Should I tell him I like to do extended fasts between a high animal fat diet? Is there research I can show him, especially about fasting? Or should I just smile and nod?
Meeting my new pcp tomorrow
Iâd go in with the knowledge that what youâre doing is most likely not going to win him over. Iâd kick back for at least a while. If you improve now or in the future, and he asks, then maybe a conversation is good.
You might be surprised. I walked into my new doctorâs office (after moving to this area), and was pleasantly surprised when I told him I was on a ketogenic diet, and he said, âGood!â
Yah. It seems like most people get a look on their face like I am bragging about my tropical ocean front property in North Dakota. Itâs frustrating because I have this medicine that 80% of my fellow citizens would find extremely beneficial, but nobodyâs willing to take it as directedâmetaphorically speaking. I just wish all my friends could get better health.
I had to go to a doctor about an hour from where I work because in my town, none of the doctors support low carb. Cate Shanahan was the only one, and she left.
Dr. Cate:
Iâm thinking of going back to my town, as itâs too far to go to get to someone who understands keto.
If youâre interested, I could provide you with the name of my doctor. I believe he is still taking patients. On the other hand, you might find it too hard to get to him from where you are.
Iâm moving from one dr to another in the same local medical group because keto/if/ef made things tedious with my previous provider. He kept trying to convince me fasting more than 16 hrs is dangerous. It became a huge distraction from being able to get legitimate advice from within his lane. He kept giving me handouts from the official nutritional guidelines that were outrageous in the level of ignorance. On one occasion, a supervisor was called in to sternly warn me, âyou CANNOT fast.â And we all know bumble bees canât fly. The competing company is a lot more expensive. I used to think clinicians were scientists. Iâve come to suspect that they are basically technicians who look a cluster of indicators up in a table and follow an official protocol. If the patient doesnât improve, itâs assumed they didnât follow the directions. It seems useless to prod, but can somebody please believe their eyes instead of their books!
But, in pharmaceuticals and surgery, these are the folks I might need someday. It would be nice to keep things friendly.
Even if you were in Albany, New York, you probably still wouldnât want to come all the way over here, lol!
Iâd shut my mouth unless theyâre a functional med doc and you know they think outside the mainstream or unless theyâre a DO.
Itâs quite the shocking revelation. We are raised to believe medicine is an evidence based practice that improves with time but it isnât, itâs a just an arm of the pharmaceutical industry. .
Had a nice visit. Didnât mention keto at all. I plan to keep it that way unless he asks.
My opinion is that they donât get any teaching about nutrition, and the teaching they do get is what we all got: carbs are important; 5 a day! (or whatever they are up to now); low fat; saturated fat is bad.
It takes someone opening their eyes (a la Dr. Unwin in the UK, who was about to retire until someone came in who lost a ton of weight and got off medications) or they try it themselves/do their own research (a la Dr. Tro).
Otherwise, theyâre stuck in the same paradigm.
Iâd just keep quiet, get what you need, and disregard the standard advice if you disagree. After you get to know the new doctor, then decide.
Although I disagree with him on a ton of stuff, I like Ken Berryâs take on that, your doctor is your CONSULTANT! Not the other way around!
I was on a waiting list for a functional medicine MD in town. My normal doctor was talking to me about stomach surgery as a treatment for some recent weight gain. I got a call from the functional practice and my wait was over. I took blood results and X-rays and questions. I learnt a new thing about monocytes on a blood cell count. But they interpreted my fasting insulin of 12 as ânormalâ and HbA1c of 5.9 as normal. Then, like my standard doc tried to match my symptoms to pharmaceuticals, this functional medicine doctor tried to match them to supplements. Iâll keep looking. At least my standard doctor went along with my blood monitoring test requests. The clincher was there was no discussion of nutrition from the new doctor.
That HbA1c is potentially problematic. Iâd like to see a 2-hour Kraft test with insulin and blood sugar.
As for fasting insulin, thatâs a tough one. I see people saying âif your insulin is over X, youâre insulin resistant!â, or youâre unhealthy, and X is usually small, under 10.
But my fasting (12+ hour) insulin has ranged from 3.8 to 33, about 10x different. Why? No idea. Got that 33 while my HbA1c went DOWN.
A one-time reading of 12 isnât a big deal, in my opinion.