Steve Phinney - Inflammation, Nutritional Ketosis, and Metabolic Syndrome

Steve Phinney - Inflammation, Nutritional Ketosis, and Metabolic Syndrome
From the JumpstartMD Weight of the Nation Conference 2018
JumpstartMD is a medical practice dedicated to pre-emptive medicine through lifestyle changes and healthy, sustainable weight loss. Personalized program based on proven nutritional science, one-on-one lifestyle counseling and real, fresh food. Founded by Stanford trained physicians and board-certified Diplomates of the American Board of Obesity Medicine. PPO, HSA and FSA reimbursement support provided to patients. More at www.jumpstartmd.com or (855) JUMPSTART.

[@darcyturnbo4724]

Keto is the best thing that I’ve ever done.

[@tanseygreen]

I'm convinced stress is a major factor in inflammation

[@kinky_Z]

Love Steve Phinney! I've only been on keto for a year but....wow ...it has certainly turned me into a convert. I have a scientific medical background and so I preach this stuff. Now, with Coronavirus...I see those I love losing weight and going keto to ensure their survival. Use keto to lose weight but keep your carb grams at

[@bobsmith-gn7ly]

my ibs went away when I started a ketogenic diet about 4 years ago...ketogenic diet was the best thing i ever did for myself. thanks Steve, your book was the final thing that convinced me to try the diet.

[@caroldorsett8170]

I have been on keto life style for three years now. By the way I am 73 years young female with a wt loss of 60 lbs and off of prednisone and bp med cut in half. So yes it is stainable! My son is also on a keto life style and has been off insulin for three years.

[@eddiegarciajr6653]

Carol Dorsett wonderful! 🙏🏼

[@stroys7061]

Familiar story, congratulations! I, too, have been keto for three years, lot 50+ lbs, at 70 feel the best I have in many years. I’m not perfect keto but pretty good. My weight has been stable for quite awhile and I definitely feel like this is sustainable. I can’t imagine going back to the way I ate pre-keto.

[@jrobert6916]

Has Keto caused any harm to your gallbladder? I have gallstones, causes by the body not processing fats, creating stones in the bladder. The Keto diet is fats. I want to try the Keto diet but fear what it might do to my gallbladder. Possibly it could help me not need my gallbladder removed. Anyone here are Keto with no gallbladder?

[@glockgrandma2517]

J Robert sugar is the enemy of your gallbladder. Stop the sugar, grains and processed foods, continue low fat till you get yourself tested again in 60-90 days. You should see a good test result. Please let us know how you’re doing!

[@gauravarora9752]

Carol thanx for ur valuable Feedback but for what autoimmune condition u r taking steroids

[@desertself7538]

Keep these coming. Closer to E. Westerman's idea of one day having a "keto medicine."

[@manijeh9843]

I enjoy Dr. Phinney’s teaching sessions tremendously. He is the best.

[@lorettadillon-ham1574]

This video has been very educational - very grateful for the content dense education. 🥰 I will be rewatching this video often. Thank You 🙏🏼

[@kinky_Z]

I always enjoy Dr. Phinney's lectures!

[@EzekielMBey]

I have been on a LCD for 8 months and it has cured my psoriasis, HBP, sleep Apnea, and has controlled my weight. I went from 240Lbs to 184Lbs within the first 7 months. I have amazed all in my workplace being that I work for a hospital in New York.

[@oibal60]

Thanks for this.

[@tarundatta2507]

Sir we are also able to reduce CRP drastically to accepted levels .. without any Medication or Supplements. A couple of months of changes in the intake of food and not eating all day long .. has helped everyone with higher CRP to absolutely normal & accepted levels of CRP.

[@kenmarriott5772]

If inflammation is the problem, you can’t fix it by shutting down the chemistry of your liver with a drug. You have to find a natural way to reduce it.

[@Jefferdaughter]

Yes! Which is one of the benefits of a well-formulated ketogenic diet, as Phinney points out at the beginning of this video, which includes removing virtually all sugar and starch from the diet, and avoiding the highly inflammatory processed seed oils. Phinney may be mentioning the effects of certain drugs on inflammation because this audience is largely physicians, and because we live in a society that looks for a 'magic pill' to fix everything - and the highlight, in contrast, how effective a well-formulated ketogenic diet is, in contrast to the drugs.

[@deadlee0b1]

But big pharma doesn't make any money that way. If we could find a way for the food and drug industry to make a few billion dollars by us eating this way, we would see the health of the world drastically increase.

[@matthewjimenez3556]

You can eat a plant based diet and get a better result. Humans evolved on carbs. It’s the processed foods and sugars they killing everyone. Not whole grains.

[@Meechka]

@@matthewjimenez3556 Not everyone. I was vegetarian on a plant based diet getting worse. Some people with insulin resistance need to keep their carbs under 20g/day in order to make it work. It’ s pretty hard to do keto plant based with that few daily carbs.

[@ArtsCraftsAntiquity]

@@matthewjimenez3556 humans evolved with big kills and then fasting mode with greens and a small amount of low carbohydrate fruits, until the next big kill. Farming grains is a relatively recent blip in the evolutionary timeline compared to the Hunter gatherer lifestyle. Humans are adapted to being in ketosis and burning fat for fuel, all the scientific evidence supports this.

[@baddogmodificationsanddeta2314]

Stephen, I would find your opinion on Resverstrol intriguing. Context is your inference that the benefit of Omega 3, in the form of consuming Fish (as an example) vs and Omega 3 in he form of a supplement is inconsistent.

[@leonieharry2941]

Hello! What do you think about "Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis" by Siedelmann et al. "??!

[@jerryhenderson8923]

What are the guidelines for keto when you are at your maintenance weight?

[@BioStuff415]

Fasting matters.

[@marlenegold280]

HbA1c of 6.2% is still too high. Optimal HbA1c is ~4.6%

[@martinfromseacity2010]

CAC [coronary artery calcium scan] score is the best way to screen for Coronary risk. Ask Ivor My scan was 1076, its supposed to be 0. Beware I immediately started strict KETO.

[@n95girl]

how did you go with lowering your cac on strict keto> and what is strict keto to you?

[@Chris-zd8cs]

Any update? See improvements?

[@glockgrandma2517]

Martin from Sea City how is your keto trip? Have you slowed your progression?

[@martinfromseacity2010]

@@glockgrandma2517 Haven't repeated my CAC scan yet. Trying to reverse it. I have to fly out of town and it is inconvenient right now.

[@imstevemcqueen]

Only disagreement is on protein intake. He says 10-15% of calorie needs...I believe 15 -22% would be better and greatly help with keeping you in ketosis.

[@Jefferdaughter]

A number of people have said that a little higher protein intake works best for them. As Phinney says, the details have to be adjusted for each person. However, for those who are insulin resistant, he says that higher levels of protein can interfere with the goals of weight loss and/or reversing Type 2 diabetes or metabolic syndrome. On the other hand, Dr. Eric Westman has had considerable success with around 2,000 since 2006 in helping patients to lose excess weight and reverse the need for diabetic drugs and reducing or eliminating insulin by following the 'No sugar, No starch dier'. His patients are allowed to eat all the meat they want (real meat, not Spam, etc), small amounts of cream or cheese, 2 cups of leafy greens, and 1 cup of above ground vegetables per day. No fruit. No starchy vegetables, and no processed foods, which removes the primary source of industrial seed oils. It's easy to look up his presentations on YT i you are interested. Two experts I respect, with slightly different approaches regarding protein intake. As you know, meat is not just made of protein, but also contains fat. Good meats should contain a relatively high amount of fat. It adds nutrients, and FLAVOR Obviously the fat in meats also helps to keep people in ketosis, and adds significantly to satiety, and along with the protein, reduces cravings for sugar and starch.

[@lynnwilliams5432]

He said add butter to the cuts of protein for satiation. That seems to get it...

[@lynnwilliams5432]

David Price Don’t live off collagen protein alone (gelatin) he says that is dangerous needed those electrolytes especial potassium.

[@kinky_Z]

@@Jefferdaughter 2,000 what?

[@glockgrandma2517]

Kinky I believe she meant number of patients

[@TURTLEORIGINAL]

Look Folks, no one is getting out of this world alive. Cheers!

[@mpalmer7800]

This is what needs to be taught in schools from early age we certainly wouldn’t have obesity in our children

[@dianahernandez2426]

I’ve been on a strict keto diet close to a year already. But, my psoriasis inflammation has not gotten better, in fact I think it got much worse while being on a LCD. My A1C dropped tremendously, but my psoriasis flare has not. I am so lost, and don’t know what to do, I just don’t want to be harsh biologic. I don’t feel ready for all the side effects 😢.

[@patrycja2696]

Some people need to go carnivore others lion diet for sometime. You also can be going through fat adaptation still and or healing crisis. Hang on there. It can be that something in your diet that you still consume is triggering like coffee or other plant. That's why lion for three months work miracles. After healing on lion you reintroduce slowly, one at the time other foods maybe even some plants. I'm similar to you with roseasca, still there... But I'll deffo wait patiently for it to get better. I want to try lion for longer but potentially in September for three months. So far I tried for two weeks each time.

[@annettemarrero-oliveras3090]

Find the foods that you're allergic to. There is a test for allergies, and once you avoid eating those foods, you will see a difference.

[@erinsjourney315]

For me, it was PASTURIZED DAIRY that i was highly sensitive to. Im ok with small amounts of RAW cream.

[@WoodwiseJoe]

@37:15 You don't have to digest fiber to feed your gut biome. Wow! That's big news.

[@Jefferdaughter]

Dr. Paul Mason on dietary fiber: kzbin.info/www/bejne/rqK4gGeGbqZ3f5I Basically, we cannot digest plant fiber, so ingesting it may not be beneficial, and may cause problems, as Dr. Mason points out. One of the best things we can do for fut health is to avoid things that kill beneficial mircobes, like glyphosate and other toxic synthetic chemicals. Also, plant lectins can disrupt the gut lining, and lead to 'leaky gut syndrome'. Dr. Mason on 'How Lectins Impact Your Health...' kzbin.info/www/bejne/o5u0i3Z5nrtpn6M Since animals cannot digest plant fiber, microbes have to. True herbivores have a rumen or cecum where the microbes ferment the fiber, but it is so hard to digest that most all herbivores eat their food more than once. Ruminants bring it back up, rechew and reswallow their food and spend much of their day doing this. Other herbivores, like rabbits and gorillas, re-eat the food that has already gone all the way through their digestive tracts. Edited to compact excess spacing now automatically added to comments.

[@garysimone4977]

So what is the diet

[@kyxxit3664]

paleo-keto, or carnivore, or strict keto. Carnivore is working for me.

[@magma9138]

Low to no carb consumption (any sugar or starch is a no no -> fruits, fruit juices, milk, sugar, rice, potato, pasta, bread, etc)

[@thalesnemo2841]

What ketone & glucose meter is used and what GKI ratios are aimed for ?

[@ldean8360]

I use a keto mojo, there are other brands, some people like them better. I don't aim for a ratio. I've seen readings all over the place including very high glucose and ketones at the same time. I don't think this is bad, since the "weird" readings are typically after "weird" situations. For example, I fasted 36 hours, during which I ran 3 miles and the next day lifted weights. After weight lifting my glucose and ketones were both high ("bad" GKI ratio). I have no idea what this means, but I felt pretty good, and I don't "normally" fast 36 hours. Was that a "bad" ratio -- or just a normal metabolic response to a fairly unusual situation. Interestingly enough, my glucose dropped very quickly after the workout (no eating) giving a much "better" GKI ratio....... I strive to keep ketones over 0.5mmol/l and glucose under 110 mg/dl. I like to see fasting glucose around 80 to 90. Even one night of bad sleep will boost my fasting glucose - don't get too worried at first about your numbers. The first step is to start tracking, then you begin to optimize. Take your time, don't stress strange results.

[@lizakiesling1289]

See Dr Bosworth, Dr Boz on you tube. Ratio for weight loss easy GKI. glucose divided by ketones under 80 for weight loss. Percentage under 40 for healing. Under 20 for cancer. I believe that is correct. Not medical advice. 😊

[@I3lindMan]

Keto Mojo and Precision Xtra are the two commonly available meters that can test both ketones and glucose. As far as ratio, it's doesn't seem to be meaningful unless you are trying out the experimental press/pulse therapy for certain types of cancers.

[@I3lindMan]

@@ldean8360 Elevated glucose in the hour or two after a hard workout is very common but doesn't have an exact explanation at this time. Most people also see ketones spike super high and glucose go super low a few hours after the glucose spike.

[@grahamedwards6824]

@@lizakiesling1289 I agree with you that Dr Bosworth's yt videos are extremely helpful, especially as we improved our metabolic flexibility. It has been helpful to me to understand the mechanisms to achieve much lower fasting insulin, and higher ketone levels. I tend to disagree with her using exogenous ketones, since it seems to me that the ones that we need are the ones that we produce ourselves. I also think that hour long videos are too long....

[@ktcarl]

So, if you're trying to be KETO and weight training to help gain or keep muscle mass how is that accomplished with lower protein intake? Most nutritionists say that to gain muscle mass you have to ingest 1gm of protein per pound of your body weight. Or a 160lb male needs to consume 160g of protein per day.

[@C.Medina]

1.5 gram per kg not per pound. And to add if you are older than 45 you want to up a little bit more than 1.5 gram per kg.

[@ktcarl]

@@C.Medina 2.0 grams per kg?

[@Julia_Berrrlin]

i wish he could take a look at me

[@wmp3346]

Stephen is not a fan of fasting

[@alicecochran9140]

I believe he is But only for 16 or 18 hours 🐦

[@Thesussysuscat]

Still bored at 10 mins in

[@theskyehiker]

And what is your purpose for saying that? You sound like a grade schooler, being forced to listen to something you don’t want to listen to. Change the channel.

[@matthewjimenez3556]

Plant based diets with fasting is a better way to take advantage of ketosis.

[@theskyehiker]

A vegan strikes again.