Key Points 1. **Dietary Spectrum:** - Contrasts high-carb/low-fat with low-carb/high-fat diets, both beneficial. - Western diet, combining high carbs and fats, is seen as harmful. 2. **Insulin Resistance:** - Linked to obesity but can affect non-obese individuals too. - Influenced by body composition, exercise, and inflammation from excess fat. 3. **Role of Exercise:** - Exercise boosts insulin sensitivity, lasting hours to days. - Muscle engagement is more critical than muscle mass for managing insulin resistance. 4. **Mechanisms of Insulin Resistance:** - Inflammation from excess fat hinders insulin signaling, reducing glucose uptake. - Insulin resistance mechanisms involve glucose metabolism and liver function. 5. **Complexities of Carbohydrates:** - Carbs aren't inherently bad; reducing them can help insulin resistance but can benefit athletes in specific contexts. 6. **Diabetes Context:** - Type 1 diabetes insights reveal glucose variability impacts microvascular and macrovascular health. 7. **Individualized Nutrition:** - Emphasizes personalized dietary approaches; responses to diets vary due to genetics, lifestyle, and health. 8. **Research and Evidence:** - Stresses the need for evidence-based nutrition, recognizing individualized solutions. **Conclusion:** - Highlights the multifactorial nature of insulin resistance and metabolic health. - Advocates personalized diets and physical activity over one-size-fits-all approaches.
Insulin resistance means your nocturnal insulin levels will tend to be high, often between about 10:00 pm and 2:00 am when you are supposed to get your natural peak of growth hormone. Insulin blocks the release of growth hormone. So people with insulin resistance do not get the natural healing of microtrauma on a day to day basis, and as a result they get a chronic elevation of counterregulatory hormones like cortisol and adrenaline, plus uric acid that is often liberated by stress hormones. These two hormones + uric acid make you need even more fasting insulin blocking nocturnal HGH. It's a positive feedback syndrome where insulin resistance raises insulin resistance. There are 3 main mechanisms of insulin resistance. 1) Basically blood and liver triglycerides reducing the ability of insulin to keep the liver from releasing glucose and blocking the movement of glucose into liver and muscles, 2) Overexposure to insulin which downregulates insulin receptors and 3) Excessive counterregulatory hormone release. #3, resulting from chronic inflammation causes #1 and #2.
So I'm active, healthy, and work out. Eat one ingredient foods, (chicken, beef brocoli and sweet potatoes. Occasional quinoa with good butter.) But I stay at around 5.7 a1c. Feel drained, sensitivity issues, storing water for seemingly no reason, stomach swells, constipated, thirsty all the time, urinate ALOT but in spurts.) What could I do to rectify this? I've been to normal drs. Functional drs. So on. I'm not getting anywhere. Tried to out me on metformin, and it turned my stool white. So stopped. Took berberine and that helped with dizziness and sweats I would have. Eat zero sugar now except honey in coffee. Please, any real applicable advice here would be greatly appreciated. I'm 39yo.
Just played in a golf tournament with 56 guys. They literally called me- unicorn. Because im 6'2, 200 pounds and in decent shape. Plus i wasn't drinking alcohol. Mostly guys in their 40's-50's. It was really sad to see 99% of them were definitely pre diabetic. Or on their way. Its become the norm. I need Thomas & his guests to make me feel normal. 💙
I was nearly there so feel ok responding. When the Doc said the A1C was prediabetic at 47 YO it freaked me out. Worked through that issue with keto and now vegetarian for 18 months with fish occasionally to get to and ideal 165-170 lb (5'10"). This journey and knowledge gain makes it really hard to look at one's peer group or even family in my case and *not* see the unhealthy metabolism all around us. Unless you're in Boulder CO or other healthy areas of the country, 24-25 BMI people kind of stand out. Not as much in my 50+ YO surfer cohort LOL.
i hear you! I am a 50 year old woman and in better shape than most of my friends even ones in their 30s! I fast for 14-16hrs, increase my protein and exercise 5x a week, All my fiends tell me how great I look but none want to hear about my knowledge or research though, I worry I will be spending retirement with a lot less healthy friends!! Sad! Oh and I also drink alcohol, eat cheese and eat sweets! I'm living a Happy Life!
I'm 48, 5'11" and just under 170 pounds usually. Probably around 18 percent bodyfat. I work in law enforcement and I'm probably the strongest out of the people I work with. Some of those guys are over 300 pounds and I can outlift them.
Oh yeah. I was asked months ago; do you take medicine? I replied ; no. The Doctors assistant was shocked . Apparently, it’s a common thing to be on a list(s) of medicine(ssss)
All of these videos are meant for people that sit on a couch all day, office work or work from home. I’m a field mechanic, I’m always outside in the sun working on machines out on construction sites. I get my steps, I get my sun, I get my workout at work five times per week. All I worry about is not eating junk food. All of my markers are perfect. I feel bad for people that work indoors sedentary jobs. Money may be better but maintaining good health must be a full time job on itself.
This was also the norm for everyone for thousands of years of human history. This sedentary indoor lifestyle is new. On top of that, we have access to more food, enriched with glucose, than any point in human history. Again, for thousands of years of human history, we'd go days sometimes without eating much of anything. This allowed the body to burn efficiently through the energy reserves in the liver and tissue. Instead, today, it just accumulates more and more until the organs and systems of the body eventually fail. TLDR; Move more, eat less.
yes and no. You can never out train or balance anything if you're eating a lot of sugar/processed stuff. Junk food avoidance is key but also sugars in general, deep fried stuff and most importantly vegetable oils.
@@marwanak10 agreed on most points on processed foods, over eating and throwing in some intermittent fasting. But these influencers that demonize vegetable oils and "carbs" are not as accurate IMHO. Unsaturated Canola oil is so much better than saturated fat butter for example. The key IMO is not overeating for one's energy level. Make sure carbs are whole food with plenty of fiber (this limits sugar to fruit practically). Limit saturated fat. And fat overall to < 20-30% of calories. And enough protein.
Amin brother 💪 UPS delivery driver with 10k steps daily and 4 resistance training per week! Healthy as hell working on the sun, rain, hot, cold and so on! Always clean air too 😃 I can stop this work at anytime as I have other incomes but keep it exactly for those reasons 😃
@@RobCGilliam You're right about carbs, however regarding vegetable oils it's not just influencers, many doctors say the same things, and honestly things do add up when you look at what companies are doing to produce and sell it. At some point I used to eat out daily and even though I'd go for healthier restaurants these are the oils restaurants use, I used to feel tired constantly. When I started cooking with avocado oil and butter my energy levels and mind clarity improved a lot. Could be just an anecdote. If you can open this link check it out /watch?v=NtRXLGp5jDY Cheers
It’s crazy the amount of ppl that will spend hours on hours with Tic Toc, but when it comes to something actually productive and informative like this channel and many others out there; complain about their situation whatever it may be, don’t have any care to watch stuff like this that will truly help them achieve their goals.
Ikr..I'm always talking about this stuff and try to inform people about the horrible food we are consuming but nobody wants to hear it. They just want to run to the Dr for pills. I don't get it. 🤷🏻♀️
I totally agree. I've tried to get people who complain about XYZ condition to watch UA-cam for their complaints but they won't. In the meantime they're watching stupid stuff and foolishly thinking and hoping their doctors will help them. I wonder why they refuse to help the doctor help them by trying to understand how their bodies works because their doctors can't explain it to them in a ten minutes doctor visits.
Thus routine help me lost weight and become healthy at 38 I eat literally everything from scratch and just seasonal fruits. High protein and well balance diet to support my muscle. And at 38 I am more muscular back when I was 20. Also I lost 30 kg of weight without even counting calories. My food list. Fasting 1st meal is around 1 pm to 2pm 6 eggs Saurkraurt Beetroots Salads Sweet potato Olives Pickled cucumber. Literally my plates is full for 2 persons Then next Frozen fruits, 3 kiwis One banana Greek full fat yoghurt Kefir Cinnamon powder and honey, (Big bowl) Then last meal around 6pm Steak 300g Avocado, Salads Sauerkraut Beetroots Then 90% dark chocolate. Pretty much this is my routine and made me muscular and felt so much better.
Looks delish! The beets probably help a lot with your athletic performance thanks to the nitric oxide! They are also great for the brain thanks to the anthocyanins.
@@adamczer7017 Is it. I'm literally full of energy. My family think I took steroids or any enhancing drugs lol. I been going gym but never focus on my nutrition this year alone the whole foods give me so much energy that I can spends 3 hours in gym and still have lots of energy. Amazing what whole foods and taking away ultra processed foods does to your body. Also forgot to mentioned my gout is gone and medications as well.
So glad my functional medicine doctor prescribed me a CGM at a fasting glucose of 88. It used to be between 70-80 when I wore my CGM years ago. Then I had gotten up to 99 and mainstream doctor said oh you’re fine. Now that I have my CGM my baseline is horrific. So glad I can see it now and get it under control. I refuse to be a part of this generational condition. Screw that!
the so called mainstream doctors are incredibly sad. they are ignorant and often arrogant (which just makes them continue being ignorant). my primary doc said as long as the avergage is under 130 it's fine. and that's completely ridiculous. another internal medicines doctor I saw never even heard of the HOMA-IR test which actually tests your insulin resistance and that's yet a deeper analysis of how your body uses insulin. and he had no desire to even find out. when people say "doctors are smart people" I just laugh. most of them are the opposite.
I am not as chiseled as Thomas, but as a woman in my late 40's who exercises every day, is lean (same weight as when I was in university, but with more lean mass and lower fat because I stopped running long distances and now walk everywhere with a load and do resistance training) I could relate to his HbA1c question. Over the last 2 decades, my diet has become higher fat and lower carb. My fat is mostly from whole foods (primarily nuts and seeds but also eggs, dairy, and fish). I too was surprised to see that despite having very low fasting blood glucose and triglycerides, my HbA1c had gone up to 5.4 as well (from 4.7). As had my total cholesterol (not in the levels of the lean mass hyper-responder - but high enough for it to get flagged). When I added back some more carbs (via whole grains, popcorn and more beans), both these values lowered. My hypothesis is that these biochemical changes occur because the body gets fat adapted to fuel our active lifestyle - which includes the changes in serum lipids for fat transport as well as increased gluconeogenesis (i.e. the production of sugar) to fuel our active lifestyle.
I wonder if the exercise was causing cortisol to rise. I’ve learned it matters what level and length of exercise you’re doing, when it comes to needing carbs or not. Not sure of the exact interplay of your body needed carbs, not getting them, so stress response, more cortisol.
@@melissaclark7141 Uh...they did not even mention a rise in cortisol. They said...higher HBA1C (glucose), and higher cholesterol. (Nothing about cortisol).
@@pattersonellen No - I suggest you look up "lean mass hyper-responder" - specifically, some lean people who are active and who eat a high fat (doesn't seem to matter whether it is animal or plant fats) and low carb see a dramatic increase in LDL (and thus total) cholesterol. Those who are more extreme seem to have scary high LDL levels - and there is now research being done to determine what if any negative consequences these people have for their high LDL. Introducing carbs back into the diet totally reverses this phenomenon. There are a number of hypotheses (including lipid transport) that have been proposed to account for this phenomenon.
I got type 2 diabetes while being active duty Army, while struggling to keep up with all of the physical requirements, after having a baby, eating less than I should have while breast feeding. Also dealing with a bad back, from a fall which also resulted in a torn ligament and bum knee, a broken neck which years later had to be replaced and torn ligaments and connective tissue there. I Still did the pushups, sit ups and running. My grandfather died from Type 2 diabetes but not until his late 50s. I am now 67 so, not bad for having better health care solutions than they had back then. Sometimes the genetics kicks in so we do need to be careful about blaming the victim. Later on I tried keto and had difficulty with focus and driving safely. I now carry sugar packets for dizzy spells. I only eat meals after my sugar levels reach fasting and have gotten my weight back down again. Often we have to keep trying until we find what combination works given what we are dealing with. Your advice about drinking too much water interferes with the body breaking down fat also was huge. Not balancing meals choose carbs OR protein plus fats not both. Being a scientist your mega study approach is something I relate to so thank you. I miss being able to exercise more. Walking my dog is huge in my life. I try to focus on what I still Can do not on what I have lost. My grandchildren now help me walk my new puppy given to me by my son that little baby from years back.
Have you tried ... Cr (chromium) supplements -- known as "glucose tolerance factor" .. for longer term. For immediate help -- ACV 1-2 tsp in 250 ml warm water: sip slowly. Also, drinking plain, unsweetened, uncoloured etc carbonated water, also helps - changes carbon/oxygen ratio in lung cells with knock-on effects ...
The problem with a western diet is NOT that it is an even mix of carbs and fats. A medium carb diet is probably optimal as long as you get your macros from healthy whole food sources.
That first ten second!!!! How I live my life and what I explain to people whenever they ask me - how do you do 300g of carbs a day and are so lean? this man knows his stuff!
I can confirm what this man said. Consistency wins. My fasting insulin drops from 4.3 to 1.2 within 4 months of zone 2 155 min/week, walk after meals and 15 min of dumbbells every other day (some yoga and deep breathing, too).
c-peptide has a longer half life than insulin and that should be measured at the same time as insulin. Having a low fasting insulin reading alone, and being fit, and lean, doesn't mean that the patient is in great health, or is avoiding a prediabetic condition. I think 1.2 is too low. 4.3 was already slightly below the average for the population. Blood sugar is complex and multifactorial. I do about four times what you had mentioned for exercise and had a 2.9. My liver makes glucose a bit more enthusiastically then I would like. The call to send more insulin doesn't come until I eat again and get a blood sugar spike.
@dan-qe1tb appreciate the feedback but I listen to Dr Lustig. In a video w Dr. Casey Means, he said if you are vertical and fasting insulin below 2 and above 0, which is marathoner equivalent, you're terrific! My 4 other biomarkers are metabolicaly healthy so I'm good.
Everyone is genetically, biologically, physiologically unique. My belief for more optimal health for myself is to eat whole foods that preferably are minimally processed and base my diet on what causes me to feel optimally. I know that I must exercise regularly, which I’m doing yet. When I can, I will further my health goals by consulting with and adjusting my diet and lifestyle coached by well informed and experienced practitioner.
I have a liver function test every 3 months because I take methotrexate for rheumatoid arthritis. I generally eat a relatively low carb diet, but since May, I've been doing intermittent fasting and have been more vigilant with my carbs. I need to lose around 100lb. I eat full fat versions of things such a cottage cheese, Greek yoghurt, pork loin steaks with the fat on, lamb leg steaks with the fat on. I compared my liver function tests from June to one I had yesterday. You'd think with all that protein and fat, things like my serum alanine aminotransferase level and AST serum level would go up...they came down (17 down to 11 and 19 down to 15 iu/L respectively) - Normal reference range 0 to 33 and 0 to 32 - in the UK anyway. I don't have problems with my cholesterol either Total = 5.3mmol/L, HDL = 1.73mmol/L, LDL = 3.6mmol/L, triglycerides = 1.2mmol/L. I think it's fascinating how the body processes different combinations of foods.
Yes! Dietary context matters so much, I prefer high protein and high fat, it has helped me immensely 💕 my health markers are also very great too and I eat it as nature intended, full fat dairy and fatty meat without trimming
Great interview. Thank you. I am 45 years old. I started my health journey at 10 years old due to illness and obesity. Even 15 years ago it appeared to be that type 2 diabetes prevention was about utilisation and keeping your carbohydrates, fats and proteins below utilisation, even though obviously the mechanisms were less understood back then. Additionally it is difficult to quantify what is below utilisation, but keeping health markers in check, eating at maintenance or calorie deficit on average will allow one to be below utilisation (this is a very generalised). My personal observations with HCLF and LCHF diets is when people transition from HCHF they tend to eat in a calorie deficit ad lib, which leads to weight loss, improved health markers and for many people reversal of type 2 diabetes. As described a HCHF diet tends to be more calorie dense and it's not the combination of macros that is the problem as such but the excess of calories and reduction of the nutrient calorie ration of these types of foods that are the problem.
Yes! I was missing exactly that in this conversation. Although a nice discussion, the main point to mention the calories surplus was missed. Thomas tried to hint in this direction, but his guest seems is not a fan of the simple CICO approach. If you are LCHF and then you increase the carbs without lowering in parallel the fat, then you just go into surplus. And the same for LFHC. So, if you eat a balanced and healthy diet and you are in your calorie range, then I cannot see how just changing the macro nutrients can cause metabolic problems. Actually, from personal experience, I had the most success and metabolic effect by learning to eat a balanced diet and in my case in a deficit so I can loose weight.
@@Bibush04 Yes! Completely agree. You cannot exceed utilisation in a deficit and you will always exceed utilisation of either carbohydrates, fats or proteins if you are in a surplus. It is an a problems of EXCESS no matter how you want to approach it. Likewise a balance whole food diet works best for me. I like to describe my diet as MediterrAsian. As much as any vegan or carnivore want to argue that there is something “magic” about the diet that improves health markers and produces weight loss, it’s just some form of restriction leading to a calorie deficit. There are lots of factors that effect calories in and calories out, but the fact is if you have lost weight you must have been in a calorie deficit and if you gained weight you must have been in a calorie surplus and this is fundamental.
@@nicktheodorou3474 Completely agree except that a vegetarian diet is sustainable given the many cultures that have proven this over history. For most, it is more likely than not that a carnivore diet is not sustainable for longevity.
@@RobCGilliam We will have to see how the carnivore diet affects people long term in regards to longevity, but I would rather take a more balanced approach that includes a large amount of vegetables, fruit, legumes, nuts, rice and oats.
@@nicktheodorou3474 Common sense goes a long long way. Certainly some things are not how they seem, but most of the time it is. Eating just meat is weird. Eating diverse just make sense. There are literally only a handful of foods with one diet and hundreds if not thousands of kinds of food with the other.
Many Thanks for this video, as it helps me with understanding my problem of excess VAT. I did have to chuckle when your guest illustrated his point by saying “historically speaking; in case you needed to run from a dinosaur” That covers a lot of ground, since there’s so much (unwritten) history from the demise of dinosaurs and the emergence of H. Sapiens. In case you want to suggest to your guest to adjust time scales for congruence, lol Thanks Again!
The super high carb diet of elite cyclists and ultra runners does eventually catch up with them as they're likely cooking inside looking how relatively old retired athletes look. Notice this in the Netflix doccie with the Tour de France team managers who are almost all former cyclists.
Yes it seems like generally high carb diets don’t provide as much nutrition as high protein and/ or fat. It may give lots of fuel for a young body but eventually there are probably going to be some vitamin and mineral deficiencies, especially in serious athletes. I’d expect that to catch up with them
There are also other diseases that cause insulin resistance which then turns into Diabetes, even though the person isn’t necessarily genetically diabetic. Just ask any woman who has battled PCOS their whole life. They aren’t diabetics BUT the disease causes differences in insulin response that we call “diabetes”. Treat the disease (PCOS) and you can help the individual … treat them as diabetics and you are only treating the insulin resistance as a symptom, but the other issues of the disease go untreated.
Extremely insightful. This is a huge warning. Low carb may not be the way to go. As a recently diagnosed T2D, I wanted to lose weight as quickly as possible, so I cut out all "white" carbs, bread, rice, pasta, and all flour based products such as pizza, etc, etc from my diet. It kept me lethargic, tired, sleepy, not very comfortable. I was eating lots of nuts also. So sort of higher fat, low carb - definitely NOT tons of fat. But the moment I cut out the nuts, and introduced small amounts of carbs, like a little rice, I've felt better. More energy. Still do not fully understand why? But with a lowish fat and lowish carb, which is NOT extremely low in either fats or carbs, but also has about 35 to 40% of my plate as non starchy vegetables, I feel great. So my diet is 40% non starchy vegetables, 25% carbs, 25% protein, 10% fats, in my estimate. This seems to work for me, and cause me to : feel full, not get hungry for a few hours after each meal, although I do get hungry about 4 to 6 hours after each meal.. My appetite now is great, look forward to eating each meal, but do not think I overeat. This video is revelatory. Fantastic, so there is no one size fits all, and it also explains why some T2D who have become extremely fat adapted, no longer respond well to carbs, cos their body has "lost" its ability to process carbs. I think what would be best is to have variability. A body that can easily switch from one source to another, depending on what's available. Huge puzzle fo rme - normally fried eggs - fried in extra virgin olive oil, sends me to sleep. But I had eggs today - boiled and did not feel sleepy afterwards. - Still trying to figure out what is about.
Dr Jason Fung, Canadian nephrologist [ The Obesity Code etc ]... explains this situation ... his case studies suggest the best approach is variability of eating pattern -- mix it up; food type, timing ,etc ... keeps it interesting ..
This guy is nice, but he doesn't go into much detail. What I love about Ben Bikman is that he explains the concept of a fat threshold-how people can develop insulin resistance or metabolic issues even at lower weights. While both low-fat and low-carb approaches can work, I've personally found that low-carb, whole foods are transformative. It’s how food naturally exists, unprocessed. On the other hand, low-fat foods often require so much processing, unless you’re following a vegan diet, and that can be pretty off-putting.
Makes sense why A1C is higher on low carb diet; you're not stimulating insulin (which lowers your glucose) so your glucose will be higher than if you have lots of over-production of insulin. When I was extremely unhealthy with fasting insulin of 56 I had an A1C of 5.2! Now on low carb (almost carnivore) for 5 years, I'm only able to get a 5.5 A1C! But my insulin is not high to keep it there!
my dad got type 1 diabetes at 30 years old. he was thin, active and didn't eat any junk food. he was a juicer and always on the quest for a Whole Foods diet. He died at 72. Lived a life of injecting himself every day - he went blind in his 60s. He died before the invention of the glucose monitor on your arm. He always had a hard time getting the blood off his finger being blind :(. He did nothing wrong - no idea how he got it - it doesn't run in our family. He did drink raw tupelo honey and juiced a lot before he got diabetes. No idea if that brought it on sooner.
T1 is an immune disorder. You're born with it. It can stay dormant to any point in your life. He didn't do anything wrong. You can also be a book "perfect diabetic" taking care of your health and still have uncomfortable highs or lows. T1 does what it wants when it wants
plenty of people becoming type 1 diabetics after having caught the 2019 virus, anything that destroys the pancreas will cause it, and immune responses to viral infections can do it. it could have been a case like that with your father.
I am hearing that insulin resistance is caused by seed oils because every cell has a membrane made of fatty acids and if the cells are using seed oil it messes up the cells ability to get nutrients inside the cell. It can cause insulin resistance and all sorts of disease states and toxins 7 waste buildup in the cell and tissues. We get inflamation from the cell disfunction and the toxins that can't be cleared readily. So a high saturated fat diet helps to repair the cell membranes & reduce inflamation but for weight loss, convert to lower fat and higher protien is key. Also reducing dairy can help weight reisitance.
No, that's wrong. It's animal fats that cause insulin resistance and red meats that cause inflammation, much to the chagrin of the standard carni quack trio.
Is exactly what happened to me. I started eating lots of sunflower seeds and developed stomach inflamation and was putting weight as well. I eat healthy and exercise but didn't understand why I was putting weight thinking seeds are healthy. So practically now I developed insulin resistance.
I removed all sweeteners including sugar, honey, all fruit and greens and all carbs, from bread to pasta. For 18 months plus now I only eat meat, eggs, dairy or other animal by products and I still struggle to keep my weight under control. I do get significant carbs from the milk I drink. I only consume the highest quality
this guest is easily the best sleeping medication on the market that said the interview after first 5 minutes or so gets more interesting and pts are distilled, simplified and made more digestible IMO only Thank you. WOuld recommend that both speakers slow down and not swallow as many words as if nervous and on a constant time clock. Its effeminate and unnecessary and its unflattering.
We found in working with the International Center for Medical Nutritional Intervention, formerly Paleomedicina, that the “physiological” increased glucose levels in the blood do not happen on a carnivore diet unless one is over eating protein. I’ve seen a lot of videos from the carnivore community talking about this physiological increase in glucose levels and have personally observed that on a carnivore diet, which you would think of as low carb. Keep in mind that protein does break down into carbohydrates somewhat, and it does increase insulin somewhat. Once we adjusted our protein intake down to the correct level, the glucose levels went back to normal. I’ve never seen anyone else on UA-cam talking about this.
Fat has more than 2 x energy compared to protein. A fat steak or bacon, for example has more grams of fat than protein. Not hard to keep proteins moderate if you consume fat.
Someone who is in good shape and has a good healthy diet is also very metabolicly diverse, meaning that these people can switch fairly easily between fat burning or glucose burning. The way it looks is like theperson can eat higher levels of carbs which is certainly true in the short game. The context of what you two were talking about, especially for type 1 diabetis is most recently known as LMHR or lean mass hyper responders by a few metobolic scientist/researchers. It is hard to conceptualize this from a blood glucose perspective or a glucose centric testing model using A1c CGM glucose readings on a daily basis, which for type 1 is essential, as you know for one simple reason which is thattype 1 and LMHR have lower base levels of insulin in their body than the average person. And as we know in type 1 insulin levels are regulated mostly dependant on what is ingested, how much physical activity, and how much insulin in injected into the body So when you switch to a more insulin centric model, it starts to make so much more sense. As a type 2, glucose levels are at that point out of control and markers are very evident. But what about the twenty or so years prior to that when glucose levels seemed pretty normal or slightly higher than normal and your doctor is telling you not to worry, when in fact your insulin levels have been rising for many years and you are now overweight or obese, which should have been the first markers to look at for metobolic health, or now what we know is insulin resistence. So doctors that give type 2 insulin 45:43 shots, don't understand the nature or difference between the two and are actually killing their patients quicker. My doctor did not even think to do a fasting insulin test until I insisted on it. Glad to say that I know much more about my bloodwork results than most doctors. This by necessity, many years of research, finding the right set of doctors, metobolic scientist, researchers, etc, which you guys are a part of. Sorry for the long response but knowing more about the LMHR on a cellular metobolic perspective demystifies the conversation and you can see it is still a normal function of metobolic health and actually a good position to be in when managed approprietly. Enjoy it while you can!
Love this channel but may I be bold enough to say that this conversation is way over most viewers head. Can you talk to me like a 5th grader or at least high school
And actually get to the actual topic of the video. (How to Reduce Abdominal Fat.) I honestly don't care HOW insulin resistance works or is working in the body (biologically); just how do I not become insulin resistant, and how do I reduce abdominal fat?
Thanks for a fantastic interview. So,if your fasting glucose and insulin is low but HBA1C was at 5.2? Resistance training 4x a week, HIIT 3X a week and a generally active (22,000) steps a day 47 year old woman.
Find what works best for you and stick with it. High fat, low carbs, and moderate protein. High carb, low fat mod protein. High protein, low fat, low carbs.... Do not mix carbs and fats in large quantities and if you are going to transition, do so slowly.
I was hoping you'd talk about mitochondrial disfunction being the cause while insulin resistance and type 2 diabetes is a symptom of that. Pathological vs. physiological insulin resistance is still the same drivers through different mechanisms. Both are produced by stress hormones, even in ketosis you see an increase in glucagon cortisol and adrenaline. This causes damage either way to the mitochondrial function just different severities. Pathological being the worse out of the two, but physiological still not being optimal for majority of humans even tho it may help being an elimination diet it's not optimal and doesn't signal abundance but scarcity. Whereas Pathological isn't abundance either but damage through ultra processed foods such as seed oils and more. The solution? Eat an organic whole food diet with a balance of healthy carbs, fats, and protein like we've done throughout evolution before we migrated away from tropical climates.
Iron overload may be causal or contributing to fatty liver, inflammation, insulin resistance, metabolic disfunction and diabetes and is often overlooked as a root cause or contributor.
It seems that the processing of the American diet following the money shows a lot of the theory. Then seeing the skewing of information sets up a huge impass to finding actual truths. I don't know if you have heard of Professor Tim Hoakes but his scientic findings and research are likely the most cutting edge of things out there. He has been thrashed by big farm-eh and most of the university connection to the money paths, that should tell you something! Just a thought! Enjoyed the conversation. Thanks, Dave
I’ve noticed everyone using fancy words that in my opinion is not helping the average person from changing their diet. Just use the word fat instead of adipose tissue etc!
Thanks for the video. A question: what does it mean "high carb and high fat don't go well together"? Is it in the same meal? On the same day? Same week?
Same meal or snack. Both carbs and fats are fuel. Anytime you eat lots of carbs and fats together you are giving your body too much fuel, and the extra will be deposited into fat cells. To avoid over-fueling, you can have a moderate to high carb and low fat meal/snack or a medium to high fat and low carb meal/snack.
I worked out too hard yesterday and had lots of inflammation. I had trouble sleeping last night fron the sore joints. I took some ibuprofen to reduce the inflammation and it helped me sleep. Is ibuprofen ok to take for this? Is there something better or should I reduce the intensity of my workouts to avoid the inflammation altogether?
Good show my dad is not heavy (lives on sugar) he just takes another pill 💊💊 for his diabetes !! Thomas you seem to be the first person to present new information. Can you look into the problem with iron and how eating it with certain foods inhibit the absorption . Could not understand why I I'm always low in iron (almost anemic ) but I eat plenty of meat and vegetables rich in iron . But I'm eating them with the wrong foods !! Please look into this . Thank you once again good show 😊😊
@@eddiegrant58 thank you for that information, I did read that eating foods with vitamin a and c help with iron absorption so I'm eating a big kale salad with kimchi n dulce seaweed with my steak and black lentil beans .
I'm having problem with the term fat, are you referring seed oils (which I believe it shouldn't be in our diet at all) coconut, avocados and olive oils ( which I also not a big fan because it needs to be processed, the only fat found in nature is animal fats.
I am 64 I have had problems with hypoglycemia since I was 19 Gain weight very easily I can lose it if I’m extremely active or keto diet seems to work with not too many fats but even if I get down to a healthy weight say 132 being 5 feet seven I very easily and quickly quickly can put on 10 to 20 pounds in six months. And have to start over and I’m not talking about over eating. I just can’t seem to find what works for me and eating mostly proteins is just not sustainable for me financially I don’t switch to High or high carb diet and I don’t switch to a super refined diet now I know this sounds like I need to talk to her or dietitian but all they say is well you are insulin resistant. if I’m over 190 pounds I have been technically a diabetic. I would like someone maybe some specialist you can talk about how to find a diet that works for you in a more normal range of eating. I have also done strictly vegan, but that caused a lot of other health issues for me
As always, the guests have some really great information and allow us to gain a greater understanding of important physiological functions. My issue though is that Thomas click-baits so many of his video titles with the words "Abdominal Fat." Seriously, if there is not going to be any content related to actually reducing abdominal fat then don't put it in the title. You are doing a disservice to your audience for the sake of clicks. Did they speak of abdominal fat in the video? Perhaps, but only in a cursory manner when most of the discussions were about body fat in general. There was no information at all on "HOW" to reduce abdominal fat. Please stop baiting us and use less deceptive titles just to chase the algorithm.
Exactly. A lot of these one on one guest videos seem to basically be a platform for his guests to try and impress viewers with how many big words, or how much scientific techno babble they can spew out without getting to the actual promoted point of the video. A rare exception was Dr. Mike Israetel who was very good.
@misanthrope_01 What has that got to do with the validity of my comment? Was anything I said not true? Or the original poster? The video title clearly states, "HOW TO REDUCE ABDOMINAL FAT..." and there was not ONE SINGLE, CLEAR, DIRECT, DEFINITIVE thing said, or mentioned on HOW TO REDUCE ABDOMINAL FAT. NOT ONE WORD. So the fact that I have zero followers, or don't have a podcast, or any other diss you threw my way has absolutely no bearing whatsoever on the fact that what I said was true. I didn't say what his guest said wasn't true, or that it wasn't impressive, or that he's not very intelligent in his field; but rather just reiterated the fact that the title of the video was very misleading. Basically Bait & Switch. I've been a fan & follower of Thomas's channel & groups for over 6 years, he has helped me lose nearly 200 lbs, reverse my Insulin Resistance and T2 Diabetes, but that doesn't mean we can't offer some CONSTRUCTIVE CRITICISM once in a while if it's warranted and deserved. TRUE FANS AND SUPPORTERS DO NOT JUST BLINDLY ALWAYS AGREE WITH EVERYTHING NO MATTER WHAT!!
Can you tell if your higher glucose is a problem with the homa IR? Where does that still not tell you if you are healthy? Keep wondering if my high fasting glucose is a problem.
To get obese you need high insulin. To get insulin resistant you need high insulin. High insulin comes first, and in turn that is driven by carbohydrate consumption.
Usually if when you get a blood test and you have elevated liver enzymes or have fat maladsorption. You show signs of fatty liver. Look up C15 in the diet or supplement on how to counteract this. Good luck.
I think we should be saying very low grains. by the way we shouldn't be eating grains at all. that's why we have the worst illness of all time tooth decay.
Does anyone know what's wrong with me? I eat 1x a day evening, and I eat a protein shake mid day after workout . Now besides that if I eat anything small during the day. Any carbs really, and especially if I eat a piece of candy so I do not do that, my blood sugar goes up as normal, but don't stay up like it should, it crashes down to like 65 and I feel like death, I'm shaky and I need glucose , that's the only time. If I eat something small not a full meal, also not protshakes, I will shortly after crash and I can not do anything till I get mu sugar up . Also, idk if it's related. when I DO eat a full meal qt night, which is why I do at evening. I get so tired after. Any ideas?
If you're not an elite athlete, it's hard to get much satisfaction from this video; unfortunately, the answers provided are far from clear and straightforward.
Our body predomidantly prefer to burn glucose. If there is no glucose readily avaliable than it starts to make glucose from our muscles, skin and other tissues what is very catabolic.
6:37 "..or running away from a dinosaur.." Sorry, I'm not familiar with that point in history where humans were running away from dinosaurs. Which era was that?
What if I get sick from workouts? I can’t do intense workouts anymore bc my body can’t seem to handle it. I can cold symptoms and can’t sleep. It’s really annoying.
Sorry to hear this. Can I ask a couple of questions… Which came first for you the weight gain or the insulin resistance? Also what type of exercise do you do?
As a doc , I’m disappointed with this guest. The mechanism of diabetes is well understood and involves fatty infiltration of the liver , pancreas and skeletal muscles. In addition there is a notion of personal fat threshold This info has been known and understood since 2011.
Check out dr anthony chaffee on youtube hes huge, jacked and only eats meat! When i try to put on muscle aka bulk with carbs i only get fatter😮 Tho its hard to eat enough meat to bulk its possible i drink protein shakes as well
Derp🥴 ...how you came to that conclusion, idk. Thomas is no scientist - he's discussing dietary biometrics, metabolism, how the body processes fat, protein, carbs WITH a phd
@@barbarafairbanks4578 I am an observer. Pretty smart I would say. You : you are worshipping titles. Life is not (completely) organized along that line.
@monnoo8221 Yah, sure you consider yourself to be a 'smart' observer... lol Why am I NOT surprised at this i.e. your self-assessment?🥴😅 You, being the obvious 'lay person' here, are SO highly educated in this subject -??- so as to know WHOM - btw these two 'brains' is actually smarter, more knowledgeable on this subject? (whomever is 'quicker' to respond or has a quicker speech pattern is absolutely irrelevant- that's a fact.) - But apparently, you've assessed this 'quickness' to be the metric by which you've 'observed' that Thomas is smarter on this subject -? 😅 And yet, bc you think you've 'observed that Thomas is quicker' (i.e., speaks quicker? Responds quicker?) 🤷♀️ Idk what you think you are observing there - it could simply mean that bc Thomas is a Podcaster who talks alot - happens to be more glib(?) - and, it could mean that he simply responds quicker without really thinking thru his responses. I.e. - could simply mean he is not the deep thinker that this Dr. he's interviewing is. -?? Apparently - as well - you are not smart enough to understand the education & knowledge level btw a (non-scientist) bodybuilder with a YT podcast.... and a scientist who holds a PhD In THIS SUBJECT. If you were even partially aware of what it takes to earn a PhD - you'd have at least a modicum of respect for that title. Look it up FFS. A PHD requires the undergraduate (who has already earned at least a BA & usually a Masters) to be fully trained in 'the scientific method' - to the point that they, themselves, must conduct proper scientific studies under a PhD mentor - And, THEN produce (write) a dissertation on the studies they've conducted... AND, verbally defend that dissertation against a committee of PhD's who are gonna pick that paper apart. It is only when....after years of successful scientific work, producing and defending their scientific dissertation (on top of already having earned a BA or an MSc) - that a Phd candidate actually earns that title. And here YOU are - obviously not knowing even the half of what you portend to know about a PhD title, trying to compare two people in a podcast... while you 'observe' (with your self-deluded 'smarts' lol-) Which of these two is actually more knowledgeable on this subject. -??🙄 Gheeze! Smh😒
@@monnoo8221I don't think that kind of information can be extracted from this video alone but your comments sound more like coping for your own insecurities and inadequacies instead of video relevant commentary.
@@imperator4847 first it is relevant. second you may not be able to see it, which does not matter. third, getting offensive in this way disqualifies you from even ...
Dr Bernstein’s Diabetes Solution book and UA-cam channel is wonderful information for type 1. He is a 90 year old type 1 diabetic who is both an MD and engineer! 90 year old type 1!!
I just wanna feel good and have energy all the time. Im in the best shape of my life now . Very clean diet exercise a lot but i feel like crap most days anybody got advice?
Have you had blood work done? It could be a hormone imbalance or nutritional deficiency. I eat clean and exercise but my blood work showed anemia and low vit D so I've been working to correct that and feeling much better.
@@sarahh4394 no I've been meaning to I think part of it is maybe I've been cutting and cutting for the last few years I'm down 150 lbs but I have way less energy than I did when I was 200
@@biggreasygaming4898 even living in Brazil, with a lot of sun and getiting it, I was deficient in Vitamin D. I guess it is a genetic problem because my mother an brother are the same. After getting my levels good I have way much more energy. I take it together with vitamin K. I also take many kinds of micronutrients and minerals to deal with lyme disease. It is working well and since then my energy levels are awesome.
Chick bait Thomas!!! I thought he was going to say yes eat peanut butter. J/k 😂😂😂😂😂 To those who didn’t get the joke, i’m kidding . Very informative video like always. Thanks for the info Thomas
It's been a hot min since I have seen a doctor looking like the cat dragged him in :( either he is partying to much or having some other life problem that is causing him to look like he hasn't had any meaningful sleep in months or he is eating poorly to have the inflammation in his face that he has :( Hope he can take care of himself and feel better soon :(
Key Points
1. **Dietary Spectrum:**
- Contrasts high-carb/low-fat with low-carb/high-fat diets, both beneficial.
- Western diet, combining high carbs and fats, is seen as harmful.
2. **Insulin Resistance:**
- Linked to obesity but can affect non-obese individuals too.
- Influenced by body composition, exercise, and inflammation from excess fat.
3. **Role of Exercise:**
- Exercise boosts insulin sensitivity, lasting hours to days.
- Muscle engagement is more critical than muscle mass for managing insulin resistance.
4. **Mechanisms of Insulin Resistance:**
- Inflammation from excess fat hinders insulin signaling, reducing glucose uptake.
- Insulin resistance mechanisms involve glucose metabolism and liver function.
5. **Complexities of Carbohydrates:**
- Carbs aren't inherently bad; reducing them can help insulin resistance but can benefit athletes in specific contexts.
6. **Diabetes Context:**
- Type 1 diabetes insights reveal glucose variability impacts microvascular and macrovascular health.
7. **Individualized Nutrition:**
- Emphasizes personalized dietary approaches; responses to diets vary due to genetics, lifestyle, and health.
8. **Research and Evidence:**
- Stresses the need for evidence-based nutrition, recognizing individualized solutions.
**Conclusion:**
- Highlights the multifactorial nature of insulin resistance and metabolic health.
- Advocates personalized diets and physical activity over one-size-fits-all approaches.
Not all heroes wear capes!
Thanks for the great summary. Love Thomas's videos but 45 minutes is long one. Did you use AI to create the summary?
I can't thank you enough. 🙏🏻
🎉😊 thanks for that
Thank you
Insulin resistance means your nocturnal insulin levels will tend to be high, often between about 10:00 pm and 2:00 am when you are supposed to get your natural peak of growth hormone. Insulin blocks the release of growth hormone. So people with insulin resistance do not get the natural healing of microtrauma on a day to day basis, and as a result they get a chronic elevation of counterregulatory hormones like cortisol and adrenaline, plus uric acid that is often liberated by stress hormones. These two hormones + uric acid make you need even more fasting insulin blocking nocturnal HGH. It's a positive feedback syndrome where insulin resistance raises insulin resistance. There are 3 main mechanisms of insulin resistance. 1) Basically blood and liver triglycerides reducing the ability of insulin to keep the liver from releasing glucose and blocking the movement of glucose into liver and muscles, 2) Overexposure to insulin which downregulates insulin receptors and 3) Excessive counterregulatory hormone release. #3, resulting from chronic inflammation causes #1 and #2.
So I'm active, healthy, and work out. Eat one ingredient foods, (chicken, beef brocoli and sweet potatoes. Occasional quinoa with good butter.)
But I stay at around 5.7 a1c. Feel drained, sensitivity issues, storing water for seemingly no reason, stomach swells, constipated, thirsty all the time, urinate ALOT but in spurts.)
What could I do to rectify this? I've been to normal drs. Functional drs. So on.
I'm not getting anywhere. Tried to out me on metformin, and it turned my stool white. So stopped. Took berberine and that helped with dizziness and sweats I would have. Eat zero sugar now except honey in coffee.
Please, any real applicable advice here would be greatly appreciated. I'm 39yo.
@@adamwhitfield5571 Is there type 1 or type 2 diabetes in your family? Do you eat grains, beans, nuts, milk?
Just played in a golf tournament with 56 guys. They literally called me- unicorn. Because im 6'2, 200 pounds and in decent shape. Plus i wasn't drinking alcohol. Mostly guys in their 40's-50's. It was really sad to see 99% of them were definitely pre diabetic. Or on their way. Its become the norm. I need Thomas & his guests to make me feel normal. 💙
I was nearly there so feel ok responding. When the Doc said the A1C was prediabetic at 47 YO it freaked me out. Worked through that issue with keto and now vegetarian for 18 months with fish occasionally to get to and ideal 165-170 lb (5'10"). This journey and knowledge gain makes it really hard to look at one's peer group or even family in my case and *not* see the unhealthy metabolism all around us. Unless you're in Boulder CO or other healthy areas of the country, 24-25 BMI people kind of stand out. Not as much in my 50+ YO surfer cohort LOL.
i hear you! I am a 50 year old woman and in better shape than most of my friends even ones in their 30s! I fast for 14-16hrs, increase my protein and exercise 5x a week, All my fiends tell me how great I look but none want to hear about my knowledge or research though, I worry I will be spending retirement with a lot less healthy friends!! Sad! Oh and I also drink alcohol, eat cheese and eat sweets! I'm living a Happy Life!
The lifestyle is so built in, NOT drinking is looked at like some sort of magic power or curse.
I'm 48, 5'11" and just under 170 pounds usually. Probably around 18 percent bodyfat. I work in law enforcement and I'm probably the strongest out of the people I work with. Some of those guys are over 300 pounds and I can outlift them.
Oh yeah. I was asked months ago; do you take medicine? I replied ; no. The Doctors assistant was shocked . Apparently, it’s a common thing to be on a list(s) of medicine(ssss)
All of these videos are meant for people that sit on a couch all day, office work or work from home. I’m a field mechanic, I’m always outside in the sun working on machines out on construction sites. I get my steps, I get my sun, I get my workout at work five times per week. All I worry about is not eating junk food. All of my markers are perfect.
I feel bad for people that work indoors sedentary jobs. Money may be better but maintaining good health must be a full time job on itself.
This was also the norm for everyone for thousands of years of human history. This sedentary indoor lifestyle is new. On top of that, we have access to more food, enriched with glucose, than any point in human history. Again, for thousands of years of human history, we'd go days sometimes without eating much of anything. This allowed the body to burn efficiently through the energy reserves in the liver and tissue. Instead, today, it just accumulates more and more until the organs and systems of the body eventually fail.
TLDR; Move more, eat less.
yes and no. You can never out train or balance anything if you're eating a lot of sugar/processed stuff. Junk food avoidance is key but also sugars in general, deep fried stuff and most importantly vegetable oils.
@@marwanak10 agreed on most points on processed foods, over eating and throwing in some intermittent fasting. But these influencers that demonize vegetable oils and "carbs" are not as accurate IMHO. Unsaturated Canola oil is so much better than saturated fat butter for example. The key IMO is not overeating for one's energy level. Make sure carbs are whole food with plenty of fiber (this limits sugar to fruit practically). Limit saturated fat. And fat overall to < 20-30% of calories. And enough protein.
Amin brother 💪
UPS delivery driver with 10k steps daily and 4 resistance training per week!
Healthy as hell working on the sun, rain, hot, cold and so on!
Always clean air too 😃
I can stop this work at anytime as I have other incomes but keep it exactly for those reasons 😃
@@RobCGilliam You're right about carbs, however regarding vegetable oils it's not just influencers, many doctors say the same things, and honestly things do add up when you look at what companies are doing to produce and sell it. At some point I used to eat out daily and even though I'd go for healthier restaurants these are the oils restaurants use, I used to feel tired constantly. When I started cooking with avocado oil and butter my energy levels and mind clarity improved a lot. Could be just an anecdote.
If you can open this link check it out
/watch?v=NtRXLGp5jDY
Cheers
It’s crazy the amount of ppl that will spend hours on hours with Tic Toc, but when it comes to something actually productive and informative like this channel and many others out there; complain about their situation whatever it may be, don’t have any care to watch stuff like this that will truly help them achieve their goals.
Well I have pcos and I'm here for it I wanna know! :)
Attention spans are getting shorter and shorter
@@Krismac242 unfortunately
Ikr..I'm always talking about this stuff and try to inform people about the horrible food we are consuming but nobody wants to hear it. They just want to run to the Dr for pills. I don't get it. 🤷🏻♀️
I totally agree. I've tried to get people who complain about XYZ condition to watch UA-cam for their complaints but they won't. In the meantime they're watching stupid stuff and foolishly thinking and hoping their doctors will help them. I wonder why they refuse to help the doctor help them by trying to understand how their bodies works because their doctors can't explain it to them in a ten minutes doctor visits.
Thank you for doing this! Preventing and reversing metabolic illness is, or at least should be, the top issue for most people.
Thus routine help me lost weight and become healthy at 38
I eat literally everything from scratch and just seasonal fruits. High protein and well balance diet to support my muscle. And at 38 I am more muscular back when I was 20. Also I lost 30 kg of weight without even counting calories. My food list.
Fasting
1st meal is around 1 pm to 2pm
6 eggs
Saurkraurt
Beetroots
Salads
Sweet potato
Olives
Pickled cucumber.
Literally my plates is full for 2 persons
Then next
Frozen fruits,
3 kiwis
One banana
Greek full fat yoghurt
Kefir
Cinnamon powder and honey,
(Big bowl)
Then last meal around 6pm
Steak 300g
Avocado,
Salads
Sauerkraut
Beetroots
Then 90% dark chocolate.
Pretty much this is my routine and made me muscular and felt so much better.
Looks delish! The beets probably help a lot with your athletic performance thanks to the nitric oxide! They are also great for the brain thanks to the anthocyanins.
@@adamczer7017 Is it. I'm literally full of energy. My family think I took steroids or any enhancing drugs lol. I been going gym but never focus on my nutrition this year alone the whole foods give me so much energy that I can spends 3 hours in gym and still have lots of energy. Amazing what whole foods and taking away ultra processed foods does to your body. Also forgot to mentioned my gout is gone and medications as well.
would recommend losing fruits and honey, sugar is a main culprit of aging and inflammation , you may get away with it at 38 but NOT at 48
Kefir😅
You might want to read Sally K Norton’s book about oxalates before you continue with such a high oxalate diet.
Amazed me how these conversations are full of information that tells us nothing. They could have just said, “well we don’t know.”
So glad my functional medicine doctor prescribed me a CGM at a fasting glucose of 88. It used to be between 70-80 when I wore my CGM years ago. Then I had gotten up to 99 and mainstream doctor said oh you’re fine. Now that I have my CGM my baseline is horrific. So glad I can see it now and get it under control. I refuse to be a part of this generational condition. Screw that!
the so called mainstream doctors are incredibly sad. they are ignorant and often arrogant (which just makes them continue being ignorant). my primary doc said as long as the avergage is under 130 it's fine. and that's completely ridiculous. another internal medicines doctor I saw never even heard of the HOMA-IR test which actually tests your insulin resistance and that's yet a deeper analysis of how your body uses insulin. and he had no desire to even find out. when people say "doctors are smart people" I just laugh. most of them are the opposite.
What is a CGM, please?
@@helenahandkart1857 Continual Glucose Monitor. I'm not a diabetic, but I want one for intake moderation.
@@helenahandkart1857Continuous Glucose Monitor
@@helenahandkart1857 it is a continuous glucose monitor
As a T1D of 50 years getting into exercise again, I found this hugely beneficial. Thank you.
I am not as chiseled as Thomas, but as a woman in my late 40's who exercises every day, is lean (same weight as when I was in university, but with more lean mass and lower fat because I stopped running long distances and now walk everywhere with a load and do resistance training) I could relate to his HbA1c question. Over the last 2 decades, my diet has become higher fat and lower carb. My fat is mostly from whole foods (primarily nuts and seeds but also eggs, dairy, and fish). I too was surprised to see that despite having very low fasting blood glucose and triglycerides, my HbA1c had gone up to 5.4 as well (from 4.7). As had my total cholesterol (not in the levels of the lean mass hyper-responder - but high enough for it to get flagged). When I added back some more carbs (via whole grains, popcorn and more beans), both these values lowered. My hypothesis is that these biochemical changes occur because the body gets fat adapted to fuel our active lifestyle - which includes the changes in serum lipids for fat transport as well as increased gluconeogenesis (i.e. the production of sugar) to fuel our active lifestyle.
I wonder if the exercise was causing cortisol to rise. I’ve learned it matters what level and length of exercise you’re doing, when it comes to needing carbs or not. Not sure of the exact interplay of your body needed carbs, not getting them, so stress response, more cortisol.
Are you saying we need carbs to produce transport for fuel? And this is healthier?
@@pattersonellen The body craves balance go too far in any direction it will not be happy.
@@melissaclark7141
Uh...they did not even mention a rise in cortisol.
They said...higher HBA1C (glucose), and higher cholesterol.
(Nothing about cortisol).
@@pattersonellen No - I suggest you look up "lean mass hyper-responder" - specifically, some lean people who are active and who eat a high fat (doesn't seem to matter whether it is animal or plant fats) and low carb see a dramatic increase in LDL (and thus total) cholesterol. Those who are more extreme seem to have scary high LDL levels - and there is now research being done to determine what if any negative consequences these people have for their high LDL. Introducing carbs back into the diet totally reverses this phenomenon. There are a number of hypotheses (including lipid transport) that have been proposed to account for this phenomenon.
I got type 2 diabetes while being active duty Army, while struggling to keep up with all of the physical requirements, after having a baby, eating less than I should have while breast feeding. Also dealing with a bad back, from a fall which also resulted in a torn ligament and bum knee, a broken neck which years later had to be replaced and torn ligaments and connective tissue there. I Still did the pushups, sit ups and running. My grandfather died from Type 2 diabetes but not until his late 50s. I am now 67 so, not bad for having better health care solutions than they had back then. Sometimes the genetics kicks in so we do need to be careful about blaming the victim. Later on I tried keto and had difficulty with focus and driving safely. I now carry sugar packets for dizzy spells. I only eat meals after my sugar levels reach fasting and have gotten my weight back down again. Often we have to keep trying until we find what combination works given what we are dealing with. Your advice about drinking too much water interferes with the body breaking down fat also was huge. Not balancing meals choose carbs OR protein plus fats not both. Being a scientist your mega study approach is something I relate to so thank you. I miss being able to exercise more. Walking my dog is huge in my life. I try to focus on what I still Can do not on what I have lost. My grandchildren now help me walk my new puppy given to me by my son that little baby from years back.
Have you tried ... Cr (chromium) supplements -- known as "glucose tolerance factor" .. for longer term. For immediate help -- ACV 1-2 tsp in 250 ml warm water: sip slowly. Also, drinking plain, unsweetened, uncoloured etc carbonated water, also helps - changes carbon/oxygen ratio in lung cells with knock-on effects ...
The problem with a western diet is NOT that it is an even mix of carbs and fats. A medium carb diet is probably optimal as long as you get your macros from healthy whole food sources.
That first ten second!!!! How I live my life and what I explain to people whenever they ask me - how do you do 300g of carbs a day and are so lean? this man knows his stuff!
I can confirm what this man said. Consistency wins. My fasting insulin drops from 4.3 to 1.2 within 4 months of zone 2 155 min/week, walk after meals and 15 min of dumbbells every other day (some yoga and deep breathing, too).
c-peptide has a longer half life than insulin and that should be measured at the same time as insulin. Having a low fasting insulin reading alone, and being fit, and lean, doesn't mean that the patient is in great health, or is avoiding a prediabetic condition. I think 1.2 is too low. 4.3 was already slightly below the average for the population. Blood sugar is complex and multifactorial. I do about four times what you had mentioned for exercise and had a 2.9. My liver makes glucose a bit more enthusiastically then I would like. The call to send more insulin doesn't come until I eat again and get a blood sugar spike.
@dan-qe1tb appreciate the feedback but I listen to Dr Lustig. In a video w Dr. Casey Means, he said if you are vertical and fasting insulin below 2 and above 0, which is marathoner equivalent, you're terrific! My 4 other biomarkers are metabolicaly healthy so I'm good.
@@quattr03 I'm still learning after having had a number of tests done for the first time.
Everyone is genetically, biologically, physiologically unique. My belief for more optimal health for myself is to eat whole foods that preferably are minimally processed and base my diet on what causes me to feel optimally. I know that I must exercise regularly, which I’m doing yet. When I can, I will further my health goals by consulting with and adjusting my diet and lifestyle coached by well informed and experienced practitioner.
I have been vegetarian vegan and keto ....keto was only way if eating I felt great
I have a liver function test every 3 months because I take methotrexate for rheumatoid arthritis. I generally eat a relatively low carb diet, but since May, I've been doing intermittent fasting and have been more vigilant with my carbs. I need to lose around 100lb. I eat full fat versions of things such a cottage cheese, Greek yoghurt, pork loin steaks with the fat on, lamb leg steaks with the fat on. I compared my liver function tests from June to one I had yesterday. You'd think with all that protein and fat, things like my serum alanine aminotransferase level and AST serum level would go up...they came down (17 down to 11 and 19 down to 15 iu/L respectively) - Normal reference range 0 to 33 and 0 to 32 - in the UK anyway. I don't have problems with my cholesterol either Total = 5.3mmol/L, HDL = 1.73mmol/L, LDL = 3.6mmol/L, triglycerides = 1.2mmol/L. I think it's fascinating how the body processes different combinations of foods.
Yes! Dietary context matters so much, I prefer high protein and high fat, it has helped me immensely 💕 my health markers are also very great too and I eat it as nature intended, full fat dairy and fatty meat without trimming
Very interesting conversation I am trying to manage my insulin.
Great interview. Thank you.
I am 45 years old. I started my health journey at 10 years old due to illness and obesity. Even 15 years ago it appeared to be that type 2 diabetes prevention was about utilisation and keeping your carbohydrates, fats and proteins below utilisation, even though obviously the mechanisms were less understood back then. Additionally it is difficult to quantify what is below utilisation, but keeping health markers in check, eating at maintenance or calorie deficit on average will allow one to be below utilisation (this is a very generalised).
My personal observations with HCLF and LCHF diets is when people transition from HCHF they tend to eat in a calorie deficit ad lib, which leads to weight loss, improved health markers and for many people reversal of type 2 diabetes. As described a HCHF diet tends to be more calorie dense and it's not the combination of macros that is the problem as such but the excess of calories and reduction of the nutrient calorie ration of these types of foods that are the problem.
Yes! I was missing exactly that in this conversation. Although a nice discussion, the main point to mention the calories surplus was missed. Thomas tried to hint in this direction, but his guest seems is not a fan of the simple CICO approach. If you are LCHF and then you increase the carbs without lowering in parallel the fat, then you just go into surplus. And the same for LFHC. So, if you eat a balanced and healthy diet and you are in your calorie range, then I cannot see how just changing the macro nutrients can cause metabolic problems.
Actually, from personal experience, I had the most success and metabolic effect by learning to eat a balanced diet and in my case in a deficit so I can loose weight.
@@Bibush04 Yes! Completely agree. You cannot exceed utilisation in a deficit and you will always exceed utilisation of either carbohydrates, fats or proteins if you are in a surplus. It is an a problems of EXCESS no matter how you want to approach it. Likewise a balance whole food diet works best for me. I like to describe my diet as MediterrAsian.
As much as any vegan or carnivore want to argue that there is something “magic” about the diet that improves health markers and produces weight loss, it’s just some form of restriction leading to a calorie deficit. There are lots of factors that effect calories in and calories out, but the fact is if you have lost weight you must have been in a calorie deficit and if you gained weight you must have been in a calorie surplus and this is fundamental.
@@nicktheodorou3474 Completely agree except that a vegetarian diet is sustainable given the many cultures that have proven this over history. For most, it is more likely than not that a carnivore diet is not sustainable for longevity.
@@RobCGilliam We will have to see how the carnivore diet affects people long term in regards to longevity, but I would rather take a more balanced approach that includes a large amount of vegetables, fruit, legumes, nuts, rice and oats.
@@nicktheodorou3474 Common sense goes a long long way. Certainly some things are not how they seem, but most of the time it is.
Eating just meat is weird. Eating diverse just make sense. There are literally only a handful of foods with one diet and hundreds if not thousands of kinds of food with the other.
Many Thanks for this video, as it helps me with understanding my problem of excess VAT.
I did have to chuckle when your guest illustrated his point by saying “historically speaking; in case you needed to run from a dinosaur”
That covers a lot of ground, since there’s so much (unwritten) history from the demise of dinosaurs and the emergence of H. Sapiens.
In case you want to suggest to your guest to adjust time scales for congruence, lol
Thanks Again!
The super high carb diet of elite cyclists and ultra runners does eventually catch up with them as they're likely cooking inside looking how relatively old retired athletes look. Notice this in the Netflix doccie with the Tour de France team managers who are almost all former cyclists.
probably had a lot of sunlight too
What does that mean? Are you an athlete? If not, they had gone most of their lives burning a lot more carbs than you.
Read the books by runner Prof Tim Noakes UCT ... switched from hi-carb loading to hi fat lo carb ... complete change for the better ..
Yes it seems like generally high carb diets don’t provide as much nutrition as high protein and/ or fat. It may give lots of fuel for a young body but eventually there are probably going to be some vitamin and mineral deficiencies, especially in serious athletes. I’d expect that to catch up with them
I'm thinking this Doctor had a recent blow to his face. Great video.
There are also other diseases that cause insulin resistance which then turns into Diabetes, even though the person isn’t necessarily genetically diabetic. Just ask any woman who has battled PCOS their whole life. They aren’t diabetics BUT the disease causes differences in insulin response that we call “diabetes”. Treat the disease (PCOS) and you can help the individual … treat them as diabetics and you are only treating the insulin resistance as a symptom, but the other issues of the disease go untreated.
Extremely insightful. This is a huge warning. Low carb may not be the way to go. As a recently diagnosed T2D, I wanted to lose weight as quickly as possible, so I cut out all "white" carbs, bread, rice, pasta, and all flour based products such as pizza, etc, etc from my diet. It kept me lethargic, tired, sleepy, not very comfortable. I was eating lots of nuts also. So sort of higher fat, low carb - definitely NOT tons of fat.
But the moment I cut out the nuts, and introduced small amounts of carbs, like a little rice, I've felt better. More energy. Still do not fully understand why? But with a lowish fat and lowish carb, which is NOT extremely low in either fats or carbs, but also has about 35 to 40% of my plate as non starchy vegetables, I feel great. So my diet is 40% non starchy vegetables, 25% carbs, 25% protein, 10% fats, in my estimate. This seems to work for me, and cause me to : feel full, not get hungry for a few hours after each meal, although I do get hungry about 4 to 6 hours after each meal..
My appetite now is great, look forward to eating each meal, but do not think I overeat.
This video is revelatory. Fantastic, so there is no one size fits all, and it also explains why some T2D who have become extremely fat adapted, no longer respond well to carbs, cos their body has "lost" its ability to process carbs.
I think what would be best is to have variability. A body that can easily switch from one source to another, depending on what's available.
Huge puzzle fo rme - normally fried eggs - fried in extra virgin olive oil, sends me to sleep. But I had eggs today - boiled and did not feel sleepy afterwards. - Still trying to figure out what is about.
Dr Jason Fung, Canadian nephrologist [ The Obesity Code etc ]... explains this situation ... his case studies suggest the best approach is variability of eating pattern -- mix it up; food type, timing ,etc ... keeps it interesting ..
I do better with higher fat mod protein and very low carb ...we all need too eat in a way that suits us
another great guest. you're awesome, thomas.
Thank you both. Highly informative. Will let the "running away from a dinosaur" quip go as a slip of the tongue. :)
I'm fasting (with HWC in coffee) , lowish carb and walking, working great.
Great podcast. I'd like to see Bikman and Koutnik riff on one of these. They each seem to have a piece of the puzzle.
😂 running from a dinosaur “historically speaking” 😂
I have a BMI of 20 with Type 2 and insulin injections since decades, stopped insulin, plus low carbohydrates +being physical active, GMI 7.0
Thanks guys great pod cast 👍
Thanks Tom. Very good resource person. Very knowledgeable.
This guy is nice, but he doesn't go into much detail. What I love about Ben Bikman is that he explains the concept of a fat threshold-how people can develop insulin resistance or metabolic issues even at lower weights. While both low-fat and low-carb approaches can work, I've personally found that low-carb, whole foods are transformative. It’s how food naturally exists, unprocessed. On the other hand, low-fat foods often require so much processing, unless you’re following a vegan diet, and that can be pretty off-putting.
Makes sense why A1C is higher on low carb diet; you're not stimulating insulin (which lowers your glucose) so your glucose will be higher than if you have lots of over-production of insulin. When I was extremely unhealthy with fasting insulin of 56 I had an A1C of 5.2! Now on low carb (almost carnivore) for 5 years, I'm only able to get a 5.5 A1C! But my insulin is not high to keep it there!
my dad got type 1 diabetes at 30 years old. he was thin, active and didn't eat any junk food. he was a juicer and always on the quest for a Whole Foods diet. He died at 72. Lived a life of injecting himself every day - he went blind in his 60s. He died before the invention of the glucose monitor on your arm. He always had a hard time getting the blood off his finger being blind :(. He did nothing wrong - no idea how he got it - it doesn't run in our family. He did drink raw tupelo honey and juiced a lot before he got diabetes. No idea if that brought it on sooner.
He sounds like a great father and a T1D warrior!!❤
Type 1 is genetic. It's not about what he did wrong.
T1 is an immune disorder. You're born with it. It can stay dormant to any point in your life. He didn't do anything wrong. You can also be a book "perfect diabetic" taking care of your health and still have uncomfortable highs or lows. T1 does what it wants when it wants
Immune system attack toxicity allergy to something
plenty of people becoming type 1 diabetics after having caught the 2019 virus, anything that destroys the pancreas will cause it, and immune responses to viral infections can do it. it could have been a case like that with your father.
Both look like real siblings
I am hearing that insulin resistance is caused by seed oils because every cell has a membrane made of fatty acids and if the cells are using seed oil it messes up the cells ability to get nutrients inside the cell. It can cause insulin resistance and all sorts of disease states and toxins 7 waste buildup in the cell and tissues. We get inflamation from the cell disfunction and the toxins that can't be cleared readily. So a high saturated fat diet helps to repair the cell membranes & reduce inflamation but for weight loss, convert to lower fat and higher protien is key. Also reducing dairy can help weight reisitance.
No, that's wrong. It's animal fats that cause insulin resistance and red meats that cause inflammation, much to the chagrin of the standard carni quack trio.
Is exactly what happened to me. I started eating lots of sunflower seeds and developed stomach inflamation and was putting weight as well. I eat healthy and exercise but didn't understand why I was putting weight thinking seeds are healthy. So practically now I developed insulin resistance.
I removed all sweeteners including sugar, honey, all fruit and greens and all carbs, from bread to pasta. For 18 months plus now I only eat meat, eggs, dairy or other animal by products and I still struggle to keep my weight under control. I do get significant carbs from the milk I drink. I only consume the highest quality
this guest is easily the best sleeping medication on the market
that said the interview after first 5 minutes or so gets more interesting and pts
are distilled, simplified and made more digestible IMO only Thank you. WOuld recommend that both speakers slow down and not swallow as many words as if nervous and on a constant
time clock. Its effeminate and unnecessary and its unflattering.
We found in working with the International Center for Medical Nutritional Intervention, formerly Paleomedicina, that the “physiological” increased glucose levels in the blood do not happen on a carnivore diet unless one is over eating protein. I’ve seen a lot of videos from the carnivore community talking about this physiological increase in glucose levels and have personally observed that on a carnivore diet, which you would think of as low carb. Keep in mind that protein does break down into carbohydrates somewhat, and it does increase insulin somewhat. Once we adjusted our protein intake down to the correct level, the glucose levels went back to normal. I’ve never seen anyone else on UA-cam talking about this.
I heard mention of it somewhere. It certainly made sense, to me.
has there been talk or article or research paper on what is the correct level of protein intake?
How would one NOT be 'over-eating protein' - relatively speaking - on a carnivore diet?
Fat has more than 2 x energy compared to protein. A fat steak or bacon, for example has more grams of fat than protein. Not hard to keep proteins moderate if you consume fat.
Dr Robert Lustig, prof of endocrinology ... discussed aspects of this ...
Someone who is in good shape and has a good healthy diet is also very metabolicly diverse, meaning that these people can switch fairly easily between fat burning or glucose burning. The way it looks is like theperson can eat higher levels of carbs which is certainly true in the short game. The context of what you two were talking about, especially for type 1 diabetis is most recently known as LMHR or lean mass hyper responders by a few metobolic scientist/researchers. It is hard to conceptualize this from a blood glucose perspective or a glucose centric testing model using A1c CGM glucose readings on a daily basis, which for type 1 is essential, as you know for one simple reason which is thattype 1 and LMHR have lower base levels of insulin in their body than the average person. And as we know in type 1 insulin levels are regulated mostly dependant on what is ingested, how much physical activity, and how much insulin in injected into the body So when you switch to a more insulin centric model, it starts to make so much more sense. As a type 2, glucose levels are at that point out of control and markers are very evident. But what about the twenty or so years prior to that when glucose levels seemed pretty normal or slightly higher than normal and your doctor is telling you not to worry, when in fact your insulin levels have been rising for many years and you are now overweight or obese, which should have been the first markers to look at for metobolic health, or now what we know is insulin resistence. So doctors that give type 2 insulin 45:43 shots, don't understand the nature or difference between the two and are actually killing their patients quicker. My doctor did not even think to do a fasting insulin test until I insisted on it. Glad to say that I know much more about my bloodwork results than most doctors. This by necessity, many years of research, finding the right set of doctors, metobolic scientist, researchers, etc, which you guys are a part of. Sorry for the long response but knowing more about the LMHR on a cellular metobolic perspective demystifies the conversation and you can see it is still a normal function of metobolic health and actually a good position to be in when managed approprietly. Enjoy it while you can!
One of the best explenations ❤ love it
This was great. Thank you!🙏🏻
Love this channel but may I be bold enough to say that this conversation is way over most viewers head.
Can you talk to me like a 5th grader or at least high school
And actually get to the actual topic of the video. (How to Reduce Abdominal Fat.) I honestly don't care HOW insulin resistance works or is working in the body (biologically); just how do I not become insulin resistant, and how do I reduce abdominal fat?
Thanks for a fantastic interview. So,if your fasting glucose and insulin is low but HBA1C was at 5.2? Resistance training 4x a week, HIIT 3X a week and a generally active (22,000) steps a day 47 year old woman.
5.2 A1C is in the normal category, so don’t think it’s an issue at all.
5.2 is healthy. There is no evidence that lower is better if your A1C is in the healthy range.
where was the how to?
Find what works best for you and stick with it.
High fat, low carbs, and moderate protein.
High carb, low fat mod protein.
High protein, low fat, low carbs....
Do not mix carbs and fats in large quantities and if you are going to transition, do so slowly.
you do not understand that much....
moderate protein? pathetic
@@KetobyDanielDumitriu It is just there as an EXAMPLE.
BOTH... Low Fat & Low Carb.... ARE AGAINST EATING SUGAR.
What about the endocrine disruptors like plastics? Maybe it's more in our tissues and not just exercise and diet.
Facts
I was hoping you'd talk about mitochondrial disfunction being the cause while insulin resistance and type 2 diabetes is a symptom of that. Pathological vs. physiological insulin resistance is still the same drivers through different mechanisms. Both are produced by stress hormones, even in ketosis you see an increase in glucagon cortisol and adrenaline. This causes damage either way to the mitochondrial function just different severities. Pathological being the worse out of the two, but physiological still not being optimal for majority of humans even tho it may help being an elimination diet it's not optimal and doesn't signal abundance but scarcity. Whereas Pathological isn't abundance either but damage through ultra processed foods such as seed oils and more. The solution? Eat an organic whole food diet with a balance of healthy carbs, fats, and protein like we've done throughout evolution before we migrated away from tropical climates.
Bioenergetics for the win! 👍
Iron overload may be causal or contributing to fatty liver, inflammation, insulin resistance, metabolic disfunction and diabetes and is often overlooked as a root cause or contributor.
The irony of this fella asking where the stigmatisation of sugar comes from
Great interview.
#ProfBartKay is gunna love it.
Great information. Thanks for sharing.
This man needs some serious rest. Good to hear that there is not a one size fits all approach.
Best podcast episode!
Fantastic vid. Love it. I am a type 1 and this speaks to me. It is so rare to see topics from a type 1 perspective. Thanks.
It seems that the processing of the American diet following the money shows a lot of the theory. Then seeing the skewing of information sets up a huge impass to finding actual truths. I don't know if you have heard of Professor Tim Hoakes but his scientic findings and research are likely the most cutting edge of things out there. He has been thrashed by big farm-eh and most of the university connection to the money paths, that should tell you something!
Just a thought!
Enjoyed the conversation.
Thanks,
Dave
Great info, thanks! That said, I’m VERY surprised to see you both drinking “Liquid Death!” These new “energy drinks” are terrible.
It’s water
Rude Tube is largely worth avoiding.
I’ve noticed everyone using fancy words that in my opinion is not helping the average person from changing their diet. Just use the word fat instead of adipose tissue etc!
Thank you !
Thanks for the video. A question: what does it mean "high carb and high fat don't go well together"? Is it in the same meal? On the same day? Same week?
Same meal or snack.
Both carbs and fats are fuel. Anytime you eat lots of carbs and fats together you are giving your body too much fuel, and the extra will be deposited into fat cells.
To avoid over-fueling, you can have a moderate to high carb and low fat meal/snack or a medium to high fat and low carb meal/snack.
@@morganmadison366 Thank you!
I worked out too hard yesterday and had lots of inflammation. I had trouble sleeping last night fron the sore joints. I took some ibuprofen to reduce the inflammation and it helped me sleep. Is ibuprofen ok to take for this? Is there something better or should I reduce the intensity of my workouts to avoid the inflammation altogether?
Good show my dad is not heavy (lives on sugar) he just takes another pill 💊💊 for his diabetes !! Thomas you seem to be the first person to present new information. Can you look into the problem with iron and how eating it with certain foods inhibit the absorption . Could not understand why I I'm always low in iron (almost anemic ) but I eat plenty of meat and vegetables rich in iron . But I'm eating them with the wrong foods !! Please look into this . Thank you once again good show 😊😊
If you don't already know, taking some vitamin C throughout the day (ascorbic acid or sodium ascorbate) might help boost your iron levels.
@@eddiegrant58 thank you for that information, I did read that eating foods with vitamin a and c help with iron absorption so I'm eating a big kale salad with kimchi n dulce seaweed with my steak and black lentil beans .
I'm having problem with the term fat, are you referring seed oils (which I believe it shouldn't be in our diet at all) coconut, avocados and olive oils ( which I also not a big fan because it needs to be processed, the only fat found in nature is animal fats.
I am 64 I have had problems with hypoglycemia since I was 19 Gain weight very easily I can lose it if I’m extremely active or keto diet seems to work with not too many fats but even if I get down to a healthy weight say 132 being 5 feet seven I very easily and quickly quickly can put on 10 to 20 pounds in six months. And have to start over and I’m not talking about over eating. I just can’t seem to find what works for me and eating mostly proteins is just not sustainable for me financially I don’t switch to High or high carb diet and I don’t switch to a super refined diet now I know this sounds like I need to talk to her or dietitian but all they say is well you are insulin resistant. if I’m over 190 pounds I have been technically a diabetic. I would like someone maybe some specialist you can talk about how to find a diet that works for you in a more normal range of eating. I have also done strictly vegan, but that caused a lot of other health issues for me
As always, the guests have some really great information and allow us to gain a greater understanding of important physiological functions. My issue though is that Thomas click-baits so many of his video titles with the words "Abdominal Fat." Seriously, if there is not going to be any content related to actually reducing abdominal fat then don't put it in the title. You are doing a disservice to your audience for the sake of clicks. Did they speak of abdominal fat in the video? Perhaps, but only in a cursory manner when most of the discussions were about body fat in general. There was no information at all on "HOW" to reduce abdominal fat. Please stop baiting us and use less deceptive titles just to chase the algorithm.
Exactly. A lot of these one on one guest videos seem to basically be a platform for his guests to try and impress viewers with how many big words, or how much scientific techno babble they can spew out without getting to the actual promoted point of the video. A rare exception was Dr. Mike Israetel who was very good.
@misanthrope_01 What has that got to do with the validity of my comment? Was anything I said not true? Or the original poster? The video title clearly states, "HOW TO REDUCE ABDOMINAL FAT..." and there was not ONE SINGLE, CLEAR, DIRECT, DEFINITIVE thing said, or mentioned on HOW TO REDUCE ABDOMINAL FAT. NOT ONE WORD.
So the fact that I have zero followers, or don't have a podcast, or any other diss you threw my way has absolutely no bearing whatsoever on the fact that what I said was true.
I didn't say what his guest said wasn't true, or that it wasn't impressive, or that he's not very intelligent in his field; but rather just reiterated the fact that the title of the video was very misleading. Basically Bait & Switch.
I've been a fan & follower of Thomas's channel & groups for over 6 years, he has helped me lose nearly 200 lbs, reverse my Insulin Resistance and T2 Diabetes, but that doesn't mean we can't offer some CONSTRUCTIVE CRITICISM once in a while if it's warranted and deserved. TRUE FANS AND SUPPORTERS DO NOT JUST BLINDLY ALWAYS AGREE WITH EVERYTHING NO MATTER WHAT!!
Can you tell if your higher glucose is a problem with the homa IR? Where does that still not tell you if you are healthy? Keep wondering if my high fasting glucose is a problem.
To get obese you need high insulin. To get insulin resistant you need high insulin. High insulin comes first, and in turn that is driven by carbohydrate consumption.
How do you know if you are insulin resistant ?
get a HOMA-IR test
Usually if when you get a blood test and you have elevated liver enzymes or have fat maladsorption. You show signs of fatty liver. Look up C15 in the diet or supplement on how to counteract this. Good luck.
I think we should be saying very low grains. by the way we shouldn't be eating grains at all. that's why we have the worst illness of all time tooth decay.
What's going on with the bags?
- He's in the death loop.
Does anyone know what's wrong with me? I eat 1x a day evening, and I eat a protein shake mid day after workout . Now besides that if I eat anything small during the day. Any carbs really, and especially if I eat a piece of candy so I do not do that, my blood sugar goes up as normal, but don't stay up like it should, it crashes down to like 65 and I feel like death, I'm shaky and I need glucose , that's the only time. If I eat something small not a full meal, also not protshakes, I will shortly after crash and I can not do anything till I get mu sugar up . Also, idk if it's related. when I DO eat a full meal qt night, which is why I do at evening. I get so tired after. Any ideas?
If you're not an elite athlete, it's hard to get much satisfaction from this video; unfortunately, the answers provided are far from clear and straightforward.
“Running away from a dinosaur.. you know .. historically speaking”. 😅😅😅😅😅😅
Our body predomidantly prefer to burn glucose.
If there is no glucose readily avaliable than it starts to make glucose from our muscles, skin and other tissues what is very catabolic.
check the PFAS levels in your Liquid Death there...
6:37 "..or running away from a dinosaur.." Sorry, I'm not familiar with that point in history where humans were running away from dinosaurs. Which era was that?
He's making the point that throughout most of human history we were much more physically active, assclown.
He was making a point about cortisol. Not to be take literally. Sheesh
What if I get sick from workouts? I can’t do intense workouts anymore bc my body can’t seem to handle it. I can cold symptoms and can’t sleep. It’s really annoying.
So overeating polyunsaturated fat is always the cause of insulin resistance, it lowers metabolism.
I am a serious athlete and post menopause, I have become insulin resistant and gained weight despite clean eating and exercise.
Sorry to hear this. Can I ask a couple of questions… Which came first for you the weight gain or the insulin resistance? Also what type of exercise do you do?
Clean eating means keto or carnivore.
I thought I was eating clean, until I became honest with myself and realized I wasn't eating as clean as I should have been.
How do you know if you are insulin resistant ?
@@arniediaz1244 Have your fasting insulin checked. It should be below 6.
As a doc , I’m disappointed with this guest. The mechanism of diabetes is well understood and involves fatty infiltration of the liver , pancreas and skeletal muscles. In addition there is a notion of personal fat threshold
This info has been known and understood since 2011.
Yeah...but these bullshit narcissist "social media doctors" NEED attention....
Use red light therapy on your body.And the inflammation.Pretty much goes away
GMO's/Glyphosate in and on our food is the main culprit.
YES!!!!
I don’t think humans were around during the dinosaur era.
I have normal weight and insulin resistance.
''RUNNING AWAY FROM A DINOSAUR'' GOT ME HAHAHAHAHA
@ThomasDeLauerOfficial
What if you want to bulk
you have to have more carbs to put on the size
how do you keep insulin levels healthy then??
Check out dr anthony chaffee on youtube hes huge, jacked and only eats meat! When i try to put on muscle aka bulk with carbs i only get fatter😮
Tho its hard to eat enough meat to bulk its possible i drink protein shakes as well
Thomas being kind of quicker and knowing considerably more than his guest
Derp🥴
...how you came to that conclusion, idk.
Thomas is no scientist - he's discussing dietary biometrics, metabolism, how the body processes fat, protein, carbs WITH a phd
@@barbarafairbanks4578 I am an observer. Pretty smart I would say. You : you are worshipping titles. Life is not (completely) organized along that line.
@monnoo8221
Yah, sure you consider yourself to be a 'smart' observer... lol
Why am I NOT surprised at this
i.e. your self-assessment?🥴😅
You, being the obvious 'lay person' here, are SO highly educated in this subject -??-
so as to know WHOM - btw these two 'brains' is actually smarter, more knowledgeable on this subject?
(whomever is 'quicker' to respond or has a quicker speech pattern is absolutely irrelevant- that's a fact.) -
But apparently, you've assessed this 'quickness' to be the metric by which you've 'observed' that Thomas is smarter on this subject -? 😅
And yet, bc you think you've 'observed that Thomas is quicker' (i.e., speaks quicker? Responds quicker?) 🤷♀️
Idk what you think you are observing there - it could simply mean that bc Thomas is a Podcaster who talks alot - happens to be more glib(?) - and, it could mean that he simply responds quicker without really thinking thru his responses.
I.e. - could simply mean he is not the deep thinker that this Dr. he's interviewing is. -??
Apparently - as well - you are not smart enough to understand the education & knowledge level btw a (non-scientist) bodybuilder with a YT podcast....
and a scientist who holds a PhD In THIS SUBJECT.
If you were even partially aware of what it takes to earn a PhD - you'd have at least a modicum of
respect for that title.
Look it up FFS.
A PHD requires the undergraduate (who has already earned at least a BA & usually a Masters) to be fully trained in 'the scientific method' - to the point that they, themselves, must conduct proper scientific studies under a PhD mentor -
And, THEN produce (write) a dissertation on the studies they've conducted...
AND, verbally defend that dissertation against a committee of PhD's who are gonna pick that paper apart.
It is only when....after years of successful scientific work, producing and defending their scientific dissertation (on top of already having earned a BA or an MSc) - that a Phd candidate actually earns that title.
And here YOU are - obviously not knowing even the half of what you portend to know about a PhD title, trying to compare two people in a podcast...
while you 'observe' (with your self-deluded 'smarts' lol-)
Which of these two is actually more knowledgeable on this subject. -??🙄
Gheeze!
Smh😒
@@monnoo8221I don't think that kind of information can be extracted from this video alone but your comments sound more like coping for your own insecurities and inadequacies instead of video relevant commentary.
@@imperator4847 first it is relevant. second you may not be able to see it, which does not matter. third, getting offensive in this way disqualifies you from even ...
The Mediterranean diet is relatively high carbs high fat, no?
He seems to know about body fat reduction but not about sleeping... 👀
Yeah wtf is going in there?!!! 😂😂😂
@@nitrojanks2977 he does not look healthy
yeah looks like he hasn't tried it yet.
Running away from dinosaurs...historically speaking 😂😂😂
Don’t think he meant that literally ha
@connorlavallie9124 Haha, yeah and it almost slipped past me. Good info overall, not meaning to be crappy about it.
I absolutely hate the "coming up" preview. we fucking know, thats why we clicked on the video. Assinine!
damn man, this guy looks like he hasnt slept since before med school. props.
That's exactly what my eye bags looked like when eating sugar. It was killing my kidneys
He sounds like More Plates More Dates
he does a little bit
Less flamboyant
Dr Bernstein’s Diabetes Solution book and UA-cam channel is wonderful information for type 1. He is a 90 year old type 1 diabetic who is both an MD and engineer! 90 year old type 1!!
I just wanna feel good and have energy all the time. Im in the best shape of my life now . Very clean diet exercise a lot but i feel like crap most days anybody got advice?
Have you had blood work done? It could be a hormone imbalance or nutritional deficiency. I eat clean and exercise but my blood work showed anemia and low vit D so I've been working to correct that and feeling much better.
@@sarahh4394 no I've been meaning to I think part of it is maybe I've been cutting and cutting for the last few years I'm down 150 lbs but I have way less energy than I did when I was 200
@@biggreasygaming4898 even living in Brazil, with a lot of sun and getiting it, I was deficient in Vitamin D. I guess it is a genetic problem because my mother an brother are the same.
After getting my levels good I have way much more energy. I take it together with vitamin K.
I also take many kinds of micronutrients and minerals to deal with lyme disease. It is working well and since then my energy levels are awesome.
Chick bait Thomas!!! I thought he was going to say yes eat peanut butter. J/k 😂😂😂😂😂
To those who didn’t get the joke, i’m kidding . Very informative video like always. Thanks for the info Thomas
It's been a hot min since I have seen a doctor looking like the cat dragged him in :( either he is partying to much or having some other life problem that is causing him to look like he hasn't had any meaningful sleep in months or he is eating poorly to have the inflammation in his face that he has :( Hope he can take care of himself and feel better soon :(