Мероприятия Добавить мероприятие Спикеры Доклады Коллекции
 
Drew Fung
Director of Performance Marketing в Current
+ 6 докладчиков
  • Видео
  • Тезисы
  • Видео
Low Carb Denver 2019
8 марта 2019, Denver, CO, USA
Low Carb Denver 2019
Запросить Q&A
Low Carb Denver 2019
Из видеозаписей конференции
Low Carb Denver 2019
Запросить Q&A
Видеозапись
Low Carb Denver 2019 - Q&A Day 1 Morning Session
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
В избранное
57,79 K
Мне понравилось 0
Мне не понравилось 0
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
  • Описание
  • Расшифровка
  • Обсуждение

О докладе

The presenters from the morning session of the first day of 'Low Carb Denver 2019' answer questions from the audience. Featuring Dr. Jason Fung, Dr. Dawn Lemanne, Dr. Georgia Ede, Robb Wolf, Lily Nichols, Dr. Nadia Pateguana and Sean McKelvey.

О спикерах

Drew Fung
Director of Performance Marketing в Current
Jason Fung
Nephrologist
Dawn Lemanne
Board-Certified Medical Oncologist в Board-Certified Medical Oncologist
Georgia Ede
Nutrition-focused Psychiatrist, Consultant, Writer and Speaker
Nadia Pateguana
Author в The PCOS Plan
Lily Nichols
Author
Robb Wolf
Author

Dr. Jason Fung is a Canadian nephrologist. He’s a world-leading expert on intermittent fasting and low carb, especially for treating people with type 2 diabetes. He has written three best-selling health books and he co-founded the Intensive Dietary Management program. Dr. Fung has his own websites at idm.health and thefastingmethod.com. Dr. Fung graduated from the University of Toronto and completed his residency at the University of California, Los Angeles. He lives and works in Toronto, Canada. Dr. Fung works with Team Diet Doctor. Together we want to make it simple for people to understand and implement intermittent fasting, to improve their health. Below is some of the material with Dr. Fung on Diet Doctor.

Перейти в профиль

Leaving no stone unturned in cancer therapy.

Перейти в профиль

Naturopathic Doctor, dietary coach, and author. Real Food diet and Intermittent Fasting for Metabolic and Reproductive Health.

Перейти в профиль

ROBB WOLF, a former research biochemist is one of the world’s leading experts in Paleolithic nutrition. A student of Prof. Loren Cordain, author of The Paleo Diet, Wolf has transformed the lives of tens of thousands of people around the world via his top ranked iTunes podcast and wildly popular seminar series. Wolf has functioned as a review editor for the Journal of Nutrition and Metabolism, is cofounder of the nutrition and athletic training journal, The Performance Menu, co-owner of NorCal Strength & Conditioning, one of the Men’s Health “top 30 gyms in America” and co-owner of Paleo Brands Inc. a paleo food company selling meals and snacks featuring grass fed meat, wild caught fish and all organic ingredients. Wolf is a former California State Powerlifting Champion (565Lb Squat, 345lb Bench, 565lb Dead Lift) and a 6-0 amateur kickboxer. He coaches athletes at the highest levels of competition and consults with Olympians and world champions in MMA, motocross, rowing and triathlon. Wolf has provided training in nutrition and strength & conditioning to various military entities including the Canadian Light Infantry and the United States Marine Corps.

Перейти в профиль
Поделиться

My name is Tony Martinez. I'm going to turn you from New York and I will not be here on Saturday or Sunday. So but real quickly the question that I want to adjust the contextually is the necessity for political activity action on the part of this group because Low-carb what we're doing here is a business threat and it's a challenge because following this lifestyle in this dietary approach gets people off prescription drugs, it gets them to stop buying food that is in a package box or rapper and

gets them to start eating real foods. So that upsets at the prophet bottle and we're going to see plants and thing is a big big attack on this whole way and we're going to be getting it continuously. So my question is do you believe and I'm going to three parts do believe that people should be for example running for office. from this community should people be I'm not sure people I want to say the people should be supporting the nutrition Coalition and the other groups is the public health

collaboration USA. You got everybody got to get involved and should doctors offices and businesses become a vectors to get their patients and customers to actually get involved in contact their elected official. Okay. I want to tell her to be part of this in a much bigger way next year, but would love to hear from cuz it was great presentation Georgia decorating. Thank you who would like to tackle the politics? I'll throw a couple of things out Mark Sisson just had 300 million dollar acquisition

for Primal kitchen and there was a lot of pissing and moaning and push back about that and it's an amazing event because the big food wants to make money but big food can make money in this space and provide better value for the folks that are in it. So when we get 6s, it may not look like the success that you imagine initially but don't pee down the back of the person that just had that success and put all the effort into doing this certainly be critical and in and speak to the fire on quality and whatnot. But money and profit can drive all kinds of good things. So it's not

immediately a zero-sum type of proposition and I think that makes a lot of sense to to find ways of monetizing and marketing the stuff because the reason why the vegans are so good at what they're doing. I left home. Begins is because they are massive. Well-funded exceptionally, well organized and that's in part because it's mainly processed foods that pops up that whole scene. So to some degree like Diana Rodgers has been working on this film Project the main people that have contributed to the project are businesses that is in some way shape or form founded monetization system so that

they're profitable enough to invest in a film. It's trying to tell us a really nuanced sustainability story. So we need to support the businesses that are in this face and again not attack them for Success just as a a Baseline That was a great time. Nissan Titan super idealistic, but I wish there was some way to funnel some of that money to the people who raise how the animals and raise healthy food. I don't know how that works, but wouldn't that be great to Excellent. Okay question.

Everyone that you okay. Good question for Doctor Lamont. You showed about the maximum tolerated dose of protein it but it seemed like it was in the context of chemotherapy does the same thing apply in radiation therapy that that you know, so I'm not a radiation oncologist a medical oncologist I deal with the medications. So I would have to punt that trust question very good question to a radiation oncologist certainly radiation treatments are modulated to treat the to approach the goals of the treatment for the goal is palliation versus cure.

So there are some things involved in that also different types of cancer cells are more or less resistant or sensitive to radiation depending on their their makeup the tissue of origin. So there are a lot of things that go into that. I think you have to look at the entire treatment picture to determine how you're going to treat a patient. But certainly the radiation oncologist would have to be involved in that conversation and it's very good question. I can't answer it fully. Thank you. Excellent, since we can't see you. If you wouldn't mind just

introduce yourself saying where you're from. That would be fantastic with your question from Melbourne, Australia Festival. Thank you for next month olds. Georgia eat. I really enjoyed that. My question is for Lily and also excellent. Thank you very much about when you were saying about the different sizes of the end the insulin resistance pain lower in early pregnancy and higher in light of frequency. And the fact that there's more fat accumulation of the time of lower insulin resistance, which seems paradoxical tonight and at a time of lower or

higher insulin resistance set light pregnancy has less fat accumulation and Keisha burns when I was under the impression that hire insulin inhibit tree Decatur information. It's pregnancy physiology is just different than non-pregnancy physiology the ideas. In early pregnancy when you're more insulin sensitive, your body is actually trying to store additional energy stores for later in late pregnancy. It's as if the maternal tissues don't want to take up that energy for themselves and instead want to send it to the baby. Does that make sense? But we see this anabolic catabolic

across all mammals. There's actually much more research on especially like livestock and dairy animals cuz they're concerned about Mill production and what not and you see this theme Metabolic Effect play out across pretty much all mammals. Sounds like the upside down. Opposite opposite turn on pregnancy what you would expect certain. Thank you over this make this is really tall. I don't really have a question. I'm just wondering about thyroid disease.

We're talking about insulin and PCOS and for me that's been taken care of in my last medication is my thyroid meds, and I'd like to get those off board. Jason would you like to So that's a good question that we actually get asked a lot. But in terms of diet, it doesn't have a huge amount to do that is low carbohydrate diets and fasting me mostly affect the insulin and counterregulatory hormones and thyroid is not one of them. One of the things we do here once in awhile is people with Hashimoto's

disease, which is an autoimmune disease in certain cases people find that they do get better. So there's some sort of very preliminary evidence that fasting for example might help reset the immune system's when certain cases Pacific cases. It might be beneficial but there's not a huge it's not consistent. So you may have to take the thyroid medication that may not be much you could do about it from from that standpoint. I can just add anecdotally we're doing a clinical trial with UBC on ketogenic diets energy restricted and we're finding about 50% of the people

at the women that were on thyroid supplements actually or eliminating them. So it's about 50% that means about half of them where we're having to continue on typically at a lower dose because they're weighted also changed. My name is Gloria and I'll is 20 miles from here. So it's pretty good. I have a question for 30 years ago was one of my two pregnancies. I was diagnosed with gestational diabetes for the first time in my life. I experienced hypoglycemia. Which was

very weird the other pregnancy. I didn't have anything like that. I guess the question is. Why does anybody get that let you have two kids? Same diet one. I had that with one of the children. Not with the other one. That is my first question in the second. Does that have an effect on the future health of the child since my child wear a hat that was born normal size. It was not overweight. She has never being fat. So, I don't know you kind of baffles me a little bit how that works.

Can I ask a quick follow-up question was the gestational diabetes in the first or your second pregnancy? No remember probably later in the pregnancy. First or second pregnancy, like which pregnancy had gestational diabetes first one the first one interesting you might not have gestational diabetes the first pregnancy and then the second time around or later on. Yes, because you're starting to pregnancy automatically at an older age and there may be more insulin resistance you not eating is he eating as well?

Because you have a toddler and yada yada yada, but I think we have to remember that the diagnostic test for gestational diabetes are not perfect. We're not doing like a glucose tolerance test plus an insulin tolerance test, which would be amazing. Also, I think it's silly for us to assume that it should be the norm that your body can tolerate somewhere between 5200 grams of pure carbohydrates and have a normal blood sugar respond. So I just have an issue with the diagnostic tests as a whole but it is very possible that the test maybe was inaccurate

in either case. Maybe you never have had gestational diabetes. Maybe there is low-level insulin resistance in both pregnancies and the test missed it. Even if you administer the test at a different time of day where there's different insulin resistance results to answer is a test. That's that fairly inconsistent. And the other thing you said I never ate this was back in Germany No Junk Food no sweet anything. Once in awhile costume. Automatically the

child is going to be metabolically unhealthy or born too large sum up something probably I didn't get enough give enough time to in my talk. But in my work I emphasized that we don't see the same risks and really well control gestational diabetes as you do in a pregnancy that has persistent hyperglycemia. So if your blood sugar was well control it and you were generally eating healthy. I wouldn't expect your your child to have metabolic issues long-term. Thank you so much. Next question. Hi, my name is Gary Saban and from Atlanta Georgia retired. Dentist

Agent Orange has been known to cause ischemic heart disease as well as now being linked to hypertension. So the question is, is there any literature showing etiology of ischemic heart disease from agent orange? And is there any reason to suspect that the advantages of ketogenics as a relates to ischemic heart disease would be altered because it causes from agent orange is opposed to any one of the other ideologies. Thank you. I know nothing about the toxicology of Agent Orange but a number of

items are mitochondria maitotoxin. And I think that one of the main features that were seeing with the loss of metabolic flexibility is a loss of mitochondrial function. So if we were to dig into the toxicology and kind of see what's happening on the mitochondria level and we saw it impact their then I think that it would probably be at a safe case to to find some connections and a lot of what we see with sweet like left ventricular hypertrophy and excuse me other cardiac issues are related to insulin resistance, which also has by extension that usually loss of

mitochondrial function in density and whatnot. So, I think that that's really rich place to look for for kind of mechanistic underpinnings and fasting and ketogenic diet appear to be pretty good resets for the mitochondrial function. Thank you. Next question. Hi, I'm Michael Wood and I'm a retired health and wellness consultant to large corporations. I live in Seattle. And now I'm trying to pay it forward for Having learned about keto and added having it transformed my own life and have instigated low carb Seattle met three through five starring Aseem

Malhotra and lots of the same speakers is here. I question is to the practitioners on the panel one of the things I find in talking to positions and dietitians in and folks who deal with a metabolic diseases that the guidelines that they're bound to follow prohibit low-carbohydrate ways of eating and they're afraid to break out of that other than formerly kind of whispering in patients here and I'm wondering how you advise practitioners to deal with that. The good news. Is that the American Diabetes Association recently said very quietly.

That a low-carbohydrate diet is an okay way to manage diabetes, but they buried in their guidelines on page 37. So I'm curious what how you will advise other practitioners. Well as a naturopath I practice in Ontario and Canada. We were also regulated. I don't think that naturopaths at least that I know and I am no longer. I no longer have an active license because I just don't want to I don't know how to navigate that realm. And so I just choose to work as a health consultant and I know that that's not

the option for many people. I think I'll be curious to hear what Lily has to say because I know that a lot of dietitians have that concern even at the hospital with with the Jason, you know, they're very limited and in really in in many places. The regulation is very strict and you lose your license. So then you have to make a choice. This is part of what took me a long time to write. My books actually was fear of Retribution from other dietitians or you know, licensure complaints sunanda like

What I find interesting is that most of the licensure complaints come from fellow professionals. So I think it's really about putting out if you're going to put out information that is different from the guidelines. You need to back everything that you say with a lot of data, which is something that I've chosen to do and I've been very surprised to not have near as many negative responses to my work. Then I would expect both of my books are approved for CEUs by like the commission on dietetic registration. So like what's up with that? I don't

expect the guidelines to change but I find that they are being more open to Alternative opinions as long as you back it with evidence. So I agree with Lily, one of the things that I do and oncology when I'm recommending a low carbohydrate diet or ketogenic diet is I put in the references in my clinical note and to make a footnote and when you do that, it gives people pause before they decide they're going to turn you in or something like that. And so that's how I deal with that. I'm very very careful to get to really reference things that I recommend.

I mean the other thing one the dieticians at the hospital. I hate me right but you just have to deal with it. The other thing is to pick off the sort of stuff. Everybody agrees upon first, like cutting sugar like I won't get into trouble for that. Right? So a lot of people that's their big problem or for me it was, you know, cutting out a lot of snack guidelines on that either right or evidence that you should be snacking. So again to me if you're going to run into a situation where there's a lot of resistance then getting some of those easier things,

you know cutting out the french fries in the chips. It's not that hard to do a lot of people that has already going to take them a long way and then you know, as you go along people start to see your point of view as we get easier with time. Just one really quick note. I face a lot less. I mean if definitely faced new resistance from dietitians on college campuses for sure and I need an administrative assistant but one nice thing about being a psychiatrist is there are no guidelines for brain

health and so I can just stay to say that two people, you know, they're really nobody's ever really written about this. So, you know, when to thin different territories, you can ignore the usual guidelines were talking about something else. That's freaky. Next question. My name is Nicky Jam from Seattle software engineer is for Rob. And when I see a lot of the research on that attempts to grow concerned that there's like a site 80 myopia where people are focusing obsessively on like 120 minute time frame and ignoring the possibility that Saturday is an incredibly complex mechanism that

extends out maybe hours days pressed longer. I'm I wonder if you have any thoughts on that in the utility of setae to research towards discussing weight management. Yeah, I mean it's a huge topic just a short list of variables that affect is circadian biology. So what time you get up what type of photo. You're exposed to all the work that we've done with police military and fire. Those folks are so circadian disordered and in there in an environment that facilitates, you know poor food choices and they're just kind of

hormone Ali set up to want that stuff and it's very hard to to kind of turn the off switch with that and I really think that you you create a great Point like it's kind of a fractal story where we consider satiety kind of like a meal by meal. You know kind of process but it extends over weeks and months in an aggregate is really the bigger picture exercise influence of satiety hormone signaling gut microbiome shifts in the gut microbiome emotional states. I mean, it's really massive, but I think that that's where on the one-handed it's kind of

like looking with a microscope would go in and get very granular but then we need to pull back out largely whole unprocessed Foods trying to find an appropriate glycemic load because of blood sugar excursions outside and sexual Norms are really challenging to then pull people back in. Hypoglycemic rebound eating is very very powerful putting on some blue blockers in the evening so that you go to bed earlier getting some exercise like on a macro kind of clinical level. It's good to know the micro pieces, but if we're just managing the macro pieces, I think that that's where we

get the most success. Poop. Thank you. Thanks. Next question. I am Steve Crozier from Oregon and my question is for a doctor Limon. I was wondering what your thoughts are on cancer prevention like you had mentioned for part of treatment low carb keto fasting and is wondering if they could play a part in prevention. That's a really good question. So the most data is from animal studies looking at a caloric restriction and then later intermittent fasting as a proxy for caloric restriction and intermittent fasting turns out to be really interesting. So caloric

restriction first is effective in delays all the diseases of Aging which is good. I mean if you know, I'd rather get can I get a chance? I'd rather get it. It's 120 then you know 50, okay, and so it seems to be as effective and have fewer downside sound like a chronic low weight feelings of cold those kind of things compared to a chronicler prescription. So I do think that that's a very powerful wave is it we might be able to delay cancer and other diseases of Aging as far as the ketogenic diet. We don't know. I think that

that's something that needs to be asked, you know, can we start studying the ketogenic diet and its ability to delay or prevent if if it's even better than clerk restriction them answer a question and I'm looking forward to somebody taking a nap in and taking a look. Thank you. Next question. I am Rosemarie from Salt Lake City Utah. I am a dietitian. This question is from my daughter-in-law who is a type 1 diabetic just gave birth to her second child 9 days ago. I first pregnancy question for Lily actually her first pregnancy just

for interest. She followed the gestational diabetes eating guidelines and it was difficult had a very very large baby second pregnancy. She decided to go low carb had to do it on her own because her healthcare practitioners would not support if they loved her numbers though, they loved her but she could not tell them why they were so good. So here's your question me or she's in Virginia and we texted her about a couple of things from your talk and one about the you mention that an infant at least for the first month of life is in ketosis and her specific

question was does it make a difference if they're nursing? Are using formula would you know? Yes to some degree. I can't say I've seen data on formula-fed infants, but that study was specifically on exclusively breastfed babies and you have a different macronutrient breakdown in Formula than you do in breastmilk. So typically breastfed babies are going to be more likely to stain into in ketosis. Then formula fed babies cuz formula is pretty high in sugar. Next thank you.

Hello. My name is Alan Shaffer on the from New York state. I'm a practicing physician in in order of in chronological order of training pulmonary Critical Care sleep and obesity medicine show my questions for Doctor Pet iguana on when you listed the associations with them. Are PCOS and all those things you were involved for you? Sleep apnea was great out. So I wonder if you had undergone a sleep study or you just asymptomatic because the it's not just a matter of the BMI because it's been shown that irrespective of the BMI in

age. There's a 30 fold increase of obstructive sleep apnea in PCOS agree with you. I think that the only reason why I never got diagnosed with sleep apnea was because I never got tested for it. I always had to mention is for my mother is here and there was always an issue with my breathing during sleeping and I always was a mouth breather at I believe I probably still am I don't think my husband's going to tell me too much about that, but I agree with you. I think it's just because it was never tested. Thank you. Can I make a comment

on the previous question the one who asked about the how do we get to spread the word about the success of the ketogenic diet? I think that showing people success stories is a great way. I think of the patient I had who came in at four hundred pounds on 40 units of insulin and I got him down to 300 lb of no insulin in in a matter 1/8 months or so and initially I ask myself who have you had you on that insulin and he said my endocrinologist that's a great that he talked to you about that. And he said yes, and he said he wanted to control my blood sugar first and I said well how how long

ago was that conversation? You said two years. So I'm I just wanted to go back to your endocrinologist and show him your hundred pound weight loss and I'll ask you how and I did get a call from the endocrinologist self spreading the word showing success stories. Thank you. Thank you. Expression. My name is Eric Klein from obesity help from California. My question also pertains to fasting and cancer with individuals may be young and very healthy becoming interested in increasingly rigorous regimes of various forms of

fasting where each round would push more and more or less healthy cells it through apoptosis. Just clearing out the reserves of senescent cells. And so any cancer that individual might have otherwise been Destin have would be delighted. But after listening to presentation today, I was wondering at some point could that backfire? We're by the time they do get cancer from those cells would already be very resistant based upon all the natural selection of

myself and I don't ask for that. Certainly I take patients and say, you know, he's got cancer or 10 years if it says something pretty horrific the standard American diet or something like that that's pretty easy to change and you know 1.0 + Idaho to the Past 5 or 10 years. Wow, well, you know we should really, you know a little harder and maybe we need to go more even more in that direction because you do wonder whatever there is there now in terms of cancer has pretty much told us. Well, that's not going to really

work against me at this moment. So I think it's a really good question. I don't have the answer for that. But I do think that is a possibility overdoing the removal of senescent cells can backfire if you remove too many of them in an old and you can start having organ failure things like that. So there are some precedents for thinking that way I would say we need to look in that direction to too much of a good thing is too much of a good thing too much. Hi, I have a question for a friend of mine as

she has been a morbidly obese and Insulin resistant for many many years and about 8-9 months ago her and she's also had regular menstrual cycles her whole life by about eight nine months ago. Her menstrual cycle is became very very heavy and very irregular. She has tried several things to fix that. Nothing's really worked about three weeks ago. She started intermittent fasting and low carb diet. She's been answering for about 2 weeks now and she's concerned about what she should do with that and how the intermittent fasting and low carb diet will affected and if it's going to get better before

it gets worse and about a year ago. She use Roundup in her yard, and she's But that was the cause of her cycle changes. I know what are your thoughts on on that? That's a difficult question to answer because there's lots of different things that can cause that so if she's having a lot of I mean there's things like endometriosis and fibroids and he sort of things that are not just they're just not going to be affected by the type very much cuz they're not

predominantly dietary diseases. So if she's having anovulatory Cycles, they're not always like very long are mostly a regular but it's not menorrhagia versus you don't think so. It may not be her problem and it's on her problem. Then the low carb the fasting is just not going to be the solution. So I think it's a difficult one because you do have to go talk like is she having a fit if she thinks she's be so as to she have the other things cuz it's not just heavy periods. Right? So you've got Hannah wiser. Michael's you've got hyperandrogenism and so on right? So there's a whole

lot criteria Hackney. There's a whole series of things. I I wanted to comment on that. I don't know that I can comment on the round up somebody mention. I don't know anything about toxicology but I have seen women with PCOS is similar story to your friend's story that when they go low carb and intermittent fasting they do have one long cycle. I don't think that this is going to have well, I can't say that it will or will not a naturopathic medicine they call that aggravation of symptoms. It's that you get worse

before you get better insulin has dr. Fung says is a regulatory hormones. So it's a regulating all of that so you could happen. I don't know exactly why I except to say that insulin has a direct effect on our hormones. And so she I don't know that I would necessarily in a case like that say that low carb or intermittent fasting is not good for her. It clearly at is making some kind of an impact and I would just go with it and see what happens. She likely has to see her doctor because I have seen somebody. Send a message to a shin like that. It did affect your

iron levels. And so that might have to be addressed. We thank you. Next question. My name is Marcus Haig. I'm a family physician from Albuquerque. I recently been recommending a low-carb high-fat diet for nevermind diabetic patients, but I've been a little bit more reluctant because I can't been getting a lot of pushback from my Cardiology colleagues Endocrinology Carly putting in their nose. I do not recommend high-fat diet because of cardiovascular risk. Is there a particular information or something that I can do to push back that

supports the position how the high-fat low-carb diet approach is actually not putting people at our cardiovascular risk, but actually preps lowering it, but I've been more reluctant cuz I'm getting a lot of pushback. And in any particular resources recommend eyesight. How to recommend talking to dr. Zoe harcombe I believe is here this weekend or referring to her excellent research on this topic that summarizes all of the randomized controlled trials book heart disease and fat and that's me at least give the cardiologist pause if they if they're willing to look at that research.

I'll give a shout out for Blair O'Neal from Canada as well as he is here so find him. He's a cardiologist and he can probably help you with that as well. Really quick is you just might want to change the wording that you use on your chart notes, which is something that I did for a long time which was you know, emphasizing reducing sugar reducing refined carbohydrates or vegetables more protein emphasize the things that everybody agrees upon but in the discussion that you're having with your client, you'll be saying oh, yeah,

actually okay to eat enough fat to satiety and and yada yada, but you don't emphasize that necessarily in your chart notes to your colleagues. Don't get really pissed off. Okay, we're getting I'm just noticing me about 5 minutes left are so I just want to make sure we get through as many questions as we possibly can next one over here. Okay. Thank you. I'm a physician who benefited from my intermittent fasting low carbohydrate diet over the past couple years and I've been kind of as a health consultant coach at a helping their friends and colleagues to benefit from the same

principles. My question is kind of following up with an earlier one about women of childbearing years that are obese insulin resistant that are embarking on a low carbohydrate intermittent fasting diet. What kind of words of advice or things that do? You see that come up in general any specific things about fasting in and around the menstrual cycle to. Time order parts. How does the weight loss fluctuate are there stall periods that kind of the body can make up for a different. See if you can please come in town then. so

Because we're fasting program. There's always a concern about fasting and pregnancy. So whenever I'm seeing somebody in that range that Sage age range in people that are trying to conceive we talk about fasting during longer fast safe fast at least recommend that they do it only during the first half of the cycle before ovulation. Relation. You only want to focus on time restricted feeding. So I make that a point people nowadays do alternate-day fasting they do longer fast 24-hour fast and people do longer fast if they want in their we recommend that they

get proper they get mounted properly if they're going to do that, but that's that's probably easy enough recommendation. Some women don't ovulate and so I still recommend that they check the check ovulation is ovulation kits and so no no fasting post ovulation is our general recommendation. I don't know if that was your question. What what would a woman expect as it does it change the their menstrual cycle is there weight loss different is it not as steady or consistent? Do they go through periods of stalling because of maybe insulin levels during changing up and down

hormone levels fluid retention, you know other things like that metabolism as opposed to either or non menstrating female postmenopausal or a man. We see people succeed in all ages post. I have many post-menopausal client. I don't just focus on fertility liking me so I see men women so no matter what as long as they're successfully lowering their insulin as dr. Fung said if the problem is insulin in the solution is to lower insulin. So low carb intermittent fasting. I find that intermittent fasting is obviously much more successful because sometimes you for following a low carb

diet, but they're eating 10 times a day. And so that's not going to help so consistently if you're doing something that's consistently lower your insulin, then you should see weight loss women have fluctuations in their cycle throughout the Month women that do that are insulin resistant noticed that the premenstrual. Is is a hyperinsulinemic state. I think it is probably for everyone and so that's a difficult time of the month and there's a lot of retention and wants to menstruation come there's a lot of release. It's a much lower insulin state so weird. Without as well like

what you do during I find that for example be called is fat feasting and I don't know what you guys call it the fat bee sting during the premenstrual cycle. It's a lot easier to fast. When it. It comes to the first I guess so it all works out right enough second half of your cycle. Maybe you work on two solid meals a day or 3, whatever you choose to do. And once your. Comes that's the first two weeks of your cycle. Maybe you can work on a little bit of fasting that will lower your insulin. I just have a a, and there's a great article regarding that. What do you tell your Cardiology colleagues

and it in the Journal of Cardiology long term effects of a ketogenic diet in obese patients. Dr. Hussain dashti at all. They followed they put patients obese insulin resistant on a low-carb 30 grand per day ketogenic diet fall in for 6 months and all their markers cardiovascular risk factors improve dramatically and they had to come to the agreement at the end of the study that says for a six-month period of time all the cardiac metabolic factors improved and we see that this is a safe diet recommend in a cardiac Sandpoint does a great article to decide to show your colleagues? Thank

you. Just a couple more questions here. Hello, my name is Christina and I'm a family doctor from California and I have kind of a personal question about this. I never been overweight but I had gestational diabetes with two of my for pregnancies. And so I kind of got attracted to this and I went on the low carb intermittent fasting diet and it's worked great. I've lost some weight and I feel great but I can't stop the weight from coming off. And so that's why I'm kind of it reached this point. Where do you have any suggestions for me? Because when I push the diet and my A1C was still like

5 .9 last time I got a check. So I'm I'm at the point where I should I just eat more fat or what. How what can I can I do to stop the weight from coming off? More calories. I mean, I don't know. It's a what what's your sleep look like like what time do you go to bed? What time you wake up? Do you need an alarm clock 6:30? I exercise but not excessively. You know, I really did help me understand again. You're losing too much weight still but the A1C hasn't budged

I started the diet, but I just kind of figured it would be not great knowing that I had gestational diabetes twice. So I kind of went on the diet just to kind of see if I would feel more healthy and then I was kind of bummed when I got my A1C result if you had your fructosamine check to make sure that it's not an artifact of soap under low carb conditions red blood cells can live three or four times longer than normal so they can accumulate more advanced glycation end-products, but that's not necessarily bad, but we can verify that with a fructosamine check. So if

fructosamine is elevated and A1C is elevated and we have too much of an advanced glycation end-products load mainly mainly glucose, but if fructosamine is low an A1C is high then it just means your red blood cells are living. Much longer so that I would check for tosa mean and if you want to shoot me an email after this then we could kind of zero in on on some of that. The other thing is if you're worried about the A1C is also to check for your insulin levels because if you look at insulin resistance, like he is usually a pretty good sort of marker of insulin

resistance. But if you look at sort of Houma, which is what most research studies to it's a person of glucose to insulin. So if your insulin levels are very low when your glucose is high, it's actually not at that big a deal. So if you are, you know, really worried I would check that as well. He last question here. For everyone else. Sorry, if you if you have a question, I'm sure the panels would be willing to talk to you individually. We just won't be able to share it with everyone else so last question tractor in Connecticut and my husband and I recently

volunteered for a Yale study. They wanted patients are people who have been on a ketogenic diet for a year and they did a 3 hour glucose tolerance test and at the 3-hour point my glucose crash to about 48, which was unusual for me and I'm wondering if test like that or sort of invalidated with people who are following ketogenic diets. Yes. False positive cuz you're you know, what your insulin response of adaptive and we've shown since like, I think there's a I think it's a Jama article from the 1960s where they did a low-carb diet and a glucose tolerance test

washout. Higher carb diet a glucose tolerance test and the people who are gone back to higher carb diet. They suddenly like past the glucose tolerance test, but the people who are low carb or more likely to fail we have similar studies in animals and funny enough the animal studies assume that the study wasn't horses horses that were grazing or horses that were supplemented with a ration of greens twice a day the horses that were grazing. These were pregnant horses. They failed glucose tolerance test and they assumed that that was a normal response

interesting ly and humans they'd assume the opposite. You start supplementing the pregnant horses with grain rations and they pass the glucose tolerance test. Is there insulin production has increased to match it to try to avoid a dangerous situation of hyperglycemia. So glucose tolerance test are in August unless you're also assessing insulin production in my opinion and you're going to get strange results when you're low carb. When they wouldn't really want to see if it was a study.

Okay. Thank you so much for all the great questions size. I say we were going to have to cut it off there. But before we stop here, just wanted to give a round of applause for the palace, please.

Комментарии для сайта Cackle

Купить этот доклад

Доступ к видеозаписи доклада «Low Carb Denver 2019 - Q&A Day 1 Morning Session»
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно

Access to all the recordings of the event

Доступ к записям всех докладов «Low Carb Denver 2019»
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Билет

Интересуетесь тематикой «Медицина, здоровье и MedTech»?

Возможно, вас заинтересуют видеозаписи с этого мероприятия

18-20 августа 2020
Online
6
45
bud, compliance, covid-19, hospital pharmacies, pharmaceutical compounding, preparation, science, stability testing

Похожие доклады

Mariela Glandt
Medical Director в Glandt Center for Diabetes Care
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Nadia Pateguana
Author в The PCOS Plan
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно

Купить это видео

Видеозапись
Доступ к видеозаписи доклада «Low Carb Denver 2019 - Q&A Day 1 Morning Session»
Доступно
В корзине
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно
Бесплатно

Conference Cast

ConferenceCast.tv — архив видеозаписей докладов и конференций.
С этим сервисом вы можете найти интересные лекции специально для вас!

Conference Cast
1413 конференций
45247 докладчиков
19218 часов контента
Drew Fung
Jason Fung
Dawn Lemanne
Georgia Ede
Nadia Pateguana
Lily Nichols
Robb Wolf