86: Diverticulitis, Thyroidectomy Impact On Ketosis, Rising SHBG, Acidic Urine pH On Keto, Why Body Preferentially Burns Glucose Over Fat

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Pittsburgh, PA functional medicine practitioner Dr. Will Cole from DrWillCole.com who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at [email protected]. And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Will chew the fat on all of your low-carb, high-fat, ketogenic questions in Episode 86.

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*****SPECIAL THANKS to Jeffery (Thank you for all the great information that you share. I view you as a "content curator", saving me an enormous amount of time that I would otherwise spend searching through Google and Amazon. A bunch of friends have asked me how I lost 20 lbs in 2 months. I try not to evangelize, but it's hard when I'm so enthusiastic! My knee pain is gone, my blood work has improved, I can think more clearly and more. I hope some of my friends actually get on-board so they can reap benefits for themselves. I do tell them that what works for them may be different from what works for me. I appreciate the scrupulous honesty that is readily apparently in all your podcasts, which is so rarely found across today's social media.), Eulises, and Penny (I've been a listener of your Keto Talk podcast for quite a while now and have experienced an amazing turnaround in my health since starting keto/IF four years ago! After suffering with T2 diabetes for over 16 years following my doctor's pharmaceutical approach and completely wrong nutritional advice, I did my own research and discovered keto. I've now reversed diabetes, lost over 65 pounds and gotten off ALL my prescription meds! I'm 59 years old and in better health and am more fit than I've been in decades. Thanks Jimmy & Dr. Cole for sharing your knowledge and experience. Your podcast is a great motivator for me. Keto On!!)******

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KEY QUOTE: “Most of the time if someone has a well formulated ketogenic diet, what they think is hunger is just a lingering habit.” — Dr. Will Cole
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Here’s what Jimmy and Will talked about in Episode 86:

New diabetes drug called Jardiance  – TV AD

HOT TOPICS:

Snacking on keto
Too much fat on a ketogenic diet
What are the basic health tests to track while eating low-carb, high-fat?
– From fatigue and muscle wastage to total 'brain mush': What REALLY happens when you cut carbohydrates from your diet

– Using new study to back high-fat, low-carb diets is flawed logic

– New discovery could explain metabolic benefits of low-carb diet

– Hurricane Irma may speed the end of orange juice, America’s biggest source of ‘fruit’

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– Why am I experiencing diverticulitis since adopting a ketogenic lifestyle? What can I do to best manage this while remaining keto?

Hello Jimmy and Will,

I started eating low-carb keto in April this year as a way to lose weight. I have struggled staying in ketosis, but have lost over 20 pounds so far. But my biggest problem is I’ve been having bouts of diverticulitis since making this dietary change forcing me to take Metamucil to raise my fiber intake. My doctor is recommending that I discontinue the ketogenic approach even though he was the one that encouraged me to pursue it in the first place. My C-Reactive Protein is elevated and I am now getting concerned. I’ve done my homework on a ketogenic diet reading all the books and websites and am fully convinced it’s the way to go. I hold a PhD in Biomedical Science from a US medical school and even though all I have read runs counter to what I learned in graduate school, I am fully converted and convinced of keto. Have you run into this problem before? If so, how should I proceed?

Rod

– STUDY: Dietary Supplement With Ketones May Mitigate Migraine Attacks

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1. What impact on ketosis will there be with the complete removal of the thyroid?

Hi Jimmy and Dr. Cole,

I have been eating keto since May 2016 and I feel great! I regularly check my blood ketones and am usually in the 0.7-2.0 range. I was diagnosed with Hashimoto's in 2006 and have been on 100 mcg Synthroid ever since. My thyroid levels were all in range last June but my thyroid kept getting larger. During the summer, my doctor found a nodule that ended up showing Hurthle cells. This concerned my doctor who said it’s a cancer risk and he recommended a total thyroidectomy. My surgery is schedule for next week and I’m wondering what impact this will have on my pursuit of nutritional ketosis. Will this make it more difficult for me to stay in ketosis if I no longer have a thyroid? I just want to know what I’m getting myself into so I can respond accordingly after the surgery.

Love your show and keep it up!

Liane

KEY QUOTE “We shouldn't gorge on any food, whether it's fat, protein, or carbohydrate. Eat to satiety means finding how much is right for you and knowing when to stop.”  – Jimmy Moore
2. Did a ketogenic diet cause a rise in SHBG and a decrease in testosterone levels? What can I do to my keto approach to remedy this?

Hey guys,

I’m a big fan of Keto Talk and I’ve been eating this way for about a year with great results for the most part. But I noticed a couple of months after starting a ketogenic diet, my sex hormone binding globulin rose from 50 to 70 and my testosterone tanked. I’ve since run these tests several more times and they all confirm the same thing. From what I’ve read, this means my body’s ability to use any available testosterone has been hampered and many sites online blame a low-carb diet as the culprit. I need you to talk me off the ledge on this and help me figure out what is going on.

Thanks,

Zach

3. Does eating a low-carb, high-fat, ketogenic diet make the urine pH more acidic? If so, should I be worried about this at all?

Dear Jimmy and Dr. Will,

Yesterday, I went to see my General Practitioner to review my latest bloodwork. She knows I’ve been eating a ketogenic diet for the past nine months and was nothing but pleased with all my markers—except for one. My urine pH was 5.5 and she noted that indicates my body is a bit acidic. She said I shouldn’t worry about this since all the other numbers are perfectly fine, but she made the following statement that stopped me in my tracks: “I am not sure, but maybe it’s the ketones you are excreting that makes your urine more acidic.” What?! Is it true that being in ketosis makes your urine acidic? Should I be worried at all about this or is this of no concern at all.

Thank you for your help!

Miguel

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– If the body prefers to be fueled by ketones, then why does it preferentially burn glucose over fat when both are present?

Hello you guys,

I am currently reading Keto Clarity and the biggest question I'm having about keto is this: If my body truly prefers being in a state of nutritional ketosis and runs more optimally on ketones than on glucose, then why does my body choose to preferentially choose burning sugar over fat if both are present? I have a fear that years down the line, this whole keto diet will negatively impact my health. Is that fear justified?

Thank you,

Judy

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– From fatigue and muscle wastage to total 'brain mush': What REALLY happens when you cut carbohydrates from your diet
– Using new study to back high-fat, low-carb diets is flawed logic
– New discovery could explain metabolic benefits of low-carb diet
– Hurricane Irma may speed the end of orange juice, America’s biggest source of ‘fruit’
– STUDY: Dietary Supplement With Ketones May Mitigate Migraine Attacks
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– DR. Will Cole D.C. from DrWillCole.com
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