Hey Folks!

We're back with another Q&A episode (yes, we're going to be doing these regularly)!

If you have a question for a future episode, submit them here https://robbwolf.com/contact/submit-a-question-for-the-podcast/

1. (3:00) Low Carb and Low Testosterone

Steve says:
Hey Robb and Nicki!

Any ideas as to why when I switched to low carb, my SHBG shot up, and, of course, my Free Testosterone went down...not good! I heard a podcast between Asprey and D'Agostino a while back and Dave mentioned that he was seeing that in a small percentage of clients, but did not know why? Hence...any thoughts you can provide would be helpful.

Stay the course...!!!
Steve

2. (5:30) Can visceral fat go away without procedures?

Annie says:

Hey Robb-
Thanks for looking over my question.
I am a 51 yr old woman- 27 years with Hashi's and I was just diagnosed with Reactive Hypoglycemia.
(Additional Back story- I've recently come through a 3 yr ordeal with adrenal fatigue and whacked out thyroid)
In a recent Dexa scan, it showed that I have a layer of visceral fat (and a much higher general body fat % than I expected) which prompted my Endo/Functional Med doc to advise me to start taking Metformin (I cried- I feel like I lost ) .
The scan results explain why I can feel the solidity of my ab muscles , but still have a section in my lower belly that is distended from under my ab muscles and not the same quasi-flatness of my upper abs.
Even though I eat Low Carb/ Keto and do HIIT/Crossfit/Lifting 3-4 hours a week , I cannot seem to get the fat from this area to reduce or disappear.
Will these combined strategies( low carb, exercise and metformin) shrink fat cells or make the fat go away? Or am I doomed to this to be my new, undesirable situation? It's not simply about vanity, its actually more about how I feel in a body that is not the one I've known and had to work with throughout the majority of my life. I've always been a mesomorph/athlete and usually around 20-22% body fat naturally (now I'm measured at 32%).

My question is it possible for that visceral belly fat to go away or get smaller through my current course of action? Or is that only possible through outside tools and resources like cool sculpting? I realize that sounds pretty vain, but again, it's a big change for my body and I am not loving it at all.

Thanks Robb-

Annie

3. (14:01) Keto diet and raised triglycerides

Conor says:

Hi Robb,

Huge fan of everything you do! I know you are super busy, but when you get a chance could you expand on keto and triglycerides? I am a 24-year-old male, 5'10 180 and about 15% body fat, very committed to weightlifting, yoga, nutrition, and fitness in general. I just got back a blood test and I had a raised triglycerides levels, about 220. I was wondering if I can do anything to lower this or if this is even bad. Anything will help, and I will be looking forward to your response.

Excited about your upcoming content and everything you do!

Kind Regards,

Conor

4. (17:51) Fasting
Nate says :
How do you know when adding in fasting is appropriate? For those who have most things dialed in (sleep, appropriate exercise, etc.). Also, is doing a calorie deficit similar to the 5:2 diet (as opposed to a normal daily deficit) advisable?

Paper link: Caloric restriction does not enhance longevity in all species and is unlikely to do so in humans

5. (23:11) Women and Keto
Holly says:
Hi Robb,
I hear a lot of people talk about IF may be stressful for a woman’s hormones, potentially causing mood deregulation and/or hair loss. I occasionally eat more carbs to address this, although I’m not sure if I have to if I’m feeling fine. Is there any benefit to scheduled/regular increase in carbs for women, and how much are we talking about? What are the circumstances of IF being contraindicated?

There’s lots of flys in here Tony reference:
If you are ever depressed, this will fix it: https://youtu.be/WDQQfBrSUs0?t=2m13s (NSFW language warning)

6. (27:53) Fasting (answered with next question together in one)
Madison says:
Hello!

What is allowed during a period of fasting? Clear broth, coffee, lemon water, and tea, just water, or some combination?

Thank you!

7. (27:53) Intermittent fasting and coffee with coconut oil/milk (answered along with previous question)

Caroline says:
I'm trying to find a definitive answer as to whether having a coffee in the morning with 1 tbsp coconut oil and 2-3 tbsp coconut milk is a good thing or a bad thing whilst doing IF and trying to lose weight (16:8 or 24 hours). I usually have one around 7am and another one around 10am.  I skip breakfast and eat around 1.30pm.

Does it take me out of fasting mode and, if so, how quickly will I go back into fasting mode assuming I don't eat anything?  Blood ketone tests show that my ketones increase by quite a lot after drinking coffee this way but is it having a negative impact on weight loss because my body is burning the fat in the coconut oil/milk rather than in my body?

There are many conflicting reports and opinions (most mainly about BPC) and I can't find a definitive answer.

I found this site today which is the first one I've seen explained this way.

http://www.theiflife.com/2-meal-coconut-oil-coffee/

What's your take on it?

My main goal is improved health (as measured by improved sleep and improved cognition) which I'm hoping will translate into weight loss of around another 12kg's (lost 5kg's through keto since mid January '18).

Thanks!

Twitter: @RobbWolf
Instagram: @dasRobbWolf
Facebook: @RobbWolfOnline

And we're back with Episode 386 of The Paleo Solution Podcast!

This week we have our good friend and functional medicine practitioner Dr. Michael Ruscio back on the podcast again. Dr. Ruscio is one of the most knowledgeable people on gut health that I know. He's so knowledgeable that he actually wrote a new book on the topic called Healthy Gut, Healthy You. Listen in as we discuss a lot about gut health, clearing up common gut health misconceptions, Dr. Ruscio's new book, and more.

00:00 – Synopsis and opening remarks
3:02 – Introduction
3:39 – Dr. Ruscio’s gut book
6:01 – What motivated Dr. Ruscio to write the book
10:48 – Reading things on the internet
13:27 – Knowledge vs. wisdom
14:51 – First part of the book – gut symptoms outside of the gut
16:51 – Not all guts are the same
19:01 – Evaluating health tips
21:21 – Metabolic flexibility and clinical application
22:51 – Opinions on feeding vs not feeding gut bugs
26:16 – The biggest work mistake Dr. Ruscio has learned from
31:18 – Supplementing stomach acid
36:20 – Coffee and caffeine effects (cliffhanger)
38:03 – Non-Celiac Gluten Sensitivity (NCGS)
44:46 – Fecal Microbiota Transplant (FMT)
46:30 – Dosing sun exposure for adequate Vitamin D
48:44 – Adrenal Fatigue
52:31 – Machine learning algorithms and using a logic tree and context
58:01 – Closing remarks, book availability, and where to find Dr. Ruscio

Website: https://drruscio.com

Book: Healthy Gut, Healthy You

For Episode 385 of The Paleo Solution Podcast we have a special guest: Dr. Shawn Baker M.D. Dr. Baker is an orthopedic surgeon, multiple record breaker in weightlifting, and has been eating a carnivore diet for the last 15 months. Listen in as we talk about all-meat diets, and go over Dr. Baker's recent blood work results.

Show Notes:

1:50 – Opening Remarks/Summary
3:48 – Dr. Shawn Baker’s background
6:15 – All carnivore diets (and health and autoimmune disease)
12:46 – Athletics eating carnivore diet
14:45 – Concept 2 Rower
17:28 – Blood sugar swings
18:20 – Carnivore diet controversy and comparing to keto and mixed diets.
20:02 – mTOR and protein discussion
22:14 – Muscle mass and longevity
23:13 – Dr. Shawn Baker’s blood work
25:20 – C-Reactive Protein
27:10 – Fasting Glucose
30:15 – Blood Urea Nitrogen (BUN)
30:39 – Creatinine
30:50 – Cholesterol (general panel)
32:37 – Liver function (AST and ALT)
33:57 – More Cholesterol discussion
35:50 – Testosterone
40:38 – A1c
42:42 – Ferritin
44:21 – Iron related
45:57 – Insulin
47:55 – LDL-P
48:40 – LPIR score
48:55 – TSH
49:02 – Vitamin D
50:08 – Remnant cholesterol particles
50:41 – BMI
50:55 – Blood pressure
51:05 – HDL to Triglyceride ratio
53:09 – Lp(a)
54:54 – More LDL-P and cholesterol discussion (reverse discordance)
56:15 – More discussion on glucose (athletics and glucose)
59:05 – Where is Dr. Baker taking this next? (and salt and muscle pump)
1:01:05 – Fiber
1:02:26 – Fruits and vegetables
1:03:43 – Experimentation, science, and progression
1:08:51 – Where you can find Dr. Shawn Baker

Instagram: @ShawnBaker1967
Twitter: @SBakerMD

World Carnivore Tribe Facebook Group
MeatHeals.com
Carnivore Training System
https://nequalsmany.com/

Dr. Shawn Baker on the Joe Rogan Experience podcast:
http://podcasts.joerogan.net/podcasts/dr-shawn-baker

For Episode 384 of The Paleo Solution Podcast we have guest Lily Nichols. Lily Nichols is a Registered Dietitian/Nutritionist, Certified Diabetes Educator, researcher, and author with a passion for evidence-based nutrition (especially prenatal nutrition). Lily is also our go-to person for info on gestational diabetes.

00:00 – Intro
3:06 – Opening, and Robb and Lily discussing their children
5:20 – How Lily got into prenatal nutrition
11:28 – Evolutionary Medicine
16:42 – Nutrient deficiencies during gestation
19:47 – Low carb diets and birth defects
26:02 – Obesity and insulin sensitivity
28:18 – Academy of Nutrition and Dietetics policy paper on prenatal nutrition
32:14 – Ramifications of public nutrition policy
39:22 – Nicaraguan cab driver story, and food system
42:15 – Cow island in Alaska
43:49 – Our food system doesn’t make sense
46:35 – Real Food for Pregnancy book
55:13 – Where to find Lily, and closing

Website: realfoodforpregnancy.com and http://pilatesnutritionist.com/
Twitter: @lilynicholsrdn
Instagram: @lilynicholsrdn
Facebook: PilatesNutritionist

Previous guest appearance on the podcast: Episode 269 - Lily Nichols - Gestational Diabetes

Zoe Harcombe article on low carb diets and birth defects mentioned in the show: http://www.zoeharcombe.com/2018/02/low-carb-diets-birth-defects/

Book: Real Food for Pregnancy

Hey Folks!

You asked for it, and we delivered. We're back with a Q&A episode!

If you have a question for a future episode, submit them here https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show notes:

1. (4:41) Ketosis and Carbohydrate timing

Ryan says:

Hi Robb. I don't know if this will reach you, but while listening to your podcast and reading your first book, a hundred questions pop into my head. This is one of them. I thought about asking my doctor, but I knew a blank stare and a sweaty forehead would be his answer. So here goes: Does frequency of carb intake play a role in disrupting ketosis? For example, if I am going to eat 150 grams in total of carbohydrates today, will eating all 150 grams of carbs at the same meal knock me out of ketosis for an EQUAL amount of time as eating 15 grams every hour for 10 hours?* My theory is eating 15 grams of carbs an hour for 10 hours will be just enough to keep a person out of ketosis for a longer period of time than eating all 150 grams in one meal while carb-fasting for the rest of the day. I could be wrong, but that's why I'm asking the master. Thank you in advance for any time you can dedicate to the this question. Have a great day.

*Lets assume we are talking about starchy carbohydrates (rice, potatoes, etc.), not leafy green vegetables or other low glycemic vegetables.

------------

Links: Meal frequency and timing in health and disease-PNAS

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4250148/

2. (9:34) Genetics and Keto

Charles says:

Robb mentioned in the Paleo(f)x keto interview that he had some genetics (SNPs) that perhaps made Keto not a great diet for him, yet he gets around it somewhat with some supplementation including with Carnitine. I dabble in Keto and have made lots of progress with my health as a result. I plan to sign up for the Master Class too. I have done genetic testing already with 23 and me. I wonder if Robb could tell me the SNPs to look for to see what kind of genetic fit Keto is for me. I have a feeling I will find out in the Master Class, but would love to hear what Robb has to say or perhaps there is a link to an article or podcast that would do the trick.

------------

Found my fitness genetic interpretation:

https://www.foundmyfitness.com/genetics

FTO gene is called fat mass and obesity-associated protein because it is the gene that is the major genetic risk factor for obesity. This particular genotype, rs17817449(G;T), is associated with a 1.3-fold increased obesity risk. Saturated fat may have a negative effect on blood glucose and insulin levels and increases type 2 diabetes risk in individuals with this genotype.

All sat’d fats the same?? NO.

No one asks why this is:

Sat’d fats increase endotoxemia to some degree:
Dietary oil composition differentially modulates intestinal endotoxin transport and postprandial endotoxemia-Nutrition and metabolism
https://nutritionandmetabolism.biomedcentral.com/articles/10.1186/1743-7075-10-6
Sat’d fats also tend to increase Lipoproteins and cholesterol, at least in some people. Is that bad? Maybe, maybe not, #context:

https://www.google.com/search?q=LPS+clearance+lipoproteins&oq=LPS+clearance+lipoproteins&aqs=chrome..69i57.6086j0j4&sourceid=chrome&ie=UTF-8

Multiple mechanisms:

1-LPS binding protein

2-Multiple hepatic cells and receptors, including LDL-receptor

3-Small, dense lipoproteins work better for this!!

In total, this FTO mutation is overall beneficial in dealing with endotoxemia dn infection. Consistent with other SNP’s I have (celiac potential, mild iron accretion). Shows direct influence of adaptations to agriculture. DAIRY really increases this for me.

3. (16:51) Familial history of cancer and the Ketogenic diet for prevention

Clint says:

Hey Robb-

When I look back into my family history, a boatload of people have had various forms of cancer. We've run the gamut of colon cancer, breast cancer, cervical cancer, etc... I've listened to quite a few podcasts with Dominic D'Agostino in regards to the ketogenic diet as a tool in the toolbox for combating cancer and lessening the effects of Chemo. I've also heard on various podcasts the use of periodic multi-day fasts to help expunge faulty cells from the body in hopes for cancer prevention. I've been looking into these methods of cancer prevention and wanted your two cents on the matter. I'm 32 years old, 6'2", 180lbs. I'm an endurance athlete/run coach and compete in races from 5k-100 miles. If, in your opinion, these are good tools in regards to helping keep cancer at bay, at what age should I start implementing them? How would I go about balancing a ketogenic diet and being an endurance athlete w/out completely frying my adrenals? I'm not necessarily against reassessing my performance goals to include goals of health and longevity. It's not like I'm being paid to be an upper-midpack runner.

Thanks for all that you do! Really looking forward to the new book

Clint

aka "Run Coach Clint"

-----------------------

Likely sweet spot for IF is 18-24hrs: https://medium.com/the-mission/the-sweet-spot-for-intermittent-fasting-9aae12a2158c

Scant evidence of periodic starvation among hunter-gatherers.
https://www.ncbi.nlm.nih.gov/pubmed/10096796

4. (24:25) Fasting impact on weight training

Matt says:

when doing longer fasts like 5-7 day should one stop weight training altogether or keep thing business as usual?

5. (26:32) Cycling the carbs: is it supposed to suck

Kate the Great says:

Hey guys, huge fan of the podcast, although I'm only a hundred-some episodes in and trying to catch up. Scroll down for the actual question.

I eat Paleo (duh- how could anyone listen to 100+ hours of Robb Wolf and not eat that way), which means no grains, dairy, legumes, or sugar. I'm also well on my way to converting the metabolically-resistant trifecta of my Baby Boomer mother and father and my Hot Cheeto-loving fiancé-- which seems to be the Holy Grail of Paleo living.

I actually "discovered" Paleo when my fiancé and I did a month-long no-sugar challenge. Part of the protocol involved eliminating grains and dairy before adding it back in, and I noticed how much better I felt when ate things besides grain, dairy, and sugar. Turns out there is a name for it. I shortly transitioned into low-carb Paleo, around 50g-65g/day, because I got healthier and felt better simply eating meat, fish, eggs, sardines, avocado and coconut, and low-starch vegetables.

On low-carb Paleo, I started absolutely shredding weight and dropping body fat. 16% to 12% body fat in two weeks- which was very alarming. My body adapts pretty quickly to whatever is thrown at it, and I tend to gain muscle and drop fat easily, but this was definitely unprecedented. After seeing that weight loss, listening through the podcast, and choosing to add in a few more weekly sessions of BJJ and Muay Thai, I figured it would be prudent to add in some high-carb days.

Here's the curve ball: I'm a cop who works the road, but with a balling swing-shift schedule. 4 days on/4 days off, 1:30 PM to 1:00 AM (and we get paid an hour a day to workout). From what I hear, shift work is the devil, but I haven't had any problems with it. Yet.

I started adding in a high-carb (200g) day every 8 days- it falls on my first day off. Carbs come from corn chips or tortillas at a Mexican restaurant, homemade coconut flour pancakes with banana and blueberries, and tons of raw vegetables (like a party-tray of dipping veggies with no dip).

Here's the problem: on high carb days, I feel like BUTT. Bloating, fatigue, rapid heart rate, inability to focus my eyes or even keep them open, crashing and sleeping 14 hours that night, confusion, extreme thirst, muscle cramping, headaches, stuffy nose, and mental fog. On the following day, I am sluggish to wake up, but fine by the afternoon, and absolutely slay workouts. I'm talking adding 20 lbs to previous weeks' lifts, or able to go for hours nonstop in the ring. I love what the high-carb days do for me, but I hate them in the moment.

This crash doesn't seem normal or healthy, and I can't figure out what it's coming from. Is it (1) a possible gluten exposure/cross-contamination? (2) a downer after four days of high-adrenaline work? (3) entirely too much fiber? (4) a combination of all the above? And am I giving myself the diabetes? What is the reason for this crash; is it a necessary part of carb-cycling, and how do I make it stop? I would go back to all low-carb, but I want to stave off further weight loss and pre-empt a hormonal clusterf*ck with the high-intensity workouts, high-stress job, and low-carb.

Trading Card Stats:

+27 YO female

+5'10" 150 lbs., 13% body fat (walked myself down from 200 lbs and 20% body fat as an SEC hammer thrower 5 years ago)

+Literally perfect lab blood work

+BJJ, Muay Thai, long walks on the beach and candlelight dinners during my four days off (no but really, lots of walking with the martial arts those days)

+Olympic lifting and power lifting (working off Rusin's FHT program right now, but historically have designed my own) and running (sprints or middle distance no greater than 3 miles) on work days

+roughly 150g protein, 100g fat, 50g carbs on low carb days; 150g protein, 20-30g fat, 200g carbs on high-carb days

+supplement with Carlson's fish oil, Natural Calm most nights; adaptogenic herbs or tea PRN after a high-stress work day (get shot at or crash the car, etc.)

+7 hours of sleep on work nights, 9 hours of sleep on off nights

+Hormonal girl stuff is fine.

Goals:

+Health, longevity, mitigate a stressful job

+Maintain excellent PT scores (1.5 mile run, 1-minute pushups, 1-minute sit-ups, 300 meter sprint)

+SWAT tryouts in a year: involves a 24-hour physical endurance and shooting test with 80 lbs. of gear

+Continue to improve in martial arts so I don't get my narrow Paleo butt handed to me on the street by some dude who eats 7-11 hot dogs.

Huge thanks to you and the team. Don't get any ideas or anything, but I can't believe all this is free. Love and support from VA.

6. (31:20) Weight loss--How much is too much?

Jacquelyn says:

About a month ago, I began the sugar elimination Paleo Meal plan. I needed to lose a lot of weight. I have spinal stenosis, severe lumbar arthritis and in the right hip. high blood pressure, prediabetes, Hashimoto's disease, lactose and gluten intolerant, etc. I take medication for the high blood pressure and the Hashimoto's disease. I've been going to the gym for 18 months---working on various muscle groups and doing cardio. I lost NOTHING, but my muscles did firm up---so I lost inches. My doctor and physical therapist were both nagging me to change something to get the weight off. I met with a friend of mine who has a company called: Verri Well. She advised me to do the sugar elimination plan (meat, veggies and fruit each meal). and see how it goes. I did. Within 4 days, the chronic pain I had in my lumbar spine and right hip disappeared. I continued eating meals based on the plan and going to the gym or walking everyday. At the end of a month, I went to my doctor's office for a check in. I lost 35 lbs in the first month. My doctor freaked out saying that it was dangerous for my organs what I was doing. I needed to slow down the weight loss and put peanut butter, bananas back in my diet and lose the citrus fruits. Well, I'm not going to do that because I feel it would hinder my progress. I like the way I'm feeling. My doctor added that my heart and kidneys would not be able to take the rapid weight loss. So, I am asking you for a general opinion. If I am working out everyday, and sticking to a paleo meal plan---Is a weight loss of 35 lbs for the first month unheard of or dangerous for my organs (starting weight was 280lbs)??? If so, what should the amount of pounds be for weight loss? Or does it even matter? I can see my doctor's position if I was anorexic or bulimic. But that is not the case at all. Thank you for reading. I really need your help with this.

Twitter: @RobbWolf
Instagram: @dasRobbWolf
Facebook: @RobbWolfOnline

Hey Folks!

We're back from a bit of a hiatus. Things got busy over the holidays, and we've been trying to do some changes to the podcast as well. You should start seeing podcasts at our regular bi-monthly schedule now.

This episode of the podcast we have guest Andrew Marr. Andrew is a Special Forces Green Beret, Co-Founder of Warrior Angels Foundation, and author of TALES FROM THE BLAST FACTORY: A Brain Injured Special Forces Green Beret's Journey Back From The Brink. His book is also being made into a full feature documentary titled Quiet Explosions. Andrew is an MBA candidate at Pepperdine Graziadio School of Business and Management. Andrew is married to Becky, the love of his life, and together they have five children and are expecting twin boys in March of 2018.

00:00 – Introduction
2:08 – Andrew Marr’s background
5:50 – Different ways one can sustain a TBI and military conditions effects
8:45 – What lead to Andrew’s TBI
11:05 – Andrew’s symptoms and experience of TBI
17:05 – The NICoE process (National Intrepid Center of Excellence)
19:05 – How Andrew turned it all around
24:08 – Where Andrew went next (treatments he tried)
28:36 – The misconception of treating hormonal issues
31:07 – Ketogenic diet and exogenous ketones
32:15 – Review and summary of Andrew’s treatments
34:17 – Commitment to help others – Warrior Angels Foundation and Tales From The Blast Factory
37:45 – Robb’s thoughts on Andrew’s work
40:25 – Where to find more info from Andrew

Website: http://waftbi.org/

Book: TALES FROM THE BLAST FACTORY: A Brain Injured Special Forces Green Beret's Journey Back From The Brink

This episode of the podcast (Episode 381) we have guest Dr. Nasha Winters. Dr. Nasha Winters, ND, FABNO, L.Ac, Dipl.OM is the visionary and CEO as well as best selling author, lecturer, and the primary consultant of Optimal Terrain^TM.   Informed by more than 25 years of experience in the health care industry and a thought leader in personalized precision medicine, Dr. Nasha works to educate clients, doctors and researchers world wide on how to apply integrative oncology philosophically and therapeutically.

Listen in as we discuss the roots and causes of cancer and its relation to metabolism, genetics, stress, and what you can do to prevent and combat cancer.

Website:
http://optimalterrainconsulting.com/
https://www.remissionnutrition.com/ (Jess Higgins Kelly)

Facebook:
Optimal Terrain
Remission Nutrition

Book: The Metabolic Approach To Cancer

On this episode of the podcast we have our good friend Diana Rodgers, RD, NTP. Diana is a Registered Dietitian, Nutritional Therapy Practitioner, and lives on a sustainable, working organic farm.

Listen in to this important episode as we talk about the sustainability of eating meat, grazing animals, why sustainability > abs, What The Health, and Diana's documentary that's in the works.

Website:
https://sustainabledish.com/film

Instagram: @sustainabledish

On this episode of the podcast we have guests Angela Alt and Dr. Gauree Konijeti. Dr. Konijeti is a gastroenterologist, head of inflammatory bowel disease at the Scripps clinic, and currently researching inflammatory bowel disease with an NIH grant. Angela Alt is a certified health coach and nutritional therapy consultant, partner at Autoimmune Wellness, author of The Alternative Autoimmune cookbook, co-author of The Autoimmune Wellness Handbook, co-host of the Autoimmune Wellness podcast.

In this episode we talk all about the Autoimmune Protocol (AIP) diet for autoimmune disease and the study on the efficacy of the Autoimmune Protocol for inflammatory bowel disease done by Dr. Konijeti (linked below).

Download Episode Here (MP3)

Websites:
Autoimmune Wellness
Dr. Konijeti at Scripps Clinic

Study: Efficacy of the Autoimmune Protocol Diet for Inflammatory Bowel Disease

On this episode of the podcast we have guest Dr. Jeff Stanley MD. He is a physician with Virta Health, and utilizes continuous remote care and the ketogenic diet to reverse type 2 diabetes.

In this episode we talk about online healthcare, treating diabetes, monitoring and data, high lipid markers for some on ketogenic diets, and more.

Website: https://www.virtahealth.com/
Twitter: @JeffStanleyMD