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Welcome to the Sardine Challenge.

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So the only thing on the menu for the next three days

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is Sardines.

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I challenge you to try and eat three of those cans in a day

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because that's a hell of a tool to help you

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get into a ketogenic state.

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And when you're in a ketogenic state,

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it helps burn fat.

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Muscle mask gets higher preserved.

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I've seen patients that have reversed their gray hair

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and their brain performance, concentration and energy,

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all of those things improved.

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And so I'm gonna teach you how to do

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an advanced ketogenic diet.

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BEEP.

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Sorry, the Sardine juice is going on my head.

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Good luck in that often.

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Dr. Annette Bosworth is the insulin-resistant specialist.

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With over two decades of experience,

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she's discovered that the K to your health

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isn't more treatments.

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It's to get into a ketogenic state.

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Most people have been making buckets of insulin

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without knowing it, but when you have access insulin,

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it's a chronic disease maker.

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It is what makes high blood pressure.

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It is what makes cancer.

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It is what makes debris in the brain,

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which is linked to depression,

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brain fog, Alzheimer's, and Parkinson's.

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And so to reverse the high insulin state,

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I really push my patients to do the ketogenic diet

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and what unfolds is your best life ahead within a year.

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Like, I really rescued my mom from the edge of death.

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So where do I start?

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First thing is put insulated night

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because you're stimulating an excessive production of insulin.

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The next thing to keep the carbs low,

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put the fat up, more eggs, beef brisket, ribs, pork belly.

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And then people will often say,

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when you talk about the ketogenic diet,

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that it's not sustainable.

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So you have this idea of this keto continuum,

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consistently keto for life.

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Yeah, I mean, I've been on a ketogenic diet for 10 years.

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And there's 12 steps for it.

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You're not going to have to try very hard.

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So the first step is...

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Just give me 30 seconds of your time.

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Two things I wanted to say.

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The first thing is a huge thank you

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for listening and tuning into the show

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week after week means the world to all of us.

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And this really is a dream that we absolutely never had

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and couldn't have imagined getting to this place.

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But secondly, it's a dream where we feel like

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we're only just getting started.

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And if you enjoy what we do here,

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please join the 24% of people that listen

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to this podcast regularly and follow us on this app.

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Here's a promise I'm going to make to you.

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I'm going to do everything in my power

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to make this show as good as I can now and into the future.

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We're going to deliver the guests that you want me to speak to

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and we're going to continue to keep doing

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all of the things you love about this show.

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Thank you.

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Dr. Annette Bosworth, or shall I call you Dr. Bos?

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What is it that you know and believe and understand

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that you think the general public

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doesn't know, believe and understand?

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The most of the reasons people come to see me

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could be reversed if they knew how to make ketones

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on a regular basis.

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So I'm an internist.

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That means if you go to an internal medicine doctor

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and we don't know what's wrong, you're going to die.

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We take care of tough puzzles

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and we do this over a long management,

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chronic disease management.

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So I've got 25 years of studying chronic problems

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that deteriorate the quality of life.

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Lifespan, health span, both go in the toilet

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when you're chronically seeing me.

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And you could abort all of that destiny.

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If routinely you were making ketones.

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An internist sounds like an intern.

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I'm trying to understand the doctor.

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The marketing on this is terrible.

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It just means you're supposed to take care of a

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very complex answer as your job.

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I mean, the buck stops with you.

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If the internal medicine team can't figure it out,

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you're going to die.

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So you're basically a chronic illness doctor.

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Chronic disease management is absolutely it.

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You know, I love the way Peter Atea uses medicine 2.0,

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which is what we are the masters of,

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managing it, making sure the prescriptions are there,

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making sure you are treating all these problems.

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The internist being one of your best buddies

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because you're having to see them routinely.

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You got to get the meds refilled.

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You got to check for the side effects.

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It's a mill.

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What is medicine 2.0 in your definition?

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Yeah, so I can keep you from dying from childbirth

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and infections.

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And I have an antidote for every one of your symptoms.

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We are in a world where medicine has answered a lot of problems.

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Little things like high blood pressure.

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Little things like it's a few extra pounds around the middle.

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Little things like brain fog.

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Oh, my eyes are aging.

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All of these are signals that your body has made more trash

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than it cleaned up.

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And there were some rules to humans that you missed.

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And for my listeners that have clicked on this conversation,

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what are they going to get out of giving us that time

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and staying with us and listening to this?

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What is the end goal going to be for them in their lives?

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Listening to the way I talked to my patients

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and teach them the steps how to reverse the medical problems

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that you've already got on the roster.

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And by doing that, the freedom

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is to be the kind of grandparent that you dreamt of,

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but you've surrendered can't be there anymore.

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And what is the list of predicaments or illnesses that

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are relevant here?

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Most common one is being overweight

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in a brain that's not working right.

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What really is behind all of the patients

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I've seen for 25 years is we're working

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on peak brain performance.

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Even if you don't think about that, that's what I think about.

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So when you come in and you're 55 years old,

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and I can see the worry of Parkinson's headed your way.

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Super young is 55 years old with Parkinson's.

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That is a brain that's got too much trash

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and you don't know it yet.

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And I mean, in the history of Dr. Baz versus Parkinson's,

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Parkinson's has like 3,500 patients, I have zero.

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Parkinson's wins every time.

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And the biggest moment of people

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who have chronic problems under the hood

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is they have no idea that it's coming.

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And once that lands, the reversal is much worse.

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Seeing it 10 years before it's supposed to be there,

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this is a gift saying, let me show you how to undo that.

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Back away from the edge, it's that brain function

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that you are going to miss the most when it doesn't work.

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And it's linked to all of these things,

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like the arthritis, the weight around the middle,

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the high blood pressure, the severe connection

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to mental approach, meaning you can say depression,

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but people say, oh, I don't have that diagnosis.

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I'm talking about a brain that doesn't want to engage,

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that doesn't find joy in their life anymore

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because it's been too many years

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since they took out the trash.

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Let me show you how to take out the trash

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and you have to do a few times.

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But what unfolds is your best life ahead within a year.

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So you're going to teach me how to take out the trash?

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Yeah.

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The trash in my own brain.

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Yep.

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And if I take out the trash in my own brain,

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how is my life going to be better?

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You live in the 21st century,

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where there's lots of process foods

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and lots of ways that your body did things without telling you.

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So any injury that you've had,

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like a joint injury that keeps coming back every time

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you injured, it is a little easier to injure the next time,

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is there a ring around the middle

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that's more than pinch and inch?

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Is there a distance in time

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where you say, I can focus for this many hours,

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but I can't do it for this many hours anymore?

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Those are all places where if you did this,

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if you were able to say, don't stop taking out the trash

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several times a year, several times a month if you asked me,

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then you never have to come into this world

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that I just see people, they're in quicksand,

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they're up to their waist and getting them out,

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they need a real lifeline.

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And what are the current solutions people are typically offered

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when they're feeling all the ways that you describe there,

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where they just don't feel good, they have brain fog,

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they might have chronic pain setting in in various ways.

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What are the typical solutions that medicine 2.0

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would offer them?

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Yeah, especially if they have good insurance.

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That doctor is going to be with the covered insurance plan

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and he's going to say, tell me the symptoms.

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I have a matching game.

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I will give you the drugs that will take away that one

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and take away that one and take away that one.

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What is always a downside is,

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well, play that forward for 10 years,

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play it for over five years.

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And are the symptoms gone?

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No, but it will bridge and hold up the architecture

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of the body and the human without actually fixing the problem,

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without actually diving in and say,

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you got some chemistry problems under the hood

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that you don't measure and you don't talk about.

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But if you did, even if you're not perfect,

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even if you're 70%, you're going to find yourself

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at the age of 54 with vitality and energy

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and sleeping through the night

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and not having whatever other 54-year-old,

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which is chronic joint pain,

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a brain that can only focus for three to four hours

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without a break, a stamina of endurance and health

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and joy that falls apart.

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So when I'm your 54-year-old,

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when I'm 54-year-old, I want to be as young and energetic

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and articulate and cognitively astute as you are.

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So what should I be doing now to make sure

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that I don't decline decay in all those areas I've described?

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Well, what'd you have for breakfast?

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Today. Yeah.

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I have not eaten breakfast yet.

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It's OK, that's not a bad thing.

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When you're 54, you should probably

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put the calories in the morning, not at night.

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We know that as you age, the cost of a calorie

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turns into timing.

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If you eat that food, one bite of food after six o'clock

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is worth 10 bites of food before noon.

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So if you're trying to say, how do I

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get the best out of the nourishment,

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but also eating's fun?

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If you only get one bite after six o'clock

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and 10 before, move that food towards morning.

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When you're your age, what's the last meal you ate?

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Yesterday. Yeah.

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For dinner, I had this caught and I had salad.

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I also had pasta.

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OK.

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But they're pretty late, which is a bit...

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Yeah, why did you have the rest of the day before that?

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Was that your protein? Just a big salad.

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Was that more towards lunch or noon or...

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Probably about four o'clock.

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So I waited all the way to four o'clock to eat.

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Very common.

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This is a really common pattern of people doing

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what we would say intermittent or time-restricted eating.

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They put that eating window in this,

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but it's got that balloon at the end of the day.

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Yeah.

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And it really does, I mean, what you're stimulating

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is an excessive production of insulin.

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And you're going to wake up the next morning.

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What time do you wake up this morning?

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Today, I went to bed fairly relatively early for me.

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I woke up at about 7.30 a.m.

261
00:10:14.200 --> 00:10:15.640
Oh, especially it's later.

262
00:10:15.640 --> 00:10:20.080
And did you have a solid seven, eight hours of sleep or how?

263
00:10:20.080 --> 00:10:20.920
Yeah.

264
00:10:20.920 --> 00:10:23.800
So during that time, you finish eating around 10 o'clock,

265
00:10:23.800 --> 00:10:24.720
then it sounds like...

266
00:10:24.720 --> 00:10:25.560
Yeah.

267
00:10:25.560 --> 00:10:26.400
Okay, so then it's seven...

268
00:10:26.400 --> 00:10:27.240
Give me a bit later.

269
00:10:27.240 --> 00:10:28.400
Okay, so 11 o'clock.

270
00:10:28.400 --> 00:10:31.400
And you've got 7.30 the mornings when you woke up.

271
00:10:31.400 --> 00:10:33.800
So that's about eight hours since you've eaten.

272
00:10:33.800 --> 00:10:35.800
Your insulin is still churning,

273
00:10:35.800 --> 00:10:37.240
especially if the meal was large.

274
00:10:37.240 --> 00:10:38.600
And there was carbs in it.

275
00:10:38.600 --> 00:10:41.080
So now you've got these processed foods late at night.

276
00:10:41.080 --> 00:10:43.240
And you're at the beginning of the disease, right?

277
00:10:43.240 --> 00:10:46.840
You're at the beginning of the chronic inflammatory turn

278
00:10:46.840 --> 00:10:48.840
of how do you age faster and faster?

279
00:10:48.840 --> 00:10:49.760
You don't do that.

280
00:10:49.760 --> 00:10:52.200
You don't have high insulin throughout the night.

281
00:10:52.200 --> 00:10:55.000
So can you explain to me, like, on a 12-year-old,

282
00:10:55.000 --> 00:10:57.680
what insulin is and the role it's playing?

283
00:10:57.680 --> 00:10:59.440
Because, you know, I guess we're focused here on

284
00:10:59.440 --> 00:11:03.080
how the longevity aging for a second.

285
00:11:03.080 --> 00:11:04.680
But how does insulin play role in all of this?

286
00:11:04.680 --> 00:11:05.520
And what is insulin?

287
00:11:05.520 --> 00:11:08.840
So insulin insulates, okay?

288
00:11:08.840 --> 00:11:10.920
So think of it as it makes you fluffy.

289
00:11:10.960 --> 00:11:12.560
It puts the fat on.

290
00:11:13.880 --> 00:11:15.320
It's got some other roles too.

291
00:11:15.320 --> 00:11:17.160
But we're gonna talk about chronic diseases here

292
00:11:17.160 --> 00:11:19.640
where it's not a scarcity problem.

293
00:11:19.640 --> 00:11:21.560
You make plenty of it.

294
00:11:21.560 --> 00:11:23.600
And when it's in excess,

295
00:11:23.600 --> 00:11:27.880
it will store energy for when you go through a famine.

296
00:11:27.880 --> 00:11:30.680
It will also cause you to grow.

297
00:11:30.680 --> 00:11:33.320
Now, grow means you get a little fatter,

298
00:11:33.320 --> 00:11:36.680
but it also means things like their skin gets a little thicker.

299
00:11:36.680 --> 00:11:38.920
They have skin tags.

300
00:11:38.920 --> 00:11:41.080
And what I always think about is what's going on

301
00:11:41.080 --> 00:11:42.160
in their brain.

302
00:11:42.160 --> 00:11:46.120
And when that insulin is high for years and years and years,

303
00:11:46.120 --> 00:11:49.720
just like yours, because if you didn't eat the rest of today,

304
00:11:49.720 --> 00:11:51.720
and then you got up tomorrow morning,

305
00:11:51.720 --> 00:11:54.800
it would be about that long after a late meal.

306
00:11:54.800 --> 00:11:58.120
Last night, that's how long it would take you to say,

307
00:11:58.120 --> 00:12:00.960
okay, we're back down to where we started from

308
00:12:00.960 --> 00:12:01.960
or where we should be in the morning.

309
00:12:01.960 --> 00:12:04.120
For someone that's never had the wedding seal in before,

310
00:12:04.120 --> 00:12:06.240
there's some context to give in terms of what it's doing.

311
00:12:06.240 --> 00:12:08.360
So it's coming out like a transporter

312
00:12:08.360 --> 00:12:09.760
and helping put away the sugar.

313
00:12:09.760 --> 00:12:11.280
We'll deal with the excess sugar.

314
00:12:11.280 --> 00:12:13.400
Right. So it is what lifts.

315
00:12:13.400 --> 00:12:16.640
Yeah, it lifts glucose or sugar from the circulation

316
00:12:16.640 --> 00:12:17.560
into a cell.

317
00:12:17.560 --> 00:12:19.640
That's its first primary job.

318
00:12:19.640 --> 00:12:22.440
But if all the cells are full, their storage is full.

319
00:12:22.440 --> 00:12:24.520
It's going to start to pack it into the liver.

320
00:12:24.520 --> 00:12:26.680
I mean, let's say all those stores are full too.

321
00:12:26.680 --> 00:12:30.960
This job of the insulin, this hormone

322
00:12:30.960 --> 00:12:33.520
oozes into every part of your body to say,

323
00:12:33.520 --> 00:12:37.080
make sure it's got fuel, make sure it's got that sugar.

324
00:12:37.080 --> 00:12:40.480
But most people are like what I would guess you are.

325
00:12:40.480 --> 00:12:43.240
Most of the time, you aren't a shortage of sugar.

326
00:12:43.240 --> 00:12:45.840
And so it fills, it tops things off

327
00:12:45.840 --> 00:12:47.880
and then it will turn things into fat.

328
00:12:47.880 --> 00:12:49.440
It's too much sugar, they can't store it.

329
00:12:49.440 --> 00:12:50.760
All the storage is full.

330
00:12:50.760 --> 00:12:52.960
So you can send the signal out, make me some more cells.

331
00:12:52.960 --> 00:12:54.240
I need some more storage units.

332
00:12:54.240 --> 00:12:56.520
This guy's eating more than he thinks he is.

333
00:12:56.520 --> 00:13:00.440
And we're going to be prepared to live through the famine.

334
00:13:01.440 --> 00:13:04.640
But in the meantime, turn it into fat,

335
00:13:04.640 --> 00:13:05.920
make him a little fluffier.

336
00:13:05.920 --> 00:13:07.960
Is that the only consequence of high insulin

337
00:13:07.960 --> 00:13:10.200
is that I'm going to, I might be a bit more fat?

338
00:13:10.200 --> 00:13:12.400
No, that's just the one people hear about the most.

339
00:13:12.400 --> 00:13:14.760
When you look at chronic disease management,

340
00:13:14.760 --> 00:13:19.320
it is the growth of the diseases, of the inflammation.

341
00:13:19.320 --> 00:13:21.680
It's the making of the trash.

342
00:13:21.680 --> 00:13:24.600
So I keep saying, you need to take the trash out routinely,

343
00:13:24.600 --> 00:13:27.160
which means that insulin, which has been

344
00:13:27.160 --> 00:13:29.480
smoldering higher than you think it is,

345
00:13:29.480 --> 00:13:30.600
because you live in today's world,

346
00:13:30.600 --> 00:13:31.680
because you eat processed food,

347
00:13:31.680 --> 00:13:33.680
because you eat superlated night.

348
00:13:33.680 --> 00:13:35.360
You don't go two to three days without eating.

349
00:13:35.360 --> 00:13:38.600
You've got storage filled in your body.

350
00:13:38.600 --> 00:13:41.760
The high insulin levels in a healthy person

351
00:13:41.760 --> 00:13:45.920
hides that the debris is being made and you don't know it.

352
00:13:45.920 --> 00:13:47.040
Yeah, hides it.

353
00:13:47.040 --> 00:13:50.080
Yeah, it's going to put it in between two cells in your brain.

354
00:13:50.080 --> 00:13:52.560
It's going to put it in between the skin cells.

355
00:13:52.560 --> 00:13:57.120
The trash doesn't get taken out until the insulin gets lower.

356
00:13:57.120 --> 00:14:00.200
And unfortunately, most people

357
00:14:00.200 --> 00:14:02.880
have been making buckets of insulin without knowing it.

358
00:14:02.880 --> 00:14:04.280
Why?

359
00:14:04.280 --> 00:14:06.120
What are they doing to create buckets of insulin?

360
00:14:06.120 --> 00:14:07.200
All the things you said about?

361
00:14:07.200 --> 00:14:09.120
Carbs.

362
00:14:09.120 --> 00:14:13.480
Foods that comes from boxes and barcodes and bags,

363
00:14:13.480 --> 00:14:18.040
instead of whole foods, instead of a fat forward diet,

364
00:14:18.040 --> 00:14:22.200
which would then push that body into making ketones.

365
00:14:22.200 --> 00:14:27.920
So you cannot make a ketone if you're insulin-side.

366
00:14:27.920 --> 00:14:30.960
Are there really signs that I might have high levels

367
00:14:30.960 --> 00:14:32.800
of insulin or insulin resistance?

368
00:14:32.800 --> 00:14:34.760
Abdominal growth is the first thing that is

369
00:14:34.760 --> 00:14:36.480
the first place that the fat goes.

370
00:14:36.480 --> 00:14:38.000
So you do this really great part where

371
00:14:38.000 --> 00:14:40.440
you don't eat until later in the day.

372
00:14:40.440 --> 00:14:42.920
How does that feel during the day?

373
00:14:42.920 --> 00:14:44.160
During the day, I feel really focused.

374
00:14:44.160 --> 00:14:45.600
I actually don't even know that I'm not eating.

375
00:14:45.600 --> 00:14:46.440
So that's really good.

376
00:14:46.440 --> 00:14:48.400
So what I would love to know is show me

377
00:14:48.400 --> 00:14:50.200
what your blood sugars are doing during the day

378
00:14:50.200 --> 00:14:52.040
and show me if you make ketones.

379
00:14:52.520 --> 00:14:56.000
The answer is when you have excess insulin,

380
00:14:56.000 --> 00:14:59.880
which is this chronic disease maker,

381
00:14:59.880 --> 00:15:02.920
it is what makes cancer, it is what makes high blood pressure,

382
00:15:02.920 --> 00:15:05.000
it is what makes debris in the brain

383
00:15:05.000 --> 00:15:08.440
where call it depression or brain fog or Parkinson's.

384
00:15:08.440 --> 00:15:10.320
It's the aging of the brain.

385
00:15:10.320 --> 00:15:11.400
It's linked to all of those things.

386
00:15:11.400 --> 00:15:12.600
All of those things.

387
00:15:12.600 --> 00:15:15.600
And that excess insulin nobody tells you about.

388
00:15:15.600 --> 00:15:17.600
But the symptoms are, dang,

389
00:15:17.600 --> 00:15:20.280
I feel like I got to eat every two to three hours.

390
00:15:20.280 --> 00:15:23.440
Their debris or their fuel keeps running out.

391
00:15:23.440 --> 00:15:27.440
When you say, boy, I can eat once at the end of the day

392
00:15:27.440 --> 00:15:29.920
and I'm pretty good, my focus stays really good.

393
00:15:29.920 --> 00:15:31.600
What I want you to prove is,

394
00:15:31.600 --> 00:15:33.360
what are your ketones during the day?

395
00:15:33.360 --> 00:15:36.680
So when you've got a patient who has done that,

396
00:15:37.520 --> 00:15:41.240
their ketones will be 0.7, 1.0.

397
00:15:41.240 --> 00:15:44.920
And they're taking off the trash all day long.

398
00:15:44.920 --> 00:15:46.080
So there's these two energy sources,

399
00:15:46.080 --> 00:15:47.520
one of them's the glucose, one of them's,

400
00:15:47.520 --> 00:15:51.200
which is from eating pasta, which I last night.

401
00:15:51.200 --> 00:15:53.200
So that probably put a lot of glucose in my bed.

402
00:15:53.200 --> 00:15:54.640
I probably had a high glucose spike

403
00:15:54.640 --> 00:15:56.720
and then insulin came out to deal with that.

404
00:15:56.720 --> 00:15:59.880
And then there's ketones which start to appear

405
00:15:59.880 --> 00:16:02.520
when I'm fasting or when I haven't been eating carbs

406
00:16:02.520 --> 00:16:04.480
for a while and my body's looking for an energy source.

407
00:16:04.480 --> 00:16:08.040
Yeah, in terms of these two energy sources,

408
00:16:09.360 --> 00:16:12.400
there seems to be a lot of high-paround ketones.

409
00:16:12.400 --> 00:16:15.520
So why doesn't our body just run off ketones?

410
00:16:15.520 --> 00:16:18.760
Well, as soon as you're done lowering your insulin,

411
00:16:18.760 --> 00:16:21.680
and insulin grew in these patients,

412
00:16:21.680 --> 00:16:23.360
they didn't know that it was growing high.

413
00:16:23.360 --> 00:16:24.760
They went to their blood test

414
00:16:24.760 --> 00:16:26.680
and their glucose looked normal.

415
00:16:26.680 --> 00:16:28.800
What nobody checked for years is how much

416
00:16:28.800 --> 00:16:30.920
of that insulating hormone did it take

417
00:16:30.920 --> 00:16:32.800
to keep the glucose controlled?

418
00:16:32.800 --> 00:16:35.880
And that's where chronic diseases are grown in spades.

419
00:16:35.880 --> 00:16:37.080
That's where autoimmune disorders are.

420
00:16:37.080 --> 00:16:38.560
The insulating hormone being insulin.

421
00:16:38.560 --> 00:16:39.400
Yes.

422
00:16:39.400 --> 00:16:42.880
So that excess insulin for the last decade,

423
00:16:42.880 --> 00:16:44.200
had you come into my clinic,

424
00:16:44.200 --> 00:16:46.800
we'll put a label on it, call it PCOS,

425
00:16:46.800 --> 00:16:51.280
call it high blood pressure, call it autoimmune problems.

426
00:16:51.280 --> 00:16:53.680
All of them are linked to high insulin.

427
00:16:53.680 --> 00:16:55.600
Glucose, when you want to store it,

428
00:16:55.600 --> 00:16:58.240
we put it in a fancy string called glycogen.

429
00:16:58.240 --> 00:17:00.760
And it's just an efficient way to store glucose,

430
00:17:00.760 --> 00:17:03.400
but as soon as your body needs it, it will unlock all

431
00:17:03.400 --> 00:17:06.800
that sugar back into your access back for you.

432
00:17:06.800 --> 00:17:08.360
What you don't realize is,

433
00:17:08.360 --> 00:17:11.280
well, how much glycogen you got stored over there?

434
00:17:11.280 --> 00:17:13.160
How much is there in storage?

435
00:17:13.240 --> 00:17:15.400
And that is what high insulin has been doing.

436
00:17:15.400 --> 00:17:17.720
Just put it in storage, put it in storage.

437
00:17:17.720 --> 00:17:21.480
And then when you stop eating, you'll know

438
00:17:21.480 --> 00:17:23.680
if you emptied out all your stored sugar,

439
00:17:23.680 --> 00:17:25.880
which is some of the regular sugar you just ate,

440
00:17:25.880 --> 00:17:28.920
but then all this glycogen, this packaged sugar.

441
00:17:28.920 --> 00:17:30.520
How empty are you?

442
00:17:30.520 --> 00:17:33.160
I don't know, have you made a ketone yet?

443
00:17:33.160 --> 00:17:35.760
You cannot make a ketone, you cannot burn fat

444
00:17:35.760 --> 00:17:38.080
until that tank is empty.

445
00:17:38.080 --> 00:17:39.600
Okay, so I have these glycogen stores

446
00:17:39.600 --> 00:17:41.400
which last for a day or two?

447
00:17:41.440 --> 00:17:44.560
Oh no, think of it as brown sugar.

448
00:17:44.560 --> 00:17:46.880
So you package the sugar really tight,

449
00:17:46.880 --> 00:17:48.040
and then you put it in the back of the drawer

450
00:17:48.040 --> 00:17:51.240
and it turned crusty, because you never lowered your insulin.

451
00:17:51.240 --> 00:17:53.000
I have patients that are overweight,

452
00:17:53.000 --> 00:17:54.560
and we put them on a ketogenic,

453
00:17:54.560 --> 00:17:57.320
we put them on a 20 total carbohydrates per day,

454
00:17:57.320 --> 00:17:59.240
so super low carbohydrate.

455
00:17:59.240 --> 00:18:02.440
It is 15 days before they make a ketone.

456
00:18:02.440 --> 00:18:05.400
Okay, so it could be a, it could be up to two weeks,

457
00:18:05.400 --> 00:18:08.120
for example, before my glycogen stores are empty.

458
00:18:08.120 --> 00:18:09.920
And it's not until my glycogen stores,

459
00:18:09.920 --> 00:18:12.000
my glucose stores are empty that my body

460
00:18:12.000 --> 00:18:13.440
can start producing ketones.

461
00:18:13.440 --> 00:18:14.280
Correct.

462
00:18:14.280 --> 00:18:16.200
So it's gonna exhaust all of those glycogen stores,

463
00:18:16.200 --> 00:18:17.480
and then once it's run out,

464
00:18:17.480 --> 00:18:19.400
it's gonna switch into this ketogenic state.

465
00:18:19.400 --> 00:18:23.720
Right, yeah, so think of it as your short term,

466
00:18:23.720 --> 00:18:27.160
easy to access sugar has to decrease,

467
00:18:27.160 --> 00:18:30.160
and that means your insulin has decreased,

468
00:18:30.160 --> 00:18:31.480
that hormone for insulate.

469
00:18:31.480 --> 00:18:32.640
They're both run in tangents.

470
00:18:32.640 --> 00:18:34.480
You decrease your empty in glycogen,

471
00:18:34.480 --> 00:18:35.840
your insulin's going down.

472
00:18:35.840 --> 00:18:39.640
So how do I know if I have insulin resistance?

473
00:18:39.680 --> 00:18:40.680
What are the key signs?

474
00:18:40.680 --> 00:18:42.920
You mentioned skin tags, I've never had that time before.

475
00:18:42.920 --> 00:18:45.520
Yeah, skin tags are not moles.

476
00:18:45.520 --> 00:18:48.560
So moles, you can feel this bump on your skin, right?

477
00:18:48.560 --> 00:18:52.680
But a skin tag has a neck and like a little mushroom.

478
00:18:52.680 --> 00:18:55.280
And it's the most annoying thing when patients come

479
00:18:55.280 --> 00:18:56.840
and say, well, I just tried to cut them all off,

480
00:18:56.840 --> 00:18:58.240
but they kept bleeding.

481
00:18:58.240 --> 00:19:00.320
And like, do not cut them off.

482
00:19:00.320 --> 00:19:03.760
They'll fall off when your insulin's lower.

483
00:19:03.760 --> 00:19:04.640
So that's the first place.

484
00:19:04.640 --> 00:19:06.200
It'll be found in their armpits or places where

485
00:19:06.200 --> 00:19:08.640
their skin rubs, so armpits and they're growing.

486
00:19:08.840 --> 00:19:10.600
And once insulin starts to grow them,

487
00:19:10.600 --> 00:19:11.840
it's like a crop.

488
00:19:11.840 --> 00:19:15.040
A crop, a little baby call flower, hanging out in their armpits.

489
00:19:15.040 --> 00:19:18.880
You talked about velvety skin as well as being an indicator.

490
00:19:18.880 --> 00:19:20.880
Velvety skin is this Latin word,

491
00:19:20.880 --> 00:19:24.760
it canthosis nigricans, which is a fancy word that means

492
00:19:24.760 --> 00:19:27.000
the skin is darker and thicker.

493
00:19:27.000 --> 00:19:30.440
So the places that usually happens is the back of the neck.

494
00:19:30.440 --> 00:19:33.960
And you'll hear stories of, I tried to wash my neck.

495
00:19:33.960 --> 00:19:36.160
It's dirty all the time.

496
00:19:36.160 --> 00:19:37.120
It's not dirt.

497
00:19:37.160 --> 00:19:42.120
It is the way the skin is under the curse of high insulin.

498
00:19:42.120 --> 00:19:44.720
And you see it in teenagers all the time now.

499
00:19:44.720 --> 00:19:46.920
They put on weight and their growth hormones

500
00:19:46.920 --> 00:19:49.320
are already doing that teenage thing.

501
00:19:49.320 --> 00:19:51.360
Now you put high insulin in there

502
00:19:51.360 --> 00:19:53.240
and they have this dirty neck syndrome

503
00:19:53.240 --> 00:19:55.040
or on the creases of their elbow.

504
00:19:55.040 --> 00:19:57.280
It's just darker here.

505
00:19:57.280 --> 00:19:58.840
That is pathology.

506
00:19:58.840 --> 00:20:01.720
That's not normal from high insulin.

507
00:20:01.720 --> 00:20:03.680
You talked about weight changes as well.

508
00:20:03.680 --> 00:20:05.280
What's this thing about hairy toes

509
00:20:05.280 --> 00:20:06.160
that I was reading about?

510
00:20:06.440 --> 00:20:08.040
So as my patients age,

511
00:20:08.040 --> 00:20:11.400
so most of my 55 year olds that have had high insulin,

512
00:20:11.400 --> 00:20:13.440
I will tell them, look at your toes.

513
00:20:13.440 --> 00:20:15.520
They're supposed to have hair on them.

514
00:20:15.520 --> 00:20:19.280
And when your body has had that high insulin state

515
00:20:19.280 --> 00:20:21.040
for a couple of decades now,

516
00:20:21.040 --> 00:20:23.040
it will start to say,

517
00:20:23.040 --> 00:20:26.240
we don't send resources to a couple parts of the body anymore.

518
00:20:26.240 --> 00:20:28.880
And the follicles in their toe are one of them,

519
00:20:28.880 --> 00:20:30.640
like just stop growing hair on your toes.

520
00:20:30.640 --> 00:20:33.000
And there's an ascending problem with this

521
00:20:33.000 --> 00:20:35.280
where the toe starts, then it's the ankles,

522
00:20:35.280 --> 00:20:36.080
then it's up to the knees.

523
00:20:36.080 --> 00:20:37.200
And they don't have hair anywhere

524
00:20:37.200 --> 00:20:38.960
on their lower extremities.

525
00:20:38.960 --> 00:20:42.880
It is a process that started from high insulin.

526
00:20:42.880 --> 00:20:43.720
What about aging?

527
00:20:43.720 --> 00:20:47.120
You talked about how if you have high insulin,

528
00:20:47.120 --> 00:20:48.960
they'll be an impact on your aging.

529
00:20:48.960 --> 00:20:50.040
Now I'm thinking about,

530
00:20:50.040 --> 00:20:51.400
you know, I'm getting a couple of gray hairs down

531
00:20:51.400 --> 00:20:53.600
because of my insulin levels.

532
00:20:53.600 --> 00:20:56.560
I have seen patients that have reversed their gray hair

533
00:20:56.560 --> 00:20:58.600
on a ketogenic diet, blew my mind.

534
00:20:58.600 --> 00:21:00.440
They asked me for the reason why that happened.

535
00:21:00.440 --> 00:21:04.120
And I thought, well, the cells are healthier

536
00:21:04.160 --> 00:21:06.880
that are making your hair, that's all I got.

537
00:21:06.880 --> 00:21:10.080
Aging is exactly that enemy,

538
00:21:10.080 --> 00:21:13.040
which is they are going around the sun

539
00:21:13.040 --> 00:21:17.440
with more growing of the trash than they needed.

540
00:21:17.440 --> 00:21:19.680
So that high insulin, they don't know about it.

541
00:21:19.680 --> 00:21:21.880
They've not produced a ketone in years.

542
00:21:21.880 --> 00:21:25.600
And that chronic disease is now difficult

543
00:21:25.600 --> 00:21:27.960
to get their eye to clean out.

544
00:21:27.960 --> 00:21:31.840
It's difficult to get that brain trash removed.

545
00:21:31.840 --> 00:21:33.680
And you're supposed to do it every night when you sleep.

546
00:21:33.720 --> 00:21:35.720
It's not supposed to be behind this far.

547
00:21:35.720 --> 00:21:37.920
You're two decades from taking out the trash

548
00:21:37.920 --> 00:21:40.000
in your brain, that's aging.

549
00:21:40.000 --> 00:21:44.280
How do I, Frista, even know my ketone blood levels?

550
00:21:44.280 --> 00:21:46.680
Well, when a patient first comes in saying,

551
00:21:46.680 --> 00:21:48.160
how do I begin?

552
00:21:48.160 --> 00:21:50.800
I want them to tell me what they had for their meal

553
00:21:50.800 --> 00:21:53.280
and then say, how many carbs do you think that was?

554
00:21:53.280 --> 00:21:55.960
Because this education, like an apple,

555
00:21:55.960 --> 00:21:59.920
is 20 grams of carbs, 15 grams of carbs for some of them.

556
00:21:59.920 --> 00:22:03.240
And we're going to ask you in the first six weeks

557
00:22:03.280 --> 00:22:05.800
to take your carb intake down to less than 20.

558
00:22:05.800 --> 00:22:10.000
20 total grams of carbohydrates or less is where we begin.

559
00:22:10.000 --> 00:22:12.120
And again, I do this in a medical grade.

560
00:22:12.120 --> 00:22:13.920
There are people who play with a ketogenic diet

561
00:22:13.920 --> 00:22:16.040
and there's people who try to reverse medical problems

562
00:22:16.040 --> 00:22:17.320
with a ketogenic diet.

563
00:22:17.320 --> 00:22:20.040
In order to do this, it is not a lazy kind of keto.

564
00:22:20.040 --> 00:22:22.800
You have to actually be on the same team as me

565
00:22:22.800 --> 00:22:26.120
using data to reverse this medical problem.

566
00:22:26.120 --> 00:22:29.440
And how does one measure that blood ketone levels?

567
00:22:29.440 --> 00:22:31.400
Yeah, I think blood is the best.

568
00:22:31.400 --> 00:22:33.840
There is a way you can measure them in urine.

569
00:22:33.840 --> 00:22:38.840
The burning of fat, if you turn that string of fat

570
00:22:38.880 --> 00:22:41.560
into ketones, there are two destinies for that.

571
00:22:41.560 --> 00:22:43.120
You either put it into a mitochondria

572
00:22:43.120 --> 00:22:45.960
and turn it into energy or you pee it out.

573
00:22:45.960 --> 00:22:49.200
So especially when they're early in a ketogenic journey,

574
00:22:49.200 --> 00:22:50.920
they overshoot.

575
00:22:50.920 --> 00:22:53.400
Evolution said, don't let them die.

576
00:22:53.400 --> 00:22:56.760
Turn that fat into energy, help them through the famine.

577
00:22:56.760 --> 00:23:00.680
So the excess ketones they make end up in their urine.

578
00:23:00.680 --> 00:23:03.040
We call them p-tone strips and they're cheap and easy

579
00:23:03.040 --> 00:23:05.120
and we don't have to cross that barrier

580
00:23:05.120 --> 00:23:07.440
of somebody pricking their finger at the beginning.

581
00:23:07.440 --> 00:23:10.480
So they're gonna pee out ketones every day

582
00:23:12.120 --> 00:23:15.120
as long as they're not chronic insulin resistant.

583
00:23:15.120 --> 00:23:18.680
So if I avoid carbs for a sustained period of time,

584
00:23:18.680 --> 00:23:19.960
which could be a couple of days,

585
00:23:19.960 --> 00:23:21.480
it could be up to two weeks.

586
00:23:21.480 --> 00:23:23.800
Eventually my body's gonna say less than we need energy.

587
00:23:23.800 --> 00:23:26.240
So it's gonna start burning my fat stores.

588
00:23:26.240 --> 00:23:27.080
Yes.

589
00:23:27.080 --> 00:23:29.880
From some of that fat around the midsection

590
00:23:29.920 --> 00:23:32.040
and it's gonna start turning that into ketones

591
00:23:32.040 --> 00:23:35.600
which are a different type of energy.

592
00:23:35.600 --> 00:23:39.320
Are there any reasons why ketone as a source of energy

593
00:23:39.320 --> 00:23:42.320
is better for me in terms of performance

594
00:23:42.320 --> 00:23:45.720
other than the insulin reasons that we've talked about?

595
00:23:45.720 --> 00:23:47.360
Like are there any other parts of my body

596
00:23:47.360 --> 00:23:49.960
or my health that benefit from ketones?

597
00:23:49.960 --> 00:23:51.600
For starters, when you're burning a ketone,

598
00:23:51.600 --> 00:23:53.040
there's less trash, okay?

599
00:23:53.040 --> 00:23:56.760
It is a cleaner fuel with less byproduct,

600
00:23:56.760 --> 00:23:58.160
especially as you age.

601
00:23:58.160 --> 00:23:59.800
So you get the longer energy

602
00:23:59.800 --> 00:24:01.640
and you have less debris floating around.

603
00:24:01.640 --> 00:24:03.960
You hear the word antioxidants all the time.

604
00:24:03.960 --> 00:24:07.680
Well, burning ketones is an antioxidant state.

605
00:24:07.680 --> 00:24:10.480
It is a, and it's in the space where you need it,

606
00:24:10.480 --> 00:24:12.600
which is inside that cell.

607
00:24:12.600 --> 00:24:15.560
You swallow antioxidants and you have no guarantee

608
00:24:15.560 --> 00:24:17.480
that they end up where they're supposed to.

609
00:24:17.480 --> 00:24:21.320
So number one, the fuel is reducing trash

610
00:24:21.320 --> 00:24:22.760
at a cellular level.

611
00:24:22.760 --> 00:24:26.320
It lasts longer and it penetrates

612
00:24:26.320 --> 00:24:28.000
through that blood brain barrier

613
00:24:28.000 --> 00:24:32.480
to fuel a brain that even if it's insulin resistant,

614
00:24:32.480 --> 00:24:34.080
it can use a ketone.

615
00:24:34.080 --> 00:24:37.520
So the problem with somebody who's chronic insulin resistance,

616
00:24:37.520 --> 00:24:41.920
their brain needs a lot of glucose to stay online.

617
00:24:42.920 --> 00:24:44.720
And I can try to get it there,

618
00:24:44.720 --> 00:24:46.840
but insulin is constantly fighting that.

619
00:24:46.840 --> 00:24:50.240
It's a war to try and keep the glucose in their brain.

620
00:24:50.240 --> 00:24:53.560
My hack is ketones will go right around that.

621
00:24:53.560 --> 00:24:55.160
It doesn't need the same transporters

622
00:24:55.160 --> 00:24:56.840
to get across the blood brain barrier

623
00:24:56.840 --> 00:24:59.560
and especially to fuel those cells in the brain.

624
00:24:59.560 --> 00:25:02.800
So for performance, I mean, name a game

625
00:25:02.800 --> 00:25:06.360
where you don't use your brain, there isn't one, right?

626
00:25:06.360 --> 00:25:08.200
You're gonna, if you're looking at performance

627
00:25:08.200 --> 00:25:10.320
to say let's begin with the sharpest brains

628
00:25:10.320 --> 00:25:12.400
and the most focused, the most disciplined,

629
00:25:12.400 --> 00:25:16.880
the less impulsivity, all of those things improve

630
00:25:16.880 --> 00:25:19.840
when that brain is being fueled with ketones.

631
00:25:19.840 --> 00:25:21.160
So let's focus on the brain part then.

632
00:25:21.160 --> 00:25:23.920
So what have you personally noticed

633
00:25:23.920 --> 00:25:26.680
as someone who I assume is in the ketogenic diet right now?

634
00:25:26.680 --> 00:25:27.520
Yes.

635
00:25:27.520 --> 00:25:29.120
What have you noticed the variances

636
00:25:29.120 --> 00:25:31.760
between when you're in a keto diet and when you're not?

637
00:25:31.760 --> 00:25:33.960
Right, well, I've been doing this since 2015.

638
00:25:33.960 --> 00:25:36.880
So the onset of it was really messy,

639
00:25:36.880 --> 00:25:40.520
but the seasons where I would do a great job

640
00:25:40.520 --> 00:25:42.920
and then I would think, ah, I'm fine.

641
00:25:43.720 --> 00:25:46.880
I mean, I can tell you, you see 25 patients in a day

642
00:25:46.880 --> 00:25:49.960
and I feel bad for the last five.

643
00:25:49.960 --> 00:25:51.800
They've got a sluggish brain.

644
00:25:51.800 --> 00:25:53.440
I don't care how much coffee you've got in you.

645
00:25:53.440 --> 00:25:56.520
You can't keep that focus for that length of time.

646
00:25:57.440 --> 00:26:00.920
When you're in a ketogenic state and not in a ketogenic state,

647
00:26:00.920 --> 00:26:05.120
the brain power, the concentration, the ability to keep

648
00:26:05.120 --> 00:26:09.360
your mood controlled is just, it is a night and day difference

649
00:26:09.360 --> 00:26:11.800
for most people, but I think especially for me,

650
00:26:11.800 --> 00:26:15.320
like I'm pretty high energy and when it runs out,

651
00:26:15.320 --> 00:26:18.680
I get crabby and that's not a good place to be

652
00:26:18.680 --> 00:26:20.120
if you're the patient.

653
00:26:20.120 --> 00:26:21.440
Yeah, I think I've noticed that as a podcast,

654
00:26:21.480 --> 00:26:24.280
but I've also had a lot of very well-known podcasters

655
00:26:24.280 --> 00:26:27.040
say the same thing, which is the variance in their ability

656
00:26:27.040 --> 00:26:28.760
to speak and articulate themselves and think

657
00:26:28.760 --> 00:26:31.280
and sit here for three to four hours having a conversation

658
00:26:31.280 --> 00:26:34.520
is night and day when they are in a faster ketogenic state

659
00:26:34.520 --> 00:26:38.800
versus or on a ketogenic diet versus when they are

660
00:26:38.800 --> 00:26:40.400
in a higher carb diet.

661
00:26:40.400 --> 00:26:43.240
And it's so profound to me that I almost wonder

662
00:26:43.240 --> 00:26:44.720
why more people don't.

663
00:26:44.720 --> 00:26:46.040
Well, it's insane.

664
00:26:46.040 --> 00:26:49.320
One of the best things that I've done in 25 years was,

665
00:26:49.320 --> 00:26:52.480
I went on a limb and said, I'm going to try and teach 200

666
00:26:52.480 --> 00:26:55.960
people at once how to do this intense ketogenic diet

667
00:26:55.960 --> 00:26:57.320
for three weeks.

668
00:26:57.320 --> 00:26:58.840
It is hardcore.

669
00:26:58.840 --> 00:26:59.800
This is not play time.

670
00:26:59.800 --> 00:27:01.400
You're checking your numbers every day

671
00:27:01.400 --> 00:27:04.040
and you're comparing them to your classmates.

672
00:27:04.040 --> 00:27:07.120
And what you get to see in this class of 200 people going

673
00:27:07.120 --> 00:27:11.440
with an extreme ketogenic diet is the testimony you just said.

674
00:27:11.440 --> 00:27:13.400
I cannot believe how good I feel.

675
00:27:13.400 --> 00:27:16.760
By the end of three weeks, their name and babies after me,

676
00:27:17.040 --> 00:27:19.880
they think this is a miracle.

677
00:27:19.880 --> 00:27:21.680
And I'm like, exactly.

678
00:27:21.680 --> 00:27:24.640
I mean, when you do it in a group like that,

679
00:27:24.640 --> 00:27:25.720
I don't need to advertise.

680
00:27:25.720 --> 00:27:26.520
They tell their friends.

681
00:27:26.520 --> 00:27:29.040
They tell their, if you want to be on a ketogenic diet

682
00:27:29.040 --> 00:27:31.040
that really wakes up your brain,

683
00:27:31.040 --> 00:27:32.280
that I didn't think I could do this.

684
00:27:32.280 --> 00:27:35.440
I thought I was too old for this level of energy.

685
00:27:35.440 --> 00:27:38.200
And it's there within three weeks of doing it right.

686
00:27:38.200 --> 00:27:41.360
How long does it typically take on average for someone

687
00:27:41.360 --> 00:27:45.520
to feel those brain benefits from doing the ketogenic diet?

688
00:27:45.520 --> 00:27:46.280
Typically.

689
00:27:46.320 --> 00:27:47.480
How long does it take you?

690
00:27:47.480 --> 00:27:48.320
Me?

691
00:27:48.320 --> 00:27:49.440
I rarely go out of it.

692
00:27:49.440 --> 00:27:51.400
Meaning I might have a couple of days

693
00:27:51.400 --> 00:27:53.800
where I fly to LA and have a fancy meal

694
00:27:53.800 --> 00:27:55.160
and then I need to be back on it.

695
00:27:55.160 --> 00:27:57.080
It just doesn't feel good anymore.

696
00:27:57.080 --> 00:27:59.640
But let's go to when I was overweight.

697
00:27:59.640 --> 00:28:02.560
So you say, who's insulin resistant?

698
00:28:02.560 --> 00:28:04.920
Any person who's had a baby.

699
00:28:04.920 --> 00:28:06.280
You have to be insulin resistant

700
00:28:06.280 --> 00:28:08.040
to hold that baby for nine months.

701
00:28:08.040 --> 00:28:09.120
So I had three of them.

702
00:28:09.120 --> 00:28:11.560
And then the weight never came off on that third one.

703
00:28:11.560 --> 00:28:13.600
So here is an insulin resistant person

704
00:28:13.600 --> 00:28:15.680
at 40 something years old.

705
00:28:15.680 --> 00:28:19.440
And I am probably 60 pounds every year than I am now.

706
00:28:20.480 --> 00:28:25.040
In the first time, I tried to get into a state of ketosis

707
00:28:25.040 --> 00:28:26.280
for like nine months.

708
00:28:26.280 --> 00:28:30.200
I was about to give up on, like, why can I not pee a ketone?

709
00:28:30.200 --> 00:28:32.360
Why does every, I mean, I'm a doctor.

710
00:28:32.360 --> 00:28:34.360
I'm trying to use this for my brain patients,

711
00:28:34.360 --> 00:28:36.400
but I'm afraid to tell them about it.

712
00:28:36.400 --> 00:28:39.160
Cause I personally cannot pee a ketone.

713
00:28:39.160 --> 00:28:41.560
I mean, I was trying to follow 50 carbs

714
00:28:41.560 --> 00:28:42.920
then I tried to do 30 carbs

715
00:28:42.920 --> 00:28:46.080
and then I tried to do none, but I just couldn't make it long

716
00:28:46.080 --> 00:28:47.760
enough into that ketogenic state.

717
00:28:47.760 --> 00:28:51.360
And what had happened is at least a decade of high insulin.

718
00:28:51.360 --> 00:28:54.520
Three babies, full practice, busy life, you know,

719
00:28:54.520 --> 00:28:56.960
on call, those kinds of things that are all dangerous

720
00:28:56.960 --> 00:28:58.920
if you're gonna try to have a peak brain.

721
00:28:59.960 --> 00:29:04.960
I took my kids on a 22 mile hike around the city

722
00:29:05.480 --> 00:29:09.720
on Memorial Day in the name of troops as mental health.

723
00:29:09.720 --> 00:29:12.120
And I said, if I am not peeing a ketone

724
00:29:12.120 --> 00:29:16.320
after walking 22 miles, having fasted for a day,

725
00:29:16.320 --> 00:29:18.960
then I'm for sure that this diet is a fooey.

726
00:29:18.960 --> 00:29:22.520
So that's how much energy it took for me to pee a ketone.

727
00:29:22.520 --> 00:29:24.000
Because I was very insulin resistant.

728
00:29:24.000 --> 00:29:26.080
I had been making excess insulin for a decade.

729
00:29:26.080 --> 00:29:28.880
And I'm a doctor, I should have known that.

730
00:29:28.880 --> 00:29:30.360
My sugars were fine.

731
00:29:30.360 --> 00:29:32.480
My hemoglobin A1C wasn't bad,

732
00:29:32.480 --> 00:29:35.240
but that excess insulin, that stored sugar,

733
00:29:35.240 --> 00:29:39.800
that stored glycogen, it took forever to get that low.

734
00:29:39.840 --> 00:29:43.760
And only after I fasted and then walked 22 miles,

735
00:29:43.760 --> 00:29:45.160
did I pee a ketone?

736
00:29:45.160 --> 00:29:48.280
So when you ask the question, how long does it take?

737
00:29:48.280 --> 00:29:50.200
I don't make a, I do a much better job now

738
00:29:50.200 --> 00:29:51.640
of telling people how to get there.

739
00:29:51.640 --> 00:29:55.080
Because I almost gave up thinking, this is junk science.

740
00:29:55.080 --> 00:29:57.720
If you were to eat a high carb meal now

741
00:29:57.720 --> 00:29:58.920
and take a couple of days off,

742
00:29:58.920 --> 00:30:01.800
how long would it take you to get back into a ketogenic state

743
00:30:01.800 --> 00:30:04.240
where you have those brain benefits now?

744
00:30:04.240 --> 00:30:07.120
I could probably flip back in within 12 hours.

745
00:30:07.120 --> 00:30:08.640
So that's how long it roughly takes.

746
00:30:08.640 --> 00:30:11.680
For someone who's got this embedded metabolic shape,

747
00:30:11.680 --> 00:30:13.080
it will take a couple of days.

748
00:30:15.200 --> 00:30:19.560
Is there a downside to living in ketosis the whole time?

749
00:30:19.560 --> 00:30:20.800
Because people often say,

750
00:30:20.800 --> 00:30:22.000
when you talk about the ketogenic diet,

751
00:30:22.000 --> 00:30:23.160
that it's not sustainable.

752
00:30:23.160 --> 00:30:24.880
Yeah, I hear that a lot,

753
00:30:24.880 --> 00:30:26.800
but I have thousands of patients

754
00:30:26.800 --> 00:30:28.640
that have been doing it for years.

755
00:30:28.640 --> 00:30:33.120
And what happens is as soon as they exit

756
00:30:33.120 --> 00:30:35.760
from the ketogenic diet and they start to feel

757
00:30:35.760 --> 00:30:37.280
that trash build up again,

758
00:30:37.280 --> 00:30:40.560
meaning the joints that didn't hurt forever now hurt.

759
00:30:40.560 --> 00:30:43.080
The vision that was super clear is now foggy again.

760
00:30:43.080 --> 00:30:46.080
The brain that wasn't irritable and depressive

761
00:30:46.080 --> 00:30:47.880
is back to doing those things again.

762
00:30:47.880 --> 00:30:50.040
I mean, it is within a week or two that,

763
00:30:50.040 --> 00:30:54.120
I like to think of when you're in a ketogenic state,

764
00:30:54.120 --> 00:30:57.480
you ring out that inflammation and trash in their brain

765
00:30:57.480 --> 00:31:01.000
and the brain is like crisp, it is doing a great job.

766
00:31:01.000 --> 00:31:03.200
And when you put the sugar back in,

767
00:31:03.200 --> 00:31:06.720
the swelling goes back into their brain, insulin and water,

768
00:31:06.720 --> 00:31:08.080
flood the body.

769
00:31:08.080 --> 00:31:09.960
And it's almost like a minor concussion.

770
00:31:10.920 --> 00:31:12.640
And their brain is now working right,

771
00:31:12.640 --> 00:31:14.320
and they now know it.

772
00:31:14.320 --> 00:31:18.520
And is there any other benefits to being in a ketogenic state?

773
00:31:18.520 --> 00:31:20.440
You mentioned strength briefly.

774
00:31:20.440 --> 00:31:23.880
Yeah, so when you're looking at, do you do weight lifting?

775
00:31:23.880 --> 00:31:24.720
Yeah.

776
00:31:24.720 --> 00:31:25.520
Okay, so when you weight lift,

777
00:31:26.720 --> 00:31:31.720
how grade your soreness on the day after your lifting day?

778
00:31:32.960 --> 00:31:35.200
If I've been using that muscle consistently,

779
00:31:35.200 --> 00:31:36.160
there's no real soreness.

780
00:31:36.160 --> 00:31:39.640
Good. So let's just take a day where you're pushing it harder,

781
00:31:39.640 --> 00:31:43.040
you're deadlifting harder and you've got a strain in those muscles.

782
00:31:43.040 --> 00:31:45.320
One of the key components for repairing that

783
00:31:45.320 --> 00:31:49.560
as quickly as possible is to be in a ketogenic state

784
00:31:49.560 --> 00:31:51.720
to take that inflammation way down.

785
00:31:51.720 --> 00:31:55.000
And you probably didn't need the help of repairing that muscle

786
00:31:55.000 --> 00:31:57.800
when you were 18, 22.

787
00:31:57.800 --> 00:32:00.480
But as you get into the 30s and especially into the 40s,

788
00:32:00.480 --> 00:32:04.800
the amount of inflammation that tries to help you

789
00:32:04.800 --> 00:32:07.240
repair that, it overshoots.

790
00:32:07.240 --> 00:32:08.600
And that's where the chronic pains from,

791
00:32:08.600 --> 00:32:11.360
that's where the delay in repair comes from.

792
00:32:11.360 --> 00:32:13.800
So when I look at power and muscle training,

793
00:32:13.800 --> 00:32:17.520
the first place I talked to my patients about it is,

794
00:32:17.520 --> 00:32:20.440
how many days does it take you to get back to feeling good

795
00:32:20.440 --> 00:32:22.080
after you've had an injury?

796
00:32:22.080 --> 00:32:25.400
Let's be on the side of a ketogenic setting

797
00:32:25.400 --> 00:32:28.360
where your inflammation is super low.

798
00:32:28.360 --> 00:32:29.480
And when you tear something,

799
00:32:29.480 --> 00:32:32.480
which you're going to tear things when you're lifting heavy,

800
00:32:32.480 --> 00:32:33.960
the repair part is so quick.

801
00:32:35.040 --> 00:32:36.400
The power is a little hard to talk about

802
00:32:36.400 --> 00:32:38.800
if you want me to go there, I can.

803
00:32:38.800 --> 00:32:41.880
Yeah, so is there going to be an impact on my ability

804
00:32:41.880 --> 00:32:44.320
to train if I'm in a ketogenic diet?

805
00:32:44.320 --> 00:32:47.120
Am I going to be impacted in terms of endurance

806
00:32:47.120 --> 00:32:49.520
or strength or power or anything like that?

807
00:32:49.520 --> 00:32:53.520
So we looked at this in military people.

808
00:32:53.520 --> 00:32:54.760
It was one of my favorite ones

809
00:32:54.760 --> 00:32:57.080
where they are all insulin resistant.

810
00:32:57.080 --> 00:32:59.000
And we put on a ketogenic diet

811
00:32:59.000 --> 00:33:01.560
and so they're trying to meet the standards.

812
00:33:01.560 --> 00:33:04.240
And at a month of being in a ketogenic state,

813
00:33:04.240 --> 00:33:05.680
they've lost weight,

814
00:33:05.680 --> 00:33:10.240
but their power and time didn't do anything too sexy.

815
00:33:10.240 --> 00:33:12.840
Then you look at those same soldiers at a year,

816
00:33:12.840 --> 00:33:13.800
or I think it was six months

817
00:33:13.800 --> 00:33:16.320
was the next time that another big check.

818
00:33:16.320 --> 00:33:18.480
And by golly, they've lost even more weight

819
00:33:18.480 --> 00:33:23.480
and their power is about 20% more than their counterparts.

820
00:33:24.200 --> 00:33:27.520
When they get to 18 months of a ketogenic diet,

821
00:33:27.520 --> 00:33:32.160
their power is almost 50% more than what their counterparts were.

822
00:33:32.160 --> 00:33:33.280
So let me explain that.

823
00:33:33.320 --> 00:33:35.080
As you're looking at a muscle,

824
00:33:35.080 --> 00:33:38.040
it will choose which fuel it wants to use.

825
00:33:38.040 --> 00:33:39.640
And when you've been glucose using,

826
00:33:39.640 --> 00:33:41.280
when you're on a non ketogenic diet,

827
00:33:41.280 --> 00:33:43.760
it's going to use glucose first to fuel.

828
00:33:43.760 --> 00:33:47.960
But if you can train it to use fat in that training,

829
00:33:47.960 --> 00:33:51.760
it's a longer, better fuel with less inflammation

830
00:33:51.760 --> 00:33:56.760
and especially in a state where it will use both fuels quickly.

831
00:33:58.040 --> 00:33:58.960
That takes time.

832
00:33:58.960 --> 00:34:01.400
I mean, it takes, and what I tell patients is,

833
00:34:01.440 --> 00:34:03.280
you'll love me in 18 months.

834
00:34:03.280 --> 00:34:05.000
You'll think I'm pretty great at six months.

835
00:34:05.000 --> 00:34:06.800
But if you're trying to run a marathon

836
00:34:06.800 --> 00:34:08.600
and we're only three to four weeks out,

837
00:34:08.600 --> 00:34:09.960
you should not start a ketogenic diet.

838
00:34:09.960 --> 00:34:11.840
You're going to think it's the worst thing ever.

839
00:34:11.840 --> 00:34:15.160
It's meant to train muscles to use fat.

840
00:34:15.160 --> 00:34:16.880
And that takes time.

841
00:34:16.880 --> 00:34:18.320
And it's there a link between

842
00:34:18.320 --> 00:34:22.280
some of these cognitive degeneration diseases,

843
00:34:22.280 --> 00:34:25.000
like Alzheimer's, dementia, et cetera,

844
00:34:25.000 --> 00:34:26.640
and the ketogenic diet.

845
00:34:26.640 --> 00:34:29.000
Because I know that there's been some research

846
00:34:29.000 --> 00:34:31.560
that's underway and has been done

847
00:34:31.560 --> 00:34:33.720
to try and establish causality.

848
00:34:33.720 --> 00:34:34.840
Is there a link here?

849
00:34:34.840 --> 00:34:36.640
Yeah, it's one of the saddest places

850
00:34:36.640 --> 00:34:39.920
where if you look at what patients regret in life,

851
00:34:39.920 --> 00:34:42.560
they come into the clinic and they're already starting

852
00:34:42.560 --> 00:34:46.040
to say, I was driving the other day and I got lost.

853
00:34:46.040 --> 00:34:48.600
And when I hear that, we are 15 years too late.

854
00:34:48.600 --> 00:34:51.600
It is 15 years of building up trash in that brain

855
00:34:51.600 --> 00:34:53.560
that we have to clean out that debris.

856
00:34:54.600 --> 00:34:58.200
And I had the privilege of an amazing story that taught me,

857
00:34:58.200 --> 00:35:01.920
I don't have the gift of seeing into the future.

858
00:35:01.920 --> 00:35:03.960
Am I going to reverse these Alzheimer's

859
00:35:03.960 --> 00:35:05.320
before they show up?

860
00:35:05.320 --> 00:35:07.880
We don't have the research for it.

861
00:35:07.880 --> 00:35:10.160
But I have a lot of clinical experience

862
00:35:10.160 --> 00:35:12.240
saying, boy, they are so much better.

863
00:35:12.240 --> 00:35:14.800
I don't know if their memory is going to stay this good.

864
00:35:14.800 --> 00:35:17.200
We're only three years into a ketogenic diet,

865
00:35:17.200 --> 00:35:19.760
but it's way better than when it started.

866
00:35:19.760 --> 00:35:24.480
And then I had a down syndrome patient

867
00:35:24.480 --> 00:35:28.120
at 40 years old in my practice.

868
00:35:28.120 --> 00:35:30.080
So her mother came to see me first.

869
00:35:30.080 --> 00:35:33.800
She said, I want to try this ketogenic diet.

870
00:35:33.800 --> 00:35:37.600
I've been helping my daughter who has down syndrome.

871
00:35:37.600 --> 00:35:40.720
We've lost 100 pounds because the doctor

872
00:35:40.720 --> 00:35:45.760
said that she might do better if we lost some weight.

873
00:35:45.760 --> 00:35:49.040
And it's not an uncommon thing to see.

874
00:35:49.040 --> 00:35:51.240
They have advanced insulin resistance

875
00:35:51.240 --> 00:35:54.520
and advanced Alzheimer's earlier in life.

876
00:35:54.520 --> 00:35:57.520
So it's a great place to study Alzheimer's

877
00:35:57.560 --> 00:36:00.840
because they have a more rapid onset of it.

878
00:36:00.840 --> 00:36:03.400
So the woman comes, she's lost 100 pounds.

879
00:36:03.400 --> 00:36:07.520
And during that time, her mental cognition got worse.

880
00:36:07.520 --> 00:36:09.440
So now she's got 100 pounds down,

881
00:36:09.440 --> 00:36:12.360
but none of those brain things are better.

882
00:36:12.360 --> 00:36:13.960
And I said, all right, if we're going to do this

883
00:36:13.960 --> 00:36:15.400
with your daughter, we're going to make sure

884
00:36:15.400 --> 00:36:16.480
we're pricking your finger.

885
00:36:16.480 --> 00:36:17.360
It's not going to be fake.

886
00:36:17.360 --> 00:36:19.480
We're going to do a real ketogenic diet.

887
00:36:19.480 --> 00:36:21.360
So the mom starts on a ketogenic diet.

888
00:36:21.360 --> 00:36:24.680
And I think both her and mom are genetically super powered

889
00:36:24.680 --> 00:36:27.200
to make ketones because they have ketones of like three

890
00:36:27.240 --> 00:36:28.560
within a couple of days.

891
00:36:28.560 --> 00:36:30.520
Which is the average would be?

892
00:36:30.520 --> 00:36:32.880
Like one, if they hit one in a few days,

893
00:36:32.880 --> 00:36:33.920
I'm thinking, good job.

894
00:36:33.920 --> 00:36:35.400
And the mom calls me at the end of the week saying,

895
00:36:35.400 --> 00:36:37.880
do you think it could possibly work this fast?

896
00:36:37.880 --> 00:36:41.000
She is, she's doing the little jobs

897
00:36:41.000 --> 00:36:42.520
that she used to do around the house.

898
00:36:42.520 --> 00:36:44.000
And I said, well, call me again in a week.

899
00:36:44.000 --> 00:36:45.680
Let's see how she's doing.

900
00:36:45.680 --> 00:36:48.800
And the mom goes, the most profound thing just happened.

901
00:36:48.800 --> 00:36:52.120
I've taken care of this girl for 41 years.

902
00:36:52.120 --> 00:36:54.520
And I asked her the other day if she was doing something.

903
00:36:54.520 --> 00:36:55.960
She wanted to go to the church with me,

904
00:36:55.960 --> 00:36:57.760
which means she left the house.

905
00:36:57.760 --> 00:37:00.640
And she was at the church and she was giving her instructions

906
00:37:00.640 --> 00:37:03.120
to do this, go around here and put it over there

907
00:37:03.120 --> 00:37:05.440
and give her a little job.

908
00:37:05.440 --> 00:37:07.320
And she said, do you understand?

909
00:37:07.320 --> 00:37:09.920
And the girl replied, I understand.

910
00:37:11.320 --> 00:37:13.680
I said, what's the big deal?

911
00:37:13.680 --> 00:37:16.280
And the mother said, she had never said

912
00:37:16.280 --> 00:37:18.880
a three syllable word in her whole life.

913
00:37:19.780 --> 00:37:22.300
Two syllables is all her brain could ever put together.

914
00:37:22.300 --> 00:37:24.560
For the first time in her whole life,

915
00:37:24.560 --> 00:37:26.840
three weeks on to a ketogenic diet.

916
00:37:26.840 --> 00:37:30.360
And this Alzheimer's diagnosed patient

917
00:37:30.360 --> 00:37:33.000
who had Down syndrome, now had a brain

918
00:37:33.000 --> 00:37:34.840
that was not only working great,

919
00:37:34.840 --> 00:37:37.840
it was doing the best mom had ever seen it.

920
00:37:37.840 --> 00:37:38.840
And on a ketogenic diet,

921
00:37:38.840 --> 00:37:42.160
not only did she lose about 15 to 20 more pounds,

922
00:37:42.160 --> 00:37:44.560
but her world opened up again because her brain,

923
00:37:44.560 --> 00:37:48.120
which had Alzheimer's no longer had that diagnosis.

924
00:37:48.120 --> 00:37:50.120
I was looking at some of the supporting studies

925
00:37:50.120 --> 00:37:51.560
around this, around the impact

926
00:37:51.560 --> 00:37:54.120
that that can have on the brain and study show

927
00:37:54.240 --> 00:37:56.160
that in dementia, especially in Alzheimer's,

928
00:37:56.160 --> 00:37:57.840
the brain struggles to use glucose efficiently,

929
00:37:57.840 --> 00:38:00.960
ketones provide an alternative cleaning fuel source.

930
00:38:00.960 --> 00:38:03.480
Ketogenic diets can boost mitocondrial function

931
00:38:03.480 --> 00:38:05.400
and energy availability in brain cells.

932
00:38:05.400 --> 00:38:07.280
Ketolo is systemic inflammation,

933
00:38:07.280 --> 00:38:09.600
which is linked to slower cognitive decline.

934
00:38:10.800 --> 00:38:12.800
Ketones may protect neurons from damage

935
00:38:12.800 --> 00:38:15.000
and promote the growth of new neural connections.

936
00:38:15.000 --> 00:38:17.040
In Alzheimer's is something called type three diabetes,

937
00:38:17.040 --> 00:38:20.600
which have had a lot in ketone proves insulin sensitivity,

938
00:38:20.600 --> 00:38:22.240
potentially reducing this risk.

939
00:38:22.280 --> 00:38:24.640
And lastly, small studies show temporary improvements

940
00:38:24.640 --> 00:38:25.960
in memory and cognition in people

941
00:38:25.960 --> 00:38:29.200
with mild cognitive impairment, who are early Alzheimer's.

942
00:38:29.200 --> 00:38:31.880
But the evidence is early stage, long-term adherence

943
00:38:31.880 --> 00:38:35.400
can be hard and the diet isn't suitable for everyone.

944
00:38:35.400 --> 00:38:36.880
For example, underweight people

945
00:38:36.880 --> 00:38:39.520
and people with certain medical conditions.

946
00:38:39.520 --> 00:38:40.360
Right.

947
00:38:40.360 --> 00:38:42.720
So how do I measure my blood ketone levels?

948
00:38:42.720 --> 00:38:44.400
Is that what these devices are here?

949
00:38:44.400 --> 00:38:48.480
Yeah. I mean, when I look at giving patients

950
00:38:48.480 --> 00:38:51.080
the freedom to say, don't come to me for the things

951
00:38:51.080 --> 00:38:53.160
that you can do at home.

952
00:38:53.160 --> 00:38:56.360
First thing is be willing to check data, okay?

953
00:38:56.360 --> 00:38:59.160
So blood way better than any other way to measure this.

954
00:38:59.160 --> 00:39:01.000
We're gonna be able to see, should we have a contest?

955
00:39:01.000 --> 00:39:02.000
Which one's better?

956
00:39:02.000 --> 00:39:02.960
Yeah. Okay.

957
00:39:02.960 --> 00:39:04.200
So you wanna go first?

958
00:39:04.200 --> 00:39:07.240
Okay, so what I'm gonna do here is I have a finger prick here

959
00:39:07.240 --> 00:39:09.400
which is gonna take some blood, it's gonna prick my finger.

960
00:39:09.400 --> 00:39:10.400
Then I have this little reader

961
00:39:10.400 --> 00:39:12.840
and I also have this little strip here,

962
00:39:12.840 --> 00:39:14.680
which I'm gonna put my blood on to.

963
00:39:14.680 --> 00:39:17.040
And within a couple of seconds,

964
00:39:17.040 --> 00:39:19.000
it's gonna tell me how many ketones

965
00:39:19.000 --> 00:39:22.040
I currently have in my body right now.

966
00:39:22.040 --> 00:39:23.640
And so we're gonna look at that at the same time

967
00:39:23.640 --> 00:39:27.320
as your blood sugar, which is how you can measure insulin.

968
00:39:27.320 --> 00:39:30.920
It's the best proxy for saying how high is his insulin?

969
00:39:30.920 --> 00:39:32.480
So put both of them in there before you go

970
00:39:32.480 --> 00:39:34.160
because then you don't have to prick yourself twice.

971
00:39:34.160 --> 00:39:37.080
Okay, so a blue one is gonna measure the ketones

972
00:39:37.080 --> 00:39:39.280
and a brown one's gonna measure your glucose.

973
00:39:40.360 --> 00:39:42.080
Okay, and this device, how much does it cost

974
00:39:42.080 --> 00:39:43.120
if people wanna buy it at home

975
00:39:43.120 --> 00:39:43.960
and start breaking their income?

976
00:39:43.960 --> 00:39:47.320
Yeah, I think there's a kit that comes with about 50 strips

977
00:39:47.320 --> 00:39:49.920
so you can have ketones and glucose at the same time.

978
00:39:49.920 --> 00:39:51.360
I am guessing it's around 70 bucks

979
00:39:51.360 --> 00:39:54.200
or maybe it's $60 or $70.

980
00:39:54.200 --> 00:39:56.640
They have quite the, put it all in there you go.

981
00:39:56.640 --> 00:39:59.160
And so there's still lights on the other one too, right?

982
00:39:59.160 --> 00:40:00.000
Perfect.

983
00:40:00.000 --> 00:40:01.160
Okay, so prick your finger,

984
00:40:01.160 --> 00:40:02.520
best to do it on the side of your finger

985
00:40:02.520 --> 00:40:04.640
because there's less nerves there.

986
00:40:04.640 --> 00:40:05.760
There you go, good job.

987
00:40:07.160 --> 00:40:09.360
Okay, so I've got my blood onto this one,

988
00:40:09.360 --> 00:40:10.680
which is the ketary down.

989
00:40:12.600 --> 00:40:14.960
And it'll count to, see.

990
00:40:14.960 --> 00:40:19.960
I think it's about, my glucose is 86.

991
00:40:21.680 --> 00:40:24.080
It takes more blood for the ketone.

992
00:40:24.080 --> 00:40:27.320
And my ketone levels are, point nine.

993
00:40:27.320 --> 00:40:31.560
Okay, so that's a Dr. Bas ratio of 86 divided by point nine

994
00:40:31.560 --> 00:40:36.560
which is probably like 95 or something, 95-ish, right?

995
00:40:36.720 --> 00:40:39.280
So my glucose levels are 86, is that high or low?

996
00:40:39.280 --> 00:40:40.480
That's good.

997
00:40:40.480 --> 00:40:44.000
So I would say that's not low, it's just good.

998
00:40:44.000 --> 00:40:45.640
Okay, and my ketone levels are point nine.

999
00:40:45.640 --> 00:40:46.480
Right.

1000
00:40:46.480 --> 00:40:48.000
So when you look at them in comparison,

1001
00:40:48.000 --> 00:40:49.640
like you want to have a blood sugar

1002
00:40:49.640 --> 00:40:52.560
that's not triple digit, so that's very good.

1003
00:40:52.560 --> 00:40:56.440
And the closer the higher you are above point five,

1004
00:40:56.440 --> 00:40:58.840
the better the results, so that's pretty good number.

1005
00:40:58.840 --> 00:41:00.800
So if I'm in ketosis,

1006
00:41:02.040 --> 00:41:04.160
what reading would I have on this ketone meter?

1007
00:41:04.160 --> 00:41:05.360
Point five or greater,

1008
00:41:05.360 --> 00:41:08.120
but it would be also that you have that reading

1009
00:41:08.120 --> 00:41:10.080
without a triple digit blood sugar.

1010
00:41:10.080 --> 00:41:11.800
So when I look at the combination of them,

1011
00:41:11.800 --> 00:41:13.200
I do a little math and say,

1012
00:41:13.200 --> 00:41:15.040
your Dr. Bas ratio is like 95.

1013
00:41:15.040 --> 00:41:16.840
So you are burning fat right now.

1014
00:41:17.800 --> 00:41:18.640
Okay.

1015
00:41:18.640 --> 00:41:19.520
So that's a good sign.

1016
00:41:19.520 --> 00:41:21.400
When I am trying to help people who are trying

1017
00:41:21.400 --> 00:41:26.400
to undo cancer or autoimmune or brain injuries,

1018
00:41:26.840 --> 00:41:29.120
they have to have a better Dr. Bas ratio than that.

1019
00:41:29.120 --> 00:41:31.240
Let's do your readings to see where you're at.

1020
00:41:33.120 --> 00:41:35.760
All right, drum roll.

1021
00:41:36.840 --> 00:41:39.520
83 and 1.7.

1022
00:41:39.520 --> 00:41:41.240
How are you at 1.7?

1023
00:41:41.240 --> 00:41:42.680
What have you done?

1024
00:41:42.680 --> 00:41:47.680
So I've learned that I would love to be 33 again

1025
00:41:48.160 --> 00:41:49.680
and be able to eat that late at night.

1026
00:41:50.680 --> 00:41:51.680
You said that I'm like, oh,

1027
00:41:51.680 --> 00:41:53.680
it's been a while since I've eaten that late at night.

1028
00:41:53.680 --> 00:41:55.640
It's probably the hardest thing to teach my patients too

1029
00:41:55.640 --> 00:41:58.160
is like you don't appreciate how much insulin

1030
00:41:58.160 --> 00:41:59.760
you make that late at night.

1031
00:41:59.760 --> 00:42:02.880
Now you're still in season where you get to just

1032
00:42:02.880 --> 00:42:04.920
kick your heels and enjoy youth.

1033
00:42:04.920 --> 00:42:07.320
But at my age, you cannot do that.

1034
00:42:07.320 --> 00:42:08.600
I can eat in the morning.

1035
00:42:08.600 --> 00:42:11.320
I can have good calories of high fat

1036
00:42:11.320 --> 00:42:13.280
and get protein in the morning.

1037
00:42:13.280 --> 00:42:14.440
And I've learned to stop eating

1038
00:42:14.440 --> 00:42:17.000
somewhere around three o'clock in the afternoon.

1039
00:42:17.000 --> 00:42:18.960
In fact, if I, yeah, I know.

1040
00:42:18.960 --> 00:42:20.760
Three o'clock in the afternoon, you stop eating.

1041
00:42:20.760 --> 00:42:22.120
That's usually the case.

1042
00:42:22.120 --> 00:42:25.240
What's really hard though is how much of your life

1043
00:42:25.240 --> 00:42:26.080
is social?

1044
00:42:26.080 --> 00:42:27.800
Like you said, oh, there was this dinner party last night

1045
00:42:27.800 --> 00:42:30.840
and I had pasta and you're like, yep,

1046
00:42:30.840 --> 00:42:33.320
that would be something I have to teach my patients.

1047
00:42:33.320 --> 00:42:34.640
You have to say no to that.

1048
00:42:34.640 --> 00:42:36.720
You cannot be eating a 10 o'clock at night

1049
00:42:36.720 --> 00:42:41.280
if you want your insulin to not do that debris thing.

1050
00:42:41.360 --> 00:42:44.640
And boy, when their memory isn't going well,

1051
00:42:44.640 --> 00:42:48.360
when their friends are dying of memory problems,

1052
00:42:48.360 --> 00:42:49.920
you know, it's, I don't like using fear tactics.

1053
00:42:49.920 --> 00:42:51.440
I don't think they last very long.

1054
00:42:51.440 --> 00:42:55.920
But it is such a reality of poor performance

1055
00:42:55.920 --> 00:42:57.680
that I can't do that.

1056
00:42:57.680 --> 00:42:59.200
I cannot eat a 10 o'clock at night.

1057
00:42:59.200 --> 00:43:02.520
What is it about being asleep that causes

1058
00:43:02.520 --> 00:43:04.800
the sort of deregulation?

1059
00:43:04.800 --> 00:43:07.040
Like what is it about doing it at night?

1060
00:43:07.040 --> 00:43:09.440
So now it's going to take that metabolic curve

1061
00:43:09.440 --> 00:43:13.400
and in order to store all of the part that gets stored

1062
00:43:13.400 --> 00:43:16.720
and then turn the part into fat that needs to be tucked away

1063
00:43:16.720 --> 00:43:18.800
and get back to baseline, it's going to be eight hours,

1064
00:43:18.800 --> 00:43:19.640
at least eight hours.

1065
00:43:19.640 --> 00:43:20.480
Which is fine.

1066
00:43:20.480 --> 00:43:21.320
Right.

1067
00:43:21.320 --> 00:43:22.320
Because I don't eat until,

1068
00:43:22.320 --> 00:43:23.320
I'm probably not going to eat until 2 p.m. today.

1069
00:43:23.320 --> 00:43:24.160
Right.

1070
00:43:24.160 --> 00:43:25.680
Well, you've missed one part.

1071
00:43:25.680 --> 00:43:27.440
The sun will rise.

1072
00:43:27.440 --> 00:43:31.200
When the sun rises, even if you're in solitary confinement,

1073
00:43:31.200 --> 00:43:32.360
you cannot see the sun.

1074
00:43:32.360 --> 00:43:32.880
Yeah.

1075
00:43:32.880 --> 00:43:34.520
Your brain knows that the sun just went up

1076
00:43:34.520 --> 00:43:35.800
and cortisol rises.

1077
00:43:35.800 --> 00:43:36.640
Okay.

1078
00:43:36.640 --> 00:43:38.480
Cortisol leaves your brain, goes to the liver,

1079
00:43:38.480 --> 00:43:40.200
and says, you know, that's stored sugar,

1080
00:43:40.200 --> 00:43:42.640
that glycogen, release.

1081
00:43:42.640 --> 00:43:45.720
You make glucose, first thing in the morning.

1082
00:43:45.720 --> 00:43:49.040
How much glucose depends on how insulin-resistant you are.

1083
00:43:49.040 --> 00:43:52.120
So you're going to have an uneaten meal

1084
00:43:52.120 --> 00:43:53.240
when you wake up in the morning.

1085
00:43:53.240 --> 00:43:55.960
Glucose has been stored for this purpose.

1086
00:43:55.960 --> 00:43:56.800
It's going to wake you up.

1087
00:43:56.800 --> 00:43:59.760
It's going to give you the energy when sun rises to fuel you.

1088
00:44:00.720 --> 00:44:03.520
If you got a bunch stored, you're going to have a high blood

1089
00:44:03.520 --> 00:44:04.360
sugar.

1090
00:44:04.360 --> 00:44:05.480
Can we do jacks, keto levels?

1091
00:44:05.480 --> 00:44:07.040
I'd like to know where jack is at.

1092
00:44:07.040 --> 00:44:08.640
That's your dad.

1093
00:44:08.640 --> 00:44:10.800
What's Jack do for his-

1094
00:44:10.800 --> 00:44:12.360
We're about to find out.

1095
00:44:12.360 --> 00:44:13.360
I don't think I'm going to be-

1096
00:44:13.360 --> 00:44:14.200
No, wait a minute.

1097
00:44:14.200 --> 00:44:17.320
Is Jack the one that did the VO2 max with Peter Atea?

1098
00:44:17.320 --> 00:44:20.480
And you, you know, peak brain performance is my thing.

1099
00:44:20.480 --> 00:44:23.840
And one of the hardest brains to heal are chronic runners.

1100
00:44:23.840 --> 00:44:25.360
That trauma thing is real.

1101
00:44:25.360 --> 00:44:27.400
I can be so hard to explain to them too.

1102
00:44:27.400 --> 00:44:30.440
If you're a vegan who runs, you're in trouble.

1103
00:44:31.520 --> 00:44:34.080
95% of vegans that listen to this podcast frequently

1104
00:44:34.080 --> 00:44:35.480
don't subscribe.

1105
00:44:35.480 --> 00:44:36.880
Oh, yeah, well.

1106
00:44:36.880 --> 00:44:39.320
All right, so his glucose is 88, not too bad.

1107
00:44:39.320 --> 00:44:42.280
ketones, boo, absolutely.

1108
00:44:42.280 --> 00:44:45.760
Yeah, that's an example of he is making trash.

1109
00:44:45.760 --> 00:44:46.960
There's no trash going out.

1110
00:44:46.960 --> 00:44:48.480
So his keto level is what?

1111
00:44:48.480 --> 00:44:51.440
0.1 and his blood sugar is 88.

1112
00:44:51.440 --> 00:44:54.640
So if you take 88 divided by 0.1, it's like 1,000 or something.

1113
00:44:54.640 --> 00:44:55.480
It's really high.

1114
00:44:55.480 --> 00:44:57.720
88, probably.

1115
00:44:57.720 --> 00:45:01.120
That is a lot of trash being made.

1116
00:45:01.120 --> 00:45:05.000
When that Dr. Bosch ratio is high, you can't take it out.

1117
00:45:05.000 --> 00:45:05.880
Don't I say that's his face?

1118
00:45:05.880 --> 00:45:10.680
I'm going to feel like I just think that when Peter Tia did that

1119
00:45:10.680 --> 00:45:12.280
and said, oh, I had no idea.

1120
00:45:12.280 --> 00:45:15.000
I'm like, you could have just checked this first thing

1121
00:45:15.000 --> 00:45:16.520
the morning for five days.

1122
00:45:16.520 --> 00:45:18.760
If you have that kind of a Dr. Bosch ratio,

1123
00:45:18.760 --> 00:45:19.880
you're insulin resistant.

1124
00:45:19.880 --> 00:45:21.120
You're insulin resistant.

1125
00:45:21.120 --> 00:45:24.320
You have to be hitting that in a routine regular interval

1126
00:45:24.320 --> 00:45:26.840
in life to not have those problems,

1127
00:45:26.840 --> 00:45:29.680
to have osteoporosis at such a young age.

1128
00:45:29.680 --> 00:45:31.360
A ketogenic state would not allow that.

1129
00:45:31.360 --> 00:45:34.560
You would be using resources much better.

1130
00:45:34.560 --> 00:45:36.920
He actually did a test that turns out he doesn't have osteoporosis.

1131
00:45:36.920 --> 00:45:37.920
Oh, good.

1132
00:45:37.920 --> 00:45:38.880
That was shocking.

1133
00:45:38.880 --> 00:45:39.400
Yeah.

1134
00:45:39.400 --> 00:45:42.080
It was like, he shouldn't have osteoporosis at your age.

1135
00:45:42.080 --> 00:45:44.280
Now, I think that was a misreading because of the scanner.

1136
00:45:44.280 --> 00:45:49.320
But on this point in particular, his ketone levels are 0.1.

1137
00:45:49.320 --> 00:45:50.680
So he's basically running off glucose.

1138
00:45:50.680 --> 00:45:51.640
Oh, all glucose.

1139
00:45:51.640 --> 00:45:53.440
And so why is that happening?

1140
00:45:53.440 --> 00:45:55.640
OK, whatever he ate, the insulin went up.

1141
00:45:55.640 --> 00:45:58.640
So let's say he was your exact same eating pattern.

1142
00:45:58.640 --> 00:46:00.000
He ate last night.

1143
00:46:00.000 --> 00:46:03.160
He had the six, eight hours of sleep.

1144
00:46:03.160 --> 00:46:05.640
The cortisol said, oh, the sun's rising.

1145
00:46:05.640 --> 00:46:07.720
And it rose his blood sugar a little bit.

1146
00:46:07.720 --> 00:46:10.200
OK, when the sugar's high, you can't.

1147
00:46:10.200 --> 00:46:11.880
Your insulin's going to be high, too.

1148
00:46:11.880 --> 00:46:12.880
You're not making ketones.

1149
00:46:12.880 --> 00:46:16.800
When I did this keto test with most of the team here,

1150
00:46:16.800 --> 00:46:18.240
they were all around that region.

1151
00:46:18.240 --> 00:46:19.880
They were in the region of 0.1.

1152
00:46:19.880 --> 00:46:20.080
Yeah.

1153
00:46:20.080 --> 00:46:22.040
He turns in their blood to 0.3.

1154
00:46:22.040 --> 00:46:24.120
Welcome to my clinic in 10 years.

1155
00:46:24.120 --> 00:46:27.360
That is trash being made, never being taken out.

1156
00:46:27.360 --> 00:46:28.560
And so you'd say to them, you need

1157
00:46:28.560 --> 00:46:30.480
to do some fasting.

1158
00:46:30.480 --> 00:46:32.520
You need to cut carbs.

1159
00:46:32.520 --> 00:46:33.000
Yeah.

1160
00:46:33.000 --> 00:46:36.400
I mean, if you're looking for a quick, OK, if they're in their 20s,

1161
00:46:36.400 --> 00:46:37.840
I mean, I have three kids, right?

1162
00:46:37.840 --> 00:46:41.040
And they have heard this chirp for 10 years.

1163
00:46:41.040 --> 00:46:43.920
I mean, how I got into this was my mother was very sick.

1164
00:46:43.920 --> 00:46:47.400
And she was sick because of a high insulin problem

1165
00:46:47.400 --> 00:46:49.080
that caused cancer.

1166
00:46:49.080 --> 00:46:50.480
So we put her in a ketogenic state.

1167
00:46:50.480 --> 00:46:52.400
And everybody in the family got on board.

1168
00:46:52.400 --> 00:46:54.960
So here's three little boys who no longer have candy around.

1169
00:46:54.960 --> 00:46:56.320
Now they're in their young 20s.

1170
00:46:56.320 --> 00:46:57.600
And for the first time, they're actually

1171
00:46:57.600 --> 00:47:00.320
listening to say, gosh, mom, one of them is at Georgetown.

1172
00:47:00.320 --> 00:47:02.400
He has to read for long periods of time

1173
00:47:02.400 --> 00:47:03.840
for Georgetown Law School.

1174
00:47:03.840 --> 00:47:07.000
And he's like, if I'm not in a ketogenic state,

1175
00:47:07.000 --> 00:47:09.320
I can't keep the focus.

1176
00:47:09.320 --> 00:47:11.400
And I said, yeah, I said, well, how are you doing that?

1177
00:47:11.400 --> 00:47:13.560
First, he tried some of the supplements, OK.

1178
00:47:13.560 --> 00:47:16.600
But what really happened was he cut the carbs down

1179
00:47:16.600 --> 00:47:20.160
and said, I can say no to that because of the sustained brain

1180
00:47:20.160 --> 00:47:20.880
power.

1181
00:47:20.880 --> 00:47:23.080
I mean, it's really easy in the early 20s to do this.

1182
00:47:23.080 --> 00:47:24.840
Cut the carbs even to 50.

1183
00:47:24.840 --> 00:47:28.200
But prove to yourself that you made ketones

1184
00:47:28.200 --> 00:47:30.000
and that return on your dividends

1185
00:47:30.000 --> 00:47:32.560
is you won't be seeing me in 25 years.

1186
00:47:32.560 --> 00:47:36.080
So you have this idea of this keto continuum.

1187
00:47:36.080 --> 00:47:39.120
What is the ketone continuum?

1188
00:47:39.120 --> 00:47:39.720
I read about it.

1189
00:47:39.720 --> 00:47:43.920
I mean, it's a book here I have which you published in 2020

1190
00:47:43.920 --> 00:47:47.560
called the keto and continuum consistently keto for life.

1191
00:47:47.560 --> 00:47:51.240
So the keto continuum is this 12-step process

1192
00:47:51.240 --> 00:47:53.920
to get into a consistent keto.

1193
00:47:53.920 --> 00:47:56.280
Yeah, you're constantly taking out the trash.

1194
00:47:56.280 --> 00:47:57.640
The first part is the beginner.

1195
00:47:57.640 --> 00:47:59.640
OK, so the first part, the beginner section,

1196
00:47:59.640 --> 00:48:00.840
has four stages to it.

1197
00:48:00.840 --> 00:48:01.600
Right.

1198
00:48:01.600 --> 00:48:03.040
What are those four stages?

1199
00:48:03.040 --> 00:48:06.120
Well, I like to tell patients that you never fall all the way

1200
00:48:06.120 --> 00:48:07.240
off of the continuum.

1201
00:48:07.240 --> 00:48:10.280
So the first step is really not keto.

1202
00:48:10.280 --> 00:48:12.880
But it is that they're eating every two to three hours.

1203
00:48:12.880 --> 00:48:15.120
And if they fall off the wagon, that's usually where they land.

1204
00:48:15.120 --> 00:48:16.480
So that's what most people start at.

1205
00:48:16.480 --> 00:48:17.680
They're eating every two to three hours.

1206
00:48:17.680 --> 00:48:20.080
They are not keeping their carbs less than 20.

1207
00:48:20.080 --> 00:48:23.400
Step two is, cut your carbs to 20.

1208
00:48:23.400 --> 00:48:25.400
That's the only thing I need you to measure.

1209
00:48:25.400 --> 00:48:27.720
And you're going to be able to, you

1210
00:48:27.720 --> 00:48:31.480
as a pitone strip, you know, measure ketones in your urine.

1211
00:48:31.480 --> 00:48:34.560
And that will ride, you'll ride away.

1212
00:48:34.560 --> 00:48:36.720
And that ketone production is happening.

1213
00:48:36.720 --> 00:48:39.520
The fat-based hormones in your body

1214
00:48:39.520 --> 00:48:40.720
are starting to resurrect.

1215
00:48:40.720 --> 00:48:43.720
They're starting to do the things that they need to do.

1216
00:48:43.720 --> 00:48:45.800
And there'll be this magical moment

1217
00:48:45.800 --> 00:48:50.160
in the not-too-near future where you skip a meal.

1218
00:48:50.160 --> 00:48:54.440
And this, that beginning stage, how long does that last?

1219
00:48:54.440 --> 00:48:57.920
I'll put this on the screen so everybody can see the continuum.

1220
00:48:57.920 --> 00:49:00.720
How long does that initial beginning stage last for people?

1221
00:49:00.720 --> 00:49:02.520
If they've been severely insulin resistant,

1222
00:49:02.520 --> 00:49:05.640
this is the ones where I've said they took their carbs

1223
00:49:05.640 --> 00:49:09.720
to 20 for two weeks before they pee to ketone.

1224
00:49:09.720 --> 00:49:13.120
So I use some other steps if that's how severe that is.

1225
00:49:13.120 --> 00:49:14.720
But let's just take the average person.

1226
00:49:14.720 --> 00:49:17.040
That's like not 100 pounds overweight.

1227
00:49:17.040 --> 00:49:19.560
They're hitting menopause and they've put on 25 pounds.

1228
00:49:19.600 --> 00:49:21.880
When they drop their carbs to 20,

1229
00:49:21.880 --> 00:49:24.680
they're pee and a ketone by the end of the week.

1230
00:49:24.680 --> 00:49:27.840
And they are missing their first meal by day 10.

1231
00:49:27.840 --> 00:49:29.240
Okay, so day 10.

1232
00:49:29.240 --> 00:49:32.160
And then it says, when we get to stage five

1233
00:49:32.160 --> 00:49:35.840
in the keto continuum, it says 16-18, 16-8, is that?

1234
00:49:35.840 --> 00:49:38.880
Yeah, so let me start to use timer-stricted eating

1235
00:49:38.880 --> 00:49:42.480
where I want, we're gonna, your body will adapt.

1236
00:49:42.480 --> 00:49:44.360
People say you can't stay on the keto diet

1237
00:49:44.360 --> 00:49:45.520
because they go to step four

1238
00:49:45.520 --> 00:49:47.600
and then they think that that's all they needed to do.

1239
00:49:47.600 --> 00:49:50.240
There are several steps to reversing this problem

1240
00:49:50.240 --> 00:49:51.960
and you'll know you have the right step

1241
00:49:51.960 --> 00:49:54.880
if the ketones are still present in your blood,

1242
00:49:54.880 --> 00:49:56.400
your body will adapt though.

1243
00:49:56.400 --> 00:49:58.120
So we start to say, all right,

1244
00:49:58.120 --> 00:50:00.400
we're gonna learn some new behaviors.

1245
00:50:00.400 --> 00:50:02.920
We're gonna learn what the nothing burger looks like.

1246
00:50:02.920 --> 00:50:05.680
At least for 16 hours out of the day.

1247
00:50:05.680 --> 00:50:06.520
What does that mean?

1248
00:50:06.520 --> 00:50:09.840
You do not eat a thing in those 16 hours.

1249
00:50:09.840 --> 00:50:11.880
Now, I give them a little hedge

1250
00:50:11.880 --> 00:50:13.600
because most people come in like you.

1251
00:50:13.600 --> 00:50:15.880
They don't start eating until two o'clock in the afternoon

1252
00:50:15.880 --> 00:50:17.680
and then they eat until 10 o'clock.

1253
00:50:17.680 --> 00:50:19.760
And I want them fat forward.

1254
00:50:19.760 --> 00:50:22.120
I want lots of fat going in

1255
00:50:22.120 --> 00:50:26.640
because insulin resistance, that high insulin state,

1256
00:50:26.640 --> 00:50:28.880
means they've locked or they've insulated their fat

1257
00:50:28.880 --> 00:50:29.880
on their body.

1258
00:50:29.880 --> 00:50:33.200
And then we get stage seven where it says 23-1,

1259
00:50:33.200 --> 00:50:35.400
is that fasting for 23 hours a day?

1260
00:50:35.400 --> 00:50:36.920
Anything for one hour a day?

1261
00:50:36.920 --> 00:50:41.840
And there's a little bit of line between 16-8 and 23-1,

1262
00:50:41.840 --> 00:50:43.440
but there's a whole bunch of life there.

1263
00:50:43.480 --> 00:50:46.640
Meaning we don't actually have patients go from 16 hours

1264
00:50:46.640 --> 00:50:48.960
of fasting to 23.

1265
00:50:48.960 --> 00:50:51.680
We have them slide it down by an hour, slide it down by an hour.

1266
00:50:51.680 --> 00:50:53.120
And then we do that harder thing,

1267
00:50:53.120 --> 00:50:55.560
which is move it towards sunrise,

1268
00:50:55.560 --> 00:50:57.040
quit eating until late at night.

1269
00:50:57.040 --> 00:50:59.640
And then the last stage here,

1270
00:50:59.640 --> 00:51:04.640
so that 9, 10, 11 and 12 is prolonged fasting

1271
00:51:04.720 --> 00:51:07.080
between 36 and 72 hour fasting.

1272
00:51:07.080 --> 00:51:07.920
Right.

1273
00:51:07.920 --> 00:51:12.400
So those folks that have high insulin for 15, 20 years,

1274
00:51:12.400 --> 00:51:15.440
they're going to have to do a nothing burger for 36 hours

1275
00:51:15.440 --> 00:51:17.600
in most of them to really give a good reset

1276
00:51:17.600 --> 00:51:19.040
of their metabolism.

1277
00:51:19.040 --> 00:51:21.400
And although you look at other folks saying,

1278
00:51:21.400 --> 00:51:23.240
oh, you should never do that if you're a woman,

1279
00:51:23.240 --> 00:51:25.120
you should never do that over the age of 50.

1280
00:51:25.120 --> 00:51:27.520
I'm saying you have too much insulin in your body,

1281
00:51:27.520 --> 00:51:30.240
you have to do that to get the pancreas

1282
00:51:30.240 --> 00:51:32.000
to make less insulin over time.

1283
00:51:32.000 --> 00:51:33.520
On that point, between men and women,

1284
00:51:33.520 --> 00:51:34.880
I want their metabolic differences

1285
00:51:34.880 --> 00:51:36.320
that need to be mentioned here,

1286
00:51:36.320 --> 00:51:39.240
because sometimes when I do ketogenic fasting,

1287
00:51:39.240 --> 00:51:41.680
my girlfriend, she takes much longer than me

1288
00:51:41.760 --> 00:51:43.040
to get into a ketogenic state.

1289
00:51:43.040 --> 00:51:46.320
And I'm wondering if her body is in some way trying to defend

1290
00:51:46.320 --> 00:51:47.600
the switch.

1291
00:51:47.600 --> 00:51:50.680
Have you ever seen the reality show alone?

1292
00:51:50.680 --> 00:51:51.520
Oh, no, I'm not.

1293
00:51:51.520 --> 00:51:52.360
What did you show, guys?

1294
00:51:52.360 --> 00:51:53.200
Oh, I'm not either,

1295
00:51:53.200 --> 00:51:55.000
but they drop these people off in the middle of nowhere

1296
00:51:55.000 --> 00:51:56.200
and they starve them to death.

1297
00:51:56.200 --> 00:51:58.800
And you watch the fat come off of them

1298
00:51:58.800 --> 00:52:01.880
and the men, the fat just melts off of them.

1299
00:52:01.880 --> 00:52:04.720
And the women, they do what your girlfriend does.

1300
00:52:04.720 --> 00:52:06.160
It just holds on to them.

1301
00:52:06.160 --> 00:52:09.320
That we are designed to have that fat on them.

1302
00:52:09.320 --> 00:52:12.080
So asking them to do a ketogenic state,

1303
00:52:12.080 --> 00:52:12.920
you'll hear people say,

1304
00:52:12.920 --> 00:52:14.160
oh, it's going to ruin your hormones.

1305
00:52:14.160 --> 00:52:16.640
Oh, it's going to, you can't do that.

1306
00:52:16.640 --> 00:52:20.400
And I would say you can have all those conversations

1307
00:52:20.400 --> 00:52:22.480
once their insulin is normal.

1308
00:52:22.480 --> 00:52:24.840
But I have lots of women in child-bearing years

1309
00:52:24.840 --> 00:52:27.680
that are excessive producers of insulin.

1310
00:52:27.680 --> 00:52:30.960
And their vitamin D is low, their estrogen is low.

1311
00:52:30.960 --> 00:52:32.840
They have hair loss on the top of their head.

1312
00:52:32.840 --> 00:52:34.960
They have skin tags throughout their body.

1313
00:52:34.960 --> 00:52:37.720
Or maybe the first sign was they had PCOS.

1314
00:52:38.000 --> 00:52:40.440
All of these are a sign that insulin came in

1315
00:52:40.440 --> 00:52:42.160
and it's too high in their body.

1316
00:52:42.160 --> 00:52:44.520
So lowering it has rules.

1317
00:52:44.520 --> 00:52:47.560
And if you want to have a baby, carry a baby,

1318
00:52:47.560 --> 00:52:52.440
have the weight come off after you've gestated a baby,

1319
00:52:52.440 --> 00:52:55.080
have weight not be your enemy during menopause,

1320
00:52:55.080 --> 00:52:56.720
you have to be making ketones

1321
00:52:56.720 --> 00:52:58.880
at a routine and regular interval.

1322
00:52:58.880 --> 00:53:02.160
And start with the food, start with the menus

1323
00:53:02.160 --> 00:53:05.400
in the kitchen, don't run to the gym first.

1324
00:53:05.440 --> 00:53:08.720
I've noticed in women in my life that they've told me

1325
00:53:08.720 --> 00:53:10.880
that their menstrual cycles become more synced up

1326
00:53:10.880 --> 00:53:14.080
when they are in a lower carbohydrate diet.

1327
00:53:14.080 --> 00:53:16.240
Right, their hormones can hear each other.

1328
00:53:16.240 --> 00:53:17.920
I mean, when insulin is high,

1329
00:53:17.920 --> 00:53:20.360
insulin dictates what that sugar does,

1330
00:53:20.360 --> 00:53:25.160
but it also is the dictator for every morsel of fat.

1331
00:53:25.160 --> 00:53:28.560
And estrogen, testosterone, vitamin D,

1332
00:53:28.560 --> 00:53:31.560
they're all a derivative of fat, of cholesterol.

1333
00:53:31.560 --> 00:53:34.200
And they are put into the fat cells.

1334
00:53:34.200 --> 00:53:36.920
If you biopsy an obese woman and say,

1335
00:53:36.920 --> 00:53:39.200
can I see, is there any vitamin D hidden in there?

1336
00:53:39.200 --> 00:53:40.360
Is there any estrogen?

1337
00:53:40.360 --> 00:53:43.200
Is there any, yes, they're all in those fat cells.

1338
00:53:43.200 --> 00:53:46.880
You start to lower their insulin and the fat mobilizes.

1339
00:53:46.880 --> 00:53:49.160
So the hormones that are naturally communicated

1340
00:53:49.160 --> 00:53:51.560
between women, they can actually hear them again.

1341
00:53:51.560 --> 00:53:53.280
I mean, that tribal thing.

1342
00:53:53.280 --> 00:53:55.640
If a woman were to stay in a ketogenic state,

1343
00:53:55.640 --> 00:53:59.440
permanently, would there be any disruption

1344
00:53:59.440 --> 00:54:01.160
to her metabolic health?

1345
00:54:01.160 --> 00:54:02.120
You mean like me?

1346
00:54:02.120 --> 00:54:07.120
Yeah, like, you know, a menstrual cycle's her anything.

1347
00:54:07.560 --> 00:54:10.280
No, I think it's, you're gonna find people

1348
00:54:10.280 --> 00:54:12.360
that it shouldn't be extreme,

1349
00:54:12.360 --> 00:54:14.920
meaning I've been on this for 15 years.

1350
00:54:14.920 --> 00:54:19.920
The ketogenic phase is at least 20 out of 30 days

1351
00:54:20.600 --> 00:54:23.680
in a month, the first few years I was on it.

1352
00:54:23.680 --> 00:54:27.800
Now at 55, menopause in the last year,

1353
00:54:27.800 --> 00:54:30.400
I'm like, without a ketone, my brain doesn't work right now

1354
00:54:30.400 --> 00:54:31.800
that I ketone.

1355
00:54:31.800 --> 00:54:33.480
My energy goes to pot.

1356
00:54:33.480 --> 00:54:36.840
And I've been walking women through menopause for 25 years.

1357
00:54:36.840 --> 00:54:40.320
It is not a fun story when they're insulin resistant.

1358
00:54:40.320 --> 00:54:41.920
So prepare.

1359
00:54:41.920 --> 00:54:45.520
Have the flexibility of that mitochondria to use

1360
00:54:45.520 --> 00:54:47.280
both ketones and glucose,

1361
00:54:47.280 --> 00:54:49.560
and that's what a ketogenic state is.

1362
00:54:49.560 --> 00:54:51.680
Well, we have 12 cans of sardines here.

1363
00:54:51.680 --> 00:54:56.680
And I wondered why you brought sardines?

1364
00:54:56.760 --> 00:54:59.720
Well, yes, that's a hell of a tool.

1365
00:55:00.680 --> 00:55:01.680
Why?

1366
00:55:01.680 --> 00:55:06.200
So when you're trying to help patients change behavior.

1367
00:55:06.200 --> 00:55:10.400
Sorry, the sardine juice is going on my head.

1368
00:55:11.600 --> 00:55:13.200
Good luck getting that off.

1369
00:55:13.200 --> 00:55:17.200
Yeah, sardines rank for the worst smelling,

1370
00:55:17.200 --> 00:55:19.360
but they're not the worst tasting.

1371
00:55:19.360 --> 00:55:21.120
Now, when it comes to bitter in fish,

1372
00:55:21.120 --> 00:55:23.880
they don't have the bitterness that tuna does, so.

1373
00:55:23.880 --> 00:55:26.480
Tell me about sardines, why should I be eating sardines?

1374
00:55:26.480 --> 00:55:27.840
When you're trying to teach patients,

1375
00:55:27.840 --> 00:55:30.440
those stats that you read off a minute ago, they don't care.

1376
00:55:30.440 --> 00:55:34.080
They need a very clear step on how do I begin?

1377
00:55:34.080 --> 00:55:35.840
And when you're working with somebody

1378
00:55:35.840 --> 00:55:38.240
who cannot seem to get their ketones to rise,

1379
00:55:38.240 --> 00:55:41.680
and I give them a whole list of menus, that's too noisy.

1380
00:55:41.680 --> 00:55:44.800
Let's take it down to one food that is high in fat,

1381
00:55:44.800 --> 00:55:47.320
high in some of the best fats, high in protein,

1382
00:55:47.320 --> 00:55:49.720
it's whole foods, and it's affordable

1383
00:55:49.720 --> 00:55:51.960
for everybody under the sun.

1384
00:55:51.960 --> 00:55:54.960
Okay, so do you do like a sardine fast?

1385
00:55:54.960 --> 00:55:58.000
Yeah, so in fact, that 21 day,

1386
00:55:58.280 --> 00:56:00.240
21 day is that three week course where I say,

1387
00:56:00.240 --> 00:56:02.720
I will teach you how to do an advanced ketogenic diet,

1388
00:56:02.720 --> 00:56:04.480
where everybody will be peeing ket,

1389
00:56:04.480 --> 00:56:06.720
or making abundant ketones.

1390
00:56:06.720 --> 00:56:08.920
On day six, I say, all right,

1391
00:56:08.920 --> 00:56:12.000
the only thing on the menu for the next three days

1392
00:56:12.000 --> 00:56:13.360
is sardines.

1393
00:56:13.360 --> 00:56:15.680
There's no eating window, you can eat as much as you want,

1394
00:56:15.680 --> 00:56:17.360
there's no limit to the amount,

1395
00:56:17.360 --> 00:56:20.040
and what I'm pushing them to do is,

1396
00:56:20.040 --> 00:56:22.080
not only eat a nutrient dense food,

1397
00:56:22.080 --> 00:56:23.800
but I want them to feel satiety.

1398
00:56:23.800 --> 00:56:26.320
I want them to feel full.

1399
00:56:26.320 --> 00:56:28.280
Do I need to be consuming a lot of fat as well?

1400
00:56:28.280 --> 00:56:29.400
There's plenty of fat in there.

1401
00:56:29.400 --> 00:56:30.240
But I mean, generally,

1402
00:56:30.240 --> 00:56:33.280
because this is one of the things always puzzles me is,

1403
00:56:33.280 --> 00:56:38.120
I'll go, say I went a week without eating carbohydrates.

1404
00:56:39.360 --> 00:56:40.960
Sometimes I'm still not in ketosis,

1405
00:56:40.960 --> 00:56:43.560
and I think I had somewhere that it's because my fat

1406
00:56:43.560 --> 00:56:45.120
is fine-off, so.

1407
00:56:45.120 --> 00:56:47.760
Yeah, so again, at the time you went,

1408
00:56:47.760 --> 00:56:49.200
you went seven days without eating it,

1409
00:56:49.200 --> 00:56:50.720
hardly any carbs, right?

1410
00:56:50.720 --> 00:56:52.400
And you still didn't make a lot of ketones.

1411
00:56:52.400 --> 00:56:54.520
Okay, so you had fat on your body?

1412
00:56:54.520 --> 00:56:55.360
Yeah.

1413
00:56:55.360 --> 00:56:58.440
So why didn't the fat get to your mitochondria?

1414
00:56:58.440 --> 00:56:59.960
Excess insulin.

1415
00:56:59.960 --> 00:57:02.360
Okay, you had been in a high insulin state.

1416
00:57:02.360 --> 00:57:03.800
So if you swallow the fat,

1417
00:57:03.800 --> 00:57:05.760
then you can turn it into ketones.

1418
00:57:05.760 --> 00:57:08.520
Right now, all your fats locked under this insulin bed.

1419
00:57:08.520 --> 00:57:10.560
If you kept going, it would eventually hit,

1420
00:57:10.560 --> 00:57:11.400
but that's painful.

1421
00:57:11.400 --> 00:57:13.840
I mean, I have patients who do it for two weeks.

1422
00:57:13.840 --> 00:57:16.080
So what you're saying, you're saying that I need to eat the fat?

1423
00:57:16.080 --> 00:57:19.080
Yeah, so if you put the sardines in oil,

1424
00:57:19.080 --> 00:57:21.600
that's a great high fat, high protein.

1425
00:57:21.600 --> 00:57:25.120
It's also a little easier to masticate the meat,

1426
00:57:25.120 --> 00:57:27.320
and you'll have high fat, high protein,

1427
00:57:27.320 --> 00:57:31.760
and you'll have beautiful ketones by 48 hours, maybe 72.

1428
00:57:31.760 --> 00:57:34.040
And what is the composition of my diet

1429
00:57:34.040 --> 00:57:36.600
in terms of protein fats and carbohydrates,

1430
00:57:36.600 --> 00:57:38.200
when I'm trying to get into a ketone next day?

1431
00:57:38.200 --> 00:57:41.160
Yeah, I don't let people get distracted by this, right?

1432
00:57:41.160 --> 00:57:43.160
I say, look at your finger.

1433
00:57:43.160 --> 00:57:46.160
If it's got a high ketone, you have got enough fat

1434
00:57:46.160 --> 00:57:50.240
and enough protein and low enough carbs.

1435
00:57:50.240 --> 00:57:52.440
What most people have is the story you told.

1436
00:57:52.440 --> 00:57:54.440
I've been doing this for five days.

1437
00:57:54.440 --> 00:57:56.280
Why don't I make any ketones?

1438
00:57:56.280 --> 00:57:58.920
And the answer is, what is hidden behind the chemistry

1439
00:57:58.920 --> 00:58:00.520
is too much insulin.

1440
00:58:00.520 --> 00:58:03.600
You've got to have, and so that's a great place to say,

1441
00:58:03.600 --> 00:58:06.120
put the fat up, keep the carbs low,

1442
00:58:06.120 --> 00:58:07.440
and the ketones will come.

1443
00:58:07.440 --> 00:58:10.440
When you say put the fat up, you mean eat more fatty foods.

1444
00:58:10.440 --> 00:58:13.000
Give you an example of the type of shopping list

1445
00:58:13.000 --> 00:58:16.320
that if I was trying to get any ketones to stay in stay there,

1446
00:58:16.320 --> 00:58:17.280
I would have.

1447
00:58:17.280 --> 00:58:21.200
Yeah, one of my favorite things is pork belly,

1448
00:58:21.200 --> 00:58:25.480
more eggs, beef brisket, ribs, avocado.

1449
00:58:25.480 --> 00:58:28.360
Avocado have a beautiful marketing team,

1450
00:58:28.360 --> 00:58:29.800
but they do have carbs in them,

1451
00:58:29.800 --> 00:58:32.240
and I've had people overeat them.

1452
00:58:32.240 --> 00:58:33.440
I have four avocados today.

1453
00:58:33.440 --> 00:58:37.440
I'm like, you're on the wrong bandwagon there.

1454
00:58:37.440 --> 00:58:39.440
Avocado makes the list, don't get me wrong,

1455
00:58:39.440 --> 00:58:41.880
but it's not a diet of mostly avocado

1456
00:58:41.880 --> 00:58:43.080
with a sprinkle of chicken breast.

1457
00:58:43.080 --> 00:58:44.440
That's not gonna get you into ketosis.

1458
00:58:44.440 --> 00:58:46.120
The fat has to be higher than that.

1459
00:58:46.120 --> 00:58:49.200
Most of the time, when I'm really struggling with the patient

1460
00:58:49.240 --> 00:58:51.160
who just can't seem to make ketones,

1461
00:58:51.160 --> 00:58:52.600
can't seem to make ketones,

1462
00:58:52.600 --> 00:58:55.040
and they won't do the sardines.

1463
00:58:55.040 --> 00:58:56.920
I've said, eat butter for a day.

1464
00:58:56.920 --> 00:58:58.840
That's 100% fat.

1465
00:58:58.840 --> 00:59:00.520
Okay, so you can just have increased the butter.

1466
00:59:00.520 --> 00:59:01.640
Yeah, you could have that, okay?

1467
00:59:01.640 --> 00:59:02.640
So that...

1468
00:59:02.640 --> 00:59:03.640
Are there carbs in here?

1469
00:59:03.640 --> 00:59:04.480
No.

1470
00:59:04.480 --> 00:59:05.720
No, it's just fat.

1471
00:59:07.360 --> 00:59:11.440
And it's not awful, but it is a great social experiment

1472
00:59:11.440 --> 00:59:15.400
where they haven't felt what satiety feels like in a while.

1473
00:59:15.400 --> 00:59:17.120
People talk about neck carbs.

1474
00:59:17.120 --> 00:59:21.920
They say, you know, Avocado has 12 grams of carbs in,

1475
00:59:21.920 --> 00:59:23.360
but it has 10 grams of fiber.

1476
00:59:23.360 --> 00:59:26.160
So the neck carbs is two.

1477
00:59:26.160 --> 00:59:27.600
If you've never had insulin resistant,

1478
00:59:27.600 --> 00:59:28.480
you can do it that way.

1479
00:59:28.480 --> 00:59:30.400
My patients have had high insulin,

1480
00:59:30.400 --> 00:59:31.760
and I don't play that game.

1481
00:59:31.760 --> 00:59:33.080
It's gotta be total carbs.

1482
00:59:34.240 --> 00:59:36.120
Fiber is for farting.

1483
00:59:36.120 --> 00:59:39.240
Do you recognize this photo of this lady?

1484
00:59:40.800 --> 00:59:42.080
Oh, yes.

1485
00:59:42.080 --> 00:59:42.920
Who is she?

1486
00:59:42.920 --> 00:59:44.480
She is just a great story.

1487
00:59:44.480 --> 00:59:48.960
Jane had, oh, she had pathology

1488
00:59:48.960 --> 00:59:51.200
with how she thought about food like many patients.

1489
00:59:51.200 --> 00:59:56.200
She had food as the way she coped with a lot of things.

1490
00:59:56.480 --> 00:59:59.080
And as long as she was clearing her plate

1491
00:59:59.080 --> 01:00:02.800
and using that food, it comfort a lot of wounds.

1492
01:00:02.800 --> 01:00:04.920
When you start to address some of these things,

1493
01:00:04.920 --> 01:00:06.640
I mean, the ketogenic doesn't fail

1494
01:00:06.640 --> 01:00:08.320
if you just follow the chemistry.

1495
01:00:08.320 --> 01:00:11.320
The ketogenic fails when you have humans

1496
01:00:11.320 --> 01:00:13.520
who've had wounds, who've had a history

1497
01:00:13.520 --> 01:00:16.480
who have stress, who don't sleep.

1498
01:00:16.480 --> 01:00:17.840
And Jane was a great story

1499
01:00:17.840 --> 01:00:20.200
where all the goodness in the world

1500
01:00:20.200 --> 01:00:22.880
that couldn't undo some of that relationship

1501
01:00:22.880 --> 01:00:24.480
she had with food.

1502
01:00:24.480 --> 01:00:26.200
So the first time she's one of the coaches

1503
01:00:26.200 --> 01:00:27.960
that I used for that 21 day,

1504
01:00:27.960 --> 01:00:30.040
and she just has the best outcomes

1505
01:00:30.040 --> 01:00:32.680
because she was doing a strong ketogenic diet

1506
01:00:32.680 --> 01:00:34.200
for those three weeks, twice a year.

1507
01:00:34.200 --> 01:00:37.040
And she decided that after I think the third class,

1508
01:00:37.040 --> 01:00:40.720
she was gonna do sardines only for 30 days.

1509
01:00:40.720 --> 01:00:42.560
And she writes me at the end of the 30 days,

1510
01:00:42.560 --> 01:00:44.720
can't believe how great she feels,

1511
01:00:44.720 --> 01:00:48.040
and really kind of address some of those demons

1512
01:00:48.040 --> 01:00:51.120
associated with why she would eat, what she would eat.

1513
01:00:51.120 --> 01:00:52.200
And then I've hit again,

1514
01:00:52.200 --> 01:00:54.080
and she put on some of the weight again,

1515
01:00:54.080 --> 01:00:56.120
she'd use sardines intermittently,

1516
01:00:56.120 --> 01:00:57.200
and she called me and said,

1517
01:00:57.200 --> 01:00:58.720
all right, I think I'm gonna do this again.

1518
01:00:58.720 --> 01:01:00.200
I'm gonna just go on sardines

1519
01:01:00.200 --> 01:01:04.560
and really have some come to Jesus moments on why it is

1520
01:01:04.560 --> 01:01:06.400
that I do some of the things I do.

1521
01:01:06.400 --> 01:01:07.960
I mean, it's a really vulnerable moment

1522
01:01:07.960 --> 01:01:09.960
where you can hide those moments,

1523
01:01:09.960 --> 01:01:12.280
you can never tell a soul what's really going on

1524
01:01:12.320 --> 01:01:15.200
through your mind, and she was going to address them.

1525
01:01:15.200 --> 01:01:18.520
And I said, well, I have a bone to pick with Joe Rogan.

1526
01:01:19.520 --> 01:01:22.840
He has said some inappropriate things about sardines,

1527
01:01:22.840 --> 01:01:24.960
like there are sonic poisoning.

1528
01:01:24.960 --> 01:01:26.880
So I'd like to check a few blood levels

1529
01:01:26.880 --> 01:01:28.440
and you before you start.

1530
01:01:28.440 --> 01:01:30.240
So we check our vitamin D, we check our arsenic,

1531
01:01:30.240 --> 01:01:31.840
selenium, and a few other things.

1532
01:01:31.840 --> 01:01:35.240
And she starts on her sardine journey,

1533
01:01:35.240 --> 01:01:37.440
and she goes a hundred days,

1534
01:01:37.440 --> 01:01:40.200
a hundred days of only sardines.

1535
01:01:40.360 --> 01:01:43.600
And not only does she, first of all, her vitamin D,

1536
01:01:43.600 --> 01:01:45.560
she did not take any vitamin D, she stopped her vitamin D.

1537
01:01:45.560 --> 01:01:50.400
It went from the 30s and 40s up to just maybe over a hundred,

1538
01:01:50.400 --> 01:01:52.080
a hundred and eight or something.

1539
01:01:52.080 --> 01:01:53.600
Her selenium didn't do anything naughty.

1540
01:01:53.600 --> 01:01:56.160
Her arsenic did not do anything naughty,

1541
01:01:56.160 --> 01:01:58.360
like Joe Rogan said it would.

1542
01:01:58.360 --> 01:02:03.080
And she was able to not only shed the pounds,

1543
01:02:03.080 --> 01:02:07.760
but really say some truths about why she was eating so much.

1544
01:02:08.760 --> 01:02:12.760
And she confronted the pathology about why,

1545
01:02:12.760 --> 01:02:15.760
why is she using food for those other things.

1546
01:02:15.760 --> 01:02:17.760
You know, I do this thing in the 21 day

1547
01:02:17.760 --> 01:02:20.760
where I ask them to find their best day in their life.

1548
01:02:20.760 --> 01:02:23.760
And I'm trying to just get them to think about

1549
01:02:23.760 --> 01:02:24.760
what does that feel like?

1550
01:02:24.760 --> 01:02:25.760
What did that look like?

1551
01:02:25.760 --> 01:02:27.760
And then we go to the worst day in their life.

1552
01:02:27.760 --> 01:02:29.760
And Jane wrote something that really touched me.

1553
01:02:29.760 --> 01:02:32.760
She said, I don't think I've ever had

1554
01:02:32.760 --> 01:02:34.760
the best day of my life.

1555
01:02:34.760 --> 01:02:36.760
This was probably the third or fourth time

1556
01:02:36.760 --> 01:02:37.760
I've done that exercise.

1557
01:02:37.760 --> 01:02:40.760
So she'd done it in a way where it didn't bring any extra attention,

1558
01:02:40.760 --> 01:02:43.760
but she spoke a truth that just said,

1559
01:02:43.760 --> 01:02:48.760
I've had this fear for so long that for the first time,

1560
01:02:48.760 --> 01:02:52.760
I'm going to say out loud that I'm looking for the best day of my life

1561
01:02:52.760 --> 01:02:55.760
and I feel like I have the freedom to do it.

1562
01:02:55.760 --> 01:02:58.760
That's what happened after a hundred days of sardines.

1563
01:02:58.760 --> 01:03:02.760
So if she eats a sardines for a hundred days,

1564
01:03:02.760 --> 01:03:05.760
she's probably not going to get like the gut microbiome.

1565
01:03:05.760 --> 01:03:07.760
She has the best gut microbiome.

1566
01:03:07.760 --> 01:03:10.760
Doesn't she need to be eating plants?

1567
01:03:10.760 --> 01:03:13.760
Oh no, fibers for farting.

1568
01:03:13.760 --> 01:03:16.760
So you're looking at a gut biome, right?

1569
01:03:16.760 --> 01:03:18.760
And so tell me what you think that is.

1570
01:03:18.760 --> 01:03:22.760
Lots of bugs that have been feeding on plants.

1571
01:03:22.760 --> 01:03:24.760
Okay, yes.

1572
01:03:24.760 --> 01:03:27.760
Puterate has part of that equation.

1573
01:03:27.760 --> 01:03:30.760
So gut biome is the slime layer inside your gut.

1574
01:03:30.760 --> 01:03:32.760
It's where the critters live.

1575
01:03:32.760 --> 01:03:33.760
It's where they set up homes

1576
01:03:33.760 --> 01:03:36.760
and if you have a really good slime layer, it's squishy.

1577
01:03:36.760 --> 01:03:37.760
It's dense.

1578
01:03:37.760 --> 01:03:39.760
It's not moth eaten.

1579
01:03:39.760 --> 01:03:41.760
It's not aqueous or water-like.

1580
01:03:41.760 --> 01:03:42.760
It's squishy.

1581
01:03:42.760 --> 01:03:45.760
And when you put plants in there,

1582
01:03:45.760 --> 01:03:48.760
when you put fiber in there, it tears that down.

1583
01:03:48.760 --> 01:03:50.760
And you say, well, fibers needed for this

1584
01:03:50.760 --> 01:03:54.760
because some of those bugs eat up on the fiber

1585
01:03:54.760 --> 01:03:56.760
and they put out some buterate

1586
01:03:56.760 --> 01:03:59.760
and that helps these other bacteria to grow.

1587
01:03:59.760 --> 01:04:02.760
You're like, yeah, that's one way to get a good microbiome.

1588
01:04:02.760 --> 01:04:05.760
But we haven't been fiber eaters forever.

1589
01:04:05.760 --> 01:04:08.760
And when you look at many of my carnivore patients,

1590
01:04:08.760 --> 01:04:11.760
especially when they've got some of those little fish

1591
01:04:11.760 --> 01:04:14.760
scattered into that carnivore diet,

1592
01:04:14.760 --> 01:04:17.760
they're symptoms of irritable bowel,

1593
01:04:17.760 --> 01:04:22.760
of chronic diarrhea, of bloody ulcers, reverse.

1594
01:04:22.760 --> 01:04:23.760
Why?

1595
01:04:23.760 --> 01:04:27.760
Because that gut biome got a lot stronger and a lot healthier.

1596
01:04:27.760 --> 01:04:29.760
So the things that are from doing this podcast for a long time,

1597
01:04:29.760 --> 01:04:31.760
the things that I'd be concerned about

1598
01:04:31.760 --> 01:04:33.760
if I just ate sardines for a prolonged period of time,

1599
01:04:33.760 --> 01:04:35.760
or really any diet, I guess, for a prolonged period of time.

1600
01:04:35.760 --> 01:04:40.760
A narrow diet would be the fiber issue we talked about.

1601
01:04:40.760 --> 01:04:42.760
And then all the other things that are just not in sardines.

1602
01:04:42.760 --> 01:04:44.760
I mean, vitamin C.

1603
01:04:44.760 --> 01:04:45.760
You still get a good vitamin C.

1604
01:04:45.760 --> 01:04:47.760
So vitamin C has different rules when you go carnivore.

1605
01:04:47.760 --> 01:04:48.760
What about magnesium?

1606
01:04:48.760 --> 01:04:50.760
Yeah, lots of that.

1607
01:04:50.760 --> 01:04:52.760
Magnesium, I still think, is one of the supplements we all need.

1608
01:04:52.760 --> 01:04:55.760
Well, it's sodium overload because these are very salty, right?

1609
01:04:55.760 --> 01:04:59.760
Your sodium churn, how well you use sodium

1610
01:04:59.760 --> 01:05:01.760
is dependent on how well you've eaten in the last week.

1611
01:05:01.760 --> 01:05:04.760
So when you increase the sodium, those receptors get better.

1612
01:05:04.760 --> 01:05:06.760
When you decrease the sodium, those receptors show down.

1613
01:05:06.760 --> 01:05:09.760
That's an adjustment that everybody will make.

1614
01:05:09.760 --> 01:05:12.760
What about things like mercury and other sort of metals toxic?

1615
01:05:12.760 --> 01:05:13.760
Little fish, little problems.

1616
01:05:13.760 --> 01:05:15.760
You've got the right one for mercury.

1617
01:05:15.760 --> 01:05:17.760
Again, we tested that for her too.

1618
01:05:17.760 --> 01:05:19.760
100 days, no problem.

1619
01:05:19.760 --> 01:05:21.760
Oh, especially in the can as well.

1620
01:05:21.760 --> 01:05:23.760
I think I'm going to be of any issue with canned food these days

1621
01:05:23.760 --> 01:05:25.760
because I've had 70 microplastics.

1622
01:05:25.760 --> 01:05:27.760
Microplastic toxins, et cetera.

1623
01:05:28.760 --> 01:05:30.760
I think you're majoring in the minor leagues there.

1624
01:05:30.760 --> 01:05:35.760
That the amount of benefit that people get from sardines

1625
01:05:35.760 --> 01:05:38.760
versus whatever might be in those in that can,

1626
01:05:38.760 --> 01:05:40.760
I tell patients not to worry about it.

1627
01:05:40.760 --> 01:05:44.760
And then the last point I said was about digestive and mood issues

1628
01:05:44.760 --> 01:05:46.760
because the gut work right by them is so...

1629
01:05:46.760 --> 01:05:47.760
So linked to brain, absolute.

1630
01:05:47.760 --> 01:05:48.760
Serotonin, isn't it?

1631
01:05:48.760 --> 01:05:53.760
I mean, serotonin is in the gut, but it's a huge part of like a GLP1,

1632
01:05:53.760 --> 01:05:56.760
and the GIP, they're all produced hormones in the gut

1633
01:05:56.760 --> 01:05:58.760
that are hugely impacting your brain.

1634
01:05:58.760 --> 01:06:01.760
And when you want GLP1 to be made,

1635
01:06:01.760 --> 01:06:03.760
have a strong thick microbiome.

1636
01:06:03.760 --> 01:06:05.760
You do not need fiber to do that.

1637
01:06:05.760 --> 01:06:06.760
You need butarate.

1638
01:06:06.760 --> 01:06:13.760
Butarate is that two carbon fat that comes from acromansia,

1639
01:06:13.760 --> 01:06:15.760
you know, chewing up the fiber, right?

1640
01:06:15.760 --> 01:06:20.760
Or beta hydroxy butarate in your blood.

1641
01:06:20.760 --> 01:06:23.760
That's that ketone thing you've got over there.

1642
01:06:23.760 --> 01:06:24.760
Oh, these things.

1643
01:06:24.760 --> 01:06:25.760
Yeah, all of them.

1644
01:06:25.760 --> 01:06:26.760
Cush it out.

1645
01:06:26.760 --> 01:06:27.760
There you go.

1646
01:06:27.760 --> 01:06:28.760
Yes.

1647
01:06:28.760 --> 01:06:32.760
It's a beta hydroxy butarate is what that is going to turn into your circulation.

1648
01:06:32.760 --> 01:06:36.760
Butarate is a fat chain that's two carbons long.

1649
01:06:36.760 --> 01:06:39.760
That's what you're asking that microbiome to say,

1650
01:06:39.760 --> 01:06:42.760
here, this long string of fibers coming along

1651
01:06:42.760 --> 01:06:45.760
and that little bug is going to eat a piece of it

1652
01:06:45.760 --> 01:06:48.760
and make butarate two carbons of fat.

1653
01:06:48.760 --> 01:06:50.760
That's one of these things that you're talking about.

1654
01:06:50.760 --> 01:06:51.760
You need to have butarate.

1655
01:06:51.760 --> 01:06:52.760
You need to have butarate.

1656
01:06:52.760 --> 01:06:55.760
That's what every why you even fight or you got to have butarate.

1657
01:06:55.760 --> 01:06:57.760
All these, you know, experts come on my show

1658
01:06:57.760 --> 01:06:59.760
and they talk about the importance of having a diverse...

1659
01:06:59.760 --> 01:07:00.760
I know.

1660
01:07:00.760 --> 01:07:01.760
I've watched a bunch of them.

1661
01:07:01.760 --> 01:07:02.760
Diverse with microbiome, yes.

1662
01:07:02.760 --> 01:07:04.760
And what I think...

1663
01:07:04.760 --> 01:07:06.760
So it's not going to be diverse if I'm just eating one thing.

1664
01:07:06.760 --> 01:07:07.760
Oh, yes it will.

1665
01:07:07.760 --> 01:07:09.760
It's amazing.

1666
01:07:09.760 --> 01:07:12.760
So that's the whole point of a microbiome is what, you know,

1667
01:07:12.760 --> 01:07:15.760
diverse enough to be supportive.

1668
01:07:15.760 --> 01:07:20.760
Diverse enough to have the two-chain fat that you want to have in there.

1669
01:07:20.760 --> 01:07:29.760
I mean, go back and look at when our bodies were just eating fish or carnivore.

1670
01:07:29.760 --> 01:07:36.760
The beauty of a microbiome is how much it does adjust in every patient.

1671
01:07:36.760 --> 01:07:37.760
What about supplementation?

1672
01:07:37.760 --> 01:07:43.760
What are the key supplements that you don't live without on a daily basis?

1673
01:07:43.760 --> 01:07:46.760
Vitamin D turns out to be a really important one.

1674
01:07:46.760 --> 01:07:50.760
If I'm eating sardines four or five cans a week, I probably don't eat vitamin D but...

1675
01:07:50.760 --> 01:07:52.760
Why is it so important, vitamin D?

1676
01:07:52.760 --> 01:07:54.760
Yeah, it's a hormone, right?

1677
01:07:54.760 --> 01:07:58.760
A hormone that goes and talks to every one of the cells in your body

1678
01:07:58.760 --> 01:08:03.760
and it tells that cell to be its best version of itself.

1679
01:08:03.760 --> 01:08:08.760
That hormone goes to the nucleus and it makes that skin cell do something different.

1680
01:08:08.760 --> 01:08:10.760
It makes your brain cell do something different.

1681
01:08:10.760 --> 01:08:12.760
It makes your heart cell do something different.

1682
01:08:12.760 --> 01:08:17.760
You read all the benefits about vitamin D and you think it does everything.

1683
01:08:17.760 --> 01:08:19.760
How can I do all of these things?

1684
01:08:19.760 --> 01:08:22.760
The reason why is it is not just a vitamin.

1685
01:08:22.760 --> 01:08:25.760
It's a hormone that changes how the cell functions.

1686
01:08:25.760 --> 01:08:28.760
Unfortunately, it's made a fat.

1687
01:08:28.760 --> 01:08:33.760
If you have high insulin, it gets stuck parked in your fat cells and it didn't get to the cell.

1688
01:08:33.760 --> 01:08:38.760
Is there a link between vitamin D and ketosis and weight loss in insulin?

1689
01:08:38.760 --> 01:08:41.760
It's actually why I pointed out that when Jane did that 100 day,

1690
01:08:41.760 --> 01:08:45.760
she's been struggling with her vitamin D in the 30s or 40s.

1691
01:08:45.760 --> 01:08:46.760
Right.

1692
01:08:46.760 --> 01:08:48.760
But for the best brain, we wanted to be of 50.

1693
01:08:48.760 --> 01:08:50.760
So she starts on the sardine challenge.

1694
01:08:50.760 --> 01:08:52.760
It's in the 30s or 40s and she's supplementing.

1695
01:08:52.760 --> 01:08:54.760
She's taken as much as she can.

1696
01:08:54.760 --> 01:08:57.760
But what's happening, her insulin was putting it in her fat.

1697
01:08:57.760 --> 01:09:00.760
She goes on sardines, which have vitamin D in them.

1698
01:09:00.760 --> 01:09:06.760
By the end, her vitamin D was 108, something like that.

1699
01:09:06.760 --> 01:09:09.760
So you can see the experts say don't go above 100.

1700
01:09:09.760 --> 01:09:13.760
But I don't have any worry of her being 108.

1701
01:09:13.760 --> 01:09:19.760
What happened was she lowered her insulin and now fat can move around in her body like it's supposed to.

1702
01:09:19.760 --> 01:09:21.760
And part of that fat isn't just her estrogen.

1703
01:09:21.760 --> 01:09:23.760
It was her vitamin D.

1704
01:09:23.760 --> 01:09:25.760
She looks like 20 years younger.

1705
01:09:25.760 --> 01:09:26.760
Isn't it amazing?

1706
01:09:26.760 --> 01:09:28.760
You should see how joyful she is.

1707
01:09:28.760 --> 01:09:31.760
That's the part that you're like, what unlocked during those 100 days of,

1708
01:09:31.760 --> 01:09:33.760
you can say food restriction.

1709
01:09:33.760 --> 01:09:38.760
Vitamin D went up, insulin went down and she really said,

1710
01:09:38.760 --> 01:09:42.760
how many things am I going to comfort in my life from food?

1711
01:09:42.760 --> 01:09:45.760
And let's tackle that demon.

1712
01:09:45.760 --> 01:09:46.760
Did it stick?

1713
01:09:46.760 --> 01:09:48.760
Yeah, that's the cool part.

1714
01:09:48.760 --> 01:09:52.760
The world of business looks entirely different today than it did 15 years ago.

1715
01:09:52.760 --> 01:09:54.760
Back then building a brand meant having huge budgets,

1716
01:09:54.760 --> 01:09:57.760
warehouse is office space and lots and lots of staff.

1717
01:09:57.760 --> 01:10:00.760
But now you can start a business with your laptop and idea and the right tools.

1718
01:10:00.760 --> 01:10:03.760
And I would know more so than anybody else because that's exactly what I did.

1719
01:10:03.760 --> 01:10:05.760
Shopify is one of our longstanding sponsors on this show.

1720
01:10:05.760 --> 01:10:09.760
And they're a brand I often refer people to when they're starting their businesses

1721
01:10:09.760 --> 01:10:12.760
because it's a tool that contains many more tools within itself.

1722
01:10:12.760 --> 01:10:15.760
And when you're starting out, everything is everywhere.

1723
01:10:15.760 --> 01:10:16.760
It's messy and it's confusing.

1724
01:10:16.760 --> 01:10:19.760
So having everything in the same place is incredibly useful.

1725
01:10:19.760 --> 01:10:22.760
Shopify puts store design, payments, inventory, shipping,

1726
01:10:22.760 --> 01:10:25.760
and even AI tools all in one place.

1727
01:10:25.760 --> 01:10:28.760
And you can sell directly from your website or on social media,

1728
01:10:28.760 --> 01:10:31.760
essentially wherever your customers spend their time.

1729
01:10:31.760 --> 01:10:33.760
It's truly a brilliant business tool.

1730
01:10:33.760 --> 01:10:37.760
So if you want to give it a go, head to Shopify.com slash Bartlett

1731
01:10:37.760 --> 01:10:40.760
and sign up for your $1 per month trial period.

1732
01:10:40.760 --> 01:10:43.760
That Shopify.com slash Bartlett.

1733
01:10:43.760 --> 01:10:47.760
What about the other supplements that you would not live without?

1734
01:10:47.760 --> 01:10:50.760
Well, I think the whole world's low on magnesium.

1735
01:10:50.760 --> 01:10:51.760
I wish I could.

1736
01:10:51.760 --> 01:10:52.760
Magnesium.

1737
01:10:52.760 --> 01:10:53.760
Yeah.

1738
01:10:53.760 --> 01:10:55.760
So magnesium is required for every little...

1739
01:10:56.760 --> 01:10:58.760
It's like the spark plug in our bodies.

1740
01:10:58.760 --> 01:11:01.760
It's a little metal and it's how ATP gets recycled

1741
01:11:01.760 --> 01:11:03.760
and you need it for almost every enzyme.

1742
01:11:03.760 --> 01:11:05.760
But our food is low on it.

1743
01:11:05.760 --> 01:11:07.760
Our soil is low on it.

1744
01:11:07.760 --> 01:11:08.760
You just got to replace it.

1745
01:11:08.760 --> 01:11:10.760
I use magnesium supplements,

1746
01:11:10.760 --> 01:11:13.760
but I also have my patients go for a magnesium float.

1747
01:11:13.760 --> 01:11:14.760
What's that?

1748
01:11:14.760 --> 01:11:17.760
Ever seen pictures of people in the Dead Sea?

1749
01:11:17.760 --> 01:11:18.760
No.

1750
01:11:18.760 --> 01:11:19.760
They're floating, right?

1751
01:11:19.760 --> 01:11:23.760
The salinity or the salt level is so high and it stinks, right?

1752
01:11:23.760 --> 01:11:24.760
It's a stinky place.

1753
01:11:24.760 --> 01:11:25.760
It's magnesium.

1754
01:11:25.760 --> 01:11:26.760
So they go in there.

1755
01:11:26.760 --> 01:11:28.760
They soak in the magnesium and you're like,

1756
01:11:28.760 --> 01:11:30.760
oh my gosh, I feel so much better.

1757
01:11:30.760 --> 01:11:32.760
That's gotta be junk's lands, right?

1758
01:11:32.760 --> 01:11:33.760
Well, turns out it's not.

1759
01:11:33.760 --> 01:11:36.760
So you can get magnesium absorbed through your skin

1760
01:11:36.760 --> 01:11:38.760
and just like, I don't know, in the 1990s,

1761
01:11:38.760 --> 01:11:40.760
you'd go rent time in a tanning bed.

1762
01:11:40.760 --> 01:11:43.760
You can rent time in a magnesium float.

1763
01:11:43.760 --> 01:11:44.760
Any of this?

1764
01:11:44.760 --> 01:11:46.760
So omega-3, if you're not doing fish,

1765
01:11:46.760 --> 01:11:48.760
you can't go wrong with omega-3.

1766
01:11:49.760 --> 01:11:54.760
Steven, I really push my patients to have ketones around.

1767
01:11:54.760 --> 01:11:56.760
When you say ketones, you mean external.

1768
01:11:56.760 --> 01:11:58.760
Exogenous ketones, yeah.

1769
01:11:58.760 --> 01:12:00.760
So the word exogenous means external.

1770
01:12:00.760 --> 01:12:01.760
It's externally consumed.

1771
01:12:01.760 --> 01:12:02.760
And there's some on the table here.

1772
01:12:02.760 --> 01:12:03.760
I'm an investor in this company, actually.

1773
01:12:03.760 --> 01:12:05.760
So that's probably worth saying, ketone key.

1774
01:12:05.760 --> 01:12:06.760
Yes, right.

1775
01:12:06.760 --> 01:12:08.760
That you've got some other ones here,

1776
01:12:08.760 --> 01:12:09.760
which are, what's this?

1777
01:12:09.760 --> 01:12:11.760
That's ketone salts.

1778
01:12:11.760 --> 01:12:14.760
So this one is just beta hydroxybutyric acid.

1779
01:12:14.760 --> 01:12:16.760
My husband is deathly allergic to stevia.

1780
01:12:16.760 --> 01:12:18.760
He said, I'll make this one for you, honey.

1781
01:12:18.760 --> 01:12:19.760
It's just liquid ketones.

1782
01:12:19.760 --> 01:12:20.760
Okay.

1783
01:12:20.760 --> 01:12:22.760
No sweeteners, no fillers, nothing.

1784
01:12:22.760 --> 01:12:26.760
And is there a difference between taking external ketones

1785
01:12:26.760 --> 01:12:29.760
through a drain call through the salts or whatever else?

1786
01:12:29.760 --> 01:12:32.760
First is actually being in the ketogenic state

1787
01:12:32.760 --> 01:12:33.760
because of your diet.

1788
01:12:33.760 --> 01:12:35.760
When you make it, it is much more abundant.

1789
01:12:35.760 --> 01:12:39.760
But when you do what people do, they fall off the wagon

1790
01:12:39.760 --> 01:12:41.760
or they're very insulin resistant

1791
01:12:41.760 --> 01:12:44.760
so their body is trying to catch up to equilibrate.

1792
01:12:44.760 --> 01:12:47.760
You want ketones put back in circulation

1793
01:12:47.760 --> 01:12:50.760
because it will spark their liver to make ketones.

1794
01:12:50.760 --> 01:12:52.760
So it really is a jumpstart for patients

1795
01:12:52.760 --> 01:12:55.760
with chronic insulin resistance, chronic problems.

1796
01:12:55.760 --> 01:12:57.760
We got about, you know, six years of getting them

1797
01:12:57.760 --> 01:12:59.760
to the healthiest version of themselves

1798
01:12:59.760 --> 01:13:01.760
as long as they don't fall off the wagon.

1799
01:13:01.760 --> 01:13:03.760
So when they are doing okay

1800
01:13:03.760 --> 01:13:05.760
and now they need to give back on track,

1801
01:13:05.760 --> 01:13:07.760
give them a dose of ketones

1802
01:13:07.760 --> 01:13:10.760
and by putting ketones in their circulation like that,

1803
01:13:10.760 --> 01:13:12.760
by checking their blood,

1804
01:13:12.760 --> 01:13:14.760
the liver will make ketones.

1805
01:13:14.760 --> 01:13:17.760
So it's not just a fuel, they will feel better.

1806
01:13:17.760 --> 01:13:20.760
It's a signal for the liver to make more ketones.

1807
01:13:20.760 --> 01:13:22.760
But I'm not going to be burning fat then am I?

1808
01:13:22.760 --> 01:13:23.760
You will.

1809
01:13:23.760 --> 01:13:25.760
I mean, again, ketones beget ketones.

1810
01:13:25.760 --> 01:13:27.760
When you are making ketones, your body makes more ketones.

1811
01:13:27.760 --> 01:13:30.760
So if you jumpstart it by swallowing some,

1812
01:13:30.760 --> 01:13:32.760
you get better tomorrow, get a better tomorrow.

1813
01:13:32.760 --> 01:13:34.760
And usually if somebody's falling off the wagon

1814
01:13:34.760 --> 01:13:37.760
I'll have them do ketones for like three days.

1815
01:13:37.760 --> 01:13:39.760
And the fourth day they are on their own again

1816
01:13:39.760 --> 01:13:42.760
and they'll stay steady for a couple of weeks

1817
01:13:42.760 --> 01:13:45.760
and then they'll have pasta.

1818
01:13:45.760 --> 01:13:47.760
That's why invested in this company

1819
01:13:47.760 --> 01:13:49.760
because I'm actually a corner of the business now

1820
01:13:49.760 --> 01:13:52.760
and because I saw the benefits

1821
01:13:52.760 --> 01:13:55.760
of having exogenous ketones on a regular basis.

1822
01:13:55.760 --> 01:13:57.760
So if anyone wants to try them,

1823
01:13:57.760 --> 01:13:58.760
go to ketone.com.

1824
01:13:58.760 --> 01:14:00.760
And your brain will use it like that.

1825
01:14:00.760 --> 01:14:01.760
It's super fast.

1826
01:14:01.760 --> 01:14:02.760
Beautiful.

1827
01:14:02.760 --> 01:14:03.760
When I use my ketone reader,

1828
01:14:03.760 --> 01:14:06.760
it appears in about 15 minutes or 20 minutes or so.

1829
01:14:06.760 --> 01:14:09.760
And their liver then makes more ketones for the next 12 hours.

1830
01:14:09.760 --> 01:14:12.760
That's the part that I, especially for my cancer patients

1831
01:14:12.760 --> 01:14:16.760
or people who are really, I mean, we need ketones high

1832
01:14:16.760 --> 01:14:18.760
for their, they got chemo tomorrow.

1833
01:14:18.760 --> 01:14:20.760
They can't afford to say go fast for 40 hours.

1834
01:14:20.760 --> 01:14:21.760
They don't have the time.

1835
01:14:21.760 --> 01:14:22.760
So let me help you.

1836
01:14:22.760 --> 01:14:26.760
And there's nothing better than going into that chemotherapy,

1837
01:14:26.760 --> 01:14:29.760
going into that radiation with a bunch of antioxidants

1838
01:14:29.760 --> 01:14:31.760
and circulation coming right out of your liver.

1839
01:14:31.760 --> 01:14:32.760
Explain why that matters.

1840
01:14:32.760 --> 01:14:35.760
I mean, I've got a photo here of a...

1841
01:14:35.760 --> 01:14:37.760
Grandma Rose.

1842
01:14:37.760 --> 01:14:38.760
Grandma Rose.

1843
01:14:38.760 --> 01:14:39.760
Yeah.

1844
01:14:39.760 --> 01:14:40.760
That's my mother.

1845
01:14:40.760 --> 01:14:41.760
Yes.

1846
01:14:41.760 --> 01:14:45.760
She is the reason I'm here.

1847
01:14:45.760 --> 01:14:47.760
Been five years.

1848
01:14:47.760 --> 01:14:49.760
Yeah, 2015.

1849
01:14:49.760 --> 01:14:53.760
The most stubborn patient walks through the door

1850
01:14:53.760 --> 01:14:58.760
after 10 years of the best health care I know how to give.

1851
01:14:58.760 --> 01:15:00.760
And she's gray.

1852
01:15:00.760 --> 01:15:02.760
She looks like a zombie.

1853
01:15:02.760 --> 01:15:05.760
And she's got big lymph nodes in her neck.

1854
01:15:05.760 --> 01:15:10.760
You don't need to be a doctor to know that she's dying.

1855
01:15:10.760 --> 01:15:13.760
Cancer was back again.

1856
01:15:13.760 --> 01:15:16.760
And we go to see that oncologist.

1857
01:15:16.760 --> 01:15:18.760
And he says, you need chemotherapy.

1858
01:15:18.760 --> 01:15:22.760
And she says, Michael, the last two times you did that to me,

1859
01:15:22.760 --> 01:15:25.760
I didn't know what a sewing machine was.

1860
01:15:25.760 --> 01:15:31.760
And she made all of my clothes until I was the age of 10.

1861
01:15:31.760 --> 01:15:34.760
And she's nervous because she has six months to live.

1862
01:15:34.760 --> 01:15:36.760
We don't do something.

1863
01:15:36.760 --> 01:15:40.760
And she asks me a question that...

1864
01:15:40.760 --> 01:15:43.760
Lots of patients have asked me this question.

1865
01:15:43.760 --> 01:15:46.760
I just sometimes lie.

1866
01:15:46.760 --> 01:15:51.760
She said, if it was you, what would you do?

1867
01:15:51.760 --> 01:15:54.760
That's a really emotional question because there's guidelines.

1868
01:15:54.760 --> 01:15:55.760
There's rules.

1869
01:15:55.760 --> 01:15:59.760
Here's what you're supposed to do as the doctor.

1870
01:15:59.760 --> 01:16:03.760
What is your mom?

1871
01:16:03.760 --> 01:16:05.760
And I saw what chemotherapy did to her.

1872
01:16:05.760 --> 01:16:07.760
It was terrible.

1873
01:16:07.760 --> 01:16:10.760
She didn't know the grandkids.

1874
01:16:10.760 --> 01:16:11.760
It was terrible.

1875
01:16:11.760 --> 01:16:16.760
And we just got her back to functional again.

1876
01:16:16.760 --> 01:16:20.760
And so I said, I had been reading about the ketogenic diet on brain injuries.

1877
01:16:20.760 --> 01:16:25.760
And I'd come across a couple of studies on what it can do to a cancer patient,

1878
01:16:25.760 --> 01:16:29.760
especially an insulin-driven cancer patient like she was.

1879
01:16:29.760 --> 01:16:33.760
I said, Mom, do you trust me?

1880
01:16:33.760 --> 01:16:35.760
I'm like a fool.

1881
01:16:35.760 --> 01:16:40.760
She said it with my whole life.

1882
01:16:40.760 --> 01:16:43.760
We were standing there in the waiting room of the hospital.

1883
01:16:43.760 --> 01:16:48.760
One way was to schedule the chemotherapy and the other way was the front door.

1884
01:16:48.760 --> 01:16:51.760
I said, Mom, let's get in the car together.

1885
01:16:51.760 --> 01:16:52.760
I left my car there.

1886
01:16:52.760 --> 01:16:55.760
I drove to my family farm, which was 100 miles away,

1887
01:16:55.760 --> 01:16:58.760
and explained to my mother what a ketone was.

1888
01:16:58.760 --> 01:17:02.760
And her brain was a worker, so she didn't quite remember.

1889
01:17:02.760 --> 01:17:04.760
And we went to the house.

1890
01:17:04.760 --> 01:17:09.760
We threw out every carbohydrate and man at six weeks with chemotherapy.

1891
01:17:09.760 --> 01:17:13.760
Her numbers were supposed to drop by 30% of her cancer.

1892
01:17:13.760 --> 01:17:14.760
We didn't tell the doctor.

1893
01:17:14.760 --> 01:17:16.760
We just put her on a ketogenic diet and said,

1894
01:17:16.760 --> 01:17:18.760
Welcome back in six weeks.

1895
01:17:18.760 --> 01:17:20.760
So she's walking through the door of the hospital.

1896
01:17:20.760 --> 01:17:21.760
It's six weeks from there.

1897
01:17:21.760 --> 01:17:29.760
And it is like God has just the Holy Spirit is rising out of her.

1898
01:17:29.760 --> 01:17:34.760
She looks amazing.

1899
01:17:34.760 --> 01:17:38.760
So we go to get her blood drawn or sitting in the waiting room for the cancer doctor.

1900
01:17:38.760 --> 01:17:40.760
And he's my friend.

1901
01:17:40.760 --> 01:17:45.760
He's known me for 10 years, so I'm scared to tell him what we're about to do.

1902
01:17:45.760 --> 01:17:48.760
So we're sitting in their waiting and they come and draw our blood again,

1903
01:17:48.760 --> 01:17:52.760
which either means it's really good or it's really bad.

1904
01:17:52.760 --> 01:17:54.760
And so I get really nervous at the end.

1905
01:17:54.760 --> 01:17:56.760
We've been in that room for about an hour and I said,

1906
01:17:56.760 --> 01:17:59.760
Mom, if he asks you what you're doing, just shut up,

1907
01:17:59.760 --> 01:18:02.760
because I don't know what to tell him.

1908
01:18:02.760 --> 01:18:07.760
And he walks in and he slides the piece of paper over to me and says,

1909
01:18:07.760 --> 01:18:10.760
How did you get her numbers to drop by 70%?

1910
01:18:10.760 --> 01:18:13.760
There's no drug on the market that would do that.

1911
01:18:14.760 --> 01:18:15.760
When you say numbers.

1912
01:18:15.760 --> 01:18:16.760
Her cancer numbers.

1913
01:18:16.760 --> 01:18:19.760
So the chemo would have dropped it by 30%

1914
01:18:19.760 --> 01:18:24.760
and the ketogenic diet dropped it by 70% in six weeks.

1915
01:18:24.760 --> 01:18:29.760
And she went from a 70-year-old that looked 100

1916
01:18:29.760 --> 01:18:34.760
to a 75-year-old who looked 40.

1917
01:18:34.760 --> 01:18:37.760
How did you let your mother get on from that point onwards?

1918
01:18:37.760 --> 01:18:39.760
Yeah, she lived her best life.

1919
01:18:39.760 --> 01:18:42.760
I mean, I talk about her being from this little town of 800 people.

1920
01:18:42.760 --> 01:18:44.760
She was Mary Poppins.

1921
01:18:44.760 --> 01:18:48.760
I mean, like, you don't have a lady's aid unless you're a part

1922
01:18:48.760 --> 01:18:51.760
of the lady's aid in the little small town.

1923
01:18:51.760 --> 01:18:55.760
You don't have a Sunday school teacher unless you're doing the Sunday school.

1924
01:18:55.760 --> 01:18:59.760
She was in every aspect of the soul town.

1925
01:18:59.760 --> 01:19:01.760
And she went back to doing all of it.

1926
01:19:01.760 --> 01:19:04.760
And the pandemic hit.

1927
01:19:04.760 --> 01:19:09.760
And there's a thrift store that she would volunteer at because,

1928
01:19:09.760 --> 01:19:12.760
well, it's just a good place to put your time.

1929
01:19:12.760 --> 01:19:14.760
And the community needs it.

1930
01:19:14.760 --> 01:19:19.760
And while she was at the thrift store, she got COVID.

1931
01:19:19.760 --> 01:19:22.760
And her cancer was of the T-cells,

1932
01:19:22.760 --> 01:19:26.760
which means it's going to be the first line of defense against COVID.

1933
01:19:26.760 --> 01:19:30.760
And her T-cells failed.

1934
01:19:30.760 --> 01:19:34.760
Some of the science behind this talks about how cancer cells often rely heavily

1935
01:19:34.760 --> 01:19:36.760
on glucose for energy.

1936
01:19:36.760 --> 01:19:39.760
The phenomenon known as the warberg effect.

1937
01:19:39.760 --> 01:19:42.760
The keto diet drastically reduces carb hydrate and take forcing the body

1938
01:19:42.760 --> 01:19:44.760
to produce ketones for fuel instead of glucose.

1939
01:19:44.760 --> 01:19:46.760
Healthy cells can use ketones efficiently.

1940
01:19:46.760 --> 01:19:47.760
Many cancer cells cannot.

1941
01:19:47.760 --> 01:19:51.760
So in theory, keto could starve tumours while supporting normal tissue.

1942
01:19:51.760 --> 01:19:55.760
And they've done some animal studies that show it can slow tumour growth

1943
01:19:55.760 --> 01:19:59.760
in some cancers, especially brain cancers, like glimoblaster.

1944
01:19:59.760 --> 01:20:01.760
For your cholesterol, yeah.

1945
01:20:01.760 --> 01:20:04.760
Enhanced response to radiation or chemotherapy in certain models

1946
01:20:04.760 --> 01:20:08.760
are not state of stress, creating less cancer-friendly environment.

1947
01:20:08.760 --> 01:20:11.760
However, results are mixed.

1948
01:20:11.760 --> 01:20:14.760
It may also benefit muscle mass and weight stability in patients

1949
01:20:14.760 --> 01:20:15.760
losing muscle from treatment.

1950
01:20:15.760 --> 01:20:18.760
It may improve energy levels and mental clarity for some people

1951
01:20:18.760 --> 01:20:22.760
and could reduce insulin and IGF1 levels, hormones linked to cancer growth.

1952
01:20:22.760 --> 01:20:25.760
It may improve quality of life when used alongside standard treatments,

1953
01:20:25.760 --> 01:20:27.760
like chemotherapy.

1954
01:20:27.760 --> 01:20:30.760
There's also a list of potential risks which author up on the screen.

1955
01:20:30.760 --> 01:20:34.760
And I guess the summary here is keto may help by lowering glucose and insulin-reducing inflammation

1956
01:20:34.760 --> 01:20:38.760
and supporting metabolism that can be risky if it leads to malnutrition fatigue

1957
01:20:38.760 --> 01:20:40.760
or worse in treatment tolerance.

1958
01:20:40.760 --> 01:20:42.760
One patient, I get a lot of people calling and saying,

1959
01:20:42.760 --> 01:20:43.760
is it going to help my cancer?

1960
01:20:43.760 --> 01:20:44.760
Is it going to help my cancer?

1961
01:20:44.760 --> 01:20:46.760
Stephen, I go back to the same thing.

1962
01:20:46.760 --> 01:20:50.760
The amount of trash that you've not been taking out, we have to start.

1963
01:20:50.760 --> 01:20:54.760
And when you put them in a ketogenic state, I mean, it really helped her cancer.

1964
01:20:54.760 --> 01:20:56.760
It really did that Warburg effect.

1965
01:20:56.760 --> 01:20:59.760
She was a new human within three weeks.

1966
01:20:59.760 --> 01:21:01.760
But she had a lot of trash to take out.

1967
01:21:01.760 --> 01:21:04.760
This was a year and a half before she got to be the best version of herself.

1968
01:21:04.760 --> 01:21:08.760
And it really did return and restore her to health.

1969
01:21:08.760 --> 01:21:10.760
When I look at patients now who say,

1970
01:21:10.760 --> 01:21:13.760
am I going to reverse my cancer with a ketogenic diet?

1971
01:21:13.760 --> 01:21:16.760
I'm like, no, but you are going to deal with it a lot better.

1972
01:21:16.760 --> 01:21:17.760
I guess that's really what it comes down to.

1973
01:21:17.760 --> 01:21:20.760
It's like creating a better environment so that if disease does arrive,

1974
01:21:20.760 --> 01:21:23.760
obviously there is a, you know, with a lot of diseases,

1975
01:21:23.760 --> 01:21:28.760
there is a causal element where the way we eat in our lifestyle just create the disease.

1976
01:21:29.760 --> 01:21:30.760
Right.

1977
01:21:30.760 --> 01:21:32.760
But also when that disease arrives,

1978
01:21:32.760 --> 01:21:35.760
what like environment is your body into deal with it?

1979
01:21:35.760 --> 01:21:36.760
Amen.

1980
01:21:36.760 --> 01:21:39.760
And I think a lot about this, I think in part because of the pandemic,

1981
01:21:39.760 --> 01:21:41.760
where for the first time in my fairly young life,

1982
01:21:41.760 --> 01:21:44.760
I saw that your current physiological environment,

1983
01:21:44.760 --> 01:21:49.760
so the current state of your body was the single biggest predictor of your outcomes.

1984
01:21:49.760 --> 01:21:50.760
Amen. Oh, it was terrible.

1985
01:21:50.760 --> 01:21:53.760
So I hit 30 years old and it was like, well, if you're currently overweight,

1986
01:21:53.760 --> 01:21:58.760
your chance of dying from COVID is really, really high.

1987
01:21:58.760 --> 01:22:02.760
And so I think that was one of the big sort of protagonists in me getting into shape

1988
01:22:02.760 --> 01:22:05.760
was realizing that, you know, disease is probably going to happen to me.

1989
01:22:05.760 --> 01:22:08.760
But how my body responds to it is to be determined.

1990
01:22:08.760 --> 01:22:12.760
And I look at how much when you're asking an elder person to lose weight,

1991
01:22:12.760 --> 01:22:14.760
and you just read something really important there,

1992
01:22:14.760 --> 01:22:16.760
which is when those ketones are in circulation,

1993
01:22:16.760 --> 01:22:19.760
it is a signaling agent to make more ketones,

1994
01:22:19.760 --> 01:22:23.760
but it also signals the body to say, don't use muscle mass as a resource.

1995
01:22:23.760 --> 01:22:24.760
Go for the fat.

1996
01:22:24.760 --> 01:22:28.760
So you can see this protective, I mean, you take people through chemotherapy

1997
01:22:28.760 --> 01:22:32.760
and they have, you know, they shed weight too many pounds, right?

1998
01:22:32.760 --> 01:22:34.760
You put them in a ketogenic state

1999
01:22:34.760 --> 01:22:36.760
and their muscle mass gets higher preserved.

2000
01:22:36.760 --> 01:22:39.760
Their brain function, their ability to handle this, you know,

2001
01:22:39.760 --> 01:22:43.760
one of life's most enormous fears is death.

2002
01:22:43.760 --> 01:22:47.760
And that mood stability and muscle mass protection

2003
01:22:47.760 --> 01:22:50.760
because they've got ketones in circulation,

2004
01:22:50.760 --> 01:22:55.760
boy, that's the gift that they need right now in high numbers.

2005
01:22:55.760 --> 01:22:59.760
What is, I've heard you talk about methylene blue for brain health.

2006
01:22:59.760 --> 01:23:00.760
Have you ever done that?

2007
01:23:00.760 --> 01:23:01.760
No.

2008
01:23:01.760 --> 01:23:02.760
Oh my goodness.

2009
01:23:02.760 --> 01:23:03.760
What is it?

2010
01:23:03.760 --> 01:23:04.760
Well, it's old as dirt.

2011
01:23:04.760 --> 01:23:06.760
Nobody's making money on it.

2012
01:23:06.760 --> 01:23:08.760
But it is a die.

2013
01:23:08.760 --> 01:23:11.760
And so if you swallow it, you'll pee blue.

2014
01:23:11.760 --> 01:23:16.760
But it's also a bridge for how to help mitochondria

2015
01:23:16.760 --> 01:23:18.760
move fuel along.

2016
01:23:18.760 --> 01:23:22.760
So one of the worst parts, you asked me this question about supplements.

2017
01:23:22.760 --> 01:23:26.760
And I really have a tough time saying which supplements actually get to the cells

2018
01:23:26.760 --> 01:23:28.760
that the patients are looking for?

2019
01:23:28.760 --> 01:23:32.760
There is a really great fact about methylene blue that when you swallow it,

2020
01:23:32.760 --> 01:23:37.760
it actually was used for malaria treatment or anti-malaria for soldiers

2021
01:23:37.760 --> 01:23:43.760
and they would check compliance by making sure that their pee was blue.

2022
01:23:43.760 --> 01:23:48.760
But when they died, at autopsy, they had blue brains and blue hearts.

2023
01:23:48.760 --> 01:23:51.760
It would die these organs blue.

2024
01:23:51.760 --> 01:23:53.760
You say, my gosh, that's so strange.

2025
01:23:53.760 --> 01:23:55.760
But do you know that tells me?

2026
01:23:55.760 --> 01:23:58.760
It got to the cells that it was advertising it was going to get to.

2027
01:23:58.760 --> 01:24:01.760
So you look at methylene blue, it's supposed to supercharge your brain.

2028
01:24:01.760 --> 01:24:04.760
And I'm like, yeah, yeah, yeah, I've heard this before.

2029
01:24:04.760 --> 01:24:08.760
So I read about it and I'm like, wow, there's a lot of literature on this.

2030
01:24:08.760 --> 01:24:12.760
And then I did what I normally do, which is, well, let me take it for a couple weeks.

2031
01:24:12.760 --> 01:24:15.760
It was amazing. It was amazing.

2032
01:24:15.760 --> 01:24:19.760
I was floored at how well that little turkey works.

2033
01:24:19.760 --> 01:24:21.760
So there's no money to be made on it.

2034
01:24:21.760 --> 01:24:23.760
It's been around as long as dirt.

2035
01:24:23.760 --> 01:24:27.760
But it's a powerful brain energizer.

2036
01:24:27.760 --> 01:24:34.760
It helps the electrical stimulus of the mitochondria in your brain keep energy high.

2037
01:24:34.760 --> 01:24:38.760
And especially for high energy brains, I love it.

2038
01:24:38.760 --> 01:24:43.760
I'm like, I put that in my morning coffee, which is where the April Fool's joke

2039
01:24:43.760 --> 01:24:45.760
because nobody can see it in their coffee.

2040
01:24:45.760 --> 01:24:46.760
But they definitely pee blue.

2041
01:24:46.760 --> 01:24:48.760
And do you take creatine as well?

2042
01:24:48.760 --> 01:24:49.760
I do take creatine, yeah.

2043
01:24:49.760 --> 01:24:50.760
Yeah, that's great.

2044
01:24:50.760 --> 01:24:51.760
That brain supplement is awesome.

2045
01:24:51.760 --> 01:24:52.760
Do you do?

2046
01:24:52.760 --> 01:24:55.760
I do, but my doctor the other day, I think he was suggesting that I might have taken too much.

2047
01:24:55.760 --> 01:24:56.760
Why?

2048
01:24:56.760 --> 01:24:59.760
Some liver scan I had and he was saying that.

2049
01:24:59.760 --> 01:25:00.760
Liver scan or kidney scan?

2050
01:25:00.760 --> 01:25:01.760
Kidney scan.

2051
01:25:01.760 --> 01:25:02.760
Kidney scan.

2052
01:25:02.760 --> 01:25:04.760
So that's the trick. Don't fall for that.

2053
01:25:04.760 --> 01:25:07.760
I mean, I've done a couple of big shows on this where creatine is what you're going to measure.

2054
01:25:08.760 --> 01:25:11.760
Kidney function with, even your doctor checked your kidneys.

2055
01:25:11.760 --> 01:25:13.760
He probably had you pee in a cup and check your blood.

2056
01:25:13.760 --> 01:25:14.760
Yeah.

2057
01:25:14.760 --> 01:25:17.760
Yeah, so he's looking at what did you pee out and how clean is your blood?

2058
01:25:17.760 --> 01:25:18.760
That's what kidneys do.

2059
01:25:18.760 --> 01:25:19.760
You just did a blood test.

2060
01:25:19.760 --> 01:25:24.760
Well, even the blood test, the trash was looking like it was a little higher because the trash

2061
01:25:24.760 --> 01:25:30.760
we're measuring is creatine, creatinine, which is made from your supplement.

2062
01:25:30.760 --> 01:25:33.760
So you put the supplement in and it looks like there's more trash around.

2063
01:25:33.760 --> 01:25:35.760
But that's just the supplement.

2064
01:25:35.760 --> 01:25:37.760
It's falsely elevated. It's not true.

2065
01:25:37.760 --> 01:25:39.760
Your kidneys did not get hurt by that.

2066
01:25:39.760 --> 01:25:41.760
I answer this question probably 30 times a week.

2067
01:25:41.760 --> 01:25:44.760
I have a standard email saying, here's what happened.

2068
01:25:44.760 --> 01:25:45.760
Don't measure that.

2069
01:25:45.760 --> 01:25:50.760
There's other ways you could have measured your kidney that would not have been manipulated by that supplement.

2070
01:25:50.760 --> 01:25:55.760
What it does for brain function, especially if there's any ADHD, man, they love it.

2071
01:25:55.760 --> 01:25:57.760
They just focus for a long period of time.

2072
01:25:57.760 --> 01:26:03.760
I mean, it's got other great findings like how often do you fly over to London?

2073
01:26:04.760 --> 01:26:05.760
I fly a lot.

2074
01:26:05.760 --> 01:26:10.760
Yeah, that's the best part of it is that the jet leg part of it is really good studies on this.

2075
01:26:10.760 --> 01:26:18.760
Your reset of sleep is going to be augmented if you take 20 grams of it after the flight.

2076
01:26:18.760 --> 01:26:20.760
10 in the morning, 10 at night.

2077
01:26:20.760 --> 01:26:22.760
And those are great studies.

2078
01:26:22.760 --> 01:26:25.760
Navy seals, sleep deprived.

2079
01:26:25.760 --> 01:26:28.760
Watch what happens when you add creatine.

2080
01:26:28.760 --> 01:26:32.760
A lot of women don't take creatine because they historically thought of it as like a bodybuilder thing.

2081
01:26:32.760 --> 01:26:33.760
It's a brain thing.

2082
01:26:33.760 --> 01:26:35.760
And you take creatine every day.

2083
01:26:35.760 --> 01:26:36.760
How much do you take?

2084
01:26:36.760 --> 01:26:37.760
So two scoops.

2085
01:26:37.760 --> 01:26:38.760
Every single day.

2086
01:26:38.760 --> 01:26:39.760
Every single day.

2087
01:26:39.760 --> 01:26:40.760
Seven days a week.

2088
01:26:40.760 --> 01:26:43.760
I put my methylene blue in it too, down it first thing in the morning.

2089
01:26:43.760 --> 01:26:45.760
I got blue dyed creatine.

2090
01:26:45.760 --> 01:26:49.760
I mean, those two supplements are just they blew my mind with the amount of research out there.

2091
01:26:49.760 --> 01:26:50.760
And then I did them.

2092
01:26:50.760 --> 01:26:52.760
I mean, I'm not a big bodybuilder.

2093
01:26:52.760 --> 01:26:56.760
I do some cross-fiddy kind of stuff three times a week.

2094
01:26:56.760 --> 01:26:57.760
So there's that.

2095
01:26:57.760 --> 01:26:59.760
But I do it for the brain stuff.

2096
01:26:59.760 --> 01:27:01.760
The brain stuff is really impressive.

2097
01:27:01.760 --> 01:27:04.760
At the moment in society people are talking a lot about

2098
01:27:04.760 --> 01:27:07.760
JLP ones and a Zempec and all this kind of stuff.

2099
01:27:07.760 --> 01:27:13.760
And I was wondering if there's any harm sort of downsides in your view of using these

2100
01:27:13.760 --> 01:27:19.760
a Zempec were go the JLP one protagonists antagonists antagonists.

2101
01:27:19.760 --> 01:27:27.760
And if there's a natural version for those of us that are looking to have less cravings.

2102
01:27:27.760 --> 01:27:29.760
But we don't want to take JLP ones.

2103
01:27:29.760 --> 01:27:30.760
We don't want to be injecting ourselves.

2104
01:27:30.760 --> 01:27:31.760
Yeah.

2105
01:27:31.760 --> 01:27:32.760
So those hormones are powerful.

2106
01:27:32.760 --> 01:27:37.760
I mean, if you think that weight loss isn't a hormonal problem, show up at a medical clinic

2107
01:27:37.760 --> 01:27:46.760
that they are powerful hormones that hijack people into a healthier or at least a weight loss stage.

2108
01:27:46.760 --> 01:27:51.760
But when you're looking at using this powerful hormone, okay, and use it for a short time,

2109
01:27:51.760 --> 01:27:52.760
use it for a long time.

2110
01:27:52.760 --> 01:27:53.760
What are the rules?

2111
01:27:53.760 --> 01:27:54.760
These are brand new.

2112
01:27:54.760 --> 01:27:59.760
One of the analogies I use for patients is Stephen, if you wanted to have legs with no hair on the

2113
01:28:00.760 --> 01:28:02.760
them, how would you accomplish that?

2114
01:28:02.760 --> 01:28:03.760
Right.

2115
01:28:03.760 --> 01:28:05.760
Because that would be short term, easy and reversible.

2116
01:28:05.760 --> 01:28:08.760
You would not take chemotherapy.

2117
01:28:08.760 --> 01:28:13.760
The most powerful, amazing, they'll be every hair on your body will be off in the next

2118
01:28:13.760 --> 01:28:14.760
two weeks.

2119
01:28:14.760 --> 01:28:16.760
And it's short term, they'll come back.

2120
01:28:16.760 --> 01:28:21.760
But there's a price to pay when you're using a really powerful unit to do something for a

2121
01:28:21.760 --> 01:28:23.760
vanity reason.

2122
01:28:23.760 --> 01:28:27.760
So it's where I like to begin when I talk about JLP ones.

2123
01:28:28.760 --> 01:28:29.760
It's amazing.

2124
01:28:29.760 --> 01:28:30.760
You will lose fat.

2125
01:28:30.760 --> 01:28:32.760
And what do I do instead then?

2126
01:28:32.760 --> 01:28:38.760
So there's great ways to lower JLP ones or great ways to raise JLP ones, right?

2127
01:28:38.760 --> 01:28:43.760
For starters, when you're overweight, it suppresses it a lot.

2128
01:28:43.760 --> 01:28:45.760
So getting the weight off is a huge part of it.

2129
01:28:45.760 --> 01:28:47.760
That's why this ketogenic diet is so powerful.

2130
01:28:47.760 --> 01:28:48.760
We'll get the weight off.

2131
01:28:48.760 --> 01:28:51.760
And that will lift naturally the JLP ones.

2132
01:28:51.760 --> 01:28:53.760
Is there other ways to suppress?

2133
01:28:53.760 --> 01:28:56.760
Well, I was going to say suppress my appetite.

2134
01:28:56.760 --> 01:28:58.760
More to just get rid of the cravings.

2135
01:28:58.760 --> 01:29:01.560
Well, you'll suppress the appetite by raising those hormones.

2136
01:29:01.560 --> 01:29:02.560
So you put in allulose.

2137
01:29:02.560 --> 01:29:04.600
That's a great little boost to that.

2138
01:29:04.600 --> 01:29:09.960
You put in butarate, whether or not that's the bug that you were talking about or the

2139
01:29:09.960 --> 01:29:14.600
supplements, butarate increases and stimulates JLP one.

2140
01:29:14.600 --> 01:29:18.360
And butarate, just for those that I don't know that word again.

2141
01:29:18.360 --> 01:29:19.360
Right.

2142
01:29:19.360 --> 01:29:21.760
That is what a ketone looks like floating around your blood.

2143
01:29:21.760 --> 01:29:22.760
Okay.

2144
01:29:22.760 --> 01:29:23.760
Yeah.

2145
01:29:23.760 --> 01:29:25.760
So a ketogenic state will raise those hormones and suppress appetite.

2146
01:29:26.760 --> 01:29:30.760
I've seen a bunch of studies on that show that when people are high in ketones, they

2147
01:29:30.760 --> 01:29:31.760
have a suppressed appetite.

2148
01:29:31.760 --> 01:29:32.760
Right.

2149
01:29:32.760 --> 01:29:36.760
And that is linked to the production of some of these hormones, these really great hormones.

2150
01:29:36.760 --> 01:29:37.760
But you make them naturally.

2151
01:29:37.760 --> 01:29:39.360
And so it's not the addiction part.

2152
01:29:39.360 --> 01:29:40.760
It's the natural way to make it.

2153
01:29:40.760 --> 01:29:41.760
I do find that anyway.

2154
01:29:41.760 --> 01:29:45.160
I find that when I'm, I guess it could be something to do with my dopamine receptors as

2155
01:29:45.160 --> 01:29:48.960
one of my brain, but I find that when I'm in a ketogenic diet, my cravings for the things

2156
01:29:48.960 --> 01:29:54.120
that I once craved, like I don't know, like carrot cake or cinnamon rolls, they just

2157
01:29:54.120 --> 01:29:55.120
completely seem to vanish.

2158
01:29:55.360 --> 01:29:57.880
That's the same thing that happens when you give them that shot too.

2159
01:29:57.880 --> 01:29:58.880
Oh, really?

2160
01:29:58.880 --> 01:29:59.880
When you give them JLP one.

2161
01:29:59.880 --> 01:30:00.880
Yes.

2162
01:30:00.880 --> 01:30:01.880
Okay.

2163
01:30:01.880 --> 01:30:03.840
And I mean, the beautiful part is you're young.

2164
01:30:03.840 --> 01:30:04.840
You'll make a lot of JLP.

2165
01:30:04.840 --> 01:30:06.720
You've already made healthy JLP one.

2166
01:30:06.720 --> 01:30:10.720
You'll hijack and suppress it by being overweight and high insulin.

2167
01:30:10.720 --> 01:30:15.000
So constantly delivering ketones to your blood, that's how you keep it high.

2168
01:30:15.000 --> 01:30:18.920
And you don't end up on the shot, which is expensive and very powerful.

2169
01:30:18.920 --> 01:30:23.280
I always think, you know, when we give people advice on things like weight loss, there's

2170
01:30:23.280 --> 01:30:27.080
always a part missing, which is this part about like discipline and motivation or whatever

2171
01:30:27.080 --> 01:30:33.960
one might call it, which is the is gives somebody this sort of activation energy to even stick

2172
01:30:33.960 --> 01:30:34.960
to it.

2173
01:30:34.960 --> 01:30:37.680
Do you think about this much in your patients or about motivation?

2174
01:30:37.680 --> 01:30:38.680
It's huge.

2175
01:30:38.680 --> 01:30:41.640
I mean, again, most people show up because there's been a recent crisis.

2176
01:30:41.640 --> 01:30:45.960
Somebody died, they had a diagnosis, something broke, they didn't repair well, all of that

2177
01:30:45.960 --> 01:30:46.960
is true.

2178
01:30:46.960 --> 01:30:49.320
And I can get them motivated for a little while.

2179
01:30:49.320 --> 01:30:50.320
And then we have the long game.

2180
01:30:50.320 --> 01:30:53.800
And you look at that story with a hundred days of sardines, okay?

2181
01:30:53.800 --> 01:30:57.560
That's two years into her journey where she finally says, okay, there's this demon that

2182
01:30:57.560 --> 01:31:01.600
keeps coming about and I keep falling off for all the wrong, you know, all the reasons

2183
01:31:01.600 --> 01:31:03.120
everybody else does.

2184
01:31:03.120 --> 01:31:04.920
And so she commits to this hundred days.

2185
01:31:04.920 --> 01:31:09.200
And what happens is a whole bunch of things go right, her hormones go up.

2186
01:31:09.200 --> 01:31:11.080
And she has an amazing story.

2187
01:31:11.080 --> 01:31:13.360
But most people are not going to do that.

2188
01:31:13.360 --> 01:31:19.520
So in my practice, I do say these, the smallest dose of these hormones, I'll help you when

2189
01:31:19.520 --> 01:31:20.520
you're struggling.

2190
01:31:20.520 --> 01:31:23.320
I want you in a ketogenic state before we begin.

2191
01:31:23.320 --> 01:31:28.480
I can use much less that hormone and then you have ownership of this because if I come

2192
01:31:28.480 --> 01:31:32.720
in and do all of the work again, that's like every other thing I've been doing for the

2193
01:31:32.720 --> 01:31:33.880
last 20 years.

2194
01:31:33.880 --> 01:31:34.880
Here's your symptom.

2195
01:31:34.880 --> 01:31:35.880
Here's my diagnosis.

2196
01:31:35.880 --> 01:31:37.480
Here's the prescription.

2197
01:31:37.480 --> 01:31:40.240
And I need it to be you that succeeds here.

2198
01:31:40.240 --> 01:31:41.560
I'll lift you a little bit.

2199
01:31:42.560 --> 01:31:44.600
Is there any tricks to get someone to be motivated?

2200
01:31:44.600 --> 01:31:45.600
Is there any?

2201
01:31:45.600 --> 01:31:46.600
Do you have to focus them on their wide?

2202
01:31:46.600 --> 01:31:47.600
Yeah.

2203
01:31:47.600 --> 01:31:48.600
Exactly right.

2204
01:31:48.600 --> 01:31:49.600
You're right.

2205
01:31:49.600 --> 01:31:53.040
That first trick is get out of crisis mode, okay?

2206
01:31:53.040 --> 01:31:54.280
Crisis is what brings them in.

2207
01:31:54.280 --> 01:32:00.160
But to stay the course, you have to get to a very serious moment where you say what motivates

2208
01:32:00.160 --> 01:32:05.640
me, what is the deepest heart am I most insecure about that I'm going to do when all else

2209
01:32:05.640 --> 01:32:06.640
fails?

2210
01:32:06.840 --> 01:32:11.520
When everybody else gives up, I'm going to find something that I'm this little farm kid

2211
01:32:11.520 --> 01:32:16.720
from the middle of nowhere who was, you know, third grade stinky girl, like I was a farm

2212
01:32:16.720 --> 01:32:17.720
kid.

2213
01:32:17.720 --> 01:32:18.720
I was a hog farmer's daughter.

2214
01:32:18.720 --> 01:32:19.720
I wasn't the smart one.

2215
01:32:19.720 --> 01:32:21.800
I wasn't the, you know, the best one.

2216
01:32:21.800 --> 01:32:25.000
I'm going to carry that insecurity with me until the day I die.

2217
01:32:25.000 --> 01:32:26.000
What is that done?

2218
01:32:26.000 --> 01:32:30.080
It makes me work really hard when everybody else gives up.

2219
01:32:30.080 --> 01:32:38.480
Now finding that for them and using that, using that harness to say, your biggest failure,

2220
01:32:38.480 --> 01:32:43.840
your biggest insecurity can be your power by reframing it.

2221
01:32:43.840 --> 01:32:47.600
That why we work on that every time we do that 21 day.

2222
01:32:47.600 --> 01:32:51.840
Jane, she did that four times before she really got to the core center.

2223
01:32:51.840 --> 01:32:54.520
Why do you keep doing this?

2224
01:32:54.520 --> 01:32:56.120
That's how people stay motivated.

2225
01:32:56.120 --> 01:32:59.720
It's a true, it's a true serum.

2226
01:32:59.720 --> 01:33:01.480
What I had to do was brain dump.

2227
01:33:01.480 --> 01:33:06.280
Imagine if you had someone with you all times that could take the ideas you have in your

2228
01:33:06.280 --> 01:33:11.280
head, synthesize them with AI to make them sound better and more grammatically correct

2229
01:33:11.280 --> 01:33:13.360
and write them down for you.

2230
01:33:13.360 --> 01:33:15.520
This is exactly what whisper flow is in my life.

2231
01:33:15.520 --> 01:33:19.920
It is this thought partner that helps me explain what I want to say and it now means that

2232
01:33:19.920 --> 01:33:25.040
on the go, when I'm alone in my office, when I'm out in a bow, I can respond to emails

2233
01:33:25.040 --> 01:33:29.080
and Slack messages and WhatsApp and everything across all of my devices just by speaking.

2234
01:33:29.080 --> 01:33:32.400
I love this tool and I started talking about this in my behind the scenes channel a couple

2235
01:33:32.400 --> 01:33:35.400
of months back and then the founder reached out to me and said, we're seeing a lot of

2236
01:33:35.400 --> 01:33:37.280
people come to our tool because of you.

2237
01:33:37.280 --> 01:33:40.520
We'd love to be a sponsor, we'd love you to be an investor in the company and so I signed

2238
01:33:40.520 --> 01:33:44.160
it for both of those offers and I'm now an investor and a huge partner in a company

2239
01:33:44.160 --> 01:33:45.960
called Whisper Flow.

2240
01:33:45.960 --> 01:33:46.960
You have to check it out.

2241
01:33:46.960 --> 01:33:49.720
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2242
01:33:49.720 --> 01:33:55.600
If you want to give it a try, head over to whisperflow.ai slash DOAC to get started for free and

2243
01:33:55.680 --> 01:33:59.920
you can find that link to whisperflow in the description below.

2244
01:33:59.920 --> 01:34:01.360
Have you ever heard about this before?

2245
01:34:01.360 --> 01:34:03.000
This thing I'm holding in my hands now.

2246
01:34:03.000 --> 01:34:04.840
This is called keytone IQ.

2247
01:34:04.840 --> 01:34:06.840
The website is keytone.com.

2248
01:34:06.840 --> 01:34:10.240
You've heard me on this podcast talking about the fact that I stay much of the year in

2249
01:34:10.240 --> 01:34:15.440
a ketogenic state which is a highly restricted diet and the reason I do that is plenty

2250
01:34:15.440 --> 01:34:16.440
full.

2251
01:34:16.440 --> 01:34:18.760
One of them is I spend hours and I was talking to people for a living.

2252
01:34:18.760 --> 01:34:22.520
So I want to make sure my brain is firing in an optimal way and the other reason that

2253
01:34:22.520 --> 01:34:26.400
I do the ketogenic diet is because I just feel better.

2254
01:34:26.400 --> 01:34:30.800
So when I discovered this, which is what they call an exogenous ketone product, where

2255
01:34:30.800 --> 01:34:36.200
you can drink it and it increases your blood's ketone levels, I was blown away.

2256
01:34:36.200 --> 01:34:41.200
I contacted them, I met them, I invested extremely heavily into their company and I've become

2257
01:34:41.200 --> 01:34:44.680
a co-owner of the company accordingly and they sponsor this show now.

2258
01:34:44.680 --> 01:34:48.520
So if you want to try this out for yourself, I recommend you try it.

2259
01:34:48.520 --> 01:34:52.640
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2260
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order, you'll also get a free gift with your second shipment.

2261
01:34:55.920 --> 01:34:59.240
That's keytone.com slash Stephen.

2262
01:34:59.240 --> 01:35:05.120
I was reading about what happened to you in 2011, 2010-2011 when you reach what you

2263
01:35:05.120 --> 01:35:10.920
refer to as your breaking point in corporate medicine and you had some issues because

2264
01:35:10.920 --> 01:35:15.760
you were helping some people who were homeless.

2265
01:35:15.760 --> 01:35:20.800
What do I need to know about that and how has that shaped you?

2266
01:35:20.800 --> 01:35:25.520
Corporate medicine is lots of flaws and you get tired of answering the same question over

2267
01:35:25.520 --> 01:35:27.080
and over and over again.

2268
01:35:27.080 --> 01:35:31.040
So you put some stuff up on YouTube and you start to say, here's the education I wish

2269
01:35:31.040 --> 01:35:32.800
I could give you.

2270
01:35:32.800 --> 01:35:37.520
And this starts to work, but that's not the path if you're in a corporate medicine.

2271
01:35:37.520 --> 01:35:41.200
You're going to ruffle feathers, you're going to tick people off.

2272
01:35:41.200 --> 01:35:46.640
My left corporate medicine started my own thing and I'm living out a two-year non-compete.

2273
01:35:46.640 --> 01:35:49.120
Do you know what that means?

2274
01:35:49.120 --> 01:35:51.320
But you can't do medicine for two years.

2275
01:35:51.320 --> 01:35:55.920
In that same market where they recruited me and they had advertised for me.

2276
01:35:55.920 --> 01:35:56.920
Okay.

2277
01:35:56.920 --> 01:36:00.320
So you can't compete with what we just put money into for two years.

2278
01:36:00.320 --> 01:36:04.160
And I said, you can see the homeless and you can see Medicaid.

2279
01:36:04.160 --> 01:36:06.680
Medicaid being the government-funded medicine program.

2280
01:36:06.680 --> 01:36:07.680
Low income.

2281
01:36:07.680 --> 01:36:08.920
So I said they don't know me very well.

2282
01:36:09.160 --> 01:36:13.400
Just as much as my people as anybody else, I'm taking care of some Native Americans.

2283
01:36:13.400 --> 01:36:14.800
They were the ones in the shelters.

2284
01:36:14.800 --> 01:36:17.280
They're the ones of the low income.

2285
01:36:17.280 --> 01:36:22.880
And those teenagers were overweight and they were eating kitty litter.

2286
01:36:22.880 --> 01:36:24.960
They were eating toilet paper.

2287
01:36:24.960 --> 01:36:28.440
Their iron was so low the machine couldn't measure it.

2288
01:36:28.440 --> 01:36:30.280
So they're super malnourished.

2289
01:36:30.280 --> 01:36:32.960
I started doing what I would do if you had all the money in the world.

2290
01:36:32.960 --> 01:36:34.880
I took care of these patients.

2291
01:36:34.880 --> 01:36:35.880
I gave them IV iron.

2292
01:36:35.920 --> 01:36:39.960
So you gave them iron, which was expensive because of Ruckus.

2293
01:36:39.960 --> 01:36:43.560
I got put on the radar of somebody that did not like that.

2294
01:36:43.560 --> 01:36:44.480
So this is a budget.

2295
01:36:44.480 --> 01:36:47.360
The whole state gets a budget for how much you're going to spend on each patient.

2296
01:36:47.360 --> 01:36:48.160
Yeah.

2297
01:36:48.160 --> 01:36:51.120
I mean, by expensive, it was like $350 per person.

2298
01:36:51.120 --> 01:36:52.440
That's not that expensive.

2299
01:36:52.440 --> 01:36:53.320
But it was.

2300
01:36:53.320 --> 01:36:55.200
And nobody else was doing it.

2301
01:36:55.200 --> 01:36:59.440
And I got a sticky note inside an envelope from the state capital.

2302
01:36:59.440 --> 01:37:01.440
Stop doing cat-like medicine.

2303
01:37:02.480 --> 01:37:03.160
Yeah.

2304
01:37:03.160 --> 01:37:05.680
So you were sued eventually?

2305
01:37:05.720 --> 01:37:07.960
Oh, they call it Medicaid fraud.

2306
01:37:07.960 --> 01:37:08.720
OK.

2307
01:37:08.720 --> 01:37:12.800
They thought I was wasting Medicare's numbers because I was giving IV iron.

2308
01:37:12.800 --> 01:37:14.240
And I said, no, I didn't bill for it.

2309
01:37:14.240 --> 01:37:14.960
Bill for it?

2310
01:37:14.960 --> 01:37:16.560
I paid for it.

2311
01:37:16.560 --> 01:37:21.360
And when I paid for the medicine for these impoverished patients,

2312
01:37:21.360 --> 01:37:23.600
they said, well, that's Medicaid fraud.

2313
01:37:23.600 --> 01:37:26.680
So the government tried to sue me for that and they lost.

2314
01:37:26.680 --> 01:37:28.440
But now they're ticked off.

2315
01:37:28.440 --> 01:37:31.080
They've brought me to court and they lost.

2316
01:37:31.080 --> 01:37:35.240
And what happened next is a lot worse.

2317
01:37:35.320 --> 01:37:36.160
I don't know if you want to hear that.

2318
01:37:36.160 --> 01:37:36.920
You want me to go there?

2319
01:37:36.920 --> 01:37:37.440
Of course, yeah.

2320
01:37:37.440 --> 01:37:39.080
OK.

2321
01:37:39.080 --> 01:37:43.040
So when you are being investigated for Medicaid fraud,

2322
01:37:43.040 --> 01:37:44.880
all income stops.

2323
01:37:44.880 --> 01:37:45.560
Yeah.

2324
01:37:45.560 --> 01:37:45.960
Yeah.

2325
01:37:45.960 --> 01:37:51.240
So I have to come home to my husband and say, I just can't.

2326
01:37:51.240 --> 01:37:52.600
I can't give in.

2327
01:37:52.600 --> 01:37:54.960
I think we need to fight this.

2328
01:37:54.960 --> 01:37:57.560
He said, OK.

2329
01:37:57.560 --> 01:37:58.080
God bless him.

2330
01:37:58.080 --> 01:38:00.040
He said, OK, let's fight it.

2331
01:38:00.040 --> 01:38:02.280
Have you ever tried to fight the government?

2332
01:38:02.280 --> 01:38:03.440
That's very expensive.

2333
01:38:03.440 --> 01:38:08.040
So when you're under a Medicaid fraud investigation,

2334
01:38:08.040 --> 01:38:08.960
you get no paychecks.

2335
01:38:08.960 --> 01:38:10.760
So we have no paychecks to pay payroll,

2336
01:38:10.760 --> 01:38:13.160
just to pay house payments, to do anything

2337
01:38:13.160 --> 01:38:15.600
for about nine and a half months, actually,

2338
01:38:15.600 --> 01:38:17.040
it lasted longer than that.

2339
01:38:17.040 --> 01:38:20.440
During that time, we started doing things like,

2340
01:38:20.440 --> 01:38:21.520
we sold the lake cabin.

2341
01:38:21.520 --> 01:38:22.640
We sold the boats.

2342
01:38:22.640 --> 01:38:24.320
We sold the extra car.

2343
01:38:24.320 --> 01:38:25.960
We sold our own house.

2344
01:38:25.960 --> 01:38:29.080
We moved into a donated RV.

2345
01:38:29.080 --> 01:38:30.560
You moved into a car?

2346
01:38:30.560 --> 01:38:32.200
An RV, yeah.

2347
01:38:32.200 --> 01:38:35.680
In South Dakota, where there's 50 below zero weather,

2348
01:38:35.680 --> 01:38:37.960
with three little kids.

2349
01:38:37.960 --> 01:38:42.080
We actually used, we took our wedding rings in

2350
01:38:42.080 --> 01:38:44.520
for the last paycheck.

2351
01:38:44.520 --> 01:38:47.960
I just can't give in.

2352
01:38:47.960 --> 01:38:49.080
And then I won.

2353
01:38:49.080 --> 01:38:51.160
OK, so Medicaid fraud wasn't there.

2354
01:38:51.160 --> 01:38:54.800
But in the midst of that, I said, this was when

2355
01:38:54.800 --> 01:38:56.560
Obamacare was really happening.

2356
01:38:56.560 --> 01:38:59.440
And I got asked to run for US Senate.

2357
01:38:59.480 --> 01:39:02.440
There's only 100 of those in the country.

2358
01:39:02.440 --> 01:39:07.360
I run for US Senate, and I did really good.

2359
01:39:07.360 --> 01:39:11.440
I raised insane amounts of money, saying,

2360
01:39:11.440 --> 01:39:14.520
I am a doctor that serves the poor.

2361
01:39:14.520 --> 01:39:18.520
I am a physician that runs her own company.

2362
01:39:18.520 --> 01:39:21.320
I think I am a great voice to send a Washington DC

2363
01:39:21.320 --> 01:39:25.440
to make policy about patients and care,

2364
01:39:25.440 --> 01:39:28.360
as opposed to the other opponents.

2365
01:39:28.360 --> 01:39:31.000
With that same attorney general, his best buddy

2366
01:39:31.000 --> 01:39:33.240
was running against me.

2367
01:39:33.240 --> 01:39:37.920
And when I am in a mission trip in the Philippines,

2368
01:39:37.920 --> 01:39:38.800
that has nothing to do with it.

2369
01:39:38.800 --> 01:39:40.960
But I was on a mission trip in the Philippines.

2370
01:39:40.960 --> 01:39:44.120
And I left a petition behind.

2371
01:39:44.120 --> 01:39:46.640
I don't know how you do it in London, but a petition means,

2372
01:39:46.640 --> 01:39:48.000
if you're going to run for office,

2373
01:39:48.000 --> 01:39:50.760
you got to get some people saying they believe in you.

2374
01:39:50.760 --> 01:39:53.000
So we needed 2,000 signatures.

2375
01:39:53.000 --> 01:39:55.280
And we got 6,000 signatures.

2376
01:39:55.280 --> 01:39:57.120
We submitted them to the state.

2377
01:39:57.120 --> 01:39:59.680
We think there's no problem.

2378
01:39:59.680 --> 01:40:01.240
But then the quarterly earnings come back

2379
01:40:01.240 --> 01:40:02.760
for a campaign raising.

2380
01:40:02.760 --> 01:40:08.520
And my opponent had about 70 donors at about $10,000,

2381
01:40:08.520 --> 01:40:14.440
a pop, and had something like $740,000.

2382
01:40:14.440 --> 01:40:18.480
I put my earnings in, and they were $780,000.

2383
01:40:18.480 --> 01:40:20.680
So I outraged him.

2384
01:40:20.680 --> 01:40:23.240
You have to report to the government whenever somebody

2385
01:40:23.240 --> 01:40:25.320
gives you more than $200.

2386
01:40:25.320 --> 01:40:28.520
So his donors are right there on the list.

2387
01:40:28.520 --> 01:40:32.920
My list is empty, because the average size of the donation

2388
01:40:32.920 --> 01:40:34.760
was $45.

2389
01:40:34.760 --> 01:40:37.200
And they know they can't win with that.

2390
01:40:37.200 --> 01:40:39.920
I have a grass roots behind me.

2391
01:40:39.920 --> 01:40:43.720
And that's when the black cars started showing up in my life.

2392
01:40:43.720 --> 01:40:47.200
It sounds like I've got a tinfoil hat, but it was real.

2393
01:40:47.200 --> 01:40:48.360
The black wall?

2394
01:40:48.360 --> 01:40:52.160
The state card started to show up outside my house.

2395
01:40:52.160 --> 01:40:56.000
They started to say, find something on her.

2396
01:40:56.000 --> 01:40:58.280
And I am the first person in the history

2397
01:40:58.280 --> 01:41:00.920
of the United States of America

2398
01:41:00.920 --> 01:41:03.880
to be investigated for not witnessing

2399
01:41:03.880 --> 01:41:05.760
a signature on those petitions.

2400
01:41:05.760 --> 01:41:07.040
OK, so there was these petitions.

2401
01:41:07.040 --> 01:41:09.120
You had to get 2,000 of them signed,

2402
01:41:09.120 --> 01:41:11.360
and you had to witness them.

2403
01:41:11.360 --> 01:41:13.680
So you had to be there when they were signed by people.

2404
01:41:13.680 --> 01:41:14.520
Well, that's what it says.

2405
01:41:14.520 --> 01:41:15.360
And you're right.

2406
01:41:15.360 --> 01:41:17.560
This says, I bear witness.

2407
01:41:17.560 --> 01:41:22.200
So as I left them in my clinic, my staff signed it.

2408
01:41:22.200 --> 01:41:26.280
The preachers in my clinic signed it.

2409
01:41:26.280 --> 01:41:28.000
And those signatures were collected

2410
01:41:28.000 --> 01:41:29.560
while I was in the Philippines.

2411
01:41:29.560 --> 01:41:31.680
And so you signed to witness them

2412
01:41:31.680 --> 01:41:32.800
when you were back from the Philippines?

2413
01:41:32.800 --> 01:41:33.280
Right.

2414
01:41:33.280 --> 01:41:34.560
So I didn't witness them.

2415
01:41:34.560 --> 01:41:37.280
I just vouched that that's my sister.

2416
01:41:37.280 --> 01:41:38.280
That's the preacher.

2417
01:41:38.280 --> 01:41:39.560
I know who these people are.

2418
01:41:39.560 --> 01:41:42.760
And so they charged you for, they

2419
01:41:42.760 --> 01:41:44.240
realized that you were in the Philippines at the time,

2420
01:41:44.240 --> 01:41:45.800
so you couldn't have witnessed them based on the dates

2421
01:41:45.800 --> 01:41:46.880
or something.

2422
01:41:46.880 --> 01:41:49.280
And then they rested you?

2423
01:41:49.280 --> 01:41:51.360
12 felonies.

2424
01:41:51.360 --> 01:41:52.560
They give you 12 felonies.

2425
01:41:52.560 --> 01:41:56.400
And 24 years in prison.

2426
01:41:56.400 --> 01:41:59.400
That's what they charged you for, or that's what?

2427
01:41:59.400 --> 01:42:00.920
They charged me with 12 felonies.

2428
01:42:00.920 --> 01:42:03.760
Six counts for each of the six petitions.

2429
01:42:03.760 --> 01:42:05.920
Six, so there's 12 felonies.

2430
01:42:05.920 --> 01:42:09.360
There's six mistakes, but each mistake counts for two felonies.

2431
01:42:09.360 --> 01:42:12.280
I mean, if you're going to make a mistake, there's one felony.

2432
01:42:12.280 --> 01:42:16.200
When you're trying to make a statement,

2433
01:42:16.240 --> 01:42:18.720
there's 12 felonies.

2434
01:42:18.720 --> 01:42:20.120
And you're the first one in the history

2435
01:42:20.120 --> 01:42:22.720
of the United States of America to ever have this charge

2436
01:42:22.720 --> 01:42:25.280
let alone brought to trial.

2437
01:42:25.280 --> 01:42:27.960
And then found guilty.

2438
01:42:27.960 --> 01:42:29.360
The trial didn't happen in my state.

2439
01:42:29.360 --> 01:42:34.480
My town had happened in the state capital, where

2440
01:42:34.480 --> 01:42:36.000
everybody knew that attorney general,

2441
01:42:36.000 --> 01:42:38.000
everybody knew the opponent.

2442
01:42:38.000 --> 01:42:41.040
So they tried to get you to have 24 years in prison?

2443
01:42:41.040 --> 01:42:42.920
Yeah, they sentenced me to 24 years in prison.

2444
01:42:42.920 --> 01:42:43.760
They sentenced you to death.

2445
01:42:43.760 --> 01:42:44.760
Yeah.

2446
01:42:44.760 --> 01:42:46.000
My kids were sitting behind me.

2447
01:42:46.000 --> 01:42:51.480
I'm your guilty of 12 felonies and 24 years in prison.

2448
01:42:51.480 --> 01:42:54.600
And then he says, but the stack of papers in front of me

2449
01:42:54.600 --> 01:42:58.560
might be the biggest he'd been a judge for 20 some years.

2450
01:42:58.560 --> 01:43:00.240
And I had patients who had written in saying,

2451
01:43:00.240 --> 01:43:02.520
this is the best doctor I've ever seen.

2452
01:43:02.520 --> 01:43:03.560
I didn't ask them to write that.

2453
01:43:03.560 --> 01:43:05.360
They just sent them in.

2454
01:43:05.360 --> 01:43:06.680
That made me mean that when you hear that you're going to be

2455
01:43:06.680 --> 01:43:10.160
in prison for 24 months, 24 years.

2456
01:43:10.160 --> 01:43:13.560
Oh god, it is the lowest moment of my life.

2457
01:43:13.560 --> 01:43:18.240
Because I mean, I do not like that that story

2458
01:43:18.240 --> 01:43:21.520
cost the state of South Dakota any money.

2459
01:43:21.520 --> 01:43:25.080
But I also don't like that when you oppose

2460
01:43:25.080 --> 01:43:29.600
the political giants.

2461
01:43:29.600 --> 01:43:33.000
And you stand there with all of the right intentions

2462
01:43:33.000 --> 01:43:37.240
that if they need to find something on you, they will.

2463
01:43:37.240 --> 01:43:39.440
Six petitions.

2464
01:43:39.440 --> 01:43:44.120
And we had a thousand extra signatures.

2465
01:43:44.120 --> 01:43:46.160
There was nothing, this was nothing for her.

2466
01:43:46.160 --> 01:43:47.160
But it was enough.

2467
01:43:47.160 --> 01:43:51.320
And that attorney general said, prosecute her

2468
01:43:51.320 --> 01:43:53.880
to the fullest extent.

2469
01:43:53.880 --> 01:43:54.680
And I'm not a martyr.

2470
01:43:54.680 --> 01:43:56.080
I do things that aren't right.

2471
01:43:56.080 --> 01:43:58.280
And if there was a mistake that I made,

2472
01:43:58.280 --> 01:44:00.040
I would take full ownership.

2473
01:44:00.040 --> 01:44:03.760
And to that judge, I made, I took full ownership.

2474
01:44:03.760 --> 01:44:08.760
That the attorney general was he won.

2475
01:44:08.760 --> 01:44:10.800
I got sentenced.

2476
01:44:10.800 --> 01:44:12.480
But he didn't have to serve the 24 years.

2477
01:44:12.480 --> 01:44:14.320
He said, I'll probate that.

2478
01:44:14.320 --> 01:44:18.480
I will suspend that with the highest number of service hours

2479
01:44:18.480 --> 01:44:20.160
ever in the state of South Dakota.

2480
01:44:20.160 --> 01:44:22.720
It was 500 community service hours,

2481
01:44:22.720 --> 01:44:24.720
serving the poorest patients in the state.

2482
01:44:24.720 --> 01:44:26.720
And he said those words I thought, oh my god,

2483
01:44:26.720 --> 01:44:29.000
you don't know who I am.

2484
01:44:29.000 --> 01:44:29.760
That's what I've been doing.

2485
01:44:29.760 --> 01:44:31.960
I was already working in Pine Ridge.

2486
01:44:31.960 --> 01:44:33.720
How do you feel about all of this?

2487
01:44:33.720 --> 01:44:36.560
I mean, I think of it as a test.

2488
01:44:36.560 --> 01:44:39.840
It was a test of, I mean, most marriages

2489
01:44:39.840 --> 01:44:41.600
aren't going to make it through that.

2490
01:44:41.600 --> 01:44:45.160
You got kids that all end up in rehab with that much stress.

2491
01:44:45.160 --> 01:44:47.280
And I didn't want that life.

2492
01:44:47.280 --> 01:44:51.560
I didn't want that to be my ending.

2493
01:44:51.560 --> 01:44:52.360
I framed it different.

2494
01:44:52.360 --> 01:44:55.440
I said, all right, god, you're testing me.

2495
01:44:55.440 --> 01:44:57.520
You're testing to say, can I be?

2496
01:44:57.520 --> 01:45:02.200
Can I stay true to who it is that you've called me to be?

2497
01:45:02.200 --> 01:45:08.520
That our marriage was incredibly, that's a lot of pressure.

2498
01:45:08.520 --> 01:45:10.160
I mean, I was the number one news story

2499
01:45:10.160 --> 01:45:14.800
in the whole damn state for three years running by a mile.

2500
01:45:14.800 --> 01:45:18.280
I can't go anywhere without, that's her, that's her.

2501
01:45:18.280 --> 01:45:20.240
My parents were ashamed.

2502
01:45:20.240 --> 01:45:23.360
My kids would say, this is the woman that takes me to Haiti.

2503
01:45:23.360 --> 01:45:25.800
She is mother freaking Teresa.

2504
01:45:25.800 --> 01:45:27.680
And now she's on the front page of a newspaper

2505
01:45:27.680 --> 01:45:31.640
as a 12-time felon in your teachers at school.

2506
01:45:31.640 --> 01:45:35.720
Say, I read about your mom in the newspaper.

2507
01:45:35.720 --> 01:45:42.200
I mean, it should have crushed me.

2508
01:45:42.200 --> 01:45:42.960
But it didn't.

2509
01:45:42.960 --> 01:45:44.760
It did not.

2510
01:45:44.760 --> 01:45:47.960
When did your life begin to turn upwards from that point onwards?

2511
01:45:47.960 --> 01:45:52.200
When was the moment where things were?

2512
01:45:52.200 --> 01:45:55.760
Well, the first thing is we appealed that to the Supreme Court.

2513
01:45:55.760 --> 01:45:57.760
That's where the big Lee Will Bills come from.

2514
01:45:57.760 --> 01:46:00.720
It's like when you're fighting an attorney general, that's where,

2515
01:46:00.720 --> 01:46:03.080
and the Supreme Court said that that attorney general abused

2516
01:46:03.080 --> 01:46:06.080
his power for at least six of them.

2517
01:46:06.080 --> 01:46:08.840
And then that judge said, all erase all these

2518
01:46:08.840 --> 01:46:10.360
because of the work you've done.

2519
01:46:10.360 --> 01:46:14.920
So the 12 felonies went away during all of them.

2520
01:46:14.920 --> 01:46:17.960
I think on the edge of that story,

2521
01:46:17.960 --> 01:46:19.720
I work to resurrect people's health back

2522
01:46:19.720 --> 01:46:23.640
to a place where they get their best life.

2523
01:46:23.640 --> 01:46:26.840
And yes, ketones are a really big part of that.

2524
01:46:26.840 --> 01:46:29.480
But as you look at the relationships

2525
01:46:29.480 --> 01:46:32.640
you've got around your life, take the core ones

2526
01:46:32.640 --> 01:46:36.520
and nurture them to a place where your best life

2527
01:46:36.520 --> 01:46:38.440
comes out of those relationships.

2528
01:46:38.440 --> 01:46:41.960
Find the purpose that you've been designed for

2529
01:46:41.960 --> 01:46:46.000
and take those relationships with you as you seek that.

2530
01:46:46.000 --> 01:46:48.240
I know that's what happened to me.

2531
01:46:48.240 --> 01:46:49.800
I cared about the ones on the inner circle

2532
01:46:49.800 --> 01:46:54.800
and I had a one track of, this is what I'm designed to do.

2533
01:46:54.800 --> 01:46:56.440
We have a closing tradition where the last guest

2534
01:46:56.440 --> 01:46:57.360
leaves the question to the next.

2535
01:46:57.360 --> 01:46:59.200
And the question left for you is,

2536
01:46:59.200 --> 01:47:04.200
do you have a daily practice to find deep inner peace

2537
01:47:04.280 --> 01:47:06.760
when you are emotionally triggered?

2538
01:47:06.760 --> 01:47:09.840
And if so, please share it with the audience.

2539
01:47:11.320 --> 01:47:14.040
Yeah, I have a devotion that I do every morning.

2540
01:47:16.800 --> 01:47:20.240
That centers me, keeps me in line with my faith.

2541
01:47:21.680 --> 01:47:24.120
And that's not that you do it on the bad days.

2542
01:47:24.120 --> 01:47:25.880
It's that you've got the foundation

2543
01:47:25.880 --> 01:47:27.320
for doing it on the good days.

2544
01:47:27.320 --> 01:47:32.320
And there are generally a daily devotion,

2545
01:47:32.560 --> 01:47:37.560
like upper room is a spiritual devotion for my church.

2546
01:47:37.560 --> 01:47:39.120
What does that look like? Is it a prayer or?

2547
01:47:39.120 --> 01:47:40.440
Yeah, it's a prayer.

2548
01:47:40.440 --> 01:47:41.520
And then how does that sound?

2549
01:47:41.520 --> 01:47:44.040
What is, yeah, it's usually a scripture

2550
01:47:44.040 --> 01:47:48.400
and then it's a prayer that has been paired with that scripture.

2551
01:47:49.240 --> 01:47:51.840
And again, it's easy to not do it routinely,

2552
01:47:51.840 --> 01:47:53.880
but when you practice it on the good days,

2553
01:47:54.680 --> 01:47:57.440
it's what lifts you on those really tough days.

2554
01:47:58.480 --> 01:47:59.400
And sometimes you forget,

2555
01:47:59.400 --> 01:48:01.720
you're not the first person to run through these problems,

2556
01:48:02.720 --> 01:48:05.600
but there are thousands of generations

2557
01:48:05.600 --> 01:48:08.360
that have taught you how to do life

2558
01:48:08.360 --> 01:48:10.720
and get through those hard places.

2559
01:48:10.720 --> 01:48:12.840
And I'm gonna use their rules.

2560
01:48:13.840 --> 01:48:17.440
I'm gonna follow what that scripture says

2561
01:48:18.600 --> 01:48:20.760
and lead for my best life.

2562
01:48:20.760 --> 01:48:22.400
Dr. Boss, thank you.

2563
01:48:22.400 --> 01:48:23.240
Very good.

2564
01:48:23.240 --> 01:48:26.240
I really appreciate so much about you.

2565
01:48:26.240 --> 01:48:28.160
I appreciate your personality.

2566
01:48:28.160 --> 01:48:29.440
Well, I'm incredibly engaging.

2567
01:48:29.440 --> 01:48:32.080
But I also just appreciate that you've taken the time

2568
01:48:32.080 --> 01:48:35.000
to make so much content over on your YouTube channel,

2569
01:48:35.000 --> 01:48:38.000
which I'm gonna link on screen and below now,

2570
01:48:38.000 --> 01:48:39.800
to sort of demystify and break down

2571
01:48:39.800 --> 01:48:42.160
some of these really complicated subjects

2572
01:48:42.160 --> 01:48:43.280
that people struggle with.

2573
01:48:43.280 --> 01:48:45.280
And they're looking for someone who they can trust

2574
01:48:45.280 --> 01:48:47.680
who has a bit of personality.

2575
01:48:47.680 --> 01:48:50.400
You can communicate some of these very complicated things to them.

2576
01:48:50.400 --> 01:48:51.200
And on your channel,

2577
01:48:51.200 --> 01:48:53.840
you talk about everything from the key to genetic diet,

2578
01:48:53.840 --> 01:48:54.920
to many things you talked about today,

2579
01:48:54.920 --> 01:48:58.680
to the creatine staff, to cancer more broadly,

2580
01:48:58.680 --> 01:49:01.840
the side deer of a topology and fasting,

2581
01:49:01.840 --> 01:49:03.040
and lots of other things.

2582
01:49:03.040 --> 01:49:04.280
I mean, everything we've talked about today

2583
01:49:04.280 --> 01:49:05.320
and much, much, much more.

2584
01:49:05.320 --> 01:49:07.440
So I highly recommend people go and check your channel out

2585
01:49:07.440 --> 01:49:09.040
if they would like to learn more.

2586
01:49:09.040 --> 01:49:11.400
It will be linked below.

2587
01:49:11.400 --> 01:49:14.080
And you've written some wonderful books,

2588
01:49:14.080 --> 01:49:15.440
some of them that we reference.

2589
01:49:15.440 --> 01:49:16.480
We've got the key to continuing,

2590
01:49:16.480 --> 01:49:18.440
which I'm gonna link below as well.

2591
01:49:18.440 --> 01:49:19.440
This wonderful book called,

2592
01:49:19.440 --> 01:49:20.640
Any Way You Can,

2593
01:49:20.640 --> 01:49:22.680
a beginner's guide to key tones for life,

2594
01:49:22.680 --> 01:49:24.640
which talks a lot about rows

2595
01:49:24.640 --> 01:49:27.640
and has some wonderful photos of rows in that book.

2596
01:49:27.640 --> 01:49:29.640
And we have the key to continuing workbook,

2597
01:49:29.640 --> 01:49:31.360
which is a much more practical.

2598
01:49:31.360 --> 01:49:33.920
Yeah, it goes hand in hand with the other one.

2599
01:49:33.920 --> 01:49:36.640
And it's what I give my patients in the clinic

2600
01:49:36.640 --> 01:49:37.880
because they got to go through that workbook.

2601
01:49:37.880 --> 01:49:39.560
I think a lot of people are looking for exactly that.

2602
01:49:39.560 --> 01:49:42.120
They're looking for something that they can follow,

2603
01:49:42.120 --> 01:49:44.400
step by step, which gives them a framework for progress.

2604
01:49:44.400 --> 01:49:45.240
And I guess in a way,

2605
01:49:45.240 --> 01:49:46.080
it holds them accountable,

2606
01:49:46.080 --> 01:49:48.280
which is exactly what the workbook does.

2607
01:49:48.280 --> 01:49:49.120
Thank you so much.

2608
01:49:49.640 --> 01:49:50.600
You're helping millions of people.

2609
01:49:50.600 --> 01:49:51.680
You've had a fucking rough ride,

2610
01:49:51.680 --> 01:49:52.920
and you've been outside.

2611
01:49:52.920 --> 01:49:55.840
12 felonies and 24 years in prison as for something

2612
01:49:55.840 --> 01:49:57.000
is littlest, what you did,

2613
01:49:57.000 --> 01:50:00.080
I think is bizarre quite frankly.

2614
01:50:00.080 --> 01:50:02.320
But it's a story of inspiration

2615
01:50:02.320 --> 01:50:03.440
that it didn't hold you back.

2616
01:50:03.440 --> 01:50:04.840
And you've risen like a phoenix

2617
01:50:04.840 --> 01:50:06.680
and created so much incredible work,

2618
01:50:06.680 --> 01:50:07.960
therefore that's benefit so many.

2619
01:50:07.960 --> 01:50:09.360
So please do keep going.

2620
01:50:09.360 --> 01:50:10.200
God bless you.

2621
01:50:10.200 --> 01:50:11.040
Thanks for having me here.

2622
01:50:11.040 --> 01:50:12.160
I'm really excited to be on your show.

2623
01:50:12.160 --> 01:50:13.440
Thank you so much, Dr. Buzz.

2624
01:50:14.160 --> 01:50:17.160
So this is something that I've made for you.

2625
01:50:17.160 --> 01:50:19.160
I've realised that the Diavitio audience are strivers,

2626
01:50:19.160 --> 01:50:20.760
whether it's in business or health.

2627
01:50:20.760 --> 01:50:23.000
We all have big goals that we want to accomplish.

2628
01:50:23.000 --> 01:50:25.000
And one of the things I've learnt is that

2629
01:50:25.000 --> 01:50:27.640
when you aim at the big, big, big goal,

2630
01:50:27.640 --> 01:50:31.240
it can feel incredibly psychologically uncomfortable

2631
01:50:31.240 --> 01:50:33.240
because it's kind of like being stood at the foot

2632
01:50:33.240 --> 01:50:34.960
of Mount Everest and looking upwards.

2633
01:50:34.960 --> 01:50:36.760
The way to accomplish your goals

2634
01:50:36.760 --> 01:50:40.040
is by breaking them down into tiny small steps

2635
01:50:40.040 --> 01:50:42.160
and we call it a big, big goal.

2636
01:50:43.000 --> 01:50:44.920
And we call this an R team, the 1%

2637
01:50:44.920 --> 01:50:47.840
and actually this philosophy is highly responsible

2638
01:50:47.840 --> 01:50:49.200
for much of our success here.

2639
01:50:49.200 --> 01:50:51.720
So what we've done so that you at home

2640
01:50:51.720 --> 01:50:53.920
can accomplish any big goal that you have

2641
01:50:53.920 --> 01:50:56.600
is we've made these 1% diaries

2642
01:50:56.600 --> 01:50:57.880
and we've released these last year

2643
01:50:57.880 --> 01:50:59.160
and they all sold out.

2644
01:50:59.160 --> 01:51:01.160
So I asked my team over and over again

2645
01:51:01.160 --> 01:51:02.080
to bring the diaries back,

2646
01:51:02.080 --> 01:51:03.800
but also to introduce some new colours

2647
01:51:03.800 --> 01:51:05.480
and to make some minor tweaks to the diaries.

2648
01:51:05.480 --> 01:51:10.000
So now we have a better range for you.

2649
01:51:10.000 --> 01:51:11.920
So if you have a big goal in mind

2650
01:51:11.960 --> 01:51:13.840
and you need a framework and a process

2651
01:51:13.840 --> 01:51:15.280
and some motivation,

2652
01:51:15.280 --> 01:51:17.480
then I highly recommend you get one of these diaries

2653
01:51:17.480 --> 01:51:19.960
before they all sell out once again.

2654
01:51:19.960 --> 01:51:22.000
And you can get yours now at the diary.com

2655
01:51:22.000 --> 01:51:25.160
where you can get 20% off our Black Friday bundle.

2656
01:51:25.160 --> 01:51:26.000
And if you want the link,

2657
01:51:26.000 --> 01:51:27.240
the link is in the description below.