Dr. Stephen Phinney: Is a ketogenic diet safe for your heart?

Stephen Phinney, MD, Ph.D and Amy McKenzie, Ph.D discuss low carbohydrate nutrition research in a Facebook Live on March 8, 2018.
Learn more at www.virtahealt...
Read more by Dr. Stephen Phinney at: blog.virtaheal....
Stephen Phinney, MD, Ph.D and Amy McKenzie, Ph.D, are scientists and researchers as well as collaborators on a recent clinical trial examining a technology-supported and medically-supervised ketogenic intervention.
Stephen Phinney, MD, Ph.D is the Chief Medical Officer and Co-Founder of Virta Health, the first clinically-proven treatment to safely and sustainably reverse type 2 diabetes without medications or surgery. Amy McKenzie, Ph.D is a senior research scientist at Virta Health.

[@critter4004]

I see these people promoting the Agoge diet in every keto KZbin video... it's all just marketing 😡

[@bibaolaitan5189]

Ikr...

[@angelgirldebbiejo]

try to find Drs that are into Paleo/low carb/ keto diets and they recommend diets first not pills.

[@naturalremedies-z3l]

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[@yossared901]

This is the most obviously bottled comment section I have ever seen in my life.

[@charlieclark2609]

I'd feel safer just watching my carbs and eating little to no sugar, eating high quality lean meats

[@999wrldedits6]

The Agoge diet is a much better option than keto. It's well structured, diverse and peronalized. Keto is just risky and very difficult to stick with.

[@clarissaconda927]

Keto works but honestly I felt disgusting from the beginning. I then tried the *Agoge diet* plan and it also worked, but I did not feel bad at all, so I am sticking with the *Agoge diet*.

[@iazorgiorgadze8613]

agogediet is amazing, i had great results with it

[@spriteespritee1237]

Since I started keto a month ago I keep getting this kind of stabbing pain in my heart that comes and goes...I have no clue whats that coz i never had it before.It lessen a bit after taking electrolytes but 3 hours after is coming back...Im not sure if thta is connected with keto.Anyone had any heart issues when moving to keto diet.

[@spriteespritee1237]

Bastion Balthazar thank hou so much for such a great long reply.I was not expecting that.I stopped keto after 5 weeks being in ketosis with really low GKI( 1.0-2.5 most of the times).I started carbs again,mostly fruits and heart issue eased like 90%.Its only 4th day I stopped keto.I am thinking to have second approach to keto soon,with way more of fiber and will gonna watch my heart.I ready high potasium citrate and himalayan salt works well when on keto.I hope this time will work coz I was only 5 weeks on keto,but my measured ketones were always on very good range 1.5-5.0.I had as well some kidney pain but started taking herbal ayurvedic pills for kidney stones and pain dissapear.I hope this time will work for me.😂😛😛

[@yashvivlogs30]

I started keto to reduce weight and to conceive.. after delivery my heart failed.. dont know if it is related to keto but i suspect..

[@mihhx7524]

Indian Mom Lifestyle I have the same issue as yours, right after I took a pizza the 80% uncomfortable feeling has gone. I’m considering to give it up.

[@michaelandrews4783]

see a doctor immediately

[@gatekeeper0847]

I also had that experience on my third week of keto

[@akanecortich8197]

yep Trigs way down, HDL way up.

[@lisaanderson8054]

Me too. My doc wants me to change my Keto diet to low fat or get on meds. I’m going to change his mind.

[@timshel011]

@@lisaanderson8054 I learned not to waste time with my dr. Besides, he's too set in the cholesterol BS...

[@amberland7491]

Lisa Anderson hows that going??

[@sapphirewright6258]

Eating healthy fats makes a difference.

[@sal_strazzullo]

I got trigs much down, but both HDL and LDL up

[@adoracle1]

and if one is already full of plaque and has had a MI, is it still safe?

[@jeff7279]

what about ppl who already have significant blockages? Do you recommend they eat eggs and bacon and other high cholesterol foods???

[@josen4real5]

Very good question. I have yet to find a doctor in any of these videos to answer this question.

[@2hot2handle65]

Uh, I'm pretty sure eating bacon is not good no matter how you cut it. This is why Atkins had problems back in the day, because people were getting heart disease. I remember one woman who said she traded heart disease for weight loss. Eggs are fine though.

[@jeff7279]

@@2hot2handle65 I don't agree with the bacon comment. In fact, what most don't realize is that the majority of people have artery plaque already. Unless you just happened to grow up not eating the standard N.A. diet. Otherwise you've been woofing down pounds of sugar, gallons of hfcs, as well as gmo seed oils for decades. And have had inflammation throughout your body since you were a baby.

[@2hot2handle65]

@@jeff7279 The fact that those things are bad for you -- which I whole-heartedly agree with -- does not mean that bacon is good for you.

[@2hot2handle65]

Bacon is also high in sodium, which is definitely bad for you. Anyway, I'm not going to argue this because when I was in college I actually went three weeks where I ate nothing but steak, butter, and bacon. I stopped when I started having chest pains in the morning. And I was 19 at the time in perfect health according to my annual.

[@johnsnow5264]

Complications such as heart arrhythmias, cardiac contractile function impairment, sudden death, osteoporosis, kidney damage, increased cancer risk, impairment of physical activity and lipid abnormalities can all be linked to long-term restriction of carbohydrates in the diet. The need to further explore and communicate the untoward side-effects of low-carbohydrate diets should be an important public health message from nutrition professionals.

[@mickeytollison]

Nothing you just said is true. The opposite is actually true. Good grief.

[@johnsnow5264]

@@mickeytollison This is taken from a scientific publication. Unless you have overwhelming proof of the opposite (and not only your personal anecdotes), this fact is true for the vast majority of us.

[@bibaolaitan5189]

@@mickeytollison ikr!!!... ppl re trying to market this new diet...

[@johnsnow5264]

Young lady, if you are not a physician, why don't you stay silent instead of spreading information that you apparently have not proven? That old man escaped from the nursing home that day. Pls bring him back!

[@jessicavautour24]

does it take a year? and what about how keto can cause insulin resistance

[@kusali11]

@@MsSpicynipples how so?

[@jessicavautour24]

@@MsSpicynipples maybe I should just do an all fruit diet then...fruit doesn't seem to require insulin

[@jessicavautour24]

@@MsSpicynipples because every thing I put in my mouth spikes my blood sugar...unless I don't eat any carbs on keto or I only eat all fruit....I have to choose between those things it seems...I can't eatbread or rice or pasta...and I can't just eat vegetables because I don't like them plus eating them with fruit causes my blood sugars to spike so I would have to cut out fruit ....but I love fruit way more then vegetables...and I know on just fruit my sugars are normal. I was hoping to find out that there was more then just fruit that would work for me but....there just isn't....I am very insulin resistant and I can not put on weight...never could my whole life...I weight 115lbs...blood sugars are in the 20's and 30's when I'm not on fruit or on keto...even if i take insulin that is u500...I can take 4000 units of insulin and eat nothing but a caesar salad and end up with blood sugars of 15 or more that takes 20 hours to go down

[@jessicavautour24]

@@MsSpicynipples I'm just going to follow this fruitatarian kzbin.info/www/bejne/Z3_Zpqd9e55jm6M

[@fattofit5075]

Yeah keto doesn’t cause insulin resistance. If anything, like longer term fasting, longer term decreased insulin levels pummeling muscles and autophagy allows for cellular repair. The opposite of what you are saying.

[@katelynestes4383]

I am having opposite experience. My doc says my cholesterol is through the roof. She said to discontinue keto diet immediately.

[@Hemond1]

@Katelyn Estes You may be a LDL hyper responder. A small percentage of keto people get very high LDl on keto. It is not an issue. The issue is high sugar and insulin resistance. Seek out Dave Feldman on YT. He is a hyper responder and has done exhaustive research on this. He also has a protocol to reduce LDL long enough to take the lipid blood panel and satisfy your primary care doctor. Whatever you do, don't discontinue keto. Your doctor is uninformed. Perhaps seek out a knowledgeable keto doctor who understands ldl and the hyper responder phenomenon.

[@KingJames-go8pq]

Everyone's cholesterol is through the roof on keto. Its not bad to have high cholesterol UNLESS YOU EAT SUGAR.

[@snkamesh6997]

The main reason I started dieting was to get rid of cellulite, however keto made it unbearable... That's why I tried the Agoge diet and it worked great

[@bibaolaitan5189]

Why does this look copy and pasted.... am pretty sure i saw this somewhere else...

[@kayallen7603]

The sat fat you eat is the sat fat your body uses for energy. It gets burnt as fuel. End of Story.

[@GaryHighFruit]

Oh wow you are ridiculous. When people say that same thing about carbs, you'd say it builds up in the blood. No. Sugar only builds up if there's a lot of fat building up. Your way would only work if you were careful to eat only what you're burning. That's a low-energy life.

[@noransherif278]

The Agoge diet is really something different, it just works.

[@dongrant810]

What makes this diet any different than eat less and move more. This looks spam!

[@stevo5000]

high fat diet really worked out well for the original proponent, Robert Atkins. What weight was he when he died after something like his 3rd heart attack? Think he was like 265lbs. Wow, super diet for sure.

[@neverwas45]

Dr. Atkins died at age 72 of a head injury from a fall on ice while walking to work

[@Steve-qt2xm]

@@neverwas45 might be true, he was still clinically obese and had CVD at the time. So he wasn't exactly in good health.

[@vickig5898]

Dr. Atkins weighed 195 pounds the day after he entered the hospital following his fall, and that he gained 63 pounds from fluid retention during the nine days he was in a coma before he died. Dr. Trager said Dr. Atkins did have cardiomyopathy, a heart muscle disease that was probably caused by a virus, not by what he ate. (From NY times article)

[@GaryHighFruit]

@@vickig5898 "probably caused by a virus" Oh give me a break. His arteries were clogged.

[@drobertjacobs]

She’s not a doctor why listen to her?

[@bwisanggeni]

Eat Fat to burn Fat

[@legendop3131]

The Agoge diet is a much better option than keto. It is well structured, balanced and peronalized. Keto is just risky and very hard to adhere to.

[@ngocuong2211]

The *Agoge diet* works best for fat loss. I tried the keto diet but it was just so hard to stick with and very harming on the body.

[@WasenshiDo]

Clean keto if done properly is not harm in the body lolololol

[@DreiSkins101]

Not sure if I believe him, based of the way she was looking at him as he was giving his explanation.

[@anniceldamoussavou9550]

If you ask me, the keto diet is not for most people. It is just really hard to adhere to and you feel exhausted. But the Agoge diet on the other hand feels great, and it works too.

[@alihassan1499]

Those that want to lose fat should definitely try the *Agoge diet* plan. It's personalized and balanced. Keto on the other hand made me feel like shit.

[@johnsnow5264]

Criminal charlatans, hope somebody sues you soon.

[@BethyKable]

John Snow And your an expert, why?

[@johnsnow5264]

@@BethyKable PhD in biochemistry, working with healthy nutrition. And you?

[@BethyKable]

John Snow Licensed nutritionist, Masters degree. Sugar is much more poisonous for your system as are all the chemicals used for “low-fat” foods.

[@PeaceTexas_111]

What about the animals tho? Humans are selfish

[@maccasnz3436]

Humans are animals

[@PeaceTexas_111]

@@maccasnz3436 ok..so kill animals because humans are animals?🤔

[@maccasnz3436]

@@PeaceTexas_111 Do not put wirds in my mouth...you said what about the animals, i said humans are animals. Its not a reason to do anything at all...its a plain fact. You cannot separate yourself from nature. Perhaps if you saw yourself as a part of animals in nature you would understand why death is natural and eating animals also is.

[@PeaceTexas_111]

@@maccasnz3436 dont put eating animals and death is natural together. Y'all so fucking lost and out of sync of reality. Humans die, doesn't mean it's ok to kill. Animals have a purpose in this world as well as we do..stop fucking up the rhythm with your egotistical ways and get in tune with nature

[@vikkitee4686]

L1ght 111 you do realise you can be vegetarian and vegan and have a ketogenic diet right?

[@littlepeep6889]

I struggled with keto too much, I just felt exhausted. We are supposed to enjoy the food we eat and with keto that's close to impossible. That's why I tried the *Agoge diet* and it works great.