We're back with Episode 417 of The Paleo Solution Podcast. We have one of my favorite guests of all time back on the show, Dr. David Perlmutter. Dr. Perlmutter is a Board-Certified Neurologist and four-time New York Times bestselling author (author of Grain Brain). He serves on the Board of Directors and is a Fellow of the American College of Nutrition. Listen in as we talk about how the science of health and nutrition has progressed and where it's going, ketogenic diets, fasting, alzheimer's, diabetes, medication, and much more.

Show Notes:

00:47 – Pre-intro/Summary
2:12 – Introducing Dr. Perlmutter
3:34 – How has the science behind Grain Brain progressed
8:45 – Health care crisis and important things to focus on
17:50 – How the view of dietary fat has changed in the past 5 years
21:41 – Dr. Perlmutter’s visit with Nestle
25:24 – Why ketogenic diets have become so popular
28:48 – Alzheimer’s ineffective medications
31:08 – Statin drugs increasing diabetes risk
33:58 – Comparing diabetes treatment with medications vs ketogenic diet
34:23 – Diet template and paleo
38:54 – Plants able to change gut bacteria genes
42:15 – Connection
43:28 – Fasting
51:20 – Muscle loss and fasting
57:40 – Things to be aware of and how to thrive on keto
59:49 – Predictions for the next 5 years
1:04:15 – Where you can find Dr. Perlmutter

Website: DrPerlmutter.com

YouTube: The Empowering Neurologist

Book: Grain Brain (Revised and Updated)

For Episode 416 of The Paleo Solution Podcast we have guest Dr. Michael Rose. Dr. Rose is a prolific evolutionary biologist whose work on aging has transformed the field. Evolution has described the field of aging research as “after Rose,” thanks to his influential book Evolutionary Biology of Aging. In 1997, Rose was awarded the Busse Research Prize by the World Congress of Gerontology. In 2004, he published a technical summary of his work on the postponement of aging, Methuselah Flies, followed in 2005 by a popular book on the topic, The Long Tomorrow. His most recent book, with L.D. Mueller and C.L. Rauser, is Does Aging Stop? He has more than 300 publications, and has given hundreds of scientific talks around the world. He is currently a Distinguished Professor of Ecology and Evolutionary Biology at the University of California, Irvine.

This was a super interesting episode. We talked about evolutionary changes in diet, how young people may be more adapted to agricultural diets, how that changes with age, and how your background and ancestry can affect how you handle agricultural diets and foods as well. I definitely recommend giving this one a listen.

Show Notes:

00:48 – Summary/Pre-intro
2:15 – What is aging
3:22 – Experimental evolution
6:15 – Ancestral Health Symposium talk and fruit fly experiment
19:07 – Variables of optimizing a paleo diet and adaptation to agricultural foods
27:25 – Self experimentation and values
29:25 – The evolution of human diet
33:20 – Nutrient density
34:48 – Brain evolution nutrient requirements
35:33 – Movement, activity, and exercise
39:27 – Minimum effective dose
41:01 – Where you can find Dr. Rose’s work

Dr. Rose’s AHS presentation: Evolutionary Biology of Diet, Aging, and Mismatch
Website https://55theses.org/
Google Scholar page: https://scholar.google.com/citations?user=NCQ3E5sAAAAJ&hl=en
The Long Tomorrow book: https://amzn.to/2DgmUOQ

For Episode 415 we have guest Bill Parravano. Bill is “The Knee Pain Guru”. He has over 25 years of martial art and bodywork experience understanding movement and tensions patterns that lead to physical pain. Bill believes the nervous system holds the keys to the body’s healing. It bridges gaps between what we currently know and the infinite number of possibilities for the body to heal in the realm of what we don’t know. This combination creates the shortest distance between a life riddled with pain to a high quality fully expressed physical life.

Listen in as we talk all about knee pain and knee health.

Show Notes:

00:48 – Pre-intro/Summary
1:57 – Introducing Bill Parravano and Bill’s background with Knee issues
4:26 – Studying different styles of bodywork – Orthobionomy and Systema
6:34 – Tension patterns
8:44 – How paleo came into play with Bill’s strategy
11:38 – Diet vs surgery for back and knee issues
14:30 – Meniscus tears, unnecessary and necessary surgery
15:45 – The difference between mechanical dysfunction and pain
16:48 – Bill’s process of starting with someone with knee pain
20:30 – Bringing awareness to the basics
25:21 – Conventional pain management vs getting to the source
26:25 – Common deficiencies and imbalances that are causing knee pain
31:30 – How to keep from getting knee problems, and gross motor movements vs intrinsic movements
37:50 – Where to find Bill

Website and 7-Day Knee Pain Reduction Challenge: https://www.thekneepainguru.com/
Facebook: https://www.facebook.com/TheKneePainGuru
YouTube Channel: https://www.youtube.com/channel/UCVlHprd8eMf5jhmSzZtu8Sg

We have our friend Darryl Edwards as guest on the podcast for Episode 414. Darryl Edwards is a Movement Coach, Natural Lifestyle Educator, nutritionist and creator of the Primal Play Method™. Darryl developed the Primal Play methodology to inspire others to make activity fun while getting healthier, fitter and stronger in the process. Darryl is also the owner of Fitness Explorer Training and author of several books including Paleo Fitness, Paleo from A to Z and April 2018 best-seller Animal Moves  His work has been published in titles such as Men’s Health, Women’s Health, Elle Magazine, Men's Fitness and featured on the BBC documentaries Eat to Live Forever and Doctor In The House.

Show Notes:

00:48 – Intro to Darryl Edwards and Primal Play
2:48 – Darryl’s career background, health history, and how he got into paleo
9:10 – What motivated Darryl to do a book and a certification and get into this work
15:38 – Incorporating movement and play-outs in regular life
17:16 – Structure vs unstructured activity for people and for kids
25:01 – Risk assessment for kids
28:06 – Overprotecting kids and losing resilience and risk assessment ability
31:00 – Where to find Darryl
32:55 – Movement Oncology – movement as medicine for cancer
35:00 – Underappreciated movement
36:51 – Thanks

Website: PrimalPlay.com

Certification: PrimalPlay.com/certification

Social Media:
Twitter: @fitnessexplorer
Instagram: fitnessexplorer
Facebook: @fitnessexplorer

Book: Animal Moves

Here we are with Q&A #12 with Robb and Nicki for Episode 413 of The Paleo Solution Podcast!

Don't forget to send in your own podcast question to use here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [1:36] Keto for children

Kaleigh says:

Hey Robb! I’ve read a few studies and heard people talking about Keto diets helping children with epilepsy and behavioral disorders. But I’m wondering if it’s healthy for all children? I want to raise my child healthy and I don’t feel comfortable feeding him processed foods, sugar, and grains like baby cereals and junk foods. How do I know if I’m feeding him the right amount of fats, protein and carbs?

I love your podcast and would love to hear your thoughts on this!

2. [9:27] Am I 'carb adapted'

Dan says:

I have recently finished reading Wired to Eat and shortly after began testing many of the foods on the list. The majority (outside of oatmeal at 123 mg) have come back surprisingly low at <100 mg. I have even went as far to test sour dough bread and cinnamon toast crunch just to see the effect which also came in <100. About 6 months ago I sent some blood off to test what 'my ideal macros' should be and it came back 40/40/20 c/p/f which I automatically thought was a farce given this sort or split is classic 'bodybuilder' macro split amd seemed gimmicky. However post testing my own blood myself, I am starting to think maybe it was accurate. I am 35 and have always been a bit carbaphobic - so my question to you is 1) is it possible, or have you seen this sort of reaction with others who are able to eat carbs without a spike in blood sugar? 2) what does this tell us (good, bad, indifferent) and 3) I would really like to experiment with a keto reset for 2-3 months/year given I feel there are great longevity aspects - however if my body handles carbs well - would you suggest a high fat/keto protocol for benefits?

Thanks for all that you out out there.

Dan

3. [14:17] nicotine affect on ketosis levels

Pierce says:

So i've been on the "keto" diet for almost 3 months now, my carb intake is between 15 and 20 grams of carbs per day with around 1500-1700 calories overall and im consuming around 130-150g of protein a day. My daily blood ketone level is between a .4 and .7

I CHEW almost religiously, could there be an affect on my blood ketone level with the nicotine from my chewing, or even enough to keep me at such a low level of ketosis?

4. [17:00] Lifting vs Jiu-Jitsu

Stu says:

Hi Robb!

After many years of "Bro-Splits" and curls I finally got into heavy compound lifting about a year ago and have run 5x5 type beginner programs and recently more intermediate templates as well. I really enjoy lifting and currently hit the squats, deads and Bench 3X a week (cardio 1 or 2 days in between)

I really want to start Jiu Jitsu though. I've been interested in it for the longest time, and I finally need to just get my ass on the mat and do it. Is once a week "enough" for Jiu Jitsu? I have a feeling I'll get into it and want to do more, but I also don't really want to slow down on the lifting and there's only so many hrs in the day (Running a family business during the day and trying to get a little health coaching biz going at night! www.supersimian.co.za for people in South Africa Yes! One of your 6 fans is in South Africa :D ).

What would you recommend for someone wanting to get started?

5. [21:26] Low Appetite on Paleo

Jai (female) says:

Hi Robb & Nicki!

I have a question regarding having a naturally low appetite. Growing up, I remember having a pretty inconsistent appetite compared to my peers and family. I was a competitive athlete up through sophmore year of college and I felt like that really drove my appetite. For most of my life, I had a low (but normal) BMI, which slowly crept to an overweight BMI in the last few years. I developed some poor eating habits in my 20's and struggled with depression which led to a 30 lb weight gain. I've dabbled in Paleo for a long time, but about 2 months ago I really dove in after reading Wired to Eat and experiencing some scary health symptoms (fatigue, orthostasis, parathesias in my legs and fingers, blurry vision). Since eliminating grains, dairy and soy, I have noticed that I am rarely hungry. I counted calories/macros for a few days to see where I am at and I hover around 1600 calories (food detailed below if you need it). I am 5'5", 150 (after a 15lb weight loss!) and moderately sedentary. I'm a nursing student, so I move around a lot at clincals, but spend much of the day sitting to study. I rock climb 2-3 days a week, and walk 2-3 days also. I plan to add 1-2 days of lifting as well. My concern is that I may be undernourishing myself. Is this something I should worry about? Is it possible for some people to just need fewer calories? Is this something I shouldn't worry about until I get to a lower weight? I don't feel like I am underreating. I have a lot of energy. My skin looks great. I've put on more muscle. Depression has disappeared and anxiety is back to a manageable level. IBS is much improved also. I have sphincter of oddi dysfunction too, which gets a little frisky when I have too much fat, but it's drastically improved since cutting out dairy.

Thank you so much for the work that you do! I have had amazing results and the workbook for Wired to Eat really kept me motivated. I've already roped 3 friends into reading the book and trying the lifestyle mods. One of the biggest changes I have made is socializing more, and I don't know that I would have ever done that without your book. I'm much happier and healthier. Thank you!

Breakfast: usually 2 eggs, handful of berries, and some sliced carrots, if I am hungry enough (skip breakfast 2-3 days per week bc I am not hungry until later in the day)

(sometimes) Snack: epic bar and baby food pouch (pureed fruit & veggies)

Lunch: Chicken or fish with another handful of berries or maybe some melon. & a veggie, like asparagus or greens

Dinner: some type of red meat and 1/4-1/2 sweet potato.

Primarily focus on getting protein in because it's easiest for me to digest.

6. [28:20] Mechanism behind foods that lower blood glucose

The Great Dane says:

Hey Robb and Nicki,

People talk and write about foods (or supplements) that help lower blood glucose. As i understand it, some of it has to do with the activation of glut-4 transporters (e.g. When taking Alpha lipoic acid). This should make your muskels more insuline sensitive and thereby lower blood glucose (might not be exactly what happens). But what about stuff like cinnamon, vinegar and lemon juice? Is it the same mechanisms or is it sinply because they tell the pancreas to produce insuline. After hearing Peter Attia on The Tim Ferriss show several years ago, one of my goals have been to keep insulin low. I want to use as many hacks as i can to keep blood glucose low, but i don't want it to be low because of insuline secretion. Is there anything to this? Or am i good to go with the hacks?

Squatchy’s note on cinnamon:
There are mainly two types of cinnamon you can typicallly find to purchase, Ceylon (“true cinnamon”) cinnamon, and Cassia cinnamon. The Cassia cinnamon is by far the most common, and what you usually find as the cheap cinnamon in most grocery stores. Ceylon cinnamon is usually a bit more expensive and can be found in some grocery stores (especially more natural health food type stores) and online. Robb mentioned high cinnamon consumption being dangerous for your liver. Coumarin is a naturally occuring compound in cinnamon and some other plants. Coumarin is a blood thinner, and consuming large amounts of coumarin can be harmful to your liver.The cheaper Cassia cinnamon contains a lot more coumarin than the Ceylon cinnamon. Cassia is about 1% coumarin, and Ceylon is about 0.004%, so a pretty big difference. I would recommend Ceylon cinnamon because of the much lower coumarin content, and it has a better flavor and is sweeter tasting. If the cinnamon you buy is not labeled as Ceylon cinnamon, then it’s almost guaranteed to be Cassia cinnamon.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3385612/

Where you can find us:
YouTube
Facebook
Submit questions: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

And we're at it again with Q&A #11 with Robb and Nicki for Episode 412 of The Paleo Solution Podcast.

Don't forget to send in your own podcast question to use here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [2:27] Valter Longo's Longevity Diet
Wayne says:
What's your take on Longo's view that protein should be limited because it raises IGF-1? He says that none of the populations that have the largest percentages of centenarians consume much protein. I understand that IGF-1 has a beneficial anabolic effect but high levels have been linked to cancer and other chronic diseases. Can you give us your views on this?

2. [14:30] OMAD
Eric says:
Hi Robb,
Just wondering what your opinion of eating OMAD? And is it beneficial to still eat keto while doing it?

3. [18:18] Sun screen
Duey says:
What are your thoughts on sun screen.

What draw backs are there to using it?

What's the risk of skin cancer if you progressively build up sun exposure and don't burn.

Notes:
Risks and benefits of Sun Exposure
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129901/

4. [24:25] Pulling and eccentric exercise only
Patrick says:
Hi Robb and Nicky. First I just wanted to say  thank you for everything that you wrote and said over the years. You and others like Mark Sisson helped me lose over a hundred pounds and keeping it of since 2013.
My question : is there any counter indication of doing only pulling exercise or eccentric ? I suffered rotator cuff injuries couple years ago and no matter how careful I am everytime I tried to do heavy push exercise, even not so heavy, the pain comes back.
My only goal at this point is to maintain as much lean body mass as I can so I can grow old and farm coconuts with my great great grand kids
Thanks alot again for everything

5. [28:00] Water retention during Luteal phase
Angel says:
Hi Robb and Nicki,
I love the Q&A episodes! I find them very informative. I just started reading Wired to Eat and its such an enjoyable read! Your sense of humor keeps me engaged, unlike many other nutrition books that read like text books. A little about me: I just turned 40, 5’4”, 133 lbs and metabolically healthy. My goal is to lower my body fat to 20% (currently 24%). I started with the keto diet over a year ago, and initially was able to lose weight. But I find it quite difficult to adhere to, and the sugar/carb restrictions triggered many binge eating episodes that I never experienced before keto. Now I’ve relaxed on the carb restrictions by allowing myself to eat fruits and starchy vegetables and my cravings are more under control (fingers crossed).
However I still face another hurdle in my fat loss journey , namely PMS cravings and water retention. I retain so much water during my luteal phase I can’t even fit into clothes that are normally loose fitting. Logically I would lower  carbs and increase fat to reduce water retention, but the the problem with that is I also crave sugar (mainly chocolate) and carbs (pretzels). I also find it hard to fast during PMS (I normally do 16:8 IF) as I feel more hungry. I always gain weight during luteal phase, which practically undo all my previous efforts. Do you have any suggestions on what to do during luteal phase? Do we eat more carbs or more fat? Any supplements? Any advice will be greatly appreciated!

Angel

Notes:
Robb breaks down protein recommendations: https://robbwolf.com/2018/05/16/keto-and-protein-is-it-chocolate-cake/

Where you can find us:
YouTube
Facebook
Submit questions: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

On Episode 411 of The Paleo Solution Podcast we have guest Tim Grahl. Tim is the author of Running Down a Dream and Your First 1000 Copies, and works with authors and creatives to help launch books (including my own, which he was a huge help with). Listen in as we talk all about the hows and whys of publishing a book.

Show Notes

00:46 – Summary/Pre-Intro
2:17 – How Tim got into publishing
5:52 – Why would someone publish a book?
10:17 – When does someone need an agent?
14:25 – Battling with publishers on changes
18:15 – Support from publishers
20:50 – Experience with The Paleo Solution book
22:40 – Writing a book for your business
25:13 – Cost of doing a professional book
29:18 – Publishing as a service, royalties, and
32:50 – Obscurity, passing the threshold, and pluses and minuses of releasing serial content
43:19 – Free plus shipping
45:10 – What is your goal with writing a book?
48:50 – Having a platform
50:44 – Tim’s book Running Down a Dream
57:21 – If it’s hard it’s because you’re doing it right
1:02:03 – Where to find Tim

Websites:
BookLaunch.com
RunningDownADream.com

Book: Running Down a Dream

And we're back with Q&A #10 with Robb and Nicki for Episode 410 of The Paleo Solution Podcast.

Don't forget to send in your own podcast question to use here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [2:14] Calcium

Holly says:
Hi Robb - love your work. I’m wondering what your thoughts are on getting adequate calcium when doing a ketogenic diet for fat loss. I’m following the Ketogains macros and am a smallish female (125 pounds at 5’3) so my calorie count is quite low. I don’t tolerate dairy very well and there is only so much spinach one can eat in a day. I do eat canned salmon with bones but not every day.  Seeds are too caloric when fat loss is the goal and I’m a bit concerned about supplements (Chris kresser has indicated calcium can end up in the wrong spot ex arteries). What about bone meal as a supplement?  Other ideas?

2. [5:40] Asthma

Jenny says:
Do you have any suggestions on how to treat or eliminate asthma caused by allergies, such as allergies to pollens and grass - not to food?  Thank you.

3. [8:57] Mixing high cholesterol, and high fat foods with fruit, corn, and potatoes

Justin says:
Hi Robb!

My girlfriend is Paleo, moderate carbs and high fat diet. I am wondering if she could be damaging her health when she eats steak with corn, fruit, potatos, or sugar of any kind.
Can you elaborate on mixing those kinds of carbs with high fat, high  Cholesteryl meat and on the glycation process?  Will this cause   Atherosclerosis?  And if not, what causes atherosclerosis?

Thanks Robb!  I love the podcast!

4. [13:11] CBD Oil

Brad says:
What are your thoughts on the efficacy of CBD oil? If I wanted to try some what would I look for in a specific brand? I have noticed a wide variety of price ranges so how can one determine the quality of an oil?

Thanks,

Brad Hasse

Bee Keeper’s Naturals B.Chill (CBD in honey, mentioned in the show)

Squatchy’s CBD recommendations:

https://www.ojaienergetics.com/full-spectrum-hemp-elixir.php (some of the best, uniquely fast acting)

https://www.greenmountaincbd.com/our-product (one of the best priced high quality ones I’ve found)

5. (Question Skipped)

6. [16:03] Fatty acid profile for grades of beef

Lee says:
I've read articles (most of which had ties to the cattle industry) talking of the improved fatty acid profile as the grade of beef goes up from select, choice, to prime particularly for fatty cuts like brisket.  Is this really significant?  When I'm going to smoke a brisket (that I rub in olive oil and eat while sipping green tea) I usually trim most of the hard external fat and am really only dealing with the subcutaneous fat.  I think the take away from grass-fed vs grain fed is that yes grass is better but it's only in the margin (same amount of Omega-6 but more Omega-3 for grass-fed and the absolute amount of omega-6 is what's important in the presence of sufficient omega-3 i.e. improving the ratio by taking lots of fish oil doesn't offset the high omega-6 load).  I'm guessing this probably the case with the higher grades of beef relative to the lower the grades.  However, the higher grades are definitely more tasty.  Any insights"

Thanks,

Lee Heifner

On Episode 409 of the Paleo Solution Podcast we have guest Amber O'Hearn. Amber is a data scientist by profession with a background in math, computer science, linguistics, and psychology. She has been studying and experimenting with ketogenic diets since 1997, and more recently writing and speaking about her findings. Her review on the evolutionary appropriateness and benefit of weaning babies onto a meat-based, high fat, low carb diet, was included as testimony defending Tim Noakes in his recent trial. Amber has been eating a plant-free diet since 2009.

Show Notes

00:48 – Summary/Pre-Intro
1:50 – Amber O’Hearn’s story and background
7:46 – Process of getting into a carnivore diet
11:31 – The stories of transformation and autoimmunity treatment with the carnivore diet
14:08 – Variance in the carnivore diet and what foods it consists of
18:25 - Experimenting with food removal and where to start
22:18 - Exercising while very sick
25:43 – Depression
28:23 – Fecal transplants and gut microbiome
34:50 – Individual results are what matters
38:06 – Comparing drug response efficacy to diet
40:20 – Risk/Reward for a carnivorous diet
43:18 – Who should not do a carnivore diet
45:50 – Social Ostracism
47:52 – Anaerobic exercise, carnivore, and keto
48:30 – Chasing ketones and good protein intake
55:30 – Gluconeogenesis
57:26 – Carnivore diet resources

Website: http://www.empiri.ca/
Amber's Guide: http://www.empiri.ca/p/eat-meat-not-too-little-mostly-fat.html
http://justmeat.co/
http://www.diagnosisdiet.com/

Twitter @KetoCarnivore
Facebook: L. Amber Ohearn
Instagram: @Ambimorph

For Episode 408 of The Paleo Solution Podcast we have guest Dr. Emory Liscord. Dr. Liscord is an Emergency Medical Physician and Assistant Medical Director at the Deptartment of Emergency Medicine Maine General Medical Center.

Show Notes

00:46 – Summary/Pre-Intro
1:57 – Intro and Dr. Liscord’s background
4:26 – Why Dr. Liscord chose emergency medicine
6:30 – Medications, and “less is more”
8:43 – Pre-diabetes while marathon training
13:49 – Seasonal eating
14:30 – Grand Rounds about the ketogenic diet at the hospital
15:44 – Where are the current problems in healthcare
19:01 – Conflicts of interest in medicine and subsidies in the food industry
23:10 – Where to initiate change
24:43 – Problematic features of the insurance system
31:18 – History of healthcare in the USA and changes from WWII
34:50 – Experimenting to find better healthcare systems
37:02 – Calling representatives really matters
38:44 – Work with the Chickasaw Nation
40:28 – Conversations in your community and strategies for patients
44:30 – Hospital changing snack foods story
48:30 – Food addiction, social pressure, and psychology
51:21 – Incentives and subsidies
54:28 – Future of Dr. Liscord’s outreach in the community
56:43 – Dietary dogma
59:30 – Where to find Dr. Liscord

Website: SimplyHealthME.com

Podcast: SimplyHealthME podcast

Facebook: SimplyHealthME Facebook page

On Episode 407 of The Paleo Solution Podcast we have guest William Shewfelt. William is an actor and plays Brody Romero, the Red Power Ranger, on the Nickolodeon show Power Rangers Ninja Steel.
I was really impressed by William. Even though he's fairly young, he has a great mindset and a lot of good insight beyond his years. Listen in as we talk about how William went from eating vegan to keto/paleo, the challenges of being an actor, staying in shape for his physically demanding role, recovery, motivation, and more. This was a really good one that I recommend giving a listen.

Show Notes:

00:49 – Summary/Pre-intro
2:17 – Williams’s introduction and background
6:00 – Greatest challenges in acting in a TV show
8:43 – How William went from vegan into paleo and keto
13:50 – Getting into testing and genetic testing
17:25 – Genetic carb tolerance vs carb level
19:33 – Most highly tolerable foods to eat lifelong
22:04 – Carnivorous eating and nutrients
26:47 – Subsisting on just muscle meats
28:40 – Ability to go longer without eating on lower carb
30:06 – William’s training and workouts
34:25 – Tracking and being intuitive
38:41 – Diminishing returns
43:30 – Not letting things define you, and enriching your life
48:17 – William’s recovery methods
53:01 – William’s plans and goals for the future
59:09 – Where to find William

Instagram: @WilliamShewfelt

Youtube: youtube.com/willshewfelt

The Carnivore Shredding Program: thecarnivoreshreddingprogram.com

For episode 406 of The Paleo Solution Podcast we have guest Dave Korsunsky. Dave is the founder and CEO of Heads Up Health, a place where you can manage and explore all of your own health data.

1:48 – Summary/Pre-Intro
3:08 – Introducing Dave Korsunsky, How Robb and Dave met
4:54 – Heads Up Health
11:36 – Disconnected health information
13:46 – Quantified self and useful information
15:28 – HRV
16:45 – Individualized data and nuance
21:00 – API access and direct download access to reports
24:49 – Walkthrough of using Heads Up Health
27:06 – Data security
29:23 – Typical Heads Up Health user
31:44 – Heads Up Health trial and subscription
33:50 – Where to find Dave

Websites:
Data Driven Health Radio podcast

HeadsUpHealth.com

Post on Heads Up Health on our blog:
https://robbwolf.com/2016/11/03/taking-control-of-your-health-records/

We're back with Q&A #9 with Robb and Nicki.

Remember to submit your own questions for Robb and Nicki to answer on a future show here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [2:06] Kidney Stones

Krisztian says:
I've been mostly Paleo for about 5 years now based on one of your piror books.  Overall, it has worked well for me, with one exception.  I started to develop kidney stones on a regular basis.  I finally had them analyzed and they turned out to be calcium oxalate stones.  Upon reading up on this condition, it stems from a high amount of oxalate in the diet.  Unfortunatley, most of the foods I liked on Paleo happen to be super high in oxalate... spinach, nuts, seeds, dark chocolate, sweet potatoes.  The other wammy here is that I was initially avoiding dairy on Paleo which turns out to be worse for stones because one way to counteract high oxalate intake is to match it with high calcium to avoid stone formation.  I've since gone back to eating plenty of cheese and high fat dairy in my diet.

I'm curious if this is a common issue that you've seen and I'm wondering if this is something that might be helped by going to a keto diet.

2. [5:33] Sugar addiction

Kathryn says:
Hey Robb,
I am really hoping you can give me some insight into why I can't seem to fully recover from sugar addiction. I have had a sweet tooth my whole life, but in recent years I have learned that I have a true addiction to sugar. In the last four years or so, I have studied a lot of nutrition, functional medicine and ancestral health perspectives and gone on a strict paleo diet for months at a time. In almost every way, a clean diet of whole foods makes me feel amazing (better sleep, clearer skin, joints and movement feels better, etc.), except, I become very depressed. It's not a mopey, weepy kind of depressed, it's literally a depression of all feeling, like I feel very little at all. But I do sometimes feel really, really irritable, or sometimes bouts of rage that don’t match the situations they arise in. But most of the time, I just feel blah. I thought this would go away after a couple of weeks or even a month or two of eating clean, but it didn't. In happy or exciting moments, it was like I just couldn't feel those emotions fully. I also noticed that I didn't crack jokes like I usually do or feel like being social. All my feelings were dulled. Even sad ones. And when I did fall off the diet, and eat sugar, I immediately felt cheerful again. To me, it seems that the years of sugar abuse have altered my brain enough that without sugar, I can't feel normal emotions anymore. So my question is concerning healing my brain. Is it possible to reverse these effects? The longest I have gone on a strict paleo diet is three months. I admit it was hard to keep going when I just didn't see myself ever feeling happy again. If it's possible to heal my brain and increase its capacity for proper dopamine signaling again, are there certain therapies or supplements that can precipitate and accelerate that healing? Perhaps I am ignorant of some other factor or mechanism at work here. I would be grateful for any insight or help you can give. Thanks for the incredible work you do to bring to light the truth about human health and nutrition.

Notes:

Carb 22: https://carbsyndrome.com/nutraceuticals-new/

STEM Talk Episode 69 (David LeMay): https://www.ihmc.us/stemtalk/episode-69/

3. [11:32] Metabolic Flexibility and Weight Loss/Maintenance

Julia says:
Robb and Nicki,
I am very interested in the concept of metabolic flexibility and eagerly waiting to hear your upcoming lecture on this topic. Intuitively it makes sense that given variation in season and climate that humans would have relied on a menu of macronutrient combinations. My question is: how can developing metabolic flexibility be used as tool for weight loss/maintenance? I have been about 90% ketogenic for the past 28 months; the other 10% would be high carb meals which I have allowed as a metabolically flexible person. I can swing in and out of ketosis with ease; however, I have noticed that if I go through periods of higher carb, it does result in weight gain which is tough to lose even when reentering ketosis. I do crossfit almost daily and practice the 18:6 IF schedule, and I don't notice either of those things affecting my performance. Thanks!

4. [16:31] Low afternoon energy

Laura says:
Hi Robb and Nicki,
Thank you both for all you do! I've been a huge fan since 2010 and admire your relentless pursuit of the truth when it comes to health and nutrition.

My question is about my extremely low energy in the early afternoons. I know it is a common complaint, but I feel like I've done everything I can to fix the common mistakes  that lead to the afternoon slump, and I also feel like my exhaustion is too extreme to be normal for my age and health status.

I'm 32 years old, I eat low carbish (75-100g most days), have toyed with keto, eat mostly paleo with the addition of some dairy and occasional non gluten grains. I do crossfit 3x/week and spend most of my time chasing my 2 year old around. My sleep is good most of the time, and I do not have any major life stressors that effect me currently. No diagnosed health conditions, no rx meds.

I had bloodwork done recently, and my doctor was very impressed with the results, especially my blood lipids. A1c was 4.8, C-reactive protein 0.8, no thyroid antibodies present. Fasting blood sugar 78. The only things that were slightly out of range were homocysteine (slightly low at 4.6), Uric acid low at 2.4, serum iron slightly high at 148, and my free T3 was a little low at 2.5. Another Doctor years ago prescribed me naturethroid but I never took it.

Ive tried changing my diet in every way imaginable to try to combat a possible hypoglycemic or food sensitivity related slump after lunch.  I've eliminated various foods that people can be sensitive to,and ive even tried more carbs in the morning, but that leads to blood sugar imbalance and cravings all day. As a result, my breakfasts and lunches would fall under the keto umbrella, as I feel better when I eat carbs later in the day.

The only thing that seems to slightly help is not eating at all, but I just get so hungry! My activity level is fairly high and I don't feel like I'm a great candidate for intermittent fasting at this point.

My mom, who has had MS for about 30 years, does not eat all day and only eats dinner because she's says eating makes her tired. I just can't handle not eating at all, and I do feel fatigued and hypoglycemic if I try to skip meals.

Thanks for reading and for all you do!!

5. [23:08] Carb test and ketosis

Carl says:
Hey Robb,

I read Wired to Eat while I was pretty deep into a ketotic cycle, so I didn't immediately get to the 7-day carb test. Years of self-experimentation have led me to a relatively low carb (<50g/day) Paleo diet with an occasional 48 hour fast, an occasional ketotic cycle, and a very occasional carb re-feed. Genetic testing revealed some SNPs that predispose me to insulin resistance, and others that positively affect my fat metabolism, reinforcing the fact that I look, feel, and perform better eating in this fashion. I do enjoy my occasional carb binges, so I'd like to perform the carb test in order to whittle my food selections down to those least damaging to my metabolism; but I'm concerned that my postprandial blood glucose readings will be skewed upward because I don't regularly eat more than ten or fifteen grams of effective carbs at a time. Should I bring my daily and per-meal carb intake up for a certain period of time before starting the carb test, or is a 50 gram bolus of carbs small enough to give me a true measure of glucose tolerance for the purpose of food selection? Thanks in advance.

6. [27:30] Creativity and Writing Process

Peter says:
Robb,

I hope all is well. I'm a big fan of the Podcast and excited about the Q & A return.  I have a two-parter both within the same general idea.

FIRSTLY:
I'm a writer and I am alway curious about how others approach the creative process.  I was curious if you could elaborate on how you approach writing and creativity in regards to balancing an active lifestyle? And how a typical day when writing might look.

For example -- Do you do things like meditate? What time of the day do you write? Where do you write? If you write in the morning how do you reconcile with hanging outside first thing in the morning to get some sun?  If you do Jujutsu around noon and roll for 2 hours how do you write around it?  You've mentioned eating big meals in the morning, if you're in a heavy writing period, is this a habit you stick with? Oh by the way, you have a wife and kids... how do you balance it all?

Do you still do caffeine?  Do you force yourself to take breaks during writing?  How do you avoid sitting for 5/6 hours straight?

Sorry for all the questions, I've just been thinking about this a lot lately as I enter into a career pursuing my passion as a writer while trying to balance and prioritize my health.  As I am sure you can attest, writing can be all consuming if you let it and setting boundaries is vital -- though difficult, especially if you're in "the zone."  So I'd love to hear your thoughts.

[33:18] SECONDLY: 
I'd love to get your thoughts on the mechanisms at play when writing or doing anything else that requires intense mental focus in regards to willpower.  Correct me if I am wrong, but it feels like for me, many aspects of writing and maintaining a healthy lifestyle (choosing healthy food over shitty stuff, hitting the gym, walking, etc.) can drain from the same willpower tank (if not just psychologically, and physically -- physiologically as well).  This isn't to say that both can't exist -- rather does one need to be given priority based on ordering of events throughout the day? 

For example, I feel my creativity comes to me first thing in the morning.  If I were to wake up and hit a Metcon first thing, I feel my creativity gets depleted from the shared willpower tank.  I feel this to be true with little things that chip away at my early morning start time as well.  For example, taking the time to make a big healthy breakfast, sitting in the sun, even a short walk, all delay me tapping into when I feel I am creatively primed -- but is it worth the sacrifice of my health?

I was curious if you have any thoughts on when or how you prioritize creativity.  Or maybe this is all just a bunch of bullshit like Robert Rodriguez says -- and our creativity is totally out of our control. 

Anyways, love the show and everything you do.  If I had more time, I would have written a shorter letter.

Regards,
Peter

We're back with Episode 404. Our guest this episode is Scott Nelson, co-founder of Joovv red light therapy.

Show Notes:

1:46 – Summary, Pre-intro
3:34 – Intro to Scott Nelson and Joovv
4:30 – How Scott got started with Joovv
8:27 – Red light therapy vs traditional saunas
12:08 – Hormetic stress
14:10 – Penetration of red light
16:25 – Time of day to use Joovv
21:14 – Where you can find more info

For more research info, search PubMed for photobiomodulation or LLLT

Website: https://joovv.com/

For episode 403 of The Paleo Solution Podcast we have guest Dr. Anthony Jay. Dr. Jay has a Ph.D. in biochemistry and researchers stem cells and epigenetics at the Mayo Clinic in Rochester, Minnesota. He is also the president of a AJ Consulting Company which provides personalized diet, sleep, and training programs based on DNA. Dr. Jay is the author of a bestselling book on artificial estrogen chemicals that is influencing international laws regarding plastic use and disposal. His book is called “Estrogeneration: How Estrogenics Are Making You Fat, Sick, and Infertile.” 

Show Notes:

1:47 – Pre-intro/Summary
3:10 – Dr. Anthony Jay Intro
4:16 – Fertility
6:00 – Ancestral norm and progression of estrogen and testosterone
9:25 – Estrogen vs Atrazine
12:57 – How estrogen works in the body
16:52 – Epigenetic impacts
18:23 – Timeline of exposure effects to artificial estrogen
23:46 – Lifestyle effects
25:12 – Things that cause testosterone to drop
27:12 – Stem Cells
27:40 – Micronutrients causing testosterone drop
31:08 – Sourcing meat, estrogens in meats, and mold estrogen Zearalenone
35:45 – Plastic containers, BPA, and pthalates
40:32 – Soy, flax, and phytoestrogens
46:25 – Biggest sources of artificial estrogens
52:55 – How to get rid of artificial estrogen in your body, and saunas
57:46 – Anthony’s current research
59:40 – Where you can find Dr. Jay

Website: https://www.ajconsultingcompany.com/
Good products to use: https://www.ajconsultingcompany.com/whatiuse.html
Book: Estrogeneration

We're back with Episode 402 of the Paleo Solution Podcsat - Q&A #8 with Robb and Nicki.

And don't forget to submit your own questions for the podcast here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [2:48] Diet after colectomy

Neil says:
Hi Rob, I have recently just had emergency colectomy surgery (unzipped the front of me)
so I have 2 questions I hope you can help me with, first; how should I structure my diet I.e food choices, I’m still having lots of loose stools and food still isn’t digesting properly, feel like I need to slow down the process.
Second one, I’ve lost a hell of a lot of weight nearly 20 lb in 2 weeks, so I’m keen to start some sort of exercise routine, how would you ease back into it and over what timescale

Many thanks, keep up the good work

Neil

2. [7:06] Blood sugar

Rodi says:
Hello, real simple question. I've listened to Robb talk about it being beneficial to not  exceed 6.4mmol/120mg/dl 2 hours after a meal but does it matter how high my blood sugar goes before that 2 hour period if it it's at an acceptable level come that 2hour threshold. I always find my blood sugar below 6.4mmol by 2 hours but I sometimes notice it is above that at around the 1 hour mark. Hope to hear back soon.

Regards

Rodi

Notes:

https://www.specialtyhealthwellness.com/offer/robb-wolf-wired-eat-panel/

3. [10:39] Question on PSMF vs. a low protein fast day

Andrew says:
Hi Robb (and/or trusted associate), I signed up for the Keto Masterclass last week but have been following you (figuratively) since April of 2013. My goal back then started with Health and Fat Loss as I had gained some weight when our 3 kids were born in 6 years. At that point I started Paleo, and after 3 months I felt so good, and was "the healthiest patient in the clinic" according to my doctor when I went in to get bloodwork, that my focus changed to improve body composition without sacrificing health. I'm okay with where I'm at now but hoping this keto approach will get me over that last hurdle. I had a dexa last year and was at about 22% body fat, would like to get under 15. I'm 6'0, about 200 lbs, and 39 years old.  I've tried all different things over these past 5 years (always keeping Paleo as a backbone) but haven't been able to get there. So that's my recent history in a nutshell. I'd love some advice on something new I wanted to try out along with this new keto approach. I've been all-in on with the restricted eating window for the past few years (about 16 hr fasts or more) and was thinking I'd mix in a low-protein day on Mondays. I liked hearing what you had to say about giving your body a break from processing proteins for one day a week. I heard Ben Greenfield advocating for that as well. But then I heard your most recent podcast on PSMF with Emmerich and that seems to make a lot of sense too. So, for someone who is doing keto and has a focus on getting from 20% body fat to sub-15% body fat, which approach would you suggest? A 1-day protein fast, or a 1-day PSMF? Or both? I think I could do both if you dont think that's too much. Thanks for your time!

4. [19:05] Help me understand Healthy Oils!

Trent says:
Hi Robb,
I love fat.  However, I find myself "afraid" of many oils and really limit myself as much as possible to your recommendations.

What is your take on a recent Men's Health article promoting the Nordic diet, and it's focus on rapeseed (canola) oil?  The article touts the benefits of this oil, but it has been on my naughty list!

In other news, one of my treats always has to be potato chips, and I often look for variations.  One such is the brand Boulder Canyon, which uses avocado oil in the frying process.  Do these chips offer me any solace, or does the high heat from the deep frying end up spoiling all the goodness that avocado oil has to offer?

I love your work, thanks for all you do!

5. [26:07] Keto and lifting

Nate says:
Hey Robb! I have heard you talk in the past about some activities not jiving with keto (crossfit, glycolytic) but what other activities does this encompass? For someone who wants to get into lifting (namely a bodybuilding type routine) are there any conflicts/considerations that should be taken into account: such as high reps and glycogen depletion, workout frequency/length, etc.?

6. [28:12] Overtraining question

Dustin says:
Hi Robb, my name is Dustin . I’ve recently started listening to your podcasts. I have a question that has been really troubling me and after listening to your podcasts ( on episode 14 now) I’m hoping you can give me some advice .

I’m a marathon runner , and just enjoy working out for personal health . I work a full time job as a machinist . For 12 hours 4 days a week I’m constantly on my feet, constantly lifting heavy metal parts 75+ pounds . Im worried that if I’m doing all of this heavy lifting and moving everyday that I may not be benefiting from any workouts because of the lack of rest my body gets due to work. I’ve recently adopted the paleo diet hoping that eating right will help. But I still worry it may not be good enough . I dropped my workouts down to only 2 days a week. Focusing primarily on core workouts and the big 3. Dead lifts, bench press, and squats. Then I also run 3 times a week.
Can you please give me some feedback on how I can optimize all the work I’m putting in if I’m working this hard labor job . I feel as tho this is a question that a lot of people in my line of work could relate to.

I hope to hear back , love your podcasts. It’s all I listen to while I’m at work !

For Episode 401 of the podcast we're here with Q&A #7 with Robb and Nicki.

And don't forget to submit your own questions for the podcast here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [3:41] Fasting and silent reflux

Kristin says:
I can't thank Robb enough for the impact he has had on my health!  I have been following him for years, i was paleo for 5 years before doing the carb tests in Wired to Eat.  Much to my surprise, i was sensitive to every single carb i tested.  I immediately went the keto route, and have been so thankful.  Not only have i lost 32 lbs and feel a lot better, this has greatly benefited my vision.  I have retinitis pigmentosa, and i was shocked by how much worse my vision was during the carb testing.  I feel that learning this will definitely help prevent my vision loss from progressing as rapidly as it would have with higher carbs.  My mom is almost totally blind, so i am doing everything i can to prevent the same fate.

After about 8 months of keto, i discovered i have silent reflux.  I was baffled, as i have never had any problems like this before.  I tried everything, the supplements, raising the bed, eliminating foods, and nothing helped.  Then, we went on an 8 day cruise, and my reflux wa gone!  It dawned on me that i was eating three meals a day, instead of my usual two within a six hour window.  I have continued to eat three meals a day, since returning home, and still no reflux!  My problem is that my fasting blood sugar is higher than it was while i was fasting.  It's not terrible, but i am noticing a bit worse vision while it is higher.  I am normally in the 70s or 80s, and now am regularly in the 90s.

What is your thought on a possible correlation between fasting and silent reflux?  I am a healthy weight, don't drink, don't smoke, and don't even drink coffee.  I started fasting about a year ago, so that wasn't anything new.  I likely had reflux for awhile before i realized it.  Another side note, like Robb, i was also on a form of tetracyclene for many years as a teenager.  Is SIBO something i should consider as a cause of the reflux after that much antibiotic use?

Sorry this is so long, i just felt some of the details were necessary!  I really appreciate everything you do, and i can honestly say you have tremendously impacted our entire family's health!

Notes:

Specialty Health blood work

link to Dr Ruscio's book Healthy Gut, Healthy You

2. [9:52] Keto protocol for lower belly fat / excess skin?

Peter says:
Hey Robb and Nicki,

I'm loving the return of the Q&A -- and especially the addition of Nicki (now I can get my girlfriend to listen without her feeling like I'm jamming my male-centric "unorthodox" health podcast down her throat -- no offense Robb, but now she can relate).

I've been Keto for a while, loved the tips from the MasterClass and recently finished the Ketogains bootcamp, with Luis -- both lead to a big transformation, 22 percent body fat down to 13 percent and still going.  Only lost about 4 lbs, but put on a bunch of lean muscle.

Here's my question -- most of my fat is held in my lower belly flab.  I've never been this lean, but I've also never been super fat.  Nor did I lose a bunch of weight really fast -- point being, I'm not sure if I'm dealing with excess fat or skin, but I don't care cause it's flabby.

Plainly put, how can I get rid of this?

I swear at one point, I heard you (Robb) talking about a ketogenic diet with limited protein and prolonged fasting for obese people that have lost a lot of weight and have excess skin -- even in place of skin surgery...

I am curious could this approach possibly be a good protocol for getting rid of last amounts of skin/flab/fat once one has achieved a desired body comp -- for example if I get to single digit body fat and still have the flab, could I bump up my fat macros and reduce protein?

If so, what might those macros and the protocol look like?

Basically, I want to look like the shredded, and tight, animal that is always timidly posting shirtless selfies to the dasrobbwolf instagram account... You know, the "Writer" that killed an Elk with a stick on I, Caveman... I'll have what he's having...

Anyways, love what you all do.  You've been the pioneers of a revolution and helped a lot of people.

Keep up the great work.

3. [21:45] Terrahydrite

Mike says:
You guys know anything about Terrahydrite? Good, bad, snake oil?

4. [23:28] Emu Oil

Dawn says:
I have listened to a couple podcasts about Walkabout Emu Oil and how great it is. I haven't been able to find where you've ever mentioned this supplement. What are your thoughts on it? If it is as great as it sounds, then would you still have to take fish or cod liver oil or could you just take the emu oil since it has omega 3's? My main goal to assist my paleo/keto diet in fighting inflammation from PCOS.

5. [26:25] Avoiding sunburn during excessive sun exposure at work

James says:
CONTEXT: 26yo Male, eating full paleo, lifting 3-4 times a week and working an outdoor labour intensive job. Moderate to high carb intake on training days (100-150g) sub 50g cards on non training days. Northern European descent brown hair brown eyes, medium pale complexion - tans well. Recent vitamin d status test 42ng/mL

GOALS: Avoid skin damage, gain as much benefit from outdoor working as possible.

Hi Robb and Nikki,

Really enjoying the q&a format, here's my input..

I travel a lot for work, in the coming months I'll be travelling to some fairly hot, sunny countries: Mexico, Chile, Pakistan.

My work involves me being outdoors at sports stadiums for full days on end with very little shelter and due to my Northern European genetics I don't do well with intense sun exposure in the short term. However having previously lived in Australia for a year I adapted well, being able to moderate my exposure, and within a few months was able to spend hours outside without burning.

I would like to avoid using sunscreen where possible and enjoy the full benefits of the sun on my skin during my working days, as such how can I pre-condition my body to tolerate these intense bursts of sun exposure when I live in a predominantly cloudy, cold country? I'm thinking vitamin d supplementation, possible intelligent use of UV tanning beds? Any dietary tweaks worth considering?

Thanks in advance, kind regards

James - hope there's no flies in here!

Notes:

1-https://sundots.com/
polypodium leucotomos

2-https://www.consumerlab.com/answers/do-any-supplements-help-prevent-sunburn-or-skin-damage-from-sun-exposure/supplements_for_sun_damage/

Zeaxanthin: https://amzn.to/2KOqLH3

I, Caveman episode where Robb takes down the elk: https://www.discovery.com/tv-shows/curiosity/full-episodes/i-caveman-the-great-hunt

We're back with the big 400! For this episode of the podcast we have guest Dave Feldman. Dave is a software engineer that began researching cholesterol and lipoproteins. If you want to learn some new info about cholesterol and lipoproteins, this is a super interesting one!

Show Notes:

1:47 – Summary/Pre-Intro
3:19 – Dave Feldman Intro and background
4:45 – Cholesterol/Lipoproteins change and keto
10:30 – Dave’s experience with drastically changing lipoprotein number
12:00 – Role of lipoproteins and cardiac events
20:24 – No good reason to have high energy in the blood
23:50 – Engineering view of the human operating system
25:42 – Fat storage, and why lean people can have higher LDL cholesterol
28:46 – How to distinguish between lean person’s and overweight person’s lipoprotein patterns, and lean mass hyper-responders
33:02 – Dairy (saturated, monounsaturated, and polyunsaturated fat) and carbohydrate’s effects on lipoproteins
40:26 – Minnesota coronary experiment
41:50 – Don’t blame the mirror for how bad you look
44:25 – Dairy, hyperpalatability, and whole unrefined foods
46:12 – Dave recording cut out, send us questions for a part 2 followup with Dave

Website: http://cholesterolcode.com/
Twitter: @DaveKeto
Facebook: https://www.facebook.com/DaveFeldmanLC/

We're back with Q&A #6 with Robb and Nicki for Episode 399 of the podcast.

And don't forget to submit your own questions for the podcast here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. [3:24] Book recommendations for us nutrition nerds.

Sarang says:
Hey Robb,
You have been successful in making me and thousands of guys like me to become total "nutrition nerds". We have all been listening to your podcasts from months/years and reading all kinds of books and blogs we can find to quench the thirst for more knowledge. For some reason, its a highly addictive subject and I'm thinking and reading about it most of the time.
It would be great if you could list out some books that are knees deep in the science and not just superficial advice. The whole paleo/nutrition community would be thankful for that.
Thanks in advance!

Notes

1-Kung San: Men Women and work in a foraging Society- https://www.amazon.com/Kung-San-Women-Foraging-Society/dp/0521295610

2-African Exodus: The origins of Modern Humanity-https://www.amazon.com/African-Exodus-Origins-Modern-Humanity/dp/0805058141

3-The Rational Optimist: How Prosperity Evolves- https://www.amazon.com/Rational-Optimist-Prosperity-Evolves-P-s/dp/0061452068/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=1529600750&sr=1-1

4- The Ascent of Money: A Financial History of the World-

https://www.amazon.com/Ascent-Money-Financial-History-World/dp/0143116177

5-Lecture Notes on human metabolism- http://watcut.uwaterloo.ca/webnotes/Metabolism/

2. [13:03] Liver Stress

Maryann says:
First, thank you and Nikki for all you have done and sacrificed to spread the message of clean eating and sustainability.

Do you know of or have your read any research on possible liver stress associated with consuming the amounts of protein recommended in the keto gains calculator for a 57 year old female athlete? 

I will elaborate if you need more background information.

Sincerely,
Listener #7

3. [16:38] Protein needs Bodybuilding Keto - Muscle Gain

James says:
For an intermediate to advanced ketogenic bodybuilder/powerlifter looking to maintain muscle mass during a cut; what would be your initial recommendation on protein consumption?

Same question for building muscle.

Also: much research seems to have been done on fat loss. Are there any studies showing the performance of the ketogenic diet when t comes to muscle gain versus a higher carb approach? Maybe less muscle gain but fat free?

4. [21:33] Keto and true HIIT

Greg says:
Hi,
I eat a Targeted Ketogenic Diet (TKD) and do Crossfit.  I primarily consume more significant amounts of carbohydrates (max 20g for 195lb male) before doing classic CrossFit workouts where HIIT is part of the workout.  I do this because:

1.  I perform better than without the carbs.
2. I feel and recover better afterwards.
3.  I am afraid of my body going catabolic because it can't get energy fast enough during workouts.

A lot of what I've read about Keto and exercise deals with endurance workout and weightlifting.  What is the best approach specifically for Keto and HIIT for optimizing performance and/or safety (avoid going catabolic)?

Thank you!
Greg

5. [27:12] A question about having carb withdrawal symptoms despite very high blood ketones.

Rob says:
Hi there,

I was wondering if you could shed some light on my usual response to being in ketosis.

I've been on a very strict ketogenic diet for about 6 months now. I've tested my blood ketones hundreds of times using an Abbot Freestyle meter and I'm almost always in the 1mmol to 3mmol range. I have experienced some of the commonly talked about keto symptoms such as occasional feelings of euphoria, appetite suppression (sometimes to the point of nausea if I've consumed a lot of fat), trouble sleeping due to that buzzing ketosis feeling in the body some speak of.

The trouble is I don't seem to do well when my ketones are derived from my own body fat, or at least it appears that way. I say this because I still often feel classic "carb-starved" feelings if I haven't eaten (irritable, trouble concentrating, etc). Eating lunch solves that, but this seems strange given that my ketones could still be at 3 yet I experience those symptoms. Perhaps those very few carbs in the lunch are what my body wants or perhaps my body prefers ketones from other sources than my own body fat.

What has pushed me to a breaking point is a water fast I attempted this weekend. I began my fast after lunch on Friday (extremely low carb high fat) and during the fast felt exactly the same as I have on any fast I've ever done pre-keto. It was really difficult. I was irritable, had headaches, trouble concentrating the exact same feeling as a carb withdrawal. I was testing my ketones frequently in the days leading up to the fast so it should have been a breeze, in theory. And yes, I took plenty of sodium, potassium and magnesium - it doesn't change it at all.

To thicken the plot further, I tested my ketones regularly throughout the whole fast. On Friday night they were about 3mmol and by Saturday lunchtime they were up around 4. By Sunday lunchtime they were up at 5-6 mmol yet I still felt like I was in serious carb withdrawal! Is it possible that ketosis is just not for me? I've heard Dom D'agostino mention that a minority of people don't thrive in ketosis.

Any help would be appreciated!

Rob

6. [35:30] Keto and Picking a Primary Care Doctor

Kilson says:
Hey guys! Huge fan of the show! I just read through "Wired to Eat" and really enjoyed it. I think it is a really good "catalyst" for getting started in the right foot. I've been messing around with Keto for a while now. Almost 3 years ago I was walking around at 357lbs and found out about keto, started boxing and lifting and made it down to as low as 250lbs! After some injuries and some life struggles I flew back up too 300lbs. For the last few months I'm back on the grind and trying to make it back down to a weight I feel good at. Big part is thanks to podcast like yours! So thank you very much! Oh right!... The question...
I haven't gotten a physical or seen a doctor in a while now. Maybe close to two years. I'm having some trouble picking a Primary Care Provider. What are some things you look for in a Doc? Do you use some sort of platform to find a doctor who is in the know about stuff like Paleo and keto? I really want to get on top of this and find a doctor. Im from New York which is flooded with doctors but not sure who to go with. Any suggestions on how to narrow the choices? THANKS!

Notes:

SteadyMD.com

http://paleophysiciansnetwork.com/

For Episode 398 of The Paleo Solution Podcast we have guest Derrick Johnson. Derrick is a multi-time national championship winning Olympic weightlifter, all-time American record holder, and founder and president of the Kings of Weightlifting.

Show Notes

00:00 – Pre-intro and summary
3:17 – Derrick’s background and how he started olympic weightlifting
6:54 – Sports background
9:06 – Nutrition, painkillers, and knee surgery
11:57 – How low carb and keto got on Derrick’s radar
17:12 – Controlling inflammation
17:51 – Winning championships and breaking records
20:36 – Nutrition first and what Derrick is eating
31:30 – Food with Derrick’s family
32:56 – Derrick’s training
37:00 – Coaching and dealing with hard charging athletes
40:54 – Olympic weightlifting and kids specializing in sports
43:14 – Periodization and movement variability to prevent injury
45:00 – Where to find Derrick

Derrick Johnson:
Twitter: https://twitter.com/4derrick
Facebook: https://www.facebook.com/4derrick/
Instagram: https://www.instagram.com/4derrick/

Kings of Weightlifting (Derrick’s Non-Profit, free after-school Olympic weightlifting program for underprivileged youth with the goal of strengthening the community one kid at a time.)
Website: https://www.kingsofweightlifting.com/
Facebook: https://www.facebook.com/TheKingsOfWeightlifting/
Instagram: https://www.instagram.com/thekingsofweightlifting/

It's time for Q&A #5 with Robb and Nicki for Episode 397 of the podcast.

And don't forget to submit your own questions for the podcast here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Enjoy!

Show Notes

1. [3:30] Are vegetables out to kill us?

Robert says
Hi Robb,

I love the new format of the podcast, and really enjoy the episodes that leave the health sphere just a little. The episode about self-defense was a great listen!

This question is really aimed to help you get rid of your pesky listeners - especially those that you've convinced to eat a meat and veggie diet. After the zero-carb episode with Dr. Shawn Baker, I decided to give carnivorousness shot. Some greasy used car salesman keeps telling me to try it and see how I look, feel and perform, so I figured might as well.

To my surprise, I didn't develop horrendous constipation, gastrointestinal distress, or even scurvy. In fact, I felt pretty damn good.

After a couple of weeks I started looking at re-introducing some higher fat foods into my diet, like avocado. In seeing who else has been down this road, I found that others stay with a carnivore diet avoid avocados, coconut, and other fatty fruits and veggies because of the high salicylate count.

Holy smokes, now I've got another thing to worry about! I have no history, signs or symptoms or salicylate intolerance, so I'm wondering if salicylate intolerance is limited to only those who exhibit intolerance to salicylate, or can modern day marvels make others intolerant to salicylate as well? Yes, I'm trying to kid, but honestly I never knew how much gluten was dragging me down until I avoided it.

At the end of the episode with Dr. Shawn Baker, he talks about how eating fruits is likely better than eating vegetables. Ignoring the fact that avocado is a fruit, is this the strategy you would take?

I know I can introduce it and see how I feel. That strategy falls apart a little when the placebo effect is strong - getting objective measurements is pretty challenging at this point. And researching this feels like I'm hitting some dogmatic areas of the internet.

What are your thoughts?

Thanks much!
Robert

Side note: I signed up for the Keto Masterclass a while ago. I've been struggling with Keto for a couple of years - I seem to respond well to the ~70-100g carb range, getting down to 30g never worked. Well, going carnivore really helped with this! The meals I was eating lined up perfectly with the ketogains macro calculator. Not sure how many would buy into it, but this could be another tool in the keto toolkit.

2. [9:14] Storage kit in case of emergency

Karen says:
Hello,

Some (or many??) years ago there was an article/blogpost (or maybe a podcast) on the website about which (paleo/keto) foods, drinks and other stuff you need to have in storage in case of an emergency. I can't find it anymore.  Do you have this somewhere? (or maybe some idea for a podcast?? :-) )

Looking forward to hear from you.

Best regards,

Karen

Notes:
http://www.icanfixamerica.com/controversial-truth-episode-21/
http://www.thesurvivalpodcast.com/tag/robb-wolf

3. [11:00] Goal: Min effective dose for gaining several pounds of muscle--3-5

David says:
Hi Rob,
I'm 46, paleo for 8yrs, but not rigid, 165lbs, 10-12% body fat. In 2008 I was in great shape, but eating an unhealthy low carb diet and had food issues.
I also hurt my shoulder and rehabbed for several months to get back to health. Also had back issues, albeit minor. I have always been good at backing off before major problems arise, except with the shoulder.
I found Doug McGuff's book and a trainer who promoted that type of training as well and have been pain free ever since. I lift at a gym 2x/wk and do one-limb eccentric movements 7 reps with 10 sec negatives, then switch and resetting with help from other hand. Rest 1 min and do a regular set of 8-10 with 5 sec negatives. This is all machine for chest, legs, and a mix of the other parts of body. Wed workout is chest, back, shoulders 2 exercises each, and Fri is legs and arms-bi's and tri's.
I really have grown to like the high intensity nature of the work out and have come to terms with sacrificing my former size --180 and in good shape.
I'd like to be able to get bigger, without injury risk and extra time. I am guessing it takes much more sets and reps, and want to do it safely. Interested in new ideas. Thanks and I've really enjoyed following you since I found your article in '10 on Tim Ferriss's blog.
David

Notes:
https://www.t-nation.com/training/defrancos-training-rules-for-washed-up-meatheads

4. [18:19] Maintaining a healthy gut after antibiotics

Whitney says:
Hi Robb and Nicki.  I would like your thoughts on protecting the gut after large doses of antibiotics.  A quick back story to my question is that my son had a ruptured appendix at the age of 11.  It took the doctors 4 days to figure out what was wrong and kept telling us he had a viral infection and to wait it out.  Three surgeries, two pic lines, multiple weeks of high doses of antibiotics (at 1 time he was on 3 doses of 1000mg of vancomyacin a day) and finally a case of c diff, we finally got him healthy.  I made them give him probiotics in the hospital and gave him  prescript assist on my own with the ok from his I.D. doctor.  At 15 he's seems perfectly healthy but I still wonder what the after effects of those doses of antibiotics will be down the road and how that will affect his health later on.  Are there any ways to regain what he lost in an instance like this?

Also, I know this is long so feel free to shorten it however you need.

Thanks for everything you do and know that you are making a huge impact on peoples lives out here in the real world.  Peace.

Notes:
Healthy Gut Healthy You- https://www.amazon.com/Dr.-Michael-Ruscio/e/B07912JZ8C/ref=dp_byline_cont_book_1

5. [23:24] Pork, Shellfish and Organ meats

Amanda says:
Hi! I have been searching the internet to find some articles that address or refute this thinking but I haven't come up with much.  I grew up in a moderately health conscious family.  Probably about 15 years ago, my Dad heard a couple of bad things about pork/shellfish so that was cut out of our diets.  I since have started eating pork again as I got older and ate my own food and it's become a very regular thing since I haven't been living with them.  So I supposed what they heard was from Dr. Ted Broer and his reasoning is that pigs eat garbage and don't sweat, and shellfish are bottom feeders.  So the idea is that what you're eating is toxic.  I haven't read whatever book my dad read but heard about it a lot as a kid/teenager.  I'm hoping you can help explain to me the science - how pork & shellfish are safe as long as you are getting them from a good source.  Also, are there any nutrients that we can get from pork, but not other meats?
The second part to my question is organ meats.  I have heard a lot about organ meats being very nutritious and high in iron, etc., but my mom just brought up that things like liver are filtering out toxins, so why would we eat that? Could you help me understand if that is a concern or if it isn't, why?
Thank you so much, love listening to your show!

Notes:
King San- https://www.amazon.com/Kung-San-Women-Foraging-Society/dp/0521295610/ref=sr_1_1?s=books&ie=UTF8&qid=1528821550&sr=1-1&keywords=kung+san+men+women+and+work

Paleo Manifesto: https://www.amazon.com/John-Durant/e/B00BM8APVI/ref=dp_byline_cont_book_1

6. [30:34] Keto/Paleo & Menopause

Laurie says:
Hey, Nicki and Robb!

Huge fan of your work and appreciate the science behind the 'what' when it comes to eating and training to optimize health. My question is this: what food choices, workout tweaks or other possible naturopathic supplements might I look into as I navigate the epic joy that is menopause?

Brief history for you: I stair-stepped into Paleo beginning about five years ago now (at around age 45), though I've been dairy free since my 30s. Since dipping into Keto about a year and a half ago and experimenting with macros, I think I've found my nutrition "sweet spot": around 50 grams of carbs (berries, chocolate, sweet potato), 90ish grams of protein (animal mostly, some plant proteins) and the rest from fats (coconut oils, animal fats, avocado, etc)...I'm 52,  5' 5 1/2" tall, 131 pounds and 17% body fat (per my last InBody reading)...I weight train 3-4 times a week (at least two of those super heavy), walk and garden a few days a week, run or do stair sprints every 7-10 days. Since I switched from a super low-fat, high carb, grain based diet, my HDL has risen, my triglycerides plummeted (from over 125 to 43!), my total cholesterol is improved and my fasted blood sugar is in the upper 70s, low 80s. My weight dropped from 150 and has been the same within a pound of two for five years running now...

And then: menopause. My sleeping has gone to hell with night sweats and I've had all sorts of weird food reactions since going off birth control for good four months ago. Doctor's suggestion of going off, then back on the pill a year ago seemed to do a number on my gut and I became a mess. So I went back off the pill four months ago and did my own AIP protocol and think I found the culprits (almonds and nightshades). My gut issues are much improved and I'm trying some Black Cohosh and using Clary Sage for the hot flashes with mixed results.

So, my question: I want to be back to feeling 110% all of the time (not a big ask, I don't think), but this menopause nonsense is getting on my last nerve. Anything I can do that doesn't include artificial HRT?  My insurance doesn't cover functional medicine, naturopathy or acupuncture, but I am hoping to change insurance.

Thanks for any help or insight!
Laurie

This week we have guest Craig Emmerich on the podcast. Craig is the co-founder of Keto Adapted, and co-author of Keto, The Complete Guide to Success on The Ketogenic Diet.

Show Notes

1:50 – Summary/Pre-Intro
3:54 – Intro, Craig’s background
7:07 – Noticeable improvements from food
10:30 – Lyme disease and keto
13:17 – Balance between keto for weight loss and keto as therapy
16:57 – Process of working with people and using supplements
18:59 – Protein sparing modified fast
22:04 – Oxidative priority
26:05 – mTOR
34:26 – Satiety of a protein sparing modified fast
35:58 – Things to focus on, autophagy, and sleep, and sun/vitamin-D
41:35 – Keto the book
44:08 – Where to find Craig and Maria

Websites:
keto-adapted.com
mariamindbodyhealth.com

Book: Keto: The Complete Guide to Success on The Ketogenic Diet

We're back with Q&A #4 with Robb and Nicki for Episode 395 of the podcast. Enjoy!

And don't forget to submit your own questions for the podcast here: https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes

1. (4:07) What do you eat?
Mads says:
Hey Robb (and Nicki)

You have written comprehensively about what types of food to eat and what to avoid. You have also written a fantastic post and guide about "feeding kids paleo". I was wondering (as i am sure many others do as well) what do YOU eat? What are some staple meals? What are you go to breakfast, lunch and snack? Can you give an example of what you eat on a typical week? I think it would be interesting for folks to hear.

Hope to hear from you either directly or even better on the podcast in Q&A!

Best regards
Mads from Denmark

2. (11:02) Keto counting

Kristie says:

Hey, Rob, 

I’ve been following your stuff for ages. I’ve got both of your books. I worked out with a personal trainer who turned me on to Paleo and you nearly 10 years ago. I lost 145 pounds and have mostly kept it off. Every now and then I get into the almond flour baked goods and fruit and put on a few pounds. Then I regain my sanity and desire to feel great and I make better choices and drop the weight. 

I’ve been considering Keto for a while just to see if I can drop a little more of the weight and feel even better. But here’s my hesitation, and it’s going to sound like an excuse, because it is. BUT I spent a whole lot of my life counting calories, counting fat grams, counting carbs....counting, counting, counting and being hungry. And I think the reason Paleo has worked so well for me is that I eat healthy, delicious food. When I am in the zone and not eating treats (which I always make myself) and I eat slowly and mindfully, I do really well. I have tons of energy and, although I could lose more weight for sure, I’m ok where I am weight-wise. I worry that Keto will put me back in that headspace of counting and worrying and making myself crazy over choices. 

If anybody is going to help me over that, it’s you, though! So maybe I should just take the plunge into your Masterclass? 

Thanks, 

3. (17:18) What is considered health on the low end of the glucose spectrum when in ketosis?
Rob says:
(Side note: Robb hinted at this a bit for a question on Episode 389.)

Of course there is variability and nuance, but what is considered to be the low end of a glucose level during ketosis; i.e., at what level do you start calling it a level of hypoglycemia to be possibly concerned about?

BACKGROUND:

I just completed Dr. Mark Hyman's 10 Day Detox. I lost 11 lbs. (after was 176 lbs., still about 6 lbs. or so over my ideal), lost 1.75/1.5/1" off waist/hips/thigh, blood pressure down 22/20 (and pulse 8 lower) to close to normal.

I wasn't aiming for ketosis by doing this diet, but I believe I got into ketosis periodically.

My question is if a fasted glucose level of 57 mg/dL (ketones: 2.4 at the same time) is not uncommon, or if that seems really low. I think I had heard of some people's glucose going *up* when in ketosis. I felt great through the entire diet, and have not had blood sugar problems (my fasted levels have been just fine, when testing before and after the diet).

I'm *not* asking for any kind of medical advise, just if that level of 57 seems a bit low *in general*, given a ketone level of 2.4 at the same time.

December 2017 at my annual checkup:

Fasted glucose: 86 mg/dL

Late March 2018

Self testing using a new Precision Xtra NFR blood glucose and ketone monitoring system (one recommended by Robb Wolf, I'm pretty sure).

Morning of day 1 of Mark Hyman's 10 Day Detox diet:

Fasted glucose: 71 mg/dL
Ketones: 0.9

Morning of day after (last) day 10 of Mark Hyman's 10 Day Detox diet, about 14 hours after last eating/drinking:

Fasted glucose: 57 mg/dL (day prior: 60)
Ketones: 2.4 (day prior: 2.1)

Two hours after a lunch with gluten and dairy:

Glucose: 92 mg/dL
Ketones: 0.7

Note that all the lab reports (I have them from my adult life; I'm 60 years old) have had normal/ healthy glucose levels.

The last time my Hemoglobin A1C was measured, was about 15 months ago: 5.3%

4. (21:41) electrolytes
Zsuzsi says:
Hello,

Thank you for your explanation about the importance of electrolytes. The 3 out of 9 rules really cemented the concept for me and I'm sipping away for the first time in my life.
I would be interested to know how this ties in with the ancestral health concept? It's not like anyone was weighing in magnesium salts or scooping up potash into their tea. Were they?

Thanks very much for your response in advance.

Zsuzsi

5. (24:51) BODYBUILDING FOR TEENS
Elizabeth says:
Hello Robb,

Your name was recently added to the "Take Back Your Health" seminar that takes place in Pasadena, CA in May, I will be there so this is how I came to know about you.  I'm hoping that due to your experience with power lifting you may help with my questions.
My seventeen year old son started bodybuilding about 10 months ago.  In a short time he has transformed his body  and gained about 35 lbs.  He is very muscular now, works out about 3 hours a day and is eating an enormous amount of food.  He looks healthy and sleeps well.   My husband and I don't know if this is healthy at this age.
Can you please comment on this?
With much appreciation,
Elizabeth

6. (28:38) does my genetics mean I can't buy a smoker???
Terrence says:
Robb and Nicki! Loving the Q&A pods as well as the interview ones. You guys have been nailing it lately.

So summer's around the corner and I'm looking at some beautiful electric smokers on the market. My dilemma is that I've got that pesky NAT2 polymorphism which says I'm a slow metaboliser of heterocycloamines and therefore I will die a slow torturous death if my meat is placed within spitting distance of a hot coal. I know that a lot of these smokers can be set to pretty low temperatures like 150-200F to do a "low and slow" but was wondering if the presence of smoke and/or heating for such a long period of time produces more or less HCA in the meat as opposed to when I'm oven cooking a roast or even gently reverse searing a juicy rib-eye.

Please tell me I can eat delicious things without my colon exploding through my anus and nostrils simultaneously! Thank you!

This week on Episode 394 of The Paleo Solution Podcast we have our friend Chris Masterjohn PhD. Chris is a researcher with a PhD in Nutritional Sciences, and a brilliant guy in the nutrition and health field.

Show Notes:

00:00 – Pre-intro/Summary
03:21 – Intro
5:19 – Being a problem solver and synthesizing nutrition info.
10:49 – Evolution, Economics, and Thermodynamics for understanding the world
13:20 – Lab grown meat and energy inputs
18:49 – Which media format Chris prefers
25:47 – What Chris likes to do for fitness, and doing BJJ
32:35 – Chris’ coming speaking gigs and content goals
36:34 – Ketogenic diet and epilepsy
50:50 – Any evolutionary advantage of epilepsy?
58:50 – Nutritional Status Cheatsheet
1:18:22 – Where you can find Chris

Discounted offer for listeners, the Nutritional Status Cheatsheet: chrismasterjohnphd.com/robbwolf

Website: Chrismasterjohnphd.com
Facebook: Chris Masterjohn
Twitter: @ChrisMasterjohn
YouTube: Chris Masterjohn, PhD

This week on Episode 393 of The Paleo Solution Podcast we have guest Dr. Sarah Hallberg (DO, MS). Dr. Hallberg is the medical director at Virta Health, medical director and founder of the Indiana University – Arnett Health Medical Weight Loss Program in Lafayette Indiana, and Executive Director at The Nutrition Coalition. She is Board Certified in Internal Medicine and Obesity Medicine

Show Notes

00:00 – Pre-into/Summary
4:44 – Intro
6:01 – What’s going on with Dr. Hallberg and Virta Health
7:12 – Metabolic underpinning of diseases
7:48 – Improving health can save us money
9:32 – Dr. Hallberg’s background and how she got involved in this
16:00 – Meeting Steve Phinney and the beginnings of Virta Health
17:56 – Results and details of the keto type 2 diabetes telemedicine study
27:38 - We can’t blame the patients
29:57 – Using a matrix driven approach with telemedicine and real people
32:55 – Customization, keto, and ketone levels
35:51 – SGLT2 Inhibitor and BHB levels
38:51 – Huge weakness of nutrition trials and using BHB levels for compliance
40:20 – Using other markers than BHB/ketones
46:09 – Personalized nutritional
47:20 – Continuous glucose monitors (CGM)
49:38 – How can we win this health fight
55:22 – High carb vegan vs. low carb keto diets
57:40 – Where to find more info on Virta Health

Nutrition coalition: https://www.nutritioncoalition.us/
Virta Health: VirtaHealth.com

This week on the podcast we have guest RD Dikeman. RD is Theoretical Physicist, Research Scientist, and father of a Type 1 Diabetic son.

Show Notes:
00:00 – Pre-Intro/Summary
3:49 – Robb and RD’s experiences with giving T1D information
6:38 – RD’s background and experience with T1D son
10:48 – Using Dr. Bernstein’s book and protocol
17:31 – Double diabetes (type 1 and 2 at the same time)
21:46 – Getting off the standard model of care
22:44 – Diabetes diet for the whole family, parents set the example
25:52 – Physicians and Dietitians telling dangerous myths to T1D parents
29:05 – Managing hypoglycemia
31:17 – How the Bernstein model looks
35:16 – Hypoglycemia and target blood sugar
38:40 – Robb’s blood sugar response and ketone levels
41:20 – High fat meals
43:24 – Chronically high blood sugars and Dr. Bernstein’s history
49:39 – What blood sugars should be in humans
51:31 – Ketogains and Fighting the nonsense in the low carb world
55:02 – Exercise and insulin sensitivity
57:39 – Using solid basics
59:40 – Hyperpalatability and fat bombs
1:00:53 – Reducing weight and fat to improve insulin resistance
1:03:52 – Where to find RD

RD’s video on Diet Doctor: https://www.dietdoctor.com/rd-dikeman-people-type-1-diabetes-avoid-disastrous-high-carb-diet

Diabetes University videos: https://www.youtube.com/channel/UCuJ11OJynsvHMsN48LG18Ag

Dr. Bernstein's site: http://www.diabetes-book.com/

Book: Dr. Bernstein's Diabetes Solution

This week on Episode 391 of the podcast we have guest Tim Larkin. Tim is a defensive tactics and hand-to-hand combatives expert, and author of When Violence is the Answer. As a former military intelligence officer, he was part of a beta group that redesigned how Special Operations personnel trained for close combat. He has a 25 year career where he has trained over 10,000 people in 52 countries in how to deal with imminent violence, including working with groups like the Navy SEALS teams, SEAL Team 6, US Army Special Forces, FBI Rescue Team, and many more.

Show Notes:

00:00 – Pre-Intro/Summary
4:02 – Violence is a tool
8:08 – Battling the stigma of violence
15:02 – Teaching children about violence, and the difference of training males and females
18:45 – Antisocial aggression vs asocial violence
22:53 – Legal aspect of self defense, only responding when necessary, and avoidance
23:50 – Tim’s goal with training and informing people
26:40 – Violence has no demographic
29:15 – Training kids
35:32 – Pedophile danger
38:02 – Not sugar coating violence
40:07 – Self Protection is like CPR
41:24 – Competition and combat sports vs Destruction
43:18 – Looking at sports injury data for vulnerabilities
45:35 – Taking advantage of automatic body response to injury
46:50 – Is there efficacy of having previous martial arts training
49:07 – Alphas, the currency of violence, and the Aryan Brotherhood
53:11 – Getting effective first
56:56 – Edged weapons, firearms, and tools
59:21 – Slow deliberate training and deep practice
1:07:00 – How Robb and Tim were introduced, and Robb’s atlatl kill
1:08:15 – Where to find Tim’s work, and 10 week video course with book

Website: http://whenviolenceistheanswer.com/
Instagram: timlarkintft
Facebook: Tim Larkin
Book: When Violence is the Answer

This week on Episode 390 of The Paleo Solution Podcast we have Prof. Peter Jaworski. Prof. Jaworski is an Assistant Teaching Professor teaching business ethics. He was a Visiting Research Professor at Brown University, a Visiting Assistant Professor at the College of Wooster, and an Instructor at Bowling Green State University. He is also author of the book Markets without Limits: Moral Virtues and Commercial Interests.

Show Notes:

00:00 – Pre-Intro/Summary
4:04 – Intro, Markets
7:30 – Morality and disgust
9:30 – Medicine and health care
11:55 – Why is it so hard to have a conversation about health care, markets, and morality?
13:30 – Rise in cost in certain sectors
16:25 – Decentralized market experiments
17:50 – Telemedicine and medical tourism
19:13 – Medical product market across borders, and payment for blood plasma
25:28 – Markets don’t affect wrong or right
29:00 – Market outcomes affecting morality
30:05 – Anti-market attitudes, evolution, and collectivism
34:45 – Dunbar’s Number
37:40 – Where you can find Peter and his book

Website: marketswithoutlimits.com

Book: Markets without Limits: Moral Virtues and Commercial Interests

Hey Folks!

We're back with another Q&A episode!

If you have a question for a future episode, especially questions for Tyler and Luis of KetoGains on the next Q&A, submit them here https://robbwolf.com/contact/submit-a-question-for-the-podcast/

Show Notes:

1. (2:49) 23 and Me
   Kristin says:
   Robb and Nicki!
   Loved the first q&a back! I wanted to ask an expansion on the FTO gene Polymorphism question. I my self also ran my 23andme data through FoundMYFitness as a Rhonda Patrick follower and I have the similar FTO well several FTO genes came up but also the PPAR alpha gene came up that I know is a big part of ketosis. My question is can I attempt and Keto diet and Ketosis with using mainly PUFA and MUFA and still achieve ketosis with this polymorphism or am I better off to not focus on achieving ketosis?Thank you for all that you put in the world I just received you Wired to Eat book and started reading it! Love it so far!Kristin

NOTES:

FTO: https://academic.oup.com/jn/article/142/5/824/4630756
Fat Mass and Obesity–Associated Gene
Evolutionary Advantage-STRONG tendency toward obesity. Powerful adaptation in ancestral environment.

Evolutionary advantage not specific to Thrifty gene hypothesis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4031802/pdf/yjbm_87_2_99.pdf

Susceptibility to obesity (and inflammation)
https://www.diva-portal.org/smash/get/diva2:406173/FULLTEXT01.pdf

Drivers towards energy efficiency...back side of this is constrained Energy Hypothesis:
https://journals.lww.com/acsm-essr/Fulltext/2015/07000/Constrained_Total_Energy_Expenditure_and_the.3.aspx

Game theory and energy balance: http://journals.sagepub.com/doi/full/10.1177/1550147717720792

PPAR Alpha: https://onlinelibrary.wiley.com/doi/epdf/10.1111/j.1528-1167.2008.01840.x

Peroxisome proliferator-activated receptor alpha is a drug/fatty acid-activated transcription factor involved in the starvation response,

Other SNP’s like CPT-1

2. (16:45) Ketone IVs / Ketone Ringer
   Stijn says:
   Dear Robb,
   Dear Robb Wolf team,For years I've wondered about using ketone bodies in IVs at intensive care, in the same way that glucose solutions are used. I imagine there being less inflammation versus the glucose, and thus better recovery. Though the effect might be minimal in a non-keto-adapted person. Then I am skipping over the entire blue light issue from all the fluorescents at a hospital. I recently watched your talk at Paleo FX, "Ketogenic Diets for Traumatic Brain Injury Keeping the Baby with the Bathwater". In brief you mention ketone ringers in an acute setting, traumatic brain injury and research in Japan. Why not use ketone bodies at intensive care, or even other settings? Have you seen research on this? Here's how I thought about it: my dad was at the ICU after cardiac arrest, and I saw the glucose syringes. Then I thought about inflammation and ketones. And I remembered reading that heart muscle likes ketones. Maybe we can save more people with ketone IVs...Please share your thoughts. I'm also interested in the Japanese research on ketone ringers, if you can link that.Thank you very much.Be well,
   Stijn De Puydt

NOTES:
Ketone ringer solution-
https://iubmb.onlinelibrary.wiley.com/doi/pdf/10.1080/152165401753311780

MCT Keto diet: https://iubmb.onlinelibrary.wiley.com/doi/pdf/10.1080/152165401753311780

High glucose load negated benefits!!

3. (20:54) Monkfruit

G says:
Hi. Can you briefly give me the straight dope on Monkfruit? I heard it doesn't spike your blood glucose levels making it a good alternative to sugar. I'm also guessing it still triggers pleasure centers in your brain which can lead to craving sweets.
My girl wanted to know how does Monkfruit Maple Syrup differ from 100% Pure Maple Syrup?
Thank you for your time,
g
Notes: https://www.nature.com/articles/ijo2016225

Generally not a huge effect: https://www.nature.com/articles/ijo2016225

4. (24:07) Alternatives to the classic Norcal Marg
   Colin says:
   Hey Rob, I like that you are back to doing some Q&A's and Nicki did a good job being your cohost. Do miss the ever large and in charge Greg Everett's humor though, "how does gravel burn," classic. Anyways, what are your thoughts on a Bone Broth Bullshot in lieu of your Norcal Marg? Potential pro/cons? On a second note, what if you were to add some glycine to that Norcal M? Give just a little sweetness and I would think there are some potentially extra benefits to that addition.. After listening to Chris Masterjohn's panel discussion on glycine, that crossed my mind.  Curious on your take. Thanks for everything you are doing (Paleo, health, keto, sustainability, controversial truths, etc.). While you are winding the clock back a little, you should get the Kraken on and let him destroy some questions.

5. (27:44) Exercise induced HypoglycemiaGreg says:
   Robb, hoping to get your insight into a problem I am experiencing. Non-diagnosed Diabetic. 6'1", 200 pounds, athletic build. Blood sugar drops into 60-69 mg/dL during moderate-intense exercise with moderate hypoglycemia symptoms. Measuring glucose (morning fasting 105-120 mg/dL, 2 hr post-meal 120-130 mg/dL). Chewing gum during exercise helps modulate glucose levels but still seems like there should be a better solution. Grain consumption 1-3/week. Limited sugar intake. Water and coffee w/heavy cream primary liquid consumption. Adrenal labs (normal DHEA, high normal cortisol). Worried Keto diet may further exacerbate during exercise. Any insight is greatly appreciated.

6. (31:46) Adaptogens and Gut Microbiome adaption

Eric says:

Digging the return of your podcast and the new format!  I have a couple of question submissions….

• We interviewed folks live for the Meatcast at Expo West, and the most consistent “trend” everyone noted from the show was “adaptogens” – what are your thoughts on adaptogens?  Flash in the pan fad or the unicorn cure to cancer?  Surely it can’t be anything in between
• Does our gut microbiome have the ability to adapt/evolve as we age, or is it “locked in” at a certain age?  We hear often that our exposure to good bacteria as a child impacts our autoimmunity later in life.  Whats so critical about those childhood years?  Is it simply our ability to adapt declining as we age?

7. (38:53) Good workout regimen for novice?
   Joe says:
   Hi Robb & Nicki,Can you recommend a good resource for a workout regimen? Right now I do weight training circuits Monday, Wednesday, Friday. Cardio Tuesday and Thursday, usually one cardio session is an interval (3x 30 second all-out exertion on an elliptical and the rest of the 20 minutes at moderate pace). I do a circuit for 6 weeks, then just do cardio for a week then start a different circuit for the next 6 weeks. Etc.I'm currently doing alternate daily fasting on my circuit days. Good sleep, good energy. I'm just wondering about new/more efficient ways to mix up my workouts as I'm still following what I did circa the early 2000s.Thanks,
   Joe

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

This week on Episode 388 of the podcast we have Cavin Balaster, author of the new book How to Feed a Brain. Cavin survived a two story fall, was comatose for 12 days, suffered from a diffuse axonal injury (DAI) and had less than a 10% chance of recovery. Cavin has a very interesting experience of recovery from a severe traumatic brain injury, and has done a great job of digging into info to help his recovery, and is a very inspiring person with a great outlook. Listen in as we chat about TBI’s, recovery, and more.

Show Notes:

00:00 – Summary/Pre-Intro
3:15 – Intro and Traumatic brain injury (TBI)
5:50 – Cavin’s background and brain injury
8:30 – Nutrition sparking Cavin’s study
10:58 – Greatest challenges Cavin faced along the way
15:09 – Cavin’s nutrition
17:50 – Increasing Brain Derived Neurotropic Factor (BDNF)
20:12 – Journaling
21:49 – Supplements
25:47 – Fasting
30:32 – Pfizer stopping hunt for Alzheimer’s and Parkinson’s drugs
39:46 – Cavin’s advice for TBI
45:43 – Where to find Cavin

Article: Pfizer ends research for new Alzheimer's, Parkinson's drugs

Websites:
feedabrain.com
Preview of interview series: feedabrain.com/preview

adventuresinbraininjury.com
adventures in brain injury podcast

Book: How to Feed a Brain

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