Ep:323 WHEN PAUL SALADINO IS RIGHT! Detailed bloodwork analysis - by Dr. Robert Cywes M.D. PhD

PAUL SALADINO promotes an ideology I do not agree with. BUT WHAT ARE THE CIRCUMSTANCES WHEN HE IS RIGHT? IN THIS VIDEO DR CYWES REVIEWS A PATIENT STORY WITH EXPLICIT BLOODWORK TO DISCUSS INSULIN SUPPRESSION AND HOW TO TREAT IT. IT DOES NOT APPLY TO EVERYONE. Please leave comments.
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. #LMHR #insulinsuppression #paulsaladino #davefeldman #diabetes #obesity #starvation #ketosis #sugar #carbohydrate #carbs #lowcarb #fat
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ROBERT CYWES M.D., PhD, ERIN SMITH PSYCHNP and SHERYL FOX RD ARE clinical PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. Our mission is to educate and treat CARBOHYDRATE ADDICTION in obesity, diabetes and metabolic syndrome. Replacing carbs with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a 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 medications such as GLP-1 agonists and obesity surgery/devices to help people including those who have had bariatric surgery.
Set up a consultation if you are looking for sustainable ways to treat obesity, diabetes, metabolic syndrome, cardiovascular disease, cholesterol and thyroid disease. If you need bloodwork/physician confirmation or if you are considering or struggling after Bariatric Surgery we can assist.
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**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, Erin Smith PsychNP and a Sheryl Fox Registered Dietician in our practice. Do not self-diagnose. Always seek medical guidance when you have a medical condition.
Although all measures are taken to ensure that the content of the KZbin channel is accurate and up-to-date, all information contained on it is provided ‘as is’. We make no warranties or representations of any kind concerning the accuracy or suitability of the information contained on this channel. Robert Cywes and his team may at any time and at their sole discretion change or replace the information available on this channel. To the extent permitted by mandatory law, Robert Cywes shall not be liable for any direct, incidental, consequential, indirect or punitive damages arising out of access to or use of any content available on this channel, including viruses, regardless of the accuracy or completeness of any such content.

[@drsvs]

I was actually able to analyze the problem as Dr. Cywes read the numbers. His video lectures are better than medical school classes. I can’t believe how much I’ve learned from him and others on the Internet. All this information is free, yet my cardiologist is clueless about bloodwork and the cause of metabolic diseases.

[@swanee9414]

I needed to see a cardiologist after I had a CAC (I had a score of 6, but they saw a slight high-end-of normal aortic aneurism), and we got to talking and I showed him my NMR LDL large and small particle result print-out...he had never seen one. Nice guy, but behind the curve.

[@YeshuaKingMessiah]

Sounds about right MD is useless Info is right out there for FREE if they cared to know Which they don’t Instead: Ur lazy Commit to the diet Ur lying

[@themuleify]

I bet you also learn that these dr.s change their tune overtime. And they do it sometimes without admitting it but just by saying something like Paul Saladino was right... Sure you can learn a few things, especially what to be looking for, but be always cautious about being an avid follower of one Dr or another. You have to walk in between the threads to figure out what works for you.

[@Gumdrops8739]

We are all learning after years of being lied to and ignored

[@ShannonHansenCook]

Also a physician and I agree. He reads the numbers slowly enough you can put it together. I wonder what they teach in med school these days...

[@sherylecolombo600]

Paul Saladino is very well researched on this topic and it shows in his physical looks, strength and vitality. I am so glad to see another doctor humble himself and give credit where credit is due. We need more of this!

[@ws81086n]

It does not necessarily show in his looks, TBH. He looks good and has a nice physique, but it shows signs of metabolic disrepair. His skin tone is darker as well (factoring in the tanning element). Darker skin is an indicator of adrenal insufficiency. It also bears mentioning that one's mood biochemistry impacts one's metabolic circumstances.

[@BubbleBuster]

He looks very old

[@shaunr5450]

​@ws81086n he surfs for 3 hours a day lol

[@jakeblake06]

Just remember he isnt young whatsoever and he didnt even begin his journey on his current diet until about 4 years ago. He isn't going to age in reverse and he unofrtuinately lost time by being a raw vegan and switching between other diets as well before landing on his current diet. Him "looking very old" is an exageration as he looks healthier than most people his age. @@BubbleBuster

[@martinepeters9891]

​@@BubbleBuster that's because you are very young. Saladino is 50 on the other hand

[@JackTheStrippa]

A lot of Doctors do their best to not give Paul credit... I respect you!

[@fritz1805]

Carnivore for 31 months and am at an ideal weight 189 at 6' 1' age 71. Recently started eating an avocado a day and some green beans and asparagus. Also have some berries with full fat yogurt. I was down to 178 lbs and low body fat, and didn't feel good and was getting some anxiety. I started increasing my food intake and now feel much better. As long as you stay away from the junk, grains , and processed sugar snacks, and seed oils, everything will be fine.

[@jeffj318]

Sounds like a good plan.

[@scoobtoober2975]

Look up dr Sean. Advocates for fermented foods. Sprinting for exercise, it's emerging behavior that gets your body's hormones going. Like a bear out of hybernation. Very helpful. I stopped running and my waist slimed down more. I was trim enough but it just happened with less effort.

[@mom2artists]

Dr. Sean O'Mara

[@hassanaz1411]

Some people nuts and Diary doesn't work for them. I think every person is reacting with food differently.

[@lr1732]

@@hassanaz1411 Yep. Everyone is different.

[@johnstark5254]

WOW. I wish I had a doctor who read labs like this ... and smart enough to know what it means. Best doctor!

[@tammyday9389]

He also knows what to check on that requision form for the blood work. My doctor isn't very receptive when I suggest what I want looked at. 😮

[@adorableadornments1101]

This was an eye-opener for me. I am type 2 diabetic, and no matter how low in carbs I went, even carnivore, I would still register high blood sugar. Upping my carbs just a wee bit, triggered my insulin and my blood sugar went down. I am realizing that keto works better for me rather than carnivore.

[@Gumdrops8739]

Me too!!! It nearly drove me crazy. I just couldn’t figure out why and nobody could answer my questions

[@leonpetersen7346]

yeah....us Type 2's have to take care of ourselves and see what works for us, for sure. For starters, i need to 48hr fast more.....i've seen the benefits, but yeah, i need to get a bit more serious in that dept.

[@NoKingsNoGodsOnlyMan]

No, look up Ray Peat. The answers are there.

[@gsica2097]

There is some concern with chronic cortisol with long term keto diet. Watch it

[@sportysbusiness]

I don't understand your comment. Keto is high fat, no carbs. Carnivore is all meat, and can be keto or more protein based, depending on how much fat you eat. Too high in protein will raise blood sugar through gluconeogenesis. This will happen if you eat meat that's too lean or eat too much meat in one sitting. NOTHING to do with carbs. I like Dr Cywes, but he's making many assumptions in this video and conflating correlation with causation.

[@DrAJ_LatinAmerica]

Absolutely perfect. I have been beaten up (not that I care, pain is love), on Chaffee & Berry & other carnivore doctor channels for saying this exact thing for the last several years. This message needs to be heard across the globe !!!! Context matters. Person by person, case by case. No one "f"ING size fits all must be heard. Athletes, weekend warriors, couch potatoes, all the way to the extreme obese should not have the same diet. Then age and race play a role as well as genetic factors.

[@xp1296]

Absolutely correct 💪

[@Ruktiet]

Not true. The human species does have a diet most appropriate for it. Only specific conditions can exclude certain foods for certain people, but other than that, my statement holds. You do realize that DNA between people is more than 99% similar, right? That means that the enzymes and thus metabolism is more than 99% similar as well

[@georgeborb3245]

Your statement doesn't include many thousands years of different adaptions on climate and food sources. We are one species but not like a cow or a chimpanzee wich are highly specialized animals. We are opportunists and we try to survive everywhere from the equator to the north pole . This 1% difference is huge when we talk about genetics.

[@casamexico7838]

But was that chap in any danger of ill health, or just worrying numbers that mean nothing?

[@onlyonecai]

I’m sure there is the one called species specific diet. It’s pretty much mostly a carnivore with some occasional carb bombs like our ancestors did when they found honeybee nests and berry bushes seasonally. The 100% pure animal diet which shouldn’t be meant for long term, is just there to help you get back to where we belong quickly after decades of carb poisoning.

[@fezzypepper8525]

I'm a highly self-educated retired emergency RN. I understand and interpret the numbers as well as you can. This all makes pefect sense. Good job thinking outside of the confined western medicine box.

[@patricklachance6880]

I knew Saladino was on to something because he's so active. Thank you for taking the time to explain each blood marker and what was actually happening and why!

[@gsica2097]

That’s the key. Saladino burns a lot of calories so he really does need carbs.

[@sinnoboy0000]

@@gsica2097carbs in what form? Obviously not bread or pasta right lol

[@niranjanpaul2176]

@@sinnoboy0000 resistant starch

[@xnoreq]

@@sinnoboy0000 Why not? There are people that eat bread and pasta nearly every day and are much healthier than Clown Selladino and also live longer than most humans.

[@xnoreq]

Selladino was not "on to something." Reality finally caught up with him. Basically, he is spouting patently absurd nonsense 24/7 that contradicts long established scientific knowledge and facts. He evidently is incapable of reasoning (see all his fallacious arguments and conclusions, for example "evolutionary correctness"), fails to grasp nuance or context, fails to understand complex systems and processes. In his naive way of black/white thinking all he does is fearmonger and demonize entire food groups, while at the same time failing to grasp basic concepts that were figured out decades ago. The guy's a clown. Clown Selladino (even though he backpedaled in podcasts he still sells his book which is full of falsehoods.)

[@dylanboswell3810]

This is why I love Paul and his work. It helped me a lot

[@B81Mack]

This man is brilliant yet humble.

[@westfield90]

So glad I found your channel. Every doctor should watch this and see how brilliantly you put the pieces of the puzzle together.

[@dkcN0va2109]

"Individual therapy"! 👍👏👏👏 High patient loads, paperwork, and being "managed" by the medical business politicos make this level of care nearly impossible for many caring doctors. But it makes a WORLD of difference! Thank you for this post!!!

[@DrAJ_LatinAmerica]

BS. Here is the solution - pay cash on retainer. Lawyers do this everyday. My patients hold me and my time on retainer. Cost is per minute for 1 minute to an entire week if the choose and their account has funds. Simple. Stop using insurance. Get the insurance company out of your private life. Get the government out of your life. Pay cash and you hold your own medical records. Hollywood stars and pro athletes have been doing this for years. Many businesses executive same. Also keeps team owners and employers out of your personal life.

[@robertcywes2966]

If I can do this every Doctor can.

[@dkcN0va2109]

I feel chastened by these replies, but also greatly encouraged!

[@DrAJ_LatinAmerica]

@@dkcN0va2109 sorry. Just really frustrated and upset how the system works in major countries and how closed minded the doctors and patients. Here in Latin America, I get cash and the patients (who are the boss /customers). Holds their own records. YES, that means they get to read my notes, which is good, full disclosure, the way it should be. I don't own a file cabinet, waste time filling out forms or filling medical claims or waste money on secretaries and medical billing services. All just fluff and BS to the system. If a patient want to pay for one minute or entire day, not a problem. All prepaid, planned and scheduled. Every patient (again the boss) gets the time they want. Home visits (to see if they are honest), plane flights, whatever it takes, they are paying. No insurance company, no employer or for my athletes, no team manager / coach watching. America actors have been doing this for years. Go on "vacation" 😉 to a remote part of the world, fly to a different city for a small procedure, fly back to the island/ resort to complete the vacation but when they return, they are "changed" without paparazzi or public in their private lives. The public goes on thinking the female lost the weight with Jenny Craig or the male got jacked drinking protein shakes jejeje jejeje jejeje

[@baroquefiddle4790]

Your an incredible doctor! Excellent breakdown. I was on chemo for 3 years for very bad lupus & epilepsy. I came off it and start on carnivore diet for 1 years, I'm an woman athlete and I was getting very dizzy so I added on, organic fruit, organic honey and raw organic dairy and it cured me. Absolutely fantastic. I never thought I could live better, so so so grateful and happy!

[@xp1296]

That's brilliant! Great to hear recovery is possible, congrats to you 👏👏👏

[@TheBeautyanna]

Great way right? Me too started full carnivore lost a lot of weight then I am having organic fruits and honey and dairy! Boxing 4 times a week! I am thriving!!

[@baroquefiddle4790]

@@xp1296 Thank you 😊 🙏

[@baroquefiddle4790]

@@TheBeautyanna Thats incredible, well done 👏

[@TheBeautyanna]

@@baroquefiddle4790 👏🙌🏻

[@forester057]

Why can’t there be more docs like you that look at everything instead of only the absurd LDL while they ignore everything good. Gotta be your own doc if you can’t afford this good doc.

[@JanPLopez993]

Yes!

[@jobrown8146]

I'm very thankful for the vast amount of information that is available on the internet. I'm a "regular" LDL hyper responder after going low carb and I'd be very confused if it wasn't being discussed. At least I can learn and then make an informed decision. I'm metabolically healthy with a CAC of 0 at 65 yo F and I've said no thanks to a statin.

[@B81Mack]

So true!

[@fredstumpf4326]

Here herr

[@stevenhendon765]

The bigger question is how do we find a doc like this?

[@savvysurveyor5318]

And there it is, the importance of carbohydrates used correctly when you have the blood work assessed by someone who understands it fully. Bizzarely, I’ve come to the same conclusion myself in part by reintroducing carbohydrates. An absolutely fantastic video, thanks Doc ❤

[@winnersofchampions]

One of your best videos ever Doc. Answered a lot of questions for myself. I feel like absolute shit when I do just high fat, low carb. Noticed when I introduced carbs back in, I feel so much better!

[@alchemy1]

After 7 months on Keto here it is. TC 491 from 160 LDL 350 from 104 LDL + VDL 416 HDL 75 from 40 TG 49 from 225 A1C 5.3 from 5.7 Weight loss 40 lbs. From 210 to 170

[@Shokiriy]

It looks like you've provided some cholesterol and other health-related data before and after following a ketogenic (keto) diet for 7 months. Here's an analysis: Before Keto: Total Cholesterol (TC): 160 LDL Cholesterol (LDL): 104 LDL + VDL: Not provided HDL Cholesterol (HDL): 40 Triglycerides (TG): 225 A1C: 5.7 Weight: 210 lbs After 7 Months on Keto: Total Cholesterol (TC): 491 LDL Cholesterol (LDL): 350 LDL + VDL: 416 HDL Cholesterol (HDL): 75 Triglycerides (TG): 49 A1C: 5.3 Weight: 170 lbs Analysis: Cholesterol Levels: Your total cholesterol and LDL cholesterol levels have increased significantly. While HDL cholesterol has also increased, it seems that the increase in LDL cholesterol has had a more significant impact on total cholesterol. LDL + VDL: The combined value of LDL and very low-density lipoprotein (VDL) is elevated (416), suggesting an increase in the atherogenic lipoproteins. HDL Cholesterol: Your HDL cholesterol has increased, which is generally considered positive for heart health. Higher levels of HDL are associated with a lower risk of cardiovascular disease. Triglycerides: There has been a substantial reduction in triglyceride levels, which is a positive change. Lower triglyceride levels are generally associated with a lower risk of cardiovascular disease. A1C: Your A1C has improved from 5.7 to 5.3, indicating better blood sugar control. This is a positive change and may reduce the risk of diabetes-related complications. Weight Loss: Losing 40 lbs is a significant achievement and can have positive impacts on overall health, including cardiovascular health and blood sugar control.

[@alchemy1]

@@Shokiriy And?

[@jennystv6452]

Do you eat liver?

[@rashoff]

Need more blood work analysis videos

[@geekyboytop]

I love that Dr. Cywes has no issue addressing things like this that do not necessary sit in the carb addiction model. I feel like I was at this place too and my doctor had decided that I need a statin and exogenous testosterone but I started eating more carbs (fruits and honey) and slowly everything fell back into place!

[@MythicStealth]

Dr. Cywes is truly practicing "let food be thy medicine". Such a wealth of information here. Thank you!

[@scottolsen1964]

Wow... My blood work was very similar. 59 years old and nearly no fat. A nurse (who didn't see me in the office) called me an had a statin ready at the drugstore, suggested I lose weight and get on an exercise program. I told her I was 180 pounds of twisted steel and sex appeal so have them shelve that prescription. This was a super informative podcast and I feel more confident in my efforts.

[@shellderp]

Dave feldmans research should be the final nail for this keto+highLDL+ lean builds. The early results are already pretty incredible

[@lindalentz5093]

Love your response to the nurse !😊

[@MeMe-dw1sm]

Du you allow alcohol into your diet?

[@jerrystrozyk8182]

You realize you're making doctors lose their minds, don't you. This is fascinating. When my doctor doesn't see numbers that he expects and predicts, he omits the results.

[@jobrown8146]

I asked my GP for a particle size test. She told me that she cannot request a test that she is not able to interpret. I'm in Australia. I went to a doctor with an interest in low carb and he gave me the referral. However, I have to pay out of pocket for it and don't want to change anything so I've decided not to bother at this time (I'm 65 yo F with CAC of 0). I'm a (non-lean) LDL hyper-responder on low carb (1 year low carb LDL 250, 18 months 300, with good trig/HDL ratio) and metabolically healthy. I'm waiting for the LMHR interim report to come out.

[@90daylove4life]

yup my doc stopped testing me altogether because i was getting good readings from doing carnivore.. sooo i dropped the doc and got a new one lol :)

[@dossegundos7145]

This was the case where some carbs where needed to get the right numbers, and the reason why is not always good to be In ketosis all the time.

[@jobrown8146]

My doctor said because I wasn't going to take a statin that I didn't need to get my blood test done for 1 year. My LDL went from 250 up to 300 and I'd like to keep an eye on it. Also, I don't have a glucose monitor so I still want to get my A1C checked every 6 months. @@90daylove4life

[@kateaye3506]

@@jobrown8146 ooooh, where in Oz are you? I have been looking for a carnivore friendly local GP.

[@DJMT-Africa]

This is exactly where I am at the moment... OMAD, 1 glass of milk per day, LMHR, walking 5 days a week, lifting weights 3 days a week, keto in 2021, carnivore in 2022, body fat of 11%. Based on previous bloodwork (which was very similar to what Doc presented here for his patient's first round), and my blood glucose trending these past weeks, I am definitely insulin-suppressed. My plan is to increase my meals back to 2 per day, but have 2 glasses of milk instead of just 1. So 1 glass of milk in the morning, and another in the evening. I am hoping to also see better muscle growth because my current OMAD diet means the majority of my protein consumption is going over to fuel (glucose) production, rather than muscle protein synthesis. Thank you Doc, as always. Your video could not have come at a better time.

[@beezowdoodoozoppitybopbopb9488]

Mike mutzel at high intensity health has been touching on that very subject recently.

[@MoneyStrategiesSOULutions]

Sean Omara MD said that after 1 glass of raw milk he started gaining that bad visceral fat. Do kefir or yogurt instead?

[@DJMT-Africa]

@@MoneyStrategiesSOULutions I drink regular milk, not raw. I also take double cream plain yoghurt, but it doesn't have too many carbohydrates. I have also brought in bananas and straw/blue berries.

[@asdf1991asdf]

if you increase your meals from one to two a day would that mean that the protein from both meals would go to muscle protein synthesis as opposed to glucose prodcution? as your sparing the protein over two meals instead of one big meal?

[@DJMT-Africa]

@@asdf1991asdf That is the idea, yes… because the human body can only process so much protein in one sitting, and having multiple meals in one day ensures that the liver is not trying to get into gluconeogenesis due to a lack of body fat.

[@jennymatthews306]

Go DR Paul Saladino.....what a legend. It makes sense!

[@lynnluisi6226]

The brilliance that is Dr C!!

[@alimccoy9132]

This science is outstanding. Never have I heard from doctors this many mentioned lab values spoken here, let alone having them explained. This is a treasure chest of science and we have answers to questions not even asked yet by many. Supporting this helps everyone.

[@B81Mack]

This is the only time I wished I lived in friggin' Florida, to have this man as my MD!

[@michaelholness741]

Where is he located.

[@cynthiavonk]

@@michaelholness741Jupiter, FL

[@B81Mack]

@@michaelholness741, uhhh... Florida.

[@hazzah3104]

Great break down. Thanks for sharing Doc! You are leading the way for a healthy society

[@jeanetomblin5562]

Great information. Thank you for educating us.

[@rocknawe7336]

Finally- a doc addressing through excellent diagnostics & accurate interpretation an individual as a unique individual. Thanks Dr Cywes. Possible insights as to why I never got into ketosis after 5.5 months on keto & carnivore.

[@alexdenton6586]

What was the reason then you were not in ketosis after this long Can you explain please I will also view the video later

[@1wSCOTTw1]

Perfect timing on this video for me. Been strict carnivore for 3 months, dropped from 206 to 179 lbs. Had blood work done and was surprised how high my LDL was (Total 410; HDL 52; LDL 332; Trg 131). Going to try what you suggested and check again in 3-months. Thank you!

[@marajade4403]

Thank Dr Cywes for the excellent video and many other videos and for open minded and non-dogmatic approach.

[@janapeony8561]

Thanks dr. Cywes,brilliant informational video.

[@kwamhope55]

Thank you doctor for saving lives outside the office. Much love and appreciation ❤

[@hai.1820]

Perfect! Hands down the most detailed analysis... I added back some good carbs to my diet with such solid evidence. Thanks doc!

[@peterweeden6203]

Excellent analysis and execution. Outcome from which returned great result for the individual. Great insight, thanks doc.

[@paulredding1955]

Another amazingly informative video. Thank you, Dr. Cywes.

[@47retta]

This was fascinating! Thank you!

[@ryanturner8577]

I was never pure carnivore, but I oddly enough did the exact same thing. I do a sort of keto/ketovore diet and added in raw milk and a little honey every day. I feel even better. This choice was entirely by chance and an experiment. Always good to experiment and test to optimize. This video was an extremely educational video btw. Love these breakdowns.

[@ICVEGAS]

Same here, I have just a little bit of some carbs, usually honey or white rice and since I started doing that I actually feel better. Good to know I was unknowingly doing good for my body...

[@carbonsubie]

I've been drinking some raw milk before bed, but was thinking maybe I need a glass during the day, too.

[@lulur1149]

But you all stay in ketosis yeah?

[@ryanturner8577]

@@lulur1149 Yea. I would usually have a cup of raw milk with some honey in it in the morning or afternoon as a “snack” because I am more meat/animal based and only eat certain veggies, my carb intake is still very low whenever I do it. So I haven’t been kicked out ketosis with that. I only do keto/ketovore for 2-3 months stints though so I’m not it all year.

[@DJMT-Africa]

This, by far, is the most important video and message for long-term keto and carnivore people who are lean and have no fat to give. The. Most. Important.

[@jonathanhattingh]

Great video! Extremely helpful and insightful. Thank you, Rob!

[@Bret000]

Thankyou Dr, very insightful.

[@DrJK-wm9ec]

What an amazing story!!!! Wow!

[@davenockels5028]

Just fantastic. What a personalised medicine detective story……….

[@davidp605]

Need mored doctors like these

[@2fixmj563]

I want to be pattern 1 on the Kraft test. I must start weight lifting to stop losing muscle. Thanks to your patient for sharing his numbers with us. When you have such clean diet and movement, you can see clearly the exact result with a change in dietary approach. I learned so much.

[@swanee9414]

I love your work. I started with William Davis "Wheat Belly", then Steven Gundry' books, then on to Bikman (and about 20 or so other really good authors in this space) and I have learned something from all of them -especially Ben Bikman -who I've met and chatted with a couple of times -great guy. Dr. Cywes you are kind of the logical progression of so much of what I have learned from these other folks. At 72, I am doing quite well (and have lots of quite good numbers), because of having given up grains, seed oils, and sugars in 2017. Your videos are amazingly informative and helpful.

[@tammyday9389]

Yes, I agree! Great, practical information.

[@beaubolinger1521]

Adr Saladino is absolutely SPOT-ON😅

[@lenny2939]

Very intriguing. Thanks for sharing.

[@lindacarlson8886]

Fascinating. Thanks!

[@xp1296]

Excellent case study Doc. The reduction in lipids + improved free Test, free T3 and Glucagon, liver enzymes blew me away 👍

[@Absolomthecarnivore]

Medicine, metabolic and nutrition at it's highest! Thank you Dr Cywes! (What can I say more than "Dr. Cywes was the student of "Prof" Tim Noakes" Two Genius minds). Absolutely brilliant Doc!

[@Stinkyfisher]

Brilliant presentation in this video. Well done!

[@carrieteeps6224]

This was so extremely helpful and much appreciated. Pulling out my last panel and going to take notes on mine as I watch and listen again.

[@YVM3311]

This answers my blood work. came out super high cholesterol in the 500’s and my insulin was 2. Immediately thought of dr Bikman about the risk of getting insulin stuck at the bottom. Dr Cywes you had another episode on this subject , only this time you show the proof thru a perfect living example. So lucky to come across this individual to test and in this case proof your suspicion. Great investigative inquisitive approach . Master Sherlock Holmes of metabolic health 🙌

[@robertcywes2966]

Thank you Watson😂

[@deflo56]

This example explains the stages one goes through to regain metabolic health. The miraculous recovery from obesity, cancer and a rogue adrenal I experienced is explanatory. I too was insulin suppressed. Cortisol was my culprit. I removed the weight by fasting and low carb keto so I could find the cancer and stayed fasting and keto for treatment and build back from the bladder surgery for the adrenalectomy. Slowly bringing up my carbs in my six hour eating window seems very natural. These days a whole banana is a treat I can definitely live with. lol

[@londri5660]

How did you know Cortisol was the culprit

[@londri5660]

I don’t follow about “finding” the cancer and most importantly how are you going now? Hope you’re well and on the right track

[@deflo56]

@@londri5660 At 268 lbs I was going downhill fast and could sense pending death. A year later through low carb and fasting I had the weight down to 190 lbs. On a radiological test they found my bladder cancer and an incidental adenoma on my right adrenal. The extra cortisol was tampering back my insulin leaving the healthcare professionals baffled. They cut out the cancer and adrenal allowing a full metabolic recovery. I can’t remember a time when I felt this good physically. Of course at 67 maybe it’s a memory thing. lol

[@londri5660]

@@deflo56 I am so happy for you that you are doing so well. And I can relate to how you feel now. I am 63 and after making some changes in my life, I definitely feel the strongest I have been for decades. Take care and keep up the good work 👍

[@xp1296]

@@deflo56 great news, best of luck to you!

[@kirkusarelius3365]

Outstanding! Life is about adapting

[@ghosthikerswanderings6129]

Such great information! Thank you

[@1588chrissy]

Would be fantastic topic for a few videos explaining blood work, ideal vs what it means when at either side of ideal and strategies. Great explanation!

[@jmphome9793]

Wow amazing that I actually can follow the breakdown. You are an amazing communicator!! Let alone Dr Berry would back you up as he also stresses carnivore, with some veg and berries. This is all making so much sense. 15 month carnivore 55lbs down, 20 to go. This is so encouraging to us all, just read the comments! 🥩🧈🥓🍳👍✌️☕❤

[@amyferguson6573]

Thank you for another super informative video. You have my curiosity peaked with Amylin can’t wait for your video on it!

[@cheryldavis6011]

Excellent discussion!

[@jna9888]

Wonderful talk, thank you!

[@crcharrt917]

Wow! Finally some answers. I may start to carb cycle with some fruit and vegetables. I might start to sleep better and not have a raging thirst chugging down electrolytes. We'll see, but this is science in action and proves everyone is individual and that's what conventional medicine needs to catch up on. Thanks Doc!😁

[@robertcywes2966]

Beware if ur a recovering carbaddict

[@rhondab9792]

Thank you for this explanation. My thin husband and I (still needing to lose 15 lbs) are both carnivore. Me strictly high fat carnivore whlie he has some carbs occasionally. It's reassuring to know why this is working for us.

[@russellmcgillivray]

Great information. Thank you.

[@MK-sc8md]

Fantastic analysis. Humbling. So complex. Thanks to you did request and receive order for CAC!

[@dmt3412]

After having watched videos of Dr Paul Saladino, Thomas DeLauer, and Lillie Kane in which they all claimed that adding carbohydrates had improved their athletic performance, I had a thought. I personally think that people who are extremely active probably benefit by adding carbohydrates to their system because they are putting an excess amount of stress on their bodies and their bodies cannot properly utilize the slow and steady burning of fat alone. I only think this because this only really seems to happen to high performance athletic types. It might be interesting to see what their adrenaline levels are like. I think that addiction to extreme exercise is something that exists. I think for people like me who are almost sedentary by comparison, there would be no benefit to including carbs. If I should see these kinds of numbers, changes, and outcomes in women in their late 50s, who basically walk (including up and down 2-3 flights stairs a couple of times a day), occasionally sprint, and lift weights twice a week, then I might be more convinced that this would be a good idea for someone like me. I don't know if I'm right, but I think stressing your body out to the extent people like Dr Paul Saladino do, is too much. I think that our bodies then respond in the ways you've discussed. If you are surfing for 1.5 hours a day and your body responds like this, maybe instead of adding carbs so that you can surf for 3 hours a day, you should perhaps only surf for 0.5-1.0 hours a day and try to incorporate some relaxation techniques to balance out the stress. Just living in a "blue zone" like Costa Rica is not magic. It might be better to learn from the Costa Ricans how to spend more time with family and friends, walk (instead of surf), slow down, and take the time to rest, and relax. Maybe instead of just adding carbs to help our bodies cope with the stress overload of frequent, overly high levels of excessive activity, a change in outlook and lifestyle is the lesson that we need to learn.

[@robertcywes2966]

You are exactly correct

[@Jwhite198620]

Yeah, If you look up some research on hunter gathers activity levels. They all walked a good amount, occasionally sprinted during hunts and built things (heavy lifting). They however, had many days of downtime and calmer activity. I don't think extreme exercise is natural or even good for you. I believe a moderately active healthy person could have a few carb heavy meals a week and keep things good in their life.

[@zomfgeclipse]

This was very fun to follow along, super well explained

[@reeciastoglin2631]

Where are you located?

[@jackiemargaret437]

I found your talk most fascinating Dr Cywes .... thank you.❤

[@taracrist4126]

This was so well done. You’ve been helpful to me on my journey, yet my respect for you just went through the roof in terms of how beautifully you handled this case. Thanks for all you do!

[@TopgunB]

Insulin suppression absolutely explains my raised glucose on pure Carnivore and the fact that glucose goes down when I have my first meal at lunch. It also explains my low ketones both on a Carnivore diet and on prolonged fasts. Have not measured Glucagon but I bet it's high. Now I know exactly what to do thanx Rob

[@leighbayouth3209]

same. I am trying to add more veggies, but I know I need to back off so much fat if im going to do that. Gotta shift my thinking a little

[@davidh5573]

I cant stop watching this video. I got to a really low body fat % being Keto/Carnivore and started eating more frequently and more carbs because my sex drive and energy was low. Now I see this video I can really relate. THANKS!!!

[@d.wilbur5164]

Fascinating!

[@feduprn5765]

Fascinating discussion. Thanks

[@monroemusicnz]

His liver was making the glucose he needed. It’ll do that if you don’t eat any. And yes, Paul is correct about insulin signalling. It’s there for a reason. Carb addiction is def a thing, though. Love your work, Dr Cywes.

[@enidcronin9704]

Brilliant presentation as always. I was a type 2diabetic and now just insulin resistant. My usual morning blood glucose is usually 85. I eat a ketogenic diet and am happy with omad but once a week I eat twice a day and it works for me. I will have to go through this video later to convert all the numbers as we use a different measurement system here in the UK. I rather wish the world standardised the blood work across all nations. If I needed medical help when visiting the US I wouldn't have a clue what the numbers mean and likewise if a US citizen required help in the UK they wouldn't understand the figures. As a retired health professional I have seen this conflict first hand and the confusion it causes. I don't care which system is used but I do wish it was just one across all nations. When you are trying to take control of your own health it is so helpful to know your numbers in any country.

[@enidcronin9704]

Just to add to the confusion the US weighs people in pounds here it's measured in kilos. I have to do a lot of conversion.

[@markallisonparamotor]

Absolutely fascinating stuff, thanks doc.

[@annerepsch]

Thank you so much for the video. So informative. You and Dr. Paul are brilliant. 💕💕🙏🙏

[@carnivorouscanuck729]

This pretty much mirrors my last bloodwork 10 days ago and may confirm my suspicion that I was consuming too much protein.

[@landerspolimis3690]

Dr Cywes, this presentation has put my opinion of what you do in the medical institution into the stratosphere. Your closing comments is why I can’t go back to carbohydrates, I would be be out of control and undisciplined if I go back to eating carbs/junk…. Thanks again for spending your most valuable asset, your time. 👍

[@robertcywes2966]

Me too!

[@vbachman6742]

But carbs do not have to equal junk. I eat carbs by way of green vegs and cheese or heavy cream. No sugar ever. Usually 2 meals a day. No fasting, no snacking.

[@landerspolimis3690]

Carbs are not essential, that's why I label them as junk, if it works for you then continue, I would sooner starve before abusing myself with those chemicals.@@vbachman6742

[@bomberman21321]

I don't think he advises to go back to carbs or not, but some people may do better with carbs as sad as it may sound for some.

[@hortensemason4073]

Very interesting. Thanks for sharing this case.

[@l.a.7393]

Great analysis. Thanks, Dr. Cywes.

[@veronicaheaney3464]

Great information! I’m up for my usual blood work this month and, while it wasn’t bad six months ago, total cholesterol and LDL were higher than “recommended “. I’m not worried - those are my only negative factors regarding health concerns - but my doctor is unhappy with those 2 numbers as I have refused statins. I’m hoping that, with the changes I have made to my diet - slightly more carbs (40g) and a bit less fat per day will bring the LDL down a bit. As the total cholesterol hasn’t gone over 300, I really don’t care much about that one.

[@orlovsskibet]

This is a professional who knows what he is talking about. Great content. One concern: 1. The sponsorship make it difficult to share the content with sceptics, because they will just see that, and call doc a shill. Not fair, but just sayin'.

[@fatillacing4131]

Understand the point, but somebody has to pay the light bill...

[@orlovsskibet]

@@fatillacing4131 I think the light bill is already taken care of in this instance 🙂

[@crystalresler5534]

Most eye opening video ive ever seen on this subject...fantastic 👏

[@mariaf4402]

Wow, so impressingly smart, ty!

[@mikeluhrs4578]

I had these SAME issues (minus) the high LDL/triglycerides. Low test, 5.4A1C, elevated liver enzymes, fasting insulin 2.6, BUN 24. Around 13% BF in my later 20s. Lift weights, sprint hard, love activity. This guy and I are about twins and I’m so glad I found this. I also started eating a few meals a day. I also have since started eating fruit again after only eating meat and eggs for about a year. I feel better and I’m gaining strength in the gym again, and in also am having better sleeps/workout. Reference (I’m not BSing) and will email anyone the blood work.. my total test went from routinely being 400ish to 1010 in 4 months of carbs. And my liver enzymes are not high. I also notice my fasting blood glucose is about 8 points lower on average. BUN is also a few point lower. Fasting insulin didn’t change. Cheers!

[@lionemporor]

can you give us an example of your melas please? how much fruit, meat, dairy etc

[@mikeluhrs4578]

I eat 2 pounds of ground beef give or take daily, a few eggs maybe (then alittle less beef) and typically 60g-150g of carbs per day. Typically more around 100g: Berries, apples, raw kombuhca, sometimes mellon. If im inactive i wont eat as much. Sometimes (1-2x per week) unflavored Greek yogurt as quick protein. Hope that help!@@lionemporor

[@Nasdaqslaktarn]

Mate, how mutch total carbs did you add??

[@Traindom]

Thanks for sharing, I'm curious how many carbs you added as well

[@AmericanIlluminati]

You were probably in a stress state, Ketosis, survival mode. Cortisol probably crashing your Test.

[@debjordan4399]

Thank you for all you do Dr. Cywes. This looks similar to what my numbers indicate but I still have several pounds of body fat, about 10 lbs., around the waist to lose. Waist to height is still high. I'm really fearful of adding fruit back into my diet. It appeared that I was getting it all under control. I even went to widening my eating window to spread out my protein intake. But my TC went from high 400's to over 529 and my total LDL went from 377 to 420, trigs went from 138 to 152. Morning fasting bg is usually 75-89. LP-IR

[@tammyday9389]

I wish we had more doctors who are this thorough and knowledgeable.

[@cammieklund]

Watch Jay Feldmans video about transitioning from carnivore to a pro metabolic way of eating.

[@the_fruit_2491]

This is so great!! Amazing information 🎉

[@EatBeefBeHealthy]

This was so interesting. Thanks for sharing.

[@ekondigg6751]

Let's not forget that the title "When Paul Saladino is right!" assumes that sometimes he's wrong. One of those times is his taking conclusions from a study where people lost significant amounts of weight, and was high carb. This was an observational study, and started in 1934, involving 100 obese people. They were told to follow a white rice only diet and then sent home. So no checks possible to find out how closely they followed the diet. The participation time was very varied, between a couple of months, and one person for 11 years. During the study, 9 participants out of the 100 died. Paul says this was simply because of their metabolic health, but even so, that is pretty much an unheard of mortality rate. Maybe it was because of their white rice diet? There's strong evidence for that: Asians have not been eating white rice in quantity for centuries because it's labour-intensive to produce. After the industrial revolution, manufacturing white rice on a large scale became possible. But then, a new, previously unknown disease epidemic broke out. They called it Kwashiorkor. It was discovered that it was caused by malnutrition, in turn caused by eating a staple of - white rice. What little nutrition in rice gets removed by the white rice manufacturing process. Interestingly, autopsies of those who died of the disease were found, among other things, to have been suffering for fatty liver. Back to the white rice diet study, and the 9% mortality. Did their white rice diet have any influence on that mortality figure? You be the judge. I suspect that the person who did the white rice diet for 11 years, and was still alive after all that time, was probably not following the diet very strictly... Dr Eric Westman likes to remind us that observational studies are only able to provide hypotheses for further study, not conclusions, or establish causation. This is where Paul is wrong: he draws conclusions, and applies them, which cannot be substantiated by an observational study.

[@robertcywes2966]

Imho for most of us saladino is wrong. Me for eg

[@HappybyChoice]

If you have a video on energy production, I’d be interested in seeing that. Specifically, why I have a lack of energy and how to increase production. This has been a life long problem…nothing new. Thank you I’m 75 years old.

[@robertcywes2966]

Good idea. Less likely energy more likely hormonal disruption

[@KatieZeldin]

I'm loving this video!

[@markyost3]

Amazing great work Doc !

[@ruthbiafora5443]

You are perfect, Doc. One of the best videos. I hope Dr. Klitz sees this video 😊

[@emmanouilpetrakis4019]

I got the same problem, being on keto for 3 years and carnivore for another 3 years! In some point I was so fatigue and had very low energy. I had no appetite, I was eating one steak a day and I was getting full. I had a very low sex drive as well. All my markers were all over the place. I added some fruit, honey and milk and all my markers went Back to normal plus my energy increased 1000%. 6 months on “Saladinos” diet and Feel great so far!

[@annaak7849]

How did you add in the fruit + honey? What amounts?

[@catsrus2890]

​@@annaak7849Watch Carnivore Dad Bod's channel. He tells you exactly what he eats. He got really lean and muscular on Carnivore, but had no energy after almost 2 years, then he added in fruit and honey. Doing better with his running, he's 58. Same thing happened to me. After a year on Ketovore, no energy, then I added in the raw unfiltered honey, at night a few tbsp, and fruit, whatever amount I want a few bananas a day or banana and pineapple, melons or sometimes I don't even eat it. I feel like I'm finally getting all the nutrients I need, especially, electrolytes, from real food... fruit. I feel great! Watch Dr. Saladino's videos. He tells you to eat the amount of fruit based on your activity level. Also watch Curtis Alexander PhD, he has videos about reintroducing carbs. ☺️

[@emmanouilpetrakis4019]

I eat 3-4 cups a day of mixed berries and 1 tablespoon of honey before and after my workout. At night I eat Greek yogurt with mixed berries as well. Delicious and very nutritious. I’m doing really well so far.

[@Scorpeva]

Are you still in ketosis?

[@emmanouilpetrakis4019]

@@Scorpeva I was in ketosis when I was doing keto.. on carnivore I was eating almost 300gr of protein so I wasn’t really in ketosis. But to me it doesn’t really matter at this point. I feel good and that’s the most important. In some point I was very dogmatic with the Keto-carnivore approach… to the point that became stressful to me.. I found balance finally.. steak and eggs every day twice a day.. very rear chicken and pork, some fish.. plus some fruit, some Greek yogurt, some raw milk here and there… definitely no veggies because I never liked them anyway and because they making me very bloated. I stay away from sugar and processed carbohydrates and I’m good.

[@janebowman9150]

Oh thank you so much!!!!

[@horacioumfurer1194]

Exactly what I needed to know, the timing of this video is perfect. I just had my blood work done and it came similar this guy, including low testosterone. I'm Carnivore for 11 months, 50 YO, muscular male, 6'4, 220 lbs.