefits
• 30:19
  from
• 30:19
  the
• 30:20
  olanzapine
• 30:20
  if
• 30:20
  you
• 30:20
  feel
• 30:20
  like
• 30:21
  you're
• 30:21
  benefiting
• 30:21
  from
• 30:22
  it.
• 30:22
  So
• 30:23
  they
• 30:23
  can
• 30:23
  definitely,
• 30:24
  definitely
• 30:24
  be
• 30:24
  working
• 30:25
  together.
• 30:27
  But
• 30:28
  ultimately,
• 30:28
  some
• 30:29
  people
• 30:29
  do
• 30:29
  want
• 30:30
  to
• 30:30
  see
• 30:30
  if
• 30:31
  they
• 30:31
  are
• 30:31
  able
• 30:32
  to
• 30:32
  reduce
• 30:32
  their
• 30:33
  medication
• 30:34
  and
• 30:34
  use
• 30:34
  the
• 30:35
  ketogenic
• 30:35
  therapy
• 30:36
  as
• 30:36
  their
• 30:36
  main
• 30:36
  therapy.
• 30:38
  And
• 30:38
  so
• 30:39
  you
• 30:39
  know
• 30:39
  that
• 30:40
  that
• 30:40
  is
• 30:40
  possible
• 30:40
  for
• 30:41
  some
• 30:41
  people,
• 30:41
  but
• 30:41
  may
• 30:42
  not
• 30:42
  be
• 30:42
  possible
• 30:42
  for
• 30:43
  everyone.
• 30:44
  And
• 30:45
  that's
• 30:45
  okay,
• 30:46
  because
• 30:46
  we're
• 30:46
  not
• 30:46
  here
• 30:46
  to
• 30:47
  say
• 30:47
  that
• 30:47
  ketogenic
• 30:47
  therapy
• 30:48
  is
• 30:48
  the
• 30:49
  standalone,
• 30:50
  number
• 30:50
  one
• 30:50
  thing
• 30:51
  that's
• 30:51
  going
• 30:51
  to
• 30:51
  do
• 30:51
  it
• 30:52
  for
• 30:52
  you.
• 30:53
  It
• 30:53
  might
• 30:54
  be
• 30:54
  in
• 30:54
  this
• 30:54
  case,
• 30:55
  in
• 30:55
  this
• 30:55
  case,
• 30:56
  in
• 30:56
  this
• 30:56
  case
• 30:57
  that
• 30:57
  I've
• 30:58
  presented,
• 30:58
  but
• 30:59
  for
• 30:59
  other
• 30:59
  people,
• 31:00
  it's
• 31:00
  a
• 31:00
  combination.
• 31:01
  It's
• 31:02
  usually
• 31:02
  ketogenic
• 31:03
  therapy,
• 31:04
  other
• 31:04
  metabolic
• 31:05
  therapies,
• 31:05
  good
• 31:06
  sleep,
• 31:06
  hygiene,
• 31:07
  morning
• 31:07
  light,
• 31:08
  movement,
• 31:08
  connection
• 31:09
  with
• 31:10
  ketogenic
• 31:11
  therapy
• 31:11
  as
• 31:11
  the
• 31:11
  foundation
• 31:13
  and
• 31:13
  then
• 31:13
  with
• 31:13
  the
• 31:14
  other
• 31:14
  things
• 31:14
  added
• 31:14
  in.
• 31:15
  And
• 31:15
  that's
• 31:16
  more
• 31:16
  so
• 31:16
  what
• 31:16
  it
• 31:16
  looks
• 31:17
  like.
• 31:17
  Yeah.
• 31:17
  Yeah.
• 31:18
  Well,
• 31:18
  such
• 31:19
  a
• 31:19
  great
• 31:19
  way
• 31:19
  to
• 31:20
  sort
• 31:20
  of
• 31:20
  just
• 31:20
  summarize
• 31:22
  what
• 31:22
  this
• 31:23
  individual
• 31:23
  case
• 31:23
  report
• 31:24
  brings
• 31:24
  up.
• 31:24
  So
• 31:25
  many
• 31:25
  different
• 31:25
  topics,
• 31:25
  so
• 31:26
  many
• 31:26
  different
• 31:26
  considerations.
• 31:27
  But
• 31:27
  like
• 31:27
  you
• 31:27
  said,
• 31:28
  something
• 31:28
  that
• 31:28
  should
• 31:29
  get
• 31:29
  everybody's
• 31:29
  attention
• 31:30
  to
• 31:30
  have
• 31:30
  them
• 31:31
  looking
• 31:31
  into
• 31:31
  it
• 31:31
  further,
• 31:32
  considering
• 31:33
  it
• 31:33
  if
• 31:33
  they're
• 31:34
  a
• 31:34
  clinician
• 31:34
  and
• 31:35
  certainly
• 31:35
  saying,
• 31:35
  how
• 31:36
  can
• 31:36
  I
• 31:36
  learn
• 31:36
  more
• 31:36
  about
• 31:37
  this
• 31:37
  if
• 31:37
  I'm
• 31:38
  a
• 31:38
  researcher
• 31:40
  and
• 31:40
  a
• 31:40
  patient?
• 31:40
  So
• 31:40
  I
• 31:40
  want
• 31:40
  to
• 31:41
  thank
• 31:41
  you
• 31:41
  for
• 31:42
  taking
• 31:42
  the
• 31:42
  time
• 31:42
  to
• 31:43
  publish
• 31:43
  it.
• 31:43
  I
• 31:43
  know
• 31:43
  busy
• 31:44
  clinicians
• 31:44
  to
• 31:45
  take
• 31:45
  time
• 31:45
  to
• 31:46
  research
• 31:46
  and
• 31:46
  write
• 31:47
  is
• 31:48
  very
• 31:48
  challenging
• 31:48
  and
• 31:49
  for
• 31:49
  your
• 31:49
  patient
• 31:49
  to
• 31:50
  be
• 31:50
  willing
• 31:50
  to
• 31:50
  sort
• 31:50
  of
• 31:51
  share
• 31:51
  her
• 31:51
  story
• 31:52
  with
• 31:53
  the
• 31:53
  world.
• 31:53
  So
• 31:53
  thank
• 31:54
  you
• 31:54
  very
• 31:54
  much.
• 31:54
  And
• 31:54
  if
• 31:54
  people
• 31:55
  want
• 31:55
  to
• 31:55
  learn
• 31:55
  more
• 31:55
  about
• 31:55
  you
• 31:56
  and
• 31:56
  all
• 31:56
  the
• 31:56
  work
• 31:56
  you're
• 31:57
  doing,
• 31:57
  where
• 31:57
  can
• 31:57
  we
• 31:58
  send
• 31:58
  them?
• 31:58
  So
• 31:59
  yeah,
• 31:59
  you
• 31:59
  can
• 31:59
  find
• 32:00
  me.
• 32:00
  You
• 32:01
  can
• 32:01
  just
• 32:01
  put
• 32:01
  my
• 32:01
  name
• 32:01
  into
• 32:02
  Google
• 32:02
  and
• 32:02
  I'll
• 32:02
  pop
• 32:02
  up,
• 32:03
  but
• 32:04
  you
• 32:04
  can
• 32:04
  also
• 32:04
  find
• 32:04
  me@ikrt.org
• 32:08
  that
• 32:08
  is
• 32:08
  the
• 32:08
  name
• 32:08
  of
• 32:08
  my
• 32:09
  private
• 32:09
  practice.
• 32:11
  And
• 32:11
  I
• 32:11
  not
• 32:12
  only
• 32:12
  work
• 32:12
  with
• 32:12
  people
• 32:13
  one
• 32:13
  on
• 32:13
  one
• 32:14
  and
• 32:14
  in
• 32:14
  groups,
• 32:15
  but
• 32:15
  also
• 32:16
  work
• 32:16
  with
• 32:17
  training
• 32:17
  clinicians
• 32:18
  and
• 32:18
  open
• 32:18
  to
• 32:19
  research
• 32:19
  collaborations
• 32:20
  as
• 32:20
  well.
• 32:20
  So
• 32:21
  anybody
• 32:21
  can
• 32:21
  feel
• 32:22
  free
• 32:22
  to
• 32:22
  reach
• 32:23
  out
• 32:23
  to
• 32:23
  me
• 32:23
  and
• 32:23
  to
• 32:24
  contact
• 32:24
  me
• 32:24
  if
• 32:24
  they
• 32:24
  need
• 32:24
  guidance,
• 32:25
  support,
• 32:25
  or
• 32:26
  they
• 32:26
  want
• 32:26
  to
• 32:26
  collaborate
• 32:27
  in
• 32:27
  some
• 32:27
  way.
• 32:28
  That
• 32:28
  would
• 32:28
  be
• 32:29
  great.
• 32:29
  Perfect.
• 32:29
  Well,
• 32:29
  thank
• 32:30
  you
• 32:30
  so
• 32:30
  much.
• 32:30
  Thank
• 32:31
  you
• 32:31
  so
• 32:31
  much.
• 32:31
  I'll
• 32:31
  speak
• 32:32
  to
• 32:32
  you
• 32:32
  soon.
• 32:33
  Thanks
• 32:34
  for
• 32:34
  listening
• 32:34
  to
• 32:34
  the
• 32:35
  Metabolic
• 32:35
  Mind
• 32:35
  Part
• 32:36
  podcast.
• 32:36
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• 32:36
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• 32:36
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• 32:48
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• 32:49
  Lastly,
• 32:50
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• 32:50
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• 32:50
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• 32:58
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• 32:58
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• 32:59
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• 32:59
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• 32:59
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  Podcast.
• 33:01
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