Ep:243 FACTS ABOUT CARBOHYDRATES: INSULIN SUPPRESSION - by Robert Cywes

FACTS ABOUT CARBOHYDRATES: INTRODUCING THE CONCEPT OF INSULIN SUPPRESSION. The internet is full of people with static advice about “this is the best way to eat for the rest of your life” per their beliefs and n=1 experience. This is confusing and misleading and causes conflict and chaos. Your eating pattern is a CONTINUUM OF CHANGE based upon your METABOLICS and whether you are correcting or preventing harm. This video explores the continuum of your relationship with carbohydrates at various STAGES OF CHANGE. Know where you are on your journey and respond appropriately. Your coaches and healthcare providers should MEET YOU WHERE YOU ARE AND HELP YOU TAKE THE NEXT STEP IN YOUR JOURNEY, NOT FORCE YOU TO BE LIKE THEM. Our videos reflect real data from an extremely busy clinical practice dealing with metabolic health transition. Know the scientific truth about how your body works. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below.
Research Discussed... Data from our clinical practice. You cannot find this stuff in the literature yet.
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ROBERT CYWES M.D., PhD and SHERYL FOX RD ARE clinically PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. The mission of our media content is educating the public about a CARBOHYDRATE ADDICTION approach to treating obesity, diabetes and metabolic syndrome. Understanding the importance of replacing carbs in your diet with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a more effective diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using obesity surgery and devices as tools along the way, and helping people who have had bariatric surgery stay healthy and not relapse
Set up a consultation if you are looking for more sustainable ways to treat obesity, diabetes, metabolic syndrome, cholesterol issues and thyroid disease. Even if you are doing great but need physician confirmation or if you are considering or struggling after Bariatric Surgery we can assist you getting back on track. TEXT, WHATSAPP or CALL to leave a message on our “batphone” [phone] from anywhere in the world. We do secure telehealth, Zoom and Whatsapp phone and video consults all over the world.
If appropriate we can order bloodwork and Coronary Artery Calcium Scores as part of a consultation.
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For COLLABORATIONS please email me: [e-mail]
**DISCLAIMER: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or qualified healthcare professional. Always seek the advice of your physician or qualified health care professional with questions you may have regarding your medical condition. This site and these videos exist to provide information and support about nutritional health and do not provide medical advice and should not be thought to provide medical advice. We can only give medical advice if you establish yourself as a registered patient and consult with us in our medical practice - JSAPA. We always recommend working with a team of knowledgeable and experienced practitioners, including a physician such as Dr Cywes and a Registered Dietician such as Sheryl Fox in our practice. Do not self-diagnose. Always seek medical guidance when you have a medical condition. -------- #carbs #carbohydrate #sugar #starch #glycogen #obesity #diabetes #insulin #glucagon

[@suzettedelisser4354]

I never stop until I find the best man on KZbin

[@TheManMakerChannel]

I think you are underrated. You definitely are the best doctor on this very specific matter.

[@mk_78]

This timeframe makes so much sense. Thanks for the perspective. I'm 3 months carnivore or ketovore and am so excited to someday fix my resistance. Its a blessing that it can be reversed.

[@fastcoaching]

"Metabolic health is a lifestyle, it's not a diet". Amen!

[@kamivora]

While watching this I had a AH-Ha moment. It started adding up. I see so many versions of keto and carnivore on these channels with all different requirements for this many or that many carbs or carnivore with fruit and honey and raw milk and yet these people almost always are super fit. I wanna be like that but if I eat too many carbs or add fruit or honey the pounds will come back on. I see now from watching your podcast here that I am not 2 -3 years into being fat adapted. My insulin is not being suppressed yet so of course I shouldn't be adding in the carbs yet, like fruit, even though they can because they are already there (fat adapted, insulin suppressed, 2-3 years into keto) I wish I had known this about a year ago. So now I'm going to stick to "as close to zero total carbs" without going over 20 total carbs per day. Thank YOU so much for this podcast. It's going into my AAAVeryBest podcast saved group as I type this.

[@kevinlindsay5255]

Just so much common sense, thanks Doc for explaining that

[@tracy3812]

Minimum 2 yrs to fix insulin resistance. No wonder I feel broken.

[@rjrnj1]

Right now, I'm zero carbs because while my A1c has finally reached 5.3, I'm still determined to try to reach 5.0 (or lower) with your brilliant guidance. 🥰

[@200Nora]

To say 0 carbs is a dream. Protein makes glucose. The liver likes to have a good storage of glucose for those famine days. Fat is the only 0 carbs macro, but again the liver can make glucose out of fat too in an emergency. The majority of the foods we eat, even if wholesome, have some amount of carbs; eggs have up to one carb. I am keto with two meals a day, never overweight, but I was prediabetic (which has resolved) as my genes have misbehaved as I get old. I have practiced moderation all my life, but these diabetic genes caused me to reevaluate my lifestyle, and I am now very strict since moderation did not work. Good job with your A1C; mine is 5.4 also aiming to get lower.

[@Isaac5123]

@@200Nora when I'm strict for three days my blood sugar is 4.7. But if I mess up it can be 6.3

[@felipearbustopotd]

You may think you are zero carbs but the body needs 1 teaspoon of sugar in 8 pints / 5 litres of blood to function.

[@baranjan4172]

@@200Nora he said he eats zero carbs. What the body does with the protein and fat, is the body's business. It ain't stupid, it does what is best for you.

[@baranjan4172]

@@felipearbustopotd and it will have that much, you just don't need to eat any. Which he claims he does not.

[@JAdams-jx5ek]

"Subtract your age from 100..... metabolic health is a lifestyle..." - I listened to that 3 times. Well said.

[@jaimierose2985]

You have caused a paradigm shift in my lifestyle and psyche, and I can't thank you enough!

[@arwenhardy1995]

Brava, Dr. Cywes. It's very hard with my addictive personality to resist turning you into an idol. Lol. Much love & respect from a grateful patient. ❤️

[@jaimierose2985]

Second that haha

[@kaydavis5328]

I appreciate your viewpoint. I eat for health but I used to eat for entertainment.

[@kimmcnichols9650]

Excited about the fiber video .. I can’t really tolerate any at all! I I now understand why I always tended to be constipated , even when I tried all the high fiber stuff ! I don’t eat fiber at all anymore , zero issues !

[@kateaye3506]

Same here, Kim. It was a total revelation to learn I can survive without fibre. I tried stuffing myself with it for decades, as my GPs continuously advised me to eat more fibre. As a vegetarian, I really could not find ways to up my intake. I learned from Paul Mason that some folk respond to zero fibre and it changed my world.

[@leslieclaire]

After colon surgery, I had to eat a low fiber diet and was amazed how regular I became without fiber in my diet.

[@barbvanderhook4227]

I would like to know what insulin raising carbs would be beneficial for a two plus year carnivore. Thanks

[@marynayna6327]

@@barbvanderhook4227 Berries on keto cheese cake..with whipped cream is my go to.

[@claybutler]

I appreciate how your stance on carbohydrates is evolving and becoming more nuanced. I'm 56 years old, lean, I surf everyday and supplement with weight training. My liver fat is only 1.4%. So for me, 100 to 150 g of carbohydrates is very much a low-carb diet. It's almost a ketogenic diet actually because my energy needs are so high and my metabolic health so good. But for somebody who is obese and diabetic, they clearly cannot be messing around with that level of carbohydrates. I agree 100% that counting carbohydrates from vegetables is absurd. All vegetables should be considered a freebie.

[@lq4657]

What carbs do you eat? Please tell me!

[@claybutler]

@@lq4657 Bananas, melon, and berries in season, Sourdough bread. White rice and black beans. Whole fat dairy. Potatoes. Rice noodles ( I love Vietnamese food)

[@keithzastrow]

Hmmmm.....I would love to see an MRI of your abdomen to see how much visceral fat you have with eating that many carbs.

[@minuteskill]

@@keithzastrow couldnt they just get a read on how insulin resistant they are like what is stated in the video?

[@michaelonyeka4456]

Let's swap body...i am soo missing carbs

[@sandrajackson8204]

This explains what I do now that I'm getting to the end of the very strict carb diet. I believe I can make good choices knowing I can eat two meals and do it correct. I thought I had to eat one meal after I lost the weight . You are a great carb doc. I've lost 75 pounds pounds. Believe I can adjust and live a healthy life. Thanks 🌻

[@marciavimazal8692]

Thanks Dr. Cywes. Funny I never thought of fiber being a carbohydrate. Thanks for bringing it up.

[@lorishisler5296]

Thank you for this information. This explains why even with Keto and carnivore my blood sugars have remained over 100. I have always heard they would drop in weeks and they haven’t. And when they my A1C is

[@ianstuart5660]

Good luck, how have you progressed since?

[@YVM3311]

How is it going ?

[@saren6538]

1 year to go

[@juliejenkins4743]

Love all your videos!❤️

[@angelinevanaman2629]

Thank you!!! You simplified this for me.

[@Crimepaysaskapolitician]

I could sit and listen to you all day.

[@thewellfedhuman3043]

As always...fascinating and informative. Makes 100% sense!

[@cetogenicaportugal8514]

Absolutely fantastic.

[@denisehite6953]

Great information!! Thank you.

[@ashleelindsey8563]

So thankful to find your videos!❤

[@danreiger3198]

The most balanced presentation on this subject I’ve ever heard. Excellent!!

[@seanveach950]

Thank you for giving a realistic timeframe to fix insulin resistance. This is something that is rarely stated and needs to be for people working at fixing it. This is not an overnight fix for many who travelled too far down the resistance road!

[@TOMMY52132]

That’s the way I feel 2 and a 1/2 years low carb but how’s my insulin resistance? Doc. Don’t want to check it. Maybe I’ll call the Carb Doctor

[@charmainebacke7888]

Dear Doc Cywes, I so appreciate your approach to a healthy lifestyle. Thank you!

[@kimmcnichols9650]

I love when I get your notifications!

[@pamelachappell1089]

You teach me something with each video. Thank you so much.

[@piperthechiweenie519]

I am so very glad I found your channel. You sir, are brilliant and I've learned so much.

[@roxyfarley2864]

Thank you for clarifying what insulin suppression is.

[@nirmalramchandra7649]

Absolute masterpiece video ...just awesome 👍👍👍

[@michaelstearns3231]

Great lecture doc...

[@dalepoquette32]

Thanks Doc.

[@blackbandit1290]

Once again, excellent description Dr. Cywes, along with nuances that explain the real situation for humans.

[@charmainebacke7888]

Thank you Dr for giving us an overview of our healing journey and helping us understand the nuances of where carbohydrates fit in 👍

[@joelkanasky180]

Thank you!

[@thecarpenter645]

Love this, understandable we still have lots to learn. Keep it up, thank you very much.

[@robertcywes2966]

We're all learning.

[@AR-fh2uh]

❤️ this content Dr Cywes

[@LizHiggTN]

Fascinating, Doc! Made me think about my remaining years! If you haven’t already, would you please address how to treat familiar hypertriglyceridemia?

[@kimswanger7903]

Thank you for that explanation! I love vegetables and have felt like I couldn't eat them. I love brussell sprouts!

[@julesnfriends]

This is so important for all our futures, what a breath of fresh air. Thank you for posting, great presentation. It's going to be long journey up against the companies that get wealthy by promoting only what is profitable, corporate wealth has been put above public health for too long. It's great to see this tailored approach to carb consumption and insulin resistance. You are at the forefront.

[@robertwestlasvegas]

Excellent video Doctor

[@allvater1140]

Thank you. God bless from sweden

[@bruceprigge7420]

Thank you! 🙂

[@michelledalton572]

I like the concept of the Continuum of Change and Stages of Change - really helped me get perspective on where I am on my own journey. Thank you!!!!

[@AnnaG121]

Have been carnivore for the past 90 days, after having been keto for 2.5 years. I am doing well overall, but have so many questions, especially since my total cholesterol is now sitting at 570. Your videos have been teaching me a lot, opening my eyes. Thank you.

[@JacksonianT]

Have you been following Dave Feldman & Nick Norwitz's work? They're doing amazing research pertaining to people like you and me (LMHRs).

[@adorableadornments1101]

Thank you for clarifying the vegetables. I love my salads and broccoli, and palmini noodles.

[@Baribrooks]

I was intrigued that he views vegetables as free; that makes counting net carbs and limiting them to 30 or less feasible for me, not to mention way less to log into Carb Manager-yay! Are we still to count carbs for starchy vegetables according to him??

[@floatingmoon5778]

@@Baribrooks ALL STARCHY CARBS ARE ON THE “NO” LIST. NO GRAINS, NO STARCHES, NO FRUIT, NO NUTS

[@RV-there-Yet]

Always good to get back to basics, remind ourselves of reality~ especially amid all of the crazy tentacles shooting out from the central point of low-carb eating. It can get confusing, & motivated people can be quick to jump on the latest trend, the 'tweak du jour' promising to give even better results. Basic is good~ & good for a reason...many actually. Appreciate your time Dr. Cywes. ~The Whitson's in AZ

[@robertcywes2966]

Thanks

[@grassCrow]

You’re the best!

[@marklanders630]

Been mostly carnivore for 2 years, still drink black coffee. Definitely not ready to add back any carbs. Maybe in the future I'll be able to eat some berries or some greens. But I'd like to see more about why they are necessary, if at all.

[@francisvlatko2834]

They are not. What's necessary is the stimulation of insulin in order to ensure your metabolic function is not impaired by being dormant. In other words, your pancreas is functioning normally. You may be doing this as a carnivore through gluconeogenesis.

[@robertcywes2966]

Let ur bloockwork tell you

[@Stovetopcookie]

@@robertcywes2966 you’re not the real dr cywes

[@jerseyjim9092]

I'm not buying his "insulin suppression" theory until I find some credible research papers on the subject. Protein in sufficient amounts provides a decent stimulus of insulin. And I'd like to know what "non starchy" vegetables Dr Cywes proposes to obtain 100 plus carbs daily.

[@mikafoxx2717]

​@@jerseyjim9092 yeah, I'm not sure how to take the insulin suppression. Feels like just general insulin resistance plus low insulin and high glucagon conditions.

[@steph6197]

Guilty, carb addict here. 6 months in recovery.

[@jaimierose2985]

Keep on going, you got this

[@tatmarberberes3578]

Dear Dr C: you ARE the trailblazer in metabolic health and your ability to explain very complex issues is exquisite. Thank you so much.

[@robertcywes2966]

Thanks. Just sharing observations gleaned from my patients

[@dandaigle4546]

Thank you

[@irinaturner6020]

thank you xxx

[@MrMarcol29]

Hero

[@bellagdur9786]

Hi Dr Cywes: when u increase your carbs back to 100g/ day, how much should the fat be in the meal? does consumption of carbs and fat lead to weight gain?Thank you!

[@andrealeobons]

Great video, doctor Cywes! Thank you. Next episode on Insulin can you tell us what is the optimal insulin number for anabolic health? what is too low? If you could go through the major stepping stone numbers (for good or for bad) of insulin and c-peptide that would be awesome. Thank you for your continuous effort.

[@robertcywes2966]

Will discuss. Good questions

[@kimidoodles]

@@robertcywes2966 in pregnancy too please!?

[@1eingram]

I love "some of us are vegetating and are plants"!

[@violiendamast]

120-130 gram of carbs to me, as an addict, sounds like a ridiculous amount. Any amount that allows me to eat a sandwich is waaay to much. A true addict can only abstain, not moderate

[@michelehafthudson2438]

I am a confirmed addict. I seriously restrict all carbs to be in ketosis. If I ever am metabolically okay to add carbs, I must nonetheless NEVER eat sugar, flour, wheat, grains or other refined, white stuff. Sugar and flour are my nemesis and a line I cannot cross without going off the rails. That’s my bright line.

[@robertcywes2966]

Agreed

[@russbrown6453]

100% agree. I have to stay as close to zero as possible. If I have 100 to 150 grams of carbs, the food industry has me hook, line, and sinker

[@barbarayorkwoodside3716]

Looking forward to the fiber video! I was an OMAD girl for 3 years and stopped counting macros after I reached my goal weight. Turns out I have vitamin and mineral deficiencies! And leaky gut. Pay attention to these details he mentions because you can talk yourself right into being unhealthy. There’s a RIGHT way to do it! Thanks Dr. Rob!

[@malindadenlinger882]

Me too. Now I supplement with HCl , DAO , and ox bile. No coffee for me either

[@1K-and-6Qs]

Care to share tips?

[@malindadenlinger882]

@@1K-and-6Qs what would you like to ask?

[@betheboss.online]

Barbara how did you discover you were deficient and had leaky gut? Through tests or symptoms or both?

[@betheboss.online]

@@malindadenlinger882 I’ll ask a question if you don’t mind? What is HCI, DAO and how does ox bile treat you? And how does having coffee effect you?

[@ORCHIDLOVER2156]

❤️👏👏👏👏👏👏‼️Great video.

[@Maxandshe]

Thank you for your wonderful advice. I've never suffered from sickness or allergies 🙏. I'm now 67 and looking for optimum health to continue improving my marathon times. I see so many marathoners relying on huge carb input to fuel runs, but ..... I see this as unhealthy. I started keto a few months ago then decided to do more carnivore and stopped the kale 🤮. I'm on OMAD. I run around 13 miles most days. Should I reintroduce more veggies into my diet?? I seem to survive all the crazy variations in diet info. I currently have a fridge stuffed with papaya after watching Paul Saladino!! So .... How do I decide the RIGHT best and healthiest athletes lifestyle?? Thank you. 😊

[@laaradee]

Thanks so much! I’ve been at ‘it’ almost a year, but I got ‘cocky’, out of control-luckily(?), my exquisitely intense oxalate dumping reminds me…..every morning a new serous ‘volcano’ on my face….(geesch!!)🙏

[@racheldevenish6004]

Wow very eye opening. Currently been on a binge and overeating for 3 weeks. I feel disgusting but don't know how to stop.

[@TerriblePerfection]

Please be kinder to yourself. It's human to crave addictuve carbs, and it's human to turn to carbs for comfort when we feel strong emotions (anger, grief, loneliness, frustration, etc.). I can't tell you what will work for you, but I'm 66 and have found that two main things are critical: * a meat-based diet * noticing my feelings and discriminating between true hunger versus eating to fill a different need. I wish you the best! Be kind to yourself, not punishing. 🥰

[@raraavis7782]

Don't let reports of people doing this 'perfectly' and/or having amazing results quickly discourage you. Most of us fall of the wagon occasionally. Sometimes to the point of severe setbacks. Don't give up on yourself! What has helped me in those times, is just ignoring calories and weight and all that and putting all my mental energy into eating the right things for my body. Even if I still stuff myself senseless. Because with meat and eggs and fat...that usually stops within days and my appetite starts to self regulate again. Do not try to change your diet and eat less/skip meals, at the same time. I know it's tempting, because of that surge of motivation at the beginning of a diet...but it can come back and bite you in the ass, really quickly. Eat that meat and that butter and drench your veggies in olive oil, until your appetite starts going down naturally. Your body will calm down and stop making you stuff you face very quickly, if it doesn't feel threatened/deprived anymore. You can't win this fight with willpower, you gotta treat your body more like a kid or pet, then a prisoner of war, doing forced labor for you. There have to be rules, yes, but also love and kindness. Not just hostility, threats and punishments. Be nice to yourself. Start with the attitude: 'Hey body, what do YOU need, to be happy and cooperate with me, here?' I think, many of us, who maybe didn't have a picture perfect childhood, just never really, fully matured all of our character from child to adult. There a still remnants of a scared/insecure/lonely little kid inside and that makes us act out and self sabotage in times of stress. And if that's the case, you gotta acknowledge and embrace that part of yourself and make it feel safe and loved. It'll stop throwing tantrums at every opportunity then. Well, that's my 2cents and conclusions, after 2 decades worth of diets, exercise obsession, binge eating and self hate. If your binge eating is a mental/emotional issue, the change has to start in your head. Eliminating drug like carbs helps, sure, but it's not all there is to it, for some people.

[@racheldevenish6004]

@@TerriblePerfection thanks 😊

[@racheldevenish6004]

@@TerriblePerfection thanks 😊

[@patora13]

"What has helped me in those times, is just ignoring calories and weight and all that and putting all my mental energy into eating the right things for my body. " YEESSSS

[@kay8930]

I tried carnivore for a while lost to much weight not because I was eating this diet but because I stopped wanting to eat.. I got sick of meat and couldn't stand the thought of eating... Before I tried this deit I have been eating organic for 9 years and I didn't eat any Sugar other than what came off fruit and vegetables I didn't crave for anything i would eat 3 meals a day i fast for 16 and would eat in the 8 hour window ...i now look 10 years older because of weight loss and my head is all messed up where food is concerned .. I'm trying to put weight back on but can't seem to get there..

[@jay6817]

That's really informative

[@DaveIrish66]

Are you in control of your mind ? or is your mind controlling you?

[@jiriwiesner]

It was eye-opening to hear the topic presented comprehensibly. I'm 4 years on keto. I definitely feel metabolically healthy now (should get some blood tests done - I have no idea what the results will look like). I often consume my vegetables raw and blended. I imagine I absorb more nutrients this way. Lately, I was thinking about introducing some carbs into my diet.

[@saren6538]

Blend breaks down the fiber

[@jiriwiesner]

@@saren6538 Have done any measurements to support this statement? I haven't done any. I don't even measure ketones. Mostly, because I'm lazy and I don't quite need to be strict about the diet because I have a BMI around 22. But going just by how I feel, blended veggies keep the blood sugar lower than boiled veggies. I blend veggies because otherwise I spent 45 minutes chewing each meal, which is annoying. I am a slow eater and I chew meticulously. :-)

[@saren6538]

@@jiriwiesner yes ive blended food ate it and tested my blood sugar 2 hours later - blood sugar gave a reading, then next day repeated it eating the same food and not blending it - blood sugar gave a higher reading. ive done it with 3 different types of food. as i said the blender breaks teh fibre (which meshes your intestines to slow the sugar spike) .... in fact this is common knowledge now theres a youtube video somewhere as well ill try dig it out... lot of people i know .know this also

[@jiriwiesner]

@@saren6538 Interesting. Thanks. I will make a few measurements myself to see how this translates to the workings of my body.

[@annakarasik6533]

Great video. If I want to start reducing carb intake, from a very large amount of carbs I consume now, what are carbs that are better to start the process toward very little carbs?

[@proartwork7189]

Interesting on insulin sensitivity taking 2 years. It took me approximately 6 months with insulin score of a 3.

[@sueferrell1932]

Seeing you in September!!!

[@jacobthomas3048]

I was low carb until 3 months ago. I messed up with carbs,icecream and alcohol. I had a video conference with you on 11 Oct 2022. I am now low carb, no alcohol and sweets since 19 Oct 2022. Only consuming ghee, pressed coconut oil and butter and off course meat. I also consume leafy vegetables like cauliflower and brocolli.Please advise when should have my next blood work done. I live in Melbourne Australia.

[@DanielE15]

I admire your humility as you learn new things instead of doubling down like the internet gum flappers. It scares me that carbs will eventually become necessary again because I know I cannot handle them psychologically. Can you do a video that discusses how one can eat carbs in a way to not trigger addiction when the point of insulin suppression is reached? How does this not blow a major hole into the addiction model?

[@francisvlatko2834]

That is a good question. However, carbs are in every whole food you eat except pure fat. So you are already eating it, hence the limitation. Their is no such thing as a zero carb diet unless you only eat fat.

[@DanielE15]

@@francisvlatko2834 he said 120 to 150 a day...

[@robertcywes2966]

Dairy and some vegetables

[@The-Homecook-0000]

I do the meat and fat diet, but I also do alot of cardio and light weights, I like to add fruit into my workouts...The fruit helps me out after my workouts...

[@robertcywes2966]

Exactly

[@N7TWL]

This is the first of your videos that I have watched that raises more questions than it answers. You said in an earlier video that the liver produces all the carbs needed for those functions that require carbs for fuel, and that we really do not need to take in those carbs from an external source. Now you are saying that after a couple of years of being carnivore, our pancreas has stopped or significantly reduced insulin production, and that we need to reintroduce some carbs to get insulin production up again. That does not sound like a very good balance among our internal organs. After all, we are getting some carbs from the meat, and what about the carbs manufactured by the liver? If we are actually carnivore, that should be enough. Of course, in the beginning of this video, you are saying that humans are not pure carnivores, and perhaps they never were. Given our dentation, I would agree with that; we are omnivores, but with a preference for meat, and enough so, that our bodies are in fat burning mode. For those of us who are carb addicts, and at the beginning of our journeys, the future at the 2-year mark does not bode well if we have to throw a significant number of carbs back into our diets to get our insulin level back to where it should be. If that is the case, then there is something very important that is missing in this approach to getting the body healthly again.

[@ianstuart5660]

Agreed!

[@philipjones535]

I have been eating only whole foods and no grains/starch for the last year counting carbs as "net". As I only eat vegetable carbs with my fat and protein, from what you have said these are 'free carbs' and dont need to be counted so actually my net carb count would be correct or even too high if i have understand you correctly. So taking this to its full meaning, a dinner with meat, cauliflower broccoli and sprouts (no potato) will have a count of zero veggie carbs as far as the body is concerned. From the many reviewers I have seen here there seems to be a one size fits all model that's not helpful, meaning, there are two diverse types of carb eater. One getting carbs that predominately come from processed foods, and the other by carefully selecting whole foods only but with cruciferous and other veggie sources. I dont think these groups should compared the same when counting cards to achieve a daily target of 20g. they need to be looked at separately. Given your carbs statement are 'free' I believe my net carb is nearer the correct rather than total carbs I eat.

[@robertcywes2966]

Beautifully stated. Exactly

[@mikelastpass689]

I'm having difficulty wrapping my head around the fiber comment. I take raw psyllium husk a couple of 3 times a month. I've never seen my ketones shut down because of it. What a Great Colon cleanse...it goes like a golf ball & comes out like a water melon 😁. I guess I'm old school in that I look at fiber & subtract it from the total. I am following your recommendations & am very thankful to you for reaching us veggies for the most part are free 👍🏼👍🏼👍🏼 I'm just choosing to look at fiber as a plus when it comes to keto.

[@ItsMe-wm4mc]

Hi Dr. Is the CPeptide and Homa-IR test necessary? Or do you recommend other tests for insulin resistance and if my body is producing insulin? I was recently in ICU with a pulmonary embolism and my glucose was almost 600. I was put on a basal bolus. I'm fairly educated on low carb, ketogenic diet, and physical activity.

[@bobcallahan2356]

I am a 76yo type two. I was rushed to MUSC in Charleston, SC in October 2023. I remember nothing fro 3 days. I was told my A1C was 11. Since they time, my CGM shows a 90 day GMI of 9.2. I discovered Dr. Ekberg in January 2024 and have been following his 2mad since I discovered you channel the first of March. for the last three weeks I have basically done omad. We eat dinner around 4/5pm daily. I only consume 2 cans of sardines until the next dinnertime. My blood sugar has been above 200 to 300 every day. I know that I have to continue this way of eating for some time to come. Do you have another suggestions for me?

[@maijab]

Have reduced my insulin levels by half, however they are still high. Sugars are high too. Have constant inflammation markers, high cortisol. From this video, I'm aiming to go low carb, less than 20g a day.

[@mikafoxx2717]

Make sure to get high fat so your body doesn't try to run on protein instead of use it as a building block as it should.

[@standom2390]

Ask Honey MD. about re-entroducing carbs.

[@betheboss.online]

Hi Dr. Rob, love your videos, thanks for making them 😘 I wanted to ask though, in this video you mention getting our blood tested to determine the rate of insulin resistance and how to treat varying levels, I’m in Australia so can you prescribe a referral or something to allow me to be able to have it tested and then advise what to do once I have the results? Thanks 🙏

[@francisvlatko2834]

Hi Nicole, you can ask you GP for a HOMA-IR which is the insulin resistance test. Also, there is a doctor's directory in Australia at the Low Carb Down Under website along with plenty of presentations for further research on their KZbin channel.

[@betheboss.online]

Thanks for the info, I’ll look it up 🙏

[@craigslitzer4857]

@@betheboss.online Just an FYI, Homa-IR isn't its own test, per se. It's a calculation based on other tests. If I remember right, you need to have fasting insulin and fasting glucose taken at the same time. Plug those into an equation (I don't know it without looking that up) to get your Homa-IR score. You might have already discovered this by now, but it's a topic that I've seen confuse people, so I thought I'd clarify a bit.

[@betheboss.online]

@@craigslitzer4857 thanks so much Craig, I had no idea and would have become confused no doubt. I appreciate you taking the time to let me know. Now I’ll look into it! Feel free to share any more information you have on these tests too 😉 Thanks 🙏

[@craigslitzer4857]

@@betheboss.online I don't really know much beyond that as far as Homa-IR is concerned, but if you want to learn about all things insulin, I recommend listening to some of the presentations & interviews that Professor Benjamin Bikman has given over the last few years.

[@patora13]

Nice, back to eating broccoli.

[@amandaberofsky]

I gave myself permission to eat below 100 carbs at first, then 50, now 30. The thing is, the only way keto eliminates my hunger is if I go below 30. So, doing the math, 50 carbs should allow me to lose weight but without the hunger suppression, it's pointless. I know so many big people who don't want to do keto and make excuses, but if they could experience this lack of hunger for a day, they would be hooked.

[@ianstuart5660]

Definitely, it's a very liberating feeling being without hunger or a forced eating schedule!

[@nonacee5065]

My carb management app just gave me a minus carbohydrate total after I added the amount of exercise and fibre I added into the mix. I had to reread my food list to find out my total carbs before the app deducted them to net. The avocado carb was highly reduced merely by its own fibre. Interesting.

[@annaclarepolttila6256]

I have always counted Total Carbohydrates when counting them, the whole “net carb” idea seemed like a lie to me from the start or a cheat and when you are motivated and serious you don’t want to cheat yourself!

[@user-rq8yw3cf8u]

What about sugar substitutes?

[@thefisherking78]

1:50 let me say.. I can't even maintain weight above about 50g/day carbs and some varieties seem to lower that threshold. I really thrive on 20g or less.

[@netxyz00]

Do cooked vegetables, e.g raw broccoli vs cooked broccoli, result in more carbs been absorbed?

[@bert_buikema]

Isn't the regular intake of protein sufficient to trigger insulin? Do we really need to add (vegetable) carbs regularly, once we've restored insulin sensitivity?

[@finagill]

It depends on how much protein you eat. If you are eating enough then it is sufficient. The only "problem" that I heard of in this regard is that A1c tests assume that your red blood cells die every 90 days and by eating a proper diet you can extend their life which increases the results of the A1c.

[@1eingram]

Has Bart Kay reviewed any of your videos?

[@njm7941]

You say we don’t need carbohydrates but then you say at the end we need to trigger insulin with carbs so I’m now confused 👍

[@kihntagious]

Dr, why would calcium labs go higher on keto?

[@robertcywes2966]

Should not. Check PTH

[@1eingram]

Have you read Dr Ben Bikman's work on insulin?

[@tammyguerin6470]

Thank you for this. Although I’m not positive if I’m insulin sensitive again because my doc won’t test my insulin my blood markers are perfect now. It took me three years for my A1C to come down from 5.6 to 5.1. Weight is stable. Cravings are minimal.

[@robertcywes2966]

We will

[@24bellers20]

I’m on 40 grams and only just keep in keto and I’m active. Hard to keep low.

[@user-hr2sh5ds6r]

22:13 I have started lowering carbohydrates since mid November 2024 and stopped taking statins. Now after 3 months my total cholesterol is 297 and my LDL 211.I have no cardiovascular problems but my doctor insists on a diet low in fats and taking statins.

[@Lgarell60]

More Great Information Doc 🥩🥓🧈🥚👍🏻

[@keylanoslokj1806]

Some people do great on white potatoes

[@jed3961]

I have a question I have been found keto for 5 weeks and the last week i am dizzy when I stand up is this most likely low blood sugar

[@midway222]

Doesn't consuming protein, ie a steak, also trigger insulin? Just to a lesser degree?

[@jerseyjim9092]

I'm guessing that he thinks we should be spiking it twice a day once we're "cured" of our insulin resistance. I haven't heard this idea of "insulin suppression" mentioned anywhere else. Perhaps it's just another name for the "metabolic flexibility" some others speak of.

[@videogazer801]

I think only carbs are the problem with insulin and not protein