Ben, I mean this from the heart: the quality of the content you make free to the public is out of this world and is certainly changing the lives of so many people failed by the medical profession. Using what I’ve learned from your book and many online resources, I’ve reversed my T2DM & GERD & NASH at a speed that has my doctor shaking his head in disbelief. Thank you. You’re a gentleman.
I reversed my F2, F3 fatty liver steotosis. I was vegan a lot of my life and I ate a lot of high fructose products. I reversed my fatty liver at the age of 62 when my ultrasound validated it. I am not a drinker so mine was all the sugars in my diet. Ben, you were one contributor to my success and I thank you for your lessons., I enjoy listening to you and I love the speed of your presentation.
Ben. I am a cardiologist here in Brazil. I have bought your book 2 years ago and since then I am spreading out your teachings to every patient of mine. And I could also transmit the knowledge to my father that is oncologist and he is also using it in his clinical practice everyday. Thank you a lot. Your words are not teached in tradicional medicine course. Your new channel is great. Keep it alive!
Dr. Leandro, sou nutricionista aqui em SP, Brasil. Me formei em 1984 e durante toda a prática clínica do consultório passei por vários estágios de evolução da prática nutricional. Depois de alguns anos de formada vi que a contagem de calorias não tinha êxito e não fazia sentido. Comecei a orientar os pacientes a partir do que vinham fazendo e, tentando descobrir o motivo que os lavava à não ter saúde. Comecei a seguir Dr Ben na pandemia e realmente tudo na nutrição fica claro com as suas colocações científicas. Também comprei o livro. Enfim, atuo hoje com esse princípio, metabólico, onde a dieta se insere. Também sou defensora do jejum intermitente para casos específicos. Mas nem todos os nutricionistas e nutrólogos concordam. Feliz em ver que como médico, você tem semeado tais conceitos! Um abraço
I had a friend who said she was diagnosed with fatty liver. The doctor said she needed to cut the fat way down in her diet. Dr. Bikman sets it straight.
@@believ100A physician cannot expect to know everything just because he/she completed medical school. A physician HAS to keep up with the latest research and many physicians do not. I knew a physician who said he hated to read. He only read enough to get through medical school. He did not keep up with the information in medical journals and it was obvious. He collegues lost respect for him.
A gastroenterologist dismissed my patient with pre diabetes and fatty liver (on ultrasound)because she has a normal ALT and AST and advised the patient that she is NORMAL. However,the GGT is 125 ( normal is 30). When I questioned the gastroenterologist, she mentioned to me that they dont use GGT in gauging liver disease. The patient clearly has liver disease in the context of fatty liver. These kind of doctors need more education.
Part of the problem is that a 'normal' ALT has shifted over the years as the population has gotten progressively more unhealthy. I've noticed that many doctors don't realize that the 'normal' threshold has shifted up, which reflects a reference range of 0 to 44 IU/L. Often ALT of 25 to 30 or more will correspond with mild to moderate NAFLD. Makes me curious what that patient's 'normal' ALT was? It may technically be considered 'normal' but odds are it's already too high.
I was diagnosed with fatty liver back in 2018 (ultrasound). I started keto January of 2019. Just had my 5 year ketoversary! Never once gone back to SAD way of eating. Last year, while getting a CT scan with contrast for a different reason, I asked how is my NAFLD? No sign of it !! Gone!! Along with all the meds for T2d, high BP, etc.
My story begins a lot like yours, but I haven't kept to the low carb way of eating and am starting all over again. Thank you for posting as it is comforting to read this is beatable. Again Thank You.
CONGRATULATIONS! 👏🏻🥳 🎉 I already feel much better and more energized! I am on this journey now, and you've given me so much hope that I can reach the same outcome as you, which I've been aiming for! 😊
My fatty liver disease was at 395 for this scan, 400 being the very worst! That is the day I stopped drinking wine! I didn't drink hard alcohol. I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs! One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that I was in bed most of the day. I have my life back! Excellent explanation of fatty liver! Thank you Sir!
If our doctors and healthcare system educated patients the way you do, we wouldn’t be in a global pandemic of metabolic disorders. Thank you, Dr. Bikman.
My fatty liver disease was at 395 for this particular scan, 400 being the very worst! (Over 400 starts cirrhosis) That is the day I stopped drinking wine! I didn't drink hard alcohol. I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs! One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that scan, I was in bed most of the day. I have my life back! Excellent explanation of fatty liver! Thank you Sir!
@@MemoryAmethyst You can get fiber from vegetables like broccoli, carrots, cauliflower, Brussels sprouts, celery, bell peppers (but not the red ones!), potato skins, kale, asparagus, Jeruselum artichokes, and foods like mushrooms & some salad vegetables. You can also buy fiber packets you mix into whatever you want, coffee, tea, soup, or even plain sparkling clean water!
Indeed, he shares a lot of truth, but he’s sharing it to Student who becoming doctors many of them. He is not an MD he is a PhD, and I think he probably would want us to realize the difference because he never claims to be what he has not. Just saying here that’s all.
I had fatty liver with 2 cyst. Diagnosed for a gallbladder procedure. After 3 months max 6 gram carbs keto due to a diabetes 2 diagnosis my liver was clean and without cyst. Yes, now I know I am insulin resistance.
Thank you, Ben. I am a RN and health columnist. The info you so generously and patiently share in these videos is incredibly helpful to me in educating my readers with metabolic syndrome. You are a true gem!
Just to be deeply honest Ben, you are a gift from God & an angel spreading the good news of hope in humanity. I’m greatly grateful on your effort… myself & my family are benefiting from your knowledge!!!
Thanks dr bikman..... One of my clients had fatty liver..I asked him to cut carbs from his diet and add fat...he went to another doctor and came back saying I need to cut out fat and add carbs..I told him have you in your life eaten healthy fats..he said no..I said that's fatty liver for you..lost tons of weight later ...now working as gym coach
That presentation was as compelling as a good mystery movie or novel. I was mesmerized by it. Dr. Bickman, you are the best professor I have had through University & graduate school, no mean feat as I have a PhD.
This is great. I have fatty liver with high fibrosis, I have been following Avery low carb diet. With 0 - 20 grams carbs a day. I started this because of following you. I cannot thank you enough. My liver specialist is extremely happy that I did this on my own and have lowered my insulin from 130 units a day down to 24. My hopes are to get off of insulin completely. I’ve been doing this diet for a year with higher carbs up to 40 so now that I’ve lowered it I’m doing much better. Thank you so very very much!
@@benbikman I have been studying biochemistry for many many years . Thank you for confirming some things that I realised many years ago, but could not find evidence for .
When I was in my 40's, I am now 74, I was told I had Fatty Liver. THE GI specialist suggested a Liver biopsy to confirm the diagnosis. I was skeptical as I had known people to bleed with Liver biopsies. But I asked what will be the treatment difference if the biopsy confirms Fatty Liver and is there a chance you could biopsy a part of the Liver with no Fatty deposits?..Liver is a good sized organ. Anyway, no treatment difference and actually I was offered nothing in terms of treatment other than to suggest "maybe if you lose weight you will help yourself to prevent cirrhosis" and eat low fat diet. I moved through every diet known at that time with varying degrees of success. I gained the most weight when I shifted to full in vegetarian and then vegan diet for about 2-3 yrs. I finally stopped veganism and eventually learned about fasting, keto and low carb lifestyle changes when I was nearly 70. I reversed my Fatty liver confirmed by ultra sound. Our medical educational systems must catch up with reality of physiology so that our clinicians can know what the heck they are doing. It will help a lot of people to improve their health earlier in their lives
14:22: _"Fasting_ is the _Fastest_ way to lower insulin" The best puns are the ones that are unintentional and truest in their meaning. It's definitely a slogan to remember.
It's incredible that you have so much wonderful insight without even going to an actual medical school! Why can't regular doctors speak so simply and confident as you do?
How did he not go to an “actual medical school?” Lol He’s got a PhD in Bioenergetics for crying out loud. Ask any regular medical doctor to educate you on these things and they stutter. I am a critical care nurse, I can tell you this man is more educated than any Physician I work with on a daily basis.
They don't have time! We don't have enough Doctors compared to our population. And now there seeing illegals, my Dad just passed away because he wasn't able to see a cardiologist. And she missed that he had a small heart attack, she was new! Now my Dad is gone my heart is broken!
I have read many books, I listened to many TH-cam videos by many of the worlds leading gurus and health experts but nothing came close to the hidden herbs by anette ray. I recommend everyone giving it a read.
Ben thank you very much for your efforts in freely educating the world. I am a Specialist GP in Australia and i have learned so much from you regarding metabolic health. I am sharing your videos to my patients hoping for the ripple effect that they may educate their family members & friends. Fatty Liver is a staggering problem & the public needed to be educated- people will avoid eating “fatty foods” because they were told they have a “fatty liver.” Not all doctors explain this to them & its so frustrating.. Again, thank you for the work that you do 🎥
A truly effective, clear description of what happens in the liver. Was diagnosed with T2D in 2000, and although working as a letter carrier and taking medications, I kept my HbA1C fairly level - that is until I couldn't. It went from 6.4 in 2016 to 8.0 in 2023 (which resulted in the addition of insulin injections every night). My HbA1C was 7.4 in November 2023, however, in January, I drastically changed my diet, reducing significantly my intake of carbs and alcohol, plus a daily 14-hour fast, and my HbA1C dropped to 6.5 in February. I have since halved my insulin dose, and will continue to strive to eliminate it outright! Your teachings and explanations are purely life-saving, simply put, I thank you for your generosity and caring.
Dr. Ben Bikman, you are a true "ROCK STAR" in the world of metabolic health. I suspect you will save far more lives than most M.D.'s will around the world.
You are spot on. The information is so good, and Dr. Bickman has such a wonderful manner of presenting the info. I, too, am often rewinding the videos.
You are my favorite professor! Which I was one of your students, but hey I learn from all your videos....Thank you so so much for sharing your brain with us. It is much appreciated. Keep them coming I love them all.
There is a very sweet positive dietician on Instagram who keeps saying the fat in the liver should be reduced by eating little or no saturated fat, and eating lots of “healthy” carbs. I keep directing her clients to you, Ben Bikman. Hope I’ve been quoting you accurately. 😂 Mostly I want them to understand this “expert’s” explanation of insulin resistance is incomplete and a misunderstanding of carb tolerance.
Dr. Bikman, these sessions have become must-watch appointments for me. Type 2 diabetic with severe RA who was recently diagnosed with non-alcoholic fatty liver disease and must wait months to see a hepatologist! I am researching as much as I can to understand what is happening. Sincere thanks for your video today.
Thanks for sharing your story. Sorry that you are struggling. You may want to consider joining our community to get a little more support and some ideas from our coaching team and from other like-minded people working on their metabolic health. You can do a 10-day trial at no cost: www.insuliniq.com/insulin-iq-community-membership-signup
I had a Cat scan that showed fatty liver. I have been on ketovore mostly carnivore and have lost 70 lbs in 18 mos. 75 yr F 5'3" 187 down 70lbs keto/Carnivore 18mo Labs a1c 5.6 Glu 93 fast ins 8.9 Homa-IR 1.8 C 223 Hdl 81, Tri 64. LDL 129 . Trying to get approval for another CT to see if I still have nafld
Did your bloodwork include ALT & AST? If those are in the normal range and lower than before that would be a good sign. Was the CT scan specifically for fatty liver assessment, or an incidental finding? I've always wondered if a CT scan showed fat in the liver if the radiologist would note it in the report, especially if the scan was done for some other purpose.
Fascinating and a great speaker, passionate, I have never been gripped to watch a TH-cam video from start to finish before, thank you, I will listen more and hope to educate friends and family.
That is so kind of you, Gregory. Certainly not expected, but appreciated. Please let my team and/or me know if there is anything we can do to help you. Thank you.
Ben, thank you. Your TH-cam presentations have been a wonderful help in my journey back to health. Also thank you for your book. Stuart from Melbourne AU
Just pre-ordered the new book, thanks for all that you do! The information you have been sharing since I found out about you and your work about 3 years ago has been transformative!
4 years ago i had an ultrasound to determine why there were red blood cells in my urine. Ultrasound couldnt determine why but the walk-in Dr stated my liver was enlarged, my cholesterol a touch on the high side as is my ferratin. Then he left the room. No discussion as to what could be going on, what i should be doing, nothing. So i figured he was just informing me i had some congenital abnormality. A year later i started feeling pain in my upper abdomen and discovered a lump just under the ribs near the painful area. Saw another dr who ordered another ultrasound. Told me i had fatty liver and determined it was caused by alcohol as i did partake on an almost weekly basis, and said in a year that would resolve itself. Quit drinking altogether. A year later that area was still tender, lump still present. A year after that, 80% vegetarian diet, a rare glass of wine on special occasions, i started experiencing neurological symptoms. Uncontrollable spasms in the eye muscles, and tingling down the sides of my face. Then i get the worst case of diverticulitis i thought possible and found out i may have hemochromatosis in the same week (ferratin is silly high despite eating almost no beef and very little bread in years). Cat scan revealed there are fatty inclusions in my liver. For the life of me I havent a clue whether that is an indication thay my liver has worsened or not as that was divilulged in a post ER phone call by my new Dr who was informed of NONE of the above. I am on my 4th involuntary multi day fast in 2 months. Gave up all carbs, attempted Keto. But now I randomly cannot process the little bit of vegetables i attempt to add in, setting off tge diverticulitis again. Howevver increasing fat intake causes mild painful spasms in my liver area. I dont know what to do anymore. I have lost an insane amount of weight in a very short time (20lbs/1.5 months). When i can eat i have great energy. I walk an average of 5 km's a day (a bit less when i cannot eat). But those times where I am getting a prkper caloric intake are getting fewer and i dont know what to do. Now dairy seems to be causing inflamation in my eyes, and beef is off the menu until i can get the proper test for hemochromatosis. I feel completely abandoned by the medical community and I second guess every single one of my nutritional decisions as it feels that each one i make has the potential to finish me off. I am spiraling into a very dark place. What is the difference in approach to treatment for alcoholic liver vs NAFLD vs damage caused by high iron or impact injury? I am obviously doimg everything wrong here!
Dear Whiskeybrush. Your story was mine. High ferritin indicates inflammation. It took me years to understand every issue I had was an expression of inflammation. I had developed breast cancer , had terrible allergies, terrible IBS, ulceritis colitis, hemorrhagic bladder infections, terrible psoriasis, very painful bouts of hurt muscles and joints, non alcoholic fatty liver, lost dramatic 45 pounds. Had terrible pain under my left rib cage for months. Wasn't trying to lose weight. Suddenly I realized I was dying of malnutrition. I had stones in my gallbladder from such low fat intake. I went to an elimination diet. All the rumanant meat I could eat, Redmonds salt, lots of butter, lard and tallow. I stopped all dairy ( I love dairy) , stopped all grains and stopped all prescription meds. Within 90 days every single issue I had suffered with for DECADES was gone. Even my deep dark depression dissipated. Never could I have anticipated such a turn around. Since then I have studied biochem and I follow Drs Bikman, Berry, Baker, Diamond, Mason, Fung , Lustig, Seyfried etc. To gain a foothold on years of malnutrition I took NAC, ALA , liquid fermented Bs, Keto Chow minerals and as much Redmonds salt as I wanted. Now I am metabolically sound, walk daily, and am cancer free. I occasionally eat a low carb vege like asparagus but I am essentially a high fat carnivore. I'm 66. No, I have not had a face lift ....yet.
Thank you!!! Your content has inspired me to start my health journey. 20 lbs down in 3 months with a low carb diet that includes allulose. Feeling great physically and mood wise
Dr Ben! Thank you thank you for explaining things I have been searching to learn! I have your book WHY WE GET SICK. I’m a 78 y/o woman and wanted answers so I am now under the care of functional medicine doctor. He told me I have insulin resistance. So now I’m watching video after video learning all this new stuff I need to know. Don’t think my regular doctors have a clue. I am getting healthier by the day reading labels, shopping farm markets, cleaned out my pantry and practicing what I’m learning. Never too late! Right?!
Thank you so much. I am so pleased to have found you and will relisten and try to absorb your incredible knowledge. This information is very helpful. I'm so grateful that science is actually starting to make a bit more sense!
Thanks so much for your time and dedication, Ben. I’m really hooked on your lectures, which help me find the motivation to look after myself and the ones near me.
As a 62yo male who has been obese for 40+ years and found early out this year that I have NAFLD (from AST/ALT results and confirmed by ultrasound liver scan) this was interesting to learn the details of how NAFLD occurs and develops. *But* we had to wait until the 32 min mark to get to a brief discussion re treatments!. Glad to hear that controlling carbs and fasting (IF?) is good way to reduce insulin and help reverse FLD. I've been focused on losing weight and reducing body fat this year, and managed to drop from 120 kg to now under 90kg (still 10kg to lose). I'll do another blood test next week to see if my liver enzymes have improved, and get another DEXA scan at the end of the year (when I should be close to my target weight) to check on body fat % and visceral fat. Some discussion of any research results showing how/if weight loss (fat reduction) reverses NAFLD would have been nice in the last few minutes.
I cannot thank you enough for these videos. All this information has helped me to understand how I got to where I am and how I can correct it. You explain things very well. Peace✌🏻
It doesnt matter how many times I review pathophysiology from NP school, the level of depth and interconnectivity in the pathogenesis of fatty liver, and elevated AST/ALT and cholesterol markers namely triglycerides is phenomenal 👏
T2 on insulin for 5 years, of course I ended up with a fatty liver. I was only ever advised to lose weight! Gee thanks doc. I finally decided that I had had enough of my enormous stomach and first found Jason Fung's videos and then fell down the rabbit hole. I took myself off insulin on the 25th Feb 2024 (so just 36 days ago) on the same day that I went carnivore. I check my BG levels 4 times a day and in this short time period they are now perfect, I am comfortably around 5 mmol/L with minimal fluctuations. I haven't watched the video yet, but I hope I learn how long it will take my liver to heal. Edit: 30:48 My ALT (53) : AST (47) ratio is 1.12 so just over 1. No frame of reference given for a healthy ratio range.
Ben, this series accompanies me on my nightly walks and has been a life changer. Just got done sharing this w someone who desperately needed to hear it. Hoping you will read up on the latest clinical trials on fatty liver and retatrutide, and to a lesser extent, tirzepatide. Spoiler alert, Reta is reversing damage and repairing scarring for a lot of folks in the trial. Give it a look ... Would really like to hear your analysis.
Dr, Bikman, THANK YOU! I have Fatty Liver Disease, and potentially Portal Vein Hypertension, so as you might imagine I am scouring the web for information. Your video has been immensely helpful. Bottom line is i did all the low carb and no fructose things I could do but.... I did not stop with the alcohol.., so my fatty liver is still an issue. I have now ceased all consumption of ethanol products, and am continuing with the low carb lifestyle. Now waiting for testing on the portal vein....we shall see. I just wanted to say thank you for putting out such high quality information on such a regular basis.
Instead of calling the liver fatty which is associated with weight gain...call it edema liver which people associate with inflammation in the feet and ankles. That same edema is in the brain eroding the myelin sheath, nerve endings, metabolized into uric acid...from sugar.
whew!! this has been such a great series. Thank you for your commitment, energy, spirit and of course, your teaching style. from somebody's geeky Nanny
I'm glad Dr Bikman mentioned the ALT to AST ratio. Not something I had heard of before. I thought I had rid myself of NAFLD but according to my ALT/AST ratio I still have a ways to go. This goes beyond my good Triglyceride/HDL ratio which is pretty good. Which has been troubling to me trying to figure out why most of my Labs show no to little IR. And I'm being made aware that it might actually be AST/ALT ratio instead of ALT/AST. ??????
Between insulin, ethanol, and Fructose, which has the greatest impact on liver bile cells? Does liver fat deposits "crowd" or otherwise impair bile production.?
Good question. I look forward to reading replies. I suspect the answer(s) will be many. The complexity of the liver and the variety of issues you ask about will drive to a number of issues. All I know is that ethanol is no good.
Dr Binkman! Thank you for your excellent content. You recommend whole fruits and vegetables…. How about whole legumes and whole intact seed grains such as quinoa, barley, groats that have not been ground….?
I surely hope so as I have just received a diagnosis of having cirrhosis with some fibrosis, but on the low end... I have read where some fibrosis has been reversed but not a lot. What I am thinking is, IF the cause of the fatty liver is removed, like too many carbs or alcohol, and IF one eats proper, rests proper, and exercises appropriately, the medical establishment has no idea what MAY happen! I plan on showing them,and the world what a Proper Human Diet can do! Best wishes on your journey!!
Will there be an Audible version of your new book? I've ordered the paperback, but an Audible version would be great. I have your first book in paperback and Audible. I listened to it many times while commuting to and from work. Thank you for sharing and making this information understandable.
Hi I'm a Secondary school teacher and are VERY happy that you post these classrooms. It helps me to create lessons that are up to date! I have a question. You are in different videos speaking of that the body only burns fat when insuline levels are low. How does this function with what I was tought, the three sorts of metabolism in the cell. 1 anaerobic creatine phosphate. 2 anaerobic glycolysis 3 aerobic metabolism of glukos, fat or protein. Doesn't the rate/type of exersice or the time engaging in a specific exersice also determine what fuel is beeing burned for ATP? Thanks!
I am a great fan of Dr. Ben Bikman’s talks and presentations. I bought his book a few months ago; an eye opener on so many metabolic processes going on in our bodies. I started a Low Carb High Fat diet 4 months ago. I just received the results of my blood panel. HDL has increased significantly and TG plumbed way down. HbA1C is low. My fasting insulin is very low and so is HOMA-IR. I also lost about 10 kg and my blood pressure is back to "acceptable" ranges (no more medicines). So I am quite happy, except for 2 markers, involving the liver, which have increased significantly! These are ASAT and ALAT. They used to be well below the upper limit (34 U/l and 55 U/l respectively - In France where I live) before I started the LCHF diet. Now my ASAT is just over the upper limit and my ALAT just under the upper limit. Has anybody experienced this when on a LCHF diet? Is there a possible link with what Dr Bikman has explained in this presentation? Thank you again Dr Bikman with your brilliant presentations.
Tku Dr Ben. Just excellent, have to watch again and get clearer notes but its making sense (sort of) 😂 at 70 I'm determined to understand and manage my own health. I'm blessed to have a GP doctor to partner with who supports my position and goals AND now I have your classes. They are enormously helpful. Our metabolism is not an uncomplicated process (actually, i think it is a miracle) that we're still all living and walking around 😅 tku, I'm sharing your channel and lessons with everyone I can.
Dear Professor, I tried to find your stance on high carb populations and metabolic health in videos, but could find any. May I ask how you explain the health of populations with a relatively high amount of carbs, such as the Japanese or many Pacific islanders such as (famously) the Kitavans? If they consume high amounts of carbs and seem to be healthy, are there other factors to mitigate this? Cheers! 🙂
Thank you so much for all the informations you are sharing. I've been following all your podcasts. Listening to you and other Doctors talking about insulin resistance , I feel like I'm back to university.
Dr. Ben I just wanted to share something with your viewers (and you) from my world i.e. Bodybuilding regarding NAFLD. Bodybuilders owing to diets high on carbs suffer from NAFL _ even the ones who shred down to single digit body fat percentages for stage. One of the time tested solution to NAFLD that bodybuilders have been using is Methionine Inositol Choline (MIC). From personal experience I can tell you that MIC helps like nothing else. Post competition when one is ready to take the foot off gas _ MIC supplementation quite literally melts fat from liver in a month or so.
Thanks, Ben! Just completed an N=1 experiment with a fast that I monitored closely in regards to Bg and Kt. I watched the Bg drop and Kt rise after a period of time in the fast. It happened within a two hour period. One question I have about seeing that sudden change is whether that coincides with the beginning of autophagy??? Your description should be better understood by some influencers on youtube, cause they have if wrong. I posted my experiment on youtube along with an update on the data.
LMAO I love how you implore us to teach others what we have learned from you! I can see my sister's eyes rolling back into her head as that is the last thing from me that she wants to hear about is me trying to sound smart. It would be better if I talk her into watching your video as you explain everything so much better for which I am forever grateful. I have been carnivore for apx 4 years and maintain ketone level above 1.8 mmol/l most of the time and occasionally going as high as 5.0 mmol/l without taking ketones or fasting.
Great program....But I'm concerned with ALT/AST ratio (at 30:48) seems to be reversed from AST/ALT....but I'd be happy to be wrong...just want to understand correctly. Thanks for any replies.
I stressed to my patients ALL the time to not work out 48 hours BEFORE liver enzyme labs. Also CPK is released and unless its fractionaed, one might think there's heart disease rather than just coming from the muscles after heavy exercise. Thanks for explaining this to the public. People always wonder why we tell them to fast or not exercise before labs.
I am aware that fat does not travel alone in the blood stream. Dietary fat is packaged into Chylomicrons for transportation, and DNL liver fat is packaged into VLDLs for transportation in the blood. Are free fatty acids packaged into a transport molecule, or attached to some other compound so that it can make its journey around the blood stream? Anybody? And could testing for this molecule be a test for fat cell Insulin Resistance?
My recent ALT/AST ratio is 1.55. This was after 3 months carnivore (with some alcohol use). Prior was a vegan diet with alcohol and crap food towards the end. Now trying to focus on high fat carnivore (no alcohol obv). Should I stick with a high fat carnivore diet, or try lower fat? If lower fat, would the higher protein affect insulin enough to matter? You mentioned whole fruits and veggies.... is this a route I need to go in order to heal FLD? My digestion doesn't do fiber, soooo....?
15:14 Not having insulin around, the free fatty acids do not get sequestered into the liver. The fats replace glucose as fuel. Cool. But this also reaches a limit. Where is the tipping point that one crosses over to keto-acidosis, mentioned earlier? All too evident in the present distressed environments around the world, does extreme malnutrition/ starvation leads to keto-acidosis and then, organ failure?
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Ben, I mean this from the heart: the quality of the content you make free to the public is out of this world and is certainly changing the lives of so many people failed by the medical profession. Using what I’ve learned from your book and many online resources, I’ve reversed my T2DM & GERD & NASH at a speed that has my doctor shaking his head in disbelief. Thank you. You’re a gentleman.
Thank you for you kind comment and for sharing your experience. I appreciate it.
Ditto
Amen to that !
That tickles me, to picture your dr. Shaking his head in amazement.
I reversed my F2, F3 fatty liver steotosis.
I was vegan a lot of my life and I ate a lot of high fructose products. I reversed my fatty liver at the age of 62 when my ultrasound validated it. I am not a drinker so mine was all the sugars in my diet.
Ben, you were one contributor to my success and I thank you for your lessons., I enjoy listening to you and I love the speed of your presentation.
Ben. I am a cardiologist here in Brazil. I have bought your book 2 years ago and since then I am spreading out your teachings to every patient of mine. And I could also transmit the knowledge to my father that is oncologist and he is also using it in his clinical practice everyday. Thank you a lot. Your words are not teached in tradicional medicine course. Your new channel is great. Keep it alive!
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Dr. Leandro, sou nutricionista aqui em SP, Brasil. Me formei em 1984 e durante toda a prática clínica do consultório passei por vários estágios de evolução da prática nutricional. Depois de alguns anos de formada vi que a contagem de calorias não tinha êxito e não fazia sentido. Comecei a orientar os pacientes a partir do que vinham fazendo e, tentando descobrir o motivo que os lavava à não ter saúde.
Comecei a seguir Dr Ben na pandemia e realmente tudo na nutrição fica claro com as suas colocações científicas. Também comprei o livro.
Enfim, atuo hoje com esse princípio, metabólico, onde a dieta se insere. Também sou defensora do jejum intermitente para casos específicos.
Mas nem todos os nutricionistas e nutrólogos concordam.
Feliz em ver que como médico, você tem semeado tais conceitos!
Um abraço
Learning this info and then on to learning about dendritic cells
Your father might find Dr Thomas Seyfried regarding cancer as a metabolic disorder.
I had a friend who said she was diagnosed with fatty liver. The doctor said she needed to cut the fat way down in her diet. Dr. Bikman sets it straight.
I wonder why endocrinologists are so clueless.
@@believ100they are trained to be clueless. They will be diagnosing themselves with he same health issues.
@@believ100A physician cannot expect to know everything just because he/she completed medical school. A physician HAS to keep up with the latest research and many physicians do not. I knew a physician who said he hated to read. He only read enough to get through medical school. He did not keep up with the information in medical journals and it was obvious. He collegues lost respect for him.
The metabolic classroom is truly addictive. Extremely well organized and delivered. Thank you Dr. Bikman.
A gastroenterologist dismissed my patient with pre diabetes and fatty liver (on ultrasound)because she has a normal ALT and AST and advised the patient that she is NORMAL. However,the GGT is 125 ( normal is 30). When I questioned the gastroenterologist, she mentioned to me that they dont use GGT in gauging liver disease. The patient clearly has liver disease in the context of fatty liver.
These kind of doctors need more education.
Part of the problem is that a 'normal' ALT has shifted over the years as the population has gotten progressively more unhealthy. I've noticed that many doctors don't realize that the 'normal' threshold has shifted up, which reflects a reference range of 0 to 44 IU/L. Often ALT of 25 to 30 or more will correspond with mild to moderate NAFLD. Makes me curious what that patient's 'normal' ALT was? It may technically be considered 'normal' but odds are it's already too high.
I was diagnosed with fatty liver back in 2018 (ultrasound). I started keto January of 2019. Just had my 5 year ketoversary! Never once gone back to SAD way of eating. Last year, while getting a CT scan with contrast for a different reason, I asked how is my NAFLD? No sign of it !! Gone!! Along with all the meds for T2d, high BP, etc.
My story begins a lot like yours, but I haven't kept to the low carb way of eating and am starting all over again. Thank you for posting as it is comforting to read this is beatable. Again Thank You.
CONGRATULATIONS! 👏🏻🥳 🎉 I already feel much better and more energized! I am on this journey now, and you've given me so much hope that I can reach the same outcome as you, which I've been aiming for! 😊
Did you follow a specific keto plan?
So eating keto fixed it?
My fatty liver disease was at 395 for this scan, 400 being the very worst! That is the day I stopped drinking wine! I didn't drink hard alcohol.
I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs!
One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that I was in bed most of the day.
I have my life back!
Excellent explanation of fatty liver! Thank you Sir!
If our doctors and healthcare system educated patients the way you do, we wouldn’t be in a global pandemic of metabolic disorders. Thank you, Dr. Bikman.
Doctors have to toe the line of BS from the AMA and the CDC.
My fatty liver disease was at 395 for this particular scan, 400 being the very worst! (Over 400 starts cirrhosis) That is the day I stopped drinking wine! I didn't drink hard alcohol.
I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs!
One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that scan, I was in bed most of the day.
I have my life back!
Excellent explanation of fatty liver! Thank you Sir!
Congratulations. I wish you a long healthy life.
Why you said "do not subtract fiber"
They are not digestible. Are they?
@@MemoryAmethyst You can get fiber from vegetables like broccoli, carrots, cauliflower, Brussels sprouts, celery, bell peppers (but not the red ones!), potato skins, kale, asparagus, Jeruselum artichokes, and foods like mushrooms & some salad vegetables. You can also buy fiber packets you mix into whatever you want, coffee, tea, soup, or even plain sparkling clean water!
Ben Bikman is the TRUE DEFINITION of the word doctor !!
And what they are supposed to be !!
Indeed, he shares a lot of truth, but he’s sharing it to Student who becoming doctors many of them. He is not an MD he is a PhD, and I think he probably would want us to realize the difference because he never claims to be what he has not. Just saying here that’s all.
I had fatty liver with 2 cyst. Diagnosed for a gallbladder procedure.
After 3 months max 6 gram carbs keto due to a diabetes 2 diagnosis my liver was clean and without cyst.
Yes, now I know I am insulin resistance.
This is the awesome news I needed❣
Thank you, Ben. I am a RN and health columnist. The info you so generously and patiently share in these videos is incredibly helpful to me in educating my readers with metabolic syndrome. You are a true gem!
Just to be deeply honest Ben, you are a gift from God & an angel spreading the good news of hope in humanity. I’m greatly grateful on your effort… myself & my family are benefiting from your knowledge!!!
Yes, indeed he is a wonderful Blessing.
Thanks dr bikman.....
One of my clients had fatty liver..I asked him to cut carbs from his diet and add fat...he went to another doctor and came back saying I need to cut out fat and add carbs..I told him have you in your life eaten healthy fats..he said no..I said that's fatty liver for you..lost tons of weight later ...now working as gym coach
That presentation was as compelling as a good mystery movie or novel. I was mesmerized by it. Dr. Bickman, you are the best professor I have had through University & graduate school, no mean feat as I have a PhD.
This is great. I have fatty liver with high fibrosis, I have been following Avery low carb diet. With 0 - 20 grams carbs a day. I started this because of following you. I cannot thank you enough. My liver specialist is extremely happy that I did this on my own and have lowered my insulin from 130 units a day down to 24. My hopes are to get off of insulin completely. I’ve been doing this diet for a year with higher carbs up to 40 so now that I’ve lowered it I’m doing much better. Thank you so very very much!
So glad you are doing well, Brenda. Thanks for sharing your story.
@@benbikmanI give you,Ben and Dr Westman all the credit for your fantastic videos. I thank you from the bottom of my heart.
It took me over a year, but my liver tests are back to normal eating a low carb high fat diet. It works!
Wow!!! And I am so worried and depressed with my diagnosis 1 month ago, I am following a low carb diet too and exercising but I feel that is over!!!
@@benbikman
I have been studying biochemistry for many many years .
Thank you for confirming some things that I realised many years ago, but could not find evidence for .
When I was in my 40's, I am now 74, I was told I had Fatty Liver. THE GI specialist suggested a Liver biopsy to confirm the diagnosis. I was skeptical as I had known people to bleed with Liver biopsies. But I asked what will be the treatment difference if the biopsy confirms Fatty Liver and is there a chance you could biopsy a part of the Liver with no Fatty deposits?..Liver is a good sized organ. Anyway, no treatment difference and actually I was offered nothing in terms of treatment other than to suggest "maybe if you lose weight you will help yourself to prevent cirrhosis" and eat low fat diet. I moved through every diet known at that time with varying degrees of success. I gained the most weight when I shifted to full in vegetarian and then vegan diet for about 2-3 yrs. I finally stopped veganism and eventually learned about fasting, keto and low carb lifestyle changes when I was nearly 70. I reversed my Fatty liver confirmed by ultra sound. Our medical educational systems must catch up with reality of physiology so that our clinicians can know what the heck they are doing. It will help a lot of people to improve their health earlier in their lives
The AIM of the system is to accelerate the mortality path.
This man is gift to humanity May God bless him with amazing life
"Don't get your carbs from bags, boxes or barcodes" - Fantastic!
14:22: _"Fasting_ is the _Fastest_ way to lower insulin"
The best puns are the ones that are unintentional and truest in their meaning. It's definitely a slogan to remember.
It's incredible that you have so much wonderful insight without even going to an actual medical school! Why can't regular doctors speak so simply and confident as you do?
Because regular doctors don't have the facts!
How did he not go to an “actual medical school?” Lol He’s got a PhD in Bioenergetics for crying out loud. Ask any regular medical doctor to educate you on these things and they stutter. I am a critical care nurse, I can tell you this man is more educated than any Physician I work with on a daily basis.
I bet most actual doctors haven't even heard of bioenergetics.
They don't have time! We don't have enough Doctors compared to our population. And now there seeing illegals, my Dad just passed away because he wasn't able to see a cardiologist. And she missed that he had a small heart attack, she was new! Now my Dad is gone my heart is broken!
@@stardustgirl2904sorry to hear that, so sad and a disturbing problem with our society.
I have read many books, I listened to many TH-cam videos by many of the worlds leading gurus and health experts but nothing came close to the hidden herbs by anette ray. I recommend everyone giving it a read.
Dr. Bikman you are an outstanding teacher and been watching you for a couple of years. Just ordered your book. God bless.
I am a Carnivore, havent had a carb in 10 months and I intermittent fast wveryday. Only eat fatty lamb, beef, salt and water. Thanks for the lecture.
Ben thank you very much for your efforts in freely educating the world. I am a Specialist GP in Australia and i have learned so much from you regarding metabolic health. I am sharing your videos to my patients hoping for the ripple effect that they may educate their family members & friends. Fatty Liver is a staggering problem & the public needed to be educated- people will avoid eating “fatty foods” because they were told they have a “fatty liver.” Not all doctors explain this to them & its so frustrating.. Again, thank you for the work that you do 🎥
A truly effective, clear description of what happens in the liver. Was diagnosed with T2D in 2000, and although working as a letter carrier and taking medications, I kept my HbA1C fairly level - that is until I couldn't. It went from 6.4 in 2016 to 8.0 in 2023 (which resulted in the addition of insulin injections every night). My HbA1C was 7.4 in November 2023, however, in January, I drastically changed my diet, reducing significantly my intake of carbs and alcohol, plus a daily 14-hour fast, and my HbA1C dropped to 6.5 in February. I have since halved my insulin dose, and will continue to strive to eliminate it outright! Your teachings and explanations are purely life-saving, simply put, I thank you for your generosity and caring.
Thanks for sharing your story, and for your kind comment.
Dr. Ben Bikman, you are a true "ROCK STAR" in the world of metabolic health. I suspect you will save far more lives than most M.D.'s will around the world.
What I have learned is that I need to go back and listen to all of your other classroom teachings to better understand this one.
You are spot on. The information is so good, and Dr. Bickman has such a wonderful manner of presenting the info. I, too, am often rewinding the videos.
You are my favorite professor! Which I was one of your students, but hey I learn from all your videos....Thank you so so much for sharing your brain with us. It is much appreciated. Keep them coming I love them all.
There is a very sweet positive dietician on Instagram who keeps saying the fat in the liver should be reduced by eating little or no saturated fat, and eating lots of “healthy” carbs. I keep directing her clients to you, Ben Bikman. Hope I’ve been quoting you accurately. 😂 Mostly I want them to understand this “expert’s” explanation of insulin resistance is incomplete and a misunderstanding of carb tolerance.
DR BIKMAN YOU'RE A BLESSING. THANK YOU!!!
Thank you. I learned more from listening to you than going to my GP.
Dr. Bikman, these sessions have become must-watch appointments for me. Type 2 diabetic with severe RA who was recently diagnosed with non-alcoholic fatty liver disease and must wait months to see a hepatologist! I am researching as much as I can to understand what is happening. Sincere thanks for your video today.
Thanks for sharing your story. Sorry that you are struggling. You may want to consider joining our community to get a little more support and some ideas from our coaching team and from other like-minded people working on their metabolic health. You can do a 10-day trial at no cost: www.insuliniq.com/insulin-iq-community-membership-signup
I had a Cat scan that showed fatty liver. I have been on ketovore mostly carnivore and have lost 70 lbs in 18 mos. 75 yr F 5'3" 187 down 70lbs keto/Carnivore 18mo Labs a1c 5.6 Glu 93 fast ins 8.9 Homa-IR 1.8
C 223 Hdl 81, Tri 64. LDL 129 .
Trying to get approval for another CT to see if I still have nafld
Did your bloodwork include ALT & AST? If those are in the normal range and lower than before that would be a good sign.
Was the CT scan specifically for fatty liver assessment, or an incidental finding?
I've always wondered if a CT scan showed fat in the liver if the radiologist would note it in the report, especially if the scan was done for some other purpose.
Alt 15 ast 16 so ratio < 1
Origional CT was to look for hernia which I did not have. Only found fatty liver
The report from the CT was very comprehensive and reported on all
@@chaz6399 I just had a CT to look for breast cancer metastasis and the radiologist noted Hepatic Steatosis (fatty liver).
A splendidly elegant explanation of the mechanisms underlying fatty liver disease. Thank you.
Fascinating and a great speaker, passionate, I have never been gripped to watch a TH-cam video from start to finish before, thank you, I will listen more and hope to educate friends and family.
Thanks for your kind comment.
Thanks!
That is so kind of you, Gregory. Certainly not expected, but appreciated. Please let my team and/or me know if there is anything we can do to help you. Thank you.
Ben, thank you. Your TH-cam presentations have been a wonderful help in my journey back to health. Also thank you for your book. Stuart from Melbourne AU
Just pre-ordered the new book, thanks for all that you do! The information you have been sharing since I found out about you and your work about 3 years ago has been transformative!
What new book please?
4 years ago i had an ultrasound to determine why there were red blood cells in my urine. Ultrasound couldnt determine why but the walk-in Dr stated my liver was enlarged, my cholesterol a touch on the high side as is my ferratin. Then he left the room. No discussion as to what could be going on, what i should be doing, nothing. So i figured he was just informing me i had some congenital abnormality. A year later i started feeling pain in my upper abdomen and discovered a lump just under the ribs near the painful area. Saw another dr who ordered another ultrasound. Told me i had fatty liver and determined it was caused by alcohol as i did partake on an almost weekly basis, and said in a year that would resolve itself. Quit drinking altogether. A year later that area was still tender, lump still present. A year after that, 80% vegetarian diet, a rare glass of wine on special occasions, i started experiencing neurological symptoms. Uncontrollable spasms in the eye muscles, and tingling down the sides of my face. Then i get the worst case of diverticulitis i thought possible and found out i may have hemochromatosis in the same week (ferratin is silly high despite eating almost no beef and very little bread in years). Cat scan revealed there are fatty inclusions in my liver. For the life of me I havent a clue whether that is an indication thay my liver has worsened or not as that was divilulged in a post ER phone call by my new Dr who was informed of NONE of the above.
I am on my 4th involuntary multi day fast in 2 months. Gave up all carbs, attempted Keto. But now I randomly cannot process the little bit of vegetables i attempt to add in, setting off tge diverticulitis again. Howevver increasing fat intake causes mild painful spasms in my liver area. I dont know what to do anymore. I have lost an insane amount of weight in a very short time (20lbs/1.5 months). When i can eat i have great energy. I walk an average of 5 km's a day (a bit less when i cannot eat). But those times where I am getting a prkper caloric intake are getting fewer and i dont know what to do. Now dairy seems to be causing inflamation in my eyes, and beef is off the menu until i can get the proper test for hemochromatosis. I feel completely abandoned by the medical community and I second guess every single one of my nutritional decisions as it feels that each one i make has the potential to finish me off.
I am spiraling into a very dark place.
What is the difference in approach to treatment for alcoholic liver vs NAFLD vs damage caused by high iron or impact injury? I am obviously doimg everything wrong here!
That sounds awful!! Dr Cywes has specialized in liver treatments and may be able to help. He has a TH-cam channel and is absolutely brilliant!
Great podcast
Dear Whiskeybrush. Your story was mine. High ferritin indicates inflammation. It took me years to understand every issue I had was an expression of inflammation. I had developed breast cancer , had terrible allergies, terrible IBS, ulceritis colitis, hemorrhagic bladder infections, terrible psoriasis, very painful bouts of hurt muscles and joints, non alcoholic fatty liver, lost dramatic 45 pounds. Had terrible pain under my left rib cage for months. Wasn't trying to lose weight. Suddenly I realized I was dying of malnutrition. I had stones in my gallbladder from such low fat intake. I went to an elimination diet. All the rumanant meat I could eat, Redmonds salt, lots of butter, lard and tallow. I stopped all dairy ( I love dairy) , stopped all grains and stopped all prescription meds. Within 90 days every single issue I had suffered with for DECADES was gone. Even my deep dark depression dissipated. Never could I have anticipated such a turn around. Since then I have studied biochem and I follow Drs Bikman, Berry, Baker, Diamond, Mason, Fung , Lustig, Seyfried etc. To gain a foothold on years of malnutrition I took NAC, ALA , liquid fermented Bs, Keto Chow minerals and as much Redmonds salt as I wanted. Now I am metabolically sound, walk daily, and am cancer free. I occasionally eat a low carb vege like asparagus but I am essentially a high fat carnivore. I'm 66. No, I have not had a face lift ....yet.
Please try the carnivore diet!
Lifting you up in prayer.
Thanks Ben for another great talk
Thanks for watching.
Thank you!!! Your content has inspired me to start my health journey. 20 lbs down in 3 months with a low carb diet that includes allulose. Feeling great physically and mood wise
Dr BEN your videos are a blessing to mankind.
Dr Ben! Thank you thank you for explaining things I have been searching to learn! I have your book WHY WE GET SICK. I’m a 78 y/o woman and wanted answers so I am now under the care of functional medicine doctor. He told me I have insulin resistance. So now I’m watching video after video learning all this new stuff I need to know. Don’t think my regular doctors have a clue. I am getting healthier by the day reading labels, shopping farm markets, cleaned out my pantry and practicing what I’m learning. Never too late! Right?!
Always informative and articulate in all your presentations
Thank you
Thank you so much. I am so pleased to have found you and will relisten and try to absorb your incredible knowledge. This information is very helpful. I'm so grateful that science is actually starting to make a bit more sense!
What a pleasure to listen to dr bikman, very easy to follow. Thank you, appreciate you sharing your knowledge
Thanks so much for your time and dedication, Ben. I’m really hooked on your lectures, which help me find the motivation to look after myself and the ones near me.
Can you please do a lesson on cortisol, hypothyroidism and insulin? Please, thank you
*YES ~ I SECOND THIS!*
Yes I agree. Would like this too.
Thank you Dr. Bikman. You have the gift of making a topic that can be so confusing and make it so clear. Brilliant!
As a 62yo male who has been obese for 40+ years and found early out this year that I have NAFLD (from AST/ALT results and confirmed by ultrasound liver scan) this was interesting to learn the details of how NAFLD occurs and develops. *But* we had to wait until the 32 min mark to get to a brief discussion re treatments!. Glad to hear that controlling carbs and fasting (IF?) is good way to reduce insulin and help reverse FLD. I've been focused on losing weight and reducing body fat this year, and managed to drop from 120 kg to now under 90kg (still 10kg to lose). I'll do another blood test next week to see if my liver enzymes have improved, and get another DEXA scan at the end of the year (when I should be close to my target weight) to check on body fat % and visceral fat.
Some discussion of any research results showing how/if weight loss (fat reduction) reverses NAFLD would have been nice in the last few minutes.
Thank you Ben for your time. as always very much appreciated
I cannot thank you enough for these videos. All this information has helped me to understand how I got to where I am and how I can correct it. You explain things very well. Peace✌🏻
Thanks for your kind comment.
Woow!...you make biochemistry absolutely fascinating and easy to understand. You are indeed a very good teacher...👌
Thank you so much, these lectures are worth gold ❤.
It doesnt matter how many times I review pathophysiology from NP school, the level of depth and interconnectivity in the pathogenesis of fatty liver, and elevated AST/ALT and cholesterol markers namely triglycerides is phenomenal 👏
T2 on insulin for 5 years, of course I ended up with a fatty liver. I was only ever advised to lose weight! Gee thanks doc.
I finally decided that I had had enough of my enormous stomach and first found Jason Fung's videos and then fell down the rabbit hole.
I took myself off insulin on the 25th Feb 2024 (so just 36 days ago) on the same day that I went carnivore.
I check my BG levels 4 times a day and in this short time period they are now perfect, I am comfortably around 5 mmol/L with minimal fluctuations.
I haven't watched the video yet, but I hope I learn how long it will take my liver to heal.
Edit:
30:48 My ALT (53) : AST (47) ratio is 1.12 so just over 1.
No frame of reference given for a healthy ratio range.
An incredible mind; what an interesting lecture - thank you so much.
(30:47) ALT:AST Ratio 🌿
Ben, this series accompanies me on my nightly walks and has been a life changer. Just got done sharing this w someone who desperately needed to hear it. Hoping you will read up on the latest clinical trials on fatty liver and retatrutide, and to a lesser extent, tirzepatide. Spoiler alert, Reta is reversing damage and repairing scarring for a lot of folks in the trial. Give it a look ... Would really like to hear your analysis.
Fantastic knowledge, thank you so much dr. Bikman for making physiology so interesting!🎉
Dr, Bikman, THANK YOU! I have Fatty Liver Disease, and potentially Portal Vein Hypertension, so as you might imagine I am scouring the web for information. Your video has been immensely helpful. Bottom line is i did all the low carb and no fructose things I could do but.... I did not stop with the alcohol.., so my fatty liver is still an issue. I have now ceased all consumption of ethanol products, and am continuing with the low carb lifestyle. Now waiting for testing on the portal vein....we shall see. I just wanted to say thank you for putting out such high quality information on such a regular basis.
Instead of calling the liver fatty which is associated with weight gain...call it edema liver which people associate with inflammation in the feet and ankles. That same edema is in the brain eroding the myelin sheath, nerve endings, metabolized into uric acid...from sugar.
whew!! this has been such a great series. Thank you for your commitment, energy, spirit and of course, your teaching style. from somebody's geeky Nanny
Thank you for your kind comment, Annie.
I'm glad Dr Bikman mentioned the ALT to AST ratio. Not something I had heard of before. I thought I had rid myself of NAFLD but according to my ALT/AST ratio I still have a ways to go. This goes beyond my good Triglyceride/HDL ratio which is pretty good. Which has been troubling to me trying to figure out why most of my Labs show no to little IR.
And I'm being made aware that it might actually be AST/ALT ratio instead of ALT/AST. ??????
Thank you so much for being honest and teaching us.
I’m in the middle of reading your book. It’s AWESOME and a must read for everyone! Thank your for sharing your knowledge.
Between insulin, ethanol, and Fructose, which has the greatest impact on liver bile cells? Does liver fat deposits "crowd" or otherwise impair bile production.?
Good question. I look forward to reading replies. I suspect the answer(s) will be many. The complexity of the liver and the variety of issues you ask about will drive to a number of issues. All I know is that ethanol is no good.
Awesome Dr Ben..I'm Dr Zaidi, colorectal surgeon from Malaysia..Thank you so much 👍👍👍
Dr. Bikman, what daily balance between carbs, protein and fat do you recommend? And, regarding fat, how much saturated, mono- and poly?
That was the best explanation, i feel like i understand it now
Thank you again, Dr. Bickman for all the great information. Your videos are always clear and concise and very easy to understand. Be well.
Dr Binkman! Thank you for your excellent content. You recommend whole fruits and vegetables…. How about whole legumes and whole intact seed grains such as quinoa, barley, groats that have not been ground….?
Thank you. I'm enjoying learning more from these videos.
If an individual is already in the stages of NASH or non-alcoholic cirrhosis is there any hope of reversing or preventing the progress of the disease?
I surely hope so as I have just received a diagnosis of having cirrhosis with some fibrosis, but on the low end... I have read where some fibrosis has been reversed but not a lot. What I am thinking is, IF the cause of the fatty liver is removed, like too many carbs or alcohol, and IF one eats proper, rests proper, and exercises appropriately, the medical establishment has no idea what MAY happen!
I plan on showing them,and the world what a Proper Human Diet can do!
Best wishes on your journey!!
Always sharing your amazing information. Thank you again. Learnt a great deal again today.
Thank you so much, Dr. Bikman! The information you shared today will make a difference for me in my struggle with insulin.
Will there be an Audible version of your new book? I've ordered the paperback, but an Audible version would be great. I have your first book in paperback and Audible. I listened to it many times while commuting to and from work. Thank you for sharing and making this information understandable.
Hi
I'm a Secondary school teacher and are VERY happy that you post these classrooms. It helps me to create lessons that are up to date! I have a question. You are in different videos speaking of that the body only burns fat when insuline levels are low. How does this function with what I was tought, the three sorts of metabolism in the cell.
1 anaerobic creatine phosphate.
2 anaerobic glycolysis
3 aerobic metabolism of glukos, fat or protein.
Doesn't the rate/type of exersice or the time engaging in a specific exersice also determine what fuel is beeing burned for ATP?
Thanks!
Thank you Doctor Bikman. I learnt more in this talk than most stuff off the medical world.
I am a great fan of Dr. Ben Bikman’s talks and presentations. I bought his book a few months ago; an eye opener on so many metabolic processes going on in our bodies.
I started a Low Carb High Fat diet 4 months ago. I just received the results of my blood panel.
HDL has increased significantly and TG plumbed way down. HbA1C is low. My fasting insulin is very low and so is HOMA-IR. I also lost about 10 kg and my blood pressure is back to "acceptable" ranges (no more medicines). So I am quite happy, except for 2 markers, involving the liver, which have increased significantly! These are ASAT and ALAT. They used to be well below the upper limit (34 U/l and 55 U/l respectively - In France where I live) before I started the LCHF diet. Now my ASAT is just over the upper limit and my ALAT just under the upper limit. Has anybody experienced this when on a LCHF diet? Is there a possible link with what Dr Bikman has explained in this presentation? Thank you again Dr Bikman with your brilliant presentations.
Thanks, Paul, for your kind comment.
Tku Dr Ben. Just excellent, have to watch again and get clearer notes but its making sense (sort of) 😂 at 70 I'm determined to understand and manage my own health. I'm blessed to have a GP doctor to partner with who supports my position and goals AND now I have your classes. They are enormously helpful. Our metabolism is not an uncomplicated process (actually, i think it is a miracle) that we're still all living and walking around 😅 tku, I'm sharing your channel and lessons with everyone I can.
Another interesting, informative, and helpful lecture! Thank you so much!
Thank you, Doctor🙏🏽
God bless 🙏 you and your work Dr. Bikman 👍♥️
Dear Professor, I tried to find your stance on high carb populations and metabolic health in videos, but could find any. May I ask how you explain the health of populations with a relatively high amount of carbs, such as the Japanese or many Pacific islanders such as (famously) the Kitavans? If they consume high amounts of carbs and seem to be healthy, are there other factors to mitigate this? Cheers! 🙂
Thank you so much for all the informations you are sharing. I've been following all your podcasts. Listening to you and other Doctors talking about insulin resistance , I feel like I'm back to university.
Dr. Ben I just wanted to share something with your viewers (and you) from my world i.e. Bodybuilding regarding NAFLD. Bodybuilders owing to diets high on carbs suffer from NAFL _ even the ones who shred down to single digit body fat percentages for stage. One of the time tested solution to NAFLD that bodybuilders have been using is Methionine Inositol Choline (MIC). From personal experience I can tell you that MIC helps like nothing else. Post competition when one is ready to take the foot off gas _ MIC supplementation quite literally melts fat from liver in a month or so.
I reversed mine in 45 days through intermittent fasting.
hi, how many hours of IF?
Thanks, Ben! Just completed an N=1 experiment with a fast that I monitored closely in regards to Bg and Kt. I watched the Bg drop and Kt rise after a period of time in the fast. It happened within a two hour period. One question I have about seeing that sudden change is whether that coincides with the beginning of autophagy??? Your description should be better understood by some influencers on youtube, cause they have if wrong. I posted my experiment on youtube along with an update on the data.
LMAO I love how you implore us to teach others what we have learned from you! I can see my sister's eyes rolling back into her head as that is the last thing from me that she wants to hear about is me trying to sound smart. It would be better if I talk her into watching your video as you explain everything so much better for which I am forever grateful. I have been carnivore for apx 4 years and maintain ketone level above 1.8 mmol/l most of the time and occasionally going as high as 5.0 mmol/l without taking ketones or fasting.
An absolutely fantastic video, keep up the good work I really enjoy this content I'm sure it's helping countless numbers of people worldwide.
Great program....But I'm concerned with ALT/AST ratio (at 30:48) seems to be reversed from AST/ALT....but I'd be happy to be wrong...just want to understand correctly. Thanks for any replies.
Beautiful lesson! Very clearly taught. Thank you!
I stressed to my patients ALL the time to not work out 48 hours BEFORE liver enzyme labs. Also CPK is released and unless its fractionaed, one might think there's heart disease rather than just coming from the muscles after heavy exercise. Thanks for explaining this to the public. People always wonder why we tell them to fast or not exercise before labs.
That was fantastic Professor.
Thank you !!!! I share your lessons ALL the time!!! How can ee get you on the nightly news ??? Or the list of people to speak to Congress??
I am aware that fat does not travel alone in the blood stream. Dietary fat is packaged into Chylomicrons for transportation, and DNL liver fat is packaged into VLDLs for transportation in the blood. Are free fatty acids packaged into a transport molecule, or attached to some other compound so that it can make its journey around the blood stream? Anybody? And could testing for this molecule be a test for fat cell Insulin Resistance?
My recent ALT/AST ratio is 1.55. This was after 3 months carnivore (with some alcohol use). Prior was a vegan diet with alcohol and crap food towards the end. Now trying to focus on high fat carnivore (no alcohol obv). Should I stick with a high fat carnivore diet, or try lower fat? If lower fat, would the higher protein affect insulin enough to matter? You mentioned whole fruits and veggies.... is this a route I need to go in order to heal FLD? My digestion doesn't do fiber, soooo....?
15:14 Not having insulin around, the free fatty acids do not get sequestered into the liver. The fats replace glucose as fuel. Cool.
But this also reaches a limit. Where is the tipping point that one crosses over to keto-acidosis, mentioned earlier?
All too evident in the present distressed environments around the world, does extreme malnutrition/ starvation leads to keto-acidosis and then, organ failure?
Excellent! Please also stress in the therapeutic part of talks that frequent eating (even of keto foods) will keep insulin elevated?