Q&A: Keto Safety After a Stent, During Pregnancy, and in Serious Mental Illness

Can carnivore and vegan diets both be used as ketogenic therapies?In this episode of Metabolic Mind, Dr. Bret Scher speaks with registered dietitian Denise Potter about two widely debated approaches to nutrition. They explore how each can be evaluated when someone is considering a ketogenic diet to support psychiatric, neurological, or metabolic health.Denise brings more than 30 years of clinical experience, including approximately 20 years working with medical ketogenic therapies. She explains the importance of risk-benefit analysis, how clinicians can assess potential nutrient gaps, and how lab testing, supplementation when indicated, and individualized support may help identify and manage potential risks.They cover:The difference between a carnivore diet and a carnivore ketogenic dietWhy some people report mental and physical health improvements with carnivore ketogenic approachesCommon questions about vitamin C, iodine, electrolytes, fiber, calcium, omega-3s, and LDLWhy bowel habits and the microbiome require clinical contextHow a vegan ketogenic diet can be formulated, including Denise’s recommendation to pay close attention to B12 supplementationProtein quality, bioavailability, and amino acid considerations in vegan ketogenic dietsThe role of tracking, lab work, and follow-up testingHow clinicians can evaluate restrictive dietary patterns through a medical risk-benefit lensThis conversation offers a practical look at how different ketogenic approaches may be designed, monitored, and adjusted with individualized guidance and appropriate clinical support.💡 Whether you’re considering a carnivore ketogenic approach or a more plant-based one, the quality of the diet itself can make a significant difference in outcomes. Learn more about what a well-formulated ketogenic diet looks like on our blog: metabolicmind.org/resources/library/blog/perspectives-in-metabolic-psychiatry/well-formulated-ketogenic-diet/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.#MetabolicMind #KetogenicTherapy #VeganKeto #CarnivoreExpert Featured:Denise Potter RDN, CDCEShttps://advancedketogenictherapies.com/https://www.facebook.com/PotterDietitianConsulting/https://www.instagram.com/advancedketogenictherapies/https://www.linkedin.com/company/advanced-ketogenic-therapies/Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Animal-sourced foods are often framed as a problem for human health and environmental sustainability. In this episode of Metabolic Mind, Dr. Bret Scher speaks with forage agronomist and ruminant nutritionist Peter Ballerstedt, PhD (@GrassBased) about livestock, malnutrition, chronic disease, and why restoring metabolic health may require a broader conversation about nutrition and sustainability.Peter shares his reaction to The Cholesterol Code documentary and explains why its message extends beyond cholesterol. He discusses how animal-sourced foods can fit into dietary patterns that may help restore metabolic health, why malnutrition can exist even when calories are abundant, and why the health impact of food deserves a place in the sustainability conversation.They cover:Why diet and metabolic health matter for rural communitiesHow animal-sourced foods may support health restorationWhy LDL can be one part of a broader health conversationHow obesity, type 2 diabetes, and metabolic dysfunction can reflect malnutritionWhy calories and nutrition are not the same thingHow protein quality and indispensable amino acids shape the food systems debateWhy livestock and ruminants may play an important role in sustainable agricultureWhy restoring metabolic health may require different strategies than maintaining itThis conversation offers a deeper look at animal-sourced foods, metabolic health, and sustainability in a world where chronic illness and metabolic dysfunction are increasingly common.🎥 Watch The Cholesterol Code documentary and join the conversation shaping the future of metabolic health: amazon.com/gp/video/detail/B0GS8ZFCYN/ref=atv_dp_share_cu_r🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.#MetabolicMind #TheCholesterolCode #HeartHealthExpert Featured:Peter Ballerstedt, PhDhttps://www.linkedin.com/in/peterballerstedthttps://www.researchgate.net/profile/Peter-Ballerstedthttps://x.com/GrassBasedhttps://www.instagram.com/grassbased/?hl=enFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

The terms “low-carb” and “ketogenic” are often used interchangeably, but are they the same thing?Not quite.A low-carb diet can be a powerful tool for improving blood sugar, triglycerides, insulin levels, inflammation, and overall metabolic health. Ketogenic diets, on the other hand, involve a deeper level of carbohydrate reduction that shifts the body into nutritional ketosis, where ketones become a significant source of fuel for the brain and body.That metabolic shift can be especially relevant when ketosis itself is part of the therapeutic goal.In this video, Dr. Bret Scher walks through:How low-carb and ketogenic diets are typically definedThe amount of carbohydrate that may support nutritional ketosisWhat changes in the body once ketone production increasesHow each approach may be used for different metabolic goalsWhy ketosis is being studied for serious mental illness and other brain-based conditionsHow clearer terminology can help people set more realistic expectationsThe right level of carbohydrate reduction depends on the person, the condition being addressed, and the intended outcome. Someone looking to improve general metabolic health may do very well with a low-carb approach. Someone using ketogenic therapy for a clinical purpose may need closer monitoring, greater precision, and support from an experienced healthcare team.Understanding which approach you’re following gives you a clearer way to track progress, interpret results, and discuss next steps with your clinician.👉 Learn more about ketogenic therapy and how it may support mental illness on our blog: What is Ketogenic Therapy? A Comprehensive Guide🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.#MetabolicMind #KetogenicTherapy #LowCarbExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Starting college can change almost everything about your routine, including how, when, and what you eat. For students using ketogenic therapy as part of their mental health treatment, that transition can take some planning.In this interview, Dr. Bret Scher speaks with licensed mental health counselor Nicole Laurent about how students using ketogenic therapy with clinical support can navigate a college setting, where dining halls, dorm rooms, busy schedules, social events, and limited budgets can all affect food choices.Nicole shares practical ideas for:Keeping simple foods that support nutritional ketosis in a dorm roomMaking dining hall options workPlanning ahead for busy weeksUsing meal prep or delivery services strategicallyTalking with roommates and friends about dietary choicesAsking for support when staying consistent gets difficultThey also talk about the importance of paying attention to food quality. For students who are not using ketogenic therapy, reducing ultra-processed foods and eating more whole foods may still be a meaningful place to start.If ketogenic therapy is part of a student’s mental health care plan, the transition to college may require some adjustments. Planning ahead, building a support system, and working with an experienced care team can help students stay consistent as their routines and environment change.If you’re using ketogenic therapy for a psychiatric condition, work closely with an experienced healthcare provider before making treatment changes.👉 Looking for more back-to-school mental health resources for college students? Explore our Back to School blog for stories, science, and practical support for navigating campus life: https://www.metabolicmind.org/resources/library/blog/stories/back-to-school-metabolic-mental-health-guide/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.Expert Featured:Nicole Laurent, LMHChttps://x.com/KetoCounselorhttps://www.instagram.com/mentalhealthketo/https://mentalhealthketo.com/Resources Mentioned:Additional resourceshttps://mentalhealthketo.com/2025/04/17/dorm-room-keto-for-mental-health/Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Every day, we make choices about what to eat. But how often do we realize how deeply these choices affect both our physical and mental health?Today, an estimated 93% of adults in America are showing signs of poor metabolic health, which is a major contributor to many chronic conditions like heart disease, type 2 diabetes, obesity, and many psychiatric disorders.The good news is that more people are recognizing the powerful role food plays in metabolic health. But with all the conversations about what to do next, like limiting ultra-processed foods or reconsidering saturated fat guidelines, are we overlooking one of the most impactful steps we can take?In this video, cardiologist Dr. Bret Scher explores why focusing on reducing or eliminating ultra‑processed carbohydrates may be one of the most powerful ways to address the chronic disease epidemic.Dr. Scher breaks down:What refined carbohydrates are and how they can wreck metabolic healthHow constant glucose spikes and crashes can fuel hunger, fatigue, and poor moodWhat insulin resistance is, how it develops, common symptoms, and how it contributes to chronic diseasesHow visceral fat packs on and contributes to chronic diseaseWhy we can’t stop eating refined carbohydratesWhy low fat and high carb diets don’t work for most peopleWhat the science says about cutting processed carbsPractical advice on how to eat to improve metabolic health🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.Expert Featured:Dr. Bret ScherBaszucki Group Medical Directorhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Do most people really need to eat less protein to live longer? In this episode of Metabolic Mind, Dr. Bret Scher responds to a new review getting attention for the claim that protein restriction may extend lifespan, and explains why that message can be misleading for older adults, active people, and anyone focused on metabolic health.Dr. Scher walks through the biology behind the headlines, including mTOR, FGF21, animal research, and the limits of applying rodent data directly to humans. He also explains why adequate protein becomes more important with age, especially for preserving muscle, reducing frailty risk, supporting insulin sensitivity, and maintaining independence.He covers:Why “eat less protein” headlines can miss important contextWhat mTOR and FGF21 have to do with protein restriction and longevityWhy rodent studies do not always translate cleanly to human healthHow sarcopenia and anabolic resistance change protein needs with ageWhy the protein RDA is a minimum, not a personalized target for health optimizationHow muscle supports glucose control and insulin sensitivityWhy protein needs depend on age, activity level, metabolic health, pregnancy, recovery, and training statusHow exercise, fasting, and lower insulin may influence similar cellular pathways without sacrificing adequate proteinProtein needs are personal. A sedentary 35-year-old, a 70-year-old trying to preserve muscle, an athlete, and someone recovering from illness are not all aiming for the same target. Age, activity, metabolic health, and muscle goals should shape the conversation.🎙️ We want to hear from you! Take our quick podcast survey at the link and enter for a chance to win. No purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited: https://metmind.co/survey-listeners👉 Want to stay up to date with the latest research on metabolic health and metabolic psychiatry? Sign up for our newsletter to stay informed: metabolicmind.org/about-us/newsletter/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #ProteinNeedsExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdResources Mentioned:The hallmarks of protein and amino acid restriction in aging and longevityhttps://www.cell.com/cell-press-blue/fulltext/S3051-3839(26)00077-0Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Can ketogenic therapy be safe for someone with heart disease, atherosclerosis, or a stent? Can you follow a ketogenic diet without losing weight? In this Metabolic Mailbag episode, Dr. Bret Scher answers viewer questions about ketogenic therapy, cardiovascular risk, anorexia recovery, pregnancy and nursing, schizophrenia remission, keto on a budget, and whether doctors learn about ketogenic therapy in medical school.He covers:Ketogenic therapy and cardiovascular disease after a stent or atherosclerosisHow to follow a ketogenic diet without unwanted weight lossWhat early research suggests about ketogenic therapy for weight-restored anorexiaKetogenic therapy during pregnancy or nursing, and why clinical supervision is essentialLab markers that may change during sustained nutritional ketosisWhy schizophrenia symptom remission is different from a cureHow genetics and metabolism may both contribute to serious mental illnessBudget-friendly ways to approach a well-formulated ketogenic dietWhy keto is rarely taught in medical schoolThe big takeaway is that ketogenic therapy is best understood as a clinical tool, not a one-size-fits-all template. Heart history, weight goals, symptoms, labs, pregnancy, medications, budget, and support all shape what the right approach looks like.🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#KetogenicTherapy #MetabolicMind #FoodAsMedicineExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdResources Mentioned:https://www.youtube.com/watch?v=oq8LHYuczUQhttps://www.youtube.com/watch?v=YrBxuQ6kcME Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

How can clinicians use real-world patient data to personalize metabolic health care? In this episode of Metabolic Mind, Dr. Bret Scher speaks with Dr. Jeff Pua, an internal medicine and obesity medicine physician, about obesity medicine, metabolic syndrome, nutritional ketosis, and what clinicians can learn from patient outcomes in everyday practice.Dr. Pua shares how his approach has evolved from relying only on broad research categories to also paying close attention to individual patient experiments, blood tests, and lived experience. In his practice, he sees patients improve not only in weight and metabolic markers, but also in mood, mindset, mental sharpness, and confidence as they begin to see measurable changes in their own health.They cover:How obesity medicine is evolving beyond the number on the scaleWhy metabolic syndrome is a major focus in Dr. Pua’s practiceHow N-of-1 patient data can help clinicians personalize careWhat blood tests can reveal about real-world metabolic improvementWhy nutritional ketosis can be a helpful benchmark for some patientsHow nutrition, physical activity, and behavior change work togetherWhy exercise may become more accessible once metabolic health improvesThis conversation offers a clinician’s view of how metabolic health care can become more personalized, measurable, and empowering for patients.👉 Want to stay up to date with the latest research on metabolic health and metabolic psychiatry? Sign up for our newsletter to stay informed: metabolicmind.org/about-us/newsletter/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #ObesityMedicineExpert Featured:Dr. Jeffrey Puahttps://www.drjeffreypuamd.com/https://www.instagram.com/drjeffreypuamd/http://linkedin.com/in/jeffrey-pua-a15627317Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Can chronic stress undermine metabolic health, even when nutrition, sleep, and exercise are in place?In this episode of Metabolic Mind, Dr. Bret Scher explains why stress recovery is an important part of metabolic health and how chronic cortisol and adrenaline activation may affect insulin resistance, blood pressure, inflammation, sleep, and long-term cardiometabolic health.Dr. Scher breaks down the difference between short-term stress that helps us respond to challenges and chronic stress that keeps the body’s alarm system switched on. He also shares why stress recovery doesn’t have to mean an hour of meditation or a weekend nature retreat. Even brief, consistent practices like 10 minutes outside, a short walk, sunlight exposure, calming music, or nature sounds may help the nervous system reset.In the episode, Dr. Scher covers:How chronic stress can affect blood sugar, insulin resistance, and blood pressureWhy cortisol and adrenaline are helpful short term but harmful when constantly elevatedHow stress can disrupt sleep, cognition, inflammation, and metabolic healthWhy meditation works for some people, and why consistency matters more than durationHow nature exposure, sunlight, and natural sounds may support stress recoveryWhy recognizing early stress signals can help prevent bigger health consequencesHow small daily recovery practices can support cardiovascular, metabolic, and brain healthRegular recovery practices give your stress response somewhere to land. A few minutes of meditation, a walk outside, sunlight, music, or even nature sounds can help support steadier blood sugar, better sleep, and a brain and body that aren’t constantly running on high alert.👉 Ready to build your own metabolic mental health plan? Explore THINK+SMART, our free, evidence-informed program designed to help you work with your care team and take practical steps toward supporting metabolic and mental health: metabolicmind.org/thinksmart/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #NationalWellnessMonthExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Could GLP-1 medications play a role in treating bulimia or binge eating disorder? In this episode of Metabolic Mind, Dr. Bret Scher speaks with Paige Gordon and psychiatrist Dr. Michael Lutter about Paige’s personal experience using a GLP-1 medication for treatment-resistant bulimia, and why researchers are beginning to explore the neurobiology of binge eating.Paige shares how years of therapy and medication never quieted the overwhelming binge urges that drove her bulimia. After hearing someone describe their experience on a podcast, she began exploring GLP-1 medication and saw a profound change in her urges and eating patterns. Dr. Lutter adds the scientific context, including genetic findings that may help explain why some people with binge eating or bulimia respond strongly to GLP-1 medications.They cover:How Paige’s bulimia began and why standard treatments didn’t fully helpWhat “food noise” felt like in her lived experienceWhy GLP-1 medications may affect appetite, reward pathways, and binge urgesHow genetics may help identify who responds to GLP-1sWhy eating disorder treatment needs more precision-focused researchThe risks of using GLP-1 medications in people with restrictive eating disordersWhy stigma keeps many people from discussing this treatment openlyThis conversation explores an emerging area of eating disorder research with hope, caution, and a clear need for larger clinical trials.👉 Want to stay up to date with the latest research on metabolic health and metabolic psychiatry? Sign up for our newsletter to stay informed: metabolicmind.org/about-us/newsletter/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #GLP1 #EatingDisorderTreatmentExpert Featured:Paige Gordonhttps://paigegordonauthor.com/https://www.instagram.com/paigegordonauthor/https://www.linkedin.com/in/paigegordon/https://www.tiktok.com/@paigegordonauthorDr. Michael Lutterhttps://precision-psychiatry.com/https://www.linkedin.com/in/michaelluttermd/https://www.youtube.com/@precisionpsychiatryFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.