89: Diarrhea And Anxiety, Hepatitis B, Adding Carbs For Weight Loss, Reactive Hypoglycemia, Ice Cream Cravings On Keto And Fasting

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 get to the root of all of your low-carb, high-fat, ketogenic questions in Episode 89.

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Here’s what Jimmy and Will talked about in Episode 89:
– Keto Diet: The do's and don't's of this high-fat, low-carb nutrition plan
– Anxious? Your gut bacteria may be to blame: Study shows clear link between genes that regulate emotions and microbiota in the intestines

– Study Says You'll Smell Better If You Eat Fewer Carbs

– Stanford professor says Americans' love affair with overeating protein results in fat gain

– Chickens will become a beloved pet — just like the family dog

– Why am I having diarrhea, severe anxiety, and hair loss when I eat a ketogenic diet?

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Hey Jimmy and Will,

I've been listening to Keto Talk for a few months now and have a question for you guys to address. I’ve been doing keto since July and I noticed I constantly experienced diarrhea and severe anxiety. I chalked these symptoms up to symptoms of the “keto flu” but it’s persisting even to this day. The only solution to these issues was to add back in carbs in the form of about 50g of sweet potato around my six workouts a week as a fitness competitor. Within two days of doing this, my diarrhea submitted and within a week my anxiety symptoms disappeared. Also, my hair was falling out during my time eating keto and has continued to fall out since I stopped. I loved the focus and appetite suppression that this way of eating gave me, but I can’t handle the anxiety, diarrhea, and hair loss. Do you have any idea why I’m experiencing these things while eating a ketogenic diet? When I’ve checked online, I’ve noticed other people have experienced these things too.

Thanks for you help,

Chet

KEY QUOTE “.”  – Jimmy Moore

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– STUDY: Scientists Have Found a ‘Sixth Taste,’ and It’s the Reason Why Pasta Is Delicious

– STUDY: Humans Can Taste Glucose Oligomers Independent of the hT1R2/hT1R3 Sweet Taste Receptor

1. Is a ketogenic diet an appropriate nutritional approach for someone with hepatitis B?

Hi Jimmy and Dr. Cole,

I have been listening to your podcast for three months and am excited to learn about all the great benefits of a ketogenic diet. I read a book from a doctor in Japan that suggests that people with chronic liver dysfunction should avoid a ketogenic diet because of the high-fat content. I have hepatitis B and have been taking enticavir to control the disease for the past four years. My interest in going keto is to help prevent Alzheimer’s disease which runs in my family. My question for you guys is this: Is a ketogenic nutritional approach appropriate to do for someone with hepatitis B? Any advice on this would be greatly appreciated.

Yin from Hong Kong

2. Why do I lose more weight when I add in carbohydrates to my ketogenic diet than if I adhered strictly to it?

Hi Jimmy and Dr. Cole,

I’ve been eating low-carb, high-fat and have noticed that when I eat more carbs such as sweet potatoes, wine, fruit, etc. that I actually lose MORE weight than when I strictly adhere to my keto plan. I don't measure my ketones and a scale and tape measure are all I own to track my progress. I don't count my carb intake, but I try to only eat carbs from dairy and vegetables on most days. So why is that when I eat extra carbs in my diet it leads to weight loss? I’m a 6’ tall female and have been fairly healthy my entire life. I workout 4-6 times a week doing running and body weight exercises. Is this something you’ve seen with others who add back in clean carbohydrates to their diet?

Katie

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3. How can I tailor my ketogenic approach to properly deal with reactive hypoglycemia?

Dear Jimmy and Dr. Cole,

Thank you for Keto Talk as it has been an amazing source of information and guidance on my keto journey. I used to deal with several hypoglycemia when I ate high-carb, low-fat and I was hoping going ketogenic this year would help with this. While the hypoglycemic episodes have become less frequent, it’s still an issue for me and preventing me from enjoying the freedom from food bondage that seemingly everyone else is experiencing. This issue is so bad I can’t even intermittent fast as I can only go a few hours between meals without feeling the effects of the reactive hypoglycemia kick in. What’s amazing is I don’t usually feel hungry when this happens, but I do get dizzy, light-headed, nauseous, and irritable.

In my research into this, I discovered the cause of the reactive hypoglycemia is low neurotransmitters (specifically GABA, dopamine, epinephrine and glutamate). I am working with a doctor to fix these underlying issues, but is there anything else I can do to my ketogenic approach to deal with the reactive hypoglycemia? I’m a 32-year old female who doesn’t use any sweeteners and dealing with low thyroid taking naturethroid and amenorrhea for the past two years. This has been a huge roadblock for me.

Thanks for your help,

Annie

AND

Hi Jimmy & Will,

I love the show and all the functional medicine insights that Dr. Will brings...I never miss an episode! I've been doing low-carb (not keto) for about a year and have noticed I get woozy after eating my evening meals that makes me very tired, unable to concentrate, and feel like I have to lie down lest I fall. My doctor says it’s reactive hypoglycemia and I’ve tried eating sugar to deal with it when it happens and it helps for a while but isn’t the solution to eliminating it. My doctor says I should eat more protein and eat every three hours to prevent this. When I added in more protein it acted very similarly to the sugar not giving me full relief. The best solution I’ve found is when I go to sleep. As for eating every three hours, I’m just not hungry enough to do that. Any insights you guys can share about this? Thanks so much and keep up the good work with the podcast.

Meryl

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– Why do I still crave ice cream at night after eating keto or following an extended fast? What can I do to deal with this specific craving?

Hey Jimmy and Dr. Cole,

I'm a big believer in both keto and fasting but I cannot stop craving ice cream after a 3+ day fast and a ketogenic meal. It only seems to happen at night and it takes me ages to get back into ketosis again after I give in to the temptation. I’ve tried everything to deal with this, including using exogenous ketones. But to no avail. I’ve already lost 42 pounds with extended fasting and a ketogenic diet and I feel trapped by these ice cream cravings. I lift heavy weights and do extensive cardio…could this hard exercise routine cause me to crave? Please help!

Shane

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LINKS MENTIONED IN EPISODE 89
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– Keto Diet: The do's and don't's of this high-fat, low-carb nutrition plan
– Anxious? Your gut bacteria may be to blame: Study shows clear link between genes that regulate emotions and microbiota in the intestines
– Study Says You'll Smell Better If You Eat Fewer Carbs
– Stanford professor says Americans' love affair with overeating protein results in fat gain
– Chickens will become a beloved pet — just like the family dog
– STUDY: Scientists Have Found a ‘Sixth Taste,’ and It’s the Reason Why Pasta Is Delicious
– STUDY: Humans Can Taste Glucose Oligomers Independent of the hT1R2/hT1R3 Sweet Taste Receptor
– Jimmy Moore from “Livin’ La Vida Low-Carb”
– DR. Will Cole D.C. from DrWillCole.com
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