While he is speaking in context of bariatric surgery patients with a small stomach…I just 
Dr. Now!
(I am watching on the TLC go app. Start at 14:39)
Doug - My 600-lb Life: Where Are They Now?: https://www.tlc.com/tv-shows/my-600-lb-life-where-are-they-now/full-episodes/doug
I’m unable to access this. Can someone summarize the main thesis? Thank you.
yeah, I was not positive it would work for people not using the TLC go app. Basically it is Dr. Now saying vegetables are for filling up on (for non WLS patients) and meat is the most important food for bariatric patients. This patient began eating carbs after weightloss surgery and felt he was getting more energy from carbs. Dr. Now explains the "energy " is an endorphin rush from the carb hit similar to someone addicted to a substance, not energy from nutrition. He also states meat doesnt cause heart disease and while most of know that, it’s nice to hear from a doctor who can influence a lot of people.
Dr. fung and others compare fasting to bariatric surgery in that they refer to WLS as forced fasting. This is why I thought the clip was relevant. Additionally, there are some people here who struggle with carbs being an all or nothing situation. The dopamine response part seemed to back that up.
additionally If protein increased insulin I dont believe this would be recommended. so I believe this is even more evidence it doesn’t ala Dr. Bikman.
Big misunderstanding about this protein does not spike insulin philosophical debate thing!
Protein most certainly does spike insulin without question and Bikman is not saying that it does not because it would be impossible if people actually thought this was so, it spikes glucagon initially, then it creates a demand driven glucose uptake for the human brain which can be up to four days later which can and will spike insulin? (why some people do protein cycling)
If protein did not create glucose when your brain needs it, you would flat out DIE?
Now if we’re doing type 2 resitant starch in the diet; your brain would most likely have a greater uptake (demand) of ketones/BHB rather than choosing glucose (spiking insulin) for needed energy from the brain liver axis?
This is real science not a philosophical filibuster?
While protein does stimulate insulin secretion, I would not say that it “spikes” it.
We need a certain amount of insulin in our blood, or we’ll starve to death (remember the fate of Type I diabetics before insulin was discovered), so stimulating insulin in moderation is a good thing. Even fat stimulates insulin secretion a little bit, although hardly at all, when compared to carbohydrate (or even protein).
Carbohydrate, now, that can spike insulin, if eaten in quantity. And even in the small quantites a ketonian eats, it does stimulate insulin somewhat, and the effect is twice as strong as that of the same amount of protein.
Ok! Let’s say:
Spikes/Stimulates = Secretes
“Spikes” (sharp/sharply?) is more metaphorical…lol
Yeah, it’s just the sharpness of a spike that I don’t feel is quite right in the context of protein.
In the context of carbs, now . . . lol!