Evidence-Based Prenatal Nutrition | Lily Nichols | Metabolic Link Ep. 25
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- Опубліковано 9 лют 2025
- This week's episode of The Metabolic Link features an eye-opening discussion between Metabolic Health Summit organizer Victoria Field and prenatal nutrition expert Lily Nichols, RDN, CDE. Lily is the author of two bestselling books - Real Food for Pregnancy and Real Food for Gestational Diabetes. Her work focuses on evidence-based, critical analysis of conventional pregnancy nutrition recommendations.
In this episode, we cover:
-Evaluating macronutrient needs in pregnancy, including research suggesting carbohydrate intake recommendations may be set too high, and protein intake targets too low
-The use of nutritional ketosis in pregnancy
-The latest research on preventing gestational diabetes and preeclampsia through diet
-How to eat for a healthy postpartum recovery - it's about way more than breastfeeding!
-The fascinating science of how prenatal nutrition impacts gene expression in babies
-Lily shares paradigm-shifting insights from her clinical experience and extensive research. Her balanced approach debunks outdated advice while offering practical solutions. Expect an illuminating conversation that will change how you think about nourishing yourself and your future baby!
Don't miss Lily's talk at the Metabolic Health Summit 2024 in Clearwater Beach, Florida! Register now before spots sell out at metabolichealt....
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Thanks for listening! Follow us on social media @metabolichealthsummit for the latest science on metabolic health and therapy. Please keep in mind: The Metabolic Link does not provide medical or health advice, but rather general information that does not serve as a substitute for a licensed healthcare professional. Never delay in seeking medical advice from an appropriately licensed medical provider for any health condition that you may have.
@17.42 this is what i found. For the last 3 weeks i have switched to low carb with the help of Lily's book and i have noticed every day in the morning even after i have had a coffee with milk and full fat cream, im in ketosis. When i dabbled with carnivore before it took about 3 days to hit ketosis.
I have also lowered my BP amd reduced protein in my urine and am now 1lb lighter (fluid probably) than i was 3 weeks ago. Im 31 weeks.
Thanks Lily
Having now read several books referencing ADHD, Autism etc on the increase, and the proven links to prenatal malnutrition and moms consumption of highly processed foods and excess carbohydrates...this is essential information that all moms to be should at least be made aware of. Thanks to Lily Nichols...another book will soon be in my library. Thank you both for an enlightening interview! I will share.
I eat a lowish carb (not keto) diet, definitely sub 150g and failed my 1hr test. My OB wasn't worried when I wanted to do blood sugar testing instead of the 3hr test because she said I passed the first trimester a1c screening, she thought I would pass the 3hr. Low and behold I was spiking regularly if I ate ANYTHING with grains or starch even at low levels of intake and had ever increasing fasting blood sugars but not until after 30 weeks. In hindsight I had late onset GD in my first pregnancy which seems obvious now w/ my 2 week early 9.5lb baby w/ all the measurement red flags of GD. I was following a low carb diet then too and trying to hit 120g of protein a day and limiting to one processed "carb" serving like toast or small amount of pasta per day. Of course now that I'm dx my GD counselor pushed 175g carb low fat diet which I tried for a couple of weeks (with terrible results) before finding Lily's book and interviews. I've gone back to my old low carb way of eating plus very careful restriction of grains and starch (which normally I eat fair amount of winter squash) and I still need overnight insulin for fasting blood sugars but my daily sugars are great. I also feel WAY better than I did in my first pregnancy with so much less swelling and no blood pressure issues still going late into the 3rd trimester. I think it's important for people to know you CAN get GD if you eat low carb and that late onset GD is not that uncommon but almost always missed. Considering the availability of CGM it seems silly we don't have a better way of screening considering how negative the outcomes for uncontrolled sugars can be.
I don't think ketosis is a 'backup mechanism'. I think ketosis is our normal and preferred state of metabolism, and we drop out of ketosis when we overload our bodies with carbohydrates because elevated glucose levels are toxic and that's why our bodies will burn the surplus glucose or convert it into fat with priority. As a side note, it has been established that the placenta can produce ketones for the fetus. Why would it do that if it would not be essential for fetal development?
Right! If carbohydrates were our first choice, we wouldn't have to cultivate plants and breed them for thousands of years to make them edible. We wouldn't have to import plants to us from all over the world in order to have a year-round supply of carbohydrates.
Do we take prenatal vitamins plus keto diet?
Me not even pregnant planning how I will do my postpartum😅😅😅 and wondering who will be there for me and wanting my mother-in-law but not my mother
Hi Dr I need your advise please. do you recommend i should go on a carnive diet for my next pregnancy? i lost 2 children both during complications in pregnancies primiriliary placenta issues. My first child died at 35 weeks, second pregnancy conceived after 8 months of c section and I had a scar pregnancy resulting in uterine rapture at 18 week. my uterus is repaired but no medical abnormalities seen in uterus. can carvnive diet help to reduce those complications? looking for you answe rplease
I would check medical medium information and you will deliver a healthy baby - I did!
Makes me so mad they all go off of what they're told and not evidence
We need all the 90 nutrients for health. Phama control the information .
Oh my gosh a gallon of orange juice a day
We don’t see gestational diabetes in vegans that eat low fat … interesting 🧐
« Ancestral nutrition « comes from observing a few populations at some point of a human history… we don’t know what ancestors really were supposed to eat…
High carb approach works wonderfully well too - it just needs to be real foods!