Dr. Westman Reacts: Dr. Mike On Keto

There are lots of doctors and other health care professionals jumping on board the keto bandwagon lately, but Dr. Westman has been conducting clinical research and helping patients with this way of eating for more than twenty years. So what does he think of what these newcomers are saying about something he’s specialized in for over two decades?
Check out Dr. Westman’s latest video to see him weigh in on osteopathic doctor Mikhail Varshavski (“Dr. Mike”) talking about keto.
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[@whatsgnu]

Almost 5 years Keto myself. Once you get past the initial stage of changing your attitude towards food (aka Carb and processed food addiction) it is VERY easy to stick to and the results are amazing.

[@euhdink4501]

And it is easier and more fun cooking, and it is cheaper.

[@Boostisablast]

@@euhdink4501 idk about cheaper lol. Keto works for sure and I’m cooking now more then ever.

[@sidsnyder8043]

@@Boostisablast Nothing is cheap anymore, but I can't help to notice what other people have accumulated in their shopping carts. Add up all the money they are spending on junk foods, processed crap, and even most vegetables are no longer cheap. Not to mention the time they waste shopping and preparing. I also hunt and fish for some of my food, which is almost free food and helps in self reliance.

[@skipmcelhenny7325]

I agree. Been doing it a year and a half or so. It’s a mindset.

[@ADR-j9m]

Dr. Westman, you are a gentleman. I have followed keto lifestyle for almost 4 years. I lost 120 pounds in 7 months and my A1C went down to 5.1. I love this way of eating and I'm never going back to the lifestyle that wrecked my body. Besides, I like tying my shoes without passing out!

[@russbrown6453]

Love these Dr Westman reacts videos. Like the great Dr Atkins MD, Dr Westman MD is a BRILLIANT researcher. I have watched this "Mike" change his opinions based on which way the wind blows. Dr Westman... Mike couldn't shine your boots.

[@dianeschexnyder3376]

I'll stick with Dr. Westman, his low key approach and proven research and results!

[@robyn3349]

'Keto Flu' could also be called 'Carb Detox'. Do what works, don't let is scare or stop you! Thank you, Dr. Westman!

[@EvanEdwards]

Wait, back up. Mike is worried that on a diet that for health and weight loss, that if I do keto, I can't go with friends to eat huge amounts of ice cream and cookies. What diet is he proposing that _would_ allow you to eat with them without any restrictions? Even a moderation diet won't let you do that back to back all day long. At some point you do have to say, "no, thanks."

[@ArcoZakus]

I think I remember seeing Thomas DeLauer telling in one of his videos about how unhealthy he had gotten at his worst when he decided to change whatever he had to to get better. When he started seeing positive results from changing his eating, drinking, and exercise habits he found that his old drinking buddies were sabotaging his efforts. He then decided that another thing he needed to change was who his friends were, so he did. It was not easy because he had known the old group for a long time and had shared many experiences with them, but his new friends shared his interest in getting and staying healthier. It is hard enough to change our relationship with food -- prioritizing good nutrition over enjoyment, entertainment, and convenience -- that having 'friends' making it even harder is what is 'not sustainable.' I had a similar experience long ago when I got out of the military and went back to school. Some old friends I had reconnected with had started using a variety of illegal drugs and encouraged me to join in. As you say, "At some point you do have to say, 'no, thanks.'" I missed them, but not worrying about becoming collateral damage in a drug raid was a big relief. (I know that cookies and ice cream are a lot different, but same idea in regard to whether someone is really a friend.)

[@Mrs.TJTaylor]

It’s the only way of eating that works for this old lady. As for trusting information from one particular doctor over another, have you checked out Dr. Westman’s credentials? He’s the real deal.

[@thorntonha]

Almost 4 years on keto ( Dr Westman’s plan) and I have been at my goal weight for almost 3 years. Never plan to change. I feel amazing! Thank you Dr Westman.

[@cyndimanka]

I lost weight on keto but it wasn’t good for my health issues. I had asthma, arthritic, pain, and lower G.I. issues. Asthma I’ve had since six weeks old and I’m 64 and pretty much food makes it flare and environmental. Lower G.I. we’re talking over 20 years of bad situation and arthritis has been progressively getting worse. I started the carnivore diet in April and all three areas have improved so much that I will not go back to vegetables. In fact, when I tried them in August, my hip hurts so bad that evening I could not walk. To me vegetables are inflammatory. Fruit does not bother me but I don’t eat that much. I’m just going to stick to. It works for me and everybody needs to find their way if it’s not working try something else.

[@anthonykennedy5324]

Dr Westman...the calm voice of reason. So credible. LCHF is my diet forever.

[@rfbead321]

I've been on a carnivorish keto diet for close to 4 years now. Reversed T2 diabetes, normalized my blood pressure, never felt better. No meds. And that upsets those who make a living from keeping people sick.

[@dacisky]

17 years of keto here,and not planning to stop as it has been beneficial for my health.

[@alansawesomeketoworld4612]

I have been doing it for over 5 yrs and I have been in maintenance now for a while so it's pretty sustainable for me

[@teknerd]

7 months on Dr. Westman's Keto recommendations, 81 pounds lighter, Waist size from 46 down to 37 1/2. Shirt size 3x to 1x. Off statins, subcutaneous insulin and a bunch of other meds. Can't believe all of that was accomplished in half a year when following the local experts didn't do it in 20 years lol. I am looking forward to the next 6 months.

[@tammywhitt6187]

I have lost 150 lbs since 2019 and I find keto is sustainable long-term. It's really the only life style that I have lost the weight and am keeping it off.

[@mariad1151]

Congrats Tammy! I suspect you did more than stop eating carbs. Great job.

[@jellybeanvinkler4878]

@@mariad1151 it's ALL I did to do to lose 50lbs.... stop. eating. carbs.

[@mariad1151]

@@jellybeanvinkler4878 congrats! Just giving up carbs not enough for me. Totally helps w blood sugar tho.

[@sarahkirbach5040]

That is amazing 🎊 🎊 🎉🎉😊😊

[@hans-jurgenwiegand7465]

I do it for gout! Never going through that experience, voluntarily, again! A second chance is something special, not blowing it! I can’t get my wife into it, because of all the false information, being spread by doctors! She asked her doctor if it was safe, she only asked if I was under a doctors care! I told my wife, that she should have said YES, that’s how I got into this situation, fake opinions, from doctors! I’m very worried about her, not me! I’m feeling better all the time, but a month isn’t enough time for a magical result! No patience, got us into all the boxes of sugary food, so we wouldn’t have to cook and clean! You can’t erase years of damage, in a month or two!

[@RiteOn]

My niece passed away from a brain tumor. During our visit to say good-bye, my sister (her mother) wanted to spoil her so made her a fruit smoothie. She had a seizure because of that smoothie and there was a bit of an uproar when her husband realized what had taken place. Yeh, sugar is NO GOOD for the brain, or anything else.

[@divinediva_]

That had to be so traumatic. My condolences to you and your family.🙏🏾

[@florenceschneider3315]

Dr Westman is absolutely right👍🏻 we want healthy information not a show time

[@jeanchavarria8701]

Dr. Westman is so respectful and polite in his review, but still very much to the point. Well done!

[@mpoharper]

There are so many ways to enjoy food without high carbs. Maybe he has no way to keep up a lifestyle change but many of us are thriving.

[@Michael-4]

I don't normally like 'Reaction' style videos but here it's brilliant. All the stuff people parrot to me about keto is this type of stuff and you debunk it in a fair and calm manner.

[@jobrown8146]

Eating low carb has worked for me. Diabetes in remission, lost weight without trying (80kg to 64kg), reduced blood pressure (still taking a very low dose of perindopril), all my blood work is good (LDL has increased but I've researched that and am not concerned; cardiologist recommends low dose statin even with a CAC of 0 - I'm 65 yo F), waist was 44" no 38". My ALT liver function at its worst was 45 now 13. Liver fat was moderate, now mild.

[@francisss6631]

Just received your pamphlet, thank you. Been on Keto for 9 months now. Went from 95kg to 86 in about 2 moths and then seems to have stablelised at around 85 - 86 kg range for 7 months now & cruising. Mostly eating what I like anyway, meat, seafood & freshly cooked non starchy veg. I'm male 1.8 metres, aged 72. My mind is now comparable to when I was aged 45 - 50. For 7 months now, I have resumed my daily Karate exercise at a slightly less vigorous manner. I've got all my strength & flexibilities back. Blood pressure at around 127/74. All because I was so angry that I could not even get under my car to do a basic oil & Filter change - hahaha. I will download your pamphlet onto my phone as a reminder to read from to time to time. I'm from Australia, of Chinese heritage. I post the above NOT as a boast, just hoping to share encourage others. It was not hard, except for cutting down on rice to a small portion once a week. Do it for your health - it's worth it. You'll never look back. Cheers 👍👍

[@Aurora3242]

I stopped watching any of 'Dr. Mike's' videos when he "did" keto. It was a joke approach and a joke of trying! I was on keto for 2 yrs. Lost a significant amount of weight, but most important re-gained my mobility (severe cervical and spinal nerve damage). I went off a year ago and quickly became miserable, and regained all the lost weight. My inflammation started raging out of control. I have since re-started, as I have learned my body liked keto, and I NEED it help control my nerve damaged neck and spine!

[@jdmosaics]

Ps… thank you to Dr Westman you have helped thousands of people and I follow your “page 4 “ and love this lifestyle ❤

[@MarjorieBurnett]

Dr. Westman why would anybody serious about keto even listen to him. I always look for the top person in a field when I want information. That is you. He is an actor playing a doctor in my opinion. Keto, carb restriction works. That’s all there is to it. Do it correctly and it works.

[@jimrutherford2773]

You're absolutely right. The little boy doctor is telling people two and three times his age this diet isn't any good, while those people have been on it for years and are feeling healthy and have lost weight, and have rid themselves of many ailments, like myself.

[@Boostisablast]

Down 66lbs in little over 5months with IF and keto 💪🏻

[@Edangel14-421]

I did a keto diet for 3 years. I lost roughly 30 lbs. I yo yo d and kept the weight off. However, yo yo dieting didn't work for me. I am currently in a ketovore Challenge w Niesha Berry. For the 1st time I feel a mental clarity, energy I haven't felt before. I obviously was reacting to something else being just keto. To me it's worth a little sacrifice to heal my body. Cookies and cream ice cream definitely is NOT worth it. I'm a almost 50 year old grandmother running after my 2 grandbabies ...and love it! ❤️

[@okay5045]

Dr. Mike didn't really do KETO. I would love for you to be interviewed by him he is an interesting young man who could learn a lot from you.

[@shiraleematehe6486]

Hi Dr Westman😊 I’ve researched loads of ‘Internet’ Keto ‘influencers’ and my conclusion is they are full of misinformation. Quite dangerous really. You are the real deal, with a wealth of correct, healthy information. You’re my hero. Thanks very much. X

[@AdaptYourLife]

Thank you Shiralee 🙌

[@judytucker9836]

5 years keto works for me thank you Dr Westman ❤

[@NYNC88]

So far, for me, the ketogenic diet has been sustainable and successful for 14 years. It's not difficult to adhere to. What was difficult was the low-fat, low calorie diet that left me feeling hungry all the time and didn't result in any significant weight loss.

[@RiteOn]

Ben Bikman talks about the cascade of diseases caused by hyperinsulinemia brought on through jacking up insulin by eating carbs all day long over decades. That's the reality that Dr. Mike doesn't seem to be aware of? Incontinence, PCOS, ED, gout, skin tags, fatty liver, fatty pancreas, gallstones, hypertension, Alzheimer's, cancer(s), belly fat, hearing loss, acne, psoriasis, neuropathy, migraines . . . stuff like that.

[@Straightdeal]

Dr Mike a real "wise guy"; always has an answer for everything.

[@MrBDezno]

TY for this. Sustained weight loss through low carb nutrition is proven. And I have reversed type 2 diabetes.

[@vh8674]

My bubby and I have been on keto for about 3 years. We love it and never had a bad reaction at all. Cognitives are amazing and no more bloating and feel amazing and healthy.

[@zerocarbdoc]

Well done, perhaps the highest of pedigrees for Keto Dr. Westman was there very early if not first after Atkins and a professor from Duke University. He is perhaps one of the most experienced Medical Doctor on Keto. Appreciate this format.

[@jimrutherford2773]

The boy doctor says one problem is you have to be super vigilant on a keto diet. Why is that a problem? You change your way of eating and build a taste for real food so you don't crave the crap food anymore. Why is that a problem?

[@blueckaym]

Dr. Mike didn't imply that reducing carbs is bad, he just described the main difference with Keto diets. I know from experience that Keto works. I haven't been very strict with it (I guess I've done one of those dirty ketos), but even this way I lost ~27kg for 9 months (120->93), then I messed up for a while not knowing that Cashew is actually relatively high in carbs ~8% and I halted the weight loss and even bounced back 1-2kg, but when I learned why I quickly returned and dropped back down to 90 this time ... My goal was 85, but then things with my personal life went to hell so I really didn't care for weight loss anymore, stopped hiking, exercising when depressed went back to the sweetie things, so for a year I slowly went back up to 100, and then after another crash for about half a year back to ~120 (perhaps even a bit more) ... Weirdly this April I somehow naturally reduced sweetie things, and got distracted (with 3D printing) so I didn't do my bored-eating, and soon I noticed that I'm losing weight w/o doing keto or other diet. So that 4-5 months in which I lost ~8kg down to 112, and this week was my first back on keto (to finish the job this time). So this first week alone I lost 2kg, down under 110kg now. Recently climbed a mountain peak near my city (~2h hike with about 500m denivelation, and didn't even stopped! It was enough to slow my pace from time to time when I was waiting for the last people in our group to catch up). And since some friends learned that I'm back on keto few of them tried to stop me by sending me "facts" that keto is bad for you ... Funnily I've already been thru that research and half the things were wrong (few even outstandingly wrong!), and the ones that weren't were really negligible. The main thing usually is to drink more water (~3L/day is fine) to reduce the risk of sands & rocks in the kidneys (which keto actually can cause if you don't take measures), and the water loss esp. the first weeks, and with the lot of water you'll need a bit more salts (sodium chloride & potassium). So unless you already have some problem with your kidneys it's very unlikely to have problem. The other friend actually tried to convince me that tomatoes are mainly carbs ... which is you compare carbs vs proteins+fats (ignoring ~1% fiber) is technically true - carbs are ~3% and the proteins+fats ~1% together, but incl. the fiber there are ~5% of macronutrients (& micronutrients as the name suggests are important of course but really tiny amount), to imho tomatoes are mainly ~95% water :) Of course some veggies are high in carbs and should be avoided while on keto (mainly beans, starches & some underground ones, and also corn for example), but most veggies are actually ~5% carbs or even under so perfectly fine (also some have fibers counted IN the carbs content). But of course veggies (while critically important for their micronutrients) don't have much of nutritional value, so you'll have to eat other things to get that energy (parallel to burning your stored fats) - avocado is indeed great from the veggies (though technically fruit, like the tomatoes :)), but I like to complement with some cheese (mostly Bulgarian white cheese) and meat or fish (I don't go crazy when I don't eat meat :)) Keto requires a bit of learning curve (I didn't know most things nutrition value before), and the things to be careful about (drinking more water & perhaps some little bit of extra salts), but after that it's not that difficult to follow. Yes it can be difficult to find appropriate things to eat when dining out, because most things in restaurants are not keto-ready (but when I get steak with potatoes on the side I just ignore the potatoes, or give them to someone on the table ... actually after the first 9 months on keto I actually lost my taste for potatoes - only few ways of preparing them are tasty to me now ... when I'm not on keto of course!). So I really don't see why some people have problems with (usually OTHERS being on) Keto! PS. Fun fact - when you stop eating for 12 to 18 hours (because one of the arguments against Keto was that not eating for a week or more is better!), your body actually switches to ... guess what - ketosis and start burning your stored fats! But even if you do that, don't go crazy on it - too low fats are dangerous as the body needs at least a little bit in order to process some micronutrients properly! Also w/o fats it also starts breaking down muscles to eat the proteins!

[@jayeme1483]

Good catch on the sneaky attack on the low carb life .

[@lasal134]

Once I attained the state of Ketosis I knew I would never quit. My mind was clearer, my mood soared, and I was eating all my favorite foods in spite of not having the sweets and booze I used to crave. Eating out, I just eat normal portions of meat and low-carb veggies and am perfectly satisfied. This is actually the most sustainable "diet" - lifestyle - I can imagine. Plus it is actually cheaper than the Standard Diet because I'm not buying the High-Markup carb foods like breakfast cereals and bread/cake/snacks, so I can spend the extra dollar here and there for a grass fed steak!

[@ArcoZakus]

I also have really enjoyed not being HUNGRY every few hours while eating three meals with snacks in between every day. Now, with two meals a day and no snacks I am still comfortable going from 16 to 20 hours between the last bite in the evening meal and breakfast the next day at noon or later. I still have trouble believing how much better that feels. When I get the urge to snack now it is out of habit or nostalgia for the feeling rather than from a real need to eat. (As Dr. Cywes says, once fat adapted someone's "snacking is an emotional event.")

[@RiteOn]

My brain has improved so much, I'm shocked. I had no idea I was that depressed and befuddled. I will never go back to carbs, ever . . . over my dead body.

[@1verytallgal]

Dr. Westman, thank you for what you do!! Thank you for sharing your science based knowledge! My Metabolic Specialist thinks very highly of you and so do I! ❤️

[@ralph6270]

I have been on Keto for 4 years. Before Keto (all resolved now): high blood pressure, HDL 21, aches and pains, gout, stage 3 CKD, 326 pounds (210 now), sleep apnea, acid reflux. I am now off all meds, feel great, oh and by the way I was 65 when I started Keto. I can be done and it can be sustained long term, I am living proof. Is it hard to maintain? Not if you were in as much pain as I was on a daily basis and afterwards all that is gone!!

[@ralphhamdeed2977]

An inspiration congratulations

[@rpollo444]

Not possible

[@ralph6270]

@@rpollo444 So I am not telling the truth? Every thing that I have reversed is well known to respond to a Keto diet, with the possible exception of my stage 3 CKD, that my doctor told me he was taught was impossible and yet he said my labs were normal for the first time in 15 years.. So believe it or not, it is what it is.

[@rpollo444]

@@ralph6270 Yes, it is physically impossible for all that to disappear from keto you are making false claims that can let down people who struggle with health issues,tl;dr It is completely outlandish

[@billmitchell1955]

I lost 75 pounds in 8 months on a keto diet. I have recently added carbs because of muscle loss and I'm lifting weights again. I eat carbs every other day when I lift weights. I have put muscle back on and feel stronger. I weigh myself every day and to my surprise I haven't put on any weight from eating the carbs.

[@jdmosaics]

No it is not difficult to adhere to!! This young man should talk to more people who live this lifestyle! I really think people who profess they know so much when they have never even tried it themselves or researched hundreds of people who are successfully living this way…. (6 yrs for me) and it is not hard. Eating nutrient dense food instead of packaged highly processed foods that make everyone sick and tired… no not hard at all once one feels soooo much healthier!

[@jeffbrown3400]

A great video. You should try to have a video with Dr. Mike to discuss Keto and low carb diets.

[@briandbaier1469]

I would like to know what Doctor Westman thinks about the stricter carnivores and the whole plants are trying to kill you stuff

[@madcatter972]

This keto flu thing could be - at least in part - withdrawal symptoms from sugar. Sugar is such an addictive substance, physically included. People often feel rubbish when they quit cigarettes, yet you wouldn't deduce from that that you your body needs those cigarettes to be healthy bc you won't feel good initially when you stop!

[@samorr4]

I am a big fan of Dr. Westman. On the other hand, I actually do like black coffee in the morning to which I add a tablespoon of coconut oil and i to two tablespoons of heavy cream. It keeps me satisfied until noon. And it tastes very good.

[@grannysquareswagonwheels2604]

Dr. Mike tried the Keto diet for a short time. Like someone else said he kind of goes where the wind blows but I thought he was overall respectful of the Keto diet thought you could tell he didn't do a deep dive into it but mostly read the "highlights". I made a comment on the video when I first saw it about how it was very much sustainable. So many people cannot wrap their heads around giving up carbs. You see this when they would rather give up meat and eat a "healthy" vegetarian or vegan diet as to make sure they don't have to give up their carbs.

[@1timbarrett]

Carbs are the security blankets of our species!😮

[@arlandmann106]

Hello Doctor Westman, Is your long-term clinical studies of the Ketogenic diet showing the positive benefits getting published? It seems to me the skeptics need proof that it works! Or are they just avoiding the positive truth that it works so well. Thank you for all you do! You have helped so many people around the world.

[@rashoff]

No surprise to see a mainstream doctor list these cons to the keto diet without explaining at all. The red meat thing I recently found out is so unfounded. It's mainly because people cook it in seed oils which is causing more of the problem. If anything, it's the meat that partially offsets the use of seed oils. Plus, I'm sure his audience would be put to sleep if they had to learn the nuances of LDL because it's actually a pretty complex conversation

[@charleswilson4598]

I think most people will stray from their chosen diet from time to time, even those who are pretty dedicated. It is just human nature to cave into cravings sometimes. I am disappointed when this happens but it is just one bad day out of many. If I can stick to my diet 80% or more of the time I think my results will be pretty good. I just did your 7-day keto challenge and my blood sugar decreased dramatically blood sugars are my main motivation. If I lose weight too that is good but not my main goal. So I am happy with the results so far. (by the way, I did lose 10 pounds).

[@davejarvis7522]

Very calm and very 👍 good- txs

[@keybored67]

waiting for dr clark reacts to dr wilsons reaction of dr westmans reaction to dr mike.

[@ronaldkoch2766]

I'd like Dr Mike to explain which healthy diets say it's ok to eat ice cream, cookies, ketchup on a regular basis? Most diets tell you to avoid these things except occasionally, which is no different than keto.

[@valbrenneman9071]

Good video. I don't even know who he is! Been doing your way of eating 6 years now.

[@1verytallgal]

AKA, the proper human diet. 👍

[@robertphillips93]

A wonderfully balanced critique, doctor! One point about Dr Mike's take on "sustainability" of any keto diet, either strict or relaxed, is that overindulgence of fats and the consequent higher blood ketones produces a condition where ketones are actually wasted from the blood during respiration, according to Bikman. Unused carbs, on the other hand, are always stored -- and that creates an an intrinsic shift away from homeostasis. Which practice is actually more sustainable? What he means to say is that most people will not be able to keep to even an easy low carb diet, so why bother. That kind of perspective is equivalent to giving up on the diabetic or alcoholic, because the epidemiology doesn't support going against the established trend. I would like to see what Dr Mike would do in a river raft above the falls . . .

[@TheShumoby]

I've been doing keto/low-carb for over 5 years. No going back for me. It's the best thing I've ever done for my health.

[@simonround2439]

Brilliant asessment from Dr Westman

[@richardmonson8657]

The keto diet is the most sustainable diet I could have. Had my annual checkup today and my metabolic panel was very good. When I started on Keto 4 years ago I was pre diabetic and had elevated blood pressure issues and today I am well with normal in all respects.

[@sherrischwartz6844]

Love your content and helpfulness

[@masterchiefburgess]

10:07 We don't have ANY studies that show the S.A.D. diet is good for us either! That doesn't seem to stop him from implying that we should stick with the S.A.D.

[@goodcooker4001]

Agree. I would dare say we actually have proof it ISN’T good for us. As a society we are fatter than ever.

[@masterchiefburgess]

@@goodcooker4001 I wouldn't say proof. There's lots of anecdotal 'evidence' and some epidemiological studies, but none of this provides evidence for cause and effect. Using the scientific method we can easily disprove a hypothesis; we need merely to find one counter example. Proving a hypothesis (such as the SAD diet ISN'T good for us) require long term randomized control trials of the kind that cannot and will not ever be done.

[@hudsonvie]

The fact that babies are in ketosis when born,, tells you a lot!

[@AtMyHappyPlace]

Please start putting time stamps on your videos - thank you for the great content.

[@tutualbert4754]

I’m 76 years old and I’m carnivore. The best thing that I’ve ever done for my health. No more stomach problems. Asthma has almost disappeared

[@200Nora]

I have been on keto and IF two meals a day since 2021, and I defeated pre diabetes. I never been overweight, but I have familial risk, and other issues that now I know contributed to this problem, and all other aches and pains that also went away. All my labs have been superb, except the LDL, which tend to be higher, but I am not worried about. I am stuck with keto and frankly, I enjoy my meals; I was never addicted to excess sugars, so that part was easy. I avoid all the keto internet hype and packed keto treats. I am mostly carnivore, but I eat small portions of veggies too. This guy does not know what he is talking about. I follow seasoned doctors like Dr Westman.

[@missyg3107]

I wish Dr. Westman would review the new video that Sugar MD put out titled "Very Bad News for Keto Diet: A New Study" and he subtitles it "Keto diet will kill you!"

[@AdaptYourLife]

Thanks for the heads up on that one Missy, we will do that one

[@jellybeanvinkler4878]

Wow, "Sugar, MD" ?!? The name alone puts shivers up my spine!

[@johanna6050]

I saw that video, too, and wondered how other LCHF/keto drs. would react.

[@cassieoz1702]

I hate the modern use of "X times LESS" because 'times' implies multiplication or more. What they really mean is 1/X of the original number. I'm also sick of being told Keto isn't sustainable, often by people who have no qualms about advocating the vegan diet. In some studies more than 90% of vegans find it unsustainable

[@terised]

This Dr Mike video is over 4 years old. Perhaps he's older and wiser now and has changed his thinking or could be convinced to look at some of the newer data that's out there.

[@MarkSmith-js2pu]

Since I live alone, it’s probably much either to sustain. Lost 40 lbs so easy to sustain because it’s delicious.

[@Beer_Sheva]

I chose drastically changing my diet vs probable death. Low carb since CABGx4 Mar 2020

[@harrynickel8691]

Thanks Doc. Keep up the good fight.

[@fredsmit3481]

Another thing Dr. Mike got wrong is that he said that very low carb diets induce ketosis for all people. He also defines “keto diet” as a very low carb diet. That is completely wrong. You cannot assume ketosis based on the food that is eaten. It is a mistake made by a lot of people. A keto diet is not based on food, it’s based on the production of ketones. Many people on a so-called keto diet, never enter ketosis. A lot depends on genetics and exercise. A person who runs 20 miles per day can eat a lot of carbs and be in ketosis and thus be on a keto diet. A couch potato who eats a lot of protein may have a very hard time entering ketosis. You need to measure ketones to ensure that you are in ketosis - you can’t just go by the food that you eat. Thus, the simple definition is that if you are producing ketones, then you are on a keto diet regardless of the food.

[@claudia5908]

Well, Dr. Mike is young. He doesn’t realize how much those carbs are going to haunt him later in life. In my 30s, I had gut problems, low stomach acid, & dehydration. I didn’t know that at the time. My doctor was no help. She said I was getting old. Luckily I didn’t accept that answer. I began researching how to improve my health. I was never fat per se. I was just unhealthy. The most I gained was 135 which was still “healthy” in the standard model. I’m petite at 5’3.” On the keto diet, I feel better at 53 yo then I did at 35 yo. I never thought I would be fasting & eating the way I do and still feel great. Now if I just worked out more. I do walk a lot. Just need more HIT & weight training.

[@whomadethatsaltysoup]

Excellent, reasoned content. I've been LCHF for six years. Never really tuned into the Keto lifestyle initially, as I got the impression it was a rather aggressive space, populated with angry zealots, not unlike the shouty vegans. As the good doctor states: I was probably looking at the wrong resources for guidance. Nevertheless, here I am years later, gradually moving in that direction. I don't count calories or macros. And I don't weigh the food I eat. Initially, I just stopped eating processed food along with bread, rice, potatoes and pasta. In less than 6 months I went from 100kg down to 70. I've learned a lot in that time - don't look to your doctor for nutritional advice, first and foremost. Dr Mike seemed to be painting a reasonably accurate picture up until he started talking about how difficult the lifestyle is to follow. Meat, fish, eggs and dairy. Nuts and leafy greens. I don't eat breakfast until around 1 or 2pm, and have my evening meal at around 8pm. Honestly, I've never found it difficult in the least. I suppose if you don't like meat or fish, or can't tolerate eggs or dairy, well, that's a different story. But the only way to find out, is by giving it a bash. Just experiment until you find what works for you.

[@gillianharper6831]

Thanks for this. I at times like to go out for dinner with family and eat a few more carbs. I didn’t think I would be allowed to this, I will now try a low carb diet.

[@tobe2btobe]

Keto diet revolutionized my health. I never had anything like the "Keto flu". I noticed no difference. I am eating keto for life. I will never stop. Just maintain. The thing I don't like about these anti-keto proponents is how they treat people like such simpletons and weaklings. Like we can't manage our diet for the long term. I eat a delicious diet and don't miss anything that I have cut out. I put in a lot of work developing my menu but it isn't that difficult to manage. I spend about the same amount of time preparing meals as I used to. So to say it is "really difficult" is nonsense.

[@1timbarrett]

Agreed. When people tell me they cannot possibly give up X,Y or Z, I always find myself thinking “I believe you.”😮

[@josephannett3471]

Thank you. I thought this was going to be another keto hatchet job.

[@johannas.l.brushane2518]

I'm just on the beginning of the third week, I had some slight headache (but way less and different from my previously migraines and tension headaches) and that was likely just because not yet adjusted to drinking more and figuring out the right kind of salt and to which amount (I managed to find tablesalt one with potassium and magnesium. Otherwise most electrolytes to be found comes with unnecessary things like sugars). The nutrition deficiency he refers to may be vegan versions, Nadir Ali points out some problems with vegan versions, and that obtaining quality protein without it being highly processed (legumes typically have protein uptake inhibitors).

[@Aurora3242]

Dr. Westman, why is it so hard for us to get a CGM in the U.S.? I am not tracking ketones right now, but I am still trying to be vigilant about my glucose, I am not diabetic (surprisingly). I would love a CGM, but instead, I am constantly pricking my fingers. 🥴 It makes no sense to me, to restrict a tool to help people control their weight and sugars- How can we change this American practice , so that we all my benefit, if desired?

[@terised]

What you are saying makes no sense. If you don't have diabetes why on earth would you need to have a CGM (Continuous Glucose Monitor)?? I'm assuming you don't have heart problems but do you think you need a pacemaker too? The only people who need to be continually monitoring their glucose are those on insulin. Just get your A1c checked every 3-6 months and be done with it. Maybe you need psychological testing as well. Something to seriously consider.

[@Malcolm-Achtman]

@@terised I don't have diabetes but I've used a CGM several times (for 14-day periods). It's a great way to see how you respond to various foods. You can see how much your glucose rises, how fast it rises, how long it takes to go back to baseline, etc. I eat a mostly animal-based diet but I did make one recent change based on my CGM tests. I was eating a small amount of fruit each morning, typically 1/2 an orange or 1/2 a grapefruit. There was quite a large glucose spike from that, so I eliminated this ritual. I've also tested myself to see what happens if I eat foods that I know are problematic, such as potatoes, rice and ice cream. I rarely eat these foods but I was curious to see what happens when I do. The CGM doesn't lie and helps give you a stern reminder to avoid these foods and stay on track.

[@debjordan4399]

Dr. Westman thank you. I have a question I have not heard anybody adress. Being on keto, eating only whole real food, no processed "keto" snacks and junk. Do you think we actually need fewer calories than people who eat mostly processed manufactured "food"? Maybe make a video adressing this.

[@AdaptYourLife]

Nice suggestion Deb👍

[@jasonfields2793]

I stick to a predominantly canivore or ketovore diet to alleviate life long GI issues and loose an average of 1kg per week and have never felt better in my life.

[@anir8023]

Could you make video about this trend as in ozempic ? I can see people lose tremendous amount of weight 9kg in month and are willing to use it for the rest of their life. Eating small portions but anything they crave . I wonder could this lead to deficiencies ?

[@huntersquires7107]

When I lost 85 lbs, reversed my t2d, got blood pressure under control using the keto/low carb diet, my doctor took me off all meds and said: " that's amazing what you did, but I don't like the keto style diet because when you quit you can gain weight back really fast and get back to where you were." I said: " yeah, but isn't that the same with any diet (with a laugh)." He responded: " well, yeah, that's true." So many doctor's are just afraid to try new things for their patients and are stuck in status quo mode. It's pretty much just use government guidelines and pump you full of medicine.

[@dorsetboronia6744]

‘When you quit’……. Who is going to quit when we get such enormous benefits? Going from -no life, to a great and normal life’.

[@anjayyyplay2502]

1 year keto, and its for life, for me

[@ColoradoCarnivoreCabinetGuy]

Great Job! thanks

[@EdJacobson77]

Who the hell is Dr. Mike? What experience does he have working with thousands of people for decades in a ketogenic diet clinic? I don't have that kind of experience either, but I at least have the sense to listen to the people that do.

[@blueckaym]

Regarding the potential harms - my 2cents (not being a doctor!): - nutritional deficiencies from limited diet - that is indeed simply WRONG. You might have to learn nutritional value of things (mainly to avoid carbs sneaking up on you, because it's true that most food, esp. the processed ones have added sugars or simply are high in carbs), but after that and when you're eating some normal amount of veggies you won't be having deficiencies (if you're worried about deficiencies you'd better run some blood tests for it, and then if needed you can eat foods richer of the deficient micronutrients - but there's no problem to find such foods on a keto diet) - Increase bad cholesterol - that is true in these extremely high (and mostly animal) fat variants of keto diets, which can increase your cholesterol, but it's not difficult to avoid that - just don't go crazy on the animal fats, eat more avocado, olives & olive oil, salmon and similar fat fishes, and your good cholesterol would manage your bad one. I've personally never liked very fat meats, and for me that's been enough to not worry about cholesterol while on keto! - Kidney issues - that can be true, but it's also really simple to prevent - just drink more water (~3L/day is good, but occasionally dropping to 2L isn't a problem /unless you're dehydrated for other reasons too - like once still 112kg recently started keto I went for a not-difficult but ~6 hours mountain hike in a clear summer day, and to compensate I drank a LOT of water - got to 7.5L that particular day/). And I never had issues with my kidney while on keto. For comparison I had to take Acetazolamide for ~8 months after a major surgery I had. And after 4 months I started to feel my kidneys being under stress (I wasn't on keto in that period), several times I had few days with signal I had to pee, but after I've just drained my bladder. After I stopped Acetazolamide my kidneys got back to normal. So for people that already have kidney problems I would recommend to consult with your doctor and if necessary take measures, but keto alone isn't really a problem. - Bone issues - that's the first I've heard of this one, but haven't heard any arguments for that problem. Anyone? I actually before starting the keto had really extreme vitamin D deficiency (4.8 ng/mL !). Under 20 ng/mL is considered deficiency (though after the Pandemic it's recommended to try to stay above 30), under 10 ng/mL is considered dangerous deficiency, and I had 4.8! So I had to take vit. D supplements for a long time before I got it back to ~30. And as most of you know vit.D is actually really important for bones, and I still had no issues with that vit.D deficiency AND Keto! - Increased cancer risk - I don't know of any arguments for this, but I know of some against it! Like that cancers and tumors like to feed on sugars & carbs (as anything really - everyone likes carbs normally), so reducing carbs as on Keto actually can limit the food for cancers. I personally had a surgery to remove a giant Vestibular Schwannoma, but that wasn't caused by the Keto, it was for most of my life (if not all of it), and has a "good" chance to be genetic in origin (I recently found the gene that can cause it, and have to test myself if that was my case). And the thing is my tumor started to grow from the Schwann cells (hence the name), which are basically like the insulation around the wire, but around your nerves (the vestibular/acoustic nerve in my case). But I found some paper (have to search for it again) that Schwann cells actually can't metabolize well ketones - they can a little bit, but not efficiently so they partially starve (more like keeping them on keto diet :)) when you're on keto. However I couldn't find other researches on that topic, and I think the paper that I found was only on research on mice, so not very conclusive for humans. So I'll appreciate if anyone can share info on that topic!

[@thuggie1]

i cook most of my meals from scratch i never liked eating masses of preprepared food in the past it was the sugar they added to things i was never a fan of it so that continued on into my keto. i started it mainly to control my diabetes after 3 months my blood sugars are in normal range

[@jminion1947]

I am 75, I weighed 265 pounds, have been doing Keto for about a year. I have lost 40 pounds, just had a checkup and all my blood work has come back into normal range, I have NAFLD, all the markers were off but using just Keto that has been reversed. I can see how this can be a long term diet for me, if I stray and have carbs I find that I feel the affects almost immediately. Carbs and sugar are not worth it. The plan is to lose another 30 pounds and maintain that weight. I am open to new research, but I am not fast to make a switch from the diet without studying the research myself.

[@judithcervizzi6609]

What do you think of Ted Naiman who advocates low fat, low carb.

[@patricebrown6051]

Is there Any long term affect (studies) on ANY diet.

[@AdaptYourLife]

The Keto diet has been used for over 100 years to treat epilepsy. That’s the best evidence you can get.

[@barbsdee3831]

Why doesn’t Dr Mike focus on the huge success it is for type 2 diabetics and that it isn’t a chronic disease like it was once thought to be. You and Dr Unwin here in the UK have had hundreds of patients go into remission

[@1timbarrett]

13:45 So if I cut out pizza and other processed edible products, what nutrition will I be deprived of. I HAVE heard people descibe dessert as a food group, but I’m pretty sure they were joking.😮

[@mpoharper]

I am 4 years keto. No problem with long term. I like to cook.

[@jamiepatton9334]

5 years keto...im here to say it's 100% sustainable

[@Marshadow69]

Adherence to a keto diet seems to be a major headache for the nay-sayers. Prior to going keto, I prided myself on being a good cook. I loved making and eating artisan Italian bread, curry with loads of Basmati rice, pasta, lasagna, tacos, burritos, roast pork and potatoes, bangers and mash.... I went strict keto 18 months ago and I scarcely missed a beat. I used zucchini noodles for both spaghetti and rice noodle, I fried eggplant and had it with yoghurt instead of rice with my curry, I made taco with almond flour and psyllium. I gave up alcohol not because of the carbs, but because it is a toxin even at low levels (I had been drinking half a bottle of wine a day for years) following Andrew Huberman's podcast. I have now progressed to being primarily animal based - meat or fish with a little asparagus, onion, avocado and strawberries. And I rarely even think of eating things which I used to rejoice in. I have also lost almost 25kg dropped my Triglyceride/HDL ratio significantly, reversed fatty liver, I have a low C Reactive protein and my A1c has gone from 5.3 to 4.6.

[@davidhopkins]

I notice you are quite dismissive of bulletproof coffee. I’m not sure if you are saying it is actively bad or just not necessary. I brew a strong tea every morning and blend a nob of butter and a squeeze of mct oil. I believe it helps me delay my first meal. I often only eat one big meal a day. Is this a bad idea?

[@jayeme1483]

I love bike travel video's , all wrestling with how to fuel on the move . Nugget's of gold ; Dr. Osler and Moses Sheppard , Lewis and Clark , Mik and Jordon Peterson and recently Joe Rogan . Great fun , thanks .

[@rhlang11]

Curious re all the talk about adding butter to whatever protein. Is there that much benefit to adding fat/butter? So many seem to believe that butter is almost a cure all.

[@wocket42]

Butter is mostly fat with an animal fat profile. Sure, also some more vitamins and proteins. I think it's just the easiest and tastiest way of adding animal fat to lean meats/fish. Remember, we probably ate very large ruminant animals in the past and the larger the more fat they had. Today its less fat and even that is trimmed. Amber coined the phrase "lipivore" for the human species.

[@AdaptYourLife]

You won’t hear that on this channel. We don’t believe in the consumption of fat, unless it’s naturally found in the food or for taste, but NOT because it’s somehow “good for you”

[@rhlang11]

@@AdaptYourLife Interesting. There are some that advise eating sticks of butter - daily.

[@1timbarrett]

@@rhlang11 i wonder how many of the Butter Brigade are recovering from an eating disorder, and might still be addicted to the physical act of eating?🤔 I have no business judging, but I can ask a question, right?🤔