Going back to plain keto. I felt pretty great on carnivore except for one (well ,I guess two) problem.
Uric acid.
It wasn’t quick, but after about six months of going carnivore I had a kidney stone, then another with gout at the same time. I’ve had gout pretty much constantly ever since despite taking a nearly maximum dose of allopurinol every day and switching my blood pressure medicine to losartan, which has a side effect of lowering uric acid. The only thing that eases the pain is colchicine, but you aren’t supposed to take it long term, and a few days after I go off the pain and suffering returns. My weight loss has also stalled for almost a year. If I really lower the protein and crank up the fat, I can get my weight to start dropping, but if I let up on the protein restriction at all the weight comes back. I tried taking tart cherry extract, green tea extract, and curcumin (all at the same time). The first two are shown to lower uric acid curcumin is anecdotally reported to. Several months of that and my gout changed locations a few times, bouncing between different joints, but it never went away, in fact the flares seemed to get worse. My last attack was particularly crippling, and I couldn’t even limp to the bathroom. I had to crawl on my hands and knees.
Anyway, another symptom I’ve had the last few months is constant hunger. No matter how much I ate, no matter how many sticks of butter I ate with a spoon, I was always hungry. Sure, the butter or meat or whatever I ate was satisfying for awhile, but I would be hungry again soon after. It felt just like I did when I ate carbs! It was that “why am I still hungry even though my stomach feels like it might rupture” feeling.
I’ve been doing some research (googling) and noticed something. Insulin resistance can raise uric acid levels and cause gout, but it works the other way, too. High uric acid levels can cause insulin resistance! I think this is why I was so hungry all the time. My insulin resistance came back as uric acid levels crept up.
So there’s more to this already long and rambling post. I recently bought some potassium citrate to try and lower my uric acid level (before anyone freaks out I cleared it with my Dr.) I’ve noticed that since I’ve started taking it the last few days, I’ve suddenly been a lot less hungry. It may be placebo, but I was not at all expecting this. I don’t think it’s from lowering uric acid, I think I may have had a subclinical potassium deficiency. I stopped supplementing with it when I first went on telmisartan. I’ve recently discovered that potassium itself can lower uric acid, and that it can also help with insulin resistance. I’m on my phone, nor am I posting in the “show me the science” section, so I’m not going to try and copy and paste a bunch of links, but I’ve found several studies showing potassium to lower insulin resistance and help with weight loss.
Another issue is vitamin c. Carnivore is not particularly high in vitamin c. There are some studies showing that vitamin c helps power uric acid levels. There is also at least one study finding no effect. Vitamin c has also been shown to help insulin resistance. Yes there are arguments that since carnivores take in so little sugar, they absorb and use the little bit of vitamin c they use very well.
Here’s the thing, before I went carnivore, I was losing weight very easily and wasn’t hungry. I had no gout. Once I went carnivore, my weight loss slowed to a crawl, so I’m going to go back to the way I used to eat: lots of salads with plenty of dressing and fixings, fresh vegetables, fat bombs, and gasp! Plenty of artificial sweeteners. I’ll be getting plenty of potassium and vitamin c, and probably lower purine intake as well, though the evidence for dietary purine causing gout is actually pretty weak, despite a low purine diet being a common treatment for gout.
We’ll see what happens. Maybe I’m just deluding myself, but I have high hopes that I can get back on track. I’d like thoughts and feedback.