Reducing Cardiovascular Risk, Protein with Age, Carnivore and Veggies | THRR185

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: J-shaped association between LDL cholesterol and cardiovascular events: A longitudinal primary prevention cohort of over 2.4 million people nationwide Show Notes: The Great Menopause Myth: The Truth on Mastering Midlife Hormonal Mayhem, Beating Uncomfortable Symptoms, and Aging to Thrive Paperback – September 10, 2024 Homeschoolcoffee.com They donate $1 from every bag of coffee to the Home School Legal Defense Association Chelation Therapy Nick Norwitz YouTube Channel Nattokinase: A Promising Alternative in Prevention and Treatment of Cardiovascular Diseases Questions:    Glucose Robert writes: Obi-Wan your our only hope. Have consistently high blood sugar on a full carnivore diet. Average readings around 100. After a 36 hour fast will often still be close to 100. Two days of fasting and the glucose will finally drop mid eighths and low ninetys. Post prandial readings are often in the low ninetys or high eighties. Which is always amusing since post workout readings are often 120 or higher. A little insulin goes a long way. Concerned about the AGE from constantly high blood sugar. This seems way beyond adaptive glucose sparing or the dawn effect. Signed, Mystified in New Mexico. (The details. Carnivore for four years. 99% of diet is fish, flesh and eggs. Cook in butter and lard. Only exogenous sugar is lactose in occasional yoghurt or coffee. 72 yo with around 15% fat and decent amount of lean muscle mass. Active, do weights and walk about 20 miles a week. O.K. sleep for my age. HbA1c 5.6, however HOMA-IR is 1.1. lipids are typically of a LMHR. Have used four different glucose meters over the years. Currently using two Keto-Mojos.)   Lowering Coronary Calcium Score Bret writes: Hello! Wondering if you know of any potential ways to lower your coronary calcium score. Personally, I'm 56 years old, and 44 of those years were spent consuming the standard American diet. (I've been strict Paleo since.) I'm sure that those 44 years produced 2 coronary calcium scores (3 yrs ago, and 2 yrs ago) that came in around 48 (total) and 47, respectively. Obviously, my goal is zero, but I'm not sure if there is any way to lower it. My functional med doctor recommended nattokinase, which I've been taking religiously, and it may (or may not) be the reason for the lowering of my score by 1 point over those 2 years. Anyway, I'm looking for any tips you may have for lowering my coronary calcium score, if they indeed exist. Thoughts? (Long time listener - thanks for all you do!) Bret   Trying to Understand Macro Nutrients Darren writes: Hi again from Tasmania. Just a brief question regarding protein. If I burn approximately 2500 cal a day, should that be made up of carbs and fat only? Because I assume that the 140 grams of protein I eat will be used for all of the processes it normally would do. How can protein be included in calories if it's not used for energy? I'm Not sure if this makes any sense. Love the podcast. Thanks Darren from taasie.   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte drink mix packets and the new LMNT Sparkling electrolyte performance beverage! Click here to get your LMNT electrolytes Transcript: Coming soon! 

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Carbohydrate reduction for metabolic disease is distinct from the ketogenic diet for epilepsy Show Notes: FLCCC Alliance (Covid Critical Care) StemTalk Episode 69 Papers on Mid Victorian Diet: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2442131/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2672390/ Questions:    Reducing Cardiovascular Risk Charles writes: Hi Robb and Nikki, I’ve been following some of the literature on COVID-19 vaccination and myocarditis, which is concerning. I’ve also noted the uptick in pop science articles on sudden population-wide upticks in stroke risk, among other things. I’m particularly concerned about this issue because I’m 30 and Male, both of which seem to greatly increase one’s risk of vax-induced cardiovascular issues; and I got scared into getting the Pfizer vaccine in 2021. Following this, more than a couple of men I know died suddenly and prematurely of cardiovascular issues, but I didn’t seem to have any such problems. I’ve been following your recommendations for 12 years (made me a bit unusual as a freshman in college), and I’m at my peak health and performance. Objectively speaking, my bloodwork ~6 months and 1.5 years post vaccine was excellent (lipids, hA1c, free testosterone, etc.). I wouldn’t be too worried about this but I sat down to do some bench press last week and got a sudden, intense migraine that felt vascular in nature. It got me thinking about all of these “exercise induced stroke” related headlines. So the question is, would you be worried if you were me? Would you adopt any new practices, or tweak any part of the ancestral lifestyle? I imagine some people have taken to popping baby aspirin in their 30s for this, but short of that, I don’t know what else I could do.   More Protein with Age?  Rob writes:  Nicki and Robb, First of all, thank you for all that you've done through your books, podcasts, and talks over the past several years. I know I don’t only speak for myself when I say that you’ve truly changed my life for the better, not only when it comes to nutrition and training, but also in terms of navigating this (increasingly) nonsensical world we’re living in. I'm a moderately active, lean (probably around 150 lbs.), 6'0", 38-year-old man. My physical activity generally comprises several walks every day, totaling around 8-12K steps per day, and I lift three times per week (full-body Starting Strength-esque barbell program called Greyskull LP). My sleep isn't the BEST, averaging 7 hrs. in bed (asleep for all but maybe 10-15 minutes of that time), but I wake up feeling good in the morning. Stress management is on point, although the 10-15 mg of nicotine I get per day (via tobacco-free pouches) may work against that some days, depending on the rest of my stress load. I generally eat moderate-to-high carb (200-300 grams per day). and my total caloric intake is generally around 2500-3000 kcal/day. My protein intake is currently around 250 grams per day. TBH, I just love protein. I find protein shakes to be convenient for breakfast, and I love eating meat, fish, etc. with other meals (generally around two pounds per day on top of the two-large-scoop protein shake). I also tend to feel better when I eat a ton of protein. My fat intake is, as you can tell, pretty low. All this seems to be working for me pretty well for me in terms of progress in the gym, sleep, energy, and all else. However, I’m a bit curious about my protein intake. At 250 grams per day, I'm well above what's recommended. I'm not concerned about this being detrimental or damaging in any way. However, I'm a bit concerned that as I age and my protein requirements go up, I’ll need to eat even MORE than this to compensate. Will I need to eat even more protein as I get older, or is my current intake so high that my rising requirements will still be met? If this is potentially going to be an issue, what steps might I take to figure out what my protein intake might look like now? Thank you so much!!!! Rob   Are veggies as bad as they say?  Tim writes: Hey Rob, I’ve been following you on and off for almost a decade now. I started Paleo due to you and have fallen off the wagon now and again. My wife is Ethiopian and not on my health bandwagon at all. We have issues occasionally due to me eating a different meal all the time because I’m more carnivore, and her more traditional Ethiopian dishes have many veggie dishes and injera, their flatbread made with Teff which is a staple. I was leaning carnivore and listening to Chaffey and others saying veggies are absolutely 100% awful. I would like to share a meal with the wife occasionally to make her happy and wonder if things like cabbage, kale, lentils, etc.. are as bad for me as all the others say. I trust your opinion more than most and thought I would shoot you this question. Thanks   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: the road to serfdom is paved with lost perspective the road back from serfdom Show Notes: Train with Morpheus Examine: HMB Questions:    HMB supplementation Sharon writes:  Hi Robb, Love your podcast and your relentless skepticism for research and reviewing data. What are your thoughts on HMB supplementation (Beta‐hydroxy‐beta‐methylbutyrate) for 55-65 year olds who are casual athletes and work full time? Trying to keep up the muscle tone as it is rapidly decreasing is a serious concern. Thank you, Sharon Seed Oils in Kids Foods Allison writes:  Hey guys, long time follower (my husband and I) , and I’ve even purchased one of your courses and have been respecting your knowledge since 2009. I’m 41 and have three girls 5, 3, and 8mo. I’ve been carnivore for 7 weeks now, but for my family we are pretty meat-based and I post a lot on IG and in my stories about good products I find for my kids that are clean and low sugar, good oils, etc… I post because I’m in a mom group of about 150 women of kids ages 7 and under and am on the board and so many of them follow me on IG. I’m trying to educate and help in a positive way. So I was at the playground with some friends of mine today and all our munchkins. I brought cheese and organic crackers and the topic of seed oils came up. A friend asked about what my thoughts were on High Oliec Safflower oil. I am not well informed on this oil but I said well it sounds like a seed oil and it’s probably like all other seed oils so we would probably avoid it. But with kids foods it’s almost impossible to find any that are super clean. We discussed how we all try our best to make things homemade that are nutrient dense and free of the crap, but often we need good choices to provide a decent snack at let’s say a park or play date. I listened to your podcast about seed oils when eating out once in a while, but I just don’t know what you all feel about them in your foods, specifically kids foods. For instance my organic crackers have organic palm oil. My friends crackers were just whole wheat, high Oliec safflower oil and salt. How as moms do we navigate these ingredients when we just don’t know what oils are worse? Is there a hierarchy of bad to worse seed/plant oils? I make sourdough for my kids and will probably just make them crackers soon here. But it’s real life, we can’t do this all the time. Is this like make or break it for you when you shop for products (theoretically)? Any suggestions? Any opinions? Thanks!   Cardio/Endurance Doug writes: Hey Robb and Nikki obligatory love and follow you guys since you had 6 listeners gesture lol former rebel had to cut costs hopefully be back again soon now to the question I've started playing hockey again at 38 years of age after taking 20+ years off everything seems to be going ok the skills are most rust but coming back recovery from games isn't as bad as I thought it would be I can usually walk the next day lol but the thing I'm struggling with is endurance hockey is basically 60 min HIT training session where you skate as hard as possible for 2 minutes and rest for 2 minutes unfortunately I only last 30 seconds no jokes needed here and by the 3rd period I'm shot lucky to have enough in the tank for one rush up the ice. So the question how do I increase endurance for such a game not sure running 5 miles a day will help and frankly I hate running. Any help would be much appreciated!   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Vitamin D Status Is Associated With In-Hospital Mortality and Mechanical Ventilation: A Cohort of COVID-19 Hospitalized Patients Show Notes: Ginkgo Biloba for Tinnitus Morpheus Platform Sarah and Grayson Strange Basis Health and Performance NY Sperti vit D lamp Grassroots Health Vitamin D Home Test Kit Hydrogen Water: Extra Healthy or a Hoax?—A Systematic Review Knee over toes guy Questions:    Tinnitus Karen writes: Hi, Thanks to you both for all you are doing! I especially love your updates on homeschooling, etc. Please keep them coming when you care to share. You guys are awesome!! Quick statement/question.... Tinnitus is NOT fun. Do you have any thoughts on dealing with it? Would LMNT help? I already have all my health pillars checked and am doing great at 61 years of age, but this ringing is getting gradually louder, and I want to turn the volume down on it so to speak. Thank you!!!   Hydrogen Water Steve writes:  Hi Robb and Nicki (aka Hubs and Wife). First of all, thank you for all that you do. You are making a difference! The health influencers have been talking a lot about hydrogen water as of late. Looked into it a bit and looks like there may be some benefits, but would like your thoughts. Highly touted machines seem to be in the $2k-$4k range, while the smaller portable ones are much less expensive. I'm doubtful of the cheaper ones. We have a child (19 years old) who is dealing with much fatigue, brain fog, etc. He lifts heavy (probably overdoes it 7 days a week, and goes hard), as well as overeats (hard gainer). So I'm guessing his inflammation levels are high and maybe mitochondrial damage issues? He also has horrible sleep habits and seems his circadian rhythm is off. We've been doing everything we can to figure it out and try to get him to a better place. MD's, Functional Medicine practitioners, acupuncturists, etc... Blood tests came back normal (but maybe there are some markers we should be checking that weren't tested). Also started him on a keto diet (mostly carnivore) to see if that helps. With all that said, I was wondering if the hydrogen water is something we should explore. If so, any machine brands you could recommend? P.S. Can LMNT be mixed with the hydrogen water. We love us some LMNT! Best, Steve from Seattle   Keto for dementia Becky writes: Hi Robb & Nicki-- Long time, first time. :) I am a 45 year old female, about 80 lbs overweight, but my bloodwork is pretty darn good. (Total cholesterol 203, HDL 65, Tri's 52, BP 118/72 on average). I was 365 lbs 10 years ago, and now I'm around 225 (5'5") through a low-carb paleo diet. I feel pretty good besides my thighs chaffing from the 10-15k steps I get everyday. I usually eat during a 16:8 window. My feeling is that I could fast and diet down to a healthy weight, but I can't sustain longer fasts without bingeing. I can, however, stick to low carb pretty easily. Here's the crux of my issue: my mom is 64 and getting dementia. She's always maintained a healthy weight and is very active. From what I understand, the doctor is concerned about her fasting glucose, A1C, and Triglycerides. He put her on a CGM, but she wouldn't use it. I am concerned for myself because I don't want dementia. Is keto good enough to help ward off dementia, or do I need to lose the weight, too? I've failed so many times to get under 225, but I can't give up if the extra weight is going to contribute to mental illness. Many thanks for your work.   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Separate gut-brain circuits for fat and sugar reinforcement combine to promote overeating Show Notes: Knee over toes guy Clip with Water and Rice experiment Questions:    Dietary changes to suppress estrogen Dana writes: Hi, Robb and Nicki! Thank you for all you are doing in the health space! I am a long time listener and appreciate your podcast! I am 51 years old, 5'4", and 145#. I am fit, and have been competing in CrossFit and Functional Fitness for a long time, including some international masters competitions. I have eaten a paleo diet since 2016, and added dairy to that in 2020 when my whoop told me my recovery was better every time I had dairy. More recently, my diet is leaning toward carnivore, but I still do eat fruits and vegetables, just not as frequently as before. Unfortunately, I was recently diagnosed with stage 1 invasive ductal carcinoma (breast cancer). I underwent a bilateral mastectomy on 3/18/24 and will be seeing the medical oncologist for treatment planning on 4/12/24. I know your podcast can not give medical advice. My question is regarding dietary changes that could reduce my estrogen levels. My cancer was estrogen positive. Through conversations with my surgeon, as well as the breast cancer groups I have recently joined, it is likely the medical oncologist is going to recommend I start hormone blockers. I would prefer to find ways to reduce my estrogen with lifestyle changes vs medications if I can. I am in perimenopause, so my total estrogen is lower to begin with. It was 43 pg/ml when it was tested in January. So, my question - Is there anything I can do dietarily or with other lifestyle changes that can reduce my estrogen levels? Thank you so much for your assistance. I look forward to hearing your answer! Dana   Electrolytes and respiratory rate Colette writes: "I have a question about electrolytes affecting respiratory rate. I got a notification from Apple Health that my respiratory rate had gone up over the last 10 days from an avg of 13.7 breaths a minute to 15.9. I’ve never received that particular notification from Apple before and I’m wondering if it correlates with me starting LMNT around the same time. I did a google search and did see that salts and water along with a list of other things can affect respiratory rates so I wanted to check to see if I should cut back on the amount I’m using (1 packet a day)or be concerned?"   Supplementing collagen for joint pain Ann writes: Hi Robb, I’m wondering if you could shed some light on the efficacy of adding collagen to treat knee pain/arthritis. I’m 61 years old, normal weight, low carb diet, regular walker, and I resistance train 3-4x/week. After a lot of years of sports, running etc I’ve developed some pretty bad knee pain and have been advised that knee replacement surgery is in my future. I’m not really on board with that and have been experimenting with red light therapy and recently added collagen supplements to my diet. I followed the advice of another individual in the low carb/wellness space and ordered from a particular company. While the product seems fine so far (I think its too soon to see improvement), the over-the-top aggressive daily emails and constant pushing of other products are starting to make me think there something scam-like going on. My understanding is that it’s important to get types I and III, bovine, grass fed, hydrolyzed collagen, but I’m having trouble finding objective advice that isn’t promoting a specific company’s products. I’d appreciate any advice you can give. I’m a big fan of LMNT and I appreciate all you do. Thank you Ann    Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Lab-Grown Meat’s Carbon Footprint Potentially Worse Than Retail Beef Show Notes: How to LOWER LDL on Keto. No meds! Feverfew for Migraine Migraine Prevention through Ketogenic Diet: More than Body Mass Composition Changes Elimination Diet for Migraine Questions:    Linoleic Acid Gerry writes:  Rob and Nickie.. Fellow Montanans here.. from the Kalispell area snd have seen you both around town! Hope you are enjoying Bozo town, you will definitely get more sunshine there.. My wife and I have been avoiding seed oils for several years now. Recently, I heard Dr.Mercola speak about the dangers of linoleic acid. He urged everyone to avoid bacon and eggs from conventionally fed chickens and pigs. He stated that the soy and corn fed to these animals contains seed oils and is stored in muscle and fat.. When we eat bacon or eggs we are loading up on toxic fats! I have not heard others warn of this danger, even high profile carnivore advocates.. I have been carnivore for over a year and noticed much less joint pain and substantial weight loss ., Bacon and eggs are a major part of my diet! It’s is disheartening to think of avoiding them. What do you two think about this??     Saturated Fat for Type 1 Will writes I'm a 51 y/o type 1 diabetic. I'm 5'10" and 170 lbs. I'm also very lean and carry a healthy amount of muscle mass. Since I'm wholly reliant on exogenous insulin, I'm hyper aware of my own insulin sensitivity, or lack thereof. Every time I eat a large bolus of saturated fat, especially beef, my insulin sensitivity drops dramatically and I end up taking 2 - 3 times the amount of insulin for a known food than normal. The worst food offenders are saturated fat + starch combinations like steak and potato or coconut curry and rice. Even if I restrict the carbs completely, large doses of saturated fat leave me chasing blood sugars and often injecting large doses of insulin to counteract the high glucose levels. Aside from limiting intake of beef, lamb, and other meats containing lots of saturated fat, what proteins would you rely on for health and body composition? Migraine with Aura Renea writes: My daughter has suffered from monthly migraines since the age of 2. She vomits every-time. Around the age of 8 she began getting migraines with aura and the vomiting went from one occurrence to 6-15 hours long. She is now 12, almost out of puberty and still suffers from auras. We have tried a lot of functional medicine but can’t seem to find many answers. Her neurologist wants to put her on anti seizure meds but we have put it off due to the side effects of that class of drug. Preventative drugs are not favored either due to the side effects. I too suffer from auras but only get them when I workout at 100% (CrossFit causes many of my auras and have since stopped CF) I try to workout at 80% to prevent them. Any advice how to prevent auras with migraine?     Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: 6 ways to LOWER LDL on Keto! Tom Bilyeu Visibly Scared by Jordan Peterson's Warning of What’s Next Tomas Pueyo on SO2 injection to stop global warming Show Notes: Coach Cinnamon Prime - Mindset Mastery Course Uniquely human evolution of sialic acid genetics and biology A Simple Method for Assessment of Human Anti-Neu5Gc Antibodies Applied to Kawasaki Disease https://www.foundmyfitness.com/topics/neu5gc Questions:    Testosterone levels and fasting insulin Kevin writes: Hey Robb and Nikki, I am 65 1/2 years young. The last couple of years my sex drive has not been like it had been (it comes and goes, but mostly goes). I did a self referred testosterone level test thinking my levels were low ( also was feeling sluggish and just not feeling quite like myself, but I was thinking that was from my age). To my surprise, my level came back at 1150! I have been taking a prostate supplement the last 6 months called Prostagenix. Before that I was taking flow-max for about 5 years and it just seemed to not be helping my symptoms (taking a lot longer to empty bladder and when I had the urge to go, I had to go, if you know what I mean!) so I switched to this natural supplement. It has a sterol blend on the supplement so I am thinking that maybe that is causing my elevated levels? I also googled it and seen that adrenal gland problems can also cause the high level. I had never had a testosterone level done before so I have nothing to compare this high level with. What are your thoughts on that? Also I did a self referred fasting insulin test and it came back at 5.2. My last 2 fasting glucose test were at 112 and 117. I did a fasting A1C and it was 5.1. Just want to know if 5.2 is high and will lead to insulin resistance or am I there already? The test shows I am in the “normal” range between 2.4 and 26 something! I don’t trust what they think normal is. I have been listening to you guys for a while now. I first heard of you when you were in the Tom Woods show and been following you since then! Keep up the great work!   Neu5 GC Teresa writes: Hi Robb and Niki I love your show and listen to it all of the time. I recently listened to Dr. Gundry speaking on Gabby Reese‘s podcast about Neu5 GC, which we get when we consume red meat. He says it causes inflammation and cancer, and that we should only eat it sparingly or only naturally fermented. Not exactly what I want to hear and I find it kind of hard to believe. I have cut out high fodmap vegetables, nightshades,high oxalate vegetables and I’ve adopted a higher protein diet, 1 g of protein per pound of desired body weight. Chicken is not my favorite and I find it hard to digest. Can you shed light on how much truth there is to this claim . Thank you!   Am I Eating Too Much or Not Enough? Jessica writes, Hi Robb and Nicki, Been listening to the podcast for a few years, and appreciate the content! Also love the way you interact with each other--the love and respect in your relationship comes through--it's encouraging! My question is: Am I eating too much, or not enough? For context, I'm 43 years old, 5'7, 211lbs, and while I am feeling better than I have in probably the last 5 years, I cannot get the scale to budge. My goal would be about 155 (I felt my best at this weight about 8 years ago) I've spent the last 2 years working with a functional medicine practitioner who has helped me clear up some gut infections, mold, and sort out some other digestive concerns (constipation) I've had all the tests: Dutch, GI Map, HTMA, OAT, full thyroid panel (not just TSH), and bloodwork. I'll mention that I'm MTHFR heterozygous, and FNP says based on HTMA, also a "slow oxidizer". Not sure how relevant those two things are to the question. We redid the Dutch recently, and I do seem to be on the low side of progesterone, so she's having me supplement on days 14-28 of my cycle (I'll note my cycle has always been very regular). I sleep 8+ hours a night (actual sleep according to tracker) average 9300 steps/day according to my garmin watch, and lift heavy 30 to 45 minutes 3x/week. I do have a desk job, but I have a walking pad I use daily at the office. I've been working with a nutrition coach at my gym since about August of last year, and while we are seeing some slight body comp changes based on pics and measurements...I'm still carrying more body fat than I would like, and it absolutely seems like it's NOT going anywhere. We started at 1880 calories. (160 grams protein, 175 grams carbs, 60 grams fats), and have adjusted all of those levers to a degree over these 6 months (sometimes up, sometimes down). I'm still basically exactly where I started with my weight. My gym has an InBody Machine, and according to that, my skeletal muscle mass is 76.5 lbs, with a 35.6% body fat. I hear you guys recommend the keto gains calculator, and when I've input my data there, I get the following recommendation: 1489 cals (143 P, 20 C, 93 F) for rest days, and 1679 cals (168 P, 20 C, 103 F). The overall calories seem low, and I do tend to have issues with fat digestion. I hear and read so many things that say women shouldn't be eating less than 2000 calories because of stress on the body, etc....but then some other macro calculators I use put me anywhere between 1800 and 2500 calories. I lost 25 pounds in 3 months about 4 years ago, but didn't keep it off. At that time I was eating 1400 cals, lifting heavy (oly) 3x a week, and training for a 10k 3x a week. It was unsustainable, and I also think may have contributed to some of my other issues. Would really appreciate your all's input as to whether my current macros really are "too much", or if it's not enough. Thanks so much. Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...    

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Ketone bodies: from enemy to friend and guardian angel Show Notes: Robb substack article Lily Nichols book links Questions:    600 drinks a year Mike writes: Hey Robb, For a number of years my friends and I, all mid to upper 30’s at this point, have been back-of-the-napkin tracking our alcohol consumption. Why? To be honest, no real reason other than a little accountability to oneself, something to talk shit about in group texts, and potentially to nudge some improved habits. I led with the part that seems shocking. ~600 drinks last year. Every year I’ve counted has ranged from about 450-675, the low end being the years we had infants, the higher numbers being when I was 30ish and didn’t have a care. Here’s the question. 500+ adds up pretty easily for someone who likes to drink. 10/week can be 0-1-2-1-0-4-2 and often is, and I don’t need to tell you this but that becomes 520 drinks across the year. We all know alcohol is bad. Can you weigh in on your feelings about this kind of volume, given very very little of what anyone would call binge drinking?? 6 foot Male, ~165, 38 yrs old. Hike and/or lift weights approx 6 days a week and drinking doesn’t affect me negatively in any accute way. Is this bad? Any time I’ve had labs done they’ve been normal accross the board. What does Robb think?? I know less is probably better but is the juice worth the squeeze?? I like drinking, and again, very rarely drinking to imparement, and the count is very honest. Thanks, your fifth listener.   Carb tolerance Holly writes: I just tested sweet potato, utilizing your carb tolerance protocol using a CGM. While my blood sugar returned under 100 after two hours, the spike was significant at 60 over baseline. So would you say this food is okay for me because of the test at two hours or potentially still a problem if trying to minimize the glucose variability?   Stevia for Birth Control Jonathan writes: Hi Robb and Nicki, I'll first say that I really appreciate everything the two of you have put out into the world. My question is regarding the legitimacy of a Tik-Tok conspiracy about Stevia (I felt very strange typing that sentence). My wife and I have two young girls (coming up on 4 and 2 years old), and in June of 2023, we started trying for the third and final addition to our family. My wife got pregnant on the first try, as she did with the first two pregnancies. Miracles, yes, but a part of me was cursing this cruel, cruel world - my wife's pregnancy hormones cause a 180 on her libido. At the first ultrasound for fetus #3, however, we couldn't find a heartbeat - it turns out there was a "missed" miscarriage around week 9 or 10. It came as a shock to both of us, since the first two pregnancies were quite healthy, and conceiving was not an issue. We took a break from trying, but still have plans to try again in a few months. In the meantime, my wife is working on stacking the deck where she can to make sure her body is 100% ready this time around, so that we don't repeat the difficult experience we had last year. She recently came across a Tik-Tok video that warned of the dangers of Stevia - allegedly, native cultures used to use the Stevia leaf as a form of contraception. Despite heavy skepticism, I've looked into it a little bit, and it's not entirely baseless. A textbook written by Obama's former science czar, for example, contains an anecdote of native Paraguayans adding a powdered form of Stevia to tea to serve as a contraceptive. A cursory glance as more recent research has some mixed results in rats, but the "consensus" seems to be that Stevia is no issue. I typically tend to trust "ancient wisdom" passed down through generations, but the anecdotal evidence seems a little weak in this case. What is your take on the legitimacy of Stevia as a contraceptive? My wife, who probably did increase her intake of Stevia during the first couple months of that pregnancy, is avoiding Stevia altogether just in case, since it's a very one-sided risk. Regardless, I would be curious of your thoughts.     Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...  

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Oreo Cookie Treatment Lowers LDL Cholesterol More Than High-Intensity Statin therapy in a Lean Mass Hyper-Responder on a Ketogenic Diet: A Curious Crossover Experiment Show Notes: Precision Health Reports Dr. William Cromwell discusses the LMHR Coach Cinnamon Prime Questions:    High Blood Sugars Eric writes: Hi Robb & Nicki - long time listener and fan! I’m hoping you have some thoughts or suggestions on this one. Background: I’m a lean, 56 yo male who follows a lower carb (50-75g daily) / higher protein diet (1+g/body weight). I’m very in tune with my diet given my wife is a T1D following Bernstein. I lift weights 3x/week and run about 20 miles/week (because I enjoy it). Admittedly, my work stress is high and I work about 50-60 hours/week. I get about 7.5 hours of sleep nightly and do all the sleep hacks to ensure I’m getting restful sleep. I’ve been wearing a CGM in hopes to better understand a recent A1c test of 6.0. I also had my fasting insulin level checked and it was 3 - so I don’t think I’m insulin resistant. The CGM consistently shows fasting glucose around 115 and staying there through mid afternoon, when I’ll typically drop into the 90s. I see spikes for exercise as high as 160, but come back down within 1-2 hours. I’m trying berberine (even though I don’t have a carb load) and l-theanine for the stress spikes, but so far, I’m not seeing much change Could this all be stress related? Any suggestions on how to fix this? Could this be gluconeogenesis from too low calorie? I don’t think I eat too few calories and am about to embark on some tracking to see where I am.   Keto and xanthelasma Fredrik writes: Hi Robb and Nikki, I have a question about a condition I heard you mention once on the podcast, xanthelasma. Basically yellow spots around the eyes. I have been on paleo since 2009 and keto since 2012 and you were some of the first people I found on my journey. It really has changed my life for the better. Back in 2009 I was training 5-6 days a week as a 28-year old with good performance but still had a less than optimal body composition and generally did not feel great. Now many years later on keto, as you guys often say, I look, feel and perform much better. There is just one nagging issue, yellow spots around my eyes. They started to occur after about three years on keto and I had a couple of them removed surgically but they are now coming back slowly. Obviously I cant keep on having surgery, so what to do? I have theorized that dairy might be a contributing factor but the problem of just trying to remove something is that I will not know if it is effective until years later. I have tried but it is very hard to find any useful advice for this online. Some people mention that supplementing with bile salt could help, what do you think? Physically and mentally I feel my absolute best on keto bordering to carnivore so I really want to maintain that. Dairy has also been really helpful for me to get enough calories for my workouts (three days a week of heavy weights and two days of either running or cross country skiing). So how do I know what to do and is dairy a likely contributor? Also, what else, other than dairy, could I eat to get in the calories for not just maintaining but building muscle? Protein is at 150-200 grams per day btw and aiming for around 2600-3000 calories a day. Thanks for all your great work with the books and podcast! Fredrik   Weight loss/mind change Mark writes Robb, Long time follower, my wife and I went to Nutrition seminar in 2009 at crossfit Monrovia. I like listening to yall. I am the former football/rugby player that eats too much food and sits at a desk. It has come to a point now that Life Insurance is requiring me to lose 60 pounds. I need to get to 231 pounds at 6'0". Currently i range between 285-295. I have tried diets the last couple of years for challenges, clean it up for a month and lose 30 pounds, super focused, lift, train without burning the joints. Skip meals, Skip Carbs. I lose the weight. Then i go back to normal life and eat my normal food which is too much. The question is how do i reset my need to eat and take in extra calories. Should I consider counseling? I eat as a feeling. I eat the same as I used to when I was playing rugby. I do also follow Dan John and I try to use Easy Strength for lifting. But I have not found a balance where i steadily lose. I have been maintaining my weight at about 285 with what i normally eat. My sleep is ok, Normal is 10:30 pm to 6 am. I sit at a desk 30 hours a week. I lift 15 minutes once a week. I play/run/yard work one time a week also. I have heard you talk about this before where we have been trained to gain and grow. Now that I am not trying to keep muscle mass on I have trouble shutting off eating. I still have not written my food down, like in the ketogenic reset. Is it habitual and I need to change how I eat for 25 days? Or is there another mental change needed? Mark   Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...

Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Recent advances in the exploration and discovery of SARS-CoV-2 inhibitory peptides from edible animal proteins   Questions:    Too much cardio for diabetes?  Thomas writes: Hi Robb and Nicki, second time questioner with an answer on the first question. First was about long term Imodium use. I am one of the six who truly appreciate what you do and listen all the time. I’m also an LMNT believer. This one is for my mother in law. She has controlled diabetes with diet and exercise for years. I would say they are Paleo on the lower end of protein. Now her A1C and fasting glucose are going up. Lots of walking and biking (weather permitting on the biking). Walking upwards of 7-10 miles a day. Could this be causing her body to produce more glucose for energy if protein is low or is her time up and leading towards insulin after all these years. Would weights be a benefit? Failed to mention she is in her low 70’s and pretty small framed.   Junk food calories - can the junk be burned?  Caleb writes: Howdy Robére and Nikki, I'm an OG supporter that came across you all while I was working for one of the first Whole30 approved products, Tessemae's All Natural. I've been to a handful of PaleoFX events and my last one was a few years back where we connected at the LMNT booth and I just want to extend my appreciation for you two staying true to real food and nuanced information without turning into sh*thead snake oil salesman selling Beauty Counter or other garbage products like the majority of the old "real food influencers". I recently started ultra training and found that if I use whole foods for all my fuel I end up with a giant rock in my stomach and occasionally have to sprint off trail to test my below 90 degree wall sits on a tree to relieve myself. I've since gone towards gu's and swedish fish for my training and race fuel and the rest of my calories come from lean red meat, fruits, japanese sweet potatoes, avo oil, ghee, and trace amount of calories from a little slice of heaven called LMNT (plug). My digestion is great, my stool is strong, my skin is clear(ish. I always have trouble with acne), and my energy is solid. I just want to make sure I'm not causing any long term issues by crushing swedish fish, gu's, and chilled peanut m&ms during training and wondering if the fact that I'm currently a furnace for calories, if that furnace burns the "bad" stuff in processed foods along with the calories themselves. Stay salty, C   Weight Loss and Maintenance Jenn writes:  Hi Robb & Nikki, I want to start by first saying thank you for the entertaining and informative podcast as well as the delicious electrolytes! My question today is related to weight loss and how to potentially move that needle. Sorry for the long winded story and question! I'm a 34 year old female 5'7" and 175 pounds. I have a desk job, but I am active every day. I box/kickbox twice a week, crossfit once a week, swim laps once a week, practice yoga/mobilty several times a week, strength train at least once a week (aim for 2-3x) and I walk between 7 & 10,000 steps every day. I have in the past lost weight doing chronic cardio and extreme calorie restriction, and I have reached 155 pounds, which is where I feel the best (confidence and energy wise), but of course, once I stop the extreme dieting and exercise, the weight comes back on. At my heaviest I was 215 pounds but I am able to maintain 175 very easily now, but getting that last 15-20 pounds off and keeping them off is a major struggle. Peter Attia has said that your waist should be half of your height or less, so at 5'7", my waist should 33.5" and I'm at 37" and it will not budge. I eat a very clean diet, following Paul Saladino' animal based framework - beef, eggs, chicken, apples, blueberries, hard cheeses (parmesan and old cheddar), potato, carrots, squash, sauerkraut, mangos, bananas etc. and I follow Dr. Mindy Pelz's intermittent fasting framework. Chronometer shows that I'm eating between 140-160g of protein, 50-150g of carbs and the remaining calories are fat, and on average I'm eating between 1800-2000 calories a day and feel satiated. Taking my activities into account, I have between a 250 and 500 daily calorie deficit which means that I should be losing weight at a slow, steady pace, but I'm not. I'm wondering if my hormones are possibly causing a problem? I have regular bloodwork done and my thyroid levels are in normal range and my fasting glucose is 4.6 mmol/L and all other markers are normal. A problem is that I live in the socialist country of Canada and my doctor won't test my hormones because of my age and the fact that I don't have any health issues and I'm not obese (preventative healthcare does not exist). I've tried to look at CGM's and private hormone testing, and each of those will put be out of pocket between $500 and $1000, which is more than I can afford at the moment. I try not to overdo the fasting and exercise so as not to increase cortisol levels too much, I do have a stressful job and I purposefully take a break in the middle of the day to go for a walk or exercise to help keep those stress levels under control. I try to get outside for at least 30 minutes a day (not always possible due to the weather) and I get between 7.5 and 8 hours of sleep a night - usually good quality sleep but I do have the occasional restless night. The supplements I take besides LMNT are magnesium, Vitamin D and CBD. My only vices are coffee and tea, which I drink black or with a small amount of honey or coconut milk. I feel like I'm doing everything right, I feel healthy and have a great partner and life but I just can't seem to get the weight under control. Do you have any thoughts or suggestions that may help me to move the needle and keep the weight off for good? Or am I worrying over something that is not a big deal? I want to be as healthy and strong as I can be going into my mid-life years. Appreciate any thoughts you may have. Jenn Sponsor: The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT. Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes Transcript: Coming soon...