Ep:363 BRILLIANT EXPLANATION OF INSULIN SUPPRESSION - @BENBIKMAN

[@mmatroll]

#1 doc on KZbin

[@petebowen9031]

What I wouldn’t give to see Dr Cywes do a study where he took blood samples of Dr Saladino, Dr Chaffee, Kelly Hogan, Dr Berry, and a host of other carnivores and omnivores, and compare the results!! I think the analysis would be mind blowing!! Thank you so much Dr Cywes for your relentless pursuit of the science!!

[@sdjohnston67]

That's a cool idea.

[@cindyparkinson2066]

Love this idea!

[@allenbrost9564]

Paul is the only one that I know of that has shared his blood work... several times.

[@BeefNEggs057]

Except we still don’t even know what’s ideal and neither does Cywes. We’d just be assuming this is better than that but no one knows anything. If I hear another word wasted about cholesterol, I’m done. Stop wasting life and let your body do it’s thing while eating mostly beef and eggs and no/almost no plants. Do what makes you feel best. You have to experiment to do that.

[@BeefNEggs057]

Stop acting like good bloodwork is health. It’s not. I’d say good numbers based on what doctors recommend is actually the opposite of good health.

[@louisa4295]

Please invite Dr Bikman back on to have a follow-up discussion. I can never decide which of the many channels I follow on low carb/Keto/Carnivore is the most informative; I frequently go back and forth. But most of the time it is this one. Thank you Dr Cywes. Thank you so much for the clarity and honest insights!

[@adorableadornments1101]

I love Dr. Ben Bikman, he is such a good teacher. I also like that he doesn't tout the theory of evolution.

[@louisa4295]

@@adorableadornments1101 That's interesting. What's your source? Provide a link.

[@BigDaddy-ie4zl]

Truth be told Bikman has been speaking of this since 2018

[@tombelieves]

" When I eat an oreo cookie I'm eating a whole rack and I'm stealing yours" This made my day! Thank your Dt. Cywes

[@robertcywes2966]

Believe it Tom

[@Raptor820]

I've been on carnivore for 14 months. I'm 55 and the biggest difference I felt besides after going on carnivore was when I added (3 months ago) whole organic milk, kefir milk, sheep kefir milk and whole organic half and half cream fermented with L.Rueteri bacteria (dr. W. Davis recipe). Adding the milk has made the biggest difference and has made my excema dissappear completely!

[@Jayla-dj2gj]

How much milk are you consuming daily??

[@Raptor820]

@Jayla-dj2gj I usually have a 1/2 cup L.Rueteri yogurt in the morning, a cup of kefir sheep milk or kefir yogurt in the afternoon before diner.

[@deboramathias3879]

I just got dr Davis’s book, did eating this yogurt slow your weight loss?

[@Raptor820]

@deboramathias3879 No, it did not affect weight for me, but I have high metabolism, I've been 138lbs since high school. I did not do carnivore for weight loss, only for overall health.

[@verborgenewahrheit1594]

@@Raptor820 Same here

[@ZackRamsey14]

Your willingness to continue to learn and look for answers is incredibly admirable vs being dogmatic. Props to you Rob

[@rikcrampton]

Dr Cywes, thank you for addressing insulin suppression. I have been on a keto diet for several years. Over the last couple of years I have had to exercise to bring my blood sugar down after meals. My fasting glucose has steadily risen. Yesterday, I decided to try your suggestion about drinking milk. This morning my fasting glucose was 137. One hour after drinking a glass of milk with some heavy cream it dropped to 95. For the first time in a long time my body cleared blood sugar without exercise! Again, thank you, God used you to answer my prayers.

[@holliegalloway2814]

I have the exact same issue after 8 years of keto. My BS's are high every day on my CGM. I am going to try the milk thing with cream, like you. Does it take you out of ketosis?

[@rikcrampton]

It has not knocked me out of ketosis so far, but I am not really worried about being in ketosis all the time.

[@holliegalloway2814]

@@rikcramptonWell, I tried yogurt before dinner last night and at first there was a spike to 157 and then very quickly I got down to 89. This really works! Do you consume the dairy it every day?

[@rikcrampton]

I drink a glass of milk after every meal. The spike lessens after the first couple times.

[@allenbrost9564]

@@rikcramptonAgreed, it seems better to come out of ketosis from time to time to keep your body metabolically flexible. This seems more ancestrally correct. As humans being mostly carnivorous, we still would have crushed fruit and honey when we found it simply because it tastes delicious.

[@mathfaster]

Ben Bikman has said he prefers the term "adaptive glucose sparing" not physiological insulin resistance when one takes in a very low amount of carbs or no carbs. He says true physiological insulin resistance is when one going through puberty or pregnant. He has talked about after 16 hours of fasting the body dumps its reserve of insulin (1st phase response). Which is why a carnivore would see their glucose shoot up dramatically when consuming carbs in addition to the state of adaptive glucose sparing. Then the body kicks in insulin production to deal with the rise in glucose(2nd phase response).

[@robertcywes2966]

I call it insulin suppression and w can measure it in humans

[@Mr-hn2bp]

There is basal insulin release 24 hours a day.

[@gins8781]

I’m very curious about insulin suppression and I hope to hear more about it. A video discussion between you and Dr Bikman would be great!

[@teddibear1850]

I'm 100% confused lol

[@petebowen9031]

This video is LOADED with information: I’m gonna have to go back and study it. If you haven’t seen his video “When Paul Saladino is right”, go watch it: it’ll help with this one!

[@allenbrost9564]

It means eat some healthy carbs once in a while. Fruit, honey or milk (raw milk)

[@mark11145]

⁠@@allenbrost9564not necessarily. It just means that your GLP1 reaction is depressed. So if you stay carnivore it will probably be no problem. But, if you then splurge and eat a double helping of the triple decker chocolate sugar bomb - your body will have a suppressed insulin response and your blood sugar will spike. As for living in a state of lowered insulin is good or bad…. Dr. Cywes states he doesn’t know. One thing I have observed as a 2yr carnivore: my insulin sensitivity is very high. So if insulin is suppressed but sensitivity is very high is there a detriment to low insulin; versus higher insulin but less sensitivity? At 54 I have my strength by 2.5x while on carnivore, so growth does not seem to be a problem on low insulin levels.

[@BeefNEggs057]

@@allenbrost9564 Nope no fruit. Def no honey. Milk or cheese is better

[@EEEBA1]

@@BeefNEggs057 Not a lot if any carbs in cheese? Milk maybe better choice. I just don't care for milk...

[@melissal3383]

Love the passion that both you & Ben bring to the table!!

[@googlefriend8410]

Wow, I love all the research you and Ben and others are doing and the questions you are asking in response to certain bloodwork markers. I am diabetic II, 64 years old, and having a tough time dropping weight. I followed the mainstream doctors advice for two years and things got worse. Then I started doing research. Found a lot of fake BS but then found people like yourself, Ben Bikman, Ken Berry, Sten Eckberg, Dr Thomas, David Diamond, and many others. Sometimes it can be very confusing. i am not a doctor but do consider myself intelligent. In college, I took a liking to statistics and research, especially ones based on good science, double blind studies, etc. That is why I started questioning the trends in mainstream medicine in conjuntion with the food industry, big pharma, I think in a perfect world where no one is obese, metabolic flexibility is the norm. I mean, even from an evolutionary perspective, our posture, bone structure, even our teeth are built for metabolic flexibilty, eating both natural meats, vegies, and to some degree, dairy. But we live in a different age of excess, pollution, preservatives , chemicals, advertising, psychological, cultural and social influences that greatly effect/affect our health. All contribute. My hell, some food corps are selling chemical processed items that can't even be considered food just to make a buck.... For me, well, I think low carb, fasting, exercise, separating and eating good carbs and fat/proteins at different meals. Good carbs like certain nuts, berries, seeds, etc. Cut out sugar, highly processed foods, oils. I don't think anyone has all the answers but we all work together to put many of the pieces of the puzzle together to form the best possible perspective of the problems we face. I cannot thank you and the others enough for your efforts and sharing your knowledge to the world. You can't imagine how great ful we are for everything you do. Sorry for the long story just thought you would like to know... We are watching and listening.

[@rg1360]

You very nearly tempted me to purchase a bag of donuts and a can of Pepsi to wash down. Relapse avoided this time round

[@dianen63]

I love it that you continue to ask questions and investigate!

[@ounsay2626]

Finally. A video on "insulin suppression." Thanks for the knowledge. Now, if we could find out if it's actually harmful. Just like the lmhr folks are reporting that high cholesterol is not harmful, maybe high blood sugar from this pathway is also not harmful. But that would mean a1c metrics would be different depending on the diet we consume. Very interesting.

[@Helen-nv8el]

Thank you for making us think.. once again.🙏🙂

[@smacker360]

I have been carnivore for a few years now and was running out of energy every day like clock work around 5 PM. I started adding a handful of blueberries and a couple strawberries some days and other days I eat a small sweet potatoe. The results are a steady energy level all day and actually have to force myself to go to bed. Also, my cramping has subsided to being almost nonexistent. BTW, I do not ever crave carbs/sugar, I do not have an addiction problem with anything. Addiction doesn't happen (IMO) if you convince yourself life is much better without whatever you are addicted to. Just like being fat for 99% of us, it's simply a choice. I saw an interview with Dr. Chaffee the other day and he said the carnivore/keto diet is used to fix what is broken in the body. Once the body is fixed your body is able to once again process what you eat the correct way. If you continue with just carnivore/keto only it can eventually break the body again. This is where the science is now, just as this video mentions. Yes I get frustrated with all the changes but at the same time am very happy to see all the studies that both verify our new way of life and point out what needs to be added/changed.

[@robertcywes2966]

We're learning

[@allenbrost9564]

I agree with everything you said. For me being 99% carnivore for an extended time I started to see my morning fasting glucose be over 100 quite often, which made no sense to me (insulin suppression). I was also cramping like crazy, legs, abs, everything, it was terrible. Adding a few carbs back in has helped the cramping big time. Also blood sugar seems better. Everything still all good. A1C is 4.8 and fasting insulin is 2.9. 10% of your calories from carbs seems like a good thing. BTW, my carbs are raw milk, fruit or honey. Once is a while some potatoes, but that's rare.

[@EEEBA1]

@@allenbrost9564 Insulin supersession? How do I know if I have it after being on carnivore for so long? I don't have any of the problems everyone talks about other than trouble sleeping which was always a problem but it is worse on carnivore. Thank you.

[@markujcich4245]

The end game is that the engineering that resulted in the miracle of us may be beyond our full understanding. Reminds me of sorting my investment strategy. 😵‍💫 Dr. Fung is another great data source. Thanks for what you do!

[@philgram7957]

I just found you I find your discussions very informative . Dr bickman I would like to hear I hope you can bring him back and I will try to find him on KZbin highest regards

[@christinaperez254]

So how do we stimulate a proper insulin response for kidney health (and other systems) if we are carnivore? Simply milk? How much and how often?

[@robertcywes2966]

Depends on u as an individual. Set up a consult

[@catea2551]

someone commented 1/2 cup yogurt and 1 cup of milk per day....another said 1 cup of milk after meals...

[@nicknorwitzPhD]

Will share my reply to your email for public interested. Must say... not sold yet... and pretty obvious how we could test your Oreo Vs Statin theory, but I think your hypothesis might be insufficient ;)... Rob, thanks for the kind words. I must admit I remain skeptical about the pattern you're observing: the en mass transition of LMHR phenotype to a hyper-triglyceridemic phenotype. A while back you mentioned this and offered to share the dataset with Dave, Adrian and I (cced), but I don’t believe we ever saw those data, nor have I seen anything like these “insulin suppression lipid changes.” If you’d like to share or publish, I’d be interested because it’s not something we’re seeing. So one needs to wonder why until the findings are confirmed or data are accessible to those in this group. Or, personal question... if we want to focus in on an example, how come my TG remains sub 50 even though I’ve had Carbs as ~2% kCal for 5 years? When will I become hyperTG? FWIW, My insulin is ~3, even after 16 Days of Oreos. If you want to Rx me some glargine or GLP1-RA or just ship it, you know I'd do a 3rd arm, but I don't think you're going to see a 71% LDL-C drop. There are no literature to my awareness that postprandial insulin responses could impact LDL-C levels to such a degree in a manner independent of the LEM and hepatic glycogen stores. So, again, I think "insulin suppression" is insufficient to explain the results I'm seeing that are better explained by other physiology. Around 7 minutes you talk about hyperTG because of increased intake of “excess lean protein.” Not sure why the emphasis is on "lean protein" or who here is advocating for a PE style carnivore diet. I certainly am not. Let Ted keep his Whey-coated boiled chicken breast TYVM. Personally, I don’t see a strong case here for pathological insulin suppression at this timeIf you publish/share data, I’m happy to re-evaluate. If you have access, I’d like to see what insulin response curves you have on keto-adapted patients challenged with proteins or carbs. Glucagon/insulin ratio and GLP-1 responses would be even better, if you’ve really done all those tests. From how you speak, it sounds like you have those data. Otherwise, there are a lot of assumptions built into this insulin suppression idea. A few small correction points: - Low-carb diets actually increase GLP-1 (pubmed.ncbi.nlm.nih.gov/22669333/) - Proteins can increase GLP-1, including Whey. Also allulose, which is largely non-caloric, in a manner that appears to involve the Vagus nerve. Topic for another time. (www.nature.com/articles/s41467-017-02488-y) I’m a 3rd year medical student btw. And, on milk… cool new nature metabolism paper on LCT gene and diabetes (kzbin.info/www/bejne/amOao6yXe9Cilacsi=EBkxj0fGZP-iTREc ; www.nature.com/articles/s42255-023-00961-1)

[@user-od7fv9up6t]

best comment

[@holliegalloway2814]

Wow, this is REALLY helpful for me today. I have a CGM on and my BS's are in the 120's most of the time lately. Been keto for almost 8 years. I must be insulin suppressed. I've heard you lecture on this before, but I am paranoid to ingest too many carbs. But I can see that I need something to clear the sugar. You mention estrogen. My NP recently up-ed my estrogen dosage, so I am wondering about that causing BS spikes. Donated blood 2 days ago....does that affect BS's?? So many questions indeed! I will try the milk and see what happens! Thanks, Dr. Cywes. You are so brilliant and honest. So refreshing in this world that we are in today!

[@rontiemens2553]

Outstanding. Very thought-stimulating. If I could only watch/listen to one channel in the carnivore/keto space, THIS WOULD BE THE ONE. Thank you!

[@robertcywes2966]

Thanks

[@davidcottrell1308]

Brilliant, as usual. Thank you for your curiosity and unabashed honesty!

[@mariomenezes1153]

Another brilliant interview, thank you!

[@gammypage]

Leading edge here!

[@krh7150]

Has to repeat listening to this for 5 times to figur out the interaction. But it makes sense now. I am expriencing this. Thank you for telling us that is something we do not know.

[@AvgJoe0007]

Seems like we should be advocating for fasting and postprandial insulin testing. If insulin is not too low, then exogenous carbs won't be needed to trigger a GLP1 / insulin response.

[@albundyrocks2115]

Thank you Dr. Cywes. This perfectly explains what I just saw on my blood test last week. Carnivore for 5 months. Fasting Insulin at 2.6 but I saw a rise in blood glucose and A1c. Cholesterol is way up which I expected but the change in A1c and blood glucose had me confused. Now I understand the reason. I have an excellent local source for raw whole milk and will be adding that to my diet. Bravo for your outstanding work!!

[@allenbrost9564]

Also, raw milk as so many other great nutrients, so very healthy.

[@mamabear9389]

I have been feeding my dogs a carnivore diet for 14 years...no carbs during that time. They are super healthy at 15 and almost 16.

[@Robinhood179]

Im thinking thats the route we will go on our next dog. Both of our last two died of tumors/cancer at only 8-9 years of age. Has to be the garbage dog food despite the higher cost ones we would buy.

[@kaitlinjensen]

My dog and cat are raw fed, too. My dog has EPI, it's very difficult to keep her weight up, but her coat is shiny, never had ear issues, only skin issues around the time she was diagnosed with EPI.

[@mamabear9389]

@kaitlinjensen Great. I have been feeding homemade raw because it gives me better control over the ingredients and I know exactly what is in it. However, there are better commercial options nowadays.

[@mamabear9389]

@Robinhood179 I believe diet is causing health issues in dogs as well as humans. Dogs typically are over vaccinated too. No need for vaccines typically after the puppy shots. And some don't do those either.

[@bobo-cc1xw]

my mates tried to keep their cat vegan it died. I mean they thought it was a monster for wanting meat all the time and was getting the protein it needed.

[@awaken69]

from personal experience i can confirm this. on a strict keto diet, i need some high GI carbs (50-75g) at least once a week, or my performance and recovery will degrade. however, if i ate the same amount daily, i would simply gain fat and lose focus and performance. in conclusion, regular insulin spikes yes, but probably not needed daily, except if you train above zone 2 regularly.

[@johnjul2]

Please do a video on menopause!! I've gained 40 pounds in 3.5 years. High HDL, Low Triglycerides A1C 5.1 ( it's gone up from 4.9) Fasting insulin 6. I can't stop gaining weight

[@agsjnsks4538]

Drop the carbohydrates and add fat. This has helped me

[@johnjul2]

@@agsjnsks4538 I've been keto/carnivore for 7 years. It didn't help going into menopause

[@francoisehembert3243]

This makes a lot of sense to me. You have brought the issue to my attention and look forward to hearing and learning more on this matter.

[@lpjohnson120]

I’m going to trial carnivore + beets In April.

[@marypaino1327]

Dr Cywes, want to share a recent experience. Been low carb carnivore for 7 months then shifted to full carnivore now almost 3 months but also in that time felt extreme low energy, so was prompted to buy glucose meter which showed blood glucose never dropping below 120. Then learned HBA1c was 5.9 and some kidney tests were high because of high protein intake. Also urine constantly dark in color. Then I came across studies on the effects of hydrogen water on diabetes, so I place one drop of food grade H2O2 in 20 oz of water. Low and behold urine is close to clear and showed some ketone levels whereas they were always nil. Now I found your channel and so trying to figure out where I am on the insulin spectrum. Almost 3 months since last blood work, will go from there and continue to follow your studies My self perception is that glucose is in my blood but not getting to where it needs to be hence severe low energy while not losing belly fat. I feel like I'm dying at times and when I do get active, am out of breath and recovery can take a week. It's all so confusing

[@luciavasile2895]

I have been doing the lion diet/omad for the past 2 years. At 53 i feel more healthier than i was at 23. Thank you dr. Robert C💪🧠🫀🫁🦷🦴👀. I my self will not add carbs, and milk in U.S.A., is made from most of water and sugar😢. Becouse in some states are illigal to sell raw milk in stores😢.

[@catea2551]

you can often find raw cheese though

[@laurajacobs1000]

This is so very helpful for me! Based on this, I'm going to watch other videos and maybe make a consultation appointment. Dr. Cywes - Thank you for helping me to understand what's going on. And thank you for all the research you do that creates a better, more accurate understanding of metabolic symptoms.

[@debbiehooper4081]

Such an interesting talk. I do include dairy in my carnivore diet. I look forward to finding out more. So much to learn! So many questions!

[@brucekendall52]

I wish I was able to assimilate all this amazing info.Thks.

[@johnbassett9282]

Waiting patiently for my consult in July. Looking forward to it. My BS runs high on Ketovore with little carbs. Great talk Dr. Cywes

[@alysiaandjohnglass]

Estrogen receptors in the brain play a crucial role in various functions, including mood regulation, cognition, and memory. They help modulate neurotransmitter activity and synaptic plasticity, contributing to overall brain health and function. In the brain, the primary estrogen involved is estradiol, which is the most potent and prevalent form of estrogen in the body. It binds to estrogen receptors in the brain and influences various neurological processes.

[@danamills5368]

Dr. Cywes I am carnivore with some dairy. I train powerlifting 7 days a week and I include a 4-5k run after each lifting session (total 1.5-2hrs exercise per day). My hypothesis is that my insulin needs are less because of zero carb intake and high amount of physical activity. My body is not occupied with lowering glucose due to carb intake. Therefore, I produce proper levels during gluconeogenesis. And, I hypothesize that this is healthy.

[@michelletrippi7782]

Just seeing this in my feed now...must be mind reading going on. 10 moths carnivore...still healing but was just thinking i might be ready to give raw milk a try. Drank loads of milk as a kid but never raw. Just googled and found a local raw milk dairy and will make a trip this week. Also looking forward to a consult with Dr Cywes. So brilliant and helpful 😊

[@annettestephens5337]

I like to watch all the new videos on this topic because I am almost 4 years into carnivore, 22 years passed my menopause and ‘normal’ weight for my height. ( I have limited the plants to heal my years of gut pain rather than lose weight). I did have a spell making and eating my own yogurt from organic whole milk, but had to knock that on the head because it created cravings in me for more and more of my natural yogurt and chocolate!! I like to live without cravings, so the yogurt had to go! I’ve never had blood work done because in the UK it’s not as simple as asking your GP. I will, however, keep a close eye on the science which is clearly still evolving. Thank you

[@patvaughn9987]

I hope we get better answers to the estrogen receptors and their roles. I recently started on bioidentical hormone replacement after a total hysterectomy 20 years ago. Maybe a long shot for optimal benefits, but already can see benefits in my skin and libido. Age 70 and full of energy and definitely don’t look my age due to carnivore lifestyle!

[@marciamakoviecki3295]

Which hormones are you taking?

[@patvaughn9987]

@@marciamakoviecki3295 I take a compounded estrogen/testosterone cream and also progesterone capsules. Blood levels had to be monitored for a couple of months until we got to the correct dosages

[@leesmith6779]

I'm 6 weeks in on carnivore and my insulin has gone down to 0.3. My glucose is bang on but I feel terrible. Ive had chronic fatigue for 20 years but it got a hell of a lot worse 2 weeks in.

[@reginamemoriesforever-vc8ql]

Female 41, healthy overall. Started carnivore 6 months ago; went cold turkey. Quit everything. Felt immediate improvements on immune reactions and digestive symptoms however felt low energy and fatigue, especially muscle. Decided to eat a few squares of black swiss chocolate with hazelnuts. Lindt. Wow!! Incredible improvements!! I felt more alert, had more endurance, more resistance, felt happier. I am lean and don’t struggle with overweight, at all - if anything, im thin. So for me it’s done deal: 50 -70 gr of dark chocolate per day, 25 ish at breakfast and another portion in the afternoon. It’s a game changer. I don’t plan of stopping. I tried allulose but it bloats me terribly! :( also, can’t tolerate milk nor dairy. My only carb is chocolate 🍫

[@squeekytoys5911]

Love your honesty.❤

[@mark__1971]

Difficult to understand, but extremely interesting topic.Thanks.

[@allenbrost9564]

Difficult? Just eat some healthy carbs from time to time. That's it. Fruit, honey, raw milk, maple syrup. Easy.

[@EEEBA1]

@@allenbrost9564 How much and how often? You said healthy: honey, maple syrup? Are you serious or just kidding :)

[@allenbrost9564]

@@EEEBA1 Serious, why would I kid. It's you who has been kidding yourself. In the absence of eating sugar you liver will make it. So tell me then, how can exogenous sugar be bad for you? IT'S ESSENTIAL!!!

[@EEEBA1]

@@allenbrost9564 I'm just learning. I thought honey and maple syrup are unhealthy sugars especially maple syrup may include high fructose corn syrup.

[@EEEBA1]

@@allenbrost9564 I'm just learning all of this. I thought honey and maple syrup are unhealthy sugars especially maple syrup may include high fructose corn syrup.

[@annagoral6462]

I am Polish and EN language is not my native tongue, but it is extremely interesting what You are saying, so if I don't understand, I just stop the video, rewind, put on the subtitles and all becomes clear. If I only had time to listen to all your videos and dr Bikman's. Is there any book by You on the subject?

[@lisaalbright1806]

Dr Boz was talking about estrogen and the brain not too long ago. Not to put words in her mouth, but from her post I gathered she thinks supplementing with estrogen postmenopausal is worth the small increase in cancer risk.

[@reginamemoriesforever-vc8ql]

She even said that transdermal patches of oestrogen don’t even increase risk, if i remember correctly.

[@reginamemoriesforever-vc8ql]

And yes it should be started in perimenopause and a coronary calcium score needs to be done before transdermal oestrogen; if scores are negative, oestrogen patches are OK to go

[@cathysmusic4919]

Hi Doc, greetings from the Kenya Uganda border, I found you on my feed 6 months ago and the info you give is pure Gold. I live among the Masai and Teso pastoralists of Kenya and you are right, they drink lot of milk, they use mostly fermented milk to "cook" their greens (basically traditional weeds) which they boil and then slow cook them in fermented milk and cream, they do that for 3 to 4 days and then the greens are ready to eat. So delicious. Now the meat they consume is mostly smoke dried so that it keeps forever. Organ meats are valued greatly so they are rarely sold. They also eat dried fermented casava and sweet potato. Needless to say they are a majority lean beautiful people 😊

[@lyntonblair9016]

the most useful comment : "I don't know"

[@robertcywes2966]

Not used often enough particularly by those who clearly don't

[@lyntonblair9016]

@@robertcywes2966I agree.

[@lenamagda4133]

I mainly consume meat, dairy and fruit occasionally as desert. My fasting insulin 2 weeks ago was

[@MSPAfterHours]

Omg! This is me! My trigs went over 500 and my insulin is 2.1.

[@Mr-hn2bp]

Peanut and soya bean are high in carbs, fat and protein, just like milk. Incretin analogs stimulate insulin release only when blood glucose is high!!! They also inhibits the break down of insulin.

[@alysiaandjohnglass]

Pretty sure you could just have a nice big bowl of protein once a day to get a healthy insulin spike once a day to get around the issue for a carnivore lifestyle

[@christinaperez254]

This is what i understood from Bart Kay

[@Jayla-dj2gj]

How much do we need to get the spike?? I've heard anything over 30gms at one sitting. Seems a little low.

[@alysiaandjohnglass]

@@Jayla-dj2gj id assume it would be a omad situation 70-130g ( n=1 )

[@Yamaazaka]

YES this is exactly why I got into keto carnivore last year, because parts of my metabolic system were being over/under stressed* by eating the standard western diet. Now that I've offset my lifetime of eating too many carbs too frequently, with a year of strict keto, I'll eat some fruit now and then to keep all of my molecular machinery active and ready. Not that I mix my carbs and fats like saladino, I separate my metabolism cycles with a small fast. Due to concerns of stressing the randal cycle.

[@gaiacielo5090]

I do the same although I eat fermented vegetables and fermented fruits but now only in season! Still not the best stomach but I feel the same so I think I have a stress stomach so that’s my problem! But yeah I do believe in being flexible

[@revolutionancestrale]

There is no issues with the randle cycle in a metabolically healthy person mixing carbs and fats.

[@googlefriend8410]

In my own research, i have read or viewed videos from all those you mentioned. Probably why I agree with most of your conclusion.Yeh, I think think the Oreo study was a bash against mainstream use of statins, not for the advocacy of Oreos for sure. That is why I am an advocate of metobolic diversity. While still maintaining a low carb lifestyle. If I have done carb/keto too long, I will purposefully drink a Half cup of whole milk alone as a meal, just to invoke a metobolic response which I call metobolic diversity for lack of a better term until now which I believe you are calling insulin supression if I understand correctly. I am not a doctor but I am a pretty good reseacher. That is why I liked BenBikmans first book. Of about 200 pafes, 33 pages were references of tons of scientific actual studies, not observational studies or manipulated stats that were used to glorify statins. I have said it before, Ben has great research and knowledge but you have great clinical patient experience, where the rubber meets the road so to speak. Funny you should mention about the cats. My son and his girlfriend live with me and they have three cats. They are overweight and obviously insulin resistant to some extent. She put them on a diet with a bag of some scientific blend that costs $80 a bag. While it has many good ingrediants, it still has a grain base filler, which almost negates the good values. She catches me giving them real meat and gives me the death stare, thinking I am the reason they are getting fat. So I reluctantly retreat and surrender for strickly home relationships. She knows I am low carb. She has good intentions, but so does my PCP.

[@Sandy.Squirrel]

Dr. Cywes, what is your take on Dr. Bikmans view of utilizing Allulose for GLP-1?

[@AvgJoe0007]

Beware of blood pressure increases with Allulose, due to osmosis because of unmetabolized high allulose concentration in the bloodstream. Which won't show up on a glucose monitor, Allulose being almost fructose not glucose.

[@lindamorristx]

My trig went up on ketovore to 180. My chol went up to 634. My A1C went up. I will try adding whole milk.

[@clyde9803]

I've been HFLC for many years, I'm very fat adapted and I fit the description of a LMHR. Last year when I tried to include a good quality reduced lactose whole milk, I enjoyed one glass a day but soon noticed belly fat appeared. When I quit, it shrank again. I don't get how such an immediate response to relatively few carbs could take place.

[@user-od7fv9up6t]

its just water retention because you stimulate insulin using carbs. It´s not body fat

[@paulb4985]

I have alway been a heavy whole milk drinker. Working to reduce belly fat for about a year now. Went to low carb except for milk in Feb and have blood work coming up soon. Can't wait to see any numbers change. I'm 66, 6' 2", started about 200lbs, down to 170lbs and down 3" in the belly.

[@TheStudentOfLife808]

What other functions does insulin do besides taking sugar out of the blood stream?

[@MR-cw2gy]

This was a great video. Brings up a lot of things to ponder. I was wondering if you have ever heard of The Milk Cure by Dr. Charles Porter? He claimed he even knew some people who lived exclusively on raw milk for years and were in great health. What are your thoughts on this?

[@DCGreenZone]

Do this research while taking quality Berberine and R lipoic acid.

[@alicehurley1010]

Great video. Would consuming a small amount of full fat milk daily as part of carnivore (beef + salt + eggs) allow a pregnant woman to "pass" oral glucose tolerance test (ie/ avoid the state of insulin suppression).

[@Billy-rr7re]

considering insulin has other functions, it is interesting to see that it only gets triggered by ingesting carbs.

[@Tee667]

It doesn’t - stress cortisol listen to Bickman at insulinIQ

[@AbuMaxime]

Im trying to fully understand the argument. So, insulin plays many other important roles other than glucose regulation, so in principle a state where insulin is always low all the time is not ideal. Insulin response to protein only is necessarily very low, because insulin inhibits neoglucogenesis. Neoglucogenesis, generation of glucose from proteins, is essential in this case because it sustains blood glucose levels in absence of dietary carbohydrates. Proteins are then turned into glucose and triglycerides, and blood glucose rises. Without insulin, there is no regulation of neoglucogenesis, and Dr Cywes observes cases of hyperglycemia in strictly carnivore patients, a condition (" insulin suppression ") similar to diabetes except than insulin is very low. He advocates the regular consumption of milk in order to trigger insulin response and reduce blood glucose. Am i getting it (more or less) right? What I'm not sure to understand in this picture is why, when glucose rises as a result of neoglucogenesis, the elevated blood glucose doesn't in turn trigger insulin response? A sort of negative feedback.

[@Mr-hn2bp]

Correct spelling is GLUCONEOGENESIS. It's the conversation of amino acids and fat into glucose. Breaking down glycogen to glucose is not glucoNEOgenesis. When blood glucose is low, glucagon is released by the alpha cells of the pancreas triggering glycogen break down and release into blood in the liver. glucoNEOgenesis is minimal in this case. When we are under stress, the adrenals release stress hormones cortisol and epinephrine big time. Stress hormones rapidly increase blood glucose. Chronic systemic inflammation has the same effect.

[@landerspolimis3690]

Not quite the top shelf stuff from Dr Cywes, this podcast however is going to make me research insulin responses, I thought there was an insulin response to all nutrients, (proteins, carbohydrates and fats) although the responses are at different rates and periods of time, I always thought insulin suppression was a myth. Thank you Rob Cywes for increasing my curiosity. 👍🥩😎

[@dryfastingclub]

good because stopping and thinking you've got it all figured out is hubris and childish

[@marvinmaly]

Hello from East Tx===Go Carnivore for LIFE!!!===Marvin

[@GoneCarnivore]

Hello from West Louisiana

[@Truthdosentexist69]

What is a non addictive carbohydrate?

[@ralphparnanen5037]

So Glut2 goes in both directions and does not need insulin. It's used in the gut to absorb glucose. But could also reverse flow to feed gut fauna. A higher blood level might be required in the absence of any carbs in the gut.

[@GoneCarnivore]

Wearing a cgm and carnivore. Its a very boring straight line to look at but it does go up and down based on activity. It also dips very low at night, as low as 45. I sleep deeply. This is just my experience. I dont know if its good or bad.

[@laurasc84366]

I agree, I recently started Tirzepatide compound to stimulate my insulin. I’m finally loosing weight. My cgm is steady at 70-80 . I spike it once in awhile to make sure medicine and cgm are working.

[@robertbyers8035]

I have a similar response also

[@innercompass9]

Glucose is released when psychologically stressed and or with HIIT workouts. Would that not be sufficient to have insulin be released? I know when I train my glucose raises 10-20 points and thrn comes back to normal typically within 30 min after. I am curious about other historical tribes who didnt drink milk?

[@reginamemoriesforever-vc8ql]

But do you know what happens to your insulin?! Are you monitoring your insulin too? I bet you aren’t. Dr Cywes is saying that stomach stimulation by carbs is what actually triggers insulin release, not anything else. The stomach needs to taste carbs to release Gpl1 and incretins which are fundamental for insulin release, which in turn goes around boosting the metabolism.

[@innercompass9]

@@reginamemoriesforever-vc8ql I have used a CGM several times. I have been getting my fasting insulin tested over last 2yrs which on avg. is 5.0. I hear what he is saying. Still not sure about dose, frequency, etc.

[@innercompass9]

My last 2yrs avg of fasting insulin is 5.0. I have used CGM several times. I still wonder on dose and frequency of raw milk? Hmmm.

[@innercompass9]

Also this would suggest that carbs are an essential requirement for humans. Not sure I embrace that l, at least not yet.

[@UnknownUser-sc6jx]

Would greek yoghurt be enough?

[@artimuscoffee8921]

Just know, its going to take 6 months before you get an appointment, so if your current labs need a look, well......

[@DianeSmith-ye4rr]

So, how often should a carnivore produce this insulin response?

[@kaitlinjensen]

Professor Bart Kay says once daily.

[@donarao9896]

Dear Doctor, will a carnivore diet damage the pancreas? Thank you much!

[@Jayla-dj2gj]

So now being low carb/carnivore and having sugar in your blood from gluconeogenesis is equal to being type 1 diabetic!???

[@JaxSwim1]

I’m eating milk cheese yoghurt, butter and cream with my carnivore. I’m confused by this video, so am I doing the correct thing?

[@szkoclaw]

When does it become a problem? after a few months of strict keto, year, two years? I listened to dr. Seyfried recently and he said the kids on keto therapy who liked to eat all that fat fared worse than those who didn't. For the same reason, they were getting insulin resistant.

[@user-od7fv9up6t]

There are people doing this for 10+ years without any problem whatsoever. Dr Cywes is just sharing a theory here. Nothing else. There is no real science showing that this is an actual problem.

[@Аннушка-ж6ш]

👍👍👏

[@CvoreAthlete]

So ehy does protein always kick me out of ketosis? Im getting insulin response

[@adrie2396]

Yeah, I came here to ask the same thing. If I eat dinner (only protein) too late then my glucose drops in the middle of the night causing me to wake up. I consume close to 1g per kg most days since I am lifting heavy and do HIIT 3 times per week and cycle the other days. The only variable is meal timing… 🤔

[@journaleclectique]

i take hrt to maintain everything else in my body, its essential to all the organs and with almost 40 years to go lets put all the chances on my side.

[@mark11145]

Dr. Cywes, I wonder about the estrogen thing. Women need extra estrogen in their child birthing years. It is obviously a requisite for growing babies. Their estrogen levels drop in menopause and it creates havoc in a body geared for higher levels of estrogen. However, women typically (statistically) live longer than men. Is high estrogen detrimental to long life so the body cuts estrogen production once out of the reproductive years? Is estrogen replacement good or bad for length of life? As you said, so fascinating, so many questions.

[@revolutionancestrale]

Cats and others carnivores are mostly eating fresh killed meat, with almost intact glycogen.

[@robertcywes2966]

What about vultures?

[@revolutionancestrale]

@@robertcywes2966 If the meat they eat is fresh enough, it contains glycogen. If the meat is "old" enough, the fermentation process convert some amino acids into carbs.

[@revolutionancestrale]

@@robertcywes2966 The only carnivore diet with near-to-0 carbs is the modern carnivore diet. That's because we are carefully controlling the rigor mortis process (turning glycogen into lactate) for a tender meat, and we then immediatly refrigerate the meat, cutting the fermentation process.

[@allenbrost9564]

@@revolutionancestraleIf you eat raw meat within 24 hours there is still glycogen in it, so hence carnivore animals, like cats and lions, should be getting carbs. Not many talk about this.

[@revolutionancestrale]

@@allenbrost9564 Yes. Glycogen can last for longer than 24h, especially in cold climate. Under extreme cold, the glycogen is almost completely preserved.

[@jimo559]

Hi Doc I’m keto LMHR with low fasting insulin and high fasting BG about 120 and HbA1c about 5.8 I never understood what was wrong with me until you used the word insulin suppression many videos ago. I Googled it and found Ben Bickman talking about Phase 1 insulin response. And how our bodies are not stupid. It knows that if the food environment is carbohydrate poor then the body isn’t going to waste resources making a high Phase 1 insulin reservoir standing by if it’s only used rarely. I did an OGTT on my self after eating a carb heavy meals for 5 days. My new phase 1 supply insulin pounced on those carbs quickly and evened out postprandial BG in short order. What did I prove? That despite my high fast BG and HbA1c, I’m insulin suppressed. Is this a good thing? Well it’s better than insulin resistance. But you know what? I can definitely add more diary to my diet because insulin is probably a very important in other ways as you suggested. Even though I’m mildly lactose intolerant, I love dairy. I find lactase supplements help. Thanks for your videos.

[@lauralyman1573]

Dr. Cywes , if you are not already familiar with her work, I think you would enjoy the work of Lisa Mosconi, a neuroscientist who talks about menopause being a neurologically active state. She discusses how the ovaries and brain communicate with each other every day of a woman’s life. And the 30% decrease in brain energy that often happens to women after menopause. She also believes this is an important reason why Alzheimer’s is much more common in women.

[@GriffinGypsyRanch]

I need to look her up. I’m 60 & never been on any hormone replacements. I’ve always felt like God don’t make junk & he knew what he was doing. I never had any of the menopausal symptoms like hot flashes etc. I don’t think any of my relatives were ever on them either & they all lived to their mid 90’s. But I’m gonna check out the lady you mentioned.

[@g0ssage]

If dairy is not an addictive carbohydrate I don’t know what is. That’s the way milk is designed. It’s supposed to be calming and addictive so that the calf eats plenty and grows fast.

[@jimbosfortune]

When is the best time of the day to spike insulin? Imagine its not right before a high fat meal?

[@EEEBA1]

I would guess an hour or two before resistance training but I am not 100% sure...

[@CvoreAthlete]

How did you prove " insulin suppression" is a problem? Are you treating patient symptoms or just the labs? The last guy you told to add carbs had no symptoms and was healthy per your assessment. Do you have new reference ranges for carrnivores? What about exercise increasing blood sugar and insulin?

[@digitalgoonie]

Just straight up milk? Or something like cottage cheese?

[@innercompass9]

Ok so raw milk..... Frequency? Dose? What macros might look like for that meal? 🤔

[@tanyasydney2235]

One or two cups a day.

[@hamadegbaria6070]

How often should I add milk ? (Every day, week or month)

[@elmasacarcongar9642]

How does it all work for those with"reactive hypoglycemia".... over responding to carbs and sugar basically, getting hypoglycemic after any meal. I am sure there are so many of us out these diagnosed or undiagnosed. I look skinny and healthy but I have %40 fat and I exercise, eat "healthy unprocessed , non-gmo food "...How do you control such out of ways insulin response???

[@DJMT-Africa]

Doc, great video as always! When do you think we will get that video on Amylin?

[@zachary813]

Thanks for that, Dr. Cywes. Yes, I'd love to set up a consultation with you at your phone number. Except that it takes a year to connect with you.

[@fatillacing4131]

Is the cephalic response some people experience from artificial sweeteners or even smelling or seeing certain foods going to create the same effect, without the calories?

[@SimplyHuman186]

Even in the deepest if fasts insulin appears to be signaling just fine.