Why A1C Isn't Enough: Insights from Dr. Ben Bikman with Dr. Ken Berry

[@mr8966]

Bikman crushes it yet again. Best Scientist there is to discuss metabolic health.

[@petertownsend252]

This is finally starting to make some sense. I am a 60 year old semi-retired long distance thru-hiker. I am now 5 years keto/OMAD and 2 years carnivore/OMAD with no snacks. I reversed all my prior metabolic health problems. No current medical problems. No medications. No NSAIDS. No joint problems. No joint soreness. No vitamins or supplements. Vitals are all very good. Weight is stable. Resting heart rate is in the high 40s. I am currently hiking the Appalachian Trail from Georgia to Maine (2,200 trail miles). I hike 8 to 10 hours a day, covering 12 to 15 miles, over rugged, steep, mountainous terrain while carrying a 30 lb backpack. I hike in a fasted state and eat one meal after I am done hiking for the day. I never feel hungry or metabolically fatigued while hiking. Always plenty of gas left in the tank at the end of the day. I eat pemmican, salami, powdered eggs, and block cheese on trail. In the interest of n=1 citizen science on the metabolic effects of long distance thru-hiking in a state of nutrition ketosis, I wear a Freestyle Libre CGM and carry my KetoMojo meter to measure glucose and ketone levels at various times of the day. I also had comprehensive lab blood work done after 90 days on trail (thru "Own Your Labs"/ Labcorp). My morning fasting and average glucose from CGM and finger stick is about 90 mg/dl. While hiking, glucose slowly rises to about 110 in the early afternoon before slowly declining and falling to the mid 70s when I am done hiking for the day. Glucose has never risen above 115, except for the time I ate a cup or so of blueberries at a pick your own blueberry farm when my glucose suddenly spiked from 85 to 170, before quickly falling as rapidly as it rose. I usually see little to no rise in glucose after eating. Overnight glucose while sleeping often falls into the 50s to 60s. Ketone levels are inversely proportional to glucose. Late afternoon Glucose Ketone Index (GKI) is typically below 1.5, sometimes below 1.0. Despite this, my HbA1c has RISEN from 5.6 to 5.7 after 4 months of daily hiking on trail. Fasting lab glucose was 92, while fasting insulin is 2.6 and c-Peptide is 1.5, and fructosamine is 212. Uric acid is 5.5. C-Reactive Protein is 0.46. Total testosterone is 700 ng/dL. HDL-C is 90, and Triglycerides are 37. NMR lipoprofile is Large (Pattern A), and all individual NMR lipid parameters are mostly pegged to the green, indicating very low cardiovascular risk and highly insulin sensative. Small dense LDL particle count (LDL-P) is laboratory non-detect (

[@DaveIrish66]

Thanks for your info... thisbis great!!! How wonderful, you are experiencing the trail. Mine is 5.6 after 2 years of carnivore. Long distance trail runner 58yrs young. Feeling amazing . My fasting insulin is 3 and triglycerides are 61. Dr still doesn't get it smh. Thx

[@jnpg]

Hbac1 can rise due to red blood cells lasting longer. Those older cells can glycate. Not a big worry. You're hiking is inspirational!

Great comment, from real life. 👍

[@tonycrosby913]

Very insightful comment. Thank you

[@jellybeanvinkler4878]

Wow, thank you for your interesting story. I have a 5.5 Hba1c. I was upset about that because many folks I know who eat a high sugar diet with little to no exercise have 5.1 or lower. I can't even get an insulin test. My doctor says it's useless. And my lab won't do it without doctors' orders. My fasting BG is often in the mid to high 90s. I am not carnivore, but 80% of the time, I am low carb.

[@nosretep1960]

Dr Bikman is a true jewel ❤

[@hbg8683]

Thank you for this. Seasoned RN here.❤❤❤

[@szghasem]

Knowledge IS power. Thank you gentlemen, for empowering the rest of us.

[@dianejefferies]

Professor Ben Bikman is a mega rock star to me. His knowledge is changing the face of health care and the health of all of us. He is a gift to us all. ❤

[@eric1richards]

After a year on Keto and following a very dedicated physical exercise plan and taking the last 30 days off from any alcohol, my fasting insulin was 2.7. I feel very relieved to know what my "proper human diet" is comprised of.

[@lorajeancoffman3008]

Impressive!

[@edl653]

Good discussion. Only found Insulin IQ last week and it has significantly added to my knowledge gain. This channel is now the 6th of the must see in my health education routine.

[@vikidevries4441]

Amazing comment ❤. Please mention all the channels! I also found "Low carb down onder" - they helped thousands of people, with HFLC(high fat low carb intervention)& "No carb life" - many stories of little folks

[@PinkLady54]

Yes please. Share the other 5 providers You consider excellent. 🤩

[@PinkLady54]

Very odd... Are You using someone else's profile? Says You have been a member of Insulin IQ for 3 yrs... ?? 🤔🙄

[@edl653]

@@PinkLady54 Nick Norwitz Physionic Nutrition Made Simple! Dr. Ford Brewer Dr Brad Stanfield I watch others also. They don't always agree on everything. Overtime and reading some of the studies mentioned on these channels, one can get a good understanding of what to do for a healthier and longer life. But it does take time to connect all the dots.

[@edl653]

@@PinkLady54 Nick Norwitz Physionic Nutrition Made Simple! Dr. Ford Brewer Dr Brad Stanfield I watch others also. They don't always agree on everything. Overtime and reading some of the studies mentioned on these channels, one can get a good understanding of what to do for a healthier and longer life. But it does take time to connect all the dots.

[@hmlxur54]

What a fantastic podcast, with my two favorite people that I truly admire for their dedication to the real causes of why we get sick and what to do to keep our health.

[@besogon]

So if understood correctly, Dr Berry is saying this: If fructosamine is normal, it suggests that the individual's recent blood sugar levels are likely well-controlled. The elevated HbA1c might be due to factors unrelated to insulin resistance, such as altered red blood cell lifespan or specific diet-related effects. In that case, the fructosamine test totally makes sense.

[@KenDBerryMD]

Correct.

[@blujack100]

I am so fortunate to have discovered these wonderful doctors several years ago. Bikman’s book Why We Get Sick was a real eye opener. Brain Energy by Christopher Palmer is also excellent. Dr Berg started my journey to these guys.

[@monnoo8221]

and hopefully you consider Berg not a trustworthy source anymore... he is a mega quack

[@Donna-iu4lq]

Thank you for this. My A1C levels were placing me at borderline diabetes but all other labs (including fasting insulin) were great. This information was very helpful.

[@janetmckush8603]

Awesome session. I have insight. I’m keto-ish, I teach group fitness, and I wore a CGM for 3 months. What I learned? When I work out intensely in ketosis, I exceed my ability to burn fatty acids to meet metabolic demand. My blood sugar spikes to 200 in response to this. And recovers quickly. It’s THE only time my blood sugar is ever high. My A1C is ridiculously high (6.0) while all other glycemic markers are excellent. I’m that 5% due to hard exercise. I don’t believe this is a RBC age issue. Please study this!

[@monnoo8221]

I completely agree that the story around the energy metabolism is far from being complete. Your statement "My A1C is ridiculously high (6.0) while all other glycemic markers are excellent" fully applies to me as well, albeit my setup is a bit different: 63y, low carb with 110g/d, no sugar, bmi 21, normal muscle mass, VO2max 50, relatively intense resistance workouts. My average glucose is sth like 97, hb1ac 5.9..6.0, while a bottom fasted glucose is 86. No problem to go to a 30h fast without getting very hungry. My system, and yours probably as well, adapted in keeping lots of glycogen in the liver, the energy system always being in activation, ready to get alerted.

[@allyirvine7537]

Excellent information. Thanks for what you do.

[@insuliniq]

Thank you for your kindness. Certainly not expected, but much appreciated. Thanks.

[@bodybuilderschickensnortht6121]

Dr Ken, you are really intelligent. As a bodybuilder. I will be following your advice. I have learned a lot. Thanks for helping us bodybuilders

[@madriddance]

Thank you so much for the discussion of the overuse of A1C. It was truly enlightening to hear that having healthy and long living iron can actually falsely increase the A1C test. Absolutely, this is never been mentioned anywhere else.

[@HughDWallace]

Super & highly informative. Two of my favourite thinkers in this field.

[@kathydicioccio6094]

You two are awesome and so educational.

[@keto-rebellion]

My favourite chaps again. Bliss!

[@mikerudd4943]

I heard Dr Boz yesterday (on 5 min body channel) say it can easily take 18 months to get insulin down and in order. I have been at it a bit over a year and my Insulin will go up after eating some foods and then back down faster. Took a year to get there. Also I find it doesn't take many carbs at all to make my glucose go ip.

[@tracy3812]

Most of these improvements take time. I’ve heard 3-5 yrs to get seed oils out of the body.

[@mikerudd4943]

@tracy3812 that seems long. But I don't know. I see the changes I have gone through and I am always surprised at the twists and turns

[@tracy3812]

@@mikerudd4943, it is long but the info comes from Keto Kamp (Ben Azadi) & Carnivore Doctor (Lisa Weideman).

[@cudgee7144]

Exactly. You cannot undo years and or decades of bad nutrition overnight, it takes time, it also took me 12 months. But when you get there your blood glucose and insulin will fluctuate as they self regulate, the body knows what it needs when you get metabolically healthy, especially your blood glucose. And you are 100% right about it doesn't take many carbs to cause a rise in your blood glucose when you are metabolically healthy. But if you are careful about your carbs your blood glucose will rise, but it won't spike, allowing it to come back to baseline quickly, that's the key. 🥰🥰🥰👍

[@mikerudd4943]

@@cudgee7144 indeed. Less rise and faster returns

[@CooperKoepp]

Since going pure carnivore June 21, 2020 each time I’ve had my fasting insulin tested, 24 hours fasting water only, the highest I’ve seen my insulin level is .9 I wonder how high my insulin would go for a glucose tolerance test without priming and with priming of the beta cells? @insuliniq do you have any idea what this would look like for an insulin response?

[@maxfactorone]

Brilliant discussion. Many thanks to both of you. ❤👍👍👍👍

[@Cher1924]

Thank you Dr. Ben for the wealth of information. Thank you Dr. Ken for asking such poignant questions. This has helped me to understand my body so much better.

[@joshtoten]

Very enlightening as always! Thank you.

[@Cya-bebetter]

So good…been on ketovore 1 year! 🎉 Thanks Professor and Doc K…I listen to you guys while walking!

Awesome interview! The way how you both discuss about our biological processes is awesome, so educating. 👍Many thanks 🙏🏽

[@DF-by7gy]

Thank you so much for explaining the reason for my HgbA1C going up from 5.4 to 5.5 on the PHD.

[@divya1355]

What if your fasting insulin is at 4 and fasting glucose is at 60mg/dl but your A1C is not low, 5.5?

[@thecolonel-truesoutherngen2230]

are you a carnivore? could be that your red blood cells are living longer giving a false elevation.

[@meatdog]

You are NOTMAL. Your red blood cells are living longer so the A1c is a bit falsely high. Dr. Bikman did an entire lecture on this. YOU ARE NORMAL

[@Ravruben]

Your answer is I believe in 12:28

[@DaveIrish66]

You are good. What are your Triglycerides/HDL ratio?

[@monnoo8221]

my values are 2.4, 84, and 6.0.... so, you are not alone ;) it can be related to the longevity of the RBC as explained in the video. Yet, it also can be related to mitochondrial disease, meaning your mitochondria are not working as well as they should. That would move the point of insulin resistance to much lower values. Even the whole concept of insulin resistance changes and takes kind of a dynamic form.

[@mjs90201]

I'd love to hear your thoughts on different types of "fast mimicking diets" (FMD) which drastically cut calories for 36 hrs to several days. What are the pros and cons of FMD's that are mostly carbs (i.e., just fruits and veggies), mostly lean protein (like the traditional "liquid diet"), or mostly/only fat (e.g., tea/coffee with butter, coconut oil, heavy cream...maybe a bit of EVOO with vinegar).

[@tomprovan50]

What do you think of subsiuting uraic acid for insulin test as you can get home test

[@nosretep1960]

Went to event Saturday, indulged in potluck, haven't for over a year. Can't go to events, always have the nightmare food 😮

[@jhenyalovering41]

Honestly that nightmare frankenfood is all around us. Ultimately it's up to us if we partake of it or not. That said, we have the knowledge to choose wisely while the ignorant people don't. But every single day we can start over so let's not be too hard on ourselves. 😊

[@johnathanforthright1902]

Great video with great information ❤

[@r.scottpage2840]

My ketovore 64 yo T2D wife had blood work done yesterday. HbA1C is 6.6 and fructosamine is 242 (corresponding to A1C of 5.7) . A few months ago her HbA1C was 6.2 and dropping. CGM shows eAG to be 120 which is more inline with fructosamine. Sure wish her PCP understood this.

[@martarico186]

What is the lowest one can have fasting insulin levels?

[@yvonnekiwior9633]

Professor Ben Bikman is amazing and brilliant, love listening to to him!!! Thankyou Dr Berry! Thus appreciate you posting this talk but truly it is such a distraction Ken as you steadily read your computer… I wished you showed interest in his talking. I am watching it now on Ben’s podcast and still I feel your attention being pulled to your computer and wished you didn’t. But I do appreciate both of you and your knowledge and sharing it🎉

[@jhenyalovering41]

Drop the judgment and you'll feel better all around. For one thing you'll find it easier to focus & not be so easily triggered by anyone's quirk in their personality--quirks we all have BTW. 😂

[@GoneCarnivore]

Im watching this in my workplace and im listening to a lady crunching on peppermints all day.

[@MikePicone-v4i]

What about the C-Peptide test? Is this an adequate way to test insulin levels? I have not heard Dr. Bikman speak about this and have been very curious as to his knowledge concerning it. I have had two since being diagnosed as a type 2 diabetic and they were not high (in fact, my fasting C-Peptide was borderline low). Is it possible to have a normal or lower C-Peptide test and still have insulinemia, since that is an indicator of type 2 diabetes? Love your work Professor Bikman!

[@monnoo8221]

interesting... It's not possible for C-peptide to be low while fasting insulin is high because C-peptide is a byproduct of insulin production, if insulin is produced by the pankreas. You can have too much insulin relative to c-peptide if injected, or if there is a pancreatic tumor. Or the diagnosis was wrong in the first place

[@helenl7967]

Re: the section of this discussion on fructose and uric acid...I hope Dr Bickman adds a link to the new publication on uric acid when it is available. My husband suffers seriously with gout and has high uric acid level. I haven't yet been successful in getting him into ketosis though we are carnivore centric. In his diet, he consumes lentils, tomatoes, onions, avocadoes. So. I am wondering if exogenous ketones would help with decreasing the Inflammation associated with high uric acid. He eats no fruit at all except occasionally tomatoes and avocado. I don't know how to determine if something other than fruits and fruit juices convert to or increase fructose in the blood stream. But if Dr Bickman, you have any information on this I will appreciate your insights on this. Thx

[@azgirl5265]

Cherries help gout/uric acid. I know it is fruit and he is aiming for ketosis, so maybe eaten with protein fat? Start with 1/2 doz to 10 a day. When gout improves, he can lower the number of daily cherries. It worked for my dad!

[@griswoold6196]

Wondering about high uric acid on keto. Is there a good reason why besides eating *too* much red meat.

[@diablominero]

It should be more popular to measure both the inputs and outputs of a system to measure how well it's working. Measure gonadotropins (FSH, LH, HCG) and sex hormones (estradiol, testosterone, progesterone) to assess gonadal health. Measure insulin and something it's regulating (free fatty acids or glucose) to assess insulin sensitivity. That kind of thing.

[@jhenyalovering41]

I really appreciate the information these two favorite doctors have shared during my carnivore journey. I can't help but wonder though why Bikman recommends fiber & Berry doesn't. Not mentioned in this podcast BTW. Does anyone else know why? Thanks!

[@barrittstephen2169]

I would hyposithise that fructose would also increase glucagon as it bypasses the intestinal tract and goes directly to the liver, much the same as alchol does. My fasted blood sugar is much higher if I consume alcohol in the evening, even though my blood sugar may be lower while consuming alchol. Perhaps uric acid attaches and transports with glucagon, and insulin delivers it into the cell. My anecdotal observation of self and wondering why I hurt some days more than others. Thank you for this very informative discussion!

[@josephonesta6416]

Two metabolic heroes.

[@monnoo8221]

once hoppefully not that far in the future, Drs. Bikman, Johnson and Seyfried should receive the Nobel prize in medicine, definitely, for clarifying the most important aspects of metabolism. They are saving millions of lifes that got and still will get victimized by criminal food companies

[@Roarmeister2]

@3:40 This is the reason I stopped taking Gliclazide this week. I understand it stimulates the pancreas to produce more insulin putting strain on that organ and it is counter productive to produce more insulin if I am insulin resistant. So far my daily glucose levels haven't gone up because of this unnecessary drug. I don't how it is supposed to be helpful.

[@iorch82]

I have pretty low fasting insuline (3.3) paired with mid 90s fasting glucose and a 5.6 A1C. I spike above 140 postpandrial but typically below that 2 hours after. Not sure if that is good or bad 😢

[@DaveIrish66]

You are insulin sensitive! You should be good! How do you feel?

[@iorch82]

@@DaveIrish66 just got a 190 reading after some lentils. Definitely almost diabetic range.

[@DaveIrish66]

​@iorch82 it seems if it spikes, then goes down relatively quickly then it shows you are more insulin sensitive. If it stays raised longer then your more resistant. I may be wrong but I think this is true.

[@uzayaga]

@@iorch82prediabetic range ,not diabetic range

[@2tennhills]

I find taking a mushroom stack ( beta glucan )causes excess purine and I get high uric acid., thus gout in my toes. How can I clear uric acid.

[@artemis6628]

That explains my conundrum. I am six years LMHR carnivore with my lab reported A1c of 5.2, and blood glucose of 93.7. Found formula to calculate A1c from glucose as (46.7 + glucose)/28.7 which gave me A1c = 4.89. Would that be ok to consider this value as equivalent to nominal (120 days) red blood calls life expectancy?

[@lorettaelmore4686]

What are your views on drug therapy caused diabetes? And how can it be healed. Where diet and weight are not the cause. Damage from taking medications. There isn't much information on this. With diet and exercise and without medication my blood sugar doesn't go down on its own between meals causing a build up of blood sugar throughout the day. With medication (insulin and metformin) because metformin doesn't work without insulin for me. My blood sugar goes down between meals but not very consistent and I am very carbohydrate sensitive. Even the good carbs. I was taking metoprolol, entresto, and spironolactone for my low ejection fraction. I quit all those once i got ketoacidosis and blurry vision. No family history and not overweight. Started at 13.5 now around a 7.1 a1c diagnosed as a type 2 about 10 months ago. I'd love to be able to reverse this and so would others.

[@bke07]

You have me a little worried about fructose now. Is one apple a day too much fructose? That's the only fruit I eat, and I don't eat vegetables. My diet is comprised mostly of animal-based foods.

[@karensuarez2113]

Type 1 diabetic for the past 11 years, diagnosed at age 57 with zero previous issues with weight, BMI, blood glucose levels. Was ketogenic at the time de to prior Hashimotos diagnosis. Beta cell function practically non existent and try to keep my exogenous insulin use age as low as possible while maintaining a non diabetic A1C. I was unsure why my functional doctor orders insulin resistance panel along with fasting insulin. Labs are unable to complete the resistance panel/number, due to low beta cell function. But, now understand the other part - my recent insulin was 3

[@DaveIrish66]

Maybe you were misdiagnosed?

[@karensuarez2113]

Can you explain ? I was healthy, flu shot, then began having vague new symptoms. They exacerbated and I ended up in ICU in diabetic keto acidosis. Beta cells destroyed by auto immune attack.

[@huffhouseart3377]

Dang, just had a smoothie with kiwi, strawberries, blue berries, and mango, and here i thought i was healthy eating! The only thing in it that may have been good for me was the tofu? Live and learn, is my go to motto!

[@rinohunter6190]

Nope tofu bad too

[@clutzfrmr3645]

Soybeans and legumes are estrogenic

[@my-yt-inputs2580]

Try an avocado/wild blueberry smoothie. Much much better. I use unsweetened coconut milk, allulose and MCT oil. Barely raises my glucose.

[@huffhouseart3377]

Tried it out, it was fantastic! Thanks for sharing.

[@sgill4833]

Have you guys seen Peter Attia's interview about lactate? Basically, the body prefers lactate as energy before glucose and fat.

[@monnoo8221]

that's typical Attia bullshit

[@quisge]

What did Dr. Ken Berry say at 13:01 when Dr. Ben Bikman was listing conditions that might result in short-lived red blood cells? It was hard to hear because they were talking at the same time. Update: I believe he said "alcoholism."

[@kjkernSerendipity]

Yes, I caught that too. It was alcoholism.

[@under0ath109]

First comment! Love your work!

[@ninat5007]

I would like to know if the carnivore diet can create a false positive for polycythemia. Maybe a high RBC with high hematocrit simply indicates robust and squishy RBC?? Possible?

[@aro-rat]

Perfection 👏👏👏

[@machdoctor]

My A1C is 5.7 and my fasting insulin is 6.8. I've been eating low-carb for awhile and despite unintentionally losing 5lbs (I'm naturally lean BMI

[@luiskaj2434]

It could be the dawn effect, where the body releases cortisol in the morning to prepare for a surge in energy requirements, a natural condition. See if you can wake 2-3 hours earlier than normal to test your blood glucose. I too have been on a low-carb/fasting diet since mid-January, stopped some diabetic meds and have gone off insulin, but have lost 28 pounds and am down to 151 pounds (I'm 6'4" tall)!!!

[@monnoo8221]

BMI 25 is almost certainly not lean. Yur body fat percentage is ??? Fasting glucose >100 is quite bad. Low carb can mean many things.... but you want to cut out seed oils as well

[@keithhaken172]

2 great guys 💪

[@Pre613]

Another show states excess saturated fats in your diet can damage the pancreas so less insulin will be available. Further, it states this can be remedied by adding monounsaturated or polyunsaturated fats to your diet. I wondered if Dr Bikman has addressed this.

[@jnpg]

Backwards info. Animal fats are your friend. Low carb down under is a great channel

[@Pre613]

@@jnpg It’s from Thomas Delauer. He does seem educated on the topic. I asked because his take on it seems to run contrary to Dr. Bikman and others.

[@marshcreek4355]

Dr. Bikman has an entire Insulin IQ class devoted to the impact of saturated fats.

[@monnoo8221]

yes, saturated fat become probematic, if you take too much energy in, it is called energy toxicity. If you eat 2200 kcalories with up to 30% sat fat, no sugars, there is absolutely no issue with them.

[@princesssweetpea9205]

Help!! Is there any chance that one could answer. What if one is a type 2 diabetic. Sometimes goes until supper, when not eating a lot, and then taking some insulin. Could you still so some Blood Glucose and Fasting Insulin level blood tests the next day, and get some idea of the state of your metabolic health? I would hope so, as long as there has been NO insulin or food introduced after and early supper the day before??? Any insight? LOVE these videos!!!! I have lost a few pounds... limiting my caloric and sugar/carb intake, and walking more when the weather is warm. BUT, even with this, I have this 'insulin', post menopause, whatever, belly fat, subcutaneous fat, that seems to be worse.

[@monnoo8221]

if you inject insulin, you can not possibly talk about metabolic health. Dr.Boz has tons of advice how to reverse T2D.... basically, under appropriate medical supervision, cut out all carbs. absolutely all. Within a short time you can get off insulin, and hen heal. Note, that dr.Bikman clearly explained that giving insulin to a T2D worsens the situation and makes them die earlier.

[@brandillysmom]

I’m confused. My husband has gouty reactions when he consumed red wine, hard liquor and especially red meat. He never reacted after drinking or eating something sugary. I guess there is something I missed in this video.

[@monnoo8221]

go to the doctor and have the kidneys tested

[@nosretep1960]

❤ I eat @100 NC/D from @8 oz of homemade supernatto and 8oz wild caught Alaskan salmon with the skin. Figure the bears can't be wrong 😅

[@azgirl5265]

What is supenatto? What is NC/D, please?

[@kareng7024]

Can drinking erogenous ketones help with inflammation ?

[@eugeniebreida1583]

Exogenous I’m guessing. (consumed/supplied from food/meds etc.) or Endogenous (made within body).

[@eugeniebreida1583]

From video it seems raising ketones in body reduces (neutralizes?) uric acid/(inflammation due to high UA) in the bloodstream. But I am just learning this as well.

[@monnoo8221]

yes... but much better to ALSO let the body produce them by itself.

[@bjoshua1980]

There is a theory: oxalate traps (not only) cortisol hormone in cells. But cortisol blocks metabolism normally. And that means mitochonria stops working so FAD and NAD will be break down and increase uric acid level. And when your cells accumulate enough cortisol you only need calories to gain weight or develop insulin resistance. solution: a lot of B1 to make enzymes and other B vitamins work again You are talking about beriberi (mostly).

[@monnoo8221]

that's interesting. Do you have a reference to a pubshed paper? or a person'

[@bjoshua1980]

​@@monnoo8221 well since that it turned out it is oxalate and not fructose but fructose depletes B1 and B6 very fast (I have to update my comment); EONutrition videos => B1,oxalate you can look for connection between B6 deficicency and oxalate. Role of cortisol is more complex because it is treated as "stress hormone" but definition of stress is meaningless in fact so you have to find out what is stress in biology way, collect properties of cortisol and you can realize what it really does and why... and it turns out it has a fat gain role (under skin) ... so it is complex.

[@tracy3812]

Thank-you, Ben & Ken, for cutting through the BS & giving us the real deal.

[@DannyCasko]

From The Urantia Book, 63:1.4 [Part III] The decision of Andon and Fonta to flee from the Primates tribes implies a quality of mind far above the baser intelligence which characterized so many of their later descendants who stooped to mate with their retarded cousins of the simian tribes. But their vague feeling of being something more than mere animals was due to the possession of personality and was augmented by the indwelling presence of the Thought Adjusters. The first human bings appeared about a million tyears ago

[@leenaya324]

endogenous purines can come from obesity vs sources of fructose

[@KeithSaggio]

Does chewing sugar-free gum break ketosis

[@evelynmarin2429]

Mine is 38 😢😮😮

[@princesssweetpea9205]

How can the uric acid, that is offset by the ketones, even be there if somebody is carnivore or ketogenic, and is not eating carbs and fructose???? Where is that uric acid coming from???? There must be quite a bit of uric acid caused by some factor in the high protein keto/carnivore diet???

[@firelight-vitality]

Purines?

[@johnsnow407]

I think ketones impair the kidney's ability to excrete uric acid in the urine at least initially which is why the level rises on a keto diet.

[@DonSchmittberger]

From what I've heard on podcasts and looking on pubmed, uric acid is a powerful antioxidant that the body makes. Uric acid is much more problematic when combined with a high glucose diet. This is the reason why diabetics are more likely to have gout.

[@wocket42]

It's about production and clearance. Maybe production is low, but also clearance? Nobody seems to know

[@sorinelpugna7371]

❤

[@pacesferry]

720p resolution 😅😅

[@sebrinadickerson3341]

This interview is misleading. Ask a type 1 diabetic and they will tell you that consumption of saturated/ animal fat and animal protein both increase glucose levels, independent of any 'diet.'

[@ParableFig_JLynn87]

And yet I’ve communicated with several type 1 diabetics who are carnivores… I’m not insinuating your are incorrect, I’m simply curious how what you are saying can be true and yet type 1 diabetics (not all, just the ones I’m familiar with) are doing quite well, even better, on carnivore diet…??

[@sebrinadickerson3341]

@@ParableFig_JLynn87 This isn't an argument. The fact that Type I diabetics inform that saturated/animal fat and animal protein independently increase blood sugar levels and that they have to adjust insulin doses to accommodate this, is evidence that it has nothing to do with any long term effects of carnivore diet. The raised glucose levels are attributable to the food sources, not to size or longevity of red blood cells. Anyone else who is not carnivore and tracks blood sugars can tell you the same. Fact: these animal sources raise blood sugar levels. That any type 1 diabetic might choose the carnivore diet and have to adjust insulin accordingly does not establish anything. Many type 1 diabetics will tell you that their blood sugars were harder to regulate on the carnivore diet for the same reason. Many conclude that is 1. not worth the risk and is 2. unsustainable, along with the keto diet. and 3. that they feel like crap as a result

[@stan7500]

Normal is a statistical value not a healthy or unhealthy value.

[@KuumbaOnline]

He sounds like Kenny powers if he was a scientist

[@alanequi2786]

When he said that glycation impairs the ability of red blood cells to carry oxygen, I thought of a friend of mine with T2D who is not obese but gets out of breath when climbing the stairs, so I hit the "like" button! Bikman is a Creationist, which is a very weird thing for a scientist to be, though perhaps not at BYU, but regardless, his lectures on metabolism are excellent.

[@JD-bk6wj]

Gosh, Alan, you just couldn't resist making your biased comment? Seek help, dude.

[@alanequi2786]

@@JD-bk6wj Charles Darwin's ideas are the foundation of modern biology, and accepted by the overwhelming majority of scientists. Maybe they should seek help too? Actually, they might need help, or at least legal counsel. The teaching of Darwin's ideas has been under attack by the courts in almost every US state in the past 20 years.

[@TheKingdomWeigh]

Bikman is right on with his science on metabolism; maybe, just maybe he’s also right about creation. ❤

[@alanequi2786]

@@TheKingdomWeigh No, we evolved from apes!

[@brightnbreezyfelix1003]

How would you know if Bikman is a Creationist? I’ve never heard him talk about anything other than medical matters.

[@matijagrguric6490]

How do you comment on some people reversing insulin resistance, diabetes and having superb blood sugars with very high carb and VERY low fat?

[@ClareBoyd-f8c]

Williams Sharon Harris Michelle Clark Donna

[@husniyetasdelen773]

Hello, I am a Coach in nutrition certified IRENS by Doctor Alain DELABOS. There is a very important factor to take in considération when we feed our body which is the moment we take our Specific food! We cannot eat any food at any time of the Day because our Body naturally follows a specific rhythm. For exemple, I recommend Saturated fats in the morning because the body needs about 12 hours to metabolize those saturateur fats! So if we eat saturated fats in the middle of the Day, the body will simple stock them instead of metabolizing them and usine them!

[@liberos100]

Bold enough....😂

[@jnpg]

Hey carnivore. How soft is your skin?

[@tprev400]

This is why I will never trust anything Ken Berry says. I listened to him for a long time and his advice kept my BG at type 2 diabetic levels. Yes, as a strict Carnivore for two years, if I eat excessive levels of protein, meaning for me, above 120g per day, my BG will increase to 140s or higher based on A1C (equivalence) and daily readings at fasting, before and after dinner, regardless of fat/protein ratios and amount of exercise while all other metabolic factors are normal to optimal. He doesn't know what he is talking about. He is just trying to rationalize higher BG and attempting to make people believe you can't have higher BG levels on Carnivore, that is 100% false. Keep in mind, that he is financially incentivized to make this WOE as easy to follow as possible. It's why he uses extremely poor and dangerous advice, such as to eat until you are comfortably stuffed. Don't do that. Track your macros, get a glucose monitor, get your labs every 3-6 months, and take what these self-proclaimed Carnivore gurus say, with a grain of salt. Most are just making the stuff up or guessing, they really don't know. The same ignorance he employed as a general physician around his original education and his arrogance in thinking he knows best, is also driving his extremely poor advice now.

[@MikeEggzNBerger]

hmmmm?! Ken Berry helped me lose 80lbs. I wonder what you’re doing wrong.

[@iorch82]

There is this influencer echo chamber that I fear will take lots of people to the surgery room because "harmless" sky high LDL levels.

[@JD-bk6wj]

Jealous much? Get a life.

[@tprev400]

@@JD-bk6wj That doesn't even make sense. Get a brain!

[@onlyonecai]

I think you misunderstood a part of the science. "eat until you are comfortably stuffed" is a good advice if paired with "not eat when you are not hungry" and carnivore diet. 120g of protein is hardly excessive, and your blood glucose is supposed to raise along side the insulin about once a day after meal, otherwise you will end up with having the problems the salad boy had. 140 is a bit high, but as long as 140 is not your fasting glucose, the problem is not too bad.