I’m not a big fan of Dr. Paul Saladino MD. We have approached nutritional ketosis from different perspectives. Thus our perspectives differ. I can relate better to the 2-KetoDudes in ketogenic eating origins (and also in laconic delivery, rather than the breathless earnestness of Dr. Paul).
Dr. Saladino is an entrepreneur and feeds financially off the interest that a growing population of health seekers have for trying the low carb healthy fads way of eating. One of those healthy fads is and was the carnivore way of eating. Dr. Saladino set himself up as a champion of carnivore eating. For a while.
It’s the changes he has experienced and how he has adapted to what he learns that I find most interesting.
He does make some interesting discussion points on post-meal blood glucose (insulin), and electrolyte changes in longer term ketosis (1 to 2 years) including the possible down side to constantly low insulin and it’s long term effect on sodium. Some wags might label the second point a “danger” of ketosis, if one was grabbing at clicks and headlines. I think the electrolyte nuance is important, at least to be aware of, if people settle in to years in ketosis.
My own observation is that blood ketones (the measure) readjust to a low level (<0.5mmol/L), over time, quite naturally on a ketogenic way of eating. But that doesn’t tell me too much about constantly keeping circulating insulin low.
For full context here is the podcast episode