Fatty Liver Disease with Dr. Ben Bikman

In this Metabolic Classroom episode, Dr. Bikman delves into the intricate dynamics of fatty liver disease, a prevalent metabolic problem affecting millions worldwide. Describing the liver as the “soccer mom” of metabolism due to its involvement in various metabolic processes, Ben emphasizes the liver’s central role in nutrient metabolism, particularly in handling fats.
Fatty liver disease, once primarily associated with alcohol consumption, has now become a widespread issue driven by metabolic factors. It progresses from simple fat accumulation to inflammation (non-alcoholic steatohepatitis or NASH), fibrosis, and potentially cirrhosis.
Insulin resistance, a key player in metabolic disorders, is dissected into two components: impaired insulin action and chronically elevated insulin levels (hyperinsulinemia). Dr. Bikman highlights the crucial role of insulin in driving fat accumulation in the liver, explaining that elevated insulin is necessary for the liver to store fat and prevent its breakdown, even in the presence of excess free fatty acids. He elucidates how insulin resistance in fat cells leads to increased release of fatty acids, exacerbating fat accumulation in the liver.
Dr. Bikman discusses two primary pathways contributing to fatty liver disease: uptake of free fatty acids from adipose tissue and de novo lipogenesis, the process of synthesizing new fat within the liver.
While elevated insulin primarily drives fat storage, Ben also addresses the independent roles of fructose and alcohol in promoting liver fat accumulation. Fructose metabolism in the liver and alcohol-induced disruptions in fat metabolism contribute significantly to fatty liver disease, even without the direct influence of insulin.
Finally, Dr. Bikman explores strategies for preventing or reversing fatty liver disease, emphasizing the importance of controlling carbohydrate intake to lower insulin levels and restrict fructose consumption. He contrasts pharmaceutical interventions with lifestyle modifications, advocating for dietary changes as a more effective and sustainable approach.
Throughout the Metabolic Classroom lecture, Ben empowers his audience with a deeper understanding of the metabolic underpinnings of fatty liver disease, encouraging them to share this knowledge and take proactive steps toward metabolic health.
00:01 - Introduction to Fatty Liver Disease
02:18 - Progression of Fatty Liver Disease
03:31 - Understanding Insulin Resistance
04:36 - Components of Insulin Resistance
05:43 - Role of Insulin in Fatty Liver Disease
06:42 - Factors Contributing to Fatty Liver Disease
08:06 - Free Fatty Acid Uptake and De Novo Lipogenesis
09:34 - Studies on Fatty Liver Disease Contributors
10:54 - Implications of De Novo Lipogenesis
12:37 - Role of Insulin in Fat Cell Metabolism
13:41 - Influence of Insulin on Free Fatty Acids
14:39 - Impact of Low Insulin on Fatty Liver Disease
15:40 - Introduction to Ketogenesis
16:49 - Role of Insulin Resistance in Fat Storage
17:48 - Dynamics of Insulin and Free Fatty Acids
18:56 - Contribution of Insulin Resistance to Fatty Liver Disease
19:45 - Role of Glucose and De Novo Lipogenesis
20:46 - Independent Contributors: Fructose and Alcohol
21:52 - Fructose Metabolism and Fatty Liver Disease
22:58 - Human Studies on Fructose Consumption
24:08 - Impact of Fructose on Liver Fat
25:13 - Understanding Alcohol's Effects on Fatty Liver Disease
26:13 - Mechanisms of Ethanol Metabolism
27:24 - Ethanol's Inhibition of Fat Burning
28:14 - Effects of Alcohol on Triglyceride Rich Lipoproteins
29:17 - Diagnosis of Fatty Liver Disease
30:24 - Considerations for Liver Enzyme Testing
31:24 - Pharmaceutical Interventions for Fatty Liver Disease
32:21 - Alternative Strategies: Controlling Carbohydrates
33:22 - Impact of Carbohydrate Control on Insulin Sensitivity
34:24 - Conclusion and Call to Action
#insulinresistance #metabolicsyndrome #metabolichealth #type2diabetes #type1diabetes #weightloss #intermittentfasting #intermittantfasting #fasting #lowcarb
Learn more at: www.insuliniq.com

[@MetabolicReset]

Ben, I mean this from the heart: the quality of the content you make free to the public is out of this world and is certainly changing the lives of so many people failed by the medical profession. Using what I’ve learned from your book and many online resources, I’ve reversed my T2DM & GERD & NASH at a speed that has my doctor shaking his head in disbelief. Thank you. You’re a gentleman.

[@insuliniq]

Thank you for you kind comment and for sharing your experience. I appreciate it.

[@Joyous2010ify]

Ditto

[@vonticehembree6083]

Amen to that !

[@annfraley-mylife]

That tickles me, to picture your dr. Shaking his head in amazement.

[@hairway2heavensalon541]

I reversed my F2, F3 fatty liver steotosis. I was vegan a lot of my life and I ate a lot of high fructose products. I reversed my fatty liver at the age of 62 when my ultrasound validated it. I am not a drinker so mine was all the sugars in my diet. Ben, you were one contributor to my success and I thank you for your lessons., I enjoy listening to you and I love the speed of your presentation.

[@leandrobecker123]

Ben. I am a cardiologist here in Brazil. I have bought your book 2 years ago and since then I am spreading out your teachings to every patient of mine. And I could also transmit the knowledge to my father that is oncologist and he is also using it in his clinical practice everyday. Thank you a lot. Your words are not teached in tradicional medicine course. Your new channel is great. Keep it alive!

[@ActivateMission2ThisTimeline]

Uuu

[@vivianechaerborgeshafez7268]

Dr. Leandro, sou nutricionista aqui em SP, Brasil. Me formei em 1984 e durante toda a prática clínica do consultório passei por vários estágios de evolução da prática nutricional. Depois de alguns anos de formada vi que a contagem de calorias não tinha êxito e não fazia sentido. Comecei a orientar os pacientes a partir do que vinham fazendo e, tentando descobrir o motivo que os lavava à não ter saúde. Comecei a seguir Dr Ben na pandemia e realmente tudo na nutrição fica claro com as suas colocações científicas. Também comprei o livro. Enfim, atuo hoje com esse princípio, metabólico, onde a dieta se insere. Também sou defensora do jejum intermitente para casos específicos. Mas nem todos os nutricionistas e nutrólogos concordam. Feliz em ver que como médico, você tem semeado tais conceitos! Um abraço

[@anonymoussource7999]

If our doctors and healthcare system educated patients the way you do, we wouldn’t be in a global pandemic of metabolic disorders. Thank you, Dr. Bikman.

[@Krunch2020]

Doctors have to toe the line of BS from the AMA and the CDC.

[@Seektru]

I had a friend who said she was diagnosed with fatty liver. The doctor said she needed to cut the fat way down in her diet. Dr. Bikman sets it straight.

[@believ100]

I wonder why endocrinologists are so clueless.

[@GoneCarnivore]

​@@believ100they are trained to be clueless. They will be diagnosing themselves with he same health issues.

[@critter4004]

I was diagnosed with fatty liver back in 2018 (ultrasound). I started keto January of 2019. Just had my 5 year ketoversary! Never once gone back to SAD way of eating. Last year, while getting a CT scan with contrast for a different reason, I asked how is my NAFLD? No sign of it !! Gone!! Along with all the meds for T2d, high BP, etc.

[@CarnivoreScott]

My story begins a lot like yours, but I haven't kept to the low carb way of eating and am starting all over again. Thank you for posting as it is comforting to read this is beatable. Again Thank You.

[@calista1280]

CONGRATULATIONS! 👏🏻🥳 🎉 I already feel much better and more energized! I am on this journey now, and you've given me so much hope that I can reach the same outcome as you, which I've been aiming for! 😊

[@pureprairie]

Did you follow a specific keto plan?

[@stardustgirl2904]

So eating keto fixed it?

[@tracyjoell]

My fatty liver disease was at 395 for this scan, 400 being the very worst! That is the day I stopped drinking wine! I didn't drink hard alcohol. I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs! One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that I was in bed most of the day. I have my life back! Excellent explanation of fatty liver! Thank you Sir!

[@anniepette9795]

I had fatty liver with 2 cyst. Diagnosed for a gallbladder procedure. After 3 months max 6 gram carbs keto due to a diabetes 2 diagnosis my liver was clean and without cyst. Yes, now I know I am insulin resistance.

[@erika-py7ih]

This is the awesome news I needed❣

[@carlschneider689]

"Don't get your carbs from bags, boxes or barcodes" - Fantastic!

[@JoachimBTube]

The metabolic classroom is truly addictive. Extremely well organized and delivered. Thank you Dr. Bikman.

[@pticman]

A gastroenterologist dismissed my patient with pre diabetes and fatty liver (on ultrasound)because she has a normal ALT and AST and advised the patient that she is NORMAL. However,the GGT is 125 ( normal is 30). When I questioned the gastroenterologist, she mentioned to me that they dont use GGT in gauging liver disease. The patient clearly has liver disease in the context of fatty liver. These kind of doctors need more education.

[@OptimalOptimus-en5sz]

14:22: _"Fasting_ is the _Fastest_ way to lower insulin" The best puns are the ones that are unintentional and truest in their meaning. It's definitely a slogan to remember.

[@victoriar9728]

Thank you. I learned more from listening to you than going to my GP.

[@pinkylinao2107]

Just to be deeply honest Ben, you are a gift from God & an angel spreading the good news of hope in humanity. I’m greatly grateful on your effort… myself & my family are benefiting from your knowledge!!!

[@CarnivoreScott]

Yes, indeed he is a wonderful Blessing.

[@mchorselover53jane13]

What I have learned is that I need to go back and listen to all of your other classroom teachings to better understand this one.

[@CarnivoreScott]

You are spot on. The information is so good, and Dr. Bickman has such a wonderful manner of presenting the info. I, too, am often rewinding the videos.

[@cindysanford4254]

Thank you, Ben. I am a RN and health columnist. The info you so generously and patiently share in these videos is incredibly helpful to me in educating my readers with metabolic syndrome. You are a true gem!

[@mustafasaed7766]

It's incredible that you have so much wonderful insight without even going to an actual medical school! Why can't regular doctors speak so simply and confident as you do?

[@janejewell3892]

Because regular doctors don't have the facts!

[@jessyon6274]

How did he not go to an “actual medical school?” Lol He’s got a PhD in Bioenergetics for crying out loud. Ask any regular medical doctor to educate you on these things and they stutter. I am a critical care nurse, I can tell you this man is more educated than any Physician I work with on a daily basis.

[@mustafasaed7766]

I bet most actual doctors haven't even heard of bioenergetics.

[@stardustgirl2904]

They don't have time! We don't have enough Doctors compared to our population. And now there seeing illegals, my Dad just passed away because he wasn't able to see a cardiologist. And she missed that he had a small heart attack, she was new! Now my Dad is gone my heart is broken!

[@tracyjoell]

My fatty liver disease was at 395 for this particular scan, 400 being the very worst! (Over 400 starts cirrhosis) That is the day I stopped drinking wine! I didn't drink hard alcohol. I also stayed at 40 carbs, or less, which included counting the fiber. Do NOT subtract the fiber from total carbs! One year later I redid that scan, I had zero sign of NAFLD. That will be two years ago June! I also lost 70 lbs, AND lost so much inflammation! I was in an awful lot of pain, today I am active, feel well, and started seeing a workout coach to gain my muscle back! I was in so much pain before that scan, I was in bed most of the day. I have my life back! Excellent explanation of fatty liver! Thank you Sir!

[@arlenebayron2448]

I reversed mine in 45 days through intermittent fasting.

[@brendadunham2442]

This is great. I have fatty liver with high fibrosis, I have been following Avery low carb diet. With 0 - 20 grams carbs a day. I started this because of following you. I cannot thank you enough. My liver specialist is extremely happy that I did this on my own and have lowered my insulin from 130 units a day down to 24. My hopes are to get off of insulin completely. I’ve been doing this diet for a year with higher carbs up to 40 so now that I’ve lowered it I’m doing much better. Thank you so very very much!

[@insuliniq]

So glad you are doing well, Brenda. Thanks for sharing your story.

[@brendadunham2442]

@@insuliniqI give you,Ben and Dr Westman all the credit for your fantastic videos. I thank you from the bottom of my heart.

[@sallymayer7875]

It took me over a year, but my liver tests are back to normal eating a low carb high fat diet. It works!

[@joseaguirre5508]

Wow!!! And I am so worried and depressed with my diagnosis 1 month ago, I am following a low carb diet too and exercising but I feel that is over!!!

[@bonnieo8]

There is a very sweet positive dietician on Instagram who keeps saying the fat in the liver should be reduced by eating little or no saturated fat, and eating lots of “healthy” carbs. I keep directing her clients to you, Ben Bikman. Hope I’ve been quoting you accurately. 😂 Mostly I want them to understand this “expert’s” explanation of insulin resistance is incomplete and a misunderstanding of carb tolerance.

[@seanlevoy9446]

Dr. Bikman you are an outstanding teacher and been watching you for a couple of years. Just ordered your book. God bless.

[@JMK-vo8pv]

Dr. Ben Bikman, you are a true "ROCK STAR" in the world of metabolic health. I suspect you will save far more lives than most M.D.'s will around the world.

[@whiskybrush3219]

4 years ago i had an ultrasound to determine why there were red blood cells in my urine. Ultrasound couldnt determine why but the walk-in Dr stated my liver was enlarged, my cholesterol a touch on the high side as is my ferratin. Then he left the room. No discussion as to what could be going on, what i should be doing, nothing. So i figured he was just informing me i had some congenital abnormality. A year later i started feeling pain in my upper abdomen and discovered a lump just under the ribs near the painful area. Saw another dr who ordered another ultrasound. Told me i had fatty liver and determined it was caused by alcohol as i did partake on an almost weekly basis, and said in a year that would resolve itself. Quit drinking altogether. A year later that area was still tender, lump still present. A year after that, 80% vegetarian diet, a rare glass of wine on special occasions, i started experiencing neurological symptoms. Uncontrollable spasms in the eye muscles, and tingling down the sides of my face. Then i get the worst case of diverticulitis i thought possible and found out i may have hemochromatosis in the same week (ferratin is silly high despite eating almost no beef and very little bread in years). Cat scan revealed there are fatty inclusions in my liver. For the life of me I havent a clue whether that is an indication thay my liver has worsened or not as that was divilulged in a post ER phone call by my new Dr who was informed of NONE of the above. I am on my 4th involuntary multi day fast in 2 months. Gave up all carbs, attempted Keto. But now I randomly cannot process the little bit of vegetables i attempt to add in, setting off tge diverticulitis again. Howevver increasing fat intake causes mild painful spasms in my liver area. I dont know what to do anymore. I have lost an insane amount of weight in a very short time (20lbs/1.5 months). When i can eat i have great energy. I walk an average of 5 km's a day (a bit less when i cannot eat). But those times where I am getting a prkper caloric intake are getting fewer and i dont know what to do. Now dairy seems to be causing inflamation in my eyes, and beef is off the menu until i can get the proper test for hemochromatosis. I feel completely abandoned by the medical community and I second guess every single one of my nutritional decisions as it feels that each one i make has the potential to finish me off. I am spiraling into a very dark place. What is the difference in approach to treatment for alcoholic liver vs NAFLD vs damage caused by high iron or impact injury? I am obviously doimg everything wrong here!

[@petebowen9031]

That sounds awful!! Dr Cywes has specialized in liver treatments and may be able to help. He has a KZbin channel and is absolutely brilliant!

[@swimfit57]

Great podcast

[@carriesilvinaespinozavilla5177]

Dear Whiskeybrush. Your story was mine. High ferritin indicates inflammation. It took me years to understand every issue I had was an expression of inflammation. I had developed breast cancer , had terrible allergies, terrible IBS, ulceritis colitis, hemorrhagic bladder infections, terrible psoriasis, very painful bouts of hurt muscles and joints, non alcoholic fatty liver, lost dramatic 45 pounds. Had terrible pain under my left rib cage for months. Wasn't trying to lose weight. Suddenly I realized I was dying of malnutrition. I had stones in my gallbladder from such low fat intake. I went to an elimination diet. All the rumanant meat I could eat, Redmonds salt, lots of butter, lard and tallow. I stopped all dairy ( I love dairy) , stopped all grains and stopped all prescription meds. Within 90 days every single issue I had suffered with for DECADES was gone. Even my deep dark depression dissipated. Never could I have anticipated such a turn around. Since then I have studied biochem and I follow Drs Bikman, Berry, Baker, Diamond, Mason, Fung , Lustig, Seyfried etc. To gain a foothold on years of malnutrition I took NAC, ALA , liquid fermented Bs, Keto Chow minerals and as much Redmonds salt as I wanted. Now I am metabolically sound, walk daily, and am cancer free. I occasionally eat a low carb vege like asparagus but I am essentially a high fat carnivore. I'm 66. No, I have not had a face lift ....yet.

[@hockeymomavalon2499]

Please try the carnivore diet!

[@CarnivoreScott]

Lifting you up in prayer.

[@kathyapelt9468]

Thank you so much. I am so pleased to have found you and will relisten and try to absorb your incredible knowledge. This information is very helpful. I'm so grateful that science is actually starting to make a bit more sense!

[@mikeghafoori8227]

Thank you Ben for your time. as always very much appreciated

[@stuart4858]

Ben, thank you. Your KZbin presentations have been a wonderful help in my journey back to health. Also thank you for your book. Stuart from Melbourne AU

[@marypohja2812]

Thank you again, Dr. Bickman for all the great information. Your videos are always clear and concise and very easy to understand. Be well.

[@auxijimenez2399]

Thanks so much for your time and dedication, Ben. I’m really hooked on your lectures, which help me find the motivation to look after myself and the ones near me.

[@jandenooij]

Helpfull for sure; another excellent presentation that I shared with many people who use this knowledge to get better. Please keep on doing these lectures Professor!

[@iainneilson1453]

A splendidly elegant explanation of the mechanisms underlying fatty liver disease. Thank you.

[@judyhein3737]

Always informative and articulate in all your presentations Thank you

[@janetmcburney4582]

I had a Cat scan that showed fatty liver. I have been on ketovore mostly carnivore and have lost 70 lbs in 18 mos. 75 yr F 5'3" 187 down 70lbs keto/Carnivore 18mo Labs a1c 5.6 Glu 93 fast ins 8.9 Homa-IR 1.8 C 223 Hdl 81, Tri 64. LDL 129 . Trying to get approval for another CT to see if I still have nafld

[@chaz6399]

Did your bloodwork include ALT & AST? If those are in the normal range and lower than before that would be a good sign. Was the CT scan specifically for fatty liver assessment, or an incidental finding? I've always wondered if a CT scan showed fat in the liver if the radiologist would note it in the report, especially if the scan was done for some other purpose.

[@janetmcburney4582]

Alt 15 ast 16 so ratio < 1

[@janetmcburney4582]

Origional CT was to look for hernia which I did not have. Only found fatty liver

[@janetmcburney4582]

The report from the CT was very comprehensive and reported on all

[@forstercorinne]

@@chaz6399 I just had a CT to look for breast cancer metastasis and the radiologist noted Hepatic Steatosis (fatty liver).

[@bernadettebecher4689]

Always sharing your amazing information. Thank you again. Learnt a great deal again today.

[@jobrown8146]

Thank you. I'm enjoying learning more from these videos.

[@user-rp1nd5go8g]

Woow!...you make biochemistry absolutely fascinating and easy to understand. You are indeed a very good teacher...👌

[@TheStudentOfLife808]

Thank you, Doctor🙏🏽

[@mikesutherland4995]

Just pre-ordered the new book, thanks for all that you do! The information you have been sharing since I found out about you and your work about 3 years ago has been transformative!

[@likeyournails]

What new book please?

[@luiskaj2434]

A truly effective, clear description of what happens in the liver. Was diagnosed with T2D in 2000, and although working as a letter carrier and taking medications, I kept my HbA1C fairly level - that is until I couldn't. It went from 6.4 in 2016 to 8.0 in 2023 (which resulted in the addition of insulin injections every night). My HbA1C was 7.4 in November 2023, however, in January, I drastically changed my diet, reducing significantly my intake of carbs and alcohol, plus a daily 14-hour fast, and my HbA1C dropped to 6.5 in February. I have since halved my insulin dose, and will continue to strive to eliminate it outright! Your teachings and explanations are purely life-saving, simply put, I thank you for your generosity and caring.

[@insuliniq]

Thanks for sharing your story, and for your kind comment.

[@gracelynmeade5640]

Dr BEN your videos are a blessing to mankind.

[@countvonaltibar236]

An absolutely fantastic video, keep up the good work I really enjoy this content I'm sure it's helping countless numbers of people worldwide.

[@jpowley2691]

I’m in the middle of reading your book. It’s AWESOME and a must read for everyone! Thank your for sharing your knowledge.

[@misterbaleize]

An incredible mind; what an interesting lecture - thank you so much.

[@cyprusd2049]

Fascinating and a great speaker, passionate, I have never been gripped to watch a KZbin video from start to finish before, thank you, I will listen more and hope to educate friends and family.

[@insuliniq]

Thanks for your kind comment.

[@erniewhite1382]

Thanks Ben for another great talk

[@insuliniq]

Thanks for watching.

[@robindenton8372]

Thanks for great information

[@allnoyz1414]

...your intro is perfection

[@StephenGalvin-hj7jt]

That was fantastic Professor.

[@samuellaysico541]

Thank you so much for all the informations you are sharing. I've been following all your podcasts. Listening to you and other Doctors talking about insulin resistance , I feel like I'm back to university.

[@CarnivoreScott]

Dr, Bikman, THANK YOU! I have Fatty Liver Disease, and potentially Portal Vein Hypertension, so as you might imagine I am scouring the web for information. Your video has been immensely helpful. Bottom line is i did all the low carb and no fructose things I could do but.... I did not stop with the alcohol.., so my fatty liver is still an issue. I have now ceased all consumption of ethanol products, and am continuing with the low carb lifestyle. Now waiting for testing on the portal vein....we shall see. I just wanted to say thank you for putting out such high quality information on such a regular basis.

[@joseaguirre5508]

DR BIKMAN YOU'RE A BLESSING. THANK YOU!!!

[@RasoolH4]

Thank you Dr Bikman❤🙏🏻

[@larrygrace1668]

If an individual is already in the stages of NASH or non-alcoholic cirrhosis is there any hope of reversing or preventing the progress of the disease?

[@michaelkeselman]

That was the best explanation, i feel like i understand it now

[@taniafuentez9588]

Dr. Bikman, these sessions have become must-watch appointments for me. Type 2 diabetic with severe RA who was recently diagnosed with non-alcoholic fatty liver disease and must wait months to see a hepatologist! I am researching as much as I can to understand what is happening. Sincere thanks for your video today.

[@insuliniq]

Thanks for sharing your story. Sorry that you are struggling. You may want to consider joining our community to get a little more support and some ideas from our coaching team and from other like-minded people working on their metabolic health. You can do a 10-day trial at no cost: www.insuliniq.com/insulin-iq-community-membership-signup

[@cosmichealth3907]

Thanks dr bikman..... One of my clients had fatty liver..I asked him to cut carbs from his diet and add fat...he went to another doctor and came back saying I need to cut out fat and add carbs..I told him have you in your life eaten healthy fats..he said no..I said that's fatty liver for you..lost tons of weight later ...now working as gym coach

[@bradbrandt9578]

Awesome thank you for the information

[@098anne]

Thank you!!

[@sharonlasper8999]

Outstanding. Thankyou 😊

[@ScienceAppliedForGood]

It was a good video. Thanks for making it.

[@kristenharbour]

Thank you.

[@sue2611]

Will there be an Audible version of your new book? I've ordered the paperback, but an Audible version would be great. I have your first book in paperback and Audible. I listened to it many times while commuting to and from work. Thank you for sharing and making this information understandable.

[@krisk.8257]

I cannot thank you enough for these videos. All this information has helped me to understand how I got to where I am and how I can correct it. You explain things very well. Peace✌🏻

[@insuliniq]

Thanks for your kind comment.

[@anniebrewer6930]

whew!! this has been such a great series. Thank you for your commitment, energy, spirit and of course, your teaching style. from somebody's geeky Nanny

[@insuliniq]

Thank you for your kind comment, Annie.

[@corrinnereynolds4091]

Great information

[@venkateshakrishnappa2445]

Thank you Sir

[@SENORAFIFI]

I am a Diabetes Educator because this man inspire me..

[@NiceLoki]

T2 on insulin for 5 years, of course I ended up with a fatty liver. I was only ever advised to lose weight! Gee thanks doc. I finally decided that I had had enough of my enormous stomach and first found Jason Fung's videos and then fell down the rabbit hole. I took myself off insulin on the 25th Feb 2024 (so just 36 days ago) on the same day that I went carnivore. I check my BG levels 4 times a day and in this short time period they are now perfect, I am comfortably around 5 mmol/L with minimal fluctuations. I haven't watched the video yet, but I hope I learn how long it will take my liver to heal. Edit: 30:48 My ALT (53) : AST (47) ratio is 1.12 so just over 1. No frame of reference given for a healthy ratio range.

[@mrmarcioconte]

Thank you Prof.

[@stacyroberson8000]

Thank you !!!! I share your lessons ALL the time!!! How can ee get you on the nightly news ??? Or the list of people to speak to Congress??

[@ellemo2701]

Thank you!

[@johanrytters5776]

Hi I'm a Secondary school teacher and are VERY happy that you post these classrooms. It helps me to create lessons that are up to date! I have a question. You are in different videos speaking of that the body only burns fat when insuline levels are low. How does this function with what I was tought, the three sorts of metabolism in the cell. 1 anaerobic creatine phosphate. 2 anaerobic glycolysis 3 aerobic metabolism of glukos, fat or protein. Doesn't the rate/type of exersice or the time engaging in a specific exersice also determine what fuel is beeing burned for ATP? Thanks!

[@plantreport4690]

Dr Binkman! Thank you for your excellent content. You recommend whole fruits and vegetables…. How about whole legumes and whole intact seed grains such as quinoa, barley, groats that have not been ground….?

[@fabiancanas5489]

Incredible, thank you very much...!

[@mikeward9870]

Cool. Sensible expalation of insulin levels and ketogenesis in the liver!

[@thomassaddul]

Thank u prof!

[@MadPick]

Thank you for another extremely informative video! I've been working to improve my liver enzyme numbers, and this is very helpful.

[@insuliniq]

Thanks for watching, @MadPick

[@gregorygoldenberg3685]

Thanks!

[@insuliniq]

That is so kind of you, Gregory. Certainly not expected, but appreciated. Please let my team and/or me know if there is anything we can do to help you. Thank you.

[@brianmccann8572]

Thx Doc.I was hoping u to revealed the symptoms associated with fatty liver.👍But no problem.

[@paulblijkers1549]

I am a great fan of Dr. Ben Bikman’s talks and presentations. I bought his book a few months ago; an eye opener on so many metabolic processes going on in our bodies. I started a Low Carb High Fat diet 4 months ago. I just received the results of my blood panel. HDL has increased significantly and TG plumbed way down. HbA1C is low. My fasting insulin is very low and so is HOMA-IR. I also lost about 10 kg and my blood pressure is back to "acceptable" ranges (no more medicines). So I am quite happy, except for 2 markers, involving the liver, which have increased significantly! These are ASAT and ALAT. They used to be well below the upper limit (34 U/l and 55 U/l respectively - In France where I live) before I started the LCHF diet. Now my ASAT is just over the upper limit and my ALAT just under the upper limit. Has anybody experienced this when on a LCHF diet? Is there a possible link with what Dr Bikman has explained in this presentation? Thank you again Dr Bikman with your brilliant presentations.

[@insuliniq]

Thanks, Paul, for your kind comment.

[@ksgirl8813]

Really enjoying this series. Can you eventually talk about why some of us need to stop coffee to lose weight. Especially post menopause women

[@menarobertson84]

Can you please do a lesson on cortisol, hypothyroidism and insulin? Please, thank you

[@erika-py7ih]

*YES ~ I SECOND THIS!*

[@Crimepaysaskapolitician]

Love you Ben.

[@Serpentson]

Verygood thanxz

[@user-uw1hm7ip1p]

fantastic

[@OpineSocial]

I wished my Doctor knew this!

[@diamondmeeple]

Dr. Bikman, what daily balance between carbs, protein and fat do you recommend? And, regarding fat, how much saturated, mono- and poly?

[@julieallen3372]

Please could you comment on the PEMT gene snp and NAFLD?

[@Gaubizi]

Dear Professor, I tried to find your stance on high carb populations and metabolic health in videos, but could find any. May I ask how you explain the health of populations with a relatively high amount of carbs, such as the Japanese or many Pacific islanders such as (famously) the Kitavans? If they consume high amounts of carbs and seem to be healthy, are there other factors to mitigate this? Cheers! 🙂

[@haroonmirza1286]

Dr. Ben I just wanted to share something with your viewers (and you) from my world i.e. Bodybuilding regarding NAFLD. Bodybuilders owing to diets high on carbs suffer from NAFL _ even the ones who shred down to single digit body fat percentages for stage. One of the time tested solution to NAFLD that bodybuilders have been using is Methionine Inositol Choline (MIC). From personal experience I can tell you that MIC helps like nothing else. Post competition when one is ready to take the foot off gas _ MIC supplementation quite literally melts fat from liver in a month or so.

[@jwscheuerman]

Hello, can you please let me know where we can buy your books in Russian? I'd like to get a copy for family members. Thank you!

[@dalialovesdoggies4361]

2:32 2:33 Will checking the liver enzyme be an indication of health...function etc?

[@marialastra3282]

First, l would like to congratulate you for the very informative videos. I recently started to watch your classes and l am greatly surprised and very appreciative to you. I haven't diagnosed with fatty liver, my enzymes are a little high which indicate beginning of fatty liver. I had gallbladder surgery and 2 reconstruction of the bile duct and since then l have sometimes poor digestion. I eat simple as mostly veggies, meats, berries and limited or carbs or not carbs, not sweet drinks, no alcohol. I am about 5'2" 128 lbs. I exercise almost daily. I am not diabetic. I just wonder if my 3 bile duct surgeries have some to do with alteration of my enzymes since the diet l follow is the one you recommend. I do almost everyday 14/ 16 hours fasting l can't do it longer due to acidity and stomach pain. If possible, do you have any advise for me and improve my liver enzymes? Thank you very much!

[@TheFarnbachs]

So are you saying: 1) High ketones occurs only in a low insulin environment, and 2) A ketogenic (low insulinogenic) diet *cannot* cause NAFLD regardless of caloric intake?

[@amyrevis9239]

What is a good AST NUMBER

[@davidh9535]

Iam 70 yom with familial hypertriglyceridemia ( 500 or so levels) now taking rosuvastatin 10 mg and also TriCor fenofibrate daily. I am 50 lb. overweight, and would love to use ketosis to help me lose weight. Is it good for me to take MCT (with polyphenol hydroxytyrosol) found in Moroccan olive oil or to drink MCT Wellness (contains c8 caprylic acid) with my diagnosis familial hypertriglyceridemia? Or should i wait? Lastly, how could I look for sources other than olive oil for hydroxytyrosol or oleocanthal(?) or other sources for polyphenols that will uncouple mitochondria and cross BBBarrier? I want to help with potential of dementia prevention and address mitochondrial uncoupling. Thanks so much.

[@piggyed]

how about consuming whisky (spirited alcohol)? Will it cause the same level of damage as compare to drinking beer?

[@erika-py7ih]

My recent ALT/AST ratio is 1.55. This was after 3 months carnivore (with some alcohol use). Prior was a vegan diet with alcohol and crap food towards the end. Now trying to focus on high fat carnivore (no alcohol obv). Should I stick with a high fat carnivore diet, or try lower fat? If lower fat, would the higher protein affect insulin enough to matter? You mentioned whole fruits and veggies.... is this a route I need to go in order to heal FLD? My digestion doesn't do fiber, soooo....?

[@SpearChuck777]

Instead of calling the liver fatty which is associated with weight gain...call it edema liver which people associate with inflammation in the feet and ankles. That same edema is in the brain eroding the myelin sheath, nerve endings, metabolized into uric acid...from sugar.

[@duidale]

If I've got this right, the person downing Rum & Cokes who then goes to Jack in the Box (or any other) for burgers and fries is really messing up his/her liver!

[@CarnivoreScott]

Who would have thunk it. I am living that life now. Heck sitting in a VA clinic right now as it is.

[@darlatobin2240]

What's the best way to clean the liver, besides low carb diet? I have heard of people doing liver flushes, or using lemon juice and apple cider vinegar daily.

[@frankangelone7989]

Would a fasting insulin ranging from 1.7 to 2.3 indicate high insulin sensitivity or is it indicative of an issue with the pancreas?