As a construction worker, I learn something from every one of your videos. I just wish your field of science and your knowledge of it would be a textbook that all doctors would have to learn from before they can practice medicine.
they are supposed to refer to the specialists - hence they are generalists for that reason. they are meant to refer to dieticians if needed or endocrinologists if needed both who (should) have done biochemistry. its wonderful to be educated by someone who knows what they are talking about though. grateful as well.
@Petunia-fl9lu yes, but like a general contractor in construction, they have to know how all of the subtractors (specialists) work is supposed be done to identify if they are providing the owner (patient) a quality job ( fixing the underlying problem or diseases). In stead the medical system operates backasswards. The general physician hands the job off without knowing if the specialists are doing a quality job or not cause they don't understand the inner workings of the human metabolism, that's why it's failing to fix the problem, which is our health. So now the average person has to learn how their body operates without getting paid to do so or get a discount in health insurance for fixing ourselves, because the ones who make the most money don't know how. In my field if we under perform as bad we get fired.
I've been using exogenous ketones! I've been following the Keto diet for 2.5 years and then switched to carnivore for the last 18 months. Dealing with advanced Osteoarthritis, I've found that ketones act as my pain reliever (better than painkillers). I've been keeping track of my ketone levels... Here's the interesting part - if my ketosis level drops below 1.5, I experience pain. However, after consuming ketones, an hour later the pain disappears and my levels are between 2.3 to 2.8. My GKI stays between 2.8 to 3.3 every day. It's truly remarkable! Thank you for all your fantastic videos.
I started using exogenous ketones after hearing you talk about using them. I have one client that I visit every week for 6 hours and her house is made of candy. I drink the ketones and go through the whole visit without a horrible urge to eat the candy. I am so thankful I started listening to you.
Dr. Bickman, I can't tell you how much I love these lectures! In fact I'm developing an addiction to them-LOL! I'm a retired clinical psychologist & have always had an insatiable thirst for knowledge. I spend my evenings watching lectures like these instead of watching bad movies. Although I've watched many interviews involving yourself, I didn't discover this channel until recently. Thank you so much for allowing me to go back to school & learn--the thing I most like to do!
Your term “insatiable thirst for knowledge” is bang on to how I feel. I would rather learn than do anything else. My nose is always pointed down a rabbit hole of learning.
I'm an elderly woman who's been keto for 4 years. I follow that protocol to reduce inflammation and weight, but also because of the dementia that runs in my family. I do my best to keep my cognition high so I have recently started to take exogenous ketones because I heard it was valuable for brain function and health. Whether it is a placebo effect or actual improvement, I experience increased clarity and awareness when I take exogenous ketones before a "study" session. I have not experience much difference in weight control but I do feel some improvement with inflammation. Thank you for sharing your knowledge and experience with us in a way that even laymen can understand!
When I was in school in the early 90s (dietitian) I was clearly taught brain and nerve cells prefer glucose as fuel. During the era when they started upping CHOs for for diabetes and relying fully on erogenous insulin. Retired by a decade, I literally have had to unlearn so much since then.
Hi doc! I love your lessons! I have been eating keto/carnivore/cheesovore for 2 1/2 years to get rid of tendon pains, burning pain in my feet, fatty diarrhea. Great results! Woman, 54, LMHR, BMI 18.5 , play tennis fasted, retired, no stress. One problem persists: insomnia since early childhood, very active brain. It takes at least 2 hours to fall asleep and after a few hours of sleep I wake up and can not get back to sleep. I think I get low glycemia and high cortisol in the middle of the night. My liver seems slow in making glucose and ketones. Yesterday I took a teaspoon of MCT oil (70% C8 / 30% C10) in my yogurt at 8 pm (2 hours before bed). I have slept the whole night without waking up 😃 I hope this will continue.
Yeah, sleep has been a lifetime issue for me as well. Also I’m an active 66 yo male and 1 year into my carnivore journey, so I’m still figuring things out. As mentioned, I am finding eating butter before I head to bed has been very helpful in getting a good nights sleep. I’ve heard the same from quite a few people. However, having said that, I know that when I fast for more than 24 hours that it’s very likely that only sleep for a few hours and then I’m fully alert. So, if calorie deprivation results in sleeplessness when fasting, then maybe there’s a more general relationship at work between calorie intake and sleep. Maybe I’m simply not consuming enough calories in general on a day to day basis? That said I’m planning on upping my calorie intake by 25% by increasing my fat consumption and see how that works out for sleep. I’ll add that my weight has been rock steady since I lost the extra body fat. My bmi is higher than yours, but I’m also 43% muscle per the omron impedance scale.
@@johnk6578 Cool! Yes BMI is not a good marker, I agree. I think fasting is a huge stress, especially for lean people. This summer I fasted for 4 days. Sleep was terrible and I got ill: extremely low BP, high inflammation markers (high uric acid, high LDLox, high homocysteine, high TG). Normally when I eat (keto/carnivore) and intermittent fast my markers are in the LMHR range.
Damn, you hit it out of the park with this class. You filled in some of the holes I have been curious about. It is a privilege to attend the metabolic classroom.
I work for our State Court system I’m on call 24 hr…if I’m called out during the night, which is very normal, sometimes when my sleep is interrupted early in the night usually around midnight I wake quite “addled “. I take a ketone “shot” as soon as I get up by the time I arrive at the scene of my call out, I find my head clear fully prepared to deal with the load of detailed paperwork required
very cool! basic carnivore here...I am never hungry, have absolutely no cravings....I find your detailed explanations really helpful.Thanks for everything you do!!
Thankyou for the excellent video. There are a lot of recommendations to take coconut oil and MCT oil. But it's unclear to what degree these oils are converted to keytones for people who have elevated insulin levels. If you could do a companion video to this one to clarify MCT oil and keytones that would help a lot.
Dom just had a talk about this on Westman's Adapt. He say MCT is the poor man's exogenous ketone and processes quickly, however, he added that taking exogenous ketones with MCT oil kept the ketones in the blood longer creating a synergistic effect. He also said that D BHB will not show up on a blood monitor. both D and L BHB are a combination that works best for most people, D being bio identical
Socrates was known to fast, sometimes for several days, in preparation for debates and discussions and the like. Even this ancient, wise man knew that fasting (being ketogenic) was beneficial for the brain. Insane! Fasting is such an ancient and wise wisdom that we have forgotten. We must bring this consciousness back!!
When I first heard Ben spoke, I was so excited. His knowledge is so incredible.I have re-watched pretty much all of his videos. I can’t get enough. The condition of the blood is truly life altering. I’m a carnivore for over 5 years. Thank you for your service. God bless
Whenever I get deep into ketosis via low-carb eating, I get this brain surge of focusing on the tasks at hand and the tasks on the back burners. I will clean out reorganize, improving our home centers, closets, sewing rooms, and many other cluttered places. I love it!! ❤️ 🏡 😊
Thank you Professor Bikman! I really appreciate your dedication to bring knowledge to the masses. I know your content is forever pushing the boundary of my ignorance back, it seems a never ending task. So again thank you for all you, and your team are doing. More informed patients is how the medical establishment will come to know these things you are teaching. I feel for Dr's and medical professionals as they are in a very tightly controlled line of business. It isn't only the customers (patients) they are trying to keep alive and or well, but the hospital administrators, investors, Big Pharma, Insurance, and of course the legal community. With so many pressures and so much at risk I can see how one would be required to stand on the platform of "Standard of Care." It's sad, but like my ignorance none the less true. All this to say thank you for helping us in the battle to secure better health.
Ketone-IQ Pre-Workout: I take the 35 mL dose 30 mins before my 1 hr workout with a trainer. They boost my energy, mood and suppress my appetite for 2 to 4 hours. I usually take them fasted or after my decaf coffee with MCT oil depending on when I am going to the gym. I am a 74 yr female who is recovering from prediabetes & insulin resistance - thanks to you and a low carb diet! They do literally taste like cr@p but I keep mine chilled and down 8 oz of water immediately after. I have not experienced any negative side effects. They cost the same as the bioidentical ones you suggested but you get more servings. I test my ketones after my workout and they range anywhere from .5 to 1.5 probably due to the intensity of my w/o and how long I have waited to test. I also seem to have better recovery when I take them - less stiffness and soreness.
Dr. Bikman, I use them to get back to sleep. Insomnia's been a problem for decades now - especially when I'm in ketosis and for some reason, I can get back to sleep if I drink a gulp (I use HVMN's ketones.) They are also a tremendous help in reversing the grogginess and brain fog from lack of sleep. It seems counterintuitive if I'm already in ketosis, but I wonder if my body needs the energy to rest well. I notice a difference pre-exercise, but the sleep assistance is the most powerful. Oh, I should also add that they're just as effective if I've eaten enough carbs to take me out of ketosis.
Maybe they reduce stress hormones pathways for you, allowing you to sleep. Many people that fast see an increase in their stress hormones and find it difficult to sleep.
I’ve been using exogenous ketones to help extend my sleep time. I would drink them a few hours before bed and it worked until it didn’t. I went from sleeping 2-3 hours to 5 1/2 hours and reverted back. However, I never thought about drinking them when I wake up in the middle of the night!!! I will try this tonight and see what happens! ❤
Thats because of Tryptophan I believe. It needs to get across brain barrier and doesnt very well when in ketosis. Lots on you tube about it. Thomas Delauer has some great vids on it and how to fix...worked for me without buying supplements, which I try not to do although he mentions exogonus ketones also as possible way to fix. Very common issue.
I use keystones from Dr Boz, her pucker up are very tart, I love them. I’m 2 months into a very low carb ketogenic state. Using keystones I measure with a keystone meter/bg meter and my numbers are going up including my fasting bg going down and keystones going up. I am zero carbs but not fasting eating only Sardines for 4-5 days. I do have some of the mast side effects of ketosis. Keto rash and the feeling of high cortisol/adrenaline on waking and calf spasms while trying to sleep during that 3am-5 am window. I take magnesium, including bathing in it. Weight is coming off. BMI is 24. I’m 64. Inflammation is way down, joint pain. Gone, sinuses feel better than ever. Ears, nose and throat a problem my whole life finally getting relief and breathing better. Drink plenty of water with salt. Love your book and channel. Live any feed back from anyone on these cortisol issues I’m having 😊
Dr Bikman . . . Glad you're at BYU! I'm a grad from long ago. I would love for you to do an episode of exogenous ketones and brain health. I suffered a major TBI 9 years ago and have had brain issues ever since, especially with brain focus and energy. Fast forward and thru many youtube doctors later I realize that I have significant insulin resistance that is showing up as brain fatigue. I started hesitantly taking them a year ago and my brain function is 100% better when I do. I started listening to Dr Georgia Eade as well. I'm trying to go keto but the gap of brain energy always pulled me back to fast carbs. With your ringing endorsement I'm going to add them daily to support my my brain functioning while finally getting into ketosis on my own. My understanding of ketones is that many neurological disorders . Epilepsy, TBIs, Parkinson's, MS etc can all be helped by exogenous ketones. Thank you so much for being so generous with your time and expertise.
Ive used them when i know my cravings will go up, i am physically disabled and overweight but am on the mend metabolically! Thank you from the bottom of my heart for your studies and shares?..as a medical professional this is such valuable information for others to understand. 🙏🏽🙏🏽🙏🏽
Thx Dr. I appreciate the clarity of your approach to explaining metabolism. Being just another over weight 60 year old who unfortunately didn't control my carbohydrates, I want to do my due diligence to empower myself to improve my quality of life.
Hi Dr Bikman, I used exogenous ketones when I had covid recently (first time of having the virus). I took 1 bottle of KetoneIQ ketone ester per day, over 3 days, in the morning with decaf coffee and sine Mct oil and noticed a calming effect and less brain fog than when i first awoke. I was already on carnivore diet. My flu-lime symptoms were of shorter duration (2 days) than my husband, who got it (4 days), who wasn't on a very low carb diet and was not using exogenous ketones.
Thank you for sharing your immense expertise and knowledge with the world. Another outstanding contribution from distinguished Dr. Bikman to the discourse on health and metabolism! :D
The best thing ti happen for my health is finding your videos and now your classroom!!! I have been following your advice and my blood glucose is down. Making keytones comes and goes but at least I am finally making some that are measurable. To keep them I have to have less than 20g of carbs a day.
Incredibly helpful. So clear. You are a great instructor. I plan to understand this material completely and pass it on when people ask " what are you doing?" I'm obviously doing something different ( low carb life). I wish you had included use of MCT OIL. Please do a lecture that includes how and when to use MCT oil.
I don't think he's a fan of MCT oils, if I recall. He'd rather see us use our diet wisely. Funny, how I remember his comments about that from back in 2019.
I've been using exogenous ketones and recently began to question whether they were the right path. My goal is weight loss, pain, energy and gloomy mood! Your lectures are great! Thank You. You speak to me at a level that is detailed orientated but not too much over my head! I've been following the Keto diet for years but recently became very focused. Began 24 hour fasting. I backed off of BHB because my insulin refuses to go any lower and I needed to do a bit of experimenting to see what I could change. I previously found I did not like Ester type BHB, headache, not energizing. The salts make me feel good, to the point I felt guilty indulging in that burst of energy and clarity. I plan on giving the bio-identical ones a shot. Please keep sharing your knowledge, you are excellent at this!
I use an exogenous ketone product that uses raspberry ketones as it's primary ingredient. Raises my blood ketones by 1 to 2 points within 2 hours. It is difficult for me to maintain a theraputic state of ketoses and these really help on those days my GKI will not go down.
Dear Dr Bikman, ❤ you are amazing ❤ I hope you can do a video about gluten as a cause of hypothyroidism . You mentioned that in one interview . I also hope you can talk about food sensitivities, histamine and insulin, if there is a connection.
I’m on 9 years 0 carb lost 55 pounds but belly fat never gone. Very high protein low fat. Now last 5 month I eat very high fat like 200-300 grams fat 60-90 grams protein I gained muscle and lost belly fat . My glucose under 80 ketone all ways 2.5 to 3.9 . To much energy. Day time only eat ghee with coffee night eggs yolk small steak some bacon add more butter.
@@punchkitten874 does that dairy you’re speaking g if also include heavy cream ? I use heavy cream in my coffee , I stopped drinking milk 2% 2 years ago . I’m curious if that includes heavy full fat cream?
@@vonticehembree6083 Yes, it does include heavy cream. I recently quit coffee, but I used to drink it with salt and heavy cream. Five pots a day!!! I wouldn't worry about it if you're only having a cup or two, but at my rate, it was my only calories for most of the day, and I called myself OMAD. 🤦 btw, quitting coffee wasn't nearly as bad as I thought. Yes, I had a headache, but bc I hadn't been eating during the day, quitting coffee led me to an easy 24 fast. The fast seemed to give me energy, which was weird, but I got over coffee in just a couple days (I quit bc $$)
I find the constant use of the term 'insulin resistance' unhelpful (notwithstanding everyone spouting a different pet theory on the cause/mechanism). Ben has previously said that IR always coexists with hyperinsulinaemia so I find just using that term helps me understand what's happening.
Thank you, Professor Bikman! My question is this: Will exogenous ketones cause my own body to not make my own endogenous ketones in a similar way as when a person injects exogenous testosterone, their body tends to not make its own because it’s getting what it needs from outside?
@26:00 American ketones how to take I have used ketone - IQ, which is the Esther form and also the BHB salts and have noticed the calculus buildup on my lower teeth, which is not fun to deal with. I take them on my workout days for the extra energy and motivational mood. It is good to know you can also use them for that nighttime snacking I just hope they don’t keep me awake… Thank you so much for sharing this info. I have been looking for.
Thank you for all your lectures you’ve added so much to my knowledge and understanding of how to reverse metabolic disease. I was a T2D which reversed 4 months on keto/carnivore but still have insulin resistance after 20 months, which I’m hoping to help reverse using exogenous ketones. I also am medicine resistant Bi-polar II (T2D was caused by the medications) and a recent study was showing how ketones could improve and balance out brain chemistry. A keto/carnivore diet has improved my symptoms but am going to try exogenous ketones and see if there’s any improvement. Thank you for all the details on how ketones work and that exogenous are safe. Also thank you for mentioning a preferred brand it saves time and money.
I have trouble creating ketones on Carnivore or KETO. I've lost 30 lbs in 2 months but have not been able to create ketones or get my blood glucose out of the pre-diabetes range and I've stalled. I'm trying to increase fat intake and lower protein. I just bought Nutricost Keto BHB Exogenous Ketones but I'm wondering when to take them to increase ketones.
Thank Dr Bikman. I have been Keto/Carnivore for over 5 years generally in some level of ketosis. I have noticed increased "plaque" on my bottom front teeth and couldn't figure out why. No where else, and i maintain good dental hygiene. Your insight makes sense! Hoping i am not building up kidney stones....
Read your book a little over a year ago, and just now found your channel. Thanks for all the information! I’ve used exogenous keystones in 3 ways: (1) in the morning when I don’t have breakfast, just to keep hunger in check -i.e. intermittent fasting; (2) At night to stave off any cravings (much like you) since I tend to have my biggest cravings in the evenings; (3) right before/during intense or long exercise. I’m an avid/competitive cyclist and I’d wondered about the impact of mixing keystones and carbs (personal anecdote: I’ve done it during long & intense cycling workouts and it seems to help with endurance). I wouldn’t typically do all 3 of these in a single day, and I’ve honestly been concerned with “over-doing it” with the exogenous keytones.
Another great video! Thanks for taking the time to make these videos. I really feel like I am back at college learning about these things. In one of your videos, your analogy about the manual stick shift driven car really stuck with me and brought home the message of what happens in muscles when you burn ketones and when you burn glucose. Glucose, the engine is revving but not in gear yet, can't do much work. Ketones, the engine is revving and can now do work. You are the insulin expert in my mind. Keep up the work!
My 94 yr old mother started exogenous ketones five days ago. I’ve been preparing all her meals for sometime and cleaned up her diet, however, despite this she was still having cognitive decline and extreme agitation that was getting worse. After just 5 days and only half the recommended dose her agitation is nearly gone and more like herself. Big question I have is how long can she stay on exogenous ketones ?
Thank you so much, that clarified a lot! I know I will be rewatching the video, it's so helpful and a somewhat less-covered topic! I have not used exogenous ketones so far, I have only got into ketosis through eating low-carb or almost no-carb, as well as fasting. It takes 2-3 days for me to get into ketosis after eating carbs (I haven't cut them out completely, for example I do parttake for birthdays etc). I am still testing this out, wearing both CGM and continuous ketone monitor to try and understand what affects me how, so I am very curious about this topic! I seem to have some insulin resistance, but otherwise my health metrics seem good, with blood pressure even being on the lower side. Even when I have reached ketosis, I sometimes get out of it again despite eating only meat and eggs for example, no strenuous exercise etc (example from yesterday), which makes me wonder... You mention in this video that insulin is the driver of the level of ketones created. Can insulin be created without carbs being eaten? As there is no continuous insulin monitor, I have to deduct insulin level from carb and ketone levels. I know blood glucose level goes up when I go to sauna (and I love sauna) - does this raise insulin right away as well? Curiously, when I was at a spa and spent time alternatingly in sauna and in cool water (20 degrees Celsius, so not "cold" like most cold plunge research), my ketone levels jumped up when I was in the cool, instantly down again when I was in sauna. Does this mean that cold plunges make ketone levels go up? In your video you talk about breaking down nutrients (both carbs and fats), but I didn't hear you mention if it is the same citrate cycle when using our body's own fat? I am sorry if it should be obvious, it's just that I am trying to learn from all these different sources and this link is so far missing in my understanding. So many topics that are interesting here and I hope you will be covering these and more in the future! Always extremely grateful that you are educating us like this. I am in IT myself, so completely different field, but I am obsessed with understanding how to make myself healthier! Your channel here as well as so many interviews in different places, and InsulinIQ free course (didn't take the paid one) and your book and the Instagram reels... Amazing and huge thank you!
Thank you for this. I have been worried about exogenous ketones even while I'm struggling to get into ketosis through diet. And for the discussion of salts, esters, and bio identical BHB.
Maybe using exogenous ketones can act as a bridge to help ramp up the metabolic pathways for ketone metabolism. There's definitely an adaptation period going from a high insulin state to a low insulin one
Hi Ben, when I heard you mention Dr. Stephen Cunnane, I wondered if you were going to mention MCT oil. Apparently our bodies have the capacity to convert MCT oil to ketones. I am also reminded of Dr. Mary Newport's experience with her husband's dementia, and how the MCT oil made some improvements for him. I do not know if you could consider this a source of exogenous ketones or not, as the MCT oil has to be converted to ketones once digested. I make a super delicious salad dressing which I encourage you and your listeners to try. 1 tsp dijon mustard, 1 tbsp apple cider vinegar, and 3 tbsp MCT oil plus a dash of salt. It's a tasty way to get the MCT oil in me as I do not like bulletproof coffee. By the way, it is a completely taste-free oil, so good for consuming with other foods.
@insuliniq I purchased the ketones from American Ketone and I mixed the 2oz with water in the empty bottle provided. The only thing I don't see is how much of the mix am I supposed to drink, when or how often? I love the sour taste, too. I have been Carnivore for over 2 years (Keto for 1 year before that) and am normal weight. I used to smell ketones every time I exercised. I no longer smell them and unsure why. I exercise daily and I wanted the ketones to curb my nighttime cravings and help with exercise recovery. I would appreciate any advice on how often and how much to take. I am a 63yo female, 120lbs. Thank you very much!
I think you gave an excellent presentation of Ketone metabolism. Do you think given the cost that exogenous ketones are worth it? I have a difficult time seeing the real benefits of higher ketone levels. It seems nutritional ketosis is sufficient.
Alrighty then! Using Keto for weight loss myself. Also TBI, facial fractures and brain bleed 4 years ago leaving me pretty addled. So much benefit! Also, dealing with the brutal murder of my sister, the aftermath, the trauma to her children, grandchildren, our siblings, our elderly parents. Just learning and trying Exogenous ketones. Today was a good day to put it to work. Had a family gathering yesterday, it was sweet, Sis is missed so much especially as we were a great team to cook for our crew as well as in our days of farming, ranching and mining. Best scratch cooks in the region, and she was a star. All the food was lovingly made. I came prepared with ketosis on board plus all I needed to resist yet cook. I had no hunger or cravings. I was emotionally attracted and my soul was nourished by sharing the meal, so I did. Home later, I caved and binged while grieving. 225 carbs to my best count. This morning felt it. Guts were brutal. Out of Ketosis. So took a dose of BHB in water. I used Real Ketones, Elevate. Had bought it a couple weeks ago in a sale at our Walgreens. 1 hour later showing ketones on the urine stick. Calming in my mind, gut pain eased, reflux eased. Using Dr. Boz suggestion to NOT fast, I fixed us and ate breakfast. I feel good that this works. I used the BHB last week to manage sleep, anxiety and nightmare problems. I saw a difference, but was still nervous about using them. This experiment this morning eases my concerns alot. Thanks Doctor!
I use them when I go out for a meal with family and friends that are not on a ketogenic diet. It's seems to keep me in ketosis even if I have more than 50g carbs. Thanks for all you do Dr. Bikman! ❤
I’m wondering if continuous use of exogenous ketones would down-regulate the liver’s production? I know the body is both clever and miserly, so would the spilling of calories via ketones in breath and urine continue indefinitely?
Dr Bikman, thank you for this info. I keep hoping someone will talk about using exogenous ketones in the setting of epilepsy. We've known about the ketogenic diet being an effective treatment for lots of seizure disorders, and I've often wondered how exogenous ketones would affect someone suffering from epilepsy. I'm in the EEG field but still have not heard anything about anyone trying this. If you ever run out of research ideas, feel free to have this one! Thanks again. (PS I've tried the salts and the esters. I'll have to give your suggested brand a try next!)
Sean, you’re too kind. Thank you. Certainly not expected but much appreciated. Please let me or my team know, on our website at www.insuliniq.com if there’s anything we can do to help you. Thanks again.
Thank you. Not just educational but so interesting and helpful. I find your “classrooms” enjoyable … you present your information so clearly. I have been trying to get “fat adapted” for the last 6/12 on a carnivore diet. Exogenous ketones may be worth trying🤞. Thank you
Thank you for this info.Brilliant. But what about MCT oil.? I am 81 yr female in Australia. Just diagnosed with mild to moderate white matter disease. Am carnivore. Hoping exogenous ketones will slow progress. Is there any hope of that? Many thanks.
Ben you mention that you use "Original Ketone" by American Ketone. Is this still available? Their website seems to indicate that they do not exist anymore. Any other ketone supplier recommendations?
I have tried ketone IQ, I didn’t see any great result but I’m not giving up on it . I tried another one that tasted like an orange dream sickle and I felt a definite amount of energy . Name : REAL ketone . I usually stay at. 6mmol thru keto mojo monitoring . Not sure if this low level of ketone is really beneficial but at last my A1c stays at 5.3 which is more important to me . Thank you DR Ben . I love learning from your classes
Ketone IQ is not a true ketone ester. It is only the diol which is an alcohol and will give you a buzz if you drink enough of it. DeltaG or KetoneAid are true ketone esters.
Thank you for a clear and complete explanation of ketones!! I use exogenous ketones for energy and in the evenings to satisfy cravings as well but not too late as I think they can keep me from going to sleep easily.
I don't use exogenous due to thier high cost relative to just using Bulletproof C8 MCT oil which converts to ketones fairly quickly; so I'll sip a little at work if my mental clarity starts to fade; or, sip while on the long commute home if I start getting too tired whist on cruise control. In both instances, the results are fast and effective. I also use it after a rare sweet treat to help bump up my metabolism (based on some of the work Dr Gundry has reported in his books and video about "mitochondria decoupling"). I find I can get back to burning fat (gained during a lax few days of eating carbs) sooner by doing that.
Hello, Dr. B. Another excellent video. I am conducting my own study on longevity and keto. N=1. Looking forward to the journey. I lucked onto this path 20 or so years ago and I believe it was a very good happenstance. Keep up the great work!!
I have trouble creating ketones on Carnivore or KETO. I've lost 30 lbs in 2 months but have not been able to create ketones or get my blood glucose out of the pre-diabetes range and I've stalled. I'm trying to increase fat intake and lower protein. I just bought Nutricost Keto BHB Exogenous Ketones but I'm wondering when to take them to increase ketones.
My blood ketone levels never get above a 0.2 even after a three day fast. Is this common, and will exogenous key tones help my body to get into ketosis better?
Dr Bikman. o have been looking for papers on what happens to triglycerides since I walk 5 miles to go see the cardiologist. So I am wondering if my triglycerides will be higher than normal
Im a Lean Mass Hyper Responder. I dont take exogenous ketones but i do have a huge problem with calcium/ plaque deposits on the front of my lower teeth. No amount of brushing or flossing gets rid of it. Am i naturally producing it from my erogenous ketones? How do i get rid of it?
I have the same issue with the lower teeth deposits, and am wondering if it’s from endogenous ketones or oxalate excretion. Perhaps we need more calcium?
In Kreb's Cycle, at the point where the insulin level directs the conversion of excess Acetyl CoA to become either ketones or fat; what is the corresponding glucose level? I can measure blood glucose much more easily than insulin.
G’day Dr Bikman I have a question… What do you think of MCT oil (C8, C10)? I take a Tbs in my 1x coffee most days (with 1 Tbs each butter and cream). I eat predominantly high fat, mod protein carnivore. Or would you say the exogenous ketones are better? Love your videos, thank you 🙏 Angie from Down Under
What an amazing talk, glad I stumbled across it. You mentioned the benefits for brain health and possible uses for people with epilepsy. I have a few conditions in the brain, multiple sclerosis, brain cancer (non-operable), epilepsy (was having 1-10 seizures every day for the past 6 years or so). Have tried multiple different meds without much success (currently taking 2). If the primary outcome desired was reduced seizures, do you think it is possible and would there be any potentially dangerous effects on the other conditions in your opinion? I also have auto immune type of anemia where my body destroys red blood cells resulting in very low hemoglobin and low energy as well as cognitive impairment.
Thanks for the class! Tried Dr Boz ketones recently and definitely like them. Using to get into ketosis and it works. Feel energy and not hungry no cravings. Naturally eating less or not so naturally lol
Dr. Bikman, thanks for this video, I learned a lot. I've been in ketosis for many years and like many people posted, I would like to sleep longer - I sleep for only 5 hours and I'm tired during the day. I'm experimenting with sodium-bhb salts and increasing my potassium. I recently took potassium chloride and sodium-bhb in the morning and had more energy during the day. My next plan is to reduce it to just one variable at a time and then try taking the bhb salts at night. If they both help, then I may switch from sodium-bhb to potassium-bhb.
Dr. Bikman, what do you consider "low insulin" to start the ketone cycle? For a prediabetic, whose fasting Insulin is high, can they get into ketosis though fasting or low carb diets, or will it take dropping fasting insulin to normal levels ( which I understand can take years)? I am confused by this point.
I went low carb in Oct 2021 after being diagnosed with diabetes. I could tell by my breath that I was in ketosis within the first 3-6 months (I never measured them and it may have happened sooner). My diabetes had been remitted by the 3 month mark. Dr Ken Berry recommends Vitamin P = patience. Remember that it has taken time to become prediabetic/diabetic. It's going to take time to reverse it, but I personally think that it happens faster than what we expect it to if we can stay away from the carbs and processed foods. I have found Dr Eric Westman and Dr Ken Berry videos helpful. I think some people get a bit too caught up trying to measure things. Some people need to do this to keep them motivated. I could tell by my body shape/size and how I felt that low carb was working. I don't measure anything because I like to keep it simple; occasionally get on the scales. Wishing you all the best. BTW my fasting insulin was measured for the first time Dec 2022 (so no benchmark unfortunately) and it was 7. By mid 2023 it was 5. My low carb doc likes it to be between 2 and 5. Wishing you all the best.
As a construction worker, I learn something from every one of your videos. I just wish your field of science and your knowledge of it would be a textbook that all doctors would have to learn from before they can practice medicine.
they are supposed to refer to the specialists - hence they are generalists for that reason. they are meant to refer to dieticians if needed or endocrinologists if needed both who (should) have done biochemistry. its wonderful to be educated by someone who knows what they are talking about though. grateful as well.
@Petunia-fl9lu dieticians are a big part of the problem it's also important to realise how much of this stuff is pretty recent understanding
Amen!
Learning that we get sick because of eating, yeah
@Petunia-fl9lu yes, but like a general contractor in construction, they have to know how all of the subtractors (specialists) work is supposed be done to identify if they are providing the owner (patient) a quality job ( fixing the underlying problem or diseases). In stead the medical system operates backasswards. The general physician hands the job off without knowing if the specialists are doing a quality job or not cause they don't understand the inner workings of the human metabolism, that's why it's failing to fix the problem, which is our health. So now the average person has to learn how their body operates without getting paid to do so or get a discount in health insurance for fixing ourselves, because the ones who make the most money don't know how. In my field if we under perform as bad we get fired.
I've been using exogenous ketones! I've been following the Keto diet for 2.5 years and then switched to carnivore for the last 18 months. Dealing with advanced Osteoarthritis, I've found that ketones act as my pain reliever (better than painkillers). I've been keeping track of my ketone levels... Here's the interesting part - if my ketosis level drops below 1.5, I experience pain. However, after consuming ketones, an hour later the pain disappears and my levels are between 2.3 to 2.8. My GKI stays between 2.8 to 3.3 every day. It's truly remarkable! Thank you for all your fantastic videos.
Interesting N=1 for pain relief. Thank you
Nice GKI (weird compliment 😂)
Please, what are the exogenous ketones you use? Are they manipulated exogenous ketones? Thanks!
Thanks for sharing!
what exogenous ketones you use?
The more I listen to you the more I am so thankful I listen to you.
Amen. It makes my ground beef taste better
I started using exogenous ketones after hearing you talk about using them. I have one client that I visit every week for 6 hours and her house is made of candy. I drink the ketones and go through the whole visit without a horrible urge to eat the candy. I am so thankful I started listening to you.
If there was a large cauldron in the kitchen, caution, your client might be a cannibal witch.
Do you use American ketone recommended by dr ?
Do you mind to share Which brand do you use?
@@plumbthumbs9584hahahaha
Dr. Bickman, I can't tell you how much I love these lectures! In fact I'm developing an addiction to them-LOL! I'm a retired clinical psychologist & have always had an insatiable thirst for knowledge. I spend my evenings watching lectures like these instead of watching bad movies. Although I've watched many interviews involving yourself, I didn't discover this channel until recently. Thank you so much for allowing me to go back to school & learn--the thing I most like to do!
Thanks for your kind comment.
Your term “insatiable thirst for knowledge” is bang on to how I feel. I would rather learn than do anything else. My nose is always pointed down a rabbit hole of learning.
This "student" is learning more from these lectures. Thank you very much.
I'm an elderly woman who's been keto for 4 years. I follow that protocol to reduce inflammation and weight, but also because of the dementia that runs in my family. I do my best to keep my cognition high so I have recently started to take exogenous ketones because I heard it was valuable for brain function and health. Whether it is a placebo effect or actual improvement, I experience increased clarity and awareness when I take exogenous ketones before a "study" session. I have not experience much difference in weight control but I do feel some improvement with inflammation. Thank you for sharing your knowledge and experience with us in a way that even laymen can understand!
What brand do you use if you don’t mind sharing?
When I was in school in the early 90s (dietitian) I was clearly taught brain and nerve cells prefer glucose as fuel. During the era when they started upping CHOs for for diabetes and relying fully on erogenous insulin. Retired by a decade, I literally have had to unlearn so much since then.
Hi doc! I love your lessons! I have been eating keto/carnivore/cheesovore for 2 1/2 years to get rid of tendon pains, burning pain in my feet, fatty diarrhea. Great results! Woman, 54, LMHR, BMI 18.5 , play tennis fasted, retired, no stress. One problem persists: insomnia since early childhood, very active brain. It takes at least 2 hours to fall asleep and after a few hours of sleep I wake up and can not get back to sleep. I think I get low glycemia and high cortisol in the middle of the night. My liver seems slow in making glucose and ketones. Yesterday I took a teaspoon of MCT oil (70% C8 / 30% C10) in my yogurt at 8 pm (2 hours before bed). I have slept the whole night without waking up 😃 I hope this will continue.
Yes, eat fat before bed. Could even be butter.
Yeah, sleep has been a lifetime issue for me as well. Also I’m an active 66 yo male and 1 year into my carnivore journey, so I’m still figuring things out.
As mentioned, I am finding eating butter before I head to bed has been very helpful in getting a good nights sleep. I’ve heard the same from quite a few people.
However, having said that, I know that when I fast for more than 24 hours that it’s very likely that only sleep for a few hours and then I’m fully alert. So, if calorie deprivation results in sleeplessness when fasting, then maybe there’s a more general relationship at work between calorie intake and sleep. Maybe I’m simply not consuming enough calories in general on a day to day basis? That said I’m planning on upping my calorie intake by 25% by increasing my fat consumption and see how that works out for sleep. I’ll add that my weight has been rock steady since I lost the extra body fat. My bmi is higher than yours, but I’m also 43% muscle per the omron impedance scale.
@@johnk6578 Cool! Yes BMI is not a good marker, I agree. I think fasting is a huge stress, especially for lean people. This summer I fasted for 4 days. Sleep was terrible and I got ill: extremely low BP, high inflammation markers (high uric acid, high LDLox, high homocysteine, high TG). Normally when I eat (keto/carnivore) and intermittent fast my markers are in the LMHR range.
Cheeseavore!! I don't know you but I love you!
@@minermomx31 Hi! Thanx! Actually, I am fromagivore! I live in France 😋
Damn, you hit it out of the park with this class. You filled in some of the holes I have been curious about. It is a privilege to attend the metabolic classroom.
I work for our State Court system I’m on call 24 hr…if I’m called out during the night, which is very normal, sometimes when my sleep is interrupted early in the night usually around midnight I wake quite “addled “. I take a ketone “shot” as soon as I get up by the time I arrive at the scene of my call out, I find my head clear fully prepared to deal with the load of detailed paperwork required
Where do you get your ketones? Type?
Just curious, how much is a ketone shot? I usually fast till noon.
very cool! basic carnivore here...I am never hungry, have absolutely no cravings....I find your detailed explanations really helpful.Thanks for everything you do!!
Thankyou for the excellent video. There are a lot of recommendations to take coconut oil and MCT oil. But it's unclear to what degree these oils are converted to keytones for people who have elevated insulin levels. If you could do a companion video to this one to clarify MCT oil and keytones that would help a lot.
Dom just had a talk about this on Westman's Adapt. He say MCT is the poor man's exogenous ketone and processes quickly, however, he added that taking exogenous ketones with MCT oil kept the ketones in the blood longer creating a synergistic effect. He also said that D BHB will not show up on a blood monitor. both D and L BHB are a combination that works best for most people, D being bio identical
Socrates was known to fast, sometimes for several days, in preparation for debates and discussions and the like. Even this ancient, wise man knew that fasting (being ketogenic) was beneficial for the brain. Insane!
Fasting is such an ancient and wise wisdom that we have forgotten. We must bring this consciousness back!!
When I first heard Ben spoke, I was so excited. His knowledge is so incredible.I have re-watched pretty much all of his videos. I can’t get enough. The condition of the blood is truly life altering. I’m a carnivore for over 5 years. Thank you for your service. God bless
Whenever I get deep into ketosis via low-carb eating, I get this brain surge of focusing on the tasks at hand and the tasks on the back burners. I will clean out reorganize, improving our home centers, closets, sewing rooms, and many other cluttered places. I love it!! ❤️ 🏡 😊
Thank you Professor Bikman! I really appreciate your dedication to bring knowledge to the masses. I know your content is forever pushing the boundary of my ignorance back, it seems a never ending task. So again thank you for all you, and your team are doing. More informed patients is how the medical establishment will come to know these things you are teaching. I feel for Dr's and medical professionals as they are in a very tightly controlled line of business. It isn't only the customers (patients) they are trying to keep alive and or well, but the hospital administrators, investors, Big Pharma, Insurance, and of course the legal community. With so many pressures and so much at risk I can see how one would be required to stand on the platform of "Standard of Care." It's sad, but like my ignorance none the less true. All this to say thank you for helping us in the battle to secure better health.
Thanks, Scott, for your kind comment.
No excuses, ever, for causing deliberate harm to others!
I can't *Like* these discussions enough! Thank you once again Ben.
Ketone-IQ Pre-Workout: I take the 35 mL dose 30 mins before my 1 hr workout with a trainer. They boost my energy, mood and suppress my appetite for 2 to 4 hours. I usually take them fasted or after my decaf coffee with MCT oil depending on when I am going to the gym. I am a 74 yr female who is recovering from prediabetes & insulin resistance - thanks to you and a low carb diet!
They do literally taste like cr@p but I keep mine chilled and down 8 oz of water immediately after. I have not experienced any negative side effects. They cost the same as the bioidentical ones you suggested but you get more servings. I test my ketones after my workout and they range anywhere from .5 to 1.5 probably due to the intensity of my w/o and how long I have waited to test. I also seem to have better recovery when I take them - less stiffness and soreness.
We love learning from you, Dr. Bikman! 😃
Dr. Bikman, I use them to get back to sleep. Insomnia's been a problem for decades now - especially when I'm in ketosis and for some reason, I can get back to sleep if I drink a gulp (I use HVMN's ketones.) They are also a tremendous help in reversing the grogginess and brain fog from lack of sleep. It seems counterintuitive if I'm already in ketosis, but I wonder if my body needs the energy to rest well. I notice a difference pre-exercise, but the sleep assistance is the most powerful. Oh, I should also add that they're just as effective if I've eaten enough carbs to take me out of ketosis.
Maybe they reduce stress hormones pathways for you, allowing you to sleep. Many people that fast see an increase in their stress hormones and find it difficult to sleep.
@@nataliajimenez1870 Interesting! That makes a lot of sense - I'm particularly sensitive to stress. Thank you!
I’ve been using exogenous ketones to help extend my sleep time. I would drink them a few hours before bed and it worked until it didn’t. I went from sleeping 2-3 hours to 5 1/2 hours and reverted back. However, I never thought about drinking them when I wake up in the middle of the night!!! I will try this tonight and see what happens! ❤
@@porterhousegirl Good luck! I hope it works
Thats because of Tryptophan I believe. It needs to get across brain barrier and doesnt very well when in ketosis. Lots on you tube about it. Thomas Delauer has some great vids on it and how to fix...worked for me without buying supplements, which I try not to do although he mentions exogonus ketones also as possible way to fix. Very common issue.
I use keystones from Dr Boz, her pucker up are very tart, I love them. I’m 2 months into a very low carb ketogenic state. Using keystones I measure with a keystone meter/bg meter and my numbers are going up including my fasting bg going down and keystones going up. I am zero carbs but not fasting eating only Sardines for 4-5 days. I do have some of the mast side effects of ketosis. Keto rash and the feeling of high cortisol/adrenaline on waking and calf spasms while trying to sleep during that 3am-5 am window. I take magnesium, including bathing in it. Weight is coming off. BMI is 24. I’m 64. Inflammation is way down, joint pain. Gone, sinuses feel better than ever. Ears, nose and throat a problem my whole life finally getting relief and breathing better. Drink plenty of water with salt. Love your book and channel. Live any feed back from anyone on these cortisol issues I’m having 😊
Dr Bikman . . . Glad you're at BYU! I'm a grad from long ago. I would love for you to do an episode of exogenous ketones and brain health. I suffered a major TBI 9 years ago and have had brain issues ever since, especially with brain focus and energy. Fast forward and thru many youtube doctors later I realize that I have significant insulin resistance that is showing up as brain fatigue. I started hesitantly taking them a year ago and my brain function is 100% better when I do. I started listening to Dr Georgia Eade as well. I'm trying to go keto but the gap of brain energy always pulled me back to fast carbs. With your ringing endorsement I'm going to add them daily to support my my brain functioning while finally getting into ketosis on my own. My understanding of ketones is that many neurological disorders . Epilepsy, TBIs, Parkinson's, MS etc can all be helped by exogenous ketones. Thank you so much for being so generous with your time and expertise.
Oh and I forgot about the benefit of exogenous ketones to mental health issues: depression, ADHD, etc. Just showed I need to take my ketones! 😂
Ive used them when i know my cravings will go up, i am physically disabled and overweight but am on the mend metabolically! Thank you from the bottom of my heart for your studies and shares?..as a medical professional this is such valuable information for others to understand. 🙏🏽🙏🏽🙏🏽
Thx Dr. I appreciate the clarity of your approach to explaining metabolism. Being just another over weight 60 year old who unfortunately didn't control my carbohydrates, I want to do my due diligence to empower myself to improve my quality of life.
Hi Dr Bikman, I used exogenous ketones when I had covid recently (first time of having the virus). I took 1 bottle of KetoneIQ ketone ester per day, over 3 days, in the morning with decaf coffee and sine Mct oil and noticed a calming effect and less brain fog than when i first awoke. I was already on carnivore diet. My flu-lime symptoms were of shorter duration (2 days) than my husband, who got it (4 days), who wasn't on a very low carb diet and was not using exogenous ketones.
Always Learn something
new watching your videos
Dr Ben .
Thank you for sharing your immense expertise and knowledge with the world. Another outstanding contribution from distinguished Dr. Bikman to the discourse on health and metabolism! :D
The best thing ti happen for my health is finding your videos and now your classroom!!! I have been following your advice and my blood glucose is down. Making keytones comes and goes but at least I am finally making some that are measurable. To keep them I have to have less than 20g of carbs a day.
Incredibly helpful. So clear. You are a great instructor. I plan to understand this material completely and pass it on when people ask " what are you doing?" I'm obviously doing something different ( low carb life). I wish you had included use of MCT OIL. Please do a lecture that includes how and when to use MCT oil.
I don't think he's a fan of MCT oils, if I recall. He'd rather see us use our diet wisely. Funny, how I remember his comments about that from back in 2019.
I've been using exogenous ketones and recently began to question whether they were the right path. My goal is weight loss, pain, energy and gloomy mood! Your lectures are great! Thank You. You speak to me at a level that is detailed orientated but not too much over my head! I've been following the Keto diet for years but recently became very focused. Began 24 hour fasting. I backed off of BHB because my insulin refuses to go any lower and I needed to do a bit of experimenting to see what I could change. I previously found I did not like Ester type BHB, headache, not energizing. The salts make me feel good, to the point I felt guilty indulging in that burst of energy and clarity. I plan on giving the bio-identical ones a shot. Please keep sharing your knowledge, you are excellent at this!
Always learn something new. Appreciate your content!
Always appreciated!
I use an exogenous ketone product that uses raspberry ketones as it's primary ingredient. Raises my blood ketones by 1 to 2 points within 2 hours. It is difficult for me to maintain a theraputic state of ketoses and these really help on those days my GKI will not go down.
Dear Dr Bikman, ❤ you are amazing ❤ I hope you can do a video about gluten as a cause of hypothyroidism . You mentioned that in one interview . I also hope you can talk about food sensitivities, histamine and insulin, if there is a connection.
I’m on 9 years 0 carb lost 55 pounds but belly fat never gone. Very high protein low fat. Now last 5 month I eat very high fat like 200-300 grams fat 60-90 grams protein I gained muscle and lost belly fat . My glucose under 80 ketone all ways 2.5 to 3.9 . To much energy. Day time only eat ghee with coffee night eggs yolk small steak some bacon add more butter.
I am having the same problem, just belly and a bit of chest fat,will increase my fats.
@@jaykana7677Dairy fats contain a hormone which helps babies put on weight. Dairy can stall or reverse weight loss on the carnivore diet.
@@punchkitten874 does that dairy you’re speaking g if also include heavy cream ? I use heavy cream in my coffee , I stopped drinking milk 2% 2 years ago . I’m curious if that includes heavy full fat cream?
@@vonticehembree6083 Yes, it does include heavy cream. I recently quit coffee, but I used to drink it with salt and heavy cream. Five pots a day!!! I wouldn't worry about it if you're only having a cup or two, but at my rate, it was my only calories for most of the day, and I called myself OMAD. 🤦
btw, quitting coffee wasn't nearly as bad as I thought. Yes, I had a headache, but bc I hadn't been eating during the day, quitting coffee led me to an easy 24 fast. The fast seemed to give me energy, which was weird, but I got over coffee in just a couple days (I quit bc $$)
@@punchkitten874 I’m only drinking one cup a day , rarely two . But it’s something to think about
Could you give the link to buy thees recommended keatons, please?
5:30 just realised that those with insulin resistance, have a metabolism that is forced to use more glucose than ketones.
Yes, same here
Why wouldn't we use more fat from our cells instead of glucose?
Lord have mercy!!!❤😢 please I need to lower my insulin..with depleting ALL MY ENERGY.
@@truthlover11 When you insulin is elevated, your live can't enter keto-genesis.
I find the constant use of the term 'insulin resistance' unhelpful (notwithstanding everyone spouting a different pet theory on the cause/mechanism). Ben has previously said that IR always coexists with hyperinsulinaemia so I find just using that term helps me understand what's happening.
Thank you, Professor Bikman! My question is this: Will exogenous ketones cause my own body to not make my own endogenous ketones in a similar way as when a person injects exogenous testosterone, their body tends to not make its own because it’s getting what it needs from outside?
@26:00 American ketones how to take
I have used ketone - IQ, which is the Esther form and also the BHB salts and have noticed the calculus buildup on my lower teeth, which is not fun to deal with. I take them on my workout days for the extra energy and motivational mood. It is good to know you can also use them for that nighttime snacking I just hope they don’t keep me awake…
Thank you so much for sharing this info. I have been looking for.
Thank you for all your lectures you’ve added so much to my knowledge and understanding of how to reverse metabolic disease. I was a T2D which reversed 4 months on keto/carnivore but still have insulin resistance after 20 months, which I’m hoping to help reverse using exogenous ketones. I also am medicine resistant Bi-polar II (T2D was caused by the medications) and a recent study was showing how ketones could improve and balance out brain chemistry. A keto/carnivore diet has improved my symptoms but am going to try exogenous ketones and see if there’s any improvement. Thank you for all the details on how ketones work and that exogenous are safe. Also thank you for mentioning a preferred brand it saves time and money.
Question: Do exogenous ketones have to be in liquid form or can you get them in a capsule?
I have trouble creating ketones on Carnivore or KETO. I've lost 30 lbs in 2 months but have not been able to create ketones or get my blood glucose out of the pre-diabetes range and I've stalled. I'm trying to increase fat intake and lower protein. I just bought Nutricost Keto BHB Exogenous Ketones but I'm wondering when to take them to increase ketones.
Thank Dr Bikman. I have been Keto/Carnivore for over 5 years generally in some level of ketosis. I have noticed increased "plaque" on my bottom front teeth and couldn't figure out why. No where else, and i maintain good dental hygiene. Your insight makes sense! Hoping i am not building up kidney stones....
I always learn something from you Mr. Bikman. Thank you.
Your info has helped me not to be leary of the wastefulness in the usage of exogenous ketones.
That was so clear! Thank you! I’ve subscribed and will stay tuned ❤.
Be thrilled! I continue to learn something new from you almost everytime i listen to your lectures. I keep coming back for more.
Read your book a little over a year ago, and just now found your channel. Thanks for all the information! I’ve used exogenous keystones in 3 ways: (1) in the morning when I don’t have breakfast, just to keep hunger in check -i.e. intermittent fasting; (2) At night to stave off any cravings (much like you) since I tend to have my biggest cravings in the evenings; (3) right before/during intense or long exercise. I’m an avid/competitive cyclist and I’d wondered about the impact of mixing keystones and carbs (personal anecdote: I’ve done it during long & intense cycling workouts and it seems to help with endurance). I wouldn’t typically do all 3 of these in a single day, and I’ve honestly been concerned with “over-doing it” with the exogenous keytones.
Another great video! Thanks for taking the time to make these videos. I really feel like I am back at college learning about these things.
In one of your videos, your analogy about the manual stick shift driven car really stuck with me and brought home the message of what happens in muscles when you burn ketones and when you burn glucose.
Glucose, the engine is revving but not in gear yet, can't do much work.
Ketones, the engine is revving and can now do work.
You are the insulin expert in my mind.
Keep up the work!
My 94 yr old mother started exogenous ketones five days ago. I’ve been preparing all her meals for sometime and cleaned up her diet, however, despite this she was still having cognitive decline and extreme agitation that was getting worse. After just 5 days and only half the recommended dose her agitation is nearly gone and more like herself. Big question I have is how long can she stay on exogenous ketones ?
Thank you. Learning from you is pure pleasure. This is extremely valuable information for those of your audience who eat a ketogenic diet.
Thank you so much, that clarified a lot! I know I will be rewatching the video, it's so helpful and a somewhat less-covered topic!
I have not used exogenous ketones so far, I have only got into ketosis through eating low-carb or almost no-carb, as well as fasting.
It takes 2-3 days for me to get into ketosis after eating carbs (I haven't cut them out completely, for example I do parttake for birthdays etc). I am still testing this out, wearing both CGM and continuous ketone monitor to try and understand what affects me how, so I am very curious about this topic! I seem to have some insulin resistance, but otherwise my health metrics seem good, with blood pressure even being on the lower side.
Even when I have reached ketosis, I sometimes get out of it again despite eating only meat and eggs for example, no strenuous exercise etc (example from yesterday), which makes me wonder... You mention in this video that insulin is the driver of the level of ketones created. Can insulin be created without carbs being eaten? As there is no continuous insulin monitor, I have to deduct insulin level from carb and ketone levels.
I know blood glucose level goes up when I go to sauna (and I love sauna) - does this raise insulin right away as well? Curiously, when I was at a spa and spent time alternatingly in sauna and in cool water (20 degrees Celsius, so not "cold" like most cold plunge research), my ketone levels jumped up when I was in the cool, instantly down again when I was in sauna. Does this mean that cold plunges make ketone levels go up?
In your video you talk about breaking down nutrients (both carbs and fats), but I didn't hear you mention if it is the same citrate cycle when using our body's own fat? I am sorry if it should be obvious, it's just that I am trying to learn from all these different sources and this link is so far missing in my understanding.
So many topics that are interesting here and I hope you will be covering these and more in the future! Always extremely grateful that you are educating us like this. I am in IT myself, so completely different field, but I am obsessed with understanding how to make myself healthier! Your channel here as well as so many interviews in different places, and InsulinIQ free course (didn't take the paid one) and your book and the Instagram reels... Amazing and huge thank you!
Thank you for this. I have been worried about exogenous ketones even while I'm struggling to get into ketosis through diet. And for the discussion of salts, esters, and bio identical BHB.
Maybe using exogenous ketones can act as a bridge to help ramp up the metabolic pathways for ketone metabolism. There's definitely an adaptation period going from a high insulin state to a low insulin one
Hi Ben, when I heard you mention Dr. Stephen Cunnane, I wondered if you were going to mention MCT oil. Apparently our bodies have the capacity to convert MCT oil to ketones. I am also reminded of Dr. Mary Newport's experience with her husband's dementia, and how the MCT oil made some improvements for him. I do not know if you could consider this a source of exogenous ketones or not, as the MCT oil has to be converted to ketones once digested. I make a super delicious salad dressing which I encourage you and your listeners to try. 1 tsp dijon mustard, 1 tbsp apple cider vinegar, and 3 tbsp MCT oil plus a dash of salt. It's a tasty way to get the MCT oil in me as I do not like bulletproof coffee. By the way, it is a completely taste-free oil, so good for consuming with other foods.
I had heard this too
I learned something new! Thanks Doc!
Thank you so much for explaining this in a way - after rewatching - I can understand. New sub.
@insuliniq
I purchased the ketones from American Ketone and I mixed the 2oz with water in the empty bottle provided. The only thing I don't see is how much of the mix am I supposed to drink, when or how often? I love the sour taste, too. I have been Carnivore for over 2 years (Keto for 1 year before that) and am normal weight. I used to smell ketones every time I exercised. I no longer smell them and unsure why. I exercise daily and I wanted the ketones to curb my nighttime cravings and help with exercise recovery. I would appreciate any advice on how often and how much to take. I am a 63yo female, 120lbs. Thank you very much!
I think you gave an excellent presentation of Ketone metabolism. Do you think given the cost that exogenous ketones are worth it? I have a difficult time seeing the real benefits of higher ketone levels. It seems nutritional ketosis is sufficient.
It would be useful if a you could have discussed how long ex ketones last in the body? Especially the new type you take from American ketones.
Alrighty then!
Using Keto for weight loss myself. Also TBI, facial fractures and brain bleed 4 years ago leaving me pretty addled. So much benefit! Also, dealing with the brutal murder of my sister, the aftermath, the trauma to her children, grandchildren, our siblings, our elderly parents. Just learning and trying Exogenous ketones. Today was a good day to put it to work. Had a family gathering yesterday, it was sweet, Sis is missed so much especially as we were a great team to cook for our crew as well as in our days of farming, ranching and mining. Best scratch cooks in the region, and she was a star. All the food was lovingly made. I came prepared with ketosis on board plus all I needed to resist yet cook. I had no hunger or cravings. I was emotionally attracted and my soul was nourished by sharing the meal, so I did. Home later, I caved and binged while grieving. 225 carbs to my best count. This morning felt it. Guts were brutal. Out of Ketosis. So took a dose of BHB in water. I used Real Ketones, Elevate. Had bought it a couple weeks ago in a sale at our Walgreens. 1 hour later showing ketones on the urine stick. Calming in my mind, gut pain eased, reflux eased. Using Dr. Boz suggestion to NOT fast, I fixed us and ate breakfast. I feel good that this works. I used the BHB last week to manage sleep, anxiety and nightmare problems. I saw a difference, but was still nervous about using them. This experiment this morning eases my concerns alot. Thanks Doctor!
1 year TBI bleed survivor here, just started drinking ketones to see if it helps.
I use them when I go out for a meal with family and friends that are not on a ketogenic diet. It's seems to keep me in ketosis even if I have more than 50g carbs. Thanks for all you do Dr. Bikman! ❤
I’m wondering if continuous use of exogenous ketones would down-regulate the liver’s production? I know the body is both clever and miserly, so would the spilling of calories via ketones in breath and urine continue indefinitely?
Dr Bikman, thank you for this info. I keep hoping someone will talk about using exogenous ketones in the setting of epilepsy. We've known about the ketogenic diet being an effective treatment for lots of seizure disorders, and I've often wondered how exogenous ketones would affect someone suffering from epilepsy. I'm in the EEG field but still have not heard anything about anyone trying this. If you ever run out of research ideas, feel free to have this one! Thanks again. (PS I've tried the salts and the esters. I'll have to give your suggested brand a try next!)
Thank you so much 4 caring about the science.. and people ❤❤
Thanks!
Sean, you’re too kind. Thank you. Certainly not expected but much appreciated. Please let me or my team know, on our website at www.insuliniq.com if there’s anything we can do to help you. Thanks again.
Thank you. Not just educational but so interesting and helpful. I find your “classrooms” enjoyable … you present your information so clearly. I have been trying to get “fat adapted” for the last 6/12 on a carnivore diet. Exogenous ketones may be worth trying🤞. Thank you
Wow! So much information! I am going to listen to this again and take notes!! Thank you!
I often find it helpful to listen to these type of videos twice or sometimes 3 times.
Thank you for this info.Brilliant. But what about MCT oil.? I am 81 yr female in Australia. Just diagnosed with mild to moderate white matter disease. Am carnivore. Hoping exogenous ketones will slow progress. Is there any hope of that? Many thanks.
Excellent lecture. Thank you.
Thank you, @InconnuGlitterBoy for your kind gift. Certainly not expected, but much appreciated. Thanks.
Thank you so much for this informative teaching on ketones
Ben you mention that you use "Original Ketone" by American Ketone. Is this still available? Their website seems to indicate that they do not exist anymore. Any other ketone supplier recommendations?
I have tried ketone IQ, I didn’t see any great result but I’m not giving up on it . I tried another one that tasted like an orange dream sickle and I felt a definite amount of energy . Name : REAL ketone . I usually stay at. 6mmol thru keto mojo monitoring . Not sure if this low level of ketone is really beneficial but at last my A1c stays at 5.3 which is more important to me . Thank you DR Ben . I love learning from your classes
.6 mmol not 6 mmol
Ketone IQ is not a true ketone ester. It is only the diol which is an alcohol and will give you a buzz if you drink enough of it. DeltaG or KetoneAid are true ketone esters.
Can you address the rec to rotate in and out of ketosis please?
Thank you for a clear and complete explanation of ketones!! I use exogenous ketones for energy and in the evenings to satisfy cravings as well but not too late as I think they can keep me from going to sleep easily.
I wonder if American ketone original is the same kind of formulation as Keto IQ?
I don't use exogenous due to thier high cost relative to just using Bulletproof C8 MCT oil which converts to ketones fairly quickly; so I'll sip a little at work if my mental clarity starts to fade; or, sip while on the long commute home if I start getting too tired whist on cruise control. In both instances, the results are fast and effective. I also use it after a rare sweet treat to help bump up my metabolism (based on some of the work Dr Gundry has reported in his books and video about "mitochondria decoupling"). I find I can get back to burning fat (gained during a lax few days of eating carbs) sooner by doing that.
So helpful. You answered some questions I have been searching for answers to! Awesome lesson! Thank you.
Does the body slowdown making ketones if you keep taking exogenous ketones?
Is this the same as MCT oil ?
Hello, Dr. B. Another excellent video. I am conducting my own study on longevity and keto. N=1. Looking forward to the journey. I lucked onto this path 20 or so years ago and I believe it was a very good happenstance. Keep up the great work!!
This was a fascinating talk, thank you very much!😊
What about MCT oil?
I’ve heard that too much MCT oil can lead to fatty liver. Any truth?
I have trouble creating ketones on Carnivore or KETO. I've lost 30 lbs in 2 months but have not been able to create ketones or get my blood glucose out of the pre-diabetes range and I've stalled. I'm trying to increase fat intake and lower protein. I just bought Nutricost Keto BHB Exogenous Ketones but I'm wondering when to take them to increase ketones.
My blood ketone levels never get above a 0.2 even after a three day fast. Is this common, and will exogenous key tones help my body to get into ketosis better?
Try resistance exercise first, if you don't already. And break the fast with fat, not carbs.
You are amazing at breaking down the inflammation into a very digestible form..Thank You Dr.
haha.
Thanks a lot for clear explanation of biology
Dr Bikman. o have been looking for papers on what happens to triglycerides since I walk 5 miles to go see the cardiologist. So I am wondering if my triglycerides will be higher than normal
Im a Lean Mass Hyper Responder. I dont take exogenous ketones but i do have a huge problem with calcium/ plaque deposits on the front of my lower teeth. No amount of brushing or flossing gets rid of it. Am i naturally producing it from my erogenous ketones? How do i get rid of it?
Could be you are excreting Oxalates.
I have the same issue with the lower teeth deposits, and am wondering if it’s from endogenous ketones or oxalate excretion. Perhaps we need more calcium?
Great content great presentation speed
Lots of gratitude to you Sir....Very informative...You made my day...❤❤
In Kreb's Cycle, at the point where the insulin level directs the conversion of excess Acetyl CoA to become either ketones or fat; what is the corresponding glucose level? I can measure blood glucose much more easily than insulin.
Question. If I’m always in a state of ketosis will taking exogenous ketones even be helpful? Awesome lesson as always!
Altho im carnivoe for years i do not register any ketones. Is there a supplement that raises my ketone levels
G’day Dr Bikman
I have a question… What do you think of MCT oil (C8, C10)?
I take a Tbs in my 1x coffee most days (with 1 Tbs each butter and cream). I eat predominantly high fat, mod protein carnivore.
Or would you say the exogenous ketones are better?
Love your videos, thank you 🙏
Angie from Down Under
What an amazing talk, glad I stumbled across it. You mentioned the benefits for brain health and possible uses for people with epilepsy. I have a few conditions in the brain, multiple sclerosis, brain cancer (non-operable), epilepsy (was having 1-10 seizures every day for the past 6 years or so). Have tried multiple different meds without much success (currently taking 2).
If the primary outcome desired was reduced seizures, do you think it is possible and would there be any potentially dangerous effects on the other conditions in your opinion?
I also have auto immune type of anemia where my body destroys red blood cells resulting in very low hemoglobin and low energy as well as cognitive impairment.
Thanks for the lesson, Doc!
Thanks for the class! Tried Dr Boz ketones recently and definitely like them. Using to get into ketosis and it works. Feel energy and not hungry no cravings. Naturally eating less or not so naturally lol
fantastic video.always learning something
Dr. Bikman, thanks for this video, I learned a lot. I've been in ketosis for many years and like many people posted, I would like to sleep longer - I sleep for only 5 hours and I'm tired during the day. I'm experimenting with sodium-bhb salts and increasing my potassium. I recently took potassium chloride and sodium-bhb in the morning and had more energy during the day. My next plan is to reduce it to just one variable at a time and then try taking the bhb salts at night. If they both help, then I may switch from sodium-bhb to potassium-bhb.
Try eating some fat before bed time ( butter , ghee)
Dr. Bikman, what do you consider "low insulin" to start the ketone cycle? For a prediabetic, whose fasting Insulin is high, can they get into ketosis though fasting or low carb diets, or will it take dropping fasting insulin to normal levels ( which I understand can take years)? I am confused by this point.
I went low carb in Oct 2021 after being diagnosed with diabetes. I could tell by my breath that I was in ketosis within the first 3-6 months (I never measured them and it may have happened sooner). My diabetes had been remitted by the 3 month mark. Dr Ken Berry recommends Vitamin P = patience. Remember that it has taken time to become prediabetic/diabetic. It's going to take time to reverse it, but I personally think that it happens faster than what we expect it to if we can stay away from the carbs and processed foods. I have found Dr Eric Westman and Dr Ken Berry videos helpful. I think some people get a bit too caught up trying to measure things. Some people need to do this to keep them motivated. I could tell by my body shape/size and how I felt that low carb was working. I don't measure anything because I like to keep it simple; occasionally get on the scales. Wishing you all the best. BTW my fasting insulin was measured for the first time Dec 2022 (so no benchmark unfortunately) and it was 7. By mid 2023 it was 5. My low carb doc likes it to be between 2 and 5. Wishing you all the best.
Thank you Dr. Ben.