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- Опубліковано 24 лип 2024
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Sarah Hallberg is the Medical Director at Virta Health and a physician who has spent nearly two decades treating patients with obesity and type 2 diabetes. In the first half of this episode, Sarah discusses how she became a huge believer in the efficacy of carbohydrate restriction for the treatment of type 2 diabetes through her research and clinical experience. Sarah challenges the common beliefs about the role of dietary fat and carbohydrate on the plasma makeup of fatty acids and triglycerides. She also expresses the importance of understanding early predictors of metabolic illness-highlighting one particular fatty acid as the most important early predictor-before finishing with a discussion about how doctors might be able to personalize patients’ metabolic management in the future. In the second half of this episode, Sarah tells the personal story of her own lung cancer diagnosis. She talks about dealing with her grief, deciding to continue her work while prioritizing her family, and how she devised a plan to extend her survival as long as possible.
We discuss:
00:00:00 - Intro
00:00:10 - How Sarah discovered the profound impact of carbohydrate restriction for reversing obesity and type 2 diabetes
00:13:30 - Prediabetes and metabolic syndrome: prevalence, early signs, and the importance of treating early
00:27:45 - Overview of fatty acids, how they are metabolized, and understanding what you see in a standard blood panel
00:33:45 - The relationship between diet composition and metabolic markers
00:47:50 - Why palmitoleic acid is such an important biomarker
1:00:30 - The best early indicators of metabolic disease
1:07:45 - Personalized management of metabolic illness
1:16:50 - Sarah’s cancer diagnosis and the beginning of her journey
1:30:00 - The emotional impact of a devastating diagnosis
1:40:30 - Sarah’s plan to extend survival
1:52:15 - Sarah’s aggressive treatment plan
2:05:00 - Life-threatening complications and the return of her cancer
2:18:26 - Sarah’s reflections on her approach to life with chronic cancer and balancing her time
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About:
The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 30 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.
Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).
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In this episode, we discuss:
00:00:00 - Intro
00:00:10 - How Sarah discovered the profound impact of carbohydrate restriction for reversing obesity and type 2 diabetes
00:13:30 - Prediabetes and metabolic syndrome: prevalence, early signs, and the importance of treating early
00:27:45 - Overview of fatty acids, how they are metabolized, and understanding what you see in a standard blood panel
00:33:45 - The relationship between diet composition and metabolic markers
00:47:50 - Why palmitoleic acid is such an important biomarker
01:00:30 - The best early indicators of metabolic disease
01:07:45 - Personalized management of metabolic illness
01:16:50 - Sarah’s cancer diagnosis and the beginning of her journey
01:30:00 - The emotional impact of a devastating diagnosis
01:40:30 - Sarah’s plan to extend survival
01:52:15 - Sarah’s aggressive treatment plan
02:05:00 - Life-threatening complications and the return of her cancer
02:18:26 - Sarah’s reflections on her approach to life with chronic cancer and balancing her time
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Unfortunately Sarah died from her cancer battle March 2022. Here she says she was angry about having cancer and says here all her pivotal moments of change came with anger. A great loss to her family, friends, colleagues and patients ( past and those how never could be). But her legacy will live on, while she is in peace.
When Dr. Hallberg mentioned she is a mother I thought of the Quote by Victor Hugo:
"The sergeant took a bit of regulation bread from his pocket, and handed it to the mother. She broke the bread into two fragments, and gave them to the children, who ate with avidity.
“She has kept none for herself,” grumbled the sergeant.
“Because she is not hungry,” said a soldier.
“Because she is a mother,” said the sergeant."
I just want to reach out and hug Sarah. She's my new hero.
mine too 🥰
Bottom line I’m crying.
This is such an incredible episode, which made me tear up at the end. Sarah is not only an inspiration for follow physicians but also a living testament of how a courageous soul can maintain hope and passion for life and leaving a positive legacy for others while overcoming insurmountable obstacles. Thanks to Peter for bringing this wonderful story to us!
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She was a champion to the end. A beautiful person. Terrible loss. Rest In Peace, Dr. Hallberg 💞
So very sad to hear today from Amy Berger that Dr. Hallberg finally lost her battle to cancer. Dr. Sarah and her Ted Talk was one of the first things I discovered in my desperate search for answers back in late 2018. She literally helped turn my life around and has helped thousands or even millions of others. May she rest in peace and my condolences to her friends, family, colleagues and loved ones.
I admire Sarah so much since day one I heard of her ideas about diabetes; I reversed myself the diabetes thanks to the fortunate act of listening to her approach. I am sad but wish with all my heart the completion of the 11 years she needs for her children.
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I am a Gynecologist and an Obesity Medicine Specialist. Sarah's work has been measurably valuable to me and my practice. My heart goes out to you, Dr. Hallberg. Praying for you and your family🙏💕
immeasurably...
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Praying for a miracle..Sarah, this world is better because of you..We can't do without you and others like you..Your children and husband are so very blessed to have you as an amazing inspiration..May your days be longer and more fulfilling than you could ever imagine....You will be n my prayers daily .May God bless every moment of your life with ,at the least, one good thought, one pleasant memory..That memory will longer in your soul in heaven, someday..But not too soon!! I pray that you be in health and prosper as your soul prospers..
Sarah, my heart is aching for you what you are going through and at the same time still care so much for these diabetic community that owe you so much and the next generations to be able to learn from it. Sarah I am praying for you and your family your immeasurable suffering on a personal level did not deter you from moving forward with all your might , may God Bless you with good virtues and continue to strive to take care and enjoy your children .
Even more affecting rewatching this knowing Dr. Hallberg has passed away- quite an amazing human, who will be very missed.
Thank you Sarah and Peter. Such an honest discussion. Sarah, you started my journey to better health. I’ll never forget the impact of your Ted Talk on me. I’m a nurse and every single time a patient rolls in with diabetes (more and more frequently) I think of your advice. Your stories are important to everyone.
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Sarah, I credit you for saving my life. I started looking at Keto due to friends suggesting it but blew it off because it was against everything I know as a T2D. I happened to run across your TedTalk (the bright colored outfit) and listened to that hour and decided to at least "try" this. I started over Labor Day weekend of 2019 and have never looked back. At my worst, I was 310 lbs, T2D on 4 oral meds/36 units of insulin, high blood pressure on med, high cholesterol on statin, stasis (swelling) on water pill. As of my last physical several weeks ago, I am considered in "remission" of my T2D and is not being reported as a condition, no more HBP, HDL and triglycerides are awesome with slight elevation of LDL (not concerned), stasis gone and now around 190 lbs. My own doctor went keto and lost 20 lbs due to my journey and he recommends it now to his patients and fully supports my methods. Thank you so much and may God bless for your health.
Bravo! How did you do it?
@@saxgirlhornboy6458 keto, lchf
Did you keep the Keto diet after reversing the diabetes? How is your diet today ?
@@kevinjeune1 I remain keto leaning towards carnivore. I'm in my best sustainable health in over 50 yrs
Tim, Thanks for sharing.
In case you haven't done so, I encourage you to look up a man named Tucker Goodrich and a woman named Nina Teicholz. UA-cam is a good place to start. Here are two videos, one of each of them, although there are many others:
ua-cam.com/video/hFfRils4-YA/v-deo.html
and
ua-cam.com/video/Q2UnOryQiIY/v-deo.html
Try to remember that along with eliminating sugars (most notably ar the man-made sugars like table sugar called sucrose and high-fructose corn syrup) we need to work on REDUCING the amount of Omega 6's especially added Omega 6's and/but we also need to reduce Omega 3s; both are highly sensitive to oxidation and both will find their way into our diet and neither needs to be added. The easy mistake is that people try to increase Omega 3s to improve the 6 to 3 ratio (remember the key is to reduce Omega 6s). The ideal ratio is something like 2 parts Omega 6 to 1 part Omega 3, and maybe even 1-to-1.
Here is a third person to watch, Chris Knobbe MD., and here is a video of him ua-cam.com/video/bh5eTi9jTPw/v-deo.html
I learned something very important recently about sources of omega 6 oils and that is that some animals specifically pork and poultry often have much higher amounts of Omega 6 oils in their fat. That is because they are feed grains, oils, and sugars; to fatten them up. Then those animals store those grains and oils, as Omega 6 fats/oils. Cows have the extra "stomachs" which help to break down those fatty acids so Omega 6s are less a problem with grain-fed cows, although grass-fed cows are always the better option.
All of us could use a little help in getting to the bottom of what is healthy. Food and what is best for us is a confusing topic and at best it is one filled with marketing and well-intentioned misinformation.
This is my small contribution to helping you and the others who might read this, to get to the bottom of what I think is another thing that is extremely important but often overlooked...
As a 48 year old with two heart attacks under my belt, I so appreciate her perspective on living life in spite of not knowing how long you’ll last. It was very enlightening and touching. I’m grateful to have heard every word.
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These two great doctors got me into LCHF three years ago. At 74 I'm now lighter and fitter than I've been since a teenager, and training to be a certified Health & Wellness Coach so I can spread their word. Thank you Dr Sarah for your intellect, curiosity and courage, and Dr Peter too, but especially for your skill in this interview. It can't have been easy for either of you. I hope this podcast goes down as one of the great contributions in LCHF history as there is a lesson in every frame. God Bless you both.
That's wonderful! I am curious as to what program you are in for your health & wellness coaching certification. I would love to do it as well.
So inspired to see someone in their 70s (as am i) changing their health lives and helping others also!
Bravo!
What is LCHF please.
@@4Youalone3 Thanks for the question. LCHF = a Low Carb High (healthy) Fat way of eating, of which "Keto" (ketogenic) is the purest form. It's the exact reverse of the 1977 food pyramid "Standard American Diet" that leads to four out five dying from avoidable metabolic diseases, inc. cancer, heart disease, Altzheimers, Type 2 Diabetes and so on... I hope this helps.
this is gut-wrenching. What a brave woman. I hope she continues to hang in there and thank you for sharing her story! We all know someone who is going through or has gone through cancer and it's sometimes very frustrating dealing with the medical system.
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OMG I was not ready for the second half of this podcast. So fascinating and brave. What a treasure Sarah is.
Thank you, Peter, for making this more than just another discussion about metabolic disease. I appreciate Sarah pointing out just how difficult it was for her to get the care, tests, and treatments she needs, even as an extremely knowledgeable physician herself. It was negligence when she was sent home with those critical lab values. What can we do to change the culture of providers who don't listen or don't want their treatment plans disrupted by alternative ideas and approaches?
I also am a Gynecologist and have followed Sarah's work in metabolic syndrome, diabetes and obesity. I have always been impressed with the power of this healer. This is the most amazing medical story that I have ever heard. Just keep taking one step forward and then another step and then another. You are amazing and I will continue to follow you. Remain proactive.
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Amazing story!!
Thanks to Dr. Hallberg for her utter strength and dignity in detailing her journey with cancer. My wish is that everyone would hear this podcast. Thank you, Dr. Attia.
Best podcast!!
While i am watching the second part of this conversation, i started reading the comments ....only to read she passed last year.
Sometimes life its just not fair😢. Rest in peace Dr Sarah.🙏
What a great conversation! Chatted with Sarah in early 2020, had no idea she was battling all of this. Remarkable story.
Yeah, I found out a couple of days ago when I saw she mentioned it on her Twitter feed. I don't know the details though as I'm just 10mins into this podcast.
Hope she gets better!
@@colinthomson5358 oh no. Not good. Just started listening to the podcast
@@cherylmcduff5388 - It is a heartbreaking story, I had no idea how serious it was. Obviously cancer is always serious but I hope people know what I mean. I had to bail out 20 mins from the end as it was getting too much :(
It increases my already immense respect for her.
Great story, I too have terminal lung cancer (non smoker) with less than 12 months to live, Sarah has resonated with me and my situation, I too was fit as a fiddle before the diagnoses and adjusting is hard, she is now my inspiration. Thank You Sarah and Peter.
Hope you are doing ok.
My husband "lived with" Multiple Myeloma for 10 years. He preferred that interpretation to all the war/fighting terminology used by most. The episode with Peter's 12 year old asking pandemic questions used to be my favorite episode. This one is also now my favorite. We are all inspired and calmed and soothed by listening to Sarah.
Dr Hallberg is an amazing person, sure wish her the very best. She has been a life changing physician in my life.
Sarah Hallberg, what a brilliant mind, what a great physician, what a wonderful woman. I wish you all the best from the bottom of my heart. I root for you!!! 🏆🥇
This podcast blew me away.
I wasn't expecting the second part.
RIP Dr Sarah. What a phenomenal testimony of bravery and insight.
Thankyou Dr Peter Attia for sharing your forward thinking and genius and being a platform that helps make our understanding of health clearer.
This podcast is heart wrenching and iconic.
My wife was given Cisplatin and Gemcitabine for her urothelial cancer and it was tough but it worked well. Very touching and courageous story. Thanks for sharing. Patient advocacy is so important.
I was privileged to have Dr. Hallberg as my doctor before she joined Virta Health. She was the best doctor I ever had and I credit her with saving my life. I have lost 76 lbs and reversed my T2D. I went from being morbidly obese to obese to overweight AND "normal" is sight. I only have about 20 more lbs. to go. She was so caring and passionate. I was deeply saddened to hear of her passing.
I'm curious how your weight loss journey has progressed...Thanks...
@@marcusvaldes I'm thrilled to say that at my last appointment, my nutritionist said I only need to lose 4.9 lbs to be in the "ideal range." I've gone from 226 lbs to 137 lbs. My visceral fat level was 20 (the highest the machine would measure) and it's now down to 10, which is where it's supposed to be. Initially, I easily lost 53 lbs. just by going strict keto; however, it wasn't until I started fasting that I lost the rest of it. Listening to Dr. Attia, I realized I also need to worry about muscle. I've been walking the line, but sometimes I manage to do BOTH: lose body fat AND gain muscle. It's hard, but do-able. :-)
@@carolinemckenzie5269 Interesting. How many years have you been on it? I've read that many on Keto start moving in the wrong direction about2 years in. I've tried that and vegan before.
@@marcusvaldes I'm not sure what you mean by "moving in the wrong direction," but my life has never been better. I'm on year 9 and going strong. I started strict keto, then added time-restricted eating, then intermittent fasting, then fasting. My numbers are fantastic--my endocrinologist, who is a "hard sell" actually gave up and admitted she was wrong...she clapped when I saw her for my last check up a few months ago. We both agreed I don't need to see her anymore. 🙂I've also re-educated my nutritionist to the ways of keto and fasting. I used to wear a size 20 and now I wear a size 6. I don't feel like I'm addicted to food anymore; my depression is almost completely gone, and I have more energy than I did in my 20s and 30s (I'll be 54 soon).
@@carolinemckenzie5269 I saw some data that showed many in year 2 of keto started to fail. You've been keto for 9 years?
Dr. Hallberg’s Ted Talk inspired me, a nurse practitioner, to challenge the status quo when it comes to treating diabetes. Her cancer journey exemplifies courage, bravery, and the reality that so many patients have to endure. Thank you Sarah and Peter for such a raw discussion. My heart aches for you, Sarah. And Dr Attia is a such kind and empathetic healer. Much love to you both.
Outstanding interview. Thanks, Peter, for your intermittent explanations, for not avoiding the difficult personal questions and for never reaching for the homeopathy of the weak conversationalist, i.e. the cliche. Very well prepared and exceptionally executed!
I was blown away by Sarah’s ability to be vulnerable. It is rare for people to trust you and themselves enough to discloses these deep feelings. I admire Sarah so much from the first time I heard her talk on TED TALK. I am wishing Sarah and her family peace. I am a patron of Peter’s and have been for some time. Although I don’t share his interest in racing, I am excited by experts he has on that talk about metabolic health and their work. Great talk Peter.
Outstanding. Personal Family experience with cancer treatment left me hollowed-out, as the advocate for sister and both parents. Now Revisiting those memories, processes, initiatives. Realizing that this journey and path is exceedingly difficult for even the smartest and brightest of us. And to those of us left to public medicine here in Canada, without that level of comprehension and access that Dr. Sarah has in the US. Well, my heart goes out to those who suffer, and their care givers. And a heart felt thank you to Dr. Sarah and Dr. Peter. You bring so much information forward to those of us with limited time, who have to care for family.
Wow. What a heart wrenching but beautiful story and life. She is truly an inspiration and an example of grace and strength. May she Rest In Peace and her memory live on with her family and friends. This was amazing. Thank you for sharing her research and her personal story.
Another great show. I know that surprised feeling Dr Hallberg! I had a tonic-clonic seizure while driving and only minutes after dropping my kids at school Awoke in the ER in hand-cuffs and learned I had a large mass in my brain. 5 years later I'm still alive and well.
Dr. Sarah, I've loved you since first seeing your Ted Talk. When I heard of your dx I was heartbroken for you and your family. Thank you for this podcast. I loved hearing your strength, your determination, your love for your kids, and your never give up attitude. You are an amazing person. I wish you the best in your ongoing battle. And thank you so much for all you do.
WOW... I also am a stage 4 cancer patient with young children. Writting this through tears at the honesty you have expressed. So much resonates with where I am. No you.. never balance the fear grief and any hope you might muster. Yes you can never accept it as a parent that you are going to let your children down. I have had to accept the diagnosis but will never accept the prognosis. Your articulation of the frustration around lack of support through this process and need to advocate for yourself is all too real. I have wanted to give up so many times. But that is not acceptable to my children. Your words about having to overcome the grief of time with your children breaks my heart and gives me hope all at the same time. All my thoughts are for you and your journey. See you in 7 more years.
Sarah Hallberg has helped so many people. She's such a brilliant mind and spirit. I really hope she knows how many people appreciate her. I hope her remaining time on earth is filled with love and comfort.
OMG… I didn’t actually cry until Peter did though I hung on every word. My husband & I were MEDICALLY bankrupted back in 2011 in NYC when he was dx with terminal stage 4 GBM.
Speaking of privilege, my husband was born in Ireland and so had a dual citizenship. We immediately left for his home country to be with his large & loving family as we knew from jump that his chances were slim at best. But we also knew we could get treatment for him in Ireland to at least extend his life ( he was only 51 at time of dx)
and that’s exactly how it unfolded.
Excellent treatment & care for FREE (save dental expenses) and though he did die very peacefully 2 years later (as predicted) he would have been gone in a few months had we tried to stay in NYC. The hospital bill ALONE had been 100k! That’s over 10 years ago. One can only imagine what it might be today.
I decided to stay in Ireland and have become a citizen since my husband’s death nearly 9 years ago. I have excellent private health insurance here that only costs PER ANNUM what I would have to pay per month in NYC.
I completely identified with Sarah’s emotional state of mind, even though I was not the patient. Both my husband and I looked the dx square in the face and as Sarah did; we decided to live! What an incredible woman, I am blown away by her story and so sorry to hear she is gone. All my sympathies to her family & friends 🙏
Sarah Hallberg is a brilliant physician Innovative and caring
Resourceful Brave relentless person and physician. My prayers for her continued progress controlling her cancer.🙏💯🙏
I couldn’t stop thinking about this podcast and life .. thank you Sarah and thank you Peter . Very inspirational
What an amazing women! I was diagnosed with advanced stage ovarian cancer 11 years ago. I have a background in clinical research and was able to get on a trial right away along with SOC. With keto diet metformin exercise daily.
I now help other women with OC
Sarah is so right that we need patients advocates. We have to fight the system on so many fronts. Great episode Peter. Feeling sad we lost this wonderful mother 😢
That’s amazing! I just wanted to gain clarity, I’m not familiar with SOC but are you saying that keto, exercise and metformin healed you? I’ve been personally fascinated by GLP-1s lately and reading many studies. It’s basically lead me to learn that an overconsumption of sugars are causing so many issues and that GLP-1 like metformin, Ozempic/Wegovy and Mounjaro (they’re all GLP-1 agonists) are playing a major role in managing blood glucose levels. Would love to hear your thoughts / personal research!
I wish you health!
What is SOC?
thank you, Standard of care, I did 4 1/2 months chemo, Carbo and Taxol @@naelna
Sarah, I owe my improved health to you. What I was told by others was impossible you said is possible. You gave me hope back. You have changed the world for so many! I am so profoundly touched by this podcast. I pray for more strength for you as you continue your journey forward. You are loved by so many. Thank you! 🙏
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Oh, you hear what Brenda Davis has to say about "Deconstructing the Paleo and keto diet" Please tell her what you think.
I want to thank Sarah. I love listening to Peter’s podcasts. As a healthcare worker doing nuclear imaging, I first specialized in cardiology and now at a cancer center. While I am a person that does nothing but perform a diagnostic tool, patient history is a big part of our testing that we provide to the reading physician. Diabetes is a common thread in both areas I have worked in. As well as just losing my extra weight and getting healthy, I am so very interested in how our metabolic system relates to everything. However, I did not expect Sarah to be so articulate and open about her cancer experience. A dear friend died just weeks after her 40th birthday. An athlete her whole life. ( just prior to lung cancer diagnosis was training for NYC marathon) She was of Asian decent and had a very specific gene mutation. By the time it was diagnosed, her only option was palliative radiation and Tarceva. Eventually Tarceva ran it’s course. We had many chats about her diagnosis, her desire to try and live until her daughter was at least 16. ( That did not happen) Sarah expressing her feelings, that my friend expressed but in a different way, really resonated with me. But, I found her statements about it impacting young women, athletes is so interesting to me. Thanks for sharing your story. I do hope all this talk about our metabolic system can find a way to be more mainstreamed and implemented in the standard healthcare arena. Love the research that is being done on pre diabetes.
Man made processed foods are loaded with poison. Insulin overloading for decades. They finish you off with Pharmaceuticals.
You don't want Cancer? Starve it. If it eats we can kill it.
The homework isn't complex. Keeping your hormones balanced is your best Long term quality solution. We're loaded with Reversible Adaptations that require NO Pills. The problem? Misinformation is your killer.
I feel compelled to share. My journey with the ketogenic diet started about 4 years ago, when my understanding family doctor heard my plea "I have a hypermobile joint problem, I'm exhausted, I cannot be upright for more than 6 hours and I have pain to my entire body".. I was 26 years old, and I just began my career as a Registered Nurse. Obesity was a problem my whole life, but I just lost over 100 lbs using the Canada Food Guide (little did I know I was intermittent fasting as well). My doctor sees me every three months and did some phone calls to her friends. She said the ketogenic diet is helping people without exercise. I rejected it, but ketoaci..NO, do your research, come back in three months and tell me about keto. And I did, she knows I'm the biggest research nerd. But how could I be so clueless to so much medical information!? Are medical institutions mad?! how can universities share such rubbish? I was ANGRY and considered everything that I Knew as a nurse was actually all wrong. I was fighting the fight of my life, with no specialists willing to help me with my head pain, people judging and labelling me as a drug seeker due to my age and that I "didn't look sick" "people cant drive with this type of head pain", oh but people do, because what other choice do you have when you nee money to live? a house over your head? So I researched, and I started the ketogenic diet stating at 245 lbs. I stated to have reduced subluxations and dislocations within weeks, my sleep went from four hours to nine after I got rid of the keto flu.. it only took three weeks lol because I didn't know how important salt is. I hope all my friends thank me for how much salt pushing they got so they didn't suffer like me :) I started to feel the brain fog lift and my mind opening. My reserach started with Dr. Fung and it lifted me to search more, and that's when I found you. I remember your TED talk like yesterday, and I watched all your videos, remember those blue pants and seeing your slender body and thought "that lady really preaches what she's knows works". I read your papers too and think of you when I think of keto. I post many videos you've been in in my "keto for Chronic Disease Management" group on facebook and promote health in any way I can think of with my limited energy, as long as it's evidence based. I had this video saved in my to watch folder for a while due to my own health, it comes and goes, and having my old precovid job meant me being upright again more than I can really tolerate every day. My upright time is about 4 hours and I push that every day, in Canada I feel I have fallen through the cracks and even as an RN I have had to fight tooth and nail to get the care I have, and if I don't suggest it, its not offered. No one has time, the patient load is insane and I sympathize, it took my 12 years to get a diagnosis of Hypermobile Ehler's Danlos Syndrome, the very condition I "self-diagnosed" for already 8 years and I know very well and clearly from the research, my head pain very well could be many undesirable things; instability where the spine and head meet, compression of your csf flow, chiari malformation, and a csf leak-- all of which no one was willing to look at due to a plain MRI did not see. It took 12 years to get a contrasted MRI of my head/spine. I begged, the wait is long, now covid. I saw 2 neurologists (1 of which lost his license for sleeping with a TBI patient) and another that didnt know a CSF leak that's chronic was different symptoms than an acute leak. I couldnt be upright for months after he testing me for instability, jamming my skull without asking. I had dysphagia and couldnt swallow or talk well. Couldnt hold my head up, yet I was considered negative. You look at me and my head is actually crooked yet this makes me have "migraines"-- its BS. The stages of grief-- I cannot empathize being a mother, as I had to make the decision to not be a mother, as the most motherly thing I could do is to not instill my Dominant genetic line to any child. It's taken many years to speak of this without grieving; I always wanted children, but I understand when its the right thing to do, and what I'd actually physically have to do to have a child, and the risk of bleeding to have one, medication changes and the pain, the lack of being able to care for the child sealed the deal. I hear your story and I think of all the stages of grief I went through before I reached the ketogenic diet and see how much it helps me every day, and wished so much I had it earlier. I used to preach whole grains while eating low fat processed goods to help increase snacks, all that insulin I pushed. The job changes to ease the pressure on my failing body, being kicked off disability as I wasnt sick enough-- I had no energy to fight it alone. Friends don't understand and stop calling and family not understanding why you dropped off the planet. The decreases in income to fighting back and now working as a disabled nurse! (I teach HCAs now) and although I'm still able to look forward in my life and know I haven't seen anything yet with the changes in my body and how I will need to learn to cope, I know when I keep my diet and mind research focused and also to teach others the way of limiting carbohydrates and processed foods/oils, I can make a difference to many people with my time on earth. Dr. Attia said it best, at some point there is a partitioning in the brain and you have to research what's going on or fall. What scares me the most is not death, but to not have the workers care enough about my hypermobility in my joints to position me well. I worry what it could be like to not have money and live with this condition in unbearable living conditions or having to sell my house. I do everything in my power to ensure the comfort of my future life will be livable and not suffering-- and how long it may take. I'm using time out of my upright hours to share this message because I think it's important that other's know and how we march on. Sarah, your story touched me both personally, and professionally and have been such an inspiration for me. I have no idea if you will get my message, but thank you for pushing on and continuing to step forward each day to light other candles in the world to make the world a little brighter. You certainly have lit my candle
Gosh, seeing Peter tear up at the end was just so overwhelming... this story is truly amazing and I truly believe that this is gonna be really inspiring for many people!!!!
This is an episode which I will never forget for its stark honesty and its proof of the courage and gutsy determination found in the body and soul of one brave mother who is also a dedicated doctor! And thank you Dr Attia for your compassion in guiding your friend and colleague through the telling of her difficult story with unforgettable and touching candor. Both of you have left the rest of us with much to ponder. 💔
So much passion, pain, joy and hope. Blessings to you both and thank you for sharing this incredible story with us. xx
So if dr segfried says the way to kill cancer his way why couldnt she try that,,,,,,would that of helped,,, what a losss
I watched this video for the first time only now, a year after it first aired. It didn't occur to me until well into the discussion about Sarah's brave and tough battle with cancer that the signs were there she wouldn't meet her goal to see her last child graduate and that she probably had already lost her battle. When I discovered this was true, I felt the grief of having lost a loved one. RIP Sarah.
This interview started out great...but the turn into Peter’s interviewing style and the heart wrenching story of Sara...riveting. Prayers to Sara and her family!
Thank you both for sharing such an honest exchange. I am sitting here in stunned silence. You both are inspirational. Sarah you are in my prayers. Peter please continue with outreach. You have a gift for bringing a message of health to the common man.
SARAH, thank you so much for sharing your personal situation. This was without a doubt the most powerful inspiring story that I have had the opportunity to witness in my entire 75 years here on earth. Your son is incredibly insightful. May God continue to bless you now, in this life and forever in the next. Thanks to you Peter as well.
Very moving episode-I lost my husband to cancer so I listened to every word she shared, especially the part about how hard it is to be your own advocate. This is one of the best podcasts I have ever heard. True emotions from both. Sad to lose such a wonderful person.
Rest in peace Sarah Hallberg remember a great human being. From Johannesburg South Africa 🇿🇦
While Dr. Hallberg may respond that she's "okay". From the perspective of others, she is great! Amazing strength, and your continued focus on the diabetes community is appreciated. With love -
These are two of the best!
Same as Tim Gee. She saved my life with her ted talk, her passion and optimism. My doctor, after 3.5 years has taken diabetes off my chart. Thanks to the work and passion of Dr Sarah Hallberg. Amen.
Such a great conversation -- both halves of it. What a warrior. I had no idea she was going through this. Huge respect. She has made and will continue to make a difference in the world.
Sarah has been my inspiration since beginning low carb four years ago after cancer treatment. I am so very happy to see her on the podcast. Much love and prayers ot Sarah - one of our greatest health heros who has done so much for her patients and many others who have met her online.
Wow! I loved Dr. Sarah before I knew about her diagnosis. Love her even more now! Especially since she speaks truth regarding health disparities and inequities. Thank you Dr. Sarah!!! You are super courageous. 👊❤️❤️
Rest In Peace Dr. Hallberg. Thanks for your work and teachings 😢
Thank you both for this incredible story. Dr. Attia, I always learn valuable information from you but this was the best program by far. I am a nurse and have taken advantage of my "privilege" of personal relationships with physicians to get that back door xray or lab test ordered or resulted more quickly. I believe every patient needs a navigator if only to help them understand the system. Dr Hallberg, your bravery to share the raw emotions especially centered around your children is overwhelming. I applaud your fight by any means possible. I'm adding you and your family to my 7 am morning prayer list. God bless you.
What an amazing woman. So glad I listened to this. Appreciate her vulnerability and wish her the best.
Thank you Dr Attia for this interview. I am deeply moved knowing your colleague Dr Hallberg has now passed away. May she rest in peace. May we rejoice in the brilliance of her life. I have much to be grateful to her for. Her ted talk turned to lchf.
Thank you.
Dr Hallberg is amazing!! This was news to me about her illness. What an amazing woman. A tremendous interview. The first part was very interesting and the second part was very touching. Well done Dr Attia and Dr Hallberg.
Thank you both for an extraordinary interview. So much detailed research information on the intricacies of what has been discovered about the biochemistry which influences obesity and metabolic disease. Sarah's sharing of her illness story and the experience of being a cancer patient, a mother and a dedicated professional is an amazing document of what she has lived through and learned. Her burning desire and lived actions to improve the lifetime health of others and transform their experience of healthcare is awe inspiring.
Every time I listen to this podcast. I am overwhelmed by Sarah's courage and her endurance to fight a good fight when life is so so hard. My husband has been diagnosed with aggressive prostate cancer GS of 9. It hit us like a ton of bricks because there were only mild symptoms and no pain.. Now he is facing 24 months of ADT beginning Apr 25, and 6 weeks of radiation in 3 or 4 months. He has a 17 year old son who will need to have his PSA tested regularly the rest of his life. On Jan 19, '23 our lives drastically changed. I pray we have as much fight in us that Sarah has. Blessings over you, Sarah, and thank you for sharing your amazing story.
A very powerful interview. The tenacity and fight in Dr. Hallberg, alongside vulnerability, was both heartwarming / heartwrenching. I wish there had been time for her to first look into the groundbreaking Metabolic Therapy courtesy Dr. Thomas Seyfried before needing to be put under a knife. And then all the rest. RIP Dr. H. Thank you for this interview Peter.
If one of the goals in life should be to leave the best legacy you can, she did. The world will benefit forever from the contributions she made and the standard she set for us all.
I live in Indianapolis not far from Dr. Halberg. I think about her every day since watching this video. She is such a force for good. I saw her in a TED talk 6 years ago and was convinced she was right and following her research. I no longer have diabetes. Thank you Sarah. You are an amazing Dr.
Thank you Sarah for all you have done to help others, and for your unselfishness! R.I.P.
Sarah is just one of the most awesome people on the planet. Thank you to both Sarah and Peter for doing this podcast.
An incredible and heartbreaking story! Thank you for providing us with this life changing information Peter. All the best wishes and hopes to Sarah ! We are all with you in spirit! Keep fighting! xoxo
Dr. Sarah Hallberg deserves a Nobel Prize. I am not sure what to name it except for possibly being Sarah Hallberg...Unique and Original ...yes one of a kind....we all salute you ..
Sarah, I admire you for not only your work-that has changed my life-but for being so open about your family and how cancer has affected each of you. I think you’d like to know that after I failed my first colonoscopy, went Keto, had breast cancer where Taxol took my hair on the first infusion: my last colonoscopy was clear. I feel strongly that both of my cancers-tumorigenic-grew from my long-term elevated insulin (as high as 63) when my A1C had been “normal.” Thank-you so much for your work and that Ted talk. I’ve prayed for you by name since I heard your diagnosis. Now, I’ll add your number “11” to the intentions. You’ve already changed the world, Sarah. 🕊
Lost for words with your dilemmah Sarah. I feel so so moved to imagine how you and your beloved family is handling this. I have followed your education and learnt so much from you, thank you. Now having learnt about your cancer journey and how you managed to get through and is still doing it is sad beyond words. The way you face the world in all this adversity is simply angelic. I hope for a miracle for you. Excellent podcast Peter.
Thank you Sarah , you taught us how to beat diabetes , how to eat healthy foods, & how to face hard times in our lives
I wish you all the best
Sarah, thank you for sharing chapters of your story and I am looking forward to more chapters. You are a true warrior. You are beyond words and I admire your kindness, intelligence, and courage. XO
Dr. Attia, I frankly love listening to your voice. It is soothing and yet innervating at the same time. Your content is amazing and relevant.
Thank you so much Dr. Hallberg & Dr. Attia.
In awe of Sarah Hallberg - will forever remember this conversation as an example of what a super mom is. You are a true example of what awesomeness is. God bless u and best wishes to you and your family. You have set an awesome example for your kids - and you have taught them what it means to live.
The world is much diminished with Dr Hallberg no longer in it - a hugely intelligent compassionate and brave woman. Condolences to her family friends and colleagues. Her significant contributions, insights and legacy will continue. She helped improve so many lives including mine. As she faced her own mortality she continued advocating on behalf of others, so selfless to the very end.
Amazing story of Sarah that needed to be told and should be shared with all who fight back against cancer. I initially watched for her low carb info, but was captivated by her strength.
Dr. Hallberg probably saved my life with her TED talk. I am back in school to begin a new career in health care. I was inspired by her courage and dedication from the very first time I heard her speak. Thanks Sarah!!
Seeing Dr. Hallberg’s videos several years ago is what finally convinced me to follow a low carb diet and I am sure that I would be deep in to T2D, had I not seen her. Prior to seeing her videos, I had not been able to feel comfortable with the concept and it seemed counterintuitive. I will be forever grateful to her for stepping up and putting herself out there to get the message out. I’m so sorry to hear this news and appreciate that she was able to share this. 💔
Excellent presentation.. Deep but not overwhelming. Challenges the status quo.
Thank you Sarah for your time. Wishing you the best of luck with your treatment.
Thank you so much for giving us the words to describe medical situations we are only a little familiar with. Your choices are amazi g and challenge us all to be better informed and as kind as possible. Huge hugs to you both!
Seeing Dr Halbergs Ted talk turned my life around. Realised that the NHS instructions on diet I was being given was what was making me worse. Changed to LCHF & later Keto with intermittent fasting to get my blood readings back into the normal range. Never hungry & weight fell off without effort. Her basic rules like eat when hungry, if says low fat it stays on tbe shelf, simple & effective. She's a hero to so many & probably has no idea of the millions she has helped. Later research also enlightening. Fabulous woman. Thoughts are with you.
I was fortunate to see Dr Hallberg’s TED talk in early 2018 and it is what got me started on the path to improve my metabolic health, reversing Pre-Diabetes, Diabetes and many other issues for me and quite a few members of my extended family. We are So Grateful🙏Thank You Dr Hallburg for your dedication to this platform that you landed on, and sharing your personal journey. You are helping so many people to have the opportunity for better health even while yours has been a challenge. Sending all the best to you and your family ❤️
Thank you for sharing your story Sarah. Your interviews and talks display such a wonderful spirit. You are in my prayers.
I Truly was not ready for this episode . Wish you all the best Dr. Hallberg and amazing work diabetes. God bless!!!
I appreciate Dr. Sarah Hallberg so much and I am heartbroken but I will never give up hope. All of the positive energy here will certainly help.
Thank you Sarah, for being you, and for sharing in such an open and selfless manner.
Peter…. Thanks so very much
for making this difficult yet marvelous interview happen.
May God, truly, bless you both and extend healing to you, Sarah, in every conceivable manner, as well as to your loving family. May all you advocate for continue with power, zeal and success from this day forward in the manner in which it was begun. May it flourish. and multiply in ways that make you proud… and that patients will all receive what you received and had the vision and knowledge to begin. Your remarkable strength, fortitude, and vision empowers and inspires us all. In gratitude to igniting us. may we all give our all to that which we are called to do…. as you have led the way.we follow your example.
Wow, what an incredibly knowledgeable, dedicated, strong and loving human Dr. Hallberg was!
Lots of 💜 to Sarah for being such a strong kind person. Admirable character.
What a powerful episode. Thank you Sarah for sharing your story and your knowledge. I am praying for you and your family.
I know this well and am actively doing my own research for my own advocacy with three kids and an aggressive NHL diagnosis with no cure and a 3-5 year prognosis. My heart felt so deeply as I felt all those same things. I'm a lucky one that the Metabolic Approach to Cancer is working for 3 years now since my diagnosis. I have outlived my Oncologists' prognosis although I have never had conventional treatment and am in perfect health (minus cancer that is staying put via metabolic health.) Thank you Dr. Sarah for bringing to light the metabolic health cascade tumbles many years and decades before disease. It would have saved me had I known but now it can save others. RIP.
Thank you Sara and Peter. Im a retired doc who still tries to be helpful. This has been one of the most important talks I've ever heard. My sister, an AA died of breast cancer in '08. She did not receive optimum care. Thanks for your advocacy.
Courage, determination, and amazing grace . Sarah was a remarkable woman. RIP.
Sarah's TEDx Talk was one of the first videos I had seen and then shared with others. It helped restore my health and I can't thank her enough for this. My thoughts and feelings go out to her and her family.
Sharing such a personal story, which can help so many to gain perspective, takes so much courage! All the very best, Sarah! Thank you Peter for bringing her knowledge and her story to us.