How to reverse Type 2 Diabetes | ft. Roy Taylor
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- Опубліковано 14 чер 2024
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Connect with me:
Facebook: / drgilcarvalho
Twitter: / nutritionmades3
Animations: Even Topland @toplandmedia
References:
Counterpoint study (proof of principle over 8wks):
link.springer.com/article/10....
Counterbalance (6 mos):
diabetesjournals.org/care/art...
DiRECT Trial (1y):
pubmed.ncbi.nlm.nih.gov/29221...
2y follow-up of DiRECT:
pubmed.ncbi.nlm.nih.gov/30852...
Report on people following the program at home:
www.ncl.ac.uk/media/wwwnclacu...
Dr. Taylor's website with the basic info (replacement meals etc):
www.ncl.ac.uk/magres/research...
The book:
www.amazon.com/dp/B082XLN9S9/...
Disclaimer: The contents of this video are for informational purposes only and are not intended to be medical advice, diagnosis, or treatment, nor to replace medical care. The information presented herein is accurate and conforms to the available scientific evidence to the best of the author's knowledge as of the time of posting. Always seek the advice of your physician or other qualified health provider with any questions regarding any medical condition. Never disregard professional medical advice or delay seeking it because of information contained in Nutrition Made Simple!.
#NutritionMadeSimple #GilCarvalho
Big thanks to Dr. Taylor & you for sharing this information! Watched this video mid-March 2022 (already T2D 1-yr+). By March 25th, I'd read Dr. Taylor's work & the referenced works of others. June 6th labs: officially not diabetic, lipids all in the "healthy" range (apo-b too), and 35# lighter. Followed-up with my PCP yesterday; the best word to describe his response is 'giggly'. He got a 2-minute explanation of the program and said he's got to read up on it. Glad of that. Sorry to see other's comments that facts are not always well received.
thank you so much for sharing. made my day :) congrats on the success!
@NutritionMadeSimple Thank you for your content! I love your balanced approach! Do you know what packets he's talking about and where I can get them? Thanks Doctor!
It's funny, when I read the original study in early 2012 and used it to reverse my t2d I told everyone about it. I was roundly criticized for spreading misinformation especially on the ADA forum (who, incidentally, published the original research). My diabetes dietitian was interested but the GP said it wasn't possible and was shocked when i passed a 2hr ogtt in his office which he gave me to shut me up about having " reversed" t2d.
He said " sometimes newly diagnosed t2d can go away for a while"
Well it's been 10 years and although I've put on 10kg it still hasn't returned but I'm still 20kg below the diagnosis weight.
I sometimes wonder how many people have suffered terrible complications after listening to the moderators say I was lying and block me on those diabetes forums for spreading misinformation (that was linked to their own journal article)
wow. weird. a claim backed by a scientific reference should at least be looked into, not reflexively dismissed. sorry to hear, but bottomline is you found the key info, implemented and reaped the benefits!! 💪👍
People on diabetes forums don’t like to be told to cut their energy intake.
What is stopping you from losing the 20kg?
I had borderline diabetes 3 years ago. I found Roy's research, and went on a diet. I lost 45 pounds, going from 185 pounds to 140. The diabetes reversed; and I have kept the weight off.
How tall are you?
@@keovezo 5 foot 9.
@@southern842 A balanced diet. I tracked calories (doing 1,200 a day for one month; and 1,600 for the next 2 .) I cut out processed food,.I gave up alcohol as it was the only way to hit the calorie goals.
Well done, thanks for sharing!
One of my coworkers just found out he’s pre-diabetic. I’m sharing this video with him.
Me too. But getting the medical profession to properly accept it is proving difficult. I was ,fat but fit and "diabetic" only thanks to one test when the flu had knocked me flat at 59.
They even tried to put me on statins because of the label.
Two weeks ago, after blood tests, i was told i´m pre diabetic. Doctor told me to lower carbs and take metformin. Literally just those few words. I was feeling very sad and anxious because i didn´t undestand what was happening with my body. Tried google but results were very confusing. Watching your videos on the topic and listening to Prof Taylor who have studied this condition for several years felt so encouraging. I will revert diabetes.
Thanks a lot Dr Gil, you are the true MVP.
Yes it's a hard pill to swallow (I remember it well, 20 years on) But don't despair - treatment and knowledge has advanced and it is no longer a life sentence (with due care).
Diagnosed in 2019. Did not want to take insulin or metforman. Stopped eating sugar, and carbs. No more bred no more rice no more anything with flour, no potatoes or corn. Plenty of salads with vegetables, lean meats, occasionally sausage. List 30 pounds very quickly, as did my husband. Did some fasting also. Now in 2022, it's easy, and I can ocasionally have some breD or potato but I don't crave it. It can be done and maintained.
Check out Steve Phinney's book for a well formed low carb diet. You don't need the junk shakes, that will not change the habits that made you T2D.
Incredible video ❤ I wish I have seen it 21 years ago. Though I reversed my DT2, I always, almost instinctively felt that it might come back if I go back to my old way of living. And dr.Taylor proves it here 👍So no more doubts-the good side of the story. But the more positive of all is I do not want to go back to those long party nights with a lot of buzz and endless snacking of crap processed foods. the best thing about this video was (in my opinion) that the doctor did not mention any medicine to help in this process. This is actually the perfect formula to cure almost all diseases - food should be your medicine. Food, proper diet, and fasting, at least one day a week.Blessings to all and stay healthy-never give up, dudes.If I could make it at the age of 71, so you can too 💪
Alcoholics who stop drinking and see their liver recover will also have the same issues come back if they start drinking again.. health is a lifelong commitment!
I am actually a Radiologist, and I was diagnosed with Type 2 diabetes despite my relatively average looking appearance. I had a BMI of 30(technically obese) but looked, maybe, slightly overweight. But one day I became ill and did a CT scan of my abdomen and was absolutely shocked at how fatty my liver was. My liver was so fatty that my blood vessels appeared like there was contrast dye in them despite the scan being performed without contrast. This is abnormal because the color of blood should be about equal to that of the liver on a CT scan without contrast dye. Though I have read and learned much about diabetes, even much that was discussed here, I had never read about "fat threshold." But this concept seems to be true, because everyday I see scans of morbidly obese patients who weigh upwards of 400 lbs, and these people will not have a liver as fatty as mine. On the other hand, I see patients, like myself, who have maybe an slightly overweight build and they also have very fatty livers. The point is that, you cannot rely on your outward appearance as a simple way to judge your metabolic health. It is still important to be evaluated by a physician regularly. I am one and because I put my health on the back burner, I now have to suffer with diabetes. Its a terrible disease that leads to heart disease, kidney failure, terribly dry mouth, dry skin and hair, eye problems, hypertension, loss of sensation in your limbs, and a whole bunch of other problems.
But you know that you do NOT have to suffer from diabetes, now, right?! Reverse it. Off topic… you are fine as hell, man!
Are you counting your calories now and losing body fat?
Save your body and your health with intermittent fasting. It works.
A prolonged water fast will fix it very quickly
Check out the @MasteringDiabetes channel
Professor Taylor and his team continue to be ignored by the majority of mainstream medicine.
Ron's breakthrough on T2D should be screamed from the rooftops, and he awarded a Nobel Prize.
That he isn't is indicative of the pathological bias in medical research.
I've just come across this video myself and thought 'why have I not heard about this man and the study before'???? I agree with you, this should be screamed from the rooftops but like the Keto, Holistic dietary channels, I suppose the medical community too, has entrenched positions, which is sad.
Reading Taylor's book left me speechless. He's also very humble and replies to emails. Great and brilliant man.
That's so encouraging to read! Do you mind sharing his email address?
Please do not stop making videos on this channel! You are really helping people!
This channel is a gold mine. Thank you. Hope this video gets more popular. Really motivated me to lose the weight I put on from meds.
@@dontworrybehappy5139 even when that is explicitly stated and asked for in the video itself, it’s usually not more than 10 % who give a like. The maximum I’ve seen is 25 %. Even if there was only one video in the whole world about a problem as big as in Don’t Look Up, I think it wouldn’t be shared much more than that a few million people would watch it.
can't agree more...absolutely gem...
Agreed!
Yes!! I am so happy I found this channel!! He is all about facts not trying to prove some ideology
Because of Gil and his super simple approach to nutrition I've started eating a whole food based healthy and simple diet. It has been three months, my BMI was okay before but after changing my diet I've dropped a couple of pounds and I love eating now, without guilt, delicious and simple. And I feel awesome.
Thank You!
bro ! I've been following you for the last 2 weeks. I myself I am a PhD in economics and understand the way you explain things in it and I love it ! keep what you are doing you are saving lives and raising awareness against keto scammers and diet vloggers ! you rock ! you changed my mind from going keto to manage my ApoB and stay on statins instead of insanely follow vlog scammers! all love and admiration ! keep up, on a side note i reversed my fatty liver following the way described by Dr,Taylor i was prediabetic ( 6.2% Hba1c ) now i am 5.4% , lost 26 kg over 1 year ( 130 kg to 104kg today ) with 25% BFP, my echo of liver showed no fatty liver last week ( i was diagnosed by fatty liver 2 years ago ). 100% keep up academic quality information spreading ! and knowledge sharing
ماذا اكلت للكبد الدهني شكرا
Good for you!
What a terrific guy, I learned so much! Thanks to you both for bringing us this well researched information.
Thank-you so much, Dr. Gil, I love this one & your periodic explanation added in of Dr. Taylor's information to make it simpler--this is such a wonderful help for reversing pre-diabetes too.
This deserves more views. This is huge hope for millions who struggle with T2D. Thanks bro. This will be useful to bring to my community
One of your best videos: objective and positive with usable and useful information
Another very high quality video! Thanks Gil.
Brilliant! Such a wealth of information and broken down beautifully.
THANK YOU VERY MUCH!! is one of the best video I have seen in my life !
Thank you for all your accurate information. Great job!
Blown away by what I’ve seen here. It could change my life. I’ve got a lot to research and discuss with my GP. ❤ Thank you AGAIN!
This has been very motivating. Thank you so much
You are the most likable guy on UA-cam. Period.
I love that the information you give is evidence based and I appreciate you encouraging your audience on doing the research themselves even more . This channel is a breath of fresh air. If you ever needed French/Arabic subtitles, I'd be happy to help.
نحتاج ترجمة عربي ماذا قال شكرا
Cannot recommend this video enough. Thank you for giving us hope!
Thanks, Gil and Roy!
Extremely informative. Great video!
Such great questions are being asked! Thank you for this video!
Very helpful reliable fundamental information. Clears up many of confusing issues arising from conficting information due to lack of understanding of the fundamental principles.
Always informative, thank you.
Great content as always. For life changing information like this It would be great if more subtitles were available.
This was very informative, great work.
Great info straight from the source. Roy brings hope to the patients. Thank you both.
Great show and information both of you DR.s
Wonderful info.
Fascinating. Thank you very much.
This is great advice, the mentality relating to exercise and weight loss is inspirational. Thank you.
Thank you. This was very interesting. The links were very helpful. Kate
This was insightful. Thank you.
Very nice info Thank you Both
Nice work ,standing ovation👏
He is soooo right about the exercise as older and heavier. At this point, the food is the most important thing in getting then weight down initially. Take a short walk everyday, and slowly build from there.
what a nice guy man
Excellent video!
I've been prediabetic for 13 years. About 3 months ago I changed my diet and I've lost 10 pounds. I can see the difference . Even my skin is beginning to look better. I use to weigh 183 and I have gone down to 173. My goal is to go down between 165-170. My morning glucose reading average is about 88 now instead of 103. I wish I had known this personal fat threshold thing 13 years ago. It has been a little difficult giving up the breads, the cereals, and all the other sugary stuff.
It would have been interesting to see what would happen to your readings if you had lost the same amount of weight while including the starches, just smaller portions. (I lost all my weight still eating about 40% carb, and maybe one serving of either bread or pasta a day. But I wasn’t keeping track of my glucose then. However, my A1c was probably around 5.2.
I was diagnosed with type 2 diabetes in January. When I watched this video I March - I was already doing 800 cal diet for 2 months. In 3 months I lost around 50 lbs. My diabetes is now reversed/in remission. My A1C went from 6.8 to 5.2 in 3 months. It works! More people need to know about it.
congrats! happy to hear
what does remission/reversed means? does it means you can eat carbs in moderate ? not like previously ofcourse.
@000 00 It means that your blood sugar levels are in the normal range (A1C
@@anowlonedge1815 thanks for sharing and congrats to you on reversing the type 2 diagnosis. Same boat here. Just had my A1c jump from. 5.3 to 6.8. Had been 5.3 for years and I didn't do enough to exercise and lose weight. I was really down on myself until I read this and saw the video. Going to go on keto and restrict to 20 net carbs per day and more important, exercise , walk, swim, move.
Did your doctor recommend you go on medication when you were diagnosed ? Mine did. I want to try weight loss, keto and exercise first.
My goal is to keep my AC1 under 5.7 for the rest of my life. I don't know how realistic that is but I am praying it is.
@Chad G Thank you! 😊
My doctor offered me to start Metformin. I was hesitant at first, but she said that it would aid with weight loss and help curb the appetite. So I agreed to try it out. I feel like it did help me somewhat mentally - knowing that there was some backup there for me. But I could totally do the same thing without it, I think. I do not take it anymore.
I would be careful with 20g of net carbs. I've been doing around 80 -90 of net carbs per day. If you are too low on carbs - you will have less energy to exercise and more food cravings.
You still want to get good carbs like brown rice, whole wheat bread or oatmeal. It helps to stick to the healthy diet.
Exercise is important! Whatever you enjoy doing is good. I started weight lifting - loving it. Makes me feel in control of my health.
I think you can totally do it and get your A1C back to normal!
Have you ever published any video on the type 1 diabetes? I would be very interested. Thanks and keep up the good job!
Great show 👍
Very enligthening!
Great video!!!
I think when we talk about 'weight' from the start it's really important to be clear that we mean fat mass and not muscle mass. Retaining muscle mass is so important especially as we age, and any drastic calorie reduction without supporting protein & exercise will most probably lead to detrimental muscle mass loss alongside the fat mass. "Don't try and exercise it away.." is not the ideal message imo.
great video, thanks!
Being more mindful about what I choose has helped a lot. I had a stroke in January which was a wake up call after eating so much absolute junk for years as a coping mechanism for my major depression and anxiety.
Thank you so much
Wow! There is not enough thumbs up signs to show as an act of appreciating... so I'm starting sharing the videolink and the book instead :) Thank you both sooo much for putting this information up!!
Thanks for sharing!!
Very interesting
Nice to know it works regardless of low or high carb.
This was a fascinating and encouraging video. Thanks Doc. I just hope that I don’t have to lose a lot of weight since I am already thin at 157 on a 5’10” frame.
Thank you so much for this video! I've heard the name Roy Taylor several times and it was very interesting to "meet" him and hear about these new means for people with diabetes! Maybe we should listen to Hippocrates a bit more often: “Let food be thy medicine and medicine be thy food”. 😁
Great video, and the point about exercise for weight loss is spot on, not just for diabetes, but weight loss in general. Food intake trump exercise for weight loss.
Exactly right! But unfortunately, many people take that to mean they don’t have to exercise at all. Exercise, even just a short walk a day, is great for keeping the brain sharp.
@@BetterMe981and the cardiovascular system.
Compelling and practical information for reversing Type 2 Diabetes. The greatest challenge is how to sustain a calorie restricted diet for life without effort and not falling into the Yo-Yo Weight Watches cycle. It’s possible that the book mentioned shows how. However it has been proved that a Low Carb Lifestyle in which one gets predominantly into Nutritional Ketosis (can be achieved in vegetarian diets as well) elegantly resolves this key problem and adds further benefits that are close to miraculous. Currently several renown individuals are known to be in nutritional Ketosis for 20+ years and Dr Richard Bernstein, who discovered and promotes nutritional Ketosis for Type-1 Diabetics, being one himself, has practiced it for 50 years and is now 89 years of age.
Best Diabetes Info on youtube
tks!!
I love your work Gil, this channel is a goldmine. Very interesting conversation and Roy Taylor, like yourself, is a great educator. He's a joy to watch.
I'd like to make a request. I'd very much like to see a breakdown of menopause and weight gain. My experience and that of my peers is that the CICO model doesn't quite work the way it once did. And, there's often a change in body shape. One goes from a pear shape to an apple, rapidly.
There appears to be some newish research around menopause and weight gain. The average woman will have weight gain between 5 - 10lbs per year of menopause. That's substantial. If you factor in that many women's physiology and psychology changes during this time it's difficult to shift those extra pounds, even with effort.
Providing an N=1: I eat at a deficit, which means I'm not meeting many of the required macro and micronutrients just to keep my weight in-check. Weight hasn't ever been an issue for me, I've always been slender. Suddenly peri-menopause hits and my weight begins to stack up despite eating a very healthy diet that's not in excess. I'm doing everything that you advocate in your channel.
In short, despite my best efforts the weight gain appears to be inevitable. How much one gains I'm sure can be influenced and I'll endeavour to ensure I keep healthy - but the change is hard and fast.
Why do women find they have to severely calorie restrict in order to keep their weight in-check during menopause? What are the risks of having to supplement in order to make up the deficits in the diet (Calcium being a major one, critical for menopausal women, which is difficult to attain in calorie restriction and plant-based)? Why is a woman's body retaining so much additional weight during this time? Does that weight shift post-menopausal? And, so many more questions!
I'm sure I'm not the only women who watches your channel who would be interested to learn the science behind this. And, I can't think of a better person to cover the subject. Please consider covering this under-represented area of science.
Be well and thank-you for all that you do!
I lost over 50 pounds and have kept it off for over 20 years. Every other day fasting and low carb was the method I used. This was the first diet where I wasn't hungry. I lost most of the weight over 4 months.
What has been your maintenance eating plan? Same?
This approach worked for me. Have stayed there for 3 years. But I didn't use meal replacements (they are expensive and afterwards you just have to come up with sustainable way of eating anyway). I was probably only short stage.
Thank you for this very informative video. It confirms my personal experience that whenever I started to do workouts (half a dozen times), my weight would always increase. Very frustrating.
Quite interesting and more relevant to me than when you posted the first video on the topic.
My dad (60) was diagnosed with prediabetes, basically his blood glucose levels were on the high end of normal consistently. He has cut down his added sugar intake, but I do not believe he's lost any weight.
Thank you for the video (and cited sources :)
Processed carbs become sugar too in your body and excess sugar becomes fat. He needs to reduce or get rid of any processed food, especially bread, which our body treats almost like cake.
i am so glad i found your channel. after all my research i've come down to this: avoid processed food, lose weight, be more active. mostly it seems JUST LOSE WEIGHT!.
This is very encouraging information as I have some pre diabetes symptoms at age 57 (I'm 5'10" 190lbs 27.5BMI). I've had a very bad bachelor's diet most of my whole life. My plan now is to slowly change my diet to whole food plant over the next year AND increase my exercise up from 15 mins to 30 mins w/resistance training. My ultimate goal is 175lbs, should see it by the end of this year.
How is it going? Congrats on your reasonable pacing of loss.
@@oolala53 I'm doing pretty good, thanks for asking. I got my blood tested my A1C is 4.9 and glucose 90 so losing those first few lbs. made all the difference. I'm eating better with occasional relapses but getting down to 175lbs will be hard. Honestly if I'm below 180lbs by the end of the year I'll be very happy.
Huel meal replacement was a tool that helped me lose over 60lbs, meal replacement’s like this really can help you count calories with ease I also use IF, I think the key is do something that you find easy while in a calorie deficit
This is what the internet is for. Brilliant video!
Voglio trovare ? La traduzione
ty
Very very interesting and a proven study. I like the cut of the gib, almost the same advice as when I gave up smoking 20 years ago using Alan Carr's book. Don't make sudden lifestyle changes, that comes later, concentrate about losing the weight using the programme; that is what I shall do.
The most important video on diabetes you will see.
This reminds me of the studies Dr. Kempner did with the Rice Diet in the 1940s.
I'm reminded of the sage advice from George Burns on how to achieve longevity: "Eat half.".
I know it is more complicated than that.
A lot of Asian cultures suggest eating until you are about 75% or so full.
Brilliant interview - thanks for posting. Prof Taylor's research is quite remarkable - a simple, practical and proven solution to one of the most dangerous health issues facing humankind. He is one of my personal heroes.
Here in the UK this work is gradually going mainstream - it has been accepted by the National Health Service and is being quite widely promoted. But we all need to be doing more to get the message out there.
With over 10% of the US population suffering from full-blown diabetes and 40% suffering from pre-diabetes this is a looming health catastrophe - and now we have the answer.
he's amazing, we're lucky to have him share his knowledge!! :)
Can you please do a video on gallbladder stones and the concentration of cholesterol in the liver? Based on my limited observations, I guess you can develop them after a long period of very low calorie intake (e.g., fasting) and low physical activity. This is usually accompanied by weight loss.
The risk begins to spike if you are losing more than 1.5lbs per week.
I did it with a whole food plant-based diet, I lost 30 lbs which was about 16% of my weight with no exercise. I've found that if II exercised I would get very hungry & over eat.
That's superb!
I remember BBC talking about the study when it was first published!
Can you do a video on hemangioma in the liver? What causes that? And can diet alter that progression. Thanks.
I’m curious what Roy’s (and of course you, Gil) opinion is on this term I keep coming across coined “body weight set point” which is basically defined as “your body is used to being (and likes being) a certain weight and any attempt to change that weight, especially dramatic change, will result in a rebound or yo-yo reversal back to your set point.” This new theory is now being used as the reason diets don’t work and why most people return to their previous weight eventually. Do you think this is rubbish or is there something to this? I’m curious how this would affect those trying Roy’s dietary approach to type 2 reversal
Only at 7m and this is amazing
does this mean that blood sugar spikes from processed foods or sugar dont matter for diabetes as long as i dont put on too much weight crossing my own threshold? what is the point of treating insulin resistance then? or is insulin resistance a negative health condition for e.g. CVD?
Can you please talk about gallstones? I am 24 years old, ina healthy BMI and I don't know why I got them. I am trying to eat healthy but I am confused about what to avoid to not worsen my situation and have it eventually removed.
Does Dr. Carvalho lecture in Portugal? How can I find his lecture schedule ?
My most controversial take from this:
if your significant other has a problem with you getting healthier, that relationship should end then and there
controversial indeed :)
That’s why I live a solitary existence, most of what is out there is toxic.
I learned a lot from the video but after reading the comments I was reconfused. It's better for me to ignore the comments.
It has been said that all diets work in the short term- up to 6 months. But to keep it off longer you have to keep your metabolism from adjusting to the low calorie diet. Intermittent fasting allows you to switch from sugar burning to fat burning without the body from lowering your metabolism like in the Minnesota starvation study or as what happened to the contestants in the biggest loser.
My first year of serious cycling was at 45 yo and at 250#. That cycling + calorie tracking led to a 35# drop that first season of cycling. I just started just cycling and noticed a slight drop on weight. I recall the moment when the light shined onto me. I was in a Qdoba with a steak queso burrito and I looked up the calorie bill on that -- I started tracking and a slight decline turned into major decline. ATM, I'm clawing my way back to 195# and under!
Did we ever get a specific plan for dropping weight - meaning an affirmative, active plan = not what not to do but what to do - specifically?
I am doing eTRF, early time redistricted feeding. Eating 500 cal meal at 10 am and a 300 cal soup or small meal at 3 pm. Eating 800 cals a day has been easy for me and I have tried many diets. I kind-of started early March with sugars 135 and 280 weight (7.2 A1C). I will do weekly updates.
Date-Weight-Sugar 10 am
4-5 258.4 115 (6.8 A1C)
4-18 256.8 110
5-4 252.4 97? Changed meters
Dr Kempner came up with the same result in the end of the 30s' with his rice diet.
The only problem was that the doctor was rather violent in order to keep people on the diet and it was abandoned.
But he got excellent results vs diabetes. And that was in 1940ish.
Dr Taylor you did not give your website out. Please can you leave it on this platform or is the website in the book
How do you determine your personal fat threshold thst leads to type 2 diabetes?
What are the best meal replacement shakes to use if in the US?
Well done, super clear with no mumbo jumbo LOL
Why isnt this on tv. News why isnt my doctor handing out this book. Gee
I’m a type 2 diabetic I’ve been doing low carb for years . I keep my blood sugar about 127 eating all I want just going 20 carbs a day. But they say don’t count calories eat till your comfortably stuffed. Not working for weight loss.
I purchased Roy’s book on Audible . Two days ago I started eating 1000 calories a day for ten weeks . I’m curious the results . So far2 pounds lost . Blood sugar steady . 10 weeks will be April 27th
This is the guy i read on when my blood sugar shot up. Not sure fat on organs is the main issue it's the low carb that affects insulin resistance. Of course your blood sugar will return to normal by not eating a lot of sugar but it's more likely that the constant stream of carbs caused insulin resistance and that was the main effect. The fat reduction was a by product of the diet. But i do thank him for getting me on the right path. And really people with longer term just pushed the cells for too long and were damaged.