Looking at Fasting Insulin levels through the lens of Hunger, Salt and other Hormones (resource)

carnivore

#1

Interestingly insulin levels will rise in response to low salt in a low carb diet as the low insulin from a low carb diet will increase sodium loss through the kidneys. The way the body retains sodium is via insulin. Adding salt is understood by most low carb eaters following a low insulin inducing way of eating to relieve the symptoms of ‘keto flu’ - including a feeling of sluggishness.

The reason to highlight this is for bio-hackers who like to track their blood test values over time.

Fasting insulin can be one bio-marker that is outwardly, seemingly illogical in it’s response to what the biohacker tries with their diet. @ctviggen Bob is one to note this variability.

For example, a person who may be eating low carb ketogenic will see a gradual drop in their fasting insulin, if their pancreas is healthy enough, over time. This is in response to the reduced intake and reduced frequency of intake of carbohydrate rich foods.

Then there are those low carb ketogenic eaters who hit a plateau in weight loss/ body fat loss, many experience this as they get closer to their idea of their ideal weight. (It is better labelled “idea weight” than “ideal weight”, as this reduces the frustration and stress hormone responses in not being able to achieve it.)

But people are stubborn. So, they try another phase in low carb eating based on the n=1 evidence that low carb keto almost got them what they wanted. They move to zero carb.

Interestingly there is a zero carb suggestion, despite the diet being very low carbohydrate, to not add salt, like a ketogenic eater would. What’s with that? The carbohydrates are still very low, so a logical presumption is that the insulin response will be low, and subsequently the body is losing sodium and other minerals in response. But the zero carb carnivores that are finding benefit say they don’t get muscle cramps or other symptoms of electrolyte imbalance. We don’t hear as much from any of the ones struggling with a way of eating (struggling with WOE), be it carnivore, keto, vegetarian or vegan.

Here is my guess at an answer for why zero carb carnivores don’t add salt:

It is from n=1. After a few months of carnivore challenges I had some blood work done. The usual fasting insulin that was pretty steady on keto of 9 had doubled to 18. This was counterintuitive, but not surprising. During runs of strict carnivore eating I noted that my fasting blood glucose becomes raised and that blood ketones reduce. This is happening currently. So I surmise that on very low carb that insulin rises in a response to sodium depletion (if not supplemented), a non-glucose rise. In addition a sympathetic nervous system response is initiated on a ‘zero carb’ way of eating that brings up the level of cortisol and stimulates the kidney hormones of the renin-angiotensin-aldosterone axis to compensate. That elevates blood glucose as an internal mechanism, a ‘stress’ response (how to get increased blood glucose without eating carbs) and subsequently raises blood insulin.

I reckon the very low carb, zero carb carnivore way of eating may be an insulinogenic diet for some practitioners. I would like to find out if that is so.

I do not think the blood glucose rise is due to a higher protein diet and gluconeogenesis (GNG), as that process is demand driven (not pathological).

I’d be interested in your thoughts and comments.

Particularly I would like to know if any keto-carnivore biohackers are finding increased fasting blood insulin results on a ‘zero carb’ approach (please stipulate if you supplement salt)?

@amber


OXtoberFest ZC Challenge
#2

Interesting. But I’ve started checking the papers and the ones about salt have a problem of main author owning a company selling high salt foods and the other got conclusions from one sodium excretion measure and at a particular time of the day. I’ve read a letter at the same publisher saying that this isn’t a good way to know how much salt people are actually consuming.

So, it seems again like handpicking papers.

Many of us like the idea that eating meat is like eating like our ancestors. Following that same idea, I wonder where our ancestors would be getting all that salt from. Even with a salt shaker in my cupboard, I find it difficult to get 4g of salt a day. And the 4g is about sodium! When you convert that to the salt you “should” be taking, it’s a humongous amount. Where did our hunting gathering ancestors got all that salt? I wonder.

Edit: I do IF, have always done, even when I used to eat high carb, low fat. It was easy then and it’s easy now.


(Scott) #3

When I make breakfast it is two strips of bacon, sausage and eggs. Before cracking eggs I grind a generous amount of salt in the bowl. After cooking I salt the eggs again. Later I grind some salt in my Palm and pop it in my mouth. At lunch I cut up cold steak and grind pink salt on it to the point that people in the next room comment. Going low on salt is not a problem for me.


#4

Is it because you enjoy the flavor, or because you think you need a lot of salt?

I don’t like salt. I force feed me salt, because I think it’s healthy, but I may be mistaken. I had severe cramps while exercising after starting keto. I’ve tried more salt, more magnesium and potassium, but there was a limit to how much I could stomach and started to wonder if it wouldn’t possibly damage something else, like kidneys. Didn’t solve the problem anyway. I’ve started eating a little more carbs, to get the nutrients from food and to be able to stomach more salt too, and it sorted it out. Could be coincidence, or the fact that I’m exercising a little less, due to bad weather. I wish I knew what works.

When I introduce something in my WOE, I like to imagine what my ancestors did about that.


#5

Thanks for your comments and observations. You are quite anonymous, but if you are truly a coral, then you will know all about calcium and minerals :wink:

The flavour is nice. But the science tastes better. Low insulin due to very low carb eating means less sodium is retained by the kidneys. Then other electrolytes get dragged out with the sodium or are actively secreted to try and regulate the sodium changes. For example, magnesium can be actively pumped out by the kidneys to try and maintain sodium in the body.

I have experienced side effects of low carb eating that were and are electrolyte related. So, I know, rather than think, I need to supplement the electrolytes. Sodium is suggested to be the master controller for electrolytes ( Dr. James DiNicolantonio), and then other minerals get supplemented on top of following the sodium recommendations for the art and science of low carb living (by Dr. Phinney).

That is interesting and is often a work around due to the effects on insulin. How many more carbs (g) seemed to help? And what type of carbs?

To a zero carb carnivore advocate, eating some more carbs might be viewed as a setback.

The other option for minerals for me is to focus on drinking mineral and collagen rich bone broths with added salt. I might add a stock cube, I think it’s also known as bullion, to the bone broth. Yes, this time for flavour as I find bone broths direct from the slow cooker to be quite bland.

Our ancestors would have followed the herbivores they were hunting to aggregation points, like fresh water and salt licks. They would have observed the animals licking the rocks (crystals) and found the salt. Also some minerals would be from natural water sources. Some springs are mineral rich, but even drinking from streams gained them access to more mineral rich water sources.


(Scott) #6

Yes and yes.


(You've tried everything else; why not try bacon?) #7

There is a lot of individual variability, but a taste for salt is one of the signs that someone needs more. The PURE study, and a couple of others that came out around the same time a few years ago, showed that the healthy range of salt intake is 10-15 grams/day (i.e., 4-6 grams of sodium). Health outcomes worsened quite rapidly as salt intake declined below that range, and rose less rapidly as intake rose above that range. (More rapidly for salt-sensitive hypertensives). When we switch to a low-carb diet, the lowering of insulin allows the kidneys to return to their normal, faster rate of excreting sodium, so we have to work a bit harder to keep our salt intake up. Levels of sodium also affect levels of calcium, magnesium, and potasssium.


#8

The paper on salt I’ve read from the PURE study is the one he talks about in the video and I think it’s probably the one that you’re talking about.

The estimated sodium intake in that paper and its graphs is based on one test done, if I remember correctly, in the morning, an urine test. I’ve read there’s great variability in excreted sodium throughout the day. Perhaps that paper is bad science. I’ve found another paper on the subject, but with conflict of interest, as I’ve mentioned.

So, though my personal guess is that we do need sodium and perhaps more than many of us consume, and I tend to think what you’ve so nicely explained makes a lot of sense, I’m not convinced those two papers “showed” it.


#9

They licked 12g of salt a day? Now, that’s a though! I should make a popsicle of the stuff.


#10

Our aversion to salt is mainly due to decades of assumption that salt intake correlated to CVD and high blood pressure.

My purely (see what I did there) personal and unscientific approach is to think it’s impossible to consume too much salt. How many times have you eaten food that was over-salted? It seems self-regulating to me.

Let me emphasis again, personal and unscientific. :slight_smile:


#11

I can’t say much about the science part, I am just a somewhat health-conscious hedonist and let my body guide me. Well, I do whatever I want and I except my body to tell me if it has some problem with it. It works well enough.

I know I feel best at my usual, 4-5g/day salt (not sodium, that would be horrible for me). If I must go higher as I happen to try to do carnivore and salted pork is my only meat source, well, that doesn’t work. First I stop using extra salt then I quickly develop an aversion to salt, I feel some strange burning all day… So my salt intake drops back to the usual level and I feel okay again.
If I supplement something (due to cramps), that’s always magnesium (and it solves it), I don’t supplement salt as I dislike the idea. I would if I actually felt the need and probably would think about it after a fast longer than 72 hours.

I don’t want to follow people who never use salt on carnivore, I need salt for taste and it never seemed to cause problems. So I keep my actual intake for longer. I don’t want to lower it and I can’t really make it bigger, I would need much carbs to be able to eat much sodium and I definitely know that less carbs are better for me. Carnivore food has little volume unless we eat lots of soups and I have some but I don’t use much salt in my whole weekly pot of soup. I use the amount I like in it. I need huge volume for much salt, I can’t avoid that. Water may help but I still hate oversalted food (and what I never ever will consume, that’s salty water. super gross). I can eat only very little salted meat as it need so many eggs and other things along with it to balance out its saltiness.
So people with my taste either do what I do, ignore all sodium recommendations or what Corals does, force-feeding sodium and hating it… It doesn’t seem to be a good way to eat insanely much sodium for us if our body definitely and firmly is against it. And I am fine with my normal lower amount so I feel zero motivation to change it just people people or even science says so. We surely are different enough to get away with low sodium intake and mine isn’t even low. Some people are way lower :slight_smile: I am interested in my own case and it doesn’t seem to be a problem but when I probably went close to 10g (just a guess, I can’t possibly know the sodium content of my food), I had problems and couldn’t stay there. But I admit I used some very, very, very overly salty food item, not simply a ton of some properly salty stuff, maybe that would have been different. But eating a ton of food would bring bigger problems…


(You've tried everything else; why not try bacon?) #12

As Dr. Mente, one of the principal investigators on the PURE study explains in a couple of lectures available on video, the amount of sodium in the morning void tracks reliably with sodium from urine collected over 24 hours, so it is an acceptable surrogate for 24-hour collection.


(Bob M) #13

Wouldn’t this be relatively easy to show? Eat a baseline carnivore diet with (a lot of?) salt, for a certain time (1-2 weeks?), get a fasting insulin done. Eat a low salt carnivore diet for the same period, get another insulin test. Compare.

As a non-zero-carb/non-carnivore, I’ve gotten mixed results from fasting insulin. Mine’s usually just below 10, but if I fast a lot, it get under 5. If I eat more, it’ll go up. I also wonder if what you did in the recent past affects it? Say you fast a lot for 2 weeks, then eat normally for a day/a few days. Would this be lower than if you ate the same thing for 2 weeks in a row and got tested? I hypothesize it would, but don’t have data to show that.