Andreas Eenfeldt at Low Carb Houston, 2018

one minute left and in that I'm gonna take 30 seconds to introduce Andrea Seinfeld nobody here does not know him his diet doctor calm website gets over 350,000 to 1 million hits per day I [Applause] don't think there is a speaker in here who has not used his slides and has not benefited from his work and I don't want to take time away from him and tell you who he is because he's gonna come here and do it himself thank you thank you Nadia so I'm really excited to be here to share some practical things about low carb diets or keto diets or ketogenic diets I'm sure you've all heard a lot about it but I want to perhaps share some new insights about how it can be really useful for certain things like weight loss like reversal of type 2 diabetes and and more so start with a start with the disclosure so me and our team we run the health website diet doctor that's not the you said it's the largest low-carb site in the world and the goal is to empower people by making low-carb simple we this is funded by an optional membership section we have no as we take no money from industry and we sell our products so it's it's funded by the people and also another disclosure I eat low carb I've I've done that for quite some time now so that's my dietary bias I'm inclined to believe that hopefully it's not gonna kill me please not too soon fairly confident about that so this short is online searches for keto diet in the last few years it's probably the most popular sort of dietary treatment for for health or weight loss online at the moment so I'm sure you all you've all seen news about it and and the idea is I mean it's a strict low-carb diet meaning you you're supposed to avoid carbohydrates to get that sort of effect that that you could get from from a keto diet meaning you will eat things like this perhaps like natural fats made faith vegetables eggs and so on while avoiding large amounts of carbohydrates like these kind of foods bread bare potatoes pasta and so on and I think the common sort of perception in some people probably not so many people here but but outside of here is that whether you're eating loads of bacon and then you're having coffee with battery needs in the morning and you know some people do that I'm not sure I would recommend basing your diet on on this both but it's possible it's certainly a low carb but doesn't have to be like that so this is also equally genic low carb diet potentially see so salad let's get rid of the croutons this is a keto diet potentially it's not pasta dough I'll have to replace it with something else I think in this case it's cream cheese and eggs and or you could slice up some herbage and put it in there really good this is keto this is keto also plenty of eggs in there and promise you that here's a classic breakfast bacon and eggs if you do want bacon so in a way it's it's almost completely the opposite of conventional dietary advice because you are supposed to not eat meat you're supposed to eat your whole grains eat your fruits five times a day and so on and this is like no like that it's very different so maybe that's a good thing though because looking back you can you could tell this story in many ways but we start in 1984 1984 is the year that you're just Orwell wrote about in his novel about Big Brother in the same year the American government started with you know renewed sense of certainty telling people how to think about food so you're supposed to fear yes you're supposed to fear meat or fat or cholesterol because cholesterol is supposed to you know give you a heart attack right and and that's what that's what I believe back then and that's what a lot of people believed but it really wasn't any good scientific evidence to prove that this was a good idea it's just a belief and and the thing that people might have kind of predicted perhaps if they had been very smart is that there could be a hidden danger in this because when you tell people to fear all these kinds of natural foods people will likely get hungrier and they would have to eat something more something else which is carbohydrates because most of the energy in our foods comes from fat or carbohydrates so more carbohydrates and I think a lot of people thought okay they will eat kale and broccoli it's gonna be great but you know that that's not the kind of carbohydrates you easily find wherever you go so instead you might find low fat products full of sugar full of processed carbohydrates that's that's what's easy to get so this is obesity statistics from the US I think a lot of people have seen this I have actually updated these lights with absolutely newest data from last year so this is back in 1985 after this campaign was launched after people started getting afraid of a fad eating more sugar and carbs instead obesity levels were close to 10% let's move ahead a few years to 91 you see a new color dark blue which is over 15% obesity that's quite a jump from 10 to 15% in a few years 97 a new color yellow over 20% obesity o 3 orange color over 25 percent obesity 2009 brown color over 30 percent 2015 yes another color the dark color hair over 35% obesity so has it stopped or is it still going on here's 2017 worse than ever just keeps getting worse so in just one generation three times more obesity it's pretty crazy so a lot of people in America had this issue now a lot of kids have this issue and if you look at the obesity charts short of the world through all the different countries you see in the United States at the top so America has been made great tasty slice the heavyweight champion of the world showing the way for the rest of us Sweden is where I'm from is down close to the bottom with only 12 percent obesity which means that 88% of Swedes still look like this I've entirely sure if it's a good thing but so three times more obesity in one generation of course it's not just about obesity because there is other health issues that sort of come with this epidemic and one of them is diabetes diabetes type 2 so let's look at diabetes what happened to that it started in the 60s at around 2 percent of the adult population and then we got the Dietary Guidelines for Americans and then something happened hmm of course it's you know correlation is not causation we don't know what caused what hair maybe nothing caused anything but it doesn't really look like it helped much these sort of low-fat high-carb Dietary Guidelines and of course diabetes is a disease where you have too much sugar in the blood and the sugar in the blood comes from the carbohydrates that you eat so there could be a connection this idea that eggs are dangerous that fat is dangerous never had much scientific support if any and if we look at it today if you look at all the evidence that we've collected over the decades it's it's sort of worse than ever if you look at all statistical studies where you try to correlate things you see no evidence that there is even a correlation that you know people who eat a lot of butter they seem to get the same amount of heart disease as other people people who avoid it they get the same amount of heart disease doesn't seem to be even a correlation there and if you look at if you look at all the interventional studies where you actually test this where you randomized people to two groups and try to get one group to eat less fat and then you combine all these studies you see there's again no evidence the the conclusion of this of review of all the evidences that removing SFA meaning saturated fats and replacing them with other fats is unlikely to reduce heart disease heart disease mortality or total mortality and they say that these findings have implications for current dietary recommendations and the implication I would say is that current dietary recommendations are wrong time to change them so and that's not just what I'm saying of course you know a lot of people are saying the same thing now even Time magazine put up this cover a couple years ago saying eat butter scientists labelled fat the enemy why they were wrong alright so change your topic what does keto made keto in keto diet well it means ketogenic or something that creates ketones and ketones are these little energy molecules that you will find in the blood of people with a very strict low-carb diet and they have these fancy names and they're basically energy just like sugars energy or fat can be energy and the point is that if you stop eating sugar or carbohydrates the body will switch and eat more and and and sort of burn more fat like you could get from these kind of foods and the body can burn the fat but the brain cannot burn fat directly so fat is converted in the liver into these little energy molecules called ketones that fuel the brain so the entire body becomes fueled by mostly by fat and and the brain is a really hungry organ so if you want to lose weight if you want to burn fat it's a great thing you could actually you know just just relax and let your your brain burn lots of fat for you without even having to work especially hard during it of course you know I'm not saying that exercise is bad it's a good thing but it's nice to have a bonus sort of and yeah this is sort of extra credit if you learn how these can transform into each other and so on not necessary anyway so a keto diet you hear it in the media all the time and a lot of people are sharing these stories about how they improve their health this man Lancey he got rid of his epilepsy or at least he has it completely under control on a keto diet also lost weight here's not the woman who did great she felt on keto but it's not really about just stories because there are a lot of high quality studies done on this so that the highest the best scientific evidence that we can produce at the moment is called a randomized control trial where you by chance divide people into two groups and you let one group learn how to do a low-carb or keep genic diet and another group that's something else and then you compare how they do and there's been dozens of these studies and the public health collaboration in the UK they did a review of all these studies to see you know how many times did the low-carb group actually lose more weight and how many times when you compared to a low-fat group did they lose more weight and here's the results for low-carb there were 31 studies showing statistically significant more weight loss on low-fat there were no studies showing more weight loss so that's interesting that seems like a pretty clear winner and yet when you look in the media earlier this year you could hear that low-carb diets are actually no better than a traditional focus on fat mmm that's right what about those once that is well the thing is that there are also a number of studies where you know you couldn't find a clear winner so what happened was we get another study where there was no clear winner but you can you can think of it like a like a football game or whatever you have one team winning 30 times and then there is a draw 30 times and the other team wins never-ever which team would you bet on but it's interesting in the media it's like okay Lokar wins we can say that local wins and then when it's a draw it's low-carb that's not win and then it feels like it's 50/50 but it's not really of course if you're scientifically school you know that this is not a sports game so you supposed to do it in a different way you supposed to combine everything in the systematic meta-analysis and that's been done many many times basically always showed the same thing participants like in this one from couple years ago participants on low-carb diets experienced a greater reduction in body weight you combine all these studies together you also get some improvement in triglycerides HDL but the LDL the so-called bad cholesterol goes up by about 6 milligrams per deciliter on average hmm we get back to that it's kind of interesting so this guy Peter he he sort of reversed his type 2 diabetes lost a lot of weight but maybe his LDL went up by 6 milligrams per deciliter so should he go back and do what he did before or Judy here she also got off all her diabetes drugs but maybe her LDL got up by six milligrams per deciliter or Peter here Kenneth another Peter who also reversed his type 2 diabetes pretty impressive but there is always this sort of thing could it be dangerous to do this would it be better off where they were and also the question is is this sustainable can this last because often you hear in the media sure low-carb diet works fine for a short time but in the long term the waste comes back so does it how long can it can this last request one is going to speak tomorrow morning I think he did this study about 10 years ago comparing a very low carb diet to a low glycemic index diet for type 2 diabetes and and after six months the low-carb diet group is a lot better in different ways so it seems it can work for six months has an interesting study about type 2 diabetes that came out this year done by Berta health as our Hallberg a lot better results after 12 months on blood glucose also quite an impressive weight loss curve that you see here - something like 13 percent of the body weight after a year seems to work after a year here's a study that is almost four years long on type 2 diabetes where the participants are doing much better after four years so so that's pretty good but there is also this tendency that people often regain weight after a while in these studies on average so why is that here's a common example that people often refer to is in study from Israel published in the New England Journal of Medicine from ten years ago and people were randomized to three different diet groups and what you see here is how much weight they lost on average over two years and the Purple Line is the low-carb group they lost the most in the beginning but then it seems like after about six months here the weight starts going up again so did it stopped working there maybe it did however when you read the study you can see that they initially tell people to try to stay below four percent of energy from carbohydrates and then after half a year they asked people what they ate and they answer that on average they were 18 41% carbohydrates so it seems like it's it's terribly unfair it seems like low-carb diets don't work when you don't eat low carb that's that's really bad actually terrible so but the thing is what you do in these studies is if you take people a large group of people who volunteered to do a weight loss study but then you you roll the dice or something else random and you divide them into different groups and in this case you might be told to eat a low-fat diet or a low-carb diet or a Mediterranean diet and nobody knows what's best because that's what this study is going to show so you're just supposed to eat the way the dice told you to eat for two years without anybody telling you that this is the best diet is just it's just a diet so would you do that would you go home and faithfully you know cooking eat a low-carb diet or a low-fat diet or a Mediterranean diet for a month every meal will you do it for six months would you perhaps try to gravitate sort of back to your old habits and forget about that I think that's what most people do actually but back to this question this is terribly unfair saying that once you stop doing it it stops working I mean should we really be surprised about that isn't that the case for anything you do when it comes to lifestyle like smoking let's say you have asked math and and you smoke and someone tells you if you stop smoking it's going to be much better for your for your breathing and you stop smoking and yeah your breathing gets a lot better but then you start again and you get back to where you were would you don't say to people that you know I tried that stopping smoking thing now just works a short-term unit doesn't work long-term as soon as I started smoking the only problem came back you wouldn't say that how about another silly example what if you start going to the gym every day and you train super hard and you get lots of muscle and you feel great and then you stop going to the gym and the muscles start to disappear and you're not as fit anymore would you don't say that I did try that exercise thing but you know it's it only works short-term doesn't work long-term as soon as I stopped you know stopped working or just to make it super silly what if you try this showering thing and you get taught clean and then now you stop showering and you know a few days later a week later a month later you're really dirty it's like I tried this shower thing but it's just like they say the only works for time if you stop it doesn't work but basically it's the same thing for all life starts right but but for low carb in the media and even for a lot of experts it seems like if people stop doing it and it stops working it means the diet doesn't work sort of like if you would say that showering doesn't work long term only shorter because this is what happens in these long-term randomized trials that people gravitate back to what what they had before however there is perhaps the way around this you know if you go to these studies like this Hallberg study where it seems like hey this is a weight loss curve and it's not going up after a year it just stays down there but this is not a randomized trial you haven't had to you know roll the dice and follow whatever the guy's told you to eat in this case people selected themselves yes I want to do this and the doctors say this is right for you this is what we want you to do this is perfect for you and we're going to support you in this if you want to do it and then it seems it can work long-term and we know they actually had ate a low-carb diet because they tested ketone levels in the blood and people had elevated ketones so we know people were on a low-carb diet for a year on average and it seems if you do it long term it works long term just like exercise or whatever so how how long can it work you know it's a long term cure of type 2 diabetes or obesity possible if you keep doing it I have some really good experience from my fiber you know eight years perhaps working with with patients with this but I asked someone who has much more experience dr. Ted Nieman is a family physician from Seattle and he's been working in the same clinic for 15 years treating patients with low carb diets and he says that he has numerous patients who have cured or totally reversed their type 2 diabetes long term and when he says cured it means that they're off all medications and they are completely normal blood glucose levels for at least a year and then he sort of removes this this diagnosis and and says you know it's secure and that happens he says with with some regularity he also told me something else that's kind of interesting he said that for people who who just do a low carb diet they in his experience they basically have to stay very low carb forever to keep having this great effect but if people do a low carb diet and they add a lot of exercise then they tend to be able to eat some more carbs and still still keep their blood glucose levels normal so that's that's interesting I think here's another man dr. Jay Wortman he got type 2 diabetes 16 years ago and he reversed it on low carb still off all medications with a normal a1c seems like he's doing some exercise though not texture so maybe that fits as well side effects are there any side effects from this or is it just you know perfect and there are side effects at least for most strict low carb diet or ketogenic diet you can you can have some common side effects especially in the first week but it can happen later as well so I'm gonna go through these briefly the keto flu probably a lot of you have experienced that the first week people get often headache you feel tired feel irritable and and often the cure can be to get enough water and salt because you tend to lose extra fluid and salt in the first first week and this this actually can happen after many months and even years as well maybe not so much but if you have a cup of bullion for example extra salt it usually takes care of this or most of it leg cramps is something that a lot of people can experience at least in the beginning also due to a lots of minerals and again water salt possibly magnesium usually can take care of it constipation can happen also often due to dehydration maybe because some people eat less fiber on the low-carb diet again water salt fiber make of magnesia if necessary most people don't get it but a few people definitely do and another thing that can happen is bad breath or at least you know ketones in the breath so that's that's acetone that can be smelled it's sort of a fruity smell that can remind people of nail polish remover so this is something that is most common in the beginning and it's often temporary goes away breath freshener can be helpful some people can have it long term and and then the the best idea if you want to get rid of it is to eat a bit more carbs and then it goes away because the effect of a low carb diet also gets a little bit less so you have to sort of balance it if if that's the case but for most people it's not an issue after maybe first week heart palpitations some people get that especially in the beginning can also be due to dehydration may be some stress hormones in the beginning usually temporary water and salt can help reduce physical performance definitely the first couple of weeks but it can can they go on for a bit longer it's it's usually temporary as the muscles adapt to burning fat for energy instead of sugar again very important to get enough water and salt and if needed some targeted carbs before competitions for example it can be useful so those are the common side effects usually initial side effects on low-carb but there are some some more that some people might be concerned about like cholesterol about those six milligrams it's usually not an issue because it's usually no elevation or a very minor elevation but yeah and then the typical thing is actually an improvement where the good cholesterol goes up which is a which is a really good thing and triglycerides goes down so that's that's just good from a statistical perspective but a few percent maybe 5% of people maybe less maybe what's called hypo responders and get a very high level of this LDL and that is actually something that that it's currently unknown whether that is is something to be concerned about or not because it hasn't been studied in this particular circumstance but just to be safe or if you're worried about it there are some ways to mitigate this maybe not doing bulletproof coffee this Bathory and coffee kind of thing that can be enough to take care of it otherwise maybe have some less saturated fats and more olive oil for example in the medium fasting can help and if if necessary if you really want to get your LDL levels down if they if you are one of these few people well you can always eat more carbs less fat but then then again you reduce the effect of a low carb diet so that's that's that how about about this side effect can you die from a low-carb diet can you get short in your life you may think so after reading the media so this is from just a couple of months ago actually low carb diets could shorten life studies suggests all right what kind of study is this because actually the all the studies I know of where you actually test a low-carb diet has not to my knowledge ever shown that there are more deaths in any group but this study was not really on people who actually ate low-carb but was on on you know the general population it's this kind of statistical study where you try to find correlations the problem with these studies is that we basically cannot say what's cause and effect you you can't know so you get these statistical correlations they could be due to anything really so to really believe them they have to be very very strong for example people who smoke get lung cancer about 1,000 percent more often than people who don't smoke that's a pretty impressive sort of risk elevation and I'm inclined to believe that it's actually true but you sort of need at least a doubling of the risk to really believe it so how much was the risk elevated here actually 1.2 is the 20% risk increase is so small in fact that it's very hard to know what it's about because these people who eat less carbs they're actually not following the guidelines so what else happened what else is true about people who don't follow guidelines well it turns out that they they don't follow other health guidelines either they smoke more they don't exercise they you know they do all kinds of dangerous things so how do we know that is because of eating slightly fewer carbs at a low carb diet with slightly fewer carbs and then the answer is we don't know there is no way to know absolutely not and in fact this is the reason why there is so much confusion today with these newspaper headlines saying one thing one day and the complete opposite it may seem like you know the next day it's because they're all based on these sort of statistical exercises where you can basically find anything and prove whatever you want if you if you look in the right place and you know a lot of people are saying that this is this is really really bad science so this guy for example professor john yoo an ADIZ he said recently that nutritional epidemiology which is this kind of science it's a scandal it should just go to the waste bin so who is this John well he's the professor of medicine and health research at Stanford University also professor of statistics at Stanford University that's a pretty smart guy I think or this guy who also knows a thing or two about this it says I never believed any headline that says X foodstuff is associated with Y outcomes in health terms because the science is almost always rubbish and I think they're right and we shouldn't believe that kind of science because you know you can prove anything about anything with that kind of science but there are there are real side effects that would have to be balanced between versus the health benefits you may get on a low-carb diets like like weight loss like reversal of type 2 diabetes like reversal of high blood pressure like improvement in in PCOS like improvements in epilepsy like improvement in in IBS many many things can get better so then you know you don't have to say I want to try that to see if I can get better and then you'll see you know is it worth it for you only you can tell here's another thing you need a lot of fancy supplements to do a low carb or ketogenic diet you need these MCT oil you need ketone supplements I would say that you you don't this actually no no good evidence of any kind that it would help you for example lose weight or reverse diabetes or even you know performance-wise is very unclear whether it really helps we actually did an experiment with some co-workers of mine six people had got to try this possible controlled in our office and we couldn't find any clear in a benefit so if there is a benefit it's it's not huge can say and there's no other evidence saying it's great either so I would just suggest to to not waste money on that and buy some great food in stuff much better way to spend your money that's all you need really is is real food to do this so getting towards the end I thought I was just gonna share a little bit of my story with low carb I I got really interested in it back in 2002 when I was two years out of med school I was I was working as a family doctor for a number of years and and the thing that in that that I find fascinating now is I was treating patients often patients with type 2 diabetes or high blood pressure or or obesity and nobody really got better so what happened is usually you you get a new patient and there are a little bit little bit sicker than last year and you give them a little bit more drugs and you say bye-bye and then a year later they come can you repeat that with the same thing but this wasn't I you know this wasn't strange it seemed like this is just what everybody was doing but then I found a few books about low glycemic index diet so I got really interested in this because the perfect logical sounds to me that this seems like it could work and yet you know everybody says or most experts said this is just a fad diet it's just stupid so I started reading some some science to try to understand this and and that's when I got really hooked because the science I found seemed to say that this actually does work and yet nobody is talking about it so I tried it myself and it worked for me I lost you know all the excess weight I'd put on since since being twenty and you know my family and friends tried it and worked great and then I thought hey I'm actually gonna try this on a few patients selected patients like people with diabetes for example and that's when I got really hooked because when they came back suddenly they were like younger or at least healthier instead of sicker which is quite a difference suddenly I could remove drugs instead of adding drugs suddenly actually my patients started to bring me gifts which I think had never happened before with some regularity and I think this is I'm like this is amount to something and I read actually Gary Taubes is gonna speak after me and and I've read a few of his his things the New York Times article and a science article we found it super interesting and then then I got his good calories bad calories back when it when it was released and and and that's when when I really started to understand how everything fit together I remember reading it trying to to finish a patient quickly so I can read a few pages with we finish it within a few days it's a thick book but I finished it in a few days so and then I thought hey I'm gonna have to write it write something in Swedish about this because not many sweets are gonna be able to get through that book it's a sick book and we need something thinner and in Swedish so so I started writing that book and while I was writing it I started a blog in Swedish called cost doctrine which means diet doctor in Swedish and it's been an exciting journey for me I mean I I didn't really know anything about writing when I started and a lot of people write better than me obviously also a lot of people dress better than me which which might be important because a lot of blogs back then this is 2007 they were about sort of daily outfits of their of the person writing so this is kinsa she is the most famous blogger in Sweden the the one with the most visitors so I thought if I do the same thing I'm gonna get lots of it you guys that was a bit of a fail the experiment actually so didn't work I had to go back to writing about what I knew about boring stuff like diet and health and stuff but still after a month there were 500 people visiting every day I thought wow this is pretty fantastic instead of talking to one person at a time I get to speak to 500 people how great and a year later five thousand and few years later fifty thousand people a day in Swedish so yeah that that was that was an exciting journey so I started going to these conferences meeting these great people like Gary like Eric other people and learning more about this and and then I thought hey this there's really nothing great in English this is back in 2011 there's lots of great things now I thought I'm gonna start an English site as well so I did it's called diet doctor and and a few years ago we were a few people working part-time or freelance doing this and ads sort of make a decision because I was working in this this health clinic still port I'm seeing one patient at a time which is fantastic still some of the most gratifying experiences of my life seeing what people managed to do on a low-carb diet but one person at a time if you think that maybe there's a way to help ten people in that time maybe a hundred people maybe potentially thousands of people so after thinking about this for years I decided I'm actually gonna gonna quit this job and only do the online thing please for a while to see if it works so I did that and yeah I don't think I've regretted it really I miss it sort of but it's been even more exciting because instead of fifty thousand people now is like four hundred thousand people per day and yet we started this this membership to support it because we we didn't want to have ads or or sell products so you stop doing all that and only I had this voluntary optional membership which is like Netflix or Spotify where you get a free month if you like and if you stay it's nine dollars a month after that now we got to over 50,000 people supporting us so instead of and we're using everything to build this company to do great and exciting things so instead of a few people working part time now we're 40 people working with us 23 people full-time it's really exciting to me to see what we can what we can hopefully do together this is a fantastic team that have joined this thing and so this has made it possible to produce lots of free free resources online you don't have to join in just use this for example free guide free guides to low-carbon Quito free news a cardiologist in Houston Chronicle and if it's not my dear who could it be he's gonna be here to his breath sure it's gonna speak as well yes and it's in Spanish do you know anybody who speak Spanish it's now in Spanish so and there's hundreds worth 600 700 I think recipes online this is the most popular recipe which is ironic I guess the second most popular recipe can it be yes Pizza there's no no flower only almond flour actually 600 success stories with amazing stories that people have sent these visual guides that you can check out you know what what kind of vegetables or low carb or Aikido all of this stuff by the way is is free how many people are doctors in there can you raise your hand quite a few people so we're building this resource a free resource for doctors who want to learn how to do low carb in a safe and effective way so you can use it we have a video series with this amazing gentleman dr. David Unwin from the UK teaching you how to do low carb safely and effectively with your patients yeah a request Mansoor Hallberg and other people are also there 15 healthcare professionals how to do this and lots of videos for other people as well let's see and yes any plans and shopping list etc etc leaflets to print if you like and really this is this is what it is all about I'm gonna show you a little video of what can happen I've been on for 20 plus years for high blood pressure 2014 beginning of 2015 I was off all my medications but hunger that I had for my entire life was it there her energy level and much like mine our mental well-being has improved as as much as our physical health I went from 374 pounds to 139 pounds about 200 pounds in roughly 18 not the real freedom was the emotional freedom you know not having to create and not having these blood sugar dips and spikes I now take zero medication and I was on four different types of tablets maybe six tablets a day I feel like work wise I can be more focused on projects through projects better I feel absolutely free of IBS now it's good now life was transformed by it I would have never believed that within my lifespan I would have my life back like this [Music] as pretty amazing is when I mentioned that Stephen Bennett who's in the theater was in that video Thank You Stephen two and a half years ago see looking fantastic so just gonna say before I end though that a low carbon or a keto diet it's not for everybody not everybody needs it clearly not and not everybody wants to do a low carb or ketogenic diet it can be hard to do but it can also be really powerful in certain situations like for weight loss like for type 2 diabetes reversal like for high blood pressure and certain other conditions so if you're interested in this if you want to learn more if you want to start a low carb diet or if you want to make it simpler to keep doing it I hope that we can make it simpler for you thank you [Applause] so I don't know if we have time for a few questions or if it's Jerry time so how do we do any questions microphone the microphone right up there you can line up and ask questions all right that aside while they're circling back up here bill am a nerd has made sure that we have Ito peds over the same recipe from bio.com fantastic famous path had Pete sides by Tom Northam people know that then you go ahead seems work um you early on showed a graph where you had healthiest outcomes for like Sweden and Italy and Switzerland so my question is how have you been able to influence the guidelines for schools and government workers and things like that in Sweden how we have been able to implement the guidelines in Sweden unfortunately the the guidelines in Sweden are very very similar to the guidelines everywhere the official dietary recommendations is basically the same we're just copying you guys so I think all right so I think what's gonna happen or has to happen for for the rest of the world to change is for Washington to change so which is a hard thing to to do but it will happen eventually it's just a question of is it going to take five years or 50 years Nina Seychelles of course is working hard to make sure it's five years so if you want to support that you can go to the nutrition coalition dot-com or dot org and sign up as a supporter I think they can really do great things to make it happen much faster yeah I'm a physician and I'm reading a lot about the microbiome and with this radical change of diet you wonder about microbiome changing very much in this there's anyone who looked into the possibility that some of these things are actually changes in the patient's microbiome so what happens to the microbiome if you eat a low-carb diet yes so I mean every day I change it's gonna it's gonna change the microbiome I think it's it's a lot about eating a very varied diet if you want to have a sort of many many different kinds of bacteria in your gut you may want to have a quite a varied diet and and you may want to eat plenty of vegetables in that case like non starchy vegetables you can still do a low carb diet and have a lot of nice bugs in your stomach if you think that's important I mean it's still controversial yeah the fact that it works for IBS is very interesting that would be a big factor in it yeah so it works it seems to work quite well for IBS and maybe it's because a lot of people eat eat fewer fiber less fiber which can actually be a good thing for some people if they have problem with with gas and in cramping and so on if you eat less fiber some people get better you can be worth trying even if it's the opposite again of common advice yes I'm a pediatrician and I do see this obesity just going crazy we do screen everything but then again are there any studies in pediatric population then I can apply the same thing for them yeah are there any studies for pediatric populations there are a couple of studies at least I think people are like 12 or above or something like that I can give you the links to those that is randomized control trials showing a good effect down to that sort of age group there are our good studies younger than that I don't think there are except for epilepsy studies and so on so if you want to link from your website to today talk to feel free to do so hello Eric Thank You Andres I'm dr. Eric Westman at Duke University and so one guideline has changed and that's the obesity medicine Association guideline it's the largest group of doctors who treat obesity and diabetes or specifically obesity about we treated I hope diabetes as well that guideline has included the keto diet in it and you were invited to our meeting just last month I believe it was and we're on you were on the panel with dr. Hausner from Miami cardiologist there I wonder what your impressions were there are lots of changes occurring among doctors in the US and if you don't have to wait for the governmental guideline to change what you eat is what I got from your talk here but what were your impressions of coming to our meeting in policy Thank You Ike for inviting me I think it was great I really enjoyed so that was a conference I think 800 people mostly doctors very very friendly reception I feel and and you know dozens and dozens of doctors coming up saying that they they use low-carb with their patients who have obesity to treat obesity with it with great effect so they do think things are starting to change and those people are our doctors who are specialized in obesity treatment and also a lot of them know that that low-carb is possibly the most effective diet to do that seems like hello doctor I'm patty McCoy and I'm a community member and a patient of dr. Ali's my question for you is how sustainable is keto eating because it's like eating from the top of the food chain and what if we get seven billion people on the planet all looking for grass-fed beef it's a great question I would start by saying I don't think seven billion people need to eat a keto diet fortunately it's more of a diet that is meant for people who need it for health reasons secondly I would say that it's not necessary to eat more meat to eat a keto diet the idea the important thing is to switch from eating a lot of carbohydrates to eating more energy from fat so the protein or the meat can stay the same or even go down you know some people eat a vegetarian the keto diet and that's possible thirdly I would say it's really a lot about how we produce meats how we raise our animals and treat them you know if sure you know seven billion people cannot eat grass fed meat but they don't lead to either doesn't have to be four seven billion people just has to be four for the people who benefit from it the most so now all those things you know here for the people who need it not for everybody most people can keep eating carbs and do fairly fine as long as they avoid the worst carbs and processed food I think it can work then then really working hard ads at like regenerative agriculture spreading that to more places actually animals that that graze on grass and I walk around they attempt to result in actually a reduced global warming effect because carbon gets gets bound into thicker and thicker soils because of you know what cows do when they walk around so the soil sort of builds up I think you're gonna hear all about it just one last question please one last hi I'm a Gigi from Norway so I have a question and why is it so much focus on low-carb for treating type 2 diabetes and not type 1 when it clearly helps her type 1 also my son has type 1 and we have reduced our carbohydrates in a whole family very much inspired by you and the doctor and it really has helped us to ease your life with diabetes yes so why the big focus on type 2 and not type 1 when it can help stabilize blood sugar levels and reduce other issues in type 1 I think you're right I think it's gonna be huge in type 1 diabetes as well one of the reasons I guess it's just that there are so many more people with type 2 diabetes like 10 times more people doesn't mean that a person with type 1 diabetes is any less important but 10 people is perhaps more important than one person to start with also I think type 1 diabetes doesn't people with type 1 diabetes doesn't necessarily have to stay on a keto diet some something great some want to but some can control their blood glucose levels with a moderate amount of carbs as well so I think it should definitely be an option and people should learn about it much insulin yes you can take less insulin so I think it's a great option for a lot of people if you want to do if people want to do it and at least they should have that as an option thank you thank you all right [Applause]

Channel: 2 Keto Dudes

Views: 67,498

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Id: 2ylfxx5ve-8

Length: 60min 12sec (3612 seconds)

Published: Thu Nov 08 2018