Back From The Doctor and


(the cheater) #1

Just left my doctor’s appointment. After I had my labs drawn following just over 4 months of the ketogenic diet, he said to make an appointment to discuss the results. Even though I thought I understood the fledgling science behind keto and the results on my body, mind, sleep, digestion, and mood are undeniable, I was sure I was in for a butt chewing.

It was exactly the opposite. He treated me like a celebrity - blown away by how low my A1C is, how my testosterone is through the roof (which explains why I’ve suddenly started standing while I pee and reading Car & Trader mag), and, for some reason, how good I look; specifically citing my defined sternocleidomastoid muscles lol!

Anyway, he talked a LOT about how the brain prefers ketones, how the heart doesn’t use glucose at all, how dangerous of a hormone insulin is, and how I need to keep doing what I’m doing. He discussed how disappointed he feels sometimes that people don’t want to put in the work and just want a pill. The funniest thing was how he discussed the fact that adipose tissue generates estrogen and that fat men are basically women, hormonally. We discussed my labs (literally everything was amazing) and how even though my LDL number was elevated, (a) it’s nowhere near dangerous levels, (b) it’s to be expected given that fat is my body’s fuel source now, © every cell in your body requires cholesterol, and (d) American labs don’t give the full picture on cholesterol since you actually have many kinds of HDLs and LDLs, not just the two categories pop science articles focus on. Additionally, we discussed the tenuous correlation between triglycerides and heart disease (there’s VERY little).

It was a truly motivating and inspiring doctor’s appointment, which I never thought I’d experience. We talked about his brother, who is also a doc, and also keto and fitness guru on the left coast. My doc had also started intermittent fasting around the same time I started keto and had lost about 50lbs since February (Intermittent fasting, “IF,” is another way of eating, like keto, that aims to control insulin).

I did confess that I cheat about once a week and he admonished me to not do that. He said to keep doing keto forever and I’ll never die. I’m sure I won’t be able to hold him to that if I ever do die, but it was fun. He admitted that keto is still in its infancy so it’s no wonder it’s not accepted generally and that it’s still considered a fad or a slightly altered version of Atkins (it’s not).

Just thought I’d share. It was such a motivating appointment!


(Empress of the Unexpected) #2

Wish we all had a doctor like that!


(the cheater) #3

I work at West Point’s Keller Army Community Hospital and he is probably the most brilliant IM doc here. Of course, my opinion of him may be colored by his opinion of me loL!


(LeeAnn Brooks) #4

I still find it odd whenever people say Keto is new. It’s been around since the 1920’s, well before Atkins developed his diet.

If anything, Keto was the precursor to Atkins.


#5

This is amazing!!! Wow- what a lovely thing to read.
Congratulations on your success (and on having an awesome doctor!).


(the cheater) #6

I hate when it gets called a fad. Sure, there are some people who “try” it for a couple weeks, but I can easily see myself sticking to it indefinitely. It’s so easy! It’s not some deprivation diet, you know?


(Empress of the Unexpected) #7

I find most of what the uninformed say about keto is odd.


(icky) #8

WOW :heart_eyes::star_struck:


(the cheater) #9

My FB friend posted this article:
https://www.popsci.com/not-in-ketosis?eExPE0sr1yWT8GMS.01

To which I responded:

Tl;dr: cool article, some misinformation here and there :+1:

The long version:

First of all, no one who actually does keto full-time sells it as a “miraculously enjoyable diet” or even a “diet” for that matter.

They’re not wrong in much of what they’re saying. I’ve talked to a lot of people who said they did keto for, like, two weeks; and yeah, you may lose a lot of water weight but it’s not sustained or permanent weight loss. The keto community calls keto a WOE - or way of eating - recognizing that, while weight loss is a pleasant side effect, it’s really about hormone control; specifically insulin.

They’re right, though. It does take anywhere from several weeks to months to get your body into deep ketosis and fat adaptation. It’s not the most pleasant way of eating. It is boring, though there are cookbooks and little keto-friendly tricks here and there that make it a bit more palatable.

Unfortunately, they rely on the same misguided study from the 70’s that led to the low fat revolution and that has led to a nation sick and dying with diabetes. Nearly 10% of Americans have it! Subtract 1/30th of those with type 1. Compare those numbers with the less than 1% of the population with diabetes in 1958. The problem is not fat - not even saturated fat - the problem is sugar and carbohydrates (in whatever form). All the low-fat stuff has extra sugar to compensate for the reduced fat.

Keto is not the only way. But it is one very productive way - especially if you’re overweight and diabetic/pre-diabetic. In a future post, I’ll post all my lab results following 4 months of keto. I’m now just over 5 months deep. And, as I’m sure you saw my last keto post (I have a feeling you were thinking of me when you posted this lol!), my doctor fully supports it, as does his brother (also a doc), and numerous docs around the world. It’s gaining traction - now it just needs researchers to take it seriously. But there’s no money in researching things you can’t sell pills for. There is little - and only tenuous at best - research linking cholesterol to heart disease; especially the cholesterol of a person on the keto diet.

They are right about several things. If you’re NOT going to do keto, then yeah, cut down on saturated fats. The more fat you eat if you’re already eating carbs, the more fat you’re going to store. If you are going to do keto, keep your carbs low and don’t overdue it on protein. A lot of people wonder why they’re miserable even though they cut out carbs and then they post their diet, they’re usually WAY over on protein, which, as the article notes, will be converted to glucose (gluconeogenesis) - or at least that amount that’s above and beyond the body’s lean mass maintenance needs.

Many many many people do keto wrong. Even within the community itself, there’s strict keto, lazy keto, cyclic keto, etc. The point is all the same: lower insulin levels. So whether or not you’re doing it to lose weight or, like me, now that I’ve lost the weight, for the myriad other benefits (mental clarity, superb sleep, improved digestion & no more reflux) it is healthy and sustainable. Nobody is making money off keto - it’s not selling pills or making outrageous claims. There are a few authors and cookbooks, but that’s about it. The people that it’s helped, however, like myself, are making the claims: weight loss, improved mood, blood sugar control, reversal of type II diabetes, clearer skin, improved energy, and more.

Again - is it the ONLY way? Nope. But it is a powerful and sharp machete that can be used to cut a path through the dense jungle of modern published conflicting dietary guidelines, research, broscience, sensational articles, and advertising. They’re right though. It’s not “easy” - at least at first - and that’s why a lot of people half-ass it or do it poorly and give up, validating articles like this lol!

Who knows? Maybe 6 months from now I’ll be a fat piece of shit again. I wouldn’t rule it out. The best way I can explain how it is for me is to compare it to smoking. Once you learn how bad smoking is for you, you can continue to smoke, but you know you shouldn’t. Even when you’re smoking, you’re like, “Man, I should quit this.” That’s how the standard American diet is for me now. In other words, it’s not just another option, like choosing the red cup or the blue cup when you go to get a glass of water. It’s literally choosing between life and death, in a long term sort of way.

Sadly, my friend just responded “Keto is starvation - I don’t see it any other way.” Which made no sense but since he’s a friend and I didn’t wish to seem incredulous, I didn’t keep the debate going.


(Shayne) #10

I guess you’d have to have a meal with him and show him you’re not starving. :wink:


(Alec) #11

You think eating keto is boring??? I have done low fat diets a lot… there is NO comparison. Low fat is MUCH more boring than keto.

I have never been more excited by the recipes I can now cook that are healthy. Fat is a flavoursome beast of a health food!!!


(Edith) #12

I will admit, when one is figuring out how to eat low carb, it can seem boring. But, once you learn more and get the new ways of cooking and find all the great recipes out there, it is anything but boring. If I eat something now that is lower in fat and salt it seems so bland and tasteless.

Give yourself some more time and more recipes and I bet eventually you will think keto is anything but boring.


(Troy) #13

:joy::joy::joy:

Had you said “ DRIVING, standing and peeing “
Well, that would be even a TRULY remarkable NSV😄

Congrats on ur Dr. visit!
Awesome


(the cheater) #14

I don’t really think it’s boring, but I was trying to be diplomatic - meeting him halfway. I’m actually starting to get real creative; last night I had haddock and salmon grilled in butter along with shirataki noodles with olive oil, anchovies, and capers. I eat VERY well on keto - not just well, but also good :smiley:


(Monica) #15

Have your friend over to dinner for a keto meal! I love eating keto, and I don’t find it boring at all! There are so many great recipes. Follow some keto Instagram accounts, you’ll find tons of recipes ideas (my keto account is @fatfedme, run with my sister).

Keto is definitely not starvation!!


(karen) #16

… gets the footprints off the windshield, anyway …


(S C) #17

That is awesome! @decreebass !!
I was going to log on to the forums and share a similar story…but I would just like to dovetail into your story (not thread-jacking).
For the first time in my life I have insisted on having my A1C checked. They doctors always say…“Don’t think of your A1C as a report card…blah blah blah” When my results came in the first thing the doctor said (As she was hugging me) “You get an A+++!”
I cannot make this stuff up!
February 2018 - A1C - 8.0
June 2018 - A1C - 5.5
Started the diet on April 6th. A1C test on June 18th

That’s the first under 6 A1C I have shot for over 20 years…


#18

Does your doc see civilian patients too? I’d love a doc like that and I’m close enough to West point to see him/her.


#19

I don’t understand anyone saying that keto is boring, I haven’t had more flavour in my diet ever. Confessional time: if I could marry a parmesan cheese I would.


(the cheater) #20

sure does, if you have TriCare. Dr. Roman Greenspan. :+1:t2: