From the comments under this video, I feel strongly as if people did not actually watch it fully or completely missed the point. I see people indicating one study, whereas several studies were covered. They also came to the conclusion the video was bashing low carb diets, it was not. It was saying that not all low carb diets are created equal for the prevention of certain kinds of diseases and a person's mortality once they develop Type 2 diabetes. In fact, the conclusion I understood is that low carb diets based on plant-based proteins are good (in the context of the diseases mentioned) and if you eat carbs, you should probably eat fresh fruit. I am interpreting the very last part because our dear doctor discussed that particular study of Chinese participants towards the end of the video. It did not say that all low carb diets are terrible, just that ones based mainly on meat-based proteins open you up to stronger risk factors. If you do follow a meat-based low carb diet, you might get Type 2 diabetes, but you also might not. So if you are xx+ years old and somehow you feel great after y amount of time on a meat-based keto diet, great for you! Your experience does not invalidate the results of this study.
Unfortunately, many people do not understand "science." What it means, how it's done, how it's not done, how it's interpreted & applied. I firmly believe that if the majority of people did know, the world would be a much better & safer place. And thanks so much for your comment. 😊
He is a plant based doctor, nothing against that, but bias is there. For all the maybe information, he doesn't address the Elephant in the room; During World Vegan Month in November, Goa won the title of 2020's Most Vegan-Friendly State from PETA India. A certificate was handed to chief minister Dr Pramod Sawant after claims that Goa champions veganism by supporting local businesses. Goa also has the highest incidence of diabetes in India, which is 2nd highest in the world. I would like to see less bias before taking this podcast as cut and dried.
@@roywalker7512 Why put this under my comment? I'm not making a claim about the veracity of the research or its quality. In no way do I state if I agree with it or not, whether I believe it or not. I'm not the Keeper of Knowledge here. I'm just clarifying what the video said because people were over reactionary.
@@archaurore3323 Dr. Seheult responsibly alluded to all the problems with the poor studies. I also agree with Dr. Seheult that real world low carb diets are way more complex than any of the studies addressed. I myself am a perfect example of that, as I eat way more carbs than is conventionally associated with ketogenic diets, yet I am in ketosis every day. This is because I blend a moderately low carb whole food organic vegetarian diet with 18/6 intermittent fasting where I exhaust my glycogen stores every morning through exercise and thus spend a good amount of time in moderate ketosis every day. Majority of my calories is from eggs, avocado, and nuts. I have one apple a day and regularly consume lentils and beans.
This is a topic near and dear to my heart. Very low-carb clean keto allowed me to reverse several "irreversible" conditions. While being on a "healthful" FDA food pyramid diet for many years, 5 years ago, I was diagnosed with heart failure (diastolic dysfunction, inverted T wave, 35%EF, and mitral regurgitation), drug-resistant high blood pressure, tachycardia, and stage 3 kidney failure (estimated 3 years from dialysis). Knowing all those are connected via diet (high glucose, insulin, and inflammation similar to diabetes and obesity (I was neither)), I started studying on Medcram and self-treating with an anti-diabetic diet that became a full clean keto diet (not hotdogs). For the last 3 years, I've been in ketosis on a very low carb clean keto, moderate protein, high-fat diet, and intermittent fasting. I eat whole foods and avoid processed foods and inflammatory seed oils. Doing that my heart is 100% normal without medications, EF55%, T-wave normal, BP normal with no meds, tachycardia resolved, my GERD problem disappeared, and now eGFR 84. Yes, I'm one case N=1, but no one will ever convince me that the FDA food pyramid diet isn't poisoning people. Cheers
Absolutely right. I have lost 80lbs, reversed t2d, reversed copd, eliminated arthritis and have way more energy and stamina than I have had since I was about 30 (62 now). I was following the recommended diet of fruit veges whole grains etc with very little meat for years and only got fatter and sicker.
@@tonyg9511 I hear ya! I listened to one lecture by a medical doctor with T1DM. He says he "nearly cured" his DM eating very low carb, and now takes almost no insulin. Many docs say to avoid keto, but they only know keto as high-protein junk food and hotdogs. Clean keto is truly the opposite of that. It's a clean whole-food keto diet, and best for "everything" including DM, kidney cyst growth, hyperglycemia, hyperinsulinemia, hyperlipidemia, diabetes, heart, immunity, weight loss, inflammation, hernias, GERD, liver cysts, PCOS, tinnitus, thyroid function, dementia, weight loss, vision health, depression, gout, neuropathy, arthritis, cancer, many brain disorders, and more. Cheers!
@@triplex7144 Domesticated animals get fat. Plenty of fat dogs and cats out there. I would imagine that any animal that has access to whatever food they desire at any time of the day or night would become overweight and develop chronic diseases at rates worse than humans.
So you’re saying “no real clinical data in healthy individuals” is the same as “growing body of evidence”? You zealots are all the same. Anecdotes are not reliable data.
why don't you two MD's do a joint TH-cam video. With 2.5 and 1.5 million subscribers.....and / or add Dr. Westman of Duke University who has been using a low carb diet successfully to treat his patients for years.
I've been an avid viewer of your videos recently Ken. I am very interested in the carnivore diet as a way of controlling blood sugar and as an elimination diet. The sheer number of positive case reports in the comments section of any video about the carnivore diet is fascinating. My one reservation about it is the unknown effect on the gut microbiome in the long term. I will be very interested to hear your response to this video/study 👍
I am a 77 year old male started a low carb diet 4 months ago. I have diabetes for 30 years and a heart bypass 16 years ago along with an increasing calcium score for one of my heart valves. 4 months ago I had a A1C of 7.3 today 6.4. I reduced my diabetes drugs: 15 units of long acting insulin to 10 units. eliminated Glucontrol, reduced metromin from two 1000MG per day to one. My BMI was 25.5 now its 23.5 lost about 12-15 lbs. Most interesting and unexpected results are no large up or down spikes in my sugar readings. I use to carry sugar pills as my blood sugar could drop at any time night or day. My angina has disappeared. I was always very active and continue to work out 3 days a week and do extensive garden chores.
10 years ago I was diagnosed with pre-diabetes, high blood pressure, fatty liver disease - all while following a low fat diet as advised by a dietician. I realised that my doctor, dietician and the food industry were not helping so I have followed a low carb/ Keto diet since that time and all these diseases have disappeared, I feel like I did when I was in my 20’s, all my blood results have consistently stayed within the normal parameters , that’s all the proof I need!
ABSOLUTELY! It should be obvious to you by the middle of this video that this is BOGUS. So what's the intent? We know that our ancient ancestors were largely meat eaters. We know, too, that diabetes had not entered the scene that long ago. Ergo, meat eating (which was a majority diet of our ancient ancestors) does not cause diabetes. THEY THINK YOU ARE STUPID and will not figure this out. Their agenda however, is very plain to see if you use your brain and put 2 and 2 together. We know that a depopulation agenda is in full swing by the WHO and cabal at this point so it's not difficult to figure this out.
No one size fits all. My brother has never been fat and eats 2x what I do. I have been morbid obese 30 years. I stopped all sugar and carbs, processed foods for for 35 days now and lost 31.8 lbs. I feel better than I have in 20 years. I am living great compared to the last 3 years in a hospital bed with elevated feet about 22/24 per day. Now I cut the lawn and do yard work. I could not for years. It saved my life. I never was hungry, as soon as I felt hunger I cooked real food. I ate as much as I could.
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My brother eats very little, but he drinks a lot. He is very overweight. I eat pretty much anything, although I tend to shy away from carbs. I do love marbled rye bread (toasted and heavily buttered) and have 1 or 2 thick slices a day. I eat mostly real meat with some veggies (sometimes), and drink sweet tea. I am very muscular (genetics, not a lot of exercise), and not overweight. Both my brother and mother tease me about my 'tapeworm' keeping me from gaining weight while eating a lot more than both of them combined. Turns out I seem to have been inadvertently eating very much like the keto/Atkins/carnivore/etc. diets. I eat that way because it tastes good (duh...). I recommend it highly.
Unfortunately, people don't join up the dots. The amount of insulin stimulating foods we eat has a chronic effect on health. So, when someone else seems to tolerate more than you it may be that they have coped with stress better, burn more sugar with intense activities, are bigger, did not consume as much carbohydrate nor protein though life, and so on. Since you don't follow other people around 24/7 it isn't useful to compare yourself to other, people, just to recognise that you have developed a chronic health issue over decades through eating too much carbohydrate and protein as our society perpetuates. Now your tolerance is even lower. However, going to the extreme of a keto diet isn't healthy for the long term either. Instead, be very strict about not going above half the RDA of carbohydrate (from all sources), RNI of protein, with most energy from natural fat; ingested and body fat. Of that fat, ideally 57% monounsaturated, 40% saturated and 3% polyunsaturated, the same as our body's fat.
On a "healthy" plant-based diet, I suffered from rheumatoid arthritis, peripheral nerve hyper-excitability, pre-diabetes, IBS, high cholesterol, high blood pressure, GERD and other life-limiting conditions. On a meat-based "zero carb" diet, all of these conditions are gone or greatly improved. All my numbers are that of a very healthy person. Just yesterday, my doctor said "whatever you are doing, keep it up". Low-carb has allowed me to return to the workforce and be a happy productive person.
No problem with low carb but the studies show that antioxidants, berries are beneficial and the gut micro biome allows for good bacteria that like to feed on fiber that animal products don’t have.
@@Medcram maybe the biggest benefit of my years of carnivore no fiber was obtaining a healthier gut biome. I can now tolerate many foods such as fruit.and dairy which I could not before. As for antioxidants, meat and organs are far more dense in antioxidants, plus there is less overall oxidation to deal with.
@@terfalicious Definitely, I was in the same situation eating "healthy grains" like buckwheat and brown rice. Oxalates are NO JOKE. I learned my lesson after the acumulated.
No way eating plants cause this… you must be consuming lots of refined starches.. they generate a lot of uric acid which turns into crystals and causing arthritis
Low carb or keto doesn't necessarily mean high saturated fat and cholesterol and low fiber. I get my fiber from berries and avocados, and healthy fat from avocados, salmon, and EVOO salad dressing. I don't eat high cholesterol and saturated fat foods but I'm still on a low carb diet.
@@SusanKay- I eat plenty of nuts and seeds. But I avoid the whole grains because I already get plenty of fiber and want to avoid the starch and sugar carbs.
Fiber is not just an additional Makro nutrient which you can sprinkle over your meal his most important effect is the slow down of absorption and that can only happen when the makronutrients are bound on intact fiber
@@quickcube2834 Not true. That's a made-up claim to get people to eat cheap plant food sold at huge profits. When eating quality fat and protein aka very-low-carb, there's no need to slow down absorption. Fiber can have some benefits for the microbiome, but that's a different discussion, and large amounts aren't required anyway.
I'm on Atkins. I eat cherries, blueberries, black currents, plus lots and lots of vegetables low starch vegetables - like tomatoes, garlick, onions, cabbage, kale, and many many other kinds of vegetables. It would be interesting to know what they actually mean by low carb diet.
@elizabethoutlookchan6764 Dr Atkins died from having a head injury and the resulting problems that occurred from it. Maybe you should get more information before professing to know what caused it.
@Elizabeth [Outlook] Chan SMH Death. On April 7, 2003, Atkins fell and hit his head on an icy New York sidewalk. He was admitted to Weill Cornell Medical Center, where he underwent surgery to remove a blood clot from his brain, but fell into a coma. He died on April 17, at age 72. 🤡🤡🤥🤥🤥
7 weeks into a “keto” diet and I’ve discovered that I can exist happily on very little food. When I do eat, I choose healthy fats and veggies. I’ve noticed quite a bit of weight loss, extra energy and focus throughout my day, zero hunger cravings, and overall my mood has lifted significantly! I’m not gorging myself on animal proteins either. I feel my diet has evolved quite a bit from the first week to the seventh week. I can’t imagine this diet could lead to diabetes lol.. that’s insane . I keep my daily carb intake below 20 grams and it’s not hard to do. I do plan on continuing this lifestyle for as long as I see results and continue to feel really good.
Wonderful to feel my body "at peace", no craving fighting, no food obsession, no mealtime planning: eating to live NOT living to eat! Food : an after thought. Low to no carb: the path to good health and good living. When will the veggie people (including my vegan son who is a PA at a renown hospital) who need not to forget to order on a recurring basis their B2 supplementation get it?
I'm not a medical professional. Rather, I'm a every day person who benefits greatly from being able learn about the things that impact my health directly. It allows me to be able to speak with knowledge with my Doctor(s) and understand what they mean. For that I'm thankful for MedCram.
I’m grateful to MedCram also. This video however seems treats what seems to be a highly weak study based on self-reported data in increments of 4 years. I still don’t understand how this is a robust or convincing study from a scientific perspective
In April 2020, I weighed 313 pounds, had inflammation in all of my joints, was prediabetic type 2, high blood pressure and unhealthy cholesterol levels. I began practising intermittent fasting 18:6 and followed a strict Ketogenic diet of high fat, low carb, moderate protein. Within 10 months I'd lost 103 pounds, reversed the prediabetes, lowered my cholesterol and blood pressure to healthy levels and finally, I got all of my joints back. I've followed this lifestyle for three years now and I've maintained all of the mentioned benefits. My recent A1C blood test produced a score of 37, which I believe is a very good number. Despite eating a healthy high fat diet, my cholesterol levels are well within the healthy range. There are many studies out there confirming the benefits of keto, but it is crucial to do the research. One thing to take note of are the links between metabolic syndrome and various cancers. I have encountered four individuaks who have overcome stage 4 cancer, using prolonged fasting, intermittent fasting and a ketogenic diet. The work of Dr Thomas Seyfried points at starving cancer of glucose and gkutamine.
See Paul Mason, MD for an alternate view. Cholesterol theory as THE cause of heart disease is extremely weak. Suggest TG/HDL is a much better indicator of risk of having a cardiac event than high cholesterol. This presentation is insulting and not worthy of Dr. Seheult's usual presentations. The ketogenic diet has gotten me out of a pre-diabetic state and lowered my Hgb A1C and reduced my fasting insulin level dramatically. furthermore, I can't eat fruit and stay in ketosis. But biochemistry may very from patient to patient. Thus, affordable CGMs (continuous glucose monitors) would allow people to customize their diets to keep their blood individual glucose levels ratther level throughout the day. Additionally, hyperinsulinemia from whatever cause is the major villain in a whole variety of metabolic diseases. It may exist for 10 to 20 years before fasting blood sugars rise or Hgb A1 C's increase. The undetected hyperinsulinemia is wreaking damage to multiple organs over time while the pancreas is working oin overdrive to control blood sugars levels. Metabolic Disease which most often has hyperinsulinemia as a major if not the only cause of the problem is the villain that is the largest factor ins precipitating diabetes and cardiovascular disease and nonalcoholic fatty liver disease and possibly Alzheimer's disease in my humble opinion.
Of course you lower your blood sugar and fasting insulin if you don't eat carbohydrates. It doesn't mean you improve insulin resistance, which is the disease. In fact, saturated fats worsen insulin resistance. Fruits, vegetables and other plant foods improve insulin resistance. This is why people who eat them do better, both in terms of preventing and treating diabetes, as the video explains.
Very interesting but it just doesn't translate into my version of subjective reality, because red, fatty meats (zero carbs/plants) helped me heal many autoimmune issues, completely. I'm 46 and got a new lease on life. I am more agile than most of my colleagues in IT that are way younger. My libido is through the roof. If this means that my life will end sooner, at least it will be a life well lived.
Isolated case? There are thousands of people living a low carb lifestyle and have healed themselves from metabolic syndrome and all other diseases. There are plenty of us out there that have been living this lifestyle for years that could be studied.
@@carlasKK42923 And every time when you show the scientific data to this ”healthy" meat eaters you have same answer you'd expect from an alcoholic or a chain-smoker.
@Boris Baconstein 1. Reality is objective. Subjective is a BS you choose to believe. Check a dictionary if you don't believe me. 2. You cannot say if you feel ok because of your diet or DESPITE it. You need causation, not only correlation. 3. You cannot say if feeling great now is good for you. Try crack cocaine if you still don't understand when 46 years old. 4. The study shows a statical improvement for a diet with high veg and fruit intakes and negative consequences of a diet based on animal products. And yes, the correlation is well known and understand for some time already.
@@carlasKK42923 And there are plenty of people who tried a low carb keto lifestyle and just couldn't do it. I did it for many months. Hot flashes overwhelmed me, my cholesterol shot up, nightly leg cramps, and I was always hungry. We are all different, and some of us need more carbs. I'm on the list of those who do.
Agreed. From what I could glean from the video, this study sounds very suspect in it's definitions of the groups. A person could survive on hotdogs and end up in the low carb group.
Correct: I move from strict keto, to pescatarian, to vegan keto, to 5:2 diet, to Atkins, to Longo's mimicking diet, to carnivore... they all work; they have one think in common: control of carb intake, eliminate cravings, no snacking junk, some exercise, no less than 40% fat.
@@usadaily135 I have eaten two low carb diets, a raw vegan one solely based one nuts and the other based mostly on animal products, like fish eggs and Greek yoghurt. And guess what i prospered on the vegan one until I was reading a fear mongering artical about an anecdote about someone who has become kidney stones from nuts trough Oxalats and so I stopped it and after a year I went to a low carb animal based diet and I near diet, also my blood glucose went so bad with the animal based low carb diet.
Dr. Sheult, I've been on a low carb diet for about 3 years. My HbA1c and fasting glucose have both reduced significantly, so it appears my diabetes risk has gone down. I get my protein and fats from both veggies and animal sources.
This is common so these study findings are weird. I’m animal based with fruit and eat no grains. Yet I’m not diabetic. Just goes to show how complex the human diet is
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
At age 71 I was put on blood pressure meds and after a year they gave me statins which I never touched. Now four years later my blood pressure and glucose levels are back to 'normal' and my acid reflux, joint pains and migraines, disappeared. Thanks to going Keto and low carb. Ran my first marathon last year, no 'carb ups' as advised by most people involved in training. So maybe I will die of a heart attack but that seems preferable to slowly ebbing away with diabetes.
Indeed. Most diabetics die of heart disease. And diabetes can be arrested and reversed with a whole-food plant-based diet - which also reverses heart disease. Consider reading Dr. Joel Fuhrman’s “The End of Diabetes.” You don’t have to get heart disease and pay the price of living a shorter life. Best wishes!
I have been on ketogenic diets for 25 years since diagnosed with type 2 diabetes at age 40 (I was a huge mess). I strive to eat no glucose (carbs) at all. Glucose is not a required nutrient, your liver makes all you need. It saved my future. At 65 5'4" male 135 lbs. 32 inch waist. Last A1C 5.1. I am a fat adapted fat burner producing ketones, essentially at all times.
I have just became diabetic and ma body can’t handle hardly any carbs at all. I am on a very restricted diet because I don’t want to be on insulin. I eat sweet potatoes with the skin on, green beans carrots and a huge leafy green salad a couple of times a day. NO BEANS! They Jack up my blood sugar. No white potatoes. Or rice. I walk after every meal 1 mile And the crazy thing is I am 5’2” and weigh 100lbs. I make a giant Glucerna or Slim Fast protein shake with berries and drink that with my salads to help fill me up and get a good dose of vitamins and minerals. So far this diet is working for me. I also take 8-10 supplements a day including hyaluronic acid for my skin and It was a tough 1st 2 weeks but I am managing my diabetes through diet and exercise and I am finally feeling “normal”.
@@Idiotsincarshere no, you would simply be in your natural state. Burning fat is our primary and best energy source. Using glucose is directly what causes diabetes and is unnatural, hence why ppl who cut out carbs completely are far healthier and yest they are burning fat for energy. Its amazing how ignorant you ppl are, you literally promote inflammation and triggering the randle cycle without a clue
Very interesting look at and explanation of the relevant studies. My takeaway: quality matters. A lot. A good reminder that unprocessed food is best, no matter the diet followed. Thank you.
I agree. I am on the fence with regards to various forms of cooking as a form of processing food being good vs bad. The caloric uptake is generally higher and more bio-available when cooked, even if the raw numbers are lower, so is that better or worse?
My diet just limits processed foods and I consider it to be low-carb (especially compared to the standard American Diet). However my fruit intake, vegetable intake and rice and whole grains put me far over what others consider low-carb. Low-carb diets are indeed very different across the board!
The standard american diet is only meant as an statistic reference for the sake of comparison, it is not meant to be used as a measurement device to define what is low carb, otherwise 90% of the world would be in a low carb diet by default because they don't eat as badly as the americans.
Carbs have been vilified because people don't understand that whole fruits and veggies are good carbs. It is healthy to cut out *processed* carbs -> anything that's made of flour or contains sugar. Enjoy your fruits and veggies :-) .
@@myggggeneration is that so? how about me that as soon as I start eating fresh fruits I just put on weight uncontrollably. do you think it has to do with the sugar in the fruits? I don't believe a single word from this video it's all propaganda against low carb.
@@Metarig To me, the only fruits I consume are avocado, olive, lemons, limes in water and berries. Commercially developed apples, oranges, watermelon, bananas, etc are too high in Sugar to eat with any regularity. They also spike one's hunger.
Agreed. I happen to live in a region that produces fruits, including grapes and wine, vegetables, and fresh seafood and sea fish. I strictly reduce bread, pastries, pasta and potatoes, but allow myself some weekly leeway. And I eat lean meat, eggs, fish plus red meat once or twice a week. Water and some added minerals and additives. That works for me.
There is always nuance when it comes to nutritional studies. I would bet that the definition of what constitutes a “low carb “ diet for these studies is very different than what many people eat who are currently low carb eaters. How do you explain the fact that many people have improved or reversed their t2 diabetes using a low carb diet? How about hyperinsulimia as a factor in metabolic syndrome? And please address how vegetable oils can be easily oxidized and unstable and considered healthy at the same time.
This is a real world example. With actual people followed for over 30 years in a dose response relationship. As far as studies go there isn’t much better study design.
@@Medcram I really respect you, but this study in UNCLEAR as to what a "low carb" diet it. Below 150 grams per day? 100 grams? 60 grams? relying on people's memory as to what they ate...over 30 years....c'mon, doctor...I think you're better than this.
@@davidcottrell1308 I'd also like to see animal based with NO refined carbohydrates. They ran a vegetable based with no refined carbs which improved from the vegetable with refined carbs.
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
The reason for the apparently curative effects of a LCD for conditions like T2D is simple. We need to see this against the background of widespread insulin resistance in Western countries. IR is caused by excessive fat....intramyocellular fat......which blocks the action of insulin, leading to eventual T2D when insulin output is maxxed out. When you take on a LCD you are NOT curing your T2D, but simply dodging your insulin resistance by restricting sugar. If you then have a high carb meal you're bang back against your IR/T2D. You are not cured...you have lost your natural metabolic flexibility because of high fat consumption (>35%). LCDs only serve to mask this. And you will eventually pay the price, as this podcast shows. Drastically cut the fat (
It's not clear how it's remotely possible for a cohort can consume refined carbohydrates on a so called "low carb diet"! Obviously it looks like the study didn't measure for ketosis or blood glucose response. For example, there is an enormous difference between 150 grams of carbs per day versus 50. The latter is closer to a low carb diet, probably will result in 20 net carbs if it's heavy on vegetables. But this regiment just 50 grams allotment per day leaves no room to touch refined carbs of any kind. One teaspoon of sugar is about 10% additional carbs. This particular detail about grams per day (not the percentage of energy) seems to be the biggest confounder on the study. It's akin to the tobacco and asbestos exposure if it were to have no measurements of exposure per day.
Pretty sure carbs are the wrong metric to be looking at. The real issue is metabolic flexibility when affects carbohydrate tolerance. As your metabolic health worsens, so does your tolerance for carbs. Due to low carbohydrate tolerance, low carb works, but is missing the root cause of the problem, which is damaged mitochondria. The primary culprit for harming mitochondria this is is excess vegetable and seed oils, due to high Linoleic Acid content. This occurs via incorporation of LA into the mitochondrial membrane. LA is incorporated into cardiolipin, making it prone to oxidation. When. It oxidizes, the membrane becomes leaky and mitochondrial dysfunctional. This accumulates over time. LA is also incorporated into all our cell membranes, where it oxidizes easily. Here is creates many toxic compounds such as 4HNE or 9 and 13 HODE, causing damage and inflammation. The Half life of linoleic acid is 1-2 years and we eat 10x what we did ancestrally. To get back to proper levels in our bodies, it takes 3+ years.
Dose response aspect of this study should not be missed. As the diet became more and more in its category the results because more extreme. That would be my answer to your criticism of the study. By the way this is certainly not the only study that has found this result.
@@Medcram the problem with dose response is that while going from one extereme to the other you end up in the high carb AND high fat combination that everyone agrees its bad.
I struggled w/diabetes T2, high blood pressure, high triglycerides, auto-immune diseases, skin allergies, etc. for years and years. I tried the ADA recommended diet, I tried vegetarianism, I tried the Mediterranean diet-- best that happened was they somewhat managed my diabetes so with insulin & meds, I could usually control it. High fat/low carb diet has reversed diabetes (no more meds), blood pressure better than when I was in my 20s (no more meds for that, either), triglycerides are down & cholesterol good (again, no more meds), auto-immunes disease rarely flares up anymore (taking way fewer NAISD than ever), no more skin problems. I will stick to low carb, I think your data is flawed somewhere.
I was diagnosed with heart failure five years ago. I’m old. Cause doesn’t matter to me at this point. Only issue. Good sugar levels, good blood pressure, etc. I use herbs etc to manage it. I’ve always had a very healthy whole foods diet, I’ve never liked factory processed foods. I seem to be doing OK. I eat a variety of whole foods which I love to cook from scratch. And I fast regularly which really helps with the issue of heart disease. I’ve always been turned off by “experts” who demonize foods or dictate how I should live out my life or values. I listen to my hunger and it guides me to my simple healthy foods. and I do not crave the addictive crap corporations have produced. I’m grateful I discovered at a young age that it has a very strange after taste in my mouth. Nothing like good deep hunger while I’m cooking. 😋
One problem with studies of 'low carbohydrate' diets is that they often aren't actually low carb. Forty percent of calories from carbohydrate is not low carb. People who pursue a low carb diet typically aim for 10% or less of total calories from carbohydrate.
especially the studies were conducted in China. The Chinese are not traditionally low card people plus they were made to consume a lot of soybean oil(genetically modified)
They consider Iow carb under 150-100 grams of carbs diet is part of controlling diabetes exercise/activity is another part and managing stress is the 3rd leg of controlling diabetes
Interesting that this paper was presented at the "Ancel Keys Memorial" meeting. I would like to know who paid for the study which seems to support some of his earlier findings.
None of these results differentiate between lowish carb diets and actual keto diets, as others have pointed out. I would really like to see this data crunched with that in mind. Until then I find it hard to believe that I feel so much better, for the last 7 years, but I am at risk for all these bad things. In addition, on the keto diet I am able to maintain a daily fasting period of 16 to 20 hours, which I cannot do when carbs are in the picture. This eating pattern has been shown to have multiple long term benefits.
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
I have been on and off low carb for the past three years. Every time I fall off the wagon, my physical and mental health goes to crap which motivates me to go back on and get things in working order again. Only problem for me is getting that carb monkey off my back for good because it pulls me in like a drug. Always thinking I can go back and keep things under control or only have the carbs once every three weeks. Before I know it, I am back to getting my fix every day.
@@dondajulah4168 Processed carbs (pasta, bread, white rice, sugar, etc.) make me hungry and overeat. Keto satiates me and allows me to succeed in intermittent fasting. But over time, I run down and get a little foggy with pure keto. I'm going to try adding more MCT's, more fat, more electrolytes, and increased hydration. Good luck with keeping the "Carb Monkey" off your back.
its pretty simple, very corrupt people publish lies to push humanity into the direction of hurting themselves. Its to make it easier to control us. The hard truth is we are carnivores, which is why keto works, although you should go pure carni for the best benefits. Plants have tons of toxins that build up in our bodies
I'm Sick and tired of keto and vegan extremist! As If keto was part of their lives forever 🤦🏼♂️ Usually it's western people who have the most diseases in the world. In Japan people live not off keto and live longer in health than those on keto or veganism only. You explain that then with your smart western mind? Its the chemicals killing western people the most in food and water and air
I'm 70 and have been an avid mountain biker for decades. I tried low-carb in my 50's. Lost weight fast, but didn't have energy for long rides. More recently I went on a diet in which I ate dinner really early - around 4 PM (partially to reduce acid reflux). Consistently eating early reduced weight as fast as low carb, but left me with more energy for riding. So, if your main goal is weight loss, there are better methods, I think, than low carb.
My average bed time is probably 9 PM with a wakeup time of around 5 AM up until sunset gets late. When I was on the low carb, I was in my 50's, but still got good rest. During the height of mountain biking season, I'll shift eating to around 6 PM and bed at 10 PM and at that point I expect my weight to stabilize. It's "mud-season" here, now with ski areas closed and trails under snow, so I can afford to drop some weight and early dinner seems to be a winning strategy for me. Once the season starts, I ride best around early afternoon as I've had time to hydrate during the day. It's almost 7000' here and warm and dry so hydration is key. H/T to Medcram, as even in summer (based on blood work) I still need some D3 supplementation which I ramp up in winter (again, based on bloodwork with my doctor).
@@kayakutah Eating your last meal at least three hours prior to bedtime is a proven winning strategy. Digestion is metabolically taxing. When comparing time restricted feeding, the group eating earlier in the day always does better. Skipping breakfast is easier for most people but if you are really playing to win, an early dinner rules.
Low carb does not mean ketogenic. A sensibly planned ketogenic diet is absolutely the best approach for maintaining health, fitness, energy, recovery, and performance.
I always appreciate your factual data driven information. I’m always a little confused on this subject. I’ve always stayed away from processed foods (of course any of us that had the occasional meal with friends might eat things not normally in our diet). People tell me our old diet was animals. But we didn’t live very long back then. I was raised without animal products and still can’t eat much of them. I love greens, oranges, broccoli, I cook organic kale with a little organic olive oil and organic turmeric, pressure cook to break down the fibers for digestion, , squeeze organic lemon over it. I can’t live without my carbs like that. So thank you for yet another great video in a world where all carbs get demonized equally
We didn't live very long back then, because the major things that killed us, were infectious diseases and accidents. One of the biggest problems with post mortem statistics, is that so many death certificates listed the cause of death as 'myocardial infarction', aka 'heart attack', because of course, if their heart didn't stop, they would still be alive. I'm a nurse, and have seen for 50 years people listed as dying from heart attacks, actually having been dying from some other cause, but eventually succumbing to a failing heart because of those contributing factors. Disclaimer: I started working as a volunteer at 14 in an e.r., and learned much from the doctors and nurses that i worked for.
@@d.e.b.b5788 we died of many things. Childbirth, trauma, fear of hospitals, lack of sanitary conditions, nutrient deficiencies. The list is endless. I’m a sturdier of history, besides emergency nursing over many decades. Pasteur invented the germ theory, at the same time Claude Bernard had the terrain theory. Had we listened to Bernard more we would be a healthier population. It’s all about the cellular health and immune system. Germs have alway existed. People die of complications of issues at cellular level. And always will
Back in Paleolithic times you had nothing to stop a simple cut or scrap from killing you. Also our life expectancy rate has increased mostly because the infant mortality rate decreased in the last 100 years
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
I am nowhere near as educated As You Are. But let me tell you my story briefly. I weighed 275 lb as a senior in high school 6 foot 5. I weighed as much as 360 lb in my forties. I have tried every diet and every exercise regime that I could to no avail. One year ago I started eating a strict carnivore diet. I now currently weigh 258 lb I no longer use my CPAP machine at night and I sleep 8 hours a night now and I have been able to stop taking metformin, juniveva,farxiga. My blood glucose in the morning is usually between 90 and 100 now. I have tried to introduce fruits some raw honey and some vegetables back into my diet but the blood glucose machine tells me that that's not going to be an option. I also understand we're all not the same but this is simply my story and what has and is working for me. I loved your covid content keep up the good work and stay safe.
You should see the difference. Fruit is fructose which is metabolized in the liver and elicits a very limited glucose/insulin response. The downside is that too much fruit can cause fatty liver disease and cause high uric acid and the complications associated with that. cheers
@@CaptainSteve777 *_"Conclusions:_*_ No obesity-independent association was found between fruit or vegetable intake and NAFLD. According to the findings of this study, Japanese do not need to restrict fruit consumption to limit fructose intake as a means of preventing NAFLD."_ You are repeating the anti- fruit, anti- natural carb talking point. No studies ever proved that fruit causes NAFLD... the over obsession with your blood glucose meter (if you don't have a metabolic disease like diabetes) whilst over looking other variables like *_induced glucose intolerance and pancreatitis,_* will be a long journey in undoing...
Honestly though, you think most people on low carb diets now didn't try eating whole grains and veggies? A lot of low carbers I've known even tried vegetarianism for a while in search of solutions. When I eat refined carbs my blood sugar spikes badly; when I eat whole grains and fruits, my blood sugar still spikes... not as badly, but it still spikes. I'm just one person but I'm willing to bet if you surveyed low carb dieters you'd find the vast majority of them at one point or another tried whole grains and fruits/veggies and didn't find it effective enough (or sustainable, for those of us who have carb addictions that get triggered by fruits and grains).
@@RecicledCanadian brown rice and white rice have difference glycemic indexes (50 vs 72) and different nutritional profiles, while their carb contents are about the same.
This in no way changes my view about low carb diet. I dont believe in this observational study. My health is the most powerful evidence to convince me that low carb, ketovore even carnivor diets are my choices.
Please don't miss this point. Many have commented about the lack of quality in observational studies. However, the presence of a dose response effect does significantly increase the quality of the study which is why we presented this data (which is also newly published but no surprise from what was published 10 years ago). Please review this Cochrane Review on observational studies and the dose response curve: "Factors that increase the quality level of a body of evidence" handbook-5-1.cochrane.org/chapter_12/12_2_3_factors_that_increase_the_quality_level_of_a_body_of.htm "The presence of a dose-response gradient may also increase our confidence in the findings of observational studies and thereby enhance the assigned quality of evidence. For example, our confidence in the result of observational studies that show an increased risk of bleeding in patients who have supratherapeutic anticoagulation levels is increased by the observation that there is a dose-response gradient between higher levels of the international normalized ratio (INR) and the increased risk of bleeding (Levine 2004)." Also, this 5 min video: th-cam.com/video/I4MjGC-XX90/w-d-xo.html shows which 5 areas on earth have the least diabetes and live the longest. It also shows what they eat. It’s clear that the results of this study also match up with real world evidence. Join us at MedCram.com for more continuing medical education!
What these people have in common research says, they live on a near starvation diet. If you eat less especially less than the average American you live longer.
Males here in Victoria Australia live as long as males in these tiny communities. We have many on fast food diets, drug addicts, alcoholics, smokers. Go up the street and you know, 99% have very poor posture, 60% obese. Get the feeling, being sports mad, even if you don't actively participate, is the key to longevity. It is funny how an average Japanese person will live longer in America than an average Okinawanian. Melbourne is the 2nd most highly populated Greek city and the greeks here live longer than those in that Greek place. Italians and asains here live longer than those that where they came from. I guess the poorer communities here don't live as long.
@@brucejensen3081 Victoria probably has the one of the best health and community care systems in Australia. That probably makes a significant difference.
@@tomgoff7887 yeah I guess. If you go to regional areas with less access to health care, people die younger. Lots of factors go into why people live longer and people like to cherry pick a few things to prove a point
I've reversed diabetes and insulin resistance with a carnivore diet. All red meat and eggs for years. Saturated fat and dietary cholesterol don't negatively affect your health. High insulin and sugar does.
On a carnivore diet, it is the blood sugar level which goes down (since you are not consuming carbs), but insulin resistance is still there. So insulin resistance is not reversed, because as soon as you eat carbs, your blood sugar would go up. If insulin resistance reversed, one should be able to tolerate more carbs. To see if your insulin resistance is changed, you need to do glucose tolerance test. Many studies have shown that that glucose tolerance goes down (meaning insulin resistance goes up) on a high fat diet. It is shown that fat actually interferes with muscle cells’ ability to take in sugar (in other words, insulin becomes less effective in removing sugar from blood), thus presence of fat in muscle cells (where it does not belong) actually increases insulin resistance. But one doesn’t see this by just looking at blood sugar level because if he/she is consuming less carbs. Often for many on carb-restricted diet, there is an increased need for insulin (after many years) for the same amount carbs. One of the reasons that losing weight lowers insulin resistance is that when one loses body fat, fat in muscle cell also reduces, which lowers insulin resistance.
@@RK-tf8pq you simply need to test your insulin resistance. Mine is gone. Testing blood sugar alone is not enough. Insulin resistance does not increase on a high fat diet.
@@diveshs295 if you lose weight, your insulin resistance goes down. But over the years, studies have shown that insulin resistance goes up in many people. On the other hand, a high fiber diet, low fat has shown to reverse insulin resistance.
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
I think you did not understand. The study shows you're better of if you eat lots of fruits and vegetables opposite to the diet base on animal products. You may have a vegan diet with a low level of carbs and a very low amount of a highly processed food. Most of low carb diet is here to push "guilty free" meat consumption and this is definitely not healthy. About the rest. Hunger is rather complicated. You may feel hungry after a big meal only because you did not have what you eat always. Italians without pasta, Filipinos with no rice etc. Changes take time. You can fix your problem with weight, hunger,energy, and mood by snorting meth instead eating anything. Yea, some say it may not be the healthiest option but it ticks all your boxes, doesn't it.
What do you think the significance is of the omega-fat ratio in what we eat? Factory farmed meats are very high in omega 6 and low in 3 (as compared to what would be found naturally). Could this be part of the reason that LCD with high animal fat diets are problematic?
That is an excellent observation and certainly, a confounder in these large, poorly designed, prospective observational studies. They are put together statistically with meta-analysis and then farmed for correlations retrospectively by commercial institutions and companies supplying the university grants. Dr.Ancel Keyes was a food scientist primarily funded by sugars and grain interests. He cherry-picked his studies producing large (for that time) studies that concluded, as he proclaimed, that saturated fat in animals and dairy was producing high cholesterol and was causing increased heart disease, CVD, and deaths in the USA. This report proved to be manipulated, false, and deliberately biased for the commercial interests of sugar, grains, and vegetable/seed oils. He deliberately excluded some parts of his own data which contradicted his conclusion. His theory caused increased CVD and early mortality in the USA for decades. He shamefully worked to destroy the reputation of a UK doctor who dared to disagree with him and proposed the true cause of the increased CVD was the increased consumption of refined carbohydrates. Expert scientists can sometimes be very nasty controlling narcissists. Especially if in Public Health and if they have autocratic power in a bureaucratic organization like Dr. Ancel Keyes. History often repeats itself. Buyer beware. They almost all get their faces on the front of the New York Times.
As a physician who also has a degree in nutrition, I simply want to state that nutritional epidemiological research is the worst science there is. If I had to fill out a nutritional diet survey as a professional in medicine and nutrition I would simply be making stuff up to complete the form. I wonder how often people list what they wish they were eating or what they thought the researchers wanted to hear. It is difficult to do meaningful statically analysis when the data that went into the stew was unreliable data. On a scale of 1 to 10 on the quality of scientific research, that derived from any epidemiological nutritional research is a negative number. Ancel Keys???? science???? lol
Judging by the superlatives in your comment it seems like you are in more disagreement with the results rather than the methods. This is the same method that was used to determine cause and effect of smoking and lung cancer. Perhaps you can explain how recall bias would create a dose effect relationship.
@@Medcram no it is not. smoking or not is a very binary measurement. diet is vastly more complex and difficult to measure. it’s a grossly false equivalence.
So I have choice between living longer with over a dozen asthma attacks per day and being 50 lbs over weight, as well as being too tried to do any exercise or live shorter with no asthma attack, 50 llbs lighter and now able to do bodybuilding for fun with a keto diet. I wonder which I will continue.
That’s not what he said and this is general population wide information not individual. No need to be obnoxious about the video because it didn’t meet your individual choices. You do you.
Thank you. My grandma is the longest lived of our family. She's been overweight and diabetic her whole life and has suffered greatly from physical and mental issues but will be seen as a "success" by people who solely focus on length of life.
@@ggjr61 I watched too many people listen to their doctors giving poor dietary advice and watch their health decrease. The ones that listened got better So its personal.
I thought I had asthma for years....went away completely when I eliminated wheat from my diet...along with chronic severe back pain, horrible rashes....joint pain...
Vegan studies. You have to be careful of quoting these nutrition studies. If physics was nutrition, the physicists would still be stuck on the inclined plane. What to do instead? Think a little. The idea that meat 'n veg is the cause of the modern metabolic disaster is totally dumb. The idea that we should be eating grain instead of eggs, i.e. that omelets are the problem...also very dumb.
@@twinflame4618 So? I was responding to Lemon. What you believe doesn't matter to me. That's between you and the Creator of the Universe. FYI, I thought what you believe for many years until I fully understood the science. You have more faith than I do to be so foolish. Good luck. You're going to need it.
I used to be a T2 diabetic on meds for 10 years. Since I’ve started eating low carb (approx 70 net carbs) my A1c has now gone down to 5.4 without any meds and has been at this level for 4 years. I eat mainly animal proteins and no highly processed foods. The studies presented here are not what I‘m seeing in myself.
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
@@Medcram Imagine! I was a vegetarian for years, and didn't notice my microbiome jumping for joy. My immune system and digestion are thriving on a much more meat-based plan now.
Refined sugar? What sort of low carb diet includes that? Also DR Robert Lustig looked at the difference in fruit consumption between WHOLE fruit and smoothies etc (which destroy the fibre). So it's not just WHAT you eat, but HOW you do it. The more processing, the less fibre. The less fibre, the greater the rise in blood sugar - because fibre slows down the release of BS into the bloodstream.
As a n=1 study, I am a 68 yr old man. 5 years ago I adopted a strict Keto dietary lifestyle. I lost 120 pounds in about 8 months and my labs became normal for someone 20 years younger than I am. I gained about 20 pounds over the COVID years but my labs remained unchanged. Now I eat mostly animal based diet with above the ground vegetables and occasional fruit. My body condition has remained steady. The results in MY n=1 study are conclusive indicating the extremely low carb diet based on animal proteins is 100% effective. To be clear, my A1C is 5.1 and fasting insulin is 11. Best of all, I feel great. Historically, our species diet has been animal proteins based. No way our systems have changed that much in this short of time (10,000 years).
Not surprising if somebody gives up processed sugar and adopts your type of diet. Because process sugar is worse than 100% animal base keto diet. Unfortunately, that type of diet will eventually lead to severe arthrosclerosis over many years. A plant-based diet are better than either process sugar or ketogenic animal base products because they have in them something that neither of those two diets have: polyphenols and dietary fiber. Get your cardiac calcium score done and you’ll understand what I’m talking about . You may also want to read up on nonhuman sialic acids. Neu5GC
I have always admired your sharp intellect and science based opinion. However, this time , I don’t understand how low carbs diets increases type 2 diabetes. The general trend of the last few decade tells another story. From my personal experience, I went from 135 kg to 108 following a ketogenic diet with out any increase in physical activity. All my insulin resistance markers improved in a short period of time.
For a good reason. Reducing energy from any food source is going to encourage weight loss. However, what you replace it with might have long-term consequences. These studies illuminate that fact.
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@@Medcram Title : "ANCEL KEYS MEMORIAL LECTURE" should be enough to be extremely patient to interpret this study. I see no data on how many carbs have been consumed in each group and how was this controlled. 2 times in 10 years as questionnaire ?
That's because low carb diets don't increase type 2 diabetes. I find that pro-carb researchers purposely call bad diets low carb, to make the case they already believe. Science is usually nothing but propaganda...
There's a lot of focus these days on decreased longevity and healthspan due to sarcopenia as we age. I'm concerned that plant-based proteins will not be sufficient to stem the tide.
Thank you for doing this presentation. It is very important. I just wanted to state that a low carb ketogenic diet should not be high in protein. A lot of weightlifters employ it to reduce fat and increase muscle and they tend to have a protein heavy variation. Rather, it should be moderate in protein and high in healthy fats. Almonds, macadamia nuts, eggs, oily fish, avocados, butter, duck fat and full cream yoghurt for example. I stuck to it for 6 months eating copious amounts of leafy green vegetables: spinach, lettuce, cucumber, mushrooms, olives, capsicum, eggplant, zucchini, cauliflower, cabbage, broccolini, sprouts and berries/low carb fruits with red meat once or twice a week. I absolutely thrived and could not recommend it enough especially to anyone trying to manage type 2 diabetes. I had incredible amounts of energy for 6 months before I began to feel fatigued - I was eating very little by that time, as I did not feel hunger, so may not have been getting enough nutrition. My blood results were brilliant.
I worked with a doctor on a diet that was low salt, low carbs, low fat -- just lean meat and low-sugar veggies, water only to drink. So the PERCENTAGE of the fat was very high, but not the overall intake. I lost 120 pounds in 7 months, so it worked, but is hard to sustain. An egg in the morning, can of tuna at lunch (no salt mustard allowed, but no mayo), and a fist-sized serving of lean meat (poultry or rish) for dinner, 7 pm at the latest. A grab bag of green veggies plus cauliflower was for snacking or salad with dinner, oil and vinegar as a dipping sauce only. It was called The Brentwood Diet, created by Dr. Eric Mizrahi.
@@tomgoff7887 1999 Framingham showed that people with high cholesterol lived longer than people with moderate or low cholesterol. So we have to be careful of what we are told from 'the experts'. Good luck trying to find that study, because it's been eliminated from the net since about 2010, and replaced by an 'expert's interpretation' which oddly contradicts the original conclusions. Hmmm, I wonder why.
@@SergeiKozak We get at least two or three patients in our e.r. every week due to hyponatremia, who have been on 'low sodium diets'. What's weird, is their admission orders maintain low sodium diets.
@@d.e.b.b5788 I think that we need to be careful of overconfident people promoting fad diets on the basis of cherry-picked obsevational studies that are reported without detailing the full context . It has been observed over many decades that, in large general populations (in westernised countries at least) , people with high cholesterol on average live longer than people with lower cholesterol levels. The experts however are aware that a whole range of conditions from heart attacks to viral infections, physical traumas and certain cancers cause cholesterol to decline. ".... results of a recent meta-analysis10 of cause-specific mortality (including unpublished data on noncardiovascular causes of death) from 10 large cohort studies and 2 international studies that concluded that reduced serum cholesterol is not related to excess mortality among cohorts of employed individuals, whereas population-based studies did show a relationship. The investigators proposed that the discrepancy in results was probably due to a higher frequency of risk factors associated with low cholesterol, eg, alcohol abuse and ill health, in population-based study samples compared with employed cohorts." circ.ahajournals.org/content/92/9/2365.full
I am 66 woman and carnivore. I do not have diabetes, never have had, my inflammation has reduced and my OA pain has nearly disappeared. I hope to remain carnivore for many years more.
"low carbohydrate diets tend to result in reduced intake of fiber and fruits" I just have the feeling whoever did the study just went for the standard carnivorous crowd or people who drink sodas for life and eat processed meat because half of my plate being greens everyday clearly goes against this study. Plus a lot of people on the keto diet do intermittent fasting. Bundling all low carbohydrate diets together in a study is straight up dishonest, like putting together the fat guy who eats a kilogram of bacon and steak per day and the person eating mostly cruciferous vegetables and 3 eggs per day. Separating animal-based LCD is also dishonest because a lot of people on a healthy keto diet choose to buy meat from farmers who treat animals in more humane ways, and the animals who are stuck in a cage for 3 years only to be sliced up are going to be stressed and possibly injured or sick, same for chickens who aren't free to walk around and eat their normal diet. Grains are not a normal diet for chickens and bovines for example, they eat it because they are fed it, when they are supposed to eat what they naturally eat when they are left to their own devices, like grass and fruits for cows, not corn. Chicken are supposed to eat greens and insects, which is why free range pasture raised chicken is healthier to consume compared to normal chicken meat. I personally don't eat red meat anymore even if beef liver is good to help nutrition. This study is very incomplete and I appreciate that you pointed out it is so, I just hope people realize there is a lot that is not covered in this, and a lot of people just don't go buying out something from a food group just because it is part of that food group.
Exactly a species appropriate diet the same goes for humans, we are not meant to eat processed grain. We need meat, fish, vegetables and a small amount of in season fruit, mainly berries.
@medcram This video came at the perfect time! I’ve been on a plant based keto diet for 18 months and while I definitely understand the benefits, I feel much better consuming fruits that are not keto friendly. I added papaya and watermelon to my diet yesterday, which went over 50 carbs. I have no problem eating 50 carbs or less as I did for over a year, but I lost too much weight. I went from 96 to 88 lbs. This research confirms that fruits have several benefits such as poly phenols, vitamins and enzymes and are part of a healthy diet. Thank you for your extensive work, it’s appreciated.
@@Medcram how can you suggest to someone weighing 88lbs to fast. Do you want them to melt or what ? I'm very surprised to see this weight, hope everything is good and normal
@@imhassane intermittent fasting causes HGH, Human Growth Hormone to be released (after the 13th hour of fasting), enabling a person to put on muscle much more readily than those who don't do intermittent fasting. I know. I'm a 66 year old male who does intermittent fasting, and I'm really amazed at how easily I put on muscle without even lifting weights! I do yoga and Pilates exercises. Some people say I have the body of someone in their 40s.
Maybe there is no one diet that fits everyone. On a plant based diet I am forced to turn to beans to get adequate protein. But that’s a ton of carbs. Eating a healthy plant based diet I developed a fatty liver at 65. I turned to a low carb diet and it cleared up, my triglycerides dropped to 49, my HDL went up, (the good cholesterol), and my ldl and cholesterol went down. It sounds paradoxical, but you can’t argue with good results.
I am not clear what was considered 'animal' protein in these studies, even after looking at them. Do you have any insight on this? Perhaps I missed it. Sometimes 'animal protein' or 'meat' is considered only red meats (but not poultry or fish or dairy etc), sometimes it is anything derived from non-plant or mineral sources (so 'meat' or 'animal protein' would be flesh, milk, eggs, or parts from mammals, fish, crustaceans, shellfish, birds, etc)... and then there are times things are labeled/defined inbetween (which makes accurate comparisons more difficult). Thanks for all you all do!!
The foods they choose depend on the results they want. Usually, they want the meat to look bad, so they choose hotdogs and other processed garbage meat.
Wow, they checked with the nurses every 4 years on what they ate during the past 4 years and drew conclusions. Give me a break. People can only vaguely remember what they ate in the past year, much less what they ate in the last 4 years.
This study is looking at different types of low carbohydrate diets. Have anyone looked at low carbohydrate diet vs high carbohydrate diet (i.e., standard recommended American diet)?
These have been studied together. The SAD doesn't stack up well against other diets. It's hard getting good data on vegetarian/vegan diets because they often through in confounding variables (meditation/exercise/lifestyle changes regarding stress) and then give the diet all the credit for the benefits enjoyed by the participants in these studies. There are studies that indicate that keto beats drugs when it comes to certain mental health issues...anxiety and depression to name 2....and without the conflicting variables (wink). However, the keto flu is real. People really do go through a trying process becoming fat adapted and many don't make it. You see, producing ketones isn't the same as being fat adapted (where all the benefits are at). There are also ZERO cheat days on keto....so if you believe in 80/20 with regards to diet, then it won't work for you. Unfortunately most studies that have looked at the keto diet have the participants on keto long enough to get the keto flu, but not long enough to become fat-adapted. Becoming fat-adapted takes upwards of a year or longer, depending on how deranged your metabolism is at the beginning.
Most so called low carb diets aren't actually ketogenic. Long-term ketogenic, and carnivore is the best thing I've done in over 60 years. Better energy, no more chronic inflammation and pain pain, and the best lab work I've ever had. Carnivore for the win!
@@davidcottrell1308 if they are really interested in long-term effects, they should look at Eric Westman, Stephen Phinney, Jeff Volek and others who have been saving lives and improving health for decades with a real ketogenic diet.
Fructose consumption from fruits cause weight gain as fructose is converted to fat -- that's one cause of the increase in fatty-liver disease is over consumption of fructose.
It's little more complicated. Yes, fructose can have this effect but fruits won't. The main issue is a percentage of fructose and especially ratio of fructose to fiber. You won't find a fatty liver among plant base vegans, even fruitarians, you will among people eating lots of highly processed food with high fructose syrup added on the top.
@@mariuszfurman4767 Steve Jobs being a fruitarian is what probably killed him. The stress on his pancreas eating all that sugar and fructose hammered it.
Most “low carb” diets are in the150-200 g carb range which is not low carb at all, so we have to throw those studies out. Low carb is < 50 g carbs per day. Also Dr. S.’s statement that meat and fat cause heart disease is pure bunk. The studies he relies on are people eating junk food and the meat gets blamed not the toxic seed oils, sugar and refined carbs.
Doc, you miss one huge point. There is a huge difference between a ketogenic diet and a very low carb diet. By saying the word ketogenic, it means that the person is producing ketones. The only way to know if a diet is ketogenic is to measure ketones. It is cheap and easy to measure ketones. Without measuring ketones, the only thing you can say about a low carb diet is that it may be low carb. You cannot call it a ketogenic diet if you have no idea if the person is in ketosis. As hopefully you know, that a person in ketosis has a drastically different metabolism from a person that is not in ketosis. It is not smart to have a study that includes some people in ketosis and people not in ketosis in the same group.
The study did not study ketogenic diet’s. However, anybody can achieve ketogenesis by simply intermittent fasting, regardless of what diet they are on.
@@Medcram I disagree that anyone can achieve ketogenesis by intermittent fasting. I eat once a day an I've gotten out of ketosis by eating too much lean protein. Nevertheless, if that hypothetical person you talk about achieves ketogenesis then they are on a ketogenic diet regardless of what people call the diet. If the studies did not mention ketogenic diets then they need to caveat their finding to say that it does not apply to ketogenic diets.
Two things that should also be addressed are Omega-6 vs Omega-3 consumption ratios and the types of fruits/veggies (berries vs bananas and brussel sprouts vs corn as examples).
Thousands of people reporting reversal of diabetes, reduced CAC scores, improved skin, joints and chronic pain all on carnivore/ketovore woe. Can’t argue with results
@@DMWB57 yes his reply clearly shows hia bias. Unfortuately people actually believe what he says and will end up ill through following his advice. These studies are pure propoganda using data from observational studies which should never be used.
The last graph, Chinese fruit consumption is very interesting to me. The x axis is up to just 1 fruit per day, some days 2. That fits nicely into what most people consider a LCHF diet. Probably a similar study into fresh veggie consumption would reveal a similar trend indicating 1 serving of veg and 1 of fruit is sufficient for good health and low mortality. Not the 5-10 that is being pushed upon us. JMO. ( of course their is no data for 5-10 as probably no one in china eats that many.
I may add these “observational studies” are not scientific at all. It depended on the memory of what people actually eat. The number one and two causes of heart disease is diabetes and insulin resistance. Therefore, what ever diet you can eat that lowers your insulin will decrease your chance of heart disease. Eating Whole Foods with a very low GI scale and load along with healthy fats (no vegetable oils), green leafy veggies, a hand full of berries and a variety of meats is very healthy. This is opposite of what the ADA endorses. If I ate the beans and legumes and fruits my doctor told me to, I would be in a diabetic coma.
I am wondering what the definition of “low carb” was in the studies. I’ve seen studies that define low carb as less than 100 or 70 or 50 grams. Are there studies out there looking at very low carb (less than 20 grams) and all cause mortality?
The groups de-emphasizing grains or processed carbohydrates makes me question how they qualified the other groups as low carb at all. My idea of low carb is less than per day and my understanding of keto is less than 20 carbs per day. In other words, low carb allows you to have a few more tomatoes, carrots and onions on your salad than keto. No room for processed carbs and grains inlets you omit fruits and vegetables. Also, if no meat is consumed, does that mean fish and eggs are being consumed? If not, how are they getting enough protein from a vegan diet while maintaining a low carb ratio? The listed co-founders are interesting, but I think co-founders more relevant to T2D should include eating windows and anything else that would trigger the release of insulin into the blood, including artificial sweeteners. Another confounder is the Omega 3 to Omega 6 ratio. If T2D is related to inflammation, highly processed seed oils vs. EVOO will confound inflammation results. Thank you for the discussion of red meat and Sialic Acids. This might explain the success of Mediterranean diets that lean into salads, fish and eggs (but not pasta, cheese and deep fried healthy sruff).
Curious: Did all of the diets studied control for reduction of refined carbohydrates? From what was presented, it appeared only one group controlled for them and that group showed the best results from the study. I feel like repeating these studies but focusing on protein sources and intake of refined carbs would be a fascinating analysis to run. Thanks for the video
@@AbacusincInfo True, the study showed the greaert the amount of whole fruit consumed, the better the outcomes. What it didn't say, what the fruit was substituting. It's typical healthy user bias. People that eat a lot of whole fruit also tend to have other "healthy" habits, like not drinking alcohol in excess, not smoking, not eating much if any processed and refined foods. It's like the typical epidemiological studies looking at meat consumption. In general, people eating lots of meat are not following the general health guidelines as we have been told to reduce meat consumption for many decades now. So what else do these people not following the general healthy living guidelines do? The outcomes for people that eat only meat but do not consume other unhealthy food could, and probably is, completely different.
@@reinerschafer1708 no there are biochemical study’s on certain nutrients like for example comparing saturated fat against monounsaturated fat in this case palmitic acid against oleic acid and the saturated fat is broken down in the cell to ceramide which is cell toxic, so it causes oxidative stress and can cause DNA mutations and therfore cancer and destroy the interior of the cell but also blocks the glucose Metabolism and cause so Diabetes Typ 2 and als is ceramide integreted in to cell structures and because it’s not a Good working componment it causes dysfunction of the thing in which it’s integrated and Therfore a dysfunctional cell overall which lead to apoptoses at the end.
Let me get this straight, you're saying that a carnivore diet (fat & protein - zero carbs) which generates the lowest possible insulin response... will cause insulin resistance and diabetes??? This makes no sense whatsoever. Another giant red flag is that they seem to fail to define 'low carb' diets in the meta analysis. These papers have a very bad habit of considering levels as high as 100g of carbs per day as low carb, which is absurd, and thus obviously lacks the metabolic benefits of a true low carb diet.
First of all. I’m not saying anything. I’m explaining the results of a large and long observational study that importantly has a dose response effect. Diabetes is caused by oxidative stress and the lack of insulin sensitivity. This is affected by gut bacteria, polyphenols etc. Not just carbohydrates.
Low (zero) carb diet helped me reverse my diabetes and I’m sticking to it! I don’t need fiber since it’s non-essential And I eat saturated fats and I have a six pack for the first time ever.
This is such and interesting subject! I'm working on implementing a low carb (not strict keto) way of eating for my health. Keeping my carbs to under 50g is proving to be more sustainable for me. It's interesting to watch health and wellness videos from the 50's and 60's and to see that this is absolutely the way people have always knew to eat! Too many carbohydrates, sugar and "junk food" is what makes people fat. One can have meat, fish, veggies and some fruit for weight reduction. It's just common sense. The American Food Pyramid really messed up everyones common sense healthy food perception and it's gone down hill from there! If everyone ate like their great-great-grandmother's ate then this world would be a much healthier place!
What about populations that eat mostly animal foods, like Eskimos, that had no diabetes or heart disease until they started eating the Standard American Diet? How does that fit into these theories ?? 🤔
I missed this when you published it, but it's fascinating. Thank you. I do have a couple questions, though. There are now numerous claims on TH-cam of diabetes reversal with ultra low carbohydrate diets, and many complaints offered up by people who reject plant based diets and swear by red meat and similar diets. Many of these folk have tried other diets with either no success or weight gain. There are too many of these to classify them as anecdotal, and these are typically people who've tried everything else. The common name for this is the "carnivore" diet. I think this demonstrates the need for more scrutiny, especially since virtually all these people appear to lack the diabetic markers you mention. Again, this is in no way an effort to disrespect your work, but this is very confusing to me, and, I'm sure, to others, especially in light of the numerous people who claim to have been cured of diabetes by utilizing a red meat diet.
To correct my health issues; chronic fatigue, brain fog, obesity, I went on the carnivore diet for 3 months, as my activity level increased I added dates, spaghetti squash, zucchini, bananas, and mangos. I eat no processed carbs at all, and no sugar except the one that comes from the fruit. I also eat two spoonfuls of organic grass fed butter. The whole thing about low fat diet is a sham. If our brains is mostly fat, and our nerves need fat for insulation, don’t we need healthy fats in our diets? We sure do! I have clarity like never before. I also don’t eat after 6pm. I have so much energy, I’ve caught up on things that were waiting for me to finish for years. I’m reading books and I can focus and remember what I read. I wake up early feeling well rested. My body aches are going away as well. I just feel like a healthy human being!
Any data on comparing what was deemed 'healthy' vegetarian diets of low-carb vs high-carb (also healthy vegetarian, non-refined, etc)? The Chinese fruit study here indicates high-carb from fruit might be healthier than low-carb veg.
So I am a new diabetic and am now more confused about my diet. I followed my doctors advice. I have cut out almost all processed sugars 23:54 out of my diet, and all fruits and fruit juices. I have reduced my carbohydrate intake (35 GM per meal) keeping animal protein. I am trying to lose 25 to 30 pounds and am increasing my daily exercise. I tried the carnivor diet but got deathly sick after 2 days. My blood glucose ranges from 92 to 130 over a day. My A1C is high as well.
As someone who helps treat patients with diabetes. I noticed on time 14:00 the display the studies only one study supposedly "de-emphasized on refined carbohydrates" under the Healthy LCD score? This makes me questions as the audience member, did the other studies animal based LCD, unhealthy LCD and vegetable based LCD score also consider other forms of refined carb intake that is not eaten but drank instead? I will have some patients claim to be "low carb" with higher protein intake, vegetables but then still drink processed beverages.
It's hard for me to take this study seriously as a study without bias when two of the quintiles are labeled "healthy" and "unhealthy". This shows the predisposition of the study towards a goal to promote a certain type diet.
Doc - you need to be up front and tell people that you yourself are a vegan, and support plant based diets. Not suggesting you would be biased of course.
I’m not vegan. I used to eat meat. It’s perfectly appropriate to review data and the be convinced by the results and then make changes in your own life as a result.
@@Medcram not vegan but used to eat meat? So you no longer eat meat? I recall seeing an interview of yourself many years ago where you stated you and your family were on a plant based diet.
It's a lot about what WEF and ESG represent, meat is considered bad with a large carbon footprint. And there is a big campaign against eating meat, I recommend the debate on the Oxford U. YT channel "Beyond meat".
From the comments under this video, I feel strongly as if people did not actually watch it fully or completely missed the point. I see people indicating one study, whereas several studies were covered. They also came to the conclusion the video was bashing low carb diets, it was not. It was saying that not all low carb diets are created equal for the prevention of certain kinds of diseases and a person's mortality once they develop Type 2 diabetes.
In fact, the conclusion I understood is that low carb diets based on plant-based proteins are good (in the context of the diseases mentioned) and if you eat carbs, you should probably eat fresh fruit. I am interpreting the very last part because our dear doctor discussed that particular study of Chinese participants towards the end of the video. It did not say that all low carb diets are terrible, just that ones based mainly on meat-based proteins open you up to stronger risk factors. If you do follow a meat-based low carb diet, you might get Type 2 diabetes, but you also might not. So if you are xx+ years old and somehow you feel great after y amount of time on a meat-based keto diet, great for you! Your experience does not invalidate the results of this study.
I couldn’t have said it better my self.
Unfortunately, many people do not understand "science." What it means, how it's done, how it's not done, how it's interpreted & applied. I firmly believe that if the majority of people did know, the world would be a much better & safer place. And thanks so much for your comment. 😊
He is a plant based doctor, nothing against that, but bias is there. For all the maybe information, he doesn't address the Elephant in the room; During World Vegan Month in November, Goa won the title of 2020's Most Vegan-Friendly State from PETA India. A certificate was handed to chief minister Dr Pramod Sawant after claims that Goa champions veganism by supporting local businesses. Goa also has the highest incidence of diabetes in India, which is 2nd highest in the world. I would like to see less bias before taking this podcast as cut and dried.
@@roywalker7512 Why put this under my comment? I'm not making a claim about the veracity of the research or its quality. In no way do I state if I agree with it or not, whether I believe it or not. I'm not the Keeper of Knowledge here. I'm just clarifying what the video said because people were over reactionary.
@@archaurore3323 Dr. Seheult responsibly alluded to all the problems with the poor studies. I also agree with Dr. Seheult that real world low carb diets are way more complex than any of the studies addressed. I myself am a perfect example of that, as I eat way more carbs than is conventionally associated with ketogenic diets, yet I am in ketosis every day. This is because I blend a moderately low carb whole food organic vegetarian diet with 18/6 intermittent fasting where I exhaust my glycogen stores every morning through exercise and thus spend a good amount of time in moderate ketosis every day.
Majority of my calories is from eggs, avocado, and nuts. I have one apple a day and regularly consume lentils and beans.
This is a topic near and dear to my heart. Very low-carb clean keto allowed me to reverse several "irreversible" conditions. While being on a "healthful" FDA food pyramid diet for many years, 5 years ago, I was diagnosed with heart failure (diastolic dysfunction, inverted T wave, 35%EF, and mitral regurgitation), drug-resistant high blood pressure, tachycardia, and stage 3 kidney failure (estimated 3 years from dialysis). Knowing all those are connected via diet (high glucose, insulin, and inflammation similar to diabetes and obesity (I was neither)), I started studying on Medcram and self-treating with an anti-diabetic diet that became a full clean keto diet (not hotdogs). For the last 3 years, I've been in ketosis on a very low carb clean keto, moderate protein, high-fat diet, and intermittent fasting. I eat whole foods and avoid processed foods and inflammatory seed oils. Doing that my heart is 100% normal without medications, EF55%, T-wave normal, BP normal with no meds, tachycardia resolved, my GERD problem disappeared, and now eGFR 84. Yes, I'm one case N=1, but no one will ever convince me that the FDA food pyramid diet isn't poisoning people. Cheers
Absolutely right. I have lost 80lbs, reversed t2d, reversed copd, eliminated arthritis and have way more energy and stamina than I have had since I was about 30 (62 now).
I was following the recommended diet of fruit veges whole grains etc with very little meat for years and only got fatter and sicker.
@@tonyg9511 I hear ya! I listened to one lecture by a medical doctor with T1DM. He says he "nearly cured" his DM eating very low carb, and now takes almost no insulin. Many docs say to avoid keto, but they only know keto as high-protein junk food and hotdogs. Clean keto is truly the opposite of that. It's a clean whole-food keto diet, and best for "everything" including DM, kidney cyst growth, hyperglycemia, hyperinsulinemia, hyperlipidemia, diabetes, heart, immunity, weight loss, inflammation, hernias, GERD, liver cysts, PCOS, tinnitus, thyroid function, dementia, weight loss, vision health, depression, gout, neuropathy, arthritis, cancer, many brain disorders, and more. Cheers!
Why is it that everything else on the planet knows what to eat.
Because greed is not involved!
@@triplex7144 Domesticated animals get fat. Plenty of fat dogs and cats out there. I would imagine that any animal that has access to whatever food they desire at any time of the day or night would become overweight and develop chronic diseases at rates worse than humans.
Thank you for covering some of the growing body of evidence supporting low-carb diets for many different chronic diseases!
Sarcasm? Yes.🤣
So you’re saying “no real clinical data in healthy individuals” is the same as “growing body of evidence”?
You zealots are all the same. Anecdotes are not reliable data.
why don't you two MD's do a joint TH-cam video. With 2.5 and 1.5 million subscribers.....and / or add Dr. Westman of Duke University who has been using a low carb diet successfully to treat his patients for years.
I've been an avid viewer of your videos recently Ken. I am very interested in the carnivore diet as a way of controlling blood sugar and as an elimination diet. The sheer number of positive case reports in the comments section of any video about the carnivore diet is fascinating. My one reservation about it is the unknown effect on the gut microbiome in the long term. I will be very interested to hear your response to this video/study 👍
@@jacbeme because how do you recognise a vegan when he enters the room ? You don't have to, he will tell you.
I am a 77 year old male started a low carb diet 4 months ago. I have diabetes for 30 years and a heart bypass 16 years ago along with an increasing calcium score for one of my heart valves. 4 months ago I had a A1C of 7.3 today 6.4. I reduced my diabetes drugs: 15 units of long acting insulin to 10 units. eliminated Glucontrol, reduced metromin from two 1000MG per day to one. My BMI was 25.5 now its 23.5 lost about 12-15 lbs. Most interesting and unexpected results are no large up or down spikes in my sugar readings. I use to carry sugar pills as my blood sugar could drop at any time night or day. My angina has disappeared. I was always very active and continue to work out 3 days a week and do extensive garden chores.
In other words, your diet was so bad that any change, would trigger an improvement in health.
Check out reverse heart disease Dr. Esselstyn. It could improve your life even further. I'm so glad u know u are worth saving and embrace knowledge. ❤
10 years ago I was diagnosed with pre-diabetes, high blood pressure, fatty liver disease - all while following a low fat diet as advised by a dietician. I realised that my doctor, dietician and the food industry were not helping so I have followed a low carb/ Keto diet since that time and all these diseases have disappeared, I feel like I did when I was in my 20’s, all my blood results have consistently stayed within the normal parameters , that’s all the proof I need!
ABSOLUTELY! It should be obvious to you by the middle of this video that this is BOGUS. So what's the intent? We know that our ancient ancestors were largely meat eaters. We know, too, that diabetes had not entered the scene that long ago. Ergo, meat eating (which was a majority diet of our ancient ancestors) does not cause diabetes. THEY THINK YOU ARE STUPID and will not figure this out. Their agenda however, is very plain to see if you use your brain and put 2 and 2 together. We know that a depopulation agenda is in full swing by the WHO and cabal at this point so it's not difficult to figure this out.
How long did it take to get your blood glucose to normal?
That’s what I’m saying. Harvard didn’t get a $50 Billion dollar endowment from the air.
I did get pre-diabetes when I was young and i was underweight and loved fruit.
My body is much better now with more protein and fat.
High carb is inflammatory which is bad for everything. Perild,
No one size fits all. My brother has never been fat and eats 2x what I do. I have been morbid obese 30 years. I stopped all sugar and carbs, processed foods for for 35 days now and lost 31.8 lbs. I feel better than I have in 20 years. I am living great compared to the last 3 years in a hospital bed with elevated feet about 22/24 per day. Now I cut the lawn and do yard work. I could not for years. It saved my life. I never was hungry, as soon as I felt hunger I cooked real food. I ate as much as I could.
You Did Not Choose To Be Classified As Diabetic Patient. But You Can Choose To Reverse And Fight Back Against Diabetes With "Molemen Herbs" on TH-cam💪 Search "Molemen Herbs" on TH-cam.
Hello, are you sure your brother was eating 2x amount of your calories? Judging by kcal, not by the eye.
My brother eats very little, but he drinks a lot. He is very overweight. I eat pretty much anything, although I tend to shy away from carbs. I do love marbled rye bread (toasted and heavily buttered) and have 1 or 2 thick slices a day. I eat mostly real meat with some veggies (sometimes), and drink sweet tea. I am very muscular (genetics, not a lot of exercise), and not overweight. Both my brother and mother tease me about my 'tapeworm' keeping me from gaining weight while eating a lot more than both of them combined. Turns out I seem to have been inadvertently eating very much like the keto/Atkins/carnivore/etc. diets. I eat that way because it tastes good (duh...). I recommend it highly.
@@felixnemo1197 very interesting. That's like me and my family.
Unfortunately, people don't join up the dots. The amount of insulin stimulating foods we eat has a chronic effect on health. So, when someone else seems to tolerate more than you it may be that they have coped with stress better, burn more sugar with intense activities, are bigger, did not consume as much carbohydrate nor protein though life, and so on. Since you don't follow other people around 24/7 it isn't useful to compare yourself to other, people, just to recognise that you have developed a chronic health issue over decades through eating too much carbohydrate and protein as our society perpetuates. Now your tolerance is even lower.
However, going to the extreme of a keto diet isn't healthy for the long term either.
Instead, be very strict about not going above half the RDA of carbohydrate (from all sources), RNI of protein, with most energy from natural fat; ingested and body fat.
Of that fat, ideally 57% monounsaturated, 40% saturated and 3% polyunsaturated, the same as our body's fat.
On a "healthy" plant-based diet, I suffered from rheumatoid arthritis, peripheral nerve hyper-excitability, pre-diabetes, IBS, high cholesterol, high blood pressure, GERD and other life-limiting conditions. On a meat-based "zero carb" diet, all of these conditions are gone or greatly improved. All my numbers are that of a very healthy person. Just yesterday, my doctor said "whatever you are doing, keep it up". Low-carb has allowed me to return to the workforce and be a happy productive person.
No problem with low carb but the studies show that antioxidants, berries are beneficial and the gut micro biome allows for good bacteria that like to feed on fiber that animal products don’t have.
@@Medcram maybe the biggest benefit of my years of carnivore no fiber was obtaining a healthier gut biome. I can now tolerate many foods such as fruit.and dairy which I could not before. As for antioxidants, meat and organs are far more dense in antioxidants, plus there is less overall oxidation to deal with.
I wonder if the oxalates in the plant-based diet was the culprit?
@@terfalicious Definitely, I was in the same situation eating "healthy grains" like buckwheat and brown rice. Oxalates are NO JOKE. I learned my lesson after the acumulated.
No way eating plants cause this… you must be consuming lots of refined starches.. they generate a lot of uric acid which turns into crystals and causing arthritis
Low carb or keto doesn't necessarily mean high saturated fat and cholesterol and low fiber. I get my fiber from berries and avocados, and healthy fat from avocados, salmon, and EVOO salad dressing. I don't eat high cholesterol and saturated fat foods but I'm still on a low carb diet.
@@SusanKay- Wrong. That's your opinion.
@@SusanKay- I eat plenty of nuts and seeds. But I avoid the whole grains because I already get plenty of fiber and want to avoid the starch and sugar carbs.
@@SusanKay- No you don't need those. Essential macronutrients are fats and proteins.
Fiber is not just an additional Makro nutrient which you can sprinkle over your meal his most important effect is the slow down of absorption and that can only happen when the makronutrients are bound on intact fiber
@@quickcube2834 Not true. That's a made-up claim to get people to eat cheap plant food sold at huge profits. When eating quality fat and protein aka very-low-carb, there's no need to slow down absorption. Fiber can have some benefits for the microbiome, but that's a different discussion, and large amounts aren't required anyway.
I'm on Atkins. I eat cherries, blueberries, black currents, plus lots and lots of vegetables low starch vegetables - like tomatoes, garlick, onions, cabbage, kale, and many many other kinds of vegetables. It would be interesting to know what they actually mean by low carb diet.
@elizabethoutlookchan6764 Dr Atkins died from having a head injury and the resulting problems that occurred from it. Maybe you should get more information before professing to know what caused it.
Robert Atkins died from falling on ice and hitting his head. Not from heart disease.
@Elizabeth [Outlook] Chan Where did you find this information that "his heart all was blocked and he had high blood pressure"?
@Elizabeth [Outlook] Chan Where did you get that information? It's my understanding that he died of a fall.
@Elizabeth [Outlook] Chan SMH
Death. On April 7, 2003, Atkins fell and hit his head on an icy New York sidewalk. He was admitted to Weill Cornell Medical Center, where he underwent surgery to remove a blood clot from his brain, but fell into a coma. He died on April 17, at age 72. 🤡🤡🤥🤥🤥
7 weeks into a “keto” diet and I’ve discovered that I can exist happily on very little food. When I do eat, I choose healthy fats and veggies. I’ve noticed quite a bit of weight loss, extra energy and focus throughout my day, zero hunger cravings, and overall my mood has lifted significantly! I’m not gorging myself on animal proteins either. I feel my diet has evolved quite a bit from the first week to the seventh week. I can’t imagine this diet could lead to diabetes lol.. that’s insane . I keep my daily carb intake below 20 grams and it’s not hard to do. I do plan on continuing this lifestyle for as long as I see results and continue to feel really good.
Wonderful to feel my body "at peace", no craving fighting, no food obsession, no mealtime planning: eating to live NOT living to eat! Food : an after thought.
Low to no carb: the path to good health and good living. When will the veggie people (including my vegan son who is a PA at a renown hospital) who need not to forget to order on a recurring basis their B2 supplementation get it?
Keto with almost no animal food? How do you manage this? I am curious!
Are you sure you are hitting all of your vitamins and minerals?
foodis one of life's greatest pleasures
I'm not a medical professional. Rather, I'm a every day person who benefits greatly from being able learn about the things that impact my health directly. It allows me to be able to speak with knowledge with my Doctor(s) and understand what they mean. For that I'm thankful for MedCram.
I’m grateful to MedCram also. This video however seems treats what seems to be a highly weak study based on self-reported data in increments of 4 years. I still don’t understand how this is a robust or convincing study from a scientific perspective
In April 2020, I weighed 313 pounds, had inflammation in all of my joints, was prediabetic type 2, high blood pressure and unhealthy cholesterol levels. I began practising intermittent fasting 18:6 and followed a strict Ketogenic diet of high fat, low carb, moderate protein. Within 10 months I'd lost 103 pounds, reversed the prediabetes, lowered my cholesterol and blood pressure to healthy levels and finally, I got all of my joints back. I've followed this lifestyle for three years now and I've maintained all of the mentioned benefits. My recent A1C blood test produced a score of 37, which I believe is a very good number. Despite eating a healthy high fat diet, my cholesterol levels are well within the healthy range. There are many studies out there confirming the benefits of keto, but it is crucial to do the research.
One thing to take note of are the links between metabolic syndrome and various cancers. I have encountered four individuaks who have overcome stage 4 cancer, using prolonged fasting, intermittent fasting and a ketogenic diet. The work of Dr Thomas Seyfried points at starving cancer of glucose and gkutamine.
you didn't say how old you are and anyone with an A1C of 37 would be dead or about to die, so that must be a typo. Please restate that ?
@@davidstrong7854 yea sorry. I am 55 years of age and that A1C number should be 3.7
@@RobCLynch wow that’s amazing. I’m at about 5.6 A1c so I’m needing to make a few changes. You’ll never have any blood sugar illnesses . Cheers .
@@davidstrong7854 You can do it. I've helped three type 2 diabetics reverse their situation through keto and intermittent fasting. Good Luck
See Paul Mason, MD for an alternate view. Cholesterol theory as THE cause of heart disease is extremely weak. Suggest TG/HDL is a much better indicator of risk of having a cardiac event than high cholesterol. This presentation is insulting and not worthy of Dr. Seheult's usual presentations. The ketogenic diet has gotten me out of a pre-diabetic state and lowered my Hgb A1C and reduced my fasting insulin level dramatically. furthermore, I can't eat fruit and stay in ketosis. But biochemistry may very from patient to patient. Thus, affordable CGMs (continuous glucose monitors) would allow people to customize their diets to keep their blood individual glucose levels ratther level throughout the day. Additionally, hyperinsulinemia from whatever cause is the major villain in a whole variety of metabolic diseases. It may exist for 10 to 20 years before fasting blood sugars rise or Hgb A1 C's increase. The undetected hyperinsulinemia is wreaking damage to multiple organs over time while the pancreas is working oin overdrive to control blood sugars levels. Metabolic Disease which most often has hyperinsulinemia as a major if not the only cause of the problem is the villain that is the largest factor ins precipitating diabetes and cardiovascular disease and nonalcoholic fatty liver disease and possibly Alzheimer's disease in my humble opinion.
Of course you lower your blood sugar and fasting insulin if you don't eat carbohydrates. It doesn't mean you improve insulin resistance, which is the disease. In fact, saturated fats worsen insulin resistance. Fruits, vegetables and other plant foods improve insulin resistance. This is why people who eat them do better, both in terms of preventing and treating diabetes, as the video explains.
@@nutritionhealthandriskprev6228😂😂😂worsen my ass insulin resistance is about glucose only don’t be clown
Very interesting but it just doesn't translate into my version of subjective reality, because red, fatty meats (zero carbs/plants) helped me heal many autoimmune issues, completely. I'm 46 and got a new lease on life. I am more agile than most of my colleagues in IT that are way younger. My libido is through the roof. If this means that my life will end sooner, at least it will be a life well lived.
Well, I think I'll listen to the results of these large scale, long term studies, rather than an isolated case.
Isolated case? There are thousands of people living a low carb lifestyle and have healed themselves from metabolic syndrome and all other diseases. There are plenty of us out there that have been living this lifestyle for years that could be studied.
@@carlasKK42923 And every time when you show the scientific data to this ”healthy" meat eaters you have same answer you'd expect from an alcoholic or a chain-smoker.
@Boris Baconstein
1. Reality is objective. Subjective is a BS you choose to believe. Check a dictionary if you don't believe me.
2. You cannot say if you feel ok because of your diet or DESPITE it. You need causation, not only correlation.
3. You cannot say if feeling great now is good for you. Try crack cocaine if you still don't understand when 46 years old.
4. The study shows a statical improvement for a diet with high veg and fruit intakes and negative consequences of a diet based on animal products. And yes, the correlation is well known and understand for some time already.
@@carlasKK42923 And there are plenty of people who tried a low carb keto lifestyle and just couldn't do it. I did it for many months. Hot flashes overwhelmed me, my cholesterol shot up, nightly leg cramps, and I was always hungry. We are all different, and some of us need more carbs. I'm on the list of those who do.
My diet changes practically every month, these people being able to stay on the same diet for decades is just unbelievable
Agreed. From what I could glean from the video, this study sounds very suspect in it's definitions of the groups. A person could survive on hotdogs and end up in the low carb group.
Correct: I move from strict keto, to pescatarian, to vegan keto, to 5:2 diet, to Atkins, to Longo's mimicking diet, to carnivore... they all work; they have one think in common: control of carb intake, eliminate cravings, no snacking junk, some exercise, no less than 40% fat.
@@usadaily135 I have eaten two low carb diets, a raw vegan one solely based one nuts and the other based mostly on animal products, like fish eggs and Greek yoghurt. And guess what i prospered on the vegan one until I was reading a fear mongering artical about an anecdote about someone who has become kidney stones from nuts trough Oxalats and so I stopped it and after a year I went to a low carb animal based diet and I near diet, also my blood glucose went so bad with the animal based low carb diet.
Strains credulity!
@@Thomas-wn7clyes, what a group that eats animal proteins and has the reduction of refined carbohydrates.
Dr. Sheult, I've been on a low carb diet for about 3 years. My HbA1c and fasting glucose have both reduced significantly, so it appears my diabetes risk has gone down. I get my protein and fats from both veggies and animal sources.
This is common so these study findings are weird. I’m animal based with fruit and eat no grains. Yet I’m not diabetic. Just goes to show how complex the human diet is
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
@@faithandgrace8244 Either that or it's the vegan animal rights agenda.
Same! My overall health is excellent since eating a ketogenic diet for the last 4 year. I was horribly sick when I ate lots of carbs.
Too bad...I use to think you were a credible source of information.
At age 71 I was put on blood pressure meds and after a year they gave me statins which I never touched. Now four years later my blood pressure and glucose levels are back to 'normal' and my acid reflux, joint pains and migraines, disappeared. Thanks to going Keto and low carb. Ran my first marathon last year, no 'carb ups' as advised by most people involved in training. So maybe I will die of a heart attack but that seems preferable to slowly ebbing away with diabetes.
100%!
I agree- I rather die younger and have been healthy-than die a slow debilitating death from obesity, diabetes and every other disease!
Indeed. Most diabetics die of heart disease. And diabetes can be arrested and reversed with a whole-food plant-based diet - which also reverses heart disease. Consider reading Dr. Joel Fuhrman’s “The End of Diabetes.” You don’t have to get heart disease and pay the price of living a shorter life. Best wishes!
Post heart attack life is no fun my friend. It’s not a sophie’s choice, you can avoid both.
“So what if I die as long as I die on the hill I chose to die on” 🤦🏼♂️
I have been on ketogenic diets for 25 years since diagnosed with type 2 diabetes at age 40 (I was a huge mess). I strive to eat no glucose (carbs) at all. Glucose is not a required nutrient, your liver makes all you need. It saved my future. At 65 5'4" male 135 lbs. 32 inch waist. Last A1C 5.1.
I am a fat adapted fat burner producing ketones, essentially at all times.
The only carb I consume is buckwheat. I think it is amazing! Also, small amounts of fruit does not hurt too.
I have just became diabetic and ma body can’t handle hardly any carbs at all. I am on a very restricted diet because I don’t want to be on insulin. I eat sweet potatoes with the skin on, green beans carrots and a huge leafy green salad a couple of times a day. NO BEANS! They Jack up my blood sugar. No white potatoes. Or rice. I walk after every meal 1 mile And the crazy thing is I am 5’2” and weigh 100lbs. I make a giant Glucerna or Slim Fast protein shake with berries and drink that with my salads to help fill me up and get a good dose of vitamins and minerals. So far this diet is working for me. I also take 8-10 supplements a day including hyaluronic acid for my skin and It was a tough 1st 2 weeks but I am managing my diabetes through diet and exercise and I am finally feeling “normal”.
Fat burner, lol. It's all energy balance. If you were a fat burner at all times for 25 years you would have no fat at all and you would be unhealthy.
@@penniroyal4398 remove all the vegetables and go full carnivore, its far healthier for you, especially with your history.
@@Idiotsincarshere no, you would simply be in your natural state. Burning fat is our primary and best energy source. Using glucose is directly what causes diabetes and is unnatural, hence why ppl who cut out carbs completely are far healthier and yest they are burning fat for energy. Its amazing how ignorant you ppl are, you literally promote inflammation and triggering the randle cycle without a clue
Very interesting look at and explanation of the relevant studies. My takeaway: quality matters. A lot. A good reminder that unprocessed food is best, no matter the diet followed. Thank you.
So, don't refrigerate, or then cook in any way, or add spices to your food. Those are all 'processes' which aren't 'natural'.
I agree. I am on the fence with regards to various forms of cooking as a form of processing food being good vs bad. The caloric uptake is generally higher and more bio-available when cooked, even if the raw numbers are lower, so is that better or worse?
About 47 times, he adds the caveat that the studies are unreliable, and then keeps plowing ahead. Keep following your gut instinct.
Yes!
@@d.e.b.b5788 stop being pedantic. That's not what was meant.
I’m 56 and four years into keto, never have I felt better. Reversed diabetes and as a side effect lost 85 pounds. Blood labs are beautiful.
Congrats 🎉
🎉🎉🎉🎉
What kind of fats are you eating, and what percent of your diet is fat? Some are claiming to almost live on olive oil.
Are you dead now?
@@DavidBrown-bp4iq animal, avocado, butter and olive oil. I don’t know the percentage.
My diet just limits processed foods and I consider it to be low-carb (especially compared to the standard American Diet). However my fruit intake, vegetable intake and rice and whole grains put me far over what others consider low-carb. Low-carb diets are indeed very different across the board!
The standard american diet is only meant as an statistic reference for the sake of comparison, it is not meant to be used as a measurement device to define what is low carb, otherwise 90% of the world would be in a low carb diet by default because they don't eat as badly as the americans.
Carbs have been vilified because people don't understand that whole fruits and veggies are good carbs. It is healthy to cut out *processed* carbs -> anything that's made of flour or contains sugar. Enjoy your fruits and veggies :-) .
@@myggggeneration is that so? how about me that as soon as I start eating fresh fruits I just put on weight uncontrollably. do you think it has to do with the sugar in the fruits? I don't believe a single word from this video it's all propaganda against low carb.
@@Metarig To me, the only fruits I consume are avocado, olive, lemons, limes in water and berries. Commercially developed apples, oranges, watermelon, bananas, etc are too high in Sugar to eat with any regularity. They also spike one's hunger.
Agreed. I happen to live in a region that produces fruits, including grapes and wine, vegetables, and fresh seafood and sea fish. I strictly reduce bread, pastries, pasta and potatoes, but allow myself some weekly leeway. And I eat lean meat, eggs, fish plus red meat once or twice a week. Water and some added minerals and additives. That works for me.
There is always nuance when it comes to nutritional studies. I would bet that the definition of what constitutes a “low carb “ diet for these studies is very different than what many people eat who are currently low carb eaters. How do you explain the fact that many people have improved or reversed their t2 diabetes using a low carb diet? How about hyperinsulimia as a factor in metabolic syndrome? And please address how vegetable oils can be easily oxidized and unstable and considered healthy at the same time.
exactly...this 'info' was more about feeding the Carb Industrial Food Complex.
This is a real world example. With actual people followed for over 30 years in a dose response relationship. As far as studies go there isn’t much better study design.
@@Medcram I really respect you, but this study in UNCLEAR as to what a "low carb" diet it. Below 150 grams per day? 100 grams? 60 grams? relying on people's memory as to what they ate...over 30 years....c'mon, doctor...I think you're better than this.
@@davidcottrell1308 I'd also like to see animal based with NO refined carbohydrates. They ran a vegetable based with no refined carbs which improved from the vegetable with refined carbs.
@@SearlesHernandez yup. exactly. and not based on 'memories' of what they "might" have eaten...
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
The video expands on the data that shows that different low carb diets yield different long term results.
th-cam.com/video/BOQ4lD41hmc/w-d-xo.html
faith and grace, who are “they” that are being controlled by pharmaceutical companies? Where is your faith and grace?
The reason for the apparently curative effects of a LCD for conditions like T2D is simple. We need to see this against the background of widespread insulin resistance in Western countries. IR is caused by excessive fat....intramyocellular fat......which blocks the action of insulin, leading to eventual T2D when insulin output is maxxed out. When you take on a LCD you are NOT curing your T2D, but simply dodging your insulin resistance by restricting sugar. If you then have a high carb meal you're bang back against your IR/T2D. You are not cured...you have lost your natural metabolic flexibility because of high fat consumption (>35%). LCDs only serve to mask this. And you will eventually pay the price, as this podcast shows. Drastically cut the fat (
You still doing good. Just got diagnosed with type 2
I'd love to see what these researchers call low carb. Most of the time they say 40%. That's no low larb at all.
It's quinile based.
You should be able to find out by reading the study. They have to define their terms.
It’s very high at least 10% is low carb and should be 50% fats rest proteins
Thanks! Probably saved my life
It's not clear how it's remotely possible for a cohort can consume refined carbohydrates on a so called "low carb diet"! Obviously it looks like the study didn't measure for ketosis or blood glucose response. For example, there is an enormous difference between 150 grams of carbs per day versus 50. The latter is closer to a low carb diet, probably will result in 20 net carbs if it's heavy on vegetables. But this regiment just 50 grams allotment per day leaves no room to touch refined carbs of any kind. One teaspoon of sugar is about 10% additional carbs. This particular detail about grams per day (not the percentage of energy) seems to be the biggest confounder on the study. It's akin to the tobacco and asbestos exposure if it were to have no measurements of exposure per day.
But virtually no-one keeps up with that diet for any length of time, certainly not for 30 years.
Pretty sure carbs are the wrong metric to be looking at.
The real issue is metabolic flexibility when affects carbohydrate tolerance.
As your metabolic health worsens, so does your tolerance for carbs.
Due to low carbohydrate tolerance, low carb works, but is missing the root cause of the problem, which is damaged mitochondria.
The primary culprit for harming mitochondria this is is excess vegetable and seed oils, due to high Linoleic Acid content.
This occurs via incorporation of LA into the mitochondrial membrane. LA is incorporated into cardiolipin, making it prone to oxidation. When. It oxidizes, the membrane becomes leaky and mitochondrial dysfunctional. This accumulates over time.
LA is also incorporated into all our cell membranes, where it oxidizes easily. Here is creates many toxic compounds such as 4HNE or 9 and 13 HODE, causing damage and inflammation.
The Half life of linoleic acid is 1-2 years and we eat 10x what we did ancestrally. To get back to proper levels in our bodies, it takes 3+ years.
Dose response aspect of this study should not be missed. As the diet became more and more in its category the results because more extreme. That would be my answer to your criticism of the study. By the way this is certainly not the only study that has found this result.
@@elephantintheroom5678there were those in the study.
@@Medcram the problem with dose response is that while going from one extereme to the other you end up in the high carb AND high fat combination that everyone agrees its bad.
I struggled w/diabetes T2, high blood pressure, high triglycerides, auto-immune diseases, skin allergies, etc. for years and years. I tried the ADA recommended diet, I tried vegetarianism, I tried the Mediterranean diet-- best that happened was they somewhat managed my diabetes so with insulin & meds, I could usually control it. High fat/low carb diet has reversed diabetes (no more meds), blood pressure better than when I was in my 20s (no more meds for that, either), triglycerides are down & cholesterol good (again, no more meds), auto-immunes disease rarely flares up anymore (taking way fewer NAISD than ever), no more skin problems. I will stick to low carb, I think your data is flawed somewhere.
It is like they don't want people to be healthy!
I was diagnosed with heart failure five years ago. I’m old. Cause doesn’t matter to me at this point. Only issue. Good sugar levels, good blood pressure, etc. I use herbs etc to manage it. I’ve always had a very healthy whole foods diet, I’ve never liked factory processed foods. I seem to be doing OK. I eat a variety of whole foods which I love to cook from scratch. And I fast regularly which really helps with the issue of heart disease. I’ve always been turned off by “experts” who demonize foods or dictate how I should live out my life or values. I listen to my hunger and it guides me to my simple healthy foods. and I do not crave the addictive crap corporations have produced. I’m grateful I discovered at a young age that it has a very strange after taste in my mouth. Nothing like good deep hunger while I’m cooking. 😋
One problem with studies of 'low carbohydrate' diets is that they often aren't actually low carb. Forty percent of calories from carbohydrate is not low carb. People who pursue a low carb diet typically aim for 10% or less of total calories from carbohydrate.
especially the studies were conducted in China. The Chinese are not traditionally low card people plus they were made to consume a lot of soybean oil(genetically modified)
Thank you!!!!!
On the flip side, a 30% fat diet is NOT low fat!
@@darrenh6169it is very low
They consider Iow carb under 150-100 grams of carbs diet is part of controlling diabetes exercise/activity is another part and managing stress is the 3rd leg of controlling diabetes
Thanks!
What is their definition of "low carbohydrate"?? How many grams per day??
Interesting that this paper was presented at the "Ancel Keys Memorial" meeting. I would like to know who paid for the study which seems to support some of his earlier findings.
The nurses health study was founded by the NIH
@@Medcram the NIH which allows industrial food companies to sponsor studies?
7th vegan adventists
None of these results differentiate between lowish carb diets and actual keto diets, as others have pointed out. I would really like to see this data crunched with that in mind. Until then I find it hard to believe that I feel so much better, for the last 7 years, but I am at risk for all these bad things. In addition, on the keto diet I am able to maintain a daily fasting period of 16 to 20 hours, which I cannot do when carbs are in the picture. This eating pattern has been shown to have multiple long term benefits.
Low carb diet completely changed my life for the better. My type 2 diabetes reversed in 4 months, my high blood pressure gone. Over 10yrs of better health. The alternative is drugs and pharmaceuticals and that's what they want. They are being controlled by pharmaceutical companies who don't want you to get healthy using diet, they want you to take their drugs
I have been on and off low carb for the past three years. Every time I fall off the wagon, my physical and mental health goes to crap which motivates me to go back on and get things in working order again. Only problem for me is getting that carb monkey off my back for good because it pulls me in like a drug. Always thinking I can go back and keep things under control or only have the carbs once every three weeks. Before I know it, I am back to getting my fix every day.
@@dondajulah4168 Processed carbs (pasta, bread, white rice, sugar, etc.) make me hungry and overeat. Keto satiates me and allows me to succeed in intermittent fasting. But over time, I run down and get a little foggy with pure keto. I'm going to try adding more MCT's, more fat, more electrolytes, and increased hydration. Good luck with keeping the "Carb Monkey" off your back.
its pretty simple, very corrupt people publish lies to push humanity into the direction of hurting themselves. Its to make it easier to control us. The hard truth is we are carnivores, which is why keto works, although you should go pure carni for the best benefits. Plants have tons of toxins that build up in our bodies
I'm Sick and tired of keto and vegan extremist! As If keto was part of their lives forever 🤦🏼♂️ Usually it's western people who have the most diseases in the world. In Japan people live not off keto and live longer in health than those on keto or veganism only.
You explain that then with your smart western mind? Its the chemicals killing western people the most in food and water and air
I'm 70 and have been an avid mountain biker for decades. I tried low-carb in my 50's. Lost weight fast, but didn't have energy for long rides. More recently I went on a diet in which I ate dinner really early - around 4 PM (partially to reduce acid reflux). Consistently eating early reduced weight as fast as low carb, but left me with more energy for riding. So, if your main goal is weight loss, there are better methods, I think, than low carb.
Thanks for that information. I wonder what your average bedtime was?
What time did/do you do rides both when you were having dinner at your normal time and early at 4?
My average bed time is probably 9 PM with a wakeup time of around 5 AM up until sunset gets late. When I was on the low carb, I was in my 50's, but still got good rest. During the height of mountain biking season, I'll shift eating to around 6 PM and bed at 10 PM and at that point I expect my weight to stabilize. It's "mud-season" here, now with ski areas closed and trails under snow, so I can afford to drop some weight and early dinner seems to be a winning strategy for me. Once the season starts, I ride best around early afternoon as I've had time to hydrate during the day. It's almost 7000' here and warm and dry so hydration is key.
H/T to Medcram, as even in summer (based on blood work) I still need some D3 supplementation which I ramp up in winter (again, based on bloodwork with my doctor).
@@kayakutah Eating your last meal at least three hours prior to bedtime is a proven winning strategy. Digestion is metabolically taxing. When comparing time restricted feeding, the group eating earlier in the day always does better. Skipping breakfast is easier for most people but if you are really playing to win, an early dinner rules.
Low carb does not mean ketogenic. A sensibly planned ketogenic diet is absolutely the best approach for maintaining health, fitness, energy, recovery, and performance.
Thanks
I always appreciate your factual data driven information.
I’m always a little confused on this subject. I’ve always stayed away from processed foods (of course any of us that had the occasional meal with friends might eat things not normally in our diet).
People tell me our old diet was animals. But we didn’t live very long back then. I was raised without animal products and still can’t eat much of them. I love greens, oranges, broccoli, I cook organic kale with a little organic olive oil and organic turmeric, pressure cook to break down the fibers for digestion, , squeeze organic lemon over it. I can’t live without my carbs like that.
So thank you for yet another great video in a world where all carbs get demonized equally
Thank you!
We didn't live very long back then, because the major things that killed us, were infectious diseases and accidents. One of the biggest problems with post mortem statistics, is that so many death certificates listed the cause of death as 'myocardial infarction', aka 'heart attack', because of course, if their heart didn't stop, they would still be alive. I'm a nurse, and have seen for 50 years people listed as dying from heart attacks, actually having been dying from some other cause, but eventually succumbing to a failing heart because of those contributing factors. Disclaimer: I started working as a volunteer at 14 in an e.r., and learned much from the doctors and nurses that i worked for.
@@d.e.b.b5788 we died of many things. Childbirth, trauma, fear of hospitals, lack of sanitary conditions, nutrient deficiencies. The list is endless. I’m a sturdier of history, besides emergency nursing over many decades.
Pasteur invented the germ theory, at the same time Claude Bernard had the terrain theory. Had we listened to Bernard more we would be a healthier population. It’s all about the cellular health and immune system. Germs have alway existed.
People die of complications of issues at cellular level. And always will
@@d.e.b.b5788 And deaths related to childbirth and childhood--all averaged in.
Back in Paleolithic times you had nothing to stop a simple cut or scrap from killing you. Also our life expectancy rate has increased mostly because the infant mortality rate decreased in the last 100 years
It's ironic my blood glucose meter doesn't differentiate between fruit and other sugars.
Thank you! Mine doesn't either. My A1C goes through the roof if I eat fruit regularly....I can't even have 1/day without my A1C indicating T2D.
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
I am nowhere near as educated As You Are. But let me tell you my story briefly. I weighed 275 lb as a senior in high school 6 foot 5. I weighed as much as 360 lb in my forties. I have tried every diet and every exercise regime that I could to no avail. One year ago I started eating a strict carnivore diet. I now currently weigh 258 lb I no longer use my CPAP machine at night and I sleep 8 hours a night now and I have been able to stop taking metformin, juniveva,farxiga. My blood glucose in the morning is usually between 90 and 100 now. I have tried to introduce fruits some raw honey and some vegetables back into my diet but the blood glucose machine tells me that that's not going to be an option. I also understand we're all not the same but this is simply my story and what has and is working for me. I loved your covid content keep up the good work and stay safe.
You should see the difference. Fruit is fructose which is metabolized in the liver and elicits a very limited glucose/insulin response. The downside is that too much fruit can cause fatty liver disease and cause high uric acid and the complications associated with that. cheers
@@CaptainSteve777 *_"Conclusions:_*_ No obesity-independent association was found between fruit or vegetable intake and NAFLD. According to the findings of this study, Japanese do not need to restrict fruit consumption to limit fructose intake as a means of preventing NAFLD."_
You are repeating the anti- fruit, anti- natural carb talking point. No studies ever proved that fruit causes NAFLD...
the over obsession with your blood glucose meter (if you don't have a metabolic disease like diabetes) whilst over looking other variables like *_induced glucose intolerance and pancreatitis,_* will be a long journey in undoing...
The core information is at 14:30, that is: Not all LC diets are the same. Refined carbs are the culprit. Thank you Doc for making this clear,
Honestly though, you think most people on low carb diets now didn't try eating whole grains and veggies? A lot of low carbers I've known even tried vegetarianism for a while in search of solutions. When I eat refined carbs my blood sugar spikes badly; when I eat whole grains and fruits, my blood sugar still spikes... not as badly, but it still spikes. I'm just one person but I'm willing to bet if you surveyed low carb dieters you'd find the vast majority of them at one point or another tried whole grains and fruits/veggies and didn't find it effective enough (or sustainable, for those of us who have carb addictions that get triggered by fruits and grains).
LOL. ALL curbs in your died eventually will torn into sugars so whet's your point?
@@RecicledCanadian brown rice and white rice have difference glycemic indexes (50 vs 72) and different nutritional profiles, while their carb contents are about the same.
@@kennethyuman1940 I'm absolutely positive that your body can thrive
without eating brown or white rice.
This in no way changes my view about low carb diet. I dont believe in this observational study. My health is the most powerful evidence to convince me that low carb, ketovore even carnivor diets are my choices.
I've been Low-Carb and more recently Keto, for 15 years. I lost 40 lbs in 12 weeks. It's been key for maintaining my weight ever since.
How's your energy
Please don't miss this point. Many have commented about the lack of quality in observational studies. However, the presence of a dose response effect does significantly increase the quality of the study which is why we presented this data (which is also newly published but no surprise from what was published 10 years ago). Please review this Cochrane Review on observational studies and the dose response curve: "Factors that increase the quality level of a body of evidence"
handbook-5-1.cochrane.org/chapter_12/12_2_3_factors_that_increase_the_quality_level_of_a_body_of.htm
"The presence of a dose-response gradient may also increase our confidence in the findings of observational studies and thereby enhance the assigned quality of evidence. For example, our confidence in the result of observational studies that show an increased risk of bleeding in patients who have supratherapeutic anticoagulation levels is increased by the observation that there is a dose-response gradient between higher levels of the international normalized ratio (INR) and the increased risk of bleeding (Levine 2004)."
Also, this 5 min video: th-cam.com/video/I4MjGC-XX90/w-d-xo.html shows which 5 areas on earth have the least diabetes and live the longest. It also shows what they eat. It’s clear that the results of this study also match up with real world evidence.
Join us at MedCram.com for more continuing medical education!
What these people have in common research says, they live on a near starvation diet. If you eat less especially less than the average American you live longer.
@@bree_martin The people of Ikaria in the Mediterranean are the most long-lived in the world, they drink red wine.
Males here in Victoria Australia live as long as males in these tiny communities. We have many on fast food diets, drug addicts, alcoholics, smokers. Go up the street and you know, 99% have very poor posture, 60% obese. Get the feeling, being sports mad, even if you don't actively participate, is the key to longevity.
It is funny how an average Japanese person will live longer in America than an average Okinawanian. Melbourne is the 2nd most highly populated Greek city and the greeks here live longer than those in that Greek place. Italians and asains here live longer than those that where they came from. I guess the poorer communities here don't live as long.
@@brucejensen3081 Victoria probably has the one of the best health and community care systems in Australia. That probably makes a significant difference.
@@tomgoff7887 yeah I guess. If you go to regional areas with less access to health care, people die younger. Lots of factors go into why people live longer and people like to cherry pick a few things to prove a point
I've reversed diabetes and insulin resistance with a carnivore diet. All red meat and eggs for years. Saturated fat and dietary cholesterol don't negatively affect your health. High insulin and sugar does.
Preach it to the rooftops!
@Teressa Stuckey so I should be dead? I feel great.
On a carnivore diet, it is the blood sugar level which goes down (since you are not consuming carbs), but insulin resistance is still there. So insulin resistance is not reversed, because as soon as you eat carbs, your blood sugar would go up. If insulin resistance reversed, one should be able to tolerate more carbs. To see if your insulin resistance is changed, you need to do glucose tolerance test. Many studies have shown that that glucose tolerance goes down (meaning insulin resistance goes up) on a high fat diet. It is shown that fat actually interferes with muscle cells’ ability to take in sugar (in other words, insulin becomes less effective in removing sugar from blood), thus presence of fat in muscle cells (where it does not belong) actually increases insulin resistance. But one doesn’t see this by just looking at blood sugar level because if he/she is consuming less carbs. Often for many on carb-restricted diet, there is an increased need for insulin (after many years) for the same amount carbs. One of the reasons that losing weight lowers insulin resistance is that when one loses body fat, fat in muscle cell also reduces, which lowers insulin resistance.
@@RK-tf8pq you simply need to test your insulin resistance. Mine is gone. Testing blood sugar alone is not enough. Insulin resistance does not increase on a high fat diet.
@@diveshs295 if you lose weight, your insulin resistance goes down. But over the years, studies have shown that insulin resistance goes up in many people. On the other hand, a high fiber diet, low fat has shown to reverse insulin resistance.
So I go low carb and improve my hunger, lose weight, get more energy, improved my mood etc etc but it's not healthy??
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
I think you did not understand. The study shows you're better of if you eat lots of fruits and vegetables opposite to the diet base on animal products. You may have a vegan diet with a low level of carbs and a very low amount of a highly processed food. Most of low carb diet is here to push "guilty free" meat consumption and this is definitely not healthy.
About the rest. Hunger is rather complicated. You may feel hungry after a big meal only because you did not have what you eat always. Italians without pasta, Filipinos with no rice etc. Changes take time. You can fix your problem with weight, hunger,energy, and mood by snorting meth instead eating anything. Yea, some say it may not be the healthiest option but it ticks all your boxes, doesn't it.
@@Medcram there's plenty of veg in my low carb.
@@Medcram did not answer the question
@@collettelennonmint5247 there is short term (good), and long term (bad). Very bad.
What do you think the significance is of the omega-fat ratio in what we eat? Factory farmed meats are very high in omega 6 and low in 3 (as compared to what would be found naturally). Could this be part of the reason that LCD with high animal fat diets are problematic?
That is an excellent observation and certainly, a confounder in these large, poorly designed, prospective observational studies. They are put together statistically with meta-analysis and then farmed for correlations retrospectively by commercial institutions and companies supplying the university grants. Dr.Ancel Keyes was a food scientist primarily funded by sugars and grain interests. He cherry-picked his studies producing large (for that time) studies that concluded, as he proclaimed, that saturated fat in animals and dairy was producing high cholesterol and was causing increased heart disease, CVD, and deaths in the USA. This report proved to be manipulated, false, and deliberately biased for the commercial interests of sugar, grains, and vegetable/seed oils. He deliberately excluded some parts of his own data which contradicted his conclusion. His theory caused increased CVD and early mortality in the USA for decades. He shamefully worked to destroy the reputation of a UK doctor who dared to disagree with him and proposed the true cause of the increased CVD was the increased consumption of refined carbohydrates. Expert scientists can sometimes be very nasty controlling narcissists. Especially if in Public Health and if they have autocratic power in a bureaucratic organization like Dr. Ancel Keyes. History often repeats itself. Buyer beware. They almost all get their faces on the front of the New York Times.
As a physician who also has a degree in nutrition, I simply want to state that nutritional epidemiological research is the worst science there is. If I had to fill out a nutritional diet survey as a professional in medicine and nutrition I would simply be making stuff up to complete the form. I wonder how often people list what they wish they were eating or what they thought the researchers wanted to hear. It is difficult to do meaningful statically analysis when the data that went into the stew was unreliable data. On a scale of 1 to 10 on the quality of scientific research, that derived from any epidemiological nutritional research is a negative number. Ancel Keys???? science???? lol
Judging by the superlatives in your comment it seems like you are in more disagreement with the results rather than the methods. This is the same method that was used to determine cause and effect of smoking and lung cancer. Perhaps you can explain how recall bias would create a dose effect relationship.
@@Medcram no it is not. smoking or not is a very binary measurement. diet is vastly more complex and difficult to measure. it’s a grossly false equivalence.
@@Medcram wow with this comment youve lost a lot of cred dude😂
Epidemiology is nothing but establishment propaganda...
L comment
So I have choice between living longer with over a dozen asthma attacks per day and being 50 lbs over weight, as well as being too tried to do any exercise or live shorter with no asthma attack, 50 llbs lighter and now able to do bodybuilding for fun with a keto diet. I wonder which I will continue.
That’s not what he said and this is general population wide information not individual. No need to be obnoxious about the video because it didn’t meet your individual choices. You do you.
Thank you. My grandma is the longest lived of our family. She's been overweight and diabetic her whole life and has suffered greatly from physical and mental issues but will be seen as a "success" by people who solely focus on length of life.
@@ggjr61 I watched too many people listen to their doctors giving poor dietary advice and watch their health decrease. The ones that listened got better So its personal.
I thought I had asthma for years....went away completely when I eliminated wheat from my diet...along with chronic severe back pain, horrible rashes....joint pain...
Vegan studies. You have to be careful of quoting these nutrition studies. If physics was nutrition, the physicists would still be stuck on the inclined plane. What to do instead? Think a little. The idea that meat 'n veg is the cause of the modern metabolic disaster is totally dumb. The idea that we should be eating grain instead of eggs, i.e. that omelets are the problem...also very dumb.
This video isn't espousing an idea, it's reporting results of very large scale, long term studies, conducted by epidemiologists.
...and interpreted by the authors. Rather important, that.
Dr Seheult is a vegan. Not a secret, but doesn't mention it either.
May God bless everyone. Have a good day.
❤
Back atcha. God bless!
@@twinflame4618 So? I was responding to Lemon. What you believe doesn't matter to me. That's between you and the Creator of the Universe. FYI, I thought what you believe for many years until I fully understood the science. You have more faith than I do to be so foolish. Good luck. You're going to need it.
I used to be a T2 diabetic on meds for 10 years. Since I’ve started eating low carb (approx 70 net carbs) my A1c has now gone down to 5.4 without any meds and has been at this level for 4 years. I eat mainly animal proteins and no highly processed foods. The studies presented here are not what I‘m seeing in myself.
No problem with low carb but imagine if your body had access to polyphenols, antioxidants and fiber that would allow your gut microbiome to thrive. That comes from plants and not animals.
@@Medcram 70g net carbs without any processed foods means I eat a lot of vegetables so all good
@@Medcram Imagine! I was a vegetarian for years, and didn't notice my microbiome jumping for joy. My immune system and digestion are thriving on a much more meat-based plan now.
This presentation was unbelievable. I love how he carefully explained each study.
What was the carbohydrate percentage of theses low carbohydrate diets?
I am a preventive cardiologist and pediatric cardiologist and this was a fantastic rundown of a complex subject
Thanks for watching!
Refined sugar? What sort of low carb diet includes that? Also DR Robert Lustig looked at the difference in fruit consumption between WHOLE fruit and smoothies etc (which destroy the fibre). So it's not just WHAT you eat, but HOW you do it. The more processing, the less fibre. The less fibre, the greater the rise in blood sugar - because fibre slows down the release of BS into the bloodstream.
Dr. Lustig is a pretty new convert, but he's good. He gets it! Reminder, fat slows the metabolism of carbs also.
I'd be interested to hear a discussion between you and Dr Benjamin Bikman..
Yes. Or Dr. Berg, or Ken Berry, or Paul Sanadino, or many others. Cheers
@@CaptainSteve777 yes, Dr David Unwin, Dr Caryn Zinn, Dr Jay Wortman … and others
Yes, as well as Dr. Eric Westman and Sten Ekberg.
As a n=1 study, I am a 68 yr old man. 5 years ago I adopted a strict Keto dietary lifestyle. I lost 120 pounds in about 8 months and my labs became normal for someone 20 years younger than I am. I gained about 20 pounds over the COVID years but my labs remained unchanged. Now I eat mostly animal based diet with above the ground vegetables and occasional fruit. My body condition has remained steady. The results in MY n=1 study are conclusive indicating the extremely low carb diet based on animal proteins is 100% effective. To be clear, my A1C is 5.1 and fasting insulin is 11. Best of all, I feel great. Historically, our species diet has been animal proteins based. No way our systems have changed that much in this short of time (10,000 years).
Not surprising if somebody gives up processed sugar and adopts your type of diet. Because process sugar is worse than 100% animal base keto diet. Unfortunately, that type of diet will eventually lead to severe arthrosclerosis over many years. A plant-based diet are better than either process sugar or ketogenic animal base products because they have in them something that neither of those two diets have: polyphenols and dietary fiber.
Get your cardiac calcium score done and you’ll understand what I’m talking about . You may also want to read up on nonhuman sialic acids. Neu5GC
I have always admired your sharp intellect and science based opinion. However, this time , I don’t understand how low carbs diets increases type 2 diabetes. The general trend of the last few decade tells another story. From my personal experience, I went from 135 kg to 108 following a ketogenic diet with out any increase in physical activity. All my insulin resistance markers improved in a short period of time.
For a good reason. Reducing energy from any food source is going to encourage weight loss. However, what you replace it with might have long-term consequences. These studies illuminate that fact.
@@Medcram Title : "ANCEL KEYS MEMORIAL LECTURE" should be enough to be extremely patient to interpret this study. I see no data on how many carbs have been consumed in each group and how was this controlled. 2 times in 10 years as questionnaire ?
That's because low carb diets don't increase type 2 diabetes. I find that pro-carb researchers purposely call bad diets low carb, to make the case they already believe. Science is usually nothing but propaganda...
There's a lot of focus these days on decreased longevity and healthspan due to sarcopenia as we age. I'm concerned that plant-based proteins will not be sufficient to stem the tide.
Thank you for doing this presentation. It is very important. I just wanted to state that a low carb ketogenic diet should not be high in protein. A lot of weightlifters employ it to reduce fat and increase muscle and they tend to have a protein heavy variation. Rather, it should be moderate in protein and high in healthy fats. Almonds, macadamia nuts, eggs, oily fish, avocados, butter, duck fat and full cream yoghurt for example. I stuck to it for 6 months eating copious amounts of leafy green vegetables: spinach, lettuce, cucumber, mushrooms, olives, capsicum, eggplant, zucchini, cauliflower, cabbage, broccolini, sprouts and berries/low carb fruits with red meat once or twice a week. I absolutely thrived and could not recommend it enough especially to anyone trying to manage type 2 diabetes. I had incredible amounts of energy for 6 months before I began to feel fatigued - I was eating very little by that time, as I did not feel hunger, so may not have been getting enough nutrition. My blood results were brilliant.
Carnivore here Never felt better. All my labs are at their all time best and even my recent CAC shown much improvement than it was 5 yr ago
Yeah there is something else going on here.
@@fun_at_work yeah changing a diet from extrem horrible to just horrible is indeed an improvement
Are there any research on Fish based low carb diet and mortality? Thanks.
Those results can’t be accurate while many people have reversed their diabetes by eating a low carb diet.
Not all low carb diets are the same as was shown in this study.
I worked with a doctor on a diet that was low salt, low carbs, low fat -- just lean meat and low-sugar veggies, water only to drink. So the PERCENTAGE of the fat was very high, but not the overall intake. I lost 120 pounds in 7 months, so it worked, but is hard to sustain. An egg in the morning, can of tuna at lunch (no salt mustard allowed, but no mayo), and a fist-sized serving of lean meat (poultry or rish) for dinner, 7 pm at the latest. A grab bag of green veggies plus cauliflower was for snacking or salad with dinner, oil and vinegar as a dipping sauce only. It was called The Brentwood Diet, created by Dr. Eric Mizrahi.
Isn''t the point here that you can lose weight on these low carb diets and see your biomarkers improve but, long term, mortality increases?
You do need sodium. Have a look the paper "Sodium intake, life expectancy, and all-cause mortality" from 2021
@@tomgoff7887 1999 Framingham showed that people with high cholesterol lived longer than people with moderate or low cholesterol. So we have to be careful of what we are told from 'the experts'. Good luck trying to find that study, because it's been eliminated from the net since about 2010, and replaced by an 'expert's interpretation' which oddly contradicts the original conclusions. Hmmm, I wonder why.
@@SergeiKozak We get at least two or three patients in our e.r. every week due to hyponatremia, who have been on 'low sodium diets'. What's weird, is their admission orders maintain low sodium diets.
@@d.e.b.b5788 I think that we need to be careful of overconfident people promoting fad diets on the basis of cherry-picked obsevational studies that are reported without detailing the full context . It has been observed over many decades that, in large general populations (in westernised countries at least) , people with high cholesterol on average live longer than people with lower cholesterol levels. The experts however are aware that a whole range of conditions from heart attacks to viral infections, physical traumas and certain cancers cause cholesterol to decline.
".... results of a recent meta-analysis10 of cause-specific mortality (including unpublished data on noncardiovascular causes of death) from 10 large cohort studies and 2 international studies that concluded that reduced serum cholesterol is not related to excess mortality among cohorts of employed individuals, whereas population-based studies did show a relationship. The investigators proposed that the discrepancy in results was probably due to a higher frequency of risk factors associated with low cholesterol, eg, alcohol abuse and ill health, in population-based study samples compared with employed cohorts."
circ.ahajournals.org/content/92/9/2365.full
I am 66 woman and carnivore. I do not have diabetes, never have had, my inflammation has reduced and my OA pain has nearly disappeared. I hope to remain carnivore for many years more.
You're missing the point, you need some medication. And the "studies" show this just can't be the case so stop believing your lived experience.
"low carbohydrate diets tend to result in reduced intake of fiber and fruits" I just have the feeling whoever did the study just went for the standard carnivorous crowd or people who drink sodas for life and eat processed meat because half of my plate being greens everyday clearly goes against this study. Plus a lot of people on the keto diet do intermittent fasting.
Bundling all low carbohydrate diets together in a study is straight up dishonest, like putting together the fat guy who eats a kilogram of bacon and steak per day and the person eating mostly cruciferous vegetables and 3 eggs per day.
Separating animal-based LCD is also dishonest because a lot of people on a healthy keto diet choose to buy meat from farmers who treat animals in more humane ways, and the animals who are stuck in a cage for 3 years only to be sliced up are going to be stressed and possibly injured or sick, same for chickens who aren't free to walk around and eat their normal diet. Grains are not a normal diet for chickens and bovines for example, they eat it because they are fed it, when they are supposed to eat what they naturally eat when they are left to their own devices, like grass and fruits for cows, not corn. Chicken are supposed to eat greens and insects, which is why free range pasture raised chicken is healthier to consume compared to normal chicken meat.
I personally don't eat red meat anymore even if beef liver is good to help nutrition.
This study is very incomplete and I appreciate that you pointed out it is so, I just hope people realize there is a lot that is not covered in this, and a lot of people just don't go buying out something from a food group just because it is part of that food group.
This study was from a cohort of nurses and health care professionals. Same job and economics.
Exactly a species appropriate diet the same goes for humans, we are not meant to eat processed grain. We need meat, fish, vegetables and a small amount of in season fruit, mainly berries.
@@carlasKK42923 is this your experience, learning or bias?
@medcram This video came at the perfect time! I’ve been on a plant based keto diet for 18 months and while I definitely understand the benefits, I feel much better consuming fruits that are not keto friendly. I added papaya and watermelon to my diet yesterday, which went over 50 carbs. I have no problem eating 50 carbs or less as I did for over a year, but I lost too much weight. I went from 96 to 88 lbs. This research confirms that fruits have several benefits such as poly phenols, vitamins and enzymes and are part of a healthy diet. Thank you for your extensive work, it’s appreciated.
Might I suggest intermittent fasting to get the benefits of keto as well.
@@Medcram Thank you, I’m doing intermittent fasting almost every day, definitely feel off when I miss a day.
96 lbs to 88lbs? How tall are you?
@@Medcram how can you suggest to someone weighing 88lbs to fast. Do you want them to melt or what ? I'm very surprised to see this weight, hope everything is good and normal
@@imhassane intermittent fasting causes HGH, Human Growth Hormone to be released (after the 13th hour of fasting), enabling a person to put on muscle much more readily than those who don't do intermittent fasting. I know. I'm a 66 year old male who does intermittent fasting, and I'm really amazed at how easily I put on muscle without even lifting weights! I do yoga and Pilates exercises. Some people say I have the body of someone in their 40s.
Maybe there is no one diet that fits everyone. On a plant based diet I am forced to turn to beans to get adequate protein. But that’s a ton of carbs. Eating a healthy plant based diet I developed a fatty liver at 65. I turned to a low carb diet and it cleared up, my triglycerides dropped to 49, my HDL went up, (the good cholesterol), and my ldl and cholesterol went down. It sounds paradoxical, but you can’t argue with good results.
I am not clear what was considered 'animal' protein in these studies, even after looking at them. Do you have any insight on this? Perhaps I missed it.
Sometimes 'animal protein' or 'meat' is considered only red meats (but not poultry or fish or dairy etc), sometimes it is anything derived from non-plant or mineral sources (so 'meat' or 'animal protein' would be flesh, milk, eggs, or parts from mammals, fish, crustaceans, shellfish, birds, etc)... and then there are times things are labeled/defined inbetween (which makes accurate comparisons more difficult).
Thanks for all you all do!!
The foods they choose depend on the results they want. Usually, they want the meat to look bad, so they choose hotdogs and other processed garbage meat.
Wow, they checked with the nurses every 4 years on what they ate during the past 4 years and drew conclusions. Give me a break. People can only vaguely remember what they ate in the past year, much less what they ate in the last 4 years.
Dose response. Very powerful
@@Medcram garbage in garbage out
@@Medcramthere is a dose response relationship between margarine consumption and divorce rates, you believe this is powerful correct?
I can't remember what I ate last week....
I wish this channel would come up in my feed more often.
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This study is looking at different types of low carbohydrate diets. Have anyone looked at low carbohydrate diet vs high carbohydrate diet (i.e., standard recommended American diet)?
These have been studied together. The SAD doesn't stack up well against other diets. It's hard getting good data on vegetarian/vegan diets because they often through in confounding variables (meditation/exercise/lifestyle changes regarding stress) and then give the diet all the credit for the benefits enjoyed by the participants in these studies.
There are studies that indicate that keto beats drugs when it comes to certain mental health issues...anxiety and depression to name 2....and without the conflicting variables (wink). However, the keto flu is real. People really do go through a trying process becoming fat adapted and many don't make it. You see, producing ketones isn't the same as being fat adapted (where all the benefits are at). There are also ZERO cheat days on keto....so if you believe in 80/20 with regards to diet, then it won't work for you. Unfortunately most studies that have looked at the keto diet have the participants on keto long enough to get the keto flu, but not long enough to become fat-adapted. Becoming fat-adapted takes upwards of a year or longer, depending on how deranged your metabolism is at the beginning.
This study DOES look at that. The dose response curve in the LCD from Q1 to Q5 increases the score and magnitude of the LCD. It shows it to be worse.
"Why is heart disease still the #1 killer despite the fact that the medical community has been so focused on it for the last 70 years?"
It’s actually dropped significantly. www.nih.gov/news-events/news-releases/cardiovascular-related-deaths-us-fall-disparities-remain
@@Medcram NIH 🤣
Most so called low carb diets aren't actually ketogenic. Long-term ketogenic, and carnivore is the best thing I've done in over 60 years.
Better energy, no more chronic inflammation and pain pain, and the best lab work I've ever had.
Carnivore for the win!
The Carb Industrial Food Complex doesn't like this.... (ha ha ha)
@@davidcottrell1308 if they are really interested in long-term effects, they should look at Eric Westman, Stephen Phinney, Jeff Volek and others who have been saving lives and improving health for decades with a real ketogenic diet.
You're so right! I've eaten clean keto for 3 years now. I measure my ketones with a KetoMojo meter. I'm in the best metabolic health of my life!
@@CJ-lj9fb exactly. I doesn't surprise me that there is so much 'evidence' against anything that might result in people not buying crapfood.
Fructose consumption from fruits cause weight gain as fructose is converted to fat -- that's one cause of the increase in fatty-liver disease is over consumption of fructose.
It's little more complicated. Yes, fructose can have this effect but fruits won't. The main issue is a percentage of fructose and especially ratio of fructose to fiber. You won't find a fatty liver among plant base vegans, even fruitarians, you will among people eating lots of highly processed food with high fructose syrup added on the top.
@@mariuszfurman4767 Steve Jobs being a fruitarian is what probably killed him. The stress on his pancreas eating all that sugar and fructose hammered it.
Totally agree Eat whole fruits not dried or juices Get Cyrus n Robbie’s book beat diabetis it will clear your doubts
Most “low carb” diets are in the150-200 g carb range which is not low carb at all, so we have to throw those studies out. Low carb is < 50 g carbs per day.
Also Dr. S.’s statement that meat and fat cause heart disease is pure bunk. The studies he relies on are people eating junk food and the meat gets blamed not the toxic seed oils, sugar and refined carbs.
Unless I missed something this study reveals low carb diet will kill you while the comments section is nothing but keto saved my life.
Doc, you miss one huge point. There is a huge difference between a ketogenic diet and a very low carb diet. By saying the word ketogenic, it means that the person is producing ketones. The only way to know if a diet is ketogenic is to measure ketones. It is cheap and easy to measure ketones. Without measuring ketones, the only thing you can say about a low carb diet is that it may be low carb. You cannot call it a ketogenic diet if you have no idea if the person is in ketosis. As hopefully you know, that a person in ketosis has a drastically different metabolism from a person that is not in ketosis. It is not smart to have a study that includes some people in ketosis and people not in ketosis in the same group.
The study did not study ketogenic diet’s. However, anybody can achieve ketogenesis by simply intermittent fasting, regardless of what diet they are on.
@@Medcram I disagree that anyone can achieve ketogenesis by intermittent fasting. I eat once a day an I've gotten out of ketosis by eating too much lean protein. Nevertheless, if that hypothetical person you talk about achieves ketogenesis then they are on a ketogenic diet regardless of what people call the diet. If the studies did not mention ketogenic diets then they need to caveat their finding to say that it does not apply to ketogenic diets.
Two things that should also be addressed are Omega-6 vs Omega-3 consumption ratios and the types of fruits/veggies (berries vs bananas and brussel sprouts vs corn as examples).
Thousands of people reporting reversal of diabetes, reduced CAC scores, improved skin, joints and chronic pain all on carnivore/ketovore woe. Can’t argue with results
Also, many after switching diets to plant-based
@@DMWB57 yes his reply clearly shows hia bias. Unfortuately people actually believe what he says and will end up ill through following his advice. These studies are pure propoganda using data from observational studies which should never be used.
@@DMWB57 ❤❤❤agreed
The last graph, Chinese fruit consumption is very interesting to me. The x axis is up to just 1 fruit per day, some days 2. That fits nicely into what most people consider a LCHF diet. Probably a similar study into fresh veggie consumption would reveal a similar trend indicating 1 serving of veg and 1 of fruit is sufficient for good health and low mortality. Not the 5-10 that is being pushed upon us. JMO. ( of course their is no data for 5-10 as probably no one in china eats that many.
China has the second highest rate of diabetes in the world. India is number 1.
In Taiwan, they also eat one fruit as a desert after a meal.
I may add these “observational studies” are not scientific at all. It depended on the memory of what people actually eat. The number one and two causes of heart disease is diabetes and insulin resistance. Therefore, what ever diet you can eat that lowers your insulin will decrease your chance of heart disease. Eating Whole Foods with a very low GI scale and load along with healthy fats (no vegetable oils), green leafy veggies, a hand full of berries and a variety of meats is very healthy. This is opposite of what the ADA endorses. If I ate the beans and legumes and fruits my doctor told me to, I would be in a diabetic coma.
I am wondering what the definition of “low carb” was in the studies. I’ve seen studies that define low carb as less than 100 or 70 or 50 grams. Are there studies out there looking at very low carb (less than 20 grams) and all cause mortality?
The groups de-emphasizing grains or processed carbohydrates makes me question how they qualified the other groups as low carb at all. My idea of low carb is less than per day and my understanding of keto is less than 20 carbs per day. In other words, low carb allows you to have a few more tomatoes, carrots and onions on your salad than keto. No room for processed carbs and grains inlets you omit fruits and vegetables. Also, if no meat is consumed, does that mean fish and eggs are being consumed? If not, how are they getting enough protein from a vegan diet while maintaining a low carb ratio?
The listed co-founders are interesting, but I think co-founders more relevant to T2D should include eating windows and anything else that would trigger the release of insulin into the blood, including artificial sweeteners.
Another confounder is the Omega 3 to Omega 6 ratio. If T2D is related to inflammation, highly processed seed oils vs. EVOO will confound inflammation results.
Thank you for the discussion of red meat and Sialic Acids. This might explain the success of Mediterranean diets that lean into salads, fish and eggs (but not pasta, cheese and deep fried healthy sruff).
Kept trying to write confounders but autocorrect kept changing it back.
Curious: Did all of the diets studied control for reduction of refined carbohydrates? From what was presented, it appeared only one group controlled for them and that group showed the best results from the study. I feel like repeating these studies but focusing on protein sources and intake of refined carbs would be a fascinating analysis to run. Thanks for the video
One of the ones he showed was examining the lower mortality rates in a population that ate more fruit that was not a refined carb.
@@AbacusincInfo True, the study showed the greaert the amount of whole fruit consumed, the better the outcomes. What it didn't say, what the fruit was substituting. It's typical healthy user bias. People that eat a lot of whole fruit also tend to have other "healthy" habits, like not drinking alcohol in excess, not smoking, not eating much if any processed and refined foods.
It's like the typical epidemiological studies looking at meat consumption. In general, people eating lots of meat are not following the general health guidelines as we have been told to reduce meat consumption for many decades now. So what else do these people not following the general healthy living guidelines do? The outcomes for people that eat only meat but do not consume other unhealthy food could, and probably is, completely different.
@@reinerschafer1708 no there are biochemical study’s on certain nutrients like for example comparing saturated fat against monounsaturated fat in this case palmitic acid against oleic acid and the saturated fat is broken down in the cell to ceramide which is cell toxic, so it causes oxidative stress and can cause DNA mutations and therfore cancer and destroy the interior of the cell but also blocks the glucose Metabolism and cause so Diabetes Typ 2 and als is ceramide integreted in to cell structures and because it’s not a Good working componment it causes dysfunction of the thing in which it’s integrated and Therfore a dysfunctional cell overall which lead to apoptoses at the end.
Yes at 13 minutes they talk about this
Let me get this straight, you're saying that a carnivore diet (fat & protein - zero carbs) which generates the lowest possible insulin response... will cause insulin resistance and diabetes??? This makes no sense whatsoever. Another giant red flag is that they seem to fail to define 'low carb' diets in the meta analysis. These papers have a very bad habit of considering levels as high as 100g of carbs per day as low carb, which is absurd, and thus obviously lacks the metabolic benefits of a true low carb diet.
First of all. I’m not saying anything. I’m explaining the results of a large and long observational study that importantly has a dose response effect. Diabetes is caused by oxidative stress and the lack of insulin sensitivity. This is affected by gut bacteria, polyphenols etc. Not just carbohydrates.
Low (zero) carb diet helped me reverse my diabetes
and I’m sticking to it!
I don’t need fiber since it’s non-essential
And I eat saturated fats
and I have a six pack for the first time ever.
Associational studies give incorrect outcomes 90% of the time unless the association is incredibly strong eg smoking
This is such and interesting subject! I'm working on implementing a low carb (not strict keto) way of eating for my health. Keeping my carbs to under 50g is proving to be more sustainable for me.
It's interesting to watch health and wellness videos from the 50's and 60's and to see that this is absolutely the way people have always knew to eat! Too many carbohydrates, sugar and "junk food" is what makes people fat. One can have meat, fish, veggies and some fruit for weight reduction. It's just common sense. The American Food Pyramid really messed up everyones common sense healthy food perception and it's gone down hill from there! If everyone ate like their great-great-grandmother's ate then this world would be a much healthier place!
What about populations that eat mostly animal foods, like Eskimos, that had no diabetes or heart disease until they started eating the Standard American Diet? How does that fit into these theories ?? 🤔
oops...there is THAT... ha ha ha
@@battleroyalepros6471 Eskimos are 100 percent human, so how does this answer my question?
@@battleroyalepros6471 haha, understood. Feel free to reword your reply to the best of your abilities
@@battleroyalepros6471 Humans ARE animals, and Eskimos ARE human. THAT's how it fits [sic]
Even eskimos had seasonal fruit.
Humans in the wild would never have access to carbs. None of the vegetables or fruit we eat today existed 100,000 years ago
I missed this when you published it, but it's fascinating. Thank you. I do have a couple questions, though. There are now numerous claims on TH-cam of diabetes reversal with ultra low carbohydrate diets, and many complaints offered up by people who reject plant based diets and swear by red meat and similar diets. Many of these folk have tried other diets with either no success or weight gain. There are too many of these to classify them as anecdotal, and these are typically people who've tried everything else. The common name for this is the "carnivore" diet. I think this demonstrates the need for more scrutiny, especially since virtually all these people appear to lack the diabetic markers you mention. Again, this is in no way an effort to disrespect your work, but this is very confusing to me, and, I'm sure, to others, especially in light of the numerous people who claim to have been cured of diabetes by utilizing a red meat diet.
To correct my health issues; chronic fatigue, brain fog, obesity, I went on the carnivore diet for 3 months, as my activity level increased I added dates, spaghetti squash, zucchini, bananas, and mangos. I eat no processed carbs at all, and no sugar except the one that comes from the fruit. I also eat two spoonfuls of organic grass fed butter. The whole thing about low fat diet is a sham. If our brains is mostly fat, and our nerves need fat for insulation, don’t we need healthy fats in our diets? We sure do! I have clarity like never before.
I also don’t eat after 6pm.
I have so much energy, I’ve caught up on things that were waiting for me to finish for years. I’m reading books and I can focus and remember what I read. I wake up early feeling well rested. My body aches are going away as well. I just feel like a healthy human being!
I've really enjoyed your videos since I discovered you during covid but this video is disappointing coming from you.
Yep lost tremendous amount of cred in my book
I'm really confounded. Why use all the confounded studies, there are lots of other evidences especially compelling testimonies.
Any data on comparing what was deemed 'healthy' vegetarian diets of low-carb vs high-carb (also healthy vegetarian, non-refined, etc)? The Chinese fruit study here indicates high-carb from fruit might be healthier than low-carb veg.
Any Chinese study is going to be super high on refined grains.
So I am a new diabetic and am now more confused about my diet. I followed my doctors advice. I have cut out almost all processed sugars 23:54 out of my diet, and all fruits and fruit juices. I have reduced my carbohydrate intake (35 GM per meal) keeping animal protein. I am trying to lose 25 to 30 pounds and am increasing my daily exercise. I tried the carnivor diet but got deathly sick after 2 days. My blood glucose ranges from 92 to 130 over a day. My A1C is high as well.
Listen to health care providers and not just people who have social media accounts.
@@Medcrammany of those are doctors especially in the carnivore community
As someone who helps treat patients with diabetes. I noticed on time 14:00 the display the studies only one study supposedly "de-emphasized on refined carbohydrates" under the Healthy LCD score? This makes me questions as the audience member, did the other studies animal based LCD, unhealthy LCD and vegetable based LCD score also consider other forms of refined carb intake that is not eaten but drank instead? I will have some patients claim to be "low carb" with higher protein intake, vegetables but then still drink processed beverages.
It's hard for me to take this study seriously as a study without bias when two of the quintiles are labeled "healthy" and "unhealthy". This shows the predisposition of the study towards a goal to promote a certain type diet.
progaganda strikes again!
Doc - you need to be up front and tell people that you yourself are a vegan, and support plant based diets. Not suggesting you would be biased of course.
I’m not vegan. I used to eat meat. It’s perfectly appropriate to review data and the be convinced by the results and then make changes in your own life as a result.
@@Medcram not vegan but used to eat meat? So you no longer eat meat? I recall seeing an interview of yourself many years ago where you stated you and your family were on a plant based diet.
@@Medcram again youve lost cred with this comment..."used to"😂
Now there is a big bias in the west against a meat-based diet. I wonder what impact this had not on the study itself, but on which studies we see.
Meat based was branded "unhealthy low carb" even before results were in. No bias at all 😂
It's a lot about what WEF and ESG represent, meat is considered bad with a large carbon footprint. And there is a big campaign against eating meat, I recommend the debate on the Oxford U. YT channel "Beyond meat".
@@VoltZero83 zis is conspiracy zeory, eat ze bugs goy!
In Chinese studies meat is associated with longevity, that's the problem with weak epidemiology associations, there are a lot of confounders.
This guy is vegan
Fantastic video full of really useful information along with the studies supporting this information.