The Metabolic Classroom, Ep. 9: Does Dietary Fat Cause Hypertension?

[@MrChezyoung]

30 years of struggling with BP, changed to a LCHF diet and now 115/65 morning, noon and night! Remarkable transformation. Thanks again for your informative podcast. Professor Bikman is a genius.

[@kicknadeadcat]

Me to. On low carb. Eating more saturated fat the last 4 years then Frenchmen. Went from 155/90 to my norm now is 108/65.. my last doctors visit 90/60 the nurse took it 3 times. And my cholesterol went down 40 points to 204. All other blood markers improved dramatically.

[@lisahildebrand4857]

I listen to Dr. Robert Lustig and he says that lowering sugar in the diet does much more to lower blood pressure than lowering salt in the diet.

[@manojlogulic4234]

Can you please share what you eat, I'm low carb carnivore, meat and egs 98% but for some reason my BP is high and wont get down, 150/100 is in the morning. This drive me crazzy, I use to have high blood pressure but I was obese and metabolicaly unhealthy I fix everything except BP and don't know what to do anymore. Maybe I should include plants in my diet at the end, there is so many ppl fixing BP on pure carnivore diet but here I am desperate and don't know what to do anymore :( :( :(

[@kicknadeadcat]

I did strict keto for 2 years. Lost 35 lbs. I was never a fat guy. Blood pressure Went from 155/90 to last visit 90/60 my normal at home is 105/65. Lost 6 ins off my waist, now I’m at the weight and waist I was in my 20s. I’ll be 70 in a few months. No longer prediabetic, all my blood markers are perfect. And no longer have acid reflux. In fact acid reflux that I had for 2 decades went away in 2 weeks. Haven’t even had heartburn in 4 years. Eat very clean, cook all my own food. I had have some bread and pasta on occasion but keep track of my glucose levels almost daily. 3 things I stay away from are rice, potatoes and sugar. When I was strict keto I had a lot of extra fat. Now I eat normally, what ever fat is in my food. I haven’t gained or lost a pound since.

[@joerandom157]

It's not just about salt, but managing the balance between sodium and potassium which is equally as crucial

[@JasonBuckman]

And sugar causes sodium to retain and potassium to deplete.

I am reading on page 14 (Why we get sick) :"...One of the ways that insulin increases blood pressure is through its action on the hormone aldesterone. Not often discussed, aldesterone has an important role in heart health..." 👍 Many thanks for the discussion!!

[@iss8504]

I read that too and suddenly re!lized why i had hormonal acne for 20 years and why spironolactone worked. I immediately started IF and went keto and no more acne.

[@zerrodefex]

And low sodium can increase aldesterone which in turn raises blood pressure negating the supposed benefit of reduced sodium. Hence the paradox of my BP being lower when I consume around 4g/day sodium rather than the recommended 2.3g/day.

[@thehorseyourodeinon2041]

Dr. Bikman, the Greeks are Eastern Orthodox (as am I). During Lent, the fast is "vegan plus fish." No products from warm-blooded animals (no butter, no milk, etc.) Moreover, on some days of Lent, oils are not allowed, either. :-) So it's much more than "no meat."

[@bobhill4364]

That's very telling. A break away from these foods hmmm...

[@LizaLoukis]

Actually, it's vegan plus seafood (shellfish, prawns, octopus, calamari etc.) NOT fish, because fish have blood. One way to visualize this: you can have lobster every day, but you can't have butter on it.

[@kicknadeadcat]

On low carb 4 years now. Eating more saturated fat the last 4 years then Frenchmen. Blood pressure Went from 155/90 to my norm now is 108/65.. my last doctors visit 90/60 the nurse took it 3 times. And my cholesterol went down 40 points to 204. All other blood markers improved dramatically.

[@cassieoz1702]

I had mild (medicated) hypertension that normalised and I ceased meds in 5-7 days of starting keto. I now run at 105-110/65-70

[@kicknadeadcat]

Me too..

[@vas4739]

Not only was the celebration of Lent at that time but Fat Tuesday originally was the tradition of tossing out of fats in the form or cooking oils that were rancid on an annual basis.

[@eolandeeliva8655]

Brilliant! Again!

[@UnapologeticAhole]

Outstanding information

[@drrowayda]

this valuable information really should translate as guidelines for all diet plan that approved by clinical dietietian guidelines

[@jamesgordon8867]

The right program on an elliptical also gives lower blood pressure 😊 Diabetics need extra salt

[@Mr-hn2bp]

Because diabetics have insulin resistance and thus hyperinsulinemia leading to sodium retention, they do not need extra salt intake! As their hyperinsulinemia is corrected their salt intake can be increased accordingly.

[@jamalibrahim2458]

Keto is life ! 100%

[@jemandthemystery]

Correct me if have a misunderstanding about this, but doesn’t a (higher) fat diet clog/block the insulin receptors creating insulin resistance? Sincere question here.

[@manojlogulic4234]

This is opinion on other side of metabolic professionals, one blame fat other sugar but both agree SAD diet is the worst choice.

[@jemandthemystery]

Agree absolutely on the SAD diet. This is why ANY diet regime works positively for a while at least. That is, it is at least type of fast from the processed and ultra processed foods that caused weight gain, diabetes etc. Sugars/carbohydrates are interesting in that they work differently in the body depending on the context of other foods consumed. By themselves, it is more difficult to overeat them as we quickly tire of too much sweet. In the presence of (or as part of) fatty/greasy foods (dairy sweets, commercial chocolate, sweet pastries or deep fried donuts, sauces etc) one can consume a much higher amount. Add that to the original comment regarding the blocking of insulin receptors and one has a recipe for inflammatory diseases from diabetes to cancer.

[@manojlogulic4234]

@@jemandthemystery there is many opinions on this subject. Insulin resistance is a construct, we can’t measure it directly but rather calculate something like HOMA IR. Professor Bart Key explains that “insulin resistance” is caused by triggering Randal Cycle to often. Ben Bikman explains that fat cells are full and having hypertrophic ability so they can’t grow anymore and as they are big they suffer from malnutrition and inflame because they are far from vessels, also fat become visceral because fat cells refuse to take it anymore. Dr. Pete again teaching about Polyol Fructose-Uric-Acid pathway as main driver for metabolic disease. There are ppl with completely healing as vegan as carnivore as keto. In my opinion we should not mix fat and high glycemic carbs, this fits in all of those stories I mentioned.

[@jemandthemystery]

@@manojlogulic4234 I agree, it is the mixing of the two that causes the most metabolic problems

[@78cheerio]

Not only that, but this Dash study comparison done in 2016 (minutes 10-13) the successful arm apparently ate dairy and got those good results. I find this interesting. When I follow Dr. Westmans famous page 4, I’m supposed to limit cheese. Perhaps cheese and cream are ok for metabolic health, maybe limited for weight loss?I wonder.

[@danielreid3447]

I realize saying see your doctor is the CYA comment. Fine. Except the lady doc, Amy I think, said her doctor was of no help and had no interest to learn. If that doctor represents the majority of physicians, whqts the point of speaking to your doctor about non-narrative alterations to better your health?

[@katiewright2232]

Same here - just a weird light…😊

[@annetcell-ly4571]

I’ve been strict clean Keto for two years, I have a collection of fabulous recipes, my weight is reasonable and my blood tests are good, but I’m starting to get tired of thinking and planning around keto. Why?

[@annetcell-ly4571]

@@65vwbug87 why?

[@annetcell-ly4571]

@@65vwbug87 Agreed. The strict keto diet is short term to achieve a healthy weight, which in itself, offsets other severe disease. I take supplements and I’ve also raised my carb intake to include a wider range of fruits and vegetables. Keto is not just about not eating cake. Those who understand keto also balance out their macros and micros - unfortunately, a lot of people don’t research it, nor do they understand the idea behind keeping insulin low and just do it as a fad.

[@tangomcphearson74]

@@65vwbug87 PLEASE post where we can find proof of what you are saying. There are many many people living healthy lives with NO veg, and NO fruites - literally zero carbs and they have been doing it for years with NO health issues of deficiencies. Therefore, I call BS concerning your information you put forth. I've been strict keto for a year (so far) and my blood panel tests have greatly improved. I have spent over 2000 hrs doing research - mainly from scientific studies. Getting insulin levels low should be the primary goal of everyone, IMO.

[@tangomcphearson74]

@Ann Etcell-Ly you WILL go through periods of being tired of planning, weighing, measuring, etc. It's a matter of mental discipline. Many people eat carnivore - which enables most of them to stop measuring

[@kicknadeadcat]

I did strict keto for 2 years. Lost 35 lbs. I was never a fat guy. Blood pressure Went from 155/90 to last visit 90/60 my normal at home is 105/65. Lost 6 ins off my waist, now I’m at the weight and waist I was in my 20s. I’ll be 70 in a few months. No longer prediabetic, all my blood markers are perfect. And no longer have acid reflux. In fact acid reflux that I had for 2 decades went away in 2 weeks. Haven’t even had heartburn in 4 years. Eat very clean, cook all my own food. I had have some bread and pasta on occasion but keep track of my glucose levels almost daily. 3 things I stay away from are rice, potatoes and sugar. When I was strict keto I had a lot of extra fat. Now I eat normally, what ever fat is in my food. I haven’t gained or lost a pound since. Being retired had helped keeping me strict but now I don’t feel I need to be that strict. Once you get to where you want be my feeling is eat well and what I want and just keep tabs of what’s going on in my body. I am genetically prone on both sides of my family to diabetes. Really bad diabetes. Grandma lost both legs to it. If you have will you have the way.

[@jamesgordon8867]

Lower carbs rocks

[@estherkazarnovsky5761]

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