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Insulin Doctor: This Is The First Sign Of Dementia! The Shocking Link Between Keto & Brain Decline! — Transcript

by The Diary Of A CEO · 21,732 words · 3,354 segments · language en · Watch on YouTube

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0:00Welcome to the sardine challenge. So,
0:01the only thing on the menu for the next
0:033 days is sardines. I challenge you to
0:05try and eat three of those cans in a day
0:07because that's a hell of a tool to help
0:09you get into a ketogenic state. And when
0:11you're in a ketogenic state, it helps
0:13burn fat, muscle mass gets higher
0:15preserved. I've seen patients that have
0:16reversed their gray hair and their brain
0:18performance, concentration, and energy,
0:20all of those things improve. And so, I'm
0:22going to teach you how to do an advanced
0:23ketogenic diet.
0:25Sorry, the sardine juice has gone on my
0:27iPad.
0:27>> Good luck getting that off. Dr. Annette
0:30Bosworth is the insulin resistance
0:31specialist.
0:32>> With over two decades of experience,
0:34she's discovered that the key to your
0:35health isn't more treatments.
0:37>> It's to get into a ketogenic state. Most
0:40people have been making buckets of
0:41insulin without knowing it. But when you
0:42have excess insulin, it's a chronic
0:44disease maker. It is what makes high
0:46blood pressure. It is what makes cancer.
0:48It is what makes debris in the brain,
0:50which is linked to depression, brain
0:52fog, Alzheimer's, and Parkinson's. And
0:54so, to reverse the high insulin state, I
0:56really push my patients to do the
0:58ketogenic diet. And what I'm told is
1:00your best life ahead within a year.
1:02Like, I really rescued my mom from the
1:04edge of death. So, where do I start?
1:07>> First thing is quit eating so late at
1:08night because you're stimulating an
1:10excessive production of insulin. The
1:11next thing, keep the carbs low, put the
1:13fat up, more eggs, beef brisket, ribs,
1:16pork belly.
1:16>> But then people often say when you talk
1:18about the ketogenic diet that it's not
1:19sustainable. So, you have this idea of
1:21this keto continuum, consistently keto
1:24for life.
1:24>> Yeah. I mean, I've been on a ketogenic
1:26diet for 10 years. And those 12 steps
1:28are it. And you're not going to have to
1:29try very hard. So, the first step is
1:32I see messages all the time in the
1:34comment section that some of you didn't
1:35realize you didn't subscribe. So, if you
1:37could do me a favor and double-check if
1:39you're a subscriber to this channel,
1:40that would be tremendously appreciated.
1:42It's a simple, it's a free thing that
1:44anybody that watches this show
1:45frequently can do to help us here to
1:47keep everything going in this show in
1:48the trajectory it's on. So, please do
1:50double-check if you subscribed. And
1:52thank you so much because in a strange
1:53way, you are you're part of our history.
1:56And you're on this journey with us and I
1:57appreciate you for that. So, yeah, thank
1:59you.
2:03Dr. Annette Bosworth or shall I call you
2:06Dr. Boz?
2:08What is it that you
2:09know and believe and understand that you
2:11think the general public doesn't know,
2:13believe and understand?
2:15Mhm.
2:16So, most of the reasons people come to
2:18see me
2:19could be reversed if they knew how to
2:21make ketones on a regular basis.
2:24So, I'm an internist.
2:25Uh that means uh if you go to an
2:27internal medicine doctor and we don't
2:29know what's wrong, you're going to die.
2:32We take care of tough puzzles and we do
2:34this over a long management, chronic
2:36disease management. So, I've got 25
2:39years of studying chronic problems that
2:42deteriorate the quality of life.
2:45Lifespan, healthspan both go in the
2:47toilet when you're chronically seeing
2:48me.
2:49And you could abort all of that destiny
2:53if routinely you were making ketones.
2:56An internist sounds like an intern. I'm
2:58trying to understand the the definition.
3:00>> on this is terrible. It just means
3:02you're supposed to take care of very
3:03complex answers. Your job I mean, the
3:05buck stops with you. If if the internal
3:07medicine team can't figure it out,
3:09you're going to die. So, so you're
3:10basically a chronic illness doctor.
3:12>> Chronic disease management is absolutely
3:14it. You know, I love the way uh Peter
3:16Attia uses medicine 2.0, which is what
3:19we are the masters of, managing it,
3:21making sure the prescriptions are there,
3:23making sure you are treating all these
3:24problems.
3:26The internist being one of your best
3:27buddies cuz you're having to see them
3:29routinely, you got to get the meds
3:30refilled, you got to check for the side
3:32effects. It's a mill. What is medicine
3:342.0 in your definition? Yeah, so I can
3:37keep you from dying from childbirth and
3:39infections and I have an antidote for
3:41every one of your symptoms. We are in a
3:44world where medicine has answered a lot
3:45of problems. Little things like high
3:47blood pressure, little things like it's
3:49a few extra pounds around the middle,
3:50little things like brain fog, oh, my
3:53eyes are aging. All of these are signals
3:56that your body has made more trash than
3:59it cleaned up and there were some rules
4:01to humans that you missed.
4:04And for for my listeners that have
4:05clicked on this conversation,
4:08what are they going to get out of giving
4:09us their time and staying with us and
4:12listening to this? What is the end goal
4:13going to be for them in their lives?
4:15Listening to the way I talk to my
4:17patients and teach them the steps how to
4:20reverse the medical problems that you've
4:22already got on the roster.
4:24And by doing that, the freedom
4:27is to be the kind of grandparent that
4:29you dreamt of, but you've surrendered
4:31can't be there anymore.
4:33And what is the list of predicaments or
4:35illnesses that Yeah. So
4:37>> are relevant here? Most common one is
4:38being overweight and a brain that's not
4:40working right. What really is behind all
4:43of the patients I've seen for 25 years
4:44is
4:45we're working on peak brain performance.
4:47Even if you don't think about that,
4:48that's what I think about. So when you
4:50come in and you're 55 years old and I
4:53can see the worry of Parkinson's headed
4:55your way. Super young is 55 years old
4:57with Parkinson's. That is a brain that's
4:59got too much trash and you don't know it
5:02yet.
5:03And I mean, in the history of Dr. Boz
5:06versus Parkinson's,
5:08Parkinson's has like 3,500 patients, I
5:10have zero. Parkinson's wins every time.
5:13And the the biggest moment of people who
5:15have chronic problems under the hood
5:18is they have no idea that it's coming.
5:21And once that lands, the reversal is
5:23much worse. Seeing it 10 years before
5:25it's supposed to be there,
5:27this is a gift of saying, let me show
5:28you how to undo that. Back away from the
5:30edge. It's that brain function that
5:32you're going to miss the most when it
5:34doesn't work.
5:36And it's linked to all of these things
5:37like the arthritis, the you know, weight
5:40around the middle, the high blood
5:41pressure, the
5:43severe connection to mental
5:46uh
5:46approach, meaning you can say
5:48depression, but people say, "Oh, I don't
5:49have that diagnosis." I'm talking about
5:51a brain that doesn't want to engage,
5:53that doesn't find joy in their life
5:54anymore, because it's been too many
5:57years since they took out the trash. Let
5:59me show you how to take out the trash,
6:00and you're going to have to do it a few
6:01times,
6:02but what unfolds is your best life ahead
6:05within a year. So, you're going to teach
6:07me how to take out the trash? Yeah. The
6:09trash in my own brain. Yep.
6:11And if I take out the trash in my own
6:12brain, how is my life going to be
6:13better?
6:14You live in the 21st century, where
6:16there's lots of processed foods and lots
6:17of ways that your body did things
6:19without telling you.
6:20So, any injury that you've had, like a
6:22joint injury that keeps coming back
6:23every time you injure it, it is a little
6:25easier to injure the next time.
6:27Is there a ring around the middle that's
6:30more more than pinch an inch?
6:33Is there a uh,
6:35distance in time where you say, "I can
6:38focus for this many hours, but I can't
6:39do it for this many hours anymore"?
6:41Those are all places where if you did
6:44this, if you were able to say, "Don't
6:46stop taking out the trash several times
6:48a year, several times a month if you ask
6:50me." Then you never have to come into
6:52this world that
6:54I just see people they're they're in
6:55quicksand, they're up to their waist.
6:58And getting them out, they need a real
6:59lifeline.
7:01And what are the current solutions
7:02people are typically offered when
7:03they're feeling, you know, all the
7:05the ways that you described there, where
7:07they just don't feel good, they have
7:08brain fog, they're they might have
7:10chronic pain setting in in various ways.
7:11What are the typical solutions that
7:13medicine 2.0 would offer them? Yeah,
7:15especially if they have good insurance.
7:17Yeah. That doctor is going to be with
7:18the covered insurance plan, and he's
7:21going to say, "Tell me the symptoms.
7:23I have a matching game. I will give you
7:25the drugs that will take away that one,
7:27and take away that one, and take away
7:28that one."
7:29What is always a downside is, well, play
7:33that forward for 10 years. Play it
7:34forward 5 years.
7:36And are the symptoms gone? No, but it
7:38will bridge and hold up the architecture
7:40of the body and the human without
7:42actually fixing the problem without
7:44actually diving in and say you got some
7:46chemistry problems under the hood that
7:48you don't measure and you don't talk
7:50about. But if you did even if you're not
7:52perfect, even if you're 70%
7:55you're going to find yourself
7:57at the age of 54 with vitality and
8:00energy and sleeping through the night
8:02and not having what every other
8:0354-year-old which is chronic joint pain,
8:06a brain that can only focus for 3 to 4
8:08hours without a break,
8:09a a stamina of endurance and health and
8:13and joy that falls apart. So when I'm
8:17you're 54 years old, when I'm 54 years
8:18old, I want to be as
8:21young and energetic and articulate
8:24and cognitively astute as you are.
8:27So what should I be doing now to make
8:29sure that I don't decline, decay in all
8:32those areas I described? Oh, what did
8:34you have for breakfast? Today? Yeah.
8:36Um I have not eaten breakfast yet. Okay,
8:40that's not a bad thing, but when you're
8:4254, you should probably put the calories
8:44in the morning, not at night. We know
8:46that as you age, the cost of a calorie
8:50turns into timing.
8:52If you eat that food one bite of food
8:54after 6:00
8:56is worth 10 bites of food before noon.
8:59So if you're trying to say how do I get
9:01the best out of the nourishment, but
9:03also eating's fun, if you only get one
9:05bite after 6:00 and 10 before
9:08move that food towards morning.
9:11When you're your age, what did you have
9:13for what's the last meal you ate?
9:15Yesterday? Yeah. Uh for dinner I had
9:18this cod and I had salad.
9:21I also had pasta.
9:23Okay.
9:24But I ate pretty late, which is about
9:259:00. What did you have the rest of the
9:26day before that? Was that your first
9:28meal?
9:28>> Just a big salad. Was that more towards
9:31lunch or noon or
9:33Probably about 4:00. So waited all the
9:35way till 4:00 to eat. Very common. This
9:37is a really common pattern of people
9:38doing what we would say intermittent or
9:40time restricted eating. They put that
9:42eating window in this, but it's got that
9:44balloon at the end of the day. Yeah. And
9:46it really does I mean what you're
9:48stimulating is an excessive production
9:50of insulin.
9:52And you're going to wake up the next
9:53morning. What time did you wake up this
9:54morning?
9:55Today? I went to bed fairly relatively
9:58early for me. I woke up at about 7:30
10:00a.m. Oh. Usually it's later. And do you
10:02have Did you have a solid 7 8 hours of
10:05sleep or how? Yeah. So during that time
10:09uh you finished eating around 10:00 then
10:10it sounds like. Yeah. Okay. So then it's
10:127:30
10:13>> Maybe a little later. Okay. So 11:00 and
10:15you've got uh
10:167:30 in the morning is when you woke up.
10:18So that's about 8 hours since you've
10:19eaten. Your insulin is still churning.
10:22Especially if the meal was large and
10:24there was carbs in it. So now you've got
10:25these processed foods late at night and
10:28you're at the beginning of the disease,
10:29right? You're at the beginning of the
10:31chronic inflammatory churn of how do you
10:34age faster and faster? You don't do
10:36that. You don't have high insulin
10:37throughout the night. So can you explain
10:39to me like I'm a 12-year-old what
10:42insulin is and the role it's playing cuz
10:44you know I guess we're focused here on
10:46how to
10:47I guess longevity aging for a second,
10:49but how does insulin play a role in all
10:51of this and what is insulin? So insulin
10:54insulates.
10:55Okay? So think of it as it makes you
10:57fluffy. It makes you It puts the fat on.
10:59Uh
11:00it's got some other roles, too. But
11:02we're going to talk about chronic
11:03diseases here where it's not a scarcity
11:05problem. You You make plenty of it. And
11:08when it's in excess, it will store
11:12energy for when you go through a famine.
11:14It will also cause you to grow.
11:17Now grow means get a little fatter, but
11:20it also means things like their skin
11:22gets a little thicker, they have skin
11:24tags, and what I always think about is
11:27what's going on in their brain. And when
11:29that insulin is high for years and years
11:31and years
11:32uh just like yours, because if if you
11:34didn't eat the rest of today
11:36and then you got up tomorrow morning, it
11:38would be about that long after a late
11:40meal last night, that's how long it
11:43would take you to say,
11:44"Okay, we're back down to where we
11:47started from or where we should be in
11:48the morning." For someone that's never
11:49had the insulin before, there's some
11:51context to give on in terms of what it's
11:52doing. So, it's coming out like a
11:54transporter and helping put away the
11:56sugar or deal with the excess sugar.
11:58Right. So, it is what what Yeah, it
12:00lifts glucose or sugar from the
12:02circulation into a cell. That's its
12:04first primary job.
12:06But if all the cells are full, their
12:08storage is full, it's going to start to
12:10pack it into the liver. And then let's
12:11say all those stores are full, too. This
12:14job of the of insulin, this hormone
12:17oozes into every part of your body to
12:20say, "Make sure it's got full fuel. Make
12:21sure it's got that sugar."
12:23But most people are like what I would
12:26guess you are. Most of the time you
12:28don't you aren't in a shortage of sugar.
12:30And so, it fill it tops things off
12:32and then it will turn things into fat.
12:34It's too much sugar, they can't store
12:36it, all the storage is full. So, you can
12:37send the signal out, "Make me some more
12:39cells. I need some more storage units.
12:41This guy is eating more than he thinks
12:42he is. And we're going to be prepared to
12:45live through the famine."
12:48But in the meantime, turn it into fat.
12:51Make him a little fluffier. Is that the
12:53only consequence of high insulin is that
12:55I'm going to I might be a bit more fat?
12:57No, that's just the one people hear
12:58about the most. When you look at chronic
13:00disease management, it is the growth
13:03of of the diseases, of the inflammation.
13:06It's the making of the trash.
13:08So, I just keep saying, you know, you
13:09need to take the trash out routinely,
13:11which means that insulin, which has been
13:13smoldering higher than you think it is,
13:16because you live in today's world,
13:17because you eat processed food, because
13:18you eat super late at night, uh you
13:20don't go two to three days without
13:21eating. You've You've got storage filled
13:23in your body.
13:25The high insulin levels in a healthy
13:27person
13:28hides
13:30that the debris is being made and you
13:31don't know it.
13:32Yeah, it hides it. Yeah, it's going to
13:34put it in between two cells in your
13:36brain. It's going to put it in between
13:38the skin cells. The trash doesn't get
13:40taken out until the insulin gets lower.
13:43And unfortunately, most people
13:47have been making buckets of insulin
13:48without knowing it.
13:49Why?
13:51What are they doing to create buckets of
13:52insulin? All the things you said about
13:54>> Carbs.
13:55Um
13:55foods that comes from boxes and barcodes
13:58and
13:59bags instead of whole foods, instead of
14:03a fat forward diet which would then push
14:06that body into
14:08making ketones. So, you can't you cannot
14:11make a ketone
14:12if your insulin's high.
14:14Are there any signs that I might have
14:17high levels of insulin or insulin
14:18resistance? Abdominal girth is the first
14:20thing that is the first place that the
14:22fat goes. And so, you do this really
14:24great part where you don't eat until
14:25later in the day. Mhm. How does that
14:27feel during the day?
14:29During the day I feel really focused. I
14:31actually don't even know that I'm not
14:31eating. So, that's really good. So, what
14:33I would love to know is show me what
14:35your blood sugars are doing during the
14:36day and show me if you make ketones.
14:38That'll be The answer is you when you
14:41have excess insulin, which is this
14:44chronic disease maker,
14:46it is what makes cancer. It is what
14:48makes high blood pressure. It is what
14:50makes debris in the brain where call it
14:52depression or brain fog or Parkinson's.
14:55It's the aging of the brain. It's linked
14:57to all of those things.
14:58>> All of those things. And that excess
15:00insulin nobody tells you about. But, the
15:02symptoms are dang, I feel like I got to
15:05eat every two to three hours. Uh their
15:07debris or their fuel keeps running out.
15:10When you say, "Boy, I can eat
15:12once at the end of the day and I'm
15:14pretty good. My focus stays really
15:16good." What I want you to prove is what
15:18are your ketones during the day? So,
15:20when when you've got a patient who has
15:22done that,
15:24their ketones will be 0.7,
15:261.0,
15:28and they're taking out the trash all day
15:30long.
15:31So, there's these two energy sources.
15:32One of them is the glucose. One of them
15:34is which is from like, you know, eating
15:35pasta, which I ate last night. Um so,
15:38that probably put a lot of glucose in my
15:39my blood. I probably had a high glucose
15:41spike, and then insulin came out to deal
15:42with that. And then there's ketones,
15:44which start to appear when I'm fasting
15:47or when I haven't been eating carbs for
15:49a while and my body's looking for an
15:50energy source.
15:51>> Yeah, when In terms of these two energy
15:54sources,
15:56there seems to be a lot of hype around
15:57ketones.
15:58>> Mhm. So, why doesn't our body just run
16:01off ketones? It will, as soon as you're
16:03done lowering your insulin. And I mean,
16:06insulin grew in these patients. They
16:08didn't know that it was growing high.
16:10They went to their blood test, and their
16:11glucose looked normal. What nobody
16:14checked for years is how much of that
16:15insulating hormone did it take to keep
16:18the glucose controlled. And that's where
16:20chronic diseases are are grown in
16:22spades. That's where autoimmune disor-
16:23>> The insulating hormone being insulin.
16:25Yes.
16:25>> Okay. So, that excess insulin for the
16:27last decade,
16:29had you come into my clinic, we'll put a
16:31label on it, call it PCOS, call it high
16:34blood pressure, call it
16:36autoimmune problems. All of them are
16:39linked to high insulin. Glucose, when
16:41you want to store it, we put it in a
16:43fancy string called glycogen. And it's
16:45just an efficient way to store glucose,
16:47but as soon as your body needs it, it
16:49will unlock all that sugar back into
16:51your access back for you.
16:52>> Mhm. What you don't realize is, well,
16:55how much glycogen you got stored over
16:57there?
16:58How much is there in storage? And that
17:00is what high insulin has been doing.
17:02Just put it in storage, put it in
17:03storage. And then, when you stop eating,
17:07you'll know if you emptied out all your
17:09stored sugar, which is some of the
17:11regular sugar you just ate, but then all
17:13this glycogen, this packaged sugar.
17:15How empty are you? I don't know. Have
17:18you made a ketone yet?
17:20You cannot make a ketone. You cannot
17:21burn fat until that that tank is empty.
17:24Okay, so I have these glycogen stores
17:26which last for well, a day or two. Oh,
17:28no. Think of it as brown sugar.
17:31So, you package the sugar really tight.
17:33Then you put it in the back of the
17:34drawer and it turns crusty cuz you never
17:36lowered your insulin. I have patients
17:38that are over overweight and we put them
17:40on a ketogenic we put them on a 20 total
17:43carbohydrates per day. So, super low
17:44carbohydrate.
17:46It is 15 days before they make a ketone.
17:49Okay, so it's it could be a a while it
17:51could be up to 2 weeks for example
17:53before my glycogen stores are empty. And
17:55it's not until my glycogen stores, my
17:56glucose stores are empty that my body
17:58can start producing ketones. Correct.
18:00So, it's going to exhaust all of those
18:01glycogen stores and then once it's run
18:04out, it's going to switch into this
18:05ketogenic state. Right.
18:07Yeah, so think of it as your short-term,
18:10easy to access sugar has to decrease.
18:13And that means your insulin has
18:15decreased.
18:16That hormone for insulin, they both run
18:18in tangents. You decrease your emptying
18:20glycogen, your insulin's going down. So,
18:22how do I know if I have insulin
18:25resistance? What are what are the key
18:27signs? You mentioned skin tags. I've
18:28never heard that term before. Yeah, skin
18:30tags are not moles. So, moles you can
18:33feel this bump on your on your skin,
18:34right? But a skin tag has a neck and
18:37like a little mushroom.
18:39And it's the most annoying thing when
18:41patients come and say, "Well, I just
18:42tried to cut them all off, but they kept
18:44bleeding."
18:45I'm like, "Do not cut them off."
18:47They'll fall off
18:49when your insulin's lower. So, that's
18:50the first place. It'll be found in their
18:52armpits or places where the skin rubs.
18:53So, armpits and their groin. And once
18:56insulin starts to grow them, it's like a
18:57crop. A crop a little baby cauliflower
19:00hanging out in their armpits. You talked
19:02about velvety skin
19:03>> Yes. as well being an an indicator.
19:05Velvety skin is this Latin word
19:07acanthosis nigricans, which is fancy
19:10word that means the skin is darker and
19:13thicker. So, the the places that usually
19:15happens is the back of the neck. And
19:17you'll hear, you know, stories of I
19:19tried to wash my neck. It's It's dirty
19:21all the time. It's not dirt. It is the
19:24way the skin is under the the curse of
19:28high insulin. And you see it in
19:29teenagers all the time now. They put on
19:31weight and their growth hormones are
19:33already doing that teenage thing. Now,
19:36you put high insulin in there and they
19:38have this dirty neck syndrome. Or on the
19:40creases of their elbow. It's just darker
19:42here.
19:43Uh that is pathology. That's not normal
19:47from high insulin. You talked about
19:49weight changes as well. What What's this
19:50thing about hairy toes that I was
19:52reading about?
19:52>> Right. So, as my patients age, so most
19:55my 55-year-olds that have had high
19:57insulin, I will tell them, look at your
19:59toes. They're supposed to have hair on
20:01them.
20:02And when your body has had that high
20:05insulin state for a couple decades now,
20:07it will start to say, we don't send
20:10resources to a couple parts of the body
20:12anymore.
20:13And the follicles in their toe
20:15are one of them. Like, you just stop
20:16growing hair on your toes. And there's
20:18an ascending problem with this where the
20:20toe starts, then it's the ankles, then
20:22it's up to the knees, and they don't
20:23have hair anywhere on their lower
20:24extremities.
20:25It is a process
20:28that started from high insulin. What
20:29about aging? You talked about how if you
20:32have high insulin, there'll be an impact
20:34on your aging. Now, I'm thinking about,
20:36you know, I'm getting a couple gray
20:37hairs now. I'm thinking this is because
20:39of my insulin levels. I I have seen
20:41patients that have reversed their gray
20:43hair on a ketogenic diet. It blew my
20:45mind. They asked me for the reason why
20:46that happened and I thought,
20:48well, um the cells are healthier that
20:51are making your hair. That's all I got.
20:53Um aging is exactly that enemy, which is
20:58they are going around the sun with more
21:00growing of the trash than they needed.
21:04So, that high insulin, they don't know
21:05about it. They've not produced a ketone
21:07in years, and that chronic disease is
21:10now
21:11difficult to get their the eye to clean
21:14out. It's difficult to get that brain
21:17trash removed. And you're supposed to do
21:19it every night when you sleep. It's not
21:20supposed to be behind this far. You're
21:22two decades from taking out the trash in
21:24your brain. That's aging. How do I first
21:28start even know my ketone blood levels?
21:31Well, when when a patient first comes in
21:33saying, "How do I begin?"
21:35I want them to tell me what they had for
21:37their meal and then say, "How many carbs
21:38do you think that was?"
21:40Because this education like an apple is
21:4220 g of carbs, 15 g of carbs for some of
21:45them.
21:46And we're going to ask you in the first
21:496 weeks to take your carb intake down to
21:51less than 20. 20 total g of
21:54carbohydrates or less is where we begin.
21:56And again, I do this in a medical grade.
21:58There are people who play with the
21:59ketogenic diet, and there are people who
22:01try to reverse medical problems with a
22:02ketogenic diet. In order to do this, it
22:05is not a lazy kind of keto. You have to
22:07actually be on the same team as me using
22:09data to reverse this medical problem.
22:12And how how does one measure the blood
22:15ketone levels? Yeah, I I think blood is
22:17the best. There is a way you can measure
22:19them in a in urine. The burning of fat,
22:22if you
22:24turn that string of fat into ketones,
22:26there are two destinies for that. You
22:28either put it into a mitochondria and
22:30turn it into energy or you pee it out.
22:32So, especially when they're early in a
22:34ketogenic journey, they're they
22:36overshoot. Evolution said, "Don't let
22:39them die.
22:40Turn that fat into energy. Help them
22:42through the famine." So, the excess
22:44ketones they make end up in their urine.
22:47We call them pee tone strips, and
22:49they're cheap and easy, and we don't
22:50have to cross that barrier of somebody
22:52pricking their finger at the beginning.
22:54So, they're going to pee out ketones
22:56every day
22:58as long as they're not chronic insulin
23:01resistant. So, if I avoid carbs for a
23:04sustained period of time, which could be
23:06a couple of days, it could be up to 2
23:07weeks, eventually my body's going to
23:09say, "Listen, we need energy." So,
23:11it's going to start burning my fat
23:12stores.
23:13>> Yes. You know, from some of that fat
23:15around the midsection, and it's going to
23:17start turning that into ketones, which
23:19are a
23:20different type of energy. Are there any
23:23reasons why ketone as a source of energy
23:26is better for me in terms of performance
23:29other than the insulin reasons that
23:31we've talked about? Like, are there any
23:33other parts of my body or my health that
23:34benefit from ketones?
23:36>> For starters, when you're burning a
23:37ketone, there's less trash. Okay? It is
23:40a cleaner
23:41fuel with less byproduct, especially as
23:44you age. So, you get the longer energy,
23:46and you have less debris floating
23:47around. You hear the word antioxidants
23:50all the time. Well, burning ketones is
23:53an antioxidant state. It is a and it's
23:55in the space where you need it, which is
23:57inside that cell. Uh you swallow
24:00antioxidants, and you have no guarantee
24:02that they end up where they're supposed
24:03to.
24:04So, number one, the fuel is reducing
24:07trash at a cellular level, it lasts
24:10longer, and it penetrates through that
24:13blood-brain barrier to fuel a brain that
24:17even if it's insulin resistant, it can
24:19use a ketone.
24:20So, the problem with somebody who's
24:22chronic insulin resistance, their brain
24:25needs a lot of glucose to stay on
24:28online.
24:29And I can try to get it there, but
24:31insulin is constantly fighting that.
24:33It's a war to try and keep the glucose
24:35in their brain.
24:36My hack is ketones will go right around
24:40that. It doesn't need the same
24:41transporters to get across the
24:42blood-brain barrier, and especially to
24:44fuel those cells in the brain. So, for
24:46performance,
24:48um I mean, name a game where you don't
24:50use your brain.
24:51There isn't one, right? You're You're
24:53going to If you're looking at
24:54performance to say, "Let's begin with
24:56the sharpest brains and the most
24:57focused, the most disciplined, the less
25:00um impulsivity.
25:02All of those things improve when that
25:04brain is being fueled with ketones.
25:06So, let's focus on the brain part then.
25:07So, what have you personally noticed as
25:10someone who I assume is in the ketogenic
25:12diet right now? Yes. What have you
25:14noticed the variances between when
25:16you're in a keto diet and when you're
25:17not? Right. Well, I've been doing this
25:19since 2015. So, um the onset of it was
25:22really messy, but uh the seasons where I
25:25would do a great job and then I would
25:28think, "Ah, I'm fine."
25:30Uh
25:30I I mean, I can tell you you see 25
25:32patients in a day and I feel bad for the
25:35last five.
25:36Uh they've got a they've got a sluggish
25:38brain. I don't care how much coffee
25:39you've got in you, you can't keep that
25:41focus for that length of time. Um when
25:44you're in a ketogenic state and not in a
25:46ketogenic state, uh the the the
25:48brainpower, the concentration, the
25:50ability to keep your mood controlled is
25:53is just
25:55it is a night and day difference for
25:56most people, but uh I think especially
25:58for me like
25:59uh I'm pretty high energy and when it
26:01runs out, I get crabby.
26:03Uh and that's not a good place to be if
26:05you're the patient.
26:06Yeah, I think I've noticed that as a
26:07podcaster, but I've also had a lot of
26:09very well-known podcasters say the same
26:11thing, which is the variance in their
26:13ability to speak and articulate
26:14themselves and think and sit here for 3
26:16to 4 hours having a conversation is
26:18night and day when they are in a fasted
26:20ketogenic state versus or on a ketogenic
26:23diet versus when they are in a higher
26:26carb diet. Right. And it's so profound
26:28to me that I that I almost wonder why
26:30like more people don't Oh, it's it's
26:32insane. Like one of the best things that
26:34I've done in 25 years was I went out on
26:36a limb and said, "I'm going to try and
26:38teach 200 people at once how to do this
26:40intense ketogenic diet for 3 weeks."
26:44Uh it is hardcore. This is not playtime.
26:46You're checking your numbers every day
26:48and you're comparing them to your
26:49classmates.
26:50And what you get to see in this class of
26:52200 people going with an extreme
26:54ketogenic diet
26:56is the testimony you just said. I cannot
26:59believe how good I feel. By the end of 3
27:00weeks, they're naming babies after me.
27:03They They think this is a miracle. And
27:06I'm like, exactly.
27:08I mean
27:09when you do it in a group like that,
27:11I don't need to advertise. They tell
27:12their friends. They tell their Like if
27:14you want to be on a ketogenic diet that
27:16really wakes up your brain. I didn't
27:18think I could do this. I thought I was
27:19too old for this level of energy.
27:22And it's there within 3 weeks of doing
27:24it right. How long does it typically
27:26take on average for someone to feel
27:28those brain benefits from doing the
27:30ketogenic diet?
27:32Typically, how long does it take you?
27:34Me? Yeah. I rarely go out of it. Meaning
27:36I I might have a couple of days where I
27:39fly to LA and have a fancy meal and then
27:40I need to be back on it. It just doesn't
27:42feel good anymore.
27:43So, but let's go let's go to when I was
27:45overweight, okay? So, you say who's
27:47insulin resistant? Any person who's had
27:50a baby. Okay? You have to be insulin
27:52resistant to hold that baby for 9
27:53months. Okay? So, I had three of them
27:56and then the weight never came off on
27:57that third one.
27:58So, here is an insulin resistant person
28:00at 40-something years old
28:02and I am probably 60 lb heavier than I
28:05am now.
28:07And the first time it it
28:09I tried to get into a state of ketosis
28:11for like 9 months. I was about to give
28:14up on Like why can I not be a ketone?
28:17Why does every I mean I'm a doctor. I'm
28:19trying to use this for my brain
28:20patients, but I'm afraid to tell them
28:22about it cuz I personally cannot keep be
28:25a ketone. I mean I was trying to follow
28:2750 carbs, then I tried to do 30 carbs,
28:29and then I tried to do none, but
28:31I just couldn't make it long enough into
28:33that ketogenic state. And what had
28:35happened is at least a decade of high
28:37insulin. Three babies, full practice,
28:39busy life, you know, on call, those
28:42kinds of things that are all dangerous
28:43if you're going to try to have a peak
28:44brain.
28:46I took my kids on a
28:4922-mile hike around the city
28:52on Memorial Day in the name of troops'
28:55mental health. And I said, "If I am not
28:57peeing a ketone after walking 22 miles,
29:01having fasted for a day, then I'm for
29:03sure that this diet is a phooey."
29:05So, that's how much energy it took for
29:07me to pee a ketone.
29:09Because I was very insulin resistant. I
29:10had been making excess insulin for a
29:12decade, and I'm a doctor. I I should
29:14have known that.
29:15My sugars are fine.
29:17My hemoglobin A1C wasn't bad.
29:19But that excess insulin, that stored
29:21sugar, that stored glycogen, it took
29:24forever to get that low.
29:26And only after I fasted and then walked
29:2922 miles did I pee a ketone.
29:32So, I When you ask the question, "How
29:33long does it take?"
29:35I don't make a I do a much better job
29:36now of telling people how to get there
29:38cuz I I almost gave up thinking, "This
29:40is junk science." If you if you were to
29:42eat a high-carb meal now and take a
29:45couple of days off, how long would it
29:46take you to get back into a ketogenic
29:48state where you have those brain
29:49benefits now? Uh I could probably flip
29:51back in within 12 hours.
29:53So, that's how long it roughly takes for
29:55someone who's got a bit in better
29:57metabolic shape, it will take a couple
29:59of days. Mhm. Um
30:02is there a downside to living in ketosis
30:05the whole time? Because people often say
30:07when you talk about the ketogenic diet
30:08that it's not sustainable. Yeah. I I
30:11hear that a lot, but I have thousands of
30:13patients that have been doing it for
30:14years.
30:15And what happens is uh
30:18as soon as they
30:19exit from the ketogenic diet
30:21and they start to feel the trash build
30:23up again, meaning the joints that didn't
30:25hurt forever now hurt. The vision that
30:27was super clear is now foggy again. The
30:30brain that wasn't irritable and
30:31depressive is back to doing those things
30:34again. I mean, it is within a week or
30:35two that
30:36I mean, I like to think of
30:39when you're in a ketogenic state, you
30:41ring out that inflammation and trash in
30:43their brain, and the brain is like
30:45crisp. It is doing a great job.
30:48And when you put the sugar back in, the
30:50swelling goes back into their brain.
30:51Insulin and water flood the body, and
30:54it's almost like a minor concussion.
30:57And their brain is not working right,
30:59and they now know it. And is there any
31:02other benefits to being in a ketogenic
31:05state? You mentioned strength briefly.
31:07Yeah. So, when you're looking at do you
31:09do weightlifting? Yeah. Okay. So, when
31:11you weightlift
31:13how's
31:14grade your soreness on the day after
31:16your
31:17like lifting day? Um if I've been using
31:21that muscle consistently, there's no
31:22real soreness. Good. So,
31:24let's just take a day where you're
31:25pushing it harder. You're deadlifting
31:27harder, and you've got a strain in those
31:29muscles. One of the key components for
31:31repairing that as quickly as possible
31:33is
31:35is to be in a ketogenic state, to take
31:36that inflammation way down.
31:38And you probably didn't need the help of
31:41repairing that muscle when you were, you
31:42know, 18, 22, but as you get into the
31:4530s, and especially into the 40s, the
31:47amount of inflammation
31:49that tries to help you repair that, it
31:52overshoots.
31:54And that's where the chronic pain's
31:55from. That's where the delay in repair
31:57comes from. So, when I look at power and
31:59muscle training, I the first place I
32:01talk to my patients about it is
32:04how many days does it take you to get
32:05back to to feeling good after you've had
32:07an injury? Uh let's let's be on the side
32:10of a ketogenic setting where your
32:12inflammation is super low, and when you
32:15tear something, which you're going to
32:17tear things when you're lifting heavy,
32:19the repair part is so quick.
32:21The power is a little hard to talk
32:22about. If you want me to go there, I
32:24can. Uh
32:25Yeah, so is there is there going to be
32:26any impact on my my ability to train
32:29Yeah. if I'm in a ketogenic diet? Am I
32:31going to be impacted in terms of
32:33endurance or strength or power or
32:35anything like that? So, we looked at
32:37this in um
32:39in military people. Uh it's one of the
32:40my favorite ones where they are all
32:42insulin resistant. And we put them on a
32:44ketogenic diet, and so they're trying to
32:46meet the standards. And at a month of
32:49being in a ketogenic state, they've lost
32:51weight, but their power and time didn't
32:55do anything too sexy.
32:57Then you look at those same soldiers at
32:59a year or I think it was 6 months was
33:00the next time they did another big
33:01check. Uh and by golly, they've lost
33:04even more weight, and their power is
33:06about 20% more than their counterparts.
33:11When they get to 18 months of a
33:13ketogenic diet, their power is almost
33:1550% more than what their counterparts
33:18were. So, let me explain that. As you're
33:20looking at a muscle, it will choose
33:23which fuel it wants to use. And when
33:25you've been glucose using when you're on
33:26a non-ketogenic diet, it's going to use
33:28glucose first to fuel.
33:30But if you can train it to to use fat
33:33in that training, it's a longer, better
33:36fuel with less inflammation, and um
33:39especially in a a state where
33:42it will use both fuels quickly.
33:44That takes time. I mean, it takes And
33:47what I tell patients is, you'll love me
33:48in 18 months. You'll think I'm pretty
33:50great at 6 months. But if you're trying
33:52to run a marathon and we're only 3 to 4
33:54weeks out, you should not start a
33:56ketogenic diet. You're going to think
33:57it's the worst thing ever. It's meant to
33:59train muscles to use fat, and that takes
34:02time.
34:03And is there a link between some of
34:05these cognitive
34:07degeneration diseases like Alzheimer's,
34:10dementia, etc. and the ketogenic diet?
34:13Cuz I know that there's been some
34:15research that's underway and has been
34:18done to try and establish causality of
34:20Is there a link here? Yeah, you know,
34:22it's one of the saddest places where if
34:24you look at what patients regret in
34:25life,
34:26they come into the clinic, and they're
34:28already starting to say, "I was driving
34:30the other day, and I I got lost.
34:32And when I hear that, we are 15 years
34:34too late. It is 15 years of building up
34:37trash in that brain that we have to
34:38clean out that debris.
34:41And I had the privilege of an amazing
34:43story that taught me I don't have the
34:46gift of, you know, seeing into the
34:47future. Am I going to reverse these
34:50Alzheimer's before they show up? We
34:52don't have the research for it. Um but I
34:54have a lot of clinical experience
34:56saying, "Boy, they are so much better."
34:59I don't know if their memory is going to
35:00stay this good. We're only 3 years into
35:02a ketogenic diet, but it's way better
35:04than when it started.
35:06And then I had a Down syndrome patient
35:11at 40 years old
35:13uh in my practice.
35:14So, her mother came to see me first. She
35:17said, "I I want to try this ketogenic
35:19diet. Um I've been helping my daughter
35:22who's has Down syndrome. We've lost 100
35:25lb uh because the doctor said that she
35:28might do better
35:30if um if we lost some weight."
35:32And it's not an uncom- uncommon thing to
35:35see they have advanced insulin
35:37resistance and advanced Alzheimer's
35:40earlier in life. So, it's a great uh
35:42place to study Alzheimer's because they
35:45have a a more rapid onset of it. So, the
35:47woman comes, she's lost 100 lb, and
35:50during that time her mental cognition
35:52got worse.
35:54So, now she's got 100 lb down, but none
35:56of those brain things are better.
35:59And I said, "All right, if we're going
36:00to do this with your daughter, we're
36:01going to make sure we're pricking your
36:02finger. It's not going to be fake. We're
36:04going to do a real ketogenic diet."
36:06So, the mom starts on a ketogenic diet,
36:08and I think both her and mom are
36:10genetically super powered to make
36:11ketones cuz they have ketones of like
36:13three within a couple of days. Which is
36:16the average would be
36:17>> Like one. If I If they hit one in a few
36:19days, I'm thinking, "Good job." And the
36:20mom calls me at the end of the week
36:21saying, "Do you think it could possibly
36:23work this fast?" She is She's, you know,
36:26doing the little jobs that she used to
36:28do around the house. And I said, well,
36:29call me again in a week. Let's see how
36:31she's doing.
36:32And the mom goes, the most profound
36:34thing just happened.
36:35I've taken care of this girl for 41
36:38years.
36:39And I asked her the other day if she was
36:40doing something. She wanted to go to the
36:42church with me, which means she left the
36:43house.
36:44And she was at the church and she was
36:46giving her instructions to do this, go
36:48around here and put it over there and
36:50give her a little job.
36:52And she said, do you understand? And the
36:54girl replied, I understand.
36:58I said, what's the big deal?
37:00And the mother said, she had never said
37:03a three-syllable word in her whole life.
37:06Two syllables is all her brain could
37:08ever put together. For the first time in
37:10her whole life, 3 weeks on a ketogenic
37:12diet.
37:13And this Alzheimer's
37:15diagnosed patient who had Down syndrome
37:19now had a brain that was not only
37:20working great,
37:21it was doing the best mom had ever seen
37:24it. And on a ketogenic diet, not only
37:26did she lose about 15 to 20 more pounds,
37:28but her world opened up again because
37:30her brain, which had Alzheimer's, no
37:32longer had that diagnosis.
37:34I was looking at some of the supporting
37:36studies around this, around the impact
37:38that can have on the brain. And studies
37:40show that in dementia, especially in
37:42Alzheimer's, the brain struggles to use
37:43glucose efficiently. Ketones provide an
37:45alternative clean fuel source.
37:47Um ketogenic diets can boost
37:49mitochondrial function and energy
37:50availability in brain cells. Keto lowers
37:52systemic inflammation, which is linked
37:54to slower cognitive decline.
37:56Um
37:57ketones may protect neurons from damage
37:59and promote the growth of new neural
38:00connections. And Alzheimer's is
38:02something called type 2 diabetes, which
38:03I've had a lot um and keto improves
38:05insulin insensitivity, potentially
38:07reducing this risk. And lastly, small
38:09studies show temporary improvements in
38:11memory and cognition in people with mild
38:13cognitive impairment or early
38:14Alzheimer's, but the evidence is early
38:17stage. Long-term adherence can be hard
38:19and the diet isn't suitable for
38:21everyone.
38:22Uh for example, underweight people um
38:23and people with certain medical
38:25conditions. Right. So, how do I measure
38:28my blood ketone levels? Uh, is that what
38:30are these devices are here on the table?
38:31>> Yeah. I mean, when I look at um uh
38:34giving patients the freedom to say don't
38:36don't come to me for the things that I
38:38that you can do at home.
38:40First thing is be willing to check data.
38:42Okay.
38:42>> Okay? So, blood way better than any
38:44other way to measure this. We're going
38:46to be able to see Should we have a
38:47contest which one's better? Yeah. Okay.
38:49Okay? So, you want to go first? Okay.
38:51So, what I'm going to do here is I have
38:52a
38:53finger prick here which is going to take
38:54some blood. Just going to prick my
38:55finger. Then I have this little reader
38:57and I also have this little strip here
38:59which I'm going to put my blood on to.
39:01And within a couple of seconds, it's
39:04going to tell me how many ketones I
39:05currently have in my body right now. And
39:08so, we're going to look at that at the
39:09same time as your blood sugar, which is
39:11how you can measure insulin. It's the
39:14best proxy for saying how high is his
39:17insulin. So, put both of them in there
39:18before you go cuz then you don't have to
39:20just prick yourself twice. Okay. So, A
39:21blue one is going to measure the ketones
39:23and a brown one is going to measure your
39:25glucose.
39:27Okay. And this device, how much does it
39:28cost if people want to buy it at home
39:29and start pricking their own Yeah, I
39:30think there's a kit that comes with
39:32about 50 strips so you can have ketones
39:35and glucose at the same time. I'm
39:37guessing it's around 70 bucks or maybe
39:38it's 60 or 70 dollars. I They have quite
39:41the Now, put it all in. There you go.
39:43And so, they'll still It'll lights on
39:44the other one, too, right? Perfect.
39:46Okay. So, prick your finger.
39:47Best to do it on the side of your finger
39:49cuz there's less nerves there.
39:51There you go. Good job.
39:54Okay. So, I'm going to put my blood onto
39:55this one, which is the keto reader.
39:59And it'll it'll count down
40:01uh see I think it's about
40:05My glucose is 86.
40:08Takes more blood for the keto one.
40:10And my keto levels are 0.9.
40:13>> 0.9. Okay. So, that's a Dr. Boz's ratio
40:16of 86 / .9, which is probably like 95 or
40:20something, like 90
40:22five-ish, right? So, my glucose level's
40:24at 86. Is that high or low? That's good.
40:27Uh so, I would say that's not low, it's
40:29just good. Okay, and my ketone level's
40:31at .9. Right. So, when you look at them
40:33in comparison, like you want to have a
40:35blood sugar that's
40:37not triple digits, so that's very good.
40:39And the closer the higher you are above
40:42.5, the better the result. So, that's a
40:44pretty good number. So, if I'm in
40:46ketosis,
40:47>> Mhm.
40:48what reading would I have on this ketone
40:50meter? .5 or greater, but it would be
40:52also that you have that reading without
40:55a triple-digit blood sugar. So, when I
40:57look at the combination of them, I do a
40:59little math and say, "Your Dr. Boz ratio
41:00is like 95." So, you are burning fat
41:03right now.
41:04Okay.
41:04>> Okay? So, that's a good sign. When I am
41:06trying to help people who are trying to
41:08undo cancer or autoimmune or brain
41:12injuries, they have to have a better Dr.
41:14Boz ratio than that. Let's do your
41:16readings to see where you're at.
41:19All right.
41:21Drum roll.
41:2383
41:25and 1.7. How are you at 1.7? What have
41:28you done?
41:29So, I've learned
41:32I would love to be 33 again and be able
41:35to eat that late at night.
41:37You said that I'm like, "Oh, it's been a
41:38while since I've eaten that late at
41:39night." It's probably the hardest thing
41:41to teach my patients too is like, "You
41:43don't appreciate how much insulin you
41:45make that late at night." Now, you're
41:46still in season where you get to just
41:49kick your heels and enjoy youth. But, at
41:52my age, you cannot do that. I can eat in
41:54the morning. I can have good calories of
41:57high fat and good protein in the
41:58morning.
42:00And I've learned to stop eating
42:01somewhere around 3:00 in the afternoon.
42:03Um in fact, if I Yeah, I know.
42:05>> 3:00 in the afternoon, you stop eating?
42:07That's usually the case. You know, what
42:09what's really hard though is how much of
42:11your life is social. Like you said, "Oh,
42:13there was this dinner party last night
42:14and I had pasta."
42:16And you're like, "Yep, uh that would be
42:18something I have to teach my patients.
42:20You have to say no to that. You cannot
42:22be eating at 10:00 at night if you want
42:24your insulin to not
42:26to not do that debris thing. And boy,
42:29when their memory isn't going well, when
42:31their friends are dying of uh memory
42:33problems,
42:35you know, it's I don't like using fear
42:36tactics. I don't think they last very
42:37long. But it is such a reality
42:41of poor performance that
42:43I can't do that. I cannot eat at 10:30
42:45at night. What is it about being asleep
42:47that causes the sort of dysregulation?
42:51Like, what is it about it doing it at
42:53night? So now it's going to take that
42:54metabolic curve and in order to
42:57to store all of the part that gets
42:59stored and then turn the part into fat
43:01that needs to be tucked away and get
43:03back to baseline, it's going to be 8
43:05hours, at least 8 hours.
43:06>> Which is fine. Right.
43:07>> Because I don't eat till I'm probably
43:09not going to eat till 2:00 p.m.
43:10>> Right. Well, you you missed one part.
43:12The sun will rise.
43:14When the sun rises,
43:15even if you're in solitary confinement,
43:18you cannot see the sun. Yeah. Your brain
43:20knows that the sun just went up and
43:21cortisol rises. Okay. Cortisol leaves
43:23your brain, goes to the liver and says,
43:25"You know that stored sugar, that
43:27glycogen, release."
43:29You make glucose first thing in the
43:31morning.
43:32How much glucose? Depends on how insulin
43:34resistant you are.
43:35So you're going to you're going to have
43:37an uneaten meal
43:38when you wake up in the morning. Glucose
43:41has been stored for the this purpose.
43:42It's going to wake you up. It's going to
43:43give you the energy when sun rises to to
43:45fuel you.
43:47If you got a bunch stored,
43:49you're going to have a high blood sugar.
43:50Can we do Jack's ketone levels? I'd like
43:52to know what what Jack is at.
43:53>> Ooh, let's do that.
43:55What's Jack do for a
43:57for his We're about to find out. I don't
43:59think I'm going to No, wait a minute. Is
44:00Jack the one that did the VO2 max with
44:03Peter Attia? That was me.
44:05Well, you know, peak brain performance
44:06is my thing and one of the hardest
44:08brains to heal are chronic runners.
44:10That trauma thing is real. Like, it's so
44:13hard to explain to them, too. If you're
44:14a vegan who runs, ooh, you're in
44:16trouble.
44:1895% of vegans that listen to this
44:20podcast frequently don't subscribe.
44:23All right, so his glucose is 88, not too
44:25bad.
44:26Ketones, boo. Absolutely. Yeah. That's
44:29an example of he is making trash.
44:32There's no trash going out. So, his
44:34ketone level is what .1 and his blood
44:36sugar is 88. So, if you take 88 divided
44:39by .1, it's like what, 1,000 or
44:41something? It's really high. 888,
44:43probably.
44:44That is a lot of trash being made. When
44:48that Dr. Boz ratio is high,
44:50you can't take it out.
44:52>> to say that to his face? I mean, I feel
44:53like
44:54I just think that when Peter Attia did
44:57that and said, "Oh, I had no idea." I'm
44:59like, you could have just checked this
45:01first thing in the morning for 5 days.
45:03If you have that kind of a Dr. Boz
45:04ratio, you're insulin resistant. You're
45:06insulin resistant. You have to be
45:08hitting that in a routine regular
45:10interval in life to not have those
45:12problems. To have osteoporosis at such a
45:15young age,
45:16a ketogenic state would not allow that.
45:18You would be using the resources much
45:20better.
45:21He actually did a test, it turns out he
45:22doesn't have osteoporosis. Oh, good. But
45:24that was
45:25>> shocking. Yeah. I was like
45:27You shouldn't have osteoporosis at your
45:28age. No, I think that was a misreading
45:30because of this kind of um Right.
45:32>> But on this on this point in particular,
45:34his ketone levels are 0.1. So, he's
45:36basically running off glucose.
45:37>> All glucose. And and so, why is that
45:39happening? Okay, whatever he ate, the
45:41insulin went up. So, let's say he was
45:43your exact same eating pattern. He ate
45:45last night, he had the 6-8 hours of
45:49sleep, the cortisol said, "Oh, the sun's
45:51rising." And it rose his blood sugar a
45:53little bit. Okay, when the sugar's high,
45:55you can't you can't your insulin's going
45:57to be high, too. You're not making
45:59ketones. When I did these this keto test
46:01with most of the team here. They were
46:03all around that region. They were were
46:05in the region of 0.1 ketones in their
46:07blood to 0.3. Welcome to my clinic in 10
46:09years.
46:10That is trash being made, never being
46:13taken out. And so you'd say to them, you
46:15need to do some fasting, you need to You
46:18need to cut carbs. Yeah. I mean, if
46:20you're looking for a quick Okay, if
46:22they're in their 20s, I mean, I have
46:23three kids, right? And they have heard
46:25this chirp for 10 years.
46:27Uh I mean, how I got into this was my
46:29mother was very sick and she was sick
46:31because of a high insulin problem
46:34that caused cancer.
46:35So, we put her in a ketogenic state and
46:37everybody in the family got on board.
46:39So, here is three little boys who no
46:40longer have candy around. Now they're in
46:42their young 20s and for the first time
46:43they're actually listening to say,
46:45"Gosh, Mom." One of them's at
46:46Georgetown. He has to read for long
46:48periods of time for Georgetown Law
46:49School.
46:50And he's like, "If I'm not in a
46:52ketogenic state,
46:53I can't keep the focus." And I said
46:57Yeah, I said, "Well, how are you doing
46:57that?" At first, he tried some of the
46:59supplements, okay. But what really
47:01happened was he cut the carbs down and
47:03said, "I can say no to that because of
47:06the sustained brain power." I mean, it's
47:07really easy in your early 20s to do
47:09this. Cut the carbs even to 50.
47:11But prove to yourself that you made
47:13ketones and that return on your
47:16dividends is you won't be seeing me in
47:1825 years. So, you have this idea of this
47:20keto continuum. Mhm. What is the ketone
47:25continuum? I read about it. I mean, it's
47:27it's a book here I have which you
47:29published in 2020
47:30called The Ketone Continuum Consistently
47:32Keto for Life. Right. So, the keto
47:35continuum is this 12-step process Right.
47:38to get into a consistent keto
47:40>> Consistently keto. Yeah, that you're
47:41constantly taking out the trash. The
47:43first part is the beginner. Okay, so the
47:44first part, the beginner section, has
47:46four stages to it. Right. What are What
47:48are those four stages? Well, I like to
47:51tell patients that you never fall all
47:52the way off of the continuum. So, the
47:54first part the first step is really not
47:56keto, but it is that they're eating
47:58every two to three hours and if they
48:00fall off the wagon, that's usually where
48:01they land. So that's what most people
48:02start at. They're eating every two to
48:03three hours, they are not keeping their
48:05carbs less than 20. Step two is cut your
48:08carbs to 20. That's the only thing I
48:11need you to measure and you're going to
48:13be able to use a ketone strip, you know,
48:15measure ketones in your urine
48:17uh and that will ride you'll you'll ride
48:20a wave
48:21and that ketone production is happening,
48:23the fat-based hormones in your body are
48:26starting to resurrect, they're starting
48:27to do the things that they need to do
48:30and there'll be this magical moment in
48:32the not too near future
48:35where you skip a meal.
48:36And this that beginning stage
48:39how long does that last? I'll put this
48:41on the screen so everybody can see Sure.
48:43the continuum. Um how long does that
48:45initial beginner stage last for people?
48:47If they've been severely insulin
48:48resistant, this is the ones where I've
48:50said they took their carbs to 20 for for
48:54two weeks before they pee'd a ketone.
48:56So I use some other steps if that's how
48:58severe that is. But let's just take the
49:00average person. That's like not they're
49:02not 100 lbs overweight, they're hitting
49:04menopause and they've put on 25 lbs.
49:06When they drop their carbs to 20,
49:08they're peeing a ketone by the end of
49:10the week and they are missing their
49:12first meal by day 10. Okay, so day 10.
49:16And then it says when we get to stage
49:18five in the keto continuum, it says 16
49:2080 16 8. Is that Yeah. So then we start
49:23to use time-restricted eating uh where I
49:26want we we're going to have your body
49:28will adapt. People say you can't stay on
49:30the keto diet because they go to step
49:32four and then they think that that's all
49:33they needed to do. There are several
49:35steps to reversing this problem and
49:37you'll know you have the right step if
49:38the ketones are still present in your in
49:40your blood.
49:41Your body will adapt though. So we start
49:43to say, all right, we're going to learn
49:45some new behaviors.
49:47We're going to learn what the nothing
49:48burger looks like at least for 16 hours
49:51out of the day. What does that mean? You
49:53do not eat a thing in those 16 hours.
49:56Now,
49:57I give them a little hedge because most
49:59people come in like you. They don't
50:00start eating until 2:00 in the afternoon
50:02and then they eat until 10:00.
50:04And I want them fat forward. I want lots
50:07of fat going in because insulin
50:10resistance,
50:11that high insulin state, means they've
50:14locked or they've insulated their fat on
50:15their body. And then we get stage seven
50:17where it says 23:1. Is that fasting for
50:2123 hours a day and eating for 1 hour a
50:22day?
50:23>> And the there's a little bitty line
50:25between 16:8 and 23:1,
50:28but there's a whole bunch of life there.
50:30Meaning, we don't actually have patients
50:32go from 16 hours of fasting
50:34to 23. We have them slide it down by an
50:37hour, slide it down by an hour, and then
50:39we do that harder thing which is
50:41move it towards sunrise. Quit eating so
50:43late at night. And then the last stage
50:45here,
50:46so so step nine, 10, 11, and 12 is
50:50prolonged fasting between 36 and 72-hour
50:53fasting. Right. So, those folks that
50:55have high insulin for 20, you know, 15,
50:5720 years,
50:59they're going to have to do a nothing
51:00burger for 36 hours in most of them to
51:03really give a good reset of their
51:04metabolism. And although you you look at
51:07other folks saying, "Oh, you should
51:08never do that if you're a woman. You
51:10should never do that over the age of
51:1150." I'm saying you have too much
51:13insulin in your body. You have to do
51:15that to get the pancreas to make less
51:17insulin over time. On that point,
51:19between men and women, aren't there
51:20metabolic differences that need to be
51:22mentioned here? Because you know, when I
51:24sometimes when I do ketogenic fasting,
51:26my girlfriend, she takes much longer
51:28than me to get into a ketogenic state.
51:29And I'm wondering if her body is in some
51:31way trying to defend Mhm. the switch.
51:34>> Have you ever seen the the reality show
51:36Alone? Oh, no. I'm not a reality show
51:38guy. I'm not either, but they drop these
51:40people off in the middle of nowhere and
51:41they starve them to death. And you watch
51:43the fat come off of them. And the men,
51:46the fat just
51:47melts off of them. And the women, they
51:50do what your girlfriend does. It just
51:51holds on to them. That we are designed
51:54to have that fat on them. So, asking
51:57them to do a ketogenic state, you'll
51:59hear people say, "Oh, it's going to ruin
52:00your hormones. Oh, it's going to You
52:02can't do that." And um I would say you
52:05can have all those conversations once
52:07their insulin is normal. Well, I have
52:09lots of women in childbearing years that
52:11are excessive producers of insulin. And
52:14their vitamin D is low, their estrogen
52:17is low, they have hair loss on the top
52:19of their head, they have skin tags
52:20throughout their body, or maybe the
52:22first sign was they had PCOS.
52:24Okay, all of these are a sign that
52:26insulin came in and it's too high in
52:28their body. So, lowering it has rules.
52:31And if you want to have a baby, carry a
52:33baby, uh have uh the weight come off
52:36after you've gestated a baby, um have
52:39weight not be your enemy during
52:40menopause, you have to be making ketones
52:43at a routine and regular interval. And
52:46start with the food. Start with the
52:48menus in the kitchen.
52:50Don't run to the gym first.
52:52I've noticed uh in women in my life that
52:54they've told me that their menstrual
52:56cycles become more synced up when they
52:58are in a lower carbohydrate diet. Right.
53:01Their hormones can hear each other. I
53:03mean, when insulin is high, insulin
53:05dictates what that sugar does, but it
53:07also is the dictator for every morsel of
53:10fat.
53:11And estrogen, testosterone, vitamin D,
53:15they're all a derivative of fat, of
53:17cholesterol. And they are They're put
53:19into the fat cells. If you biopsy an
53:22obese woman and say, "Can I see is there
53:24any vitamin D hidden in there? Is there
53:26any estrogen? Is there any Yes, they're
53:28all in those fat cells.
53:30You start to lower their insulin and the
53:32fat mobilizes. So, the hormones that are
53:34naturally communicated between women,
53:37they can actually hear them again. I
53:38mean, that that tribal thing. If a woman
53:40were to stay in a ketogenic state
53:42permanently,
53:44would there be any disruption to her
53:46metabolic health? You mean like me?
53:48Yeah. Like you know, her menstrual
53:51cycles, her
53:52uh yeah, anything.
53:54>> No, I think it's
53:56You're going to find people that it
53:57shouldn't be extreme, meaning I've been
54:00on this for 15 years. The ketogenic
54:03phase is at least 20 out of 30 days
54:07uh in a month the first few years I was
54:09on it. Now at 55 uh menopause in the
54:12last year um I'm like without a ketone,
54:16my brain doesn't work right now without
54:17a ketone. Uh my energy goes to pot. And
54:20I've been walking women through
54:21menopause for 25 years. It is not a fun
54:24story when they're insulin resistant.
54:27So, prepare. Uh have the flexibility of
54:31that mitochondria to use both ketones
54:33and glucose, and that's what a ketogenic
54:35state is. Well, we have 12 cans of
54:37sardines here, and uh I I I wondered why
54:41you you brought sardines. What you
54:43>> Well, yes. That's a hell of a tool.
54:47Why?
54:48So, um when you're trying to help
54:50patients change behavior,
54:55Sorry, the sardine juice has gone on my
54:56iPad.
54:58Uh good luck getting that off.
55:00Yeah, sardines rank for
55:02uh the worst smelling, but they're not
55:04the worst tasting.
55:06Now when it comes to bitter in fish,
55:07they don't have the bitterness that tuna
55:09does. So. Tell me about sardines. Why
55:11why should I be eating sardines? When
55:13you're trying to teach patients, those
55:14stats that you read off a minute ago,
55:16they don't care. They need a very clear
55:18step on how do I begin.
55:20And when you're working with somebody
55:22who cannot seem to get their ketones to
55:24rise, and I give them a whole list of
55:26menus, it's too noisy. Let's take it
55:28down to one food that is high in fat,
55:31high in some of the best fats, high in
55:33protein, it's whole foods, and it's
55:35affordable for everybody under the sun.
55:38Okay, so you do you do you like a
55:40sardine fast? Yeah. So in fact that that
55:4321-day we 21-day is that 3-week course
55:46where I say I will teach you how to do
55:47an advanced ketogenic diet where
55:49everybody will be peeing key or making
55:51abundant ketones.
55:53On day six uh I say all right, the only
55:56thing on the menu for the next 3 days
55:58is sardines.
56:00There's no eating window. You can eat as
56:01much as you want. There's no limit to
56:03the amount. And what I'm pushing them to
56:06do is not only eat a nutrient-dense
56:08food, but I want them to feel satiety. I
56:10want them to feel full. Do I need to be
56:13consuming a lot of fat as well? There's
56:15plenty of fat in there. But I mean
56:16generally cuz what this is one of the
56:17the fat Yeah.
56:18>> things that always puzzles me is I'll
56:20I'll go
56:21say I went a week without eating
56:23carbohydrates.
56:26Sometimes I'm still not in ketosis. And
56:27I think I heard somewhere that it's
56:29because my fat Right. So
56:31>> enough. So Yeah. So again, at the time
56:34you went you went 7 days without eating
56:36hardly any carbs, right? And you still
56:37didn't make a lot of ketones. Okay. So
56:39you had fat on your body?
56:41Yeah. Okay. So why didn't the fat get to
56:43your mitochondria?
56:45Excess insulin. Okay? You had been in a
56:47high insulin state. So if you swallow
56:50the fat, then you can turn it into
56:51ketones. Right now all your fat's locked
56:54under this insulin bed. If you kept
56:55going, it would eventually hit, but
56:57that's painful. I mean I have patients
56:58who do it for 2 weeks. So what you're
57:00saying? You're saying that I need to
57:01have enough fats?
57:02>> Yeah. So if you put the sardines in oil,
57:05uh that's a great high-fat,
57:06high-protein.
57:08Uh it's also a little easier to
57:09masticate the the meat. And you'll have
57:12high-fat, high-protein, and you'll have
57:15beautiful ketones by by 48 hours, maybe
57:1772. And what what is the the composition
57:20of my diet in terms of protein, fats,
57:22and carbohydrates when I'm trying to get
57:23into a ketogenic state? Yeah, I don't
57:26let people get distracted by this,
57:27right? I say look at your finger. If
57:30it's got a high ketone, you have got
57:32enough fat and enough protein uh
57:35and low enough carbs. What most people
57:37have is the story you told. I've been
57:39doing this for 5 days. Why don't I make
57:41any ketones? And the answer is what is
57:44hidden behind the chemistry is too much
57:46insulin.
57:47You've got to have and so that's a great
57:49place to say put the fat up, keep the
57:51carbs low and the ketones will come.
57:54When you say put the fat up, you mean
57:55eat more fatty foods. Give me an example
57:57of the type of shopping list that if I
58:00was trying to get in a ketogenic state
58:01and stay there,
58:03I would have. Yeah, my one of my
58:05favorite things is
58:06pork belly,
58:08more eggs,
58:09beef brisket, ribs. Avocado? Avocado
58:12have beautiful marketing team, but they
58:15do have carbs in them and I've had
58:17people overeat them. Like I have four
58:19avocados today. I'm like, that's
58:21you're on the wrong bandwagon there.
58:24Avocado makes the list, don't get me
58:25wrong, but it's not a diet of mostly
58:28avocado with a sprinkle of chicken
58:29breast. That's not going to get you into
58:30ketosis. The fat has to be higher than
58:32that. Most of the time when I'm really
58:34struggling with a patient who just can't
58:37seem to make ketones, can't seem to make
58:38ketones and they won't do the sardines,
58:41I've said eat butter for a day. That's
58:43100% fat.
58:45Okay, so you can just have increase the
58:46butter or Yeah, you could have that.
58:48Okay, so that Are there carbs in here?
58:50No. No. No, it's just fat. Mhm. Mhm.
58:54And it's not awful,
58:56but it is a great social experiment
58:58where they haven't felt what satiety
59:00feels like in a while. People talk about
59:02net carbs. They say, you know, an
59:05avocado has
59:0612 g of carbs in, but it has 10 g of
59:09fiber, so the net carbs is two. If
59:13you've never had insulin resistant, you
59:14can do it that way. My patients have had
59:16high insulin and I don't play that game.
59:18It's got to be total carbs.
59:21Fiber is for farting.
59:22Do you recognize this photo
59:25of this lady?
59:27Oh, yes.
59:28Who is she?
59:29>> Why, she is just a great story. Jane had
59:32uh
59:34uh she had pathology with how she
59:36thought about food. Like many patients.
59:38She
59:39uh she had food as the way she coped
59:41with a lot of things. And as long as she
59:44was clearing her plate and using that
59:46food, it covered a lot of wounds.
59:49When you start to address some of these
59:51things, I mean, the ketogenic diet
59:52doesn't fail if you just follow the
59:54chemistry. The ketogenic diet fails when
59:56you have humans who've had wounds,
59:59who've had a history, who have stress,
1:00:01who don't sleep.
1:00:03And Jane was a great story where
1:00:05all the goodness in the world it
1:00:07couldn't undo some of that relationship
1:00:09she had with food.
1:00:11Uh so, the first time she one of the
1:00:12coaches that I used for that 21 day, and
1:00:15she just has the best outcomes cuz she
1:00:17was doing the a strong ketogenic diet,
1:00:19you know, for those 3 weeks twice a
1:00:20year.
1:00:21And she decided that after I think the
1:00:23third class, she was going to do
1:00:24sardines only for 30 days.
1:00:27And she writes me at the end of the 30
1:00:29days, can't believe how great she feels.
1:00:31And really kind of addressed some of
1:00:33those demons associated with why she
1:00:36would eat what she would eat.
1:00:37And then life hit again, and she put on
1:00:39some of the weight again. Um she'd used
1:00:41sardines intermittently. And she called
1:00:43me and said, "All right, I think I'm
1:00:44going to do this again. I'm going to
1:00:45just go on sardines and really have a
1:00:48some come to Jesus moments on why it why
1:00:51it is that I do some of the things I
1:00:52do." I mean, it's a really vulnerable
1:00:54moment where you can hide those moments.
1:00:56You can never tell a soul what's really
1:00:58going on through your mind, and she was
1:01:00going to address them.
1:01:02And I said, "Well,
1:01:03I have a bone to pick with Joe Rogan.
1:01:06He has said some
1:01:08inappropriate things about sardines,
1:01:09like they're arsenic poisoning. So, I'd
1:01:12like to check a few blood levels in you
1:01:13before you start." So, I check her
1:01:15vitamin D, we check her arsenic,
1:01:17selenium, and a few other things. And
1:01:19she starts on her sardine challenge her
1:01:20sardine journey, and she goes 100 days.
1:01:24100 days of only sardines.
1:01:27And not only does she first of all, her
1:01:29vitamin D, she did not take any vitamin
1:01:31D, she stopped her vitamin. It went from
1:01:32like the 30s and 40s up to
1:01:36just maybe over 100, 108 or something.
1:01:38Uh her selenium didn't do anything
1:01:39naughty. Her arsenic did not do anything
1:01:42naughty like Joe Rogan said it would.
1:01:45And she was able to um
1:01:48not only shed the pounds, but really
1:01:52say some truths about why she was eating
1:01:53so much.
1:01:56And she confronted the pathology about
1:01:59why
1:02:00why is she using food for those other
1:02:01things?
1:02:02You know, I do this thing in the 21-day
1:02:04where I ask them to find their best day
1:02:07in their life.
1:02:08And I'm trying to just get them to think
1:02:10about what does that feel like? What did
1:02:11What did that look like?
1:02:13And then we go to the worst day in their
1:02:14life. And Jane wrote something that
1:02:16really touched me.
1:02:17She said, "I don't think I've ever had
1:02:19the best day of my life."
1:02:22This was probably the third or fourth
1:02:23time we'd done that exercise, so she'd
1:02:24done it in a way where
1:02:26it didn't bring any extra attention, but
1:02:28she was she spoke a truth that just
1:02:29said,
1:02:31"I've had this fear for so long
1:02:34that for the first time I'm going to say
1:02:36out loud that
1:02:37I'm looking for the best day of my life,
1:02:39and I feel like I have the freedom to do
1:02:41it."
1:02:43That's what happened after 100 days of
1:02:44sardines. So, if she eats sardines for
1:02:47100 days,
1:02:49she's probably not going to get like the
1:02:51gut microbiome.
1:02:53She has the best gut microbiome.
1:02:55Doesn't she need to be eating plants to
1:02:58Oh, no. Fibers for farting.
1:03:01So,
1:03:02you're looking at a gut biome, right?
1:03:03And so, tell me what you think that is.
1:03:06Uh lots of bugs that have been feeding
1:03:09on plants.
1:03:11Okay, yes. Pooterate has uh has part of
1:03:13that equation. So, gut biome is the
1:03:16slime layer inside your gut. It's where
1:03:18the critters live. It's where they set
1:03:20up homes and they If you have a really
1:03:22good slime layer, it's squishy. It's
1:03:24dense. It's not moth-eaten. It's not
1:03:27aqueous or water-like. It's squishy.
1:03:30And when you put plants in there, when
1:03:33you put fiber in there, it tears that
1:03:34down. Uh and you say, "Well, fiber's
1:03:37needed for this because some of those
1:03:39bugs eat up on the fiber and they put
1:03:42out some butyrate and that helps these
1:03:44other bacteria to to grow." You're like,
1:03:47"Yeah, that's one way to get a good
1:03:49microbiome." But we haven't been fiber
1:03:52eaters forever. And when you look at
1:03:53many of my carnivore patients,
1:03:55especially when they've got, you know,
1:03:57some of those little fish scattered into
1:03:59that carnivore diet, um their symptoms
1:04:03of irritable bowel, of chronic diarrhea,
1:04:06of, you know, bloody ulcers
1:04:09reverse.
1:04:10Why? Cuz that gut biome got a lot
1:04:12stronger and a lot healthier. So, the
1:04:15things that I from doing this podcast
1:04:16for a long time, the things that I'd I'd
1:04:17be concerned about if I just ate
1:04:19sardines for a prolonged period of time,
1:04:20or really any diet, I guess, for a
1:04:21prolonged period of time, a narrow diet,
1:04:23would be
1:04:25the fiber issue we talked about. Um and
1:04:28then all the other things that are just
1:04:29not in sardines. I mean, vitamin C.
1:04:31Yeah, you still get a lot good vitamin
1:04:32C. So, vitamin C has different rules
1:04:34when you go carnivore. What about
1:04:35magnesium? Yeah, lots of that. Uh
1:04:37magnesium I still think is one of the
1:04:38supplements we all need. What about the
1:04:40sodium overload? Cuz these are very
1:04:42salty, right?
1:04:43>> Your sodium churn, how well you use
1:04:46sodium, is dependent on how well you've
1:04:48eaten in the last week. So, when you
1:04:49increase the sodium, those receptors get
1:04:51better. When you decrease the sodium,
1:04:52those receptors shut down. That's a That
1:04:55is an adjustment that everybody will
1:04:56make. What about things like mercury and
1:04:58the other sort of metal toxins?
1:05:00>> Little fish, little problems. You got
1:05:01the right one for mercury. Again, we
1:05:03tested that for her, too. 100 days, no
1:05:05problem.
1:05:07Are there especially in the can, as
1:05:08well? I
1:05:09I think I've got a bit of an issue with
1:05:10canned food these days because I've
1:05:11heard so many
1:05:12>> Microplastics. Microplastic toxins, etc.
1:05:15I think you're majoring in the minor
1:05:16leagues there.
1:05:18That the the amount of benefit that
1:05:20people get from sardines versus whatever
1:05:23might be in those in that can. I tell
1:05:26patients not to worry about it.
1:05:28And then the last point I said was about
1:05:30digestive and mood issues because the
1:05:32that microbiome is so So linked to
1:05:34brain, absolutely. Serotonin, isn't it?
1:05:35The the I mean serotonin is in the gut,
1:05:37but it's it's a huge part of like a
1:05:39GLP-1, GIP, they're all produced
1:05:42hormones in the gut that are hugely
1:05:44impacting your brain. And when you want
1:05:47GLP-1 to be made, have a strong thick
1:05:50microbiome. You do not need fiber to do
1:05:52that. You need butyrate.
1:05:54Butyrate is that two-carbon
1:05:56uh fat that comes from Akkermansia, you
1:06:01know, chewing up the fiber, right? Or
1:06:05beta-hydroxybutyrate
1:06:06in your blood.
1:06:08That's that ketone thing you're got over
1:06:09there.
1:06:10Oh. These things. Yeah, all of them.
1:06:13Gosh, I forgot.
1:06:14There you go, yes. Keto It's a
1:06:16beta-hydroxybutyrate is what that is
1:06:18going to turn into your circulation.
1:06:19Butyrate is a fat chain that's two
1:06:22carbons long.
1:06:24That's what the you're asking that
1:06:26microbiome to say, "Here, this long
1:06:28string of fiber is coming along." And
1:06:30that that little bug is going to eat a
1:06:31piece of it and make butyrate, two
1:06:33carbons of fat.
1:06:35That's one of these things that you're
1:06:37talking about. You need to have
1:06:37butyrate. You need to have butyrate.
1:06:38That's what every every Why are you even
1:06:41invited? You got to have butyrate. All
1:06:43these, you know, experts come on my show
1:06:44and they talk about the importance of
1:06:45having a diverse I know. I I've watched
1:06:47a bunch of them. Diverse microbiome,
1:06:49yes. And what I think
1:06:51>> So it's not going to be diverse if I'm
1:06:52just eating one thing. Oh, yes, it will.
1:06:55In the same way. You know, what So
1:06:56that's the whole point of a microbiome
1:06:58is what what, you know,
1:07:00diverse enough to be supportive. I mean,
1:07:02diverse enough to have the the two-chain
1:07:05fat that you want to have in there. I
1:07:07mean, go back uh
1:07:10and and look at when our bodies were
1:07:12just eating um you know, fish or
1:07:15carnivore. Uh
1:07:17they the beauty of a microbiome is how
1:07:19much it does adjust in
1:07:22every patient. What about
1:07:24supplementation? What are the key
1:07:25supplements that you
1:07:28don't live without on a daily basis?
1:07:30Vitamin D turns out to be a a really
1:07:32important one. I If I'm eating sardines
1:07:34uh four or five cans a week, I probably
1:07:36don't need vitamin D, but Why is it so
1:07:38important, vitamin D? Yeah, it's a
1:07:40hormone, right? A hormone that goes and
1:07:42talks to every one of the cells in your
1:07:44body
1:07:45and it tells that cell to be its best
1:07:49version of itself. That hormone uh goes
1:07:52to the nucleus and it makes that skin
1:07:54cell do something different. It makes
1:07:56your brain cell do something different.
1:07:57It makes your heart cell do something
1:07:58different. You read all the benefits
1:08:00about vitamin D and you think
1:08:02it's like
1:08:03it's like it does everything. Like,
1:08:05well, how can it do all of these things?
1:08:06And the reason why is it is not just a
1:08:08vitamin, it's a hormone that changes how
1:08:10the cell functions. Unfortunately,
1:08:13it's made of fat.
1:08:15So, if you have high insulin, it gets
1:08:17stuck parked in your fat cells and it
1:08:19didn't get to the cell. Is there a link
1:08:21between vitamin D and ketosis and weight
1:08:24loss and insulin? Yeah, it's actually
1:08:26why I pointed out that when Jane did
1:08:27that 100 day
1:08:29uh she's been struggling with her
1:08:30vitamin D it in the 30s or 40s. Right.
1:08:33But for the best brain, we want it to be
1:08:35a 50. So, she starts on the sardine
1:08:37challenge, it's in the 30s or 40s, and
1:08:38she's supplementing. She's taking as
1:08:40much as she can.
1:08:41But what's happening? Her insulin was
1:08:44putting it in her fat. She goes on
1:08:45sardines, which have vitamin D in them.
1:08:48By the end, her vitamin D was 105 108,
1:08:52something like that. So, you can see the
1:08:54experts say don't go above 100, but the
1:08:57I don't I don't have any worry over hers
1:08:59being 108.
1:09:01What happened was she lowered her
1:09:03insulin and now fat can move around in
1:09:05her body like it's supposed to. And part
1:09:07of that fat isn't just her estrogen. It
1:09:09was her vitamin D.
1:09:10She looks like 20 years younger. Isn't
1:09:12it amazing? You should see how joyful
1:09:14she is. That's the part that you're
1:09:16like, what unlocked during those 100
1:09:18days of you can say food restriction,
1:09:20but vitamin D went up,
1:09:22insulin went down, and she really said,
1:09:26"How many things am I going to comfort
1:09:28in my life from food?"
1:09:30And let's let's let's tackle that demon.
1:09:32Did it stick? Yeah, that's the cool
1:09:34part.
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1:10:31What are What about the other
1:10:32supplements that you would not live
1:10:34without? Well, I think the whole world's
1:10:36low in magnesium. I wish I could
1:10:38Magnesium? Yeah.
1:10:40So magnesium is required for every
1:10:42little
1:10:43It's like the spark plug in our bodies.
1:10:45It's a little metal, and it's how ATP
1:10:47gets recycled, and you need it for
1:10:49almost every enzyme. But our food is low
1:10:51in it, our foods our soil is low on it.
1:10:53You just got to replace it. I I use
1:10:56magnesium supplements, but I also have
1:10:58my patients go for a magnesium float.
1:11:01What's that? Uh ever seen pictures of
1:11:03people in the Dead Sea? No. Uh they're
1:11:06floating, right? This the salinity or
1:11:07the salt level is so high and it stinks,
1:11:09right? It's a stinky place. It's
1:11:11magnesium. So, they go in there, they
1:11:13soak in the magnesium and you're like,
1:11:15"Oh my gosh, I feel so much better."
1:11:17Like that's got to be junk science,
1:11:18right? Well, it turns out it's not. So,
1:11:21you can get magnesium absorbed through
1:11:22your skin and just like, I don't know,
1:11:25in the 1990s you'd go rent time in a
1:11:26tanning bed, you can rent time in a
1:11:29magnesium float. Any of this? So,
1:11:32omega-3, if you're not doing fish, uh
1:11:34you can't go wrong with omega-3. And you
1:11:36know,
1:11:37uh I Stephen, I really push my patients
1:11:40to have ketones around. What you When
1:11:42you say ketones, you mean external
1:11:43>> Exogenous ketones, yeah. So, what
1:11:45exogenous means external, externally
1:11:47consumed. There may be some on the table
1:11:49here. I'm an investor in this company,
1:11:50actually, so
1:11:51that's probably worth saying. Keto IQ.
1:11:53Um there you've got some other ones
1:11:55here, which are What's this? It's like a
1:11:57>> That's ketone salts. So, this one is
1:11:59just beta-hydroxybutyric acid. My
1:12:01husband is definitely allergic to
1:12:02stevia, so I said, "I'll make this one
1:12:04for you, honey." It's just liquid
1:12:06ketones. Okay. No No sweeteners, no
1:12:09fillers, nothing.
1:12:10>> And is there a difference between taking
1:12:12external ketones through a drink or
1:12:15through the salts or whatever else
1:12:16versus actually being in
1:12:18the ketogenic state because of your
1:12:20diet? When you make it, it is much more
1:12:22abundant. But when you do what people
1:12:25do, they fall off the wagon or they're
1:12:27very insulin resistant, so their body is
1:12:29trying to catch up to to equilibrate.
1:12:32You want ketones put back in circulation
1:12:35because it will spark their liver to
1:12:37make ketones. So, it really is a
1:12:39jump-start for patients with chronic
1:12:41insulin resistance, chronic problems. We
1:12:43got about, you know, 6 years of getting
1:12:45them to the healthiest version of
1:12:46themselves as long as they don't fall
1:12:48off the wagon. So, when they are
1:12:50doing okay and now they need to get back
1:12:52on the track. Give them a dose of
1:12:54ketones and by putting ketones in their
1:12:56circulation like that, by checking their
1:12:59blood, the liver will make ketones. So,
1:13:01it's not just a fuel, they will feel
1:13:03better.
1:13:04It's a signal for the liver to make more
1:13:07ketones.
1:13:07>> But I'm not going to be burning fat
1:13:09then, am I? You will. I mean, again,
1:13:11ketones beget ketones. When you are
1:13:12making ketones, your body makes more
1:13:14ketones. So, if you jump start it by
1:13:16swallowing some,
1:13:18you get better tomorrow, get a better
1:13:19tomorrow. And usually, if somebody's
1:13:21falling off the wagon, I'll have them do
1:13:22ketones for like 3 days and the fourth
1:13:25day they are on their own again and
1:13:26they'll stay steady for
1:13:29couple of weeks and then they'll have
1:13:31pasta.
1:13:33I I that's why I invested in this
1:13:34company because I'm actually a co-owner
1:13:36of the business now and because I saw
1:13:38the benefits of having exogenous ketones
1:13:41on a regular basis. Right. So, if anyone
1:13:43wants to try them, go to keton.com. And
1:13:46your brain will use it like that. I
1:13:47mean, it's beautiful, right? When I use
1:13:50my ketone reader, it appears in about 15
1:13:52minutes or 20 minutes or so, so And
1:13:54their liver then makes more ketones for
1:13:56the next 12 hours. That's the part that
1:13:58I I especially for my cancer patients or
1:14:00people who are really I mean, we need
1:14:03ketones high for their They got chemo
1:14:05tomorrow, they can't afford to say go
1:14:07fast for $40, they don't have the time.
1:14:08So, let me help you and there's nothing
1:14:11better than going into that
1:14:13chemotherapy, going into that radiation
1:14:15with a bunch of antioxidants in
1:14:17circulation coming right out of your
1:14:18liver. Explain why that matters. I mean,
1:14:20I've got a photo here of a
1:14:23Grandma Rose. Grandma Rose. Yeah, that's
1:14:26my mother.
1:14:27Yes.
1:14:29She is the reason I'm here.
1:14:33Been 5 years.
1:14:35Yeah, 2015. The the most stubborn
1:14:37patient
1:14:39walks through the door after 10 years of
1:14:42the best health care I know how to give.
1:14:46And she's gray, she looks like a zombie.
1:14:50And she's got big lymph nodes in her
1:14:51neck.
1:14:52You don't need to be a doctor to know
1:14:54that
1:14:56she's dying.
1:14:58Cancer was back again.
1:15:01And we go to see the oncologist and he
1:15:04says you need chemotherapy and she says,
1:15:07"Like hell. The last two times you did
1:15:09that to me, I didn't know what a sewing
1:15:10machine was."
1:15:12And she made all of my clothes until I
1:15:14was the age of 10.
1:15:18And she's nervous because she has 6
1:15:20months to live we don't do something.
1:15:23And she asks me a question that
1:15:28lots of patients have asked me this
1:15:29question and I just sometimes lie.
1:15:34She said, "If it was you, what would you
1:15:36do?"
1:15:38That's a really emotional question
1:15:39because there's guidelines, there's the
1:15:41rules, here's what you're supposed to do
1:15:43as the doctor.
1:15:46But when it's your mom.
1:15:50And I have I saw what chemotherapy did
1:15:52to her. It was terrible.
1:15:54She didn't know
1:15:56the grandkids. She didn't It was
1:15:57terrible. And we just got her back to
1:15:59functional again.
1:16:03And so I said I had been reading about
1:16:05the ketogenic diet on brain injuries and
1:16:08I'd come across a couple of studies on
1:16:11what it can do to a cancer patient,
1:16:12especially an insulin-driven cancer
1:16:14patient like she was.
1:16:16I said, "Mom, do you trust me?"
1:16:20I'm like, "A fool."
1:16:23She said, "With my whole life."
1:16:28We were standing there in the in the
1:16:29waiting room of the hospital. One way
1:16:31was to schedule the chemotherapy and the
1:16:32other way was the front door.
1:16:36I said, "Mom, let's get in the car
1:16:37together."
1:16:38I left my car there. I I to my family
1:16:40farm, which was 100 miles away.
1:16:43And I explained to my mother what a
1:16:44ketone was.
1:16:46And her brain wasn't working right, so
1:16:47she didn't quite remember.
1:16:49And we went to the house, we threw out
1:16:51every carbohydrate, and man, at 6 weeks
1:16:55with chemotherapy, her numbers were
1:16:57supposed to drop by 30% of her cancer.
1:17:00We didn't tell the doctor, we just put
1:17:01her on a ketogenic diet and said,
1:17:03"We'll come back in 6 weeks."
1:17:05And so she's walking through the door of
1:17:06the hospital at 6 weeks from there, and
1:17:08it is like God has
1:17:13uh
1:17:14just the Holy Spirit is rising out of
1:17:16her. She looks amazing.
1:17:21So we go to get her blood drawn. We're
1:17:23sitting in the waiting room for the for
1:17:24the cancer doctor.
1:17:26And he's my friend. He knows He's known
1:17:28me for 10 years, so
1:17:29I'm scared to tell him what we're about
1:17:31to do.
1:17:33So we're sitting in there waiting, and
1:17:34they come and draw her blood again,
1:17:35which either means it's really good or
1:17:37it's really bad.
1:17:40And so I get really nervous at the end.
1:17:41We've been in that room for about an
1:17:42hour, and I said, "Mom, if he asks you
1:17:44what you're doing,
1:17:46just shut up, cuz I don't know what to
1:17:47tell him."
1:17:50And he walks in,
1:17:52and he slides the piece of paper over to
1:17:53me and says,
1:17:55"How did you get her numbers to drop by
1:17:5770%? There's no drug on the market that
1:17:59would do that."
1:18:01When you say numbers? Her cancer
1:18:03numbers. So the chemo would have dropped
1:18:05it by 30%, and the ketogenic diet
1:18:07dropped it by 70% in 6 weeks.
1:18:12And she went from a 70-year-old that
1:18:14looked 100
1:18:17to a 75-year-old who looked 40.
1:18:22How did your your mother get on from
1:18:23that point onwards? Yeah, she she lived
1:18:25her best life. I mean, I talk about her
1:18:27being from this little town of 800
1:18:29people, she was Mary Poppins. I mean,
1:18:31like
1:18:32you don't have a ladies aid unless
1:18:35you're a part of the ladies aid in the
1:18:37in the little small town, you don't have
1:18:39a Sunday school teacher unless you're
1:18:41doing the Sunday school. She was in
1:18:43every aspect of this little town.
1:18:46And she went back to doing all of it.
1:18:49And the pandemic hit and
1:18:53there's a thrift store
1:18:55that she would volunteer at because
1:18:57well, it's just a good place to put your
1:18:58time.
1:18:59And the community needs it.
1:19:01And while she was at the thrift store
1:19:04she got COVID.
1:19:07And her cancer was of the T-cells, which
1:19:09means it's going to be the first line of
1:19:11defense against COVID.
1:19:14And her
1:19:15her T-cells failed.
1:19:17Some of Some of the science behind this
1:19:19talks about how cancer cells often rely
1:19:21heavily on glucose for energy. A
1:19:23phenomenon known as the Warburg effect.
1:19:25The keto diet drastically reduces
1:19:27carbohydrate intake forcing the body to
1:19:29produce ketones for fuel instead of
1:19:30glucose. Healthy cells can use ketones
1:19:32efficiently. Many cancer cells cannot.
1:19:33So, in theory, keto could starve tumors
1:19:36while supporting normal tissue. And
1:19:39they've done some animal studies that
1:19:40show it can slow tumor growth in some
1:19:43cancers, especially brain cancers like
1:19:45glioblastoma
1:19:46>> Glioblastoma, yeah. enhance response to
1:19:48radiation or chemotherapy in certain
1:19:50models and reduce inflammation and
1:19:51oxidative stress creating less a less
1:19:54cancer-friendly environment. However,
1:19:56results are mixed. They may also benefit
1:19:59muscle mass and weight stability in
1:20:01patients losing muscle from treatment,
1:20:02may improve energy levels and mental
1:20:04clarity for some people and could reduce
1:20:06insulin and IGF-1 levels, hormones
1:20:08linked to cancer growth, may improve
1:20:09quality of life when used alongside
1:20:11standard treatments like
1:20:13chemotherapy. And there's also also a
1:20:15list of potential risks which I'll throw
1:20:17up on the screen. And I guess the
1:20:18summary here is keto may help by
1:20:19lowering glucose and insulin, reducing
1:20:21inflammation, and supporting that
1:20:22metabolism. But it can be risky if it
1:20:24leads to malnutrition, fatigue, or worse
1:20:26in treatment tolerance. One patient I
1:20:28got a lot of people calling and saying,
1:20:29"Is it going to help my cancer? Is it
1:20:30going to help my cancer?"
1:20:32And Stephen, I go back to the same
1:20:33thing. The amount of trash that you've
1:20:35not been taking out, we have to start.
1:20:38And when you put them in a ketogenic
1:20:39state, I mean, it really helped her
1:20:41cancer. It really did that Warburg
1:20:43effect. She was a a new human within 3
1:20:45weeks.
1:20:47But she had a lot of trash to take out.
1:20:49This was a year and a half before she
1:20:50got to be the best version of herself.
1:20:52And it really did return and restore her
1:20:55to to health. When I look at patients
1:20:57now who say, you know, can is I am I
1:20:59going to reverse my cancer with a
1:21:00ketogenic diet? I'm like, no, but you
1:21:02are going to deal with it a lot better.
1:21:04I guess that's really what it comes down
1:21:05to. It's like creating a better
1:21:06environment. So that if disease does
1:21:08arrive, obviously there is a, you know,
1:21:10with a lot of diseases there is a causal
1:21:13element where the way we and our
1:21:14lifestyle does create the disease.
1:21:16Right. Um but also when that disease
1:21:19arrives, what like environment is your
1:21:21body in to deal with it?
1:21:22>> Amen.
1:21:23I think a lot about this. I think in
1:21:24part because of the pandemic where for
1:21:26the first time in my fairly young life,
1:21:28I saw that your current
1:21:31physiological environment, so your
1:21:32current the current state of your body,
1:21:34was the single biggest predictor of your
1:21:35outcomes.
1:21:36>> Amen. Oh, it was terrible. So I was like
1:21:3830 years old and I was like, well, if
1:21:39you're currently overweight, your cha-
1:21:41chance of
1:21:42dying from COVID is really, really high.
1:21:45And so I think that was one of the big
1:21:47sort of protagonists in me getting into
1:21:49shape was realizing that, you know,
1:21:50disease is probably going to happen to
1:21:51me.
1:21:52But how my body responds to it is to be
1:21:54determined. Well, and I look at how much
1:21:57when you're asking an older person to
1:21:58lose weight. And you just read something
1:22:01really important there, which is when
1:22:02those ketones are in circulation, it is
1:22:04a signaling agent to make more ketones,
1:22:06but it also signals the body to say
1:22:08don't use muscle mass as a resource. Go
1:22:11for the fat. So you can see this
1:22:13protective I mean, you take people
1:22:15through chemotherapy and they have, you
1:22:17know, they shed way too many pounds,
1:22:19right?
1:22:20You put them in a ketogenic state and
1:22:22their muscle mass gets higher preserved,
1:22:23their brain function, their ability to
1:22:26handle this, you know, one of life's
1:22:28most enormous fears is death.
1:22:31And that
1:22:32mood stability and muscle mass
1:22:34protection, because they've got ketones
1:22:36in circulation, boy, that's the gift
1:22:38that they need right now in in high
1:22:42numbers. What is um I've heard you talk
1:22:44about methylene blue? Oh.
1:22:46>> For brain health. Ever done that? No. Oh
1:22:48my goodness.
1:22:48>> What is it? Well, it's old as dirt.
1:22:52So, nobody's making money on it. But it
1:22:54is a dye.
1:22:56And so, if you swallow it, you'll pee
1:22:58blue. But it's also a bridge for how to
1:23:01help
1:23:03mitochondria move fuel along. So,
1:23:07one of the worst parts, you asked me
1:23:08this question about supplements. And I
1:23:10really have a tough time saying which
1:23:12supplements actually get to the cells
1:23:14that the patients are looking for.
1:23:16There is a really great fact about
1:23:17methylene blue that when you swallow it,
1:23:20it actually was used for malaria
1:23:22treatment or anti-malaria for soldiers.
1:23:25And they would check compliance by
1:23:28making sure that their pee was blue.
1:23:31But when they died, at autopsy, they had
1:23:33blue brains and blue hearts.
1:23:35It would dye these organs blue. You say,
1:23:39"My gosh, that's so strange." But do you
1:23:41know what that tells me?
1:23:42It got to the cells that it was
1:23:44advertising it was going to get to.
1:23:46So, you look at methylene blue, it's
1:23:47supposed to supercharge your brain. And
1:23:49I'm like, "Yeah, yeah, yeah, I've heard
1:23:50this before." So, I've I read about it,
1:23:53and I'm like, "Wow, there is a lot of
1:23:54literature on this." And then I did what
1:23:57I normally do, which is, "Well, let me
1:23:58take it for a couple weeks." It was
1:24:00amazing. It was amazing. Like
1:24:04I I was floored at how well that little
1:24:06trick you worked. So, there's no money
1:24:08to be made on it. It's a It's been
1:24:09around as long as dirt. But
1:24:12it's a powerful brain energizer. Like it
1:24:15helps the mitoch- the electrical
1:24:17stimulus of the mitochondria in your
1:24:19brain keep energy high.
1:24:21Especially for like high energy brains,
1:24:24I I love it. I'm like I put that in my
1:24:27morning morning coffee.
1:24:29Which is where I the April Fool's joke,
1:24:31because nobody can see it in their
1:24:32coffee, but they definitely pee blue.
1:24:34And do you take creatine as well? I do
1:24:36take creatine, yeah. Yeah, it's great.
1:24:37That brain supplement is awesome. Do you
1:24:39do? I do, but I might talk to the other
1:24:40day, I think he was suggesting that I
1:24:42might have taken too much. Why? Some
1:24:44liver scan I had and he was saying that
1:24:46Liver scan or kidney scan?
1:24:48>> Kidney scan, that was Kidney scan. So,
1:24:49that's a trick. Don't don't fall for
1:24:51that. I mean, I've done a couple of big
1:24:53shows on this where creatine is what
1:24:55you're going to measure kidney function
1:24:56with. You know, when your doctor checked
1:24:58your kidneys, he probably had you pee in
1:24:59a cup and check your blood. Yeah. Yeah,
1:25:01so he's looking at what did you pee out
1:25:02and what how clean is your blood? That's
1:25:04what kidneys do. He just did a blood
1:25:05test. Okay, well, even the blood test,
1:25:07it the trash was looking like it was a
1:25:09little higher
1:25:10because the trash you're measuring is
1:25:12creatine.
1:25:13Uh creatinine, uh and which is made from
1:25:16your supplement. So, you put the
1:25:18supplement in and it looks like there's
1:25:19more trash around, but
1:25:21that's just the supplement. It's falsely
1:25:23elevated. It's not true. You your
1:25:25kidneys did not get hurt by that. This I
1:25:27answer this question probably 30 times a
1:25:28week. I have a standard email saying,
1:25:30"Here's what happened. Don't measure
1:25:32that." There's other ways you could have
1:25:33measured your kidney that would not have
1:25:35been manipulated by that supplement. Uh
1:25:38what it does for brain function,
1:25:39especially if there's any ADHD, man,
1:25:41they love it. They they just focus for a
1:25:44long period of time. I mean, it's got
1:25:45other great findings like if you how how
1:25:49often do you fly over to London?
1:25:51I fly a lot. Yeah, that's the best part
1:25:53about it is that the the the jet lag
1:25:55part of it is really good studies on
1:25:57this. Like, your reset of sleep is going
1:26:00to be augmented if you take like 20 g of
1:26:04it after the flight.
1:26:0610 in the morning, 10 at night. Uh and
1:26:08those are great studies. Like, you know,
1:26:10Navy SEALs
1:26:11just sleep deprived, watch what happens
1:26:14when you add creatine.
1:26:15A lot of women don't take creatine cuz
1:26:16they've historically thought of it as
1:26:18like a bodybuilder thing.
1:26:19>> Right. It's a brain thing. And you take
1:26:21creatine every day. Mhm. How much do you
1:26:22take? So, two scoops.
1:26:24Yeah.
1:26:25>> Every single day.
1:26:25>> Every single day.
1:26:26>> 7 days a week.
1:26:26>> I put my methylene blue in it, too. Down
1:26:29it first thing in the morning. I got
1:26:30blue-dyed creatine.
1:26:33I mean, those two supplements are just
1:26:34they they blew my mind with the amount
1:26:35of research out there, and then I did
1:26:37them.
1:26:38Uh I mean, I'm not a big bodybuilder. I
1:26:39do some crossfitty kind of stuff three
1:26:41times a week.
1:26:43Um so, there's that, but I do it for the
1:26:45brain The brain stuff is really
1:26:47impressive.
1:26:48At the moment in society, people are
1:26:50talking a lot about
1:26:51GLP-1s and Ozempic and all this kind of
1:26:53stuff. And um I was wondering if there's
1:26:56any
1:26:57harms or downsides in your view of using
1:26:59these Ozempic, Wegovy, GLP-1
1:27:03protagonists. Antagonists, yeah.
1:27:05Antagonists.
1:27:05>> Antagonists, antagonists. Antagonists.
1:27:07And if there's a natural version
1:27:09for those of us that are looking to have
1:27:12less cravings.
1:27:14Um but but we don't want to take GLP-1s.
1:27:16We don't want to be injecting ourselves.
1:27:17Yeah, so those hormones are powerful. I
1:27:19mean, you if you think that weight loss
1:27:21isn't a hormonal problem,
1:27:22uh
1:27:23show up at a medical clinic. That That
1:27:26they are powerful hormones that hijack
1:27:29people into a healthier
1:27:32uh or at least a weight loss stage. But
1:27:34when you're looking at using this
1:27:36powerful hormone, okay, and use it for a
1:27:38short time, use it for a long time, what
1:27:40are the rules? These are brand new.
1:27:42One of the analogies I use for patients
1:27:43is
1:27:44Steven, if you wanted to have legs with
1:27:46no hair on them, how would you
1:27:48accomplish that?
1:27:49>> Shave them. Right, because that would be
1:27:51short-term, easy, and reversible. You
1:27:53would not take
1:27:54chemotherapy, the most powerful,
1:27:57amazing, they'll be every hair on your
1:27:59body will be off in the next 2 weeks.
1:28:02And it's short-term, they'll come back,
1:28:04but there's a price to pay when you're
1:28:05using a really powerful unit to do
1:28:07something for a vanity reason.
1:28:10So, it's where I like to begin when I
1:28:12talk about GLP-1s.
1:28:14It's It's amazing. You will lose fat and
1:28:17So, what do I do instead then?
1:28:19So, there's great ways to lower
1:28:22GLP-1s or great ways to raise GLP-1s,
1:28:24right? Uh for starters,
1:28:27um
1:28:28when you're overweight, it suppresses it
1:28:30a lot. So, getting the weight off is a
1:28:31huge part of it. That's why this
1:28:32ketogenic diet is so powerful. We'll get
1:28:34the weight off. And that will lift
1:28:36naturally the GLP-1s. Is there other
1:28:38ways to suppress um well, suppress to I
1:28:42was going to say suppress my appetite,
1:28:43but more to just get rid of the
1:28:44cravings.
1:28:45>> Well, you'll suppress the appetite by
1:28:47raising those hormones. So, you put in
1:28:48allulose, that's a great little boost to
1:28:50that. You put in
1:28:52butyrate. Whether or not that's the bug
1:28:54that you were talking about or
1:28:56the supplements.
1:28:58Butyrate increases and stimulates GLP-1.
1:29:01And butyrate
1:29:03just for for those that might not know
1:29:04that word again. Right. That's a That is
1:29:06what a ketone looks like floating around
1:29:07your blood. Okay. Yeah.
1:29:09Uh so, a ketogenic state will raise
1:29:11those hormones and suppress appetite.
1:29:13I've seen a bunch of studies on that
1:29:14that show that when people are high in
1:29:16ketones
1:29:17>> ketones, they have a a suppressed
1:29:18appetite.
1:29:19>> Right. And that is linked to the
1:29:20production of some of these hormones,
1:29:21these really great hormones. But, you
1:29:23make them naturally, and so it's not the
1:29:25addiction part. It's the natural way to
1:29:27make it.
1:29:27>> I I do find that anyway. I find that
1:29:28when I'm
1:29:30I guess it could be something to do with
1:29:31my dopamine receptors as well in my
1:29:32brain, but I find that when I'm in a
1:29:33ketogenic diet, my cravings for the
1:29:34things that I once craved, like I don't
1:29:37know, like carrot cake or cinnamon
1:29:39rolls,
1:29:40they just completely seem to vanish.
1:29:42That's the same thing that happens when
1:29:43you give them that shot, too.
1:29:45Oh, really? When you give them GLP-1?
1:29:46Yes. Okay. And I mean, the beautiful
1:29:48part is
1:29:49you're young. You'll make a lot of GLP-
1:29:51You've already made healthy GLP-1.
1:29:53You'll hijack and suppress it by being
1:29:55overweight and high insulin.
1:29:57So, constantly delivering ketones to
1:29:59your blood, that's how you keep it high.
1:30:01Then you don't end up on the shot, which
1:30:03is expensive
1:30:04and very powerful. I always think, you
1:30:06know, when we give people advice on
1:30:08things like weight loss,
1:30:09there's always a part missing, which is
1:30:11this part about like discipline and
1:30:12motivation or whatever one might call
1:30:14it, which is the
1:30:16is gives somebody the sort of activation
1:30:18energy to even stick to it. Do you think
1:30:21about this much in your patients? Do you
1:30:23think about motivation? It's huge. I
1:30:24mean, again, most people show up because
1:30:26there's been a recent crisis. Somebody
1:30:28died, they had a diagnosis, something
1:30:30broke, they didn't repair well. All of
1:30:32that is true, and I can get them
1:30:33motivated for a little while.
1:30:36And then we have the long game. You look
1:30:37at that story with 100 days of sardines,
1:30:40okay? That's 2 years into her journey,
1:30:42where she finally says, "Okay, there's
1:30:43this demon that keeps coming about, and
1:30:45I keep falling off for all the wrong you
1:30:47know, all the reasons everybody else
1:30:48does."
1:30:49And so she commits to this 100 days. And
1:30:51what happens is a whole bunch of things
1:30:53go right, her hormones go up,
1:30:55and she has an amazing story. But most
1:30:58people are not going to do that.
1:31:00So, in my practice, I do say these
1:31:03the smallest dose of these hormones,
1:31:05I'll help you when you're struggling. I
1:31:07want you in a ketogenic state before we
1:31:09we begin. I can use much less of that
1:31:11hormone, and then you have ownership of
1:31:13this. Because if I come in and do all of
1:31:16the work again,
1:31:17it's like every other thing I've been
1:31:19doing for the last 20 years. Here's your
1:31:20symptom, here's my diagnosis, here's the
1:31:22prescription.
1:31:24And I need it to be you that succeeds
1:31:26here.
1:31:27I'll lift you a little bit. So, what do
1:31:28you Is there any tricks to get someone
1:31:30to be motivated? Is there any Do you
1:31:32have to focus them on their why?
1:31:33>> Yeah. Exactly, right. You're right. Uh
1:31:35that that first trick is get out of
1:31:37crisis mode, okay? The crisis is what
1:31:40brings them in, but to stay the course,
1:31:43you have to get to a very serious moment
1:31:44where you say, "What What motivates me?
1:31:48What at the deepest heart am I most
1:31:49insecure about that I am going to do
1:31:51when all else fails? When everybody else
1:31:54gives up?
1:31:55I'm going to find something that I'm
1:31:57this little farm kid from the middle of
1:31:59nowhere, who was you know, third grade
1:32:01stinky girl. You know, like I was a farm
1:32:03kid. I was a hog farmer's daughter. I
1:32:05wasn't the smart one. I wasn't the, you
1:32:07know, the best one. I'm going to carry
1:32:09that insecurity with me until the day I
1:32:11die. What has that done? It makes me
1:32:13work really hard when everybody else
1:32:15gives up.
1:32:16Now, finding that for them
1:32:20and and using that using that harness to
1:32:22say, "Your biggest failure, your biggest
1:32:25insecurity can be your power
1:32:27by reframing it."
1:32:30And that why we work on that every time
1:32:32we do that 21-day.
1:32:34Jane, she did that four times before she
1:32:36really got to the core center. Why do
1:32:38you keep doing this?
1:32:41That's how people stay motivated. It's a
1:32:43true It's a truth serum.
1:32:46All I had to do was brain dump. Imagine
1:32:48if you had someone with you all times
1:32:51that could take the ideas you have in
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1:32:55make them sound better and more
1:32:56grammatically correct, and write them
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1:33:00WhisperFlow is in my life. It is this
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1:33:04what I want to say, and it now means
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1:33:46Have you ever heard about this before,
1:33:48this thing I'm holding in my hands now?
1:33:49This is called KetoneIQ. The website is
1:33:52ketone.com. You've heard me on this
1:33:54podcast talking about the fact that I
1:33:55stay much of the year in a ketogenic
1:33:57state, which is a highly restricted
1:33:59diet. And the reason I do that is
1:34:01plentiful. One of them is I spend hours
1:34:03and hours talking to people for a
1:34:04living. So, I want to make sure my brain
1:34:06is firing in an optimal way. And the
1:34:08other reason that I do the ketogenic
1:34:10diet is because I just feel better. So,
1:34:13when I discovered this, which is what
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1:34:47I was reading about what happened to you
1:34:48in 2011, 2010, 2011, when you reach what
1:34:51you you refer to as your breaking point
1:34:53in corporate medicine.
1:34:55Yeah.
1:34:55>> And you had some issues because you were
1:34:58I think helping some people who
1:35:01were homeless. Yep. What what do what do
1:35:04I need to know about that and how has
1:35:06that shaped you? Corporate medicine has
1:35:08lots of flaws, and you get tired of
1:35:11answering the same question over and
1:35:12over and over again.
1:35:13So, you put some stuff up on YouTube and
1:35:15you start to say, "Here's the education
1:35:17I wish I could give you."
1:35:19Uh and this starts to work.
1:35:21But that's not the that's not the path
1:35:23if you're in a corporate medicine.
1:35:24You're going to ruffle feathers, you're
1:35:25going to tick people off.
1:35:27I left corporate medicine, started my
1:35:29own thing, and I'm living out a 2-year
1:35:32non-compete.
1:35:34Do you know what that means?
1:35:35That you can't do medicine for 2 years?
1:35:38In that same market where they recruited
1:35:40me and they had advertised for me. Okay.
1:35:42Okay? So, you can't compete with what we
1:35:44just put money into for 2 years. And
1:35:47they said, "You can see the homeless and
1:35:49you can see Medicaid." Medicaid being
1:35:51the like government-funded medical
1:35:52medicine program.
1:35:53>> Low income. So, I said they don't know
1:35:55me very well. Those are just as much my
1:35:56people as anybody else.
1:35:58I'm taking care of some Native
1:35:59Americans. They were the ones in the
1:36:00shelters. They're the ones with the low
1:36:02income.
1:36:03And
1:36:05those teenagers were overweight and they
1:36:07were eating kitty litter.
1:36:09They were eating toilet paper.
1:36:11Their iron was
1:36:13so low the machine couldn't measure it.
1:36:15So, they're super malnourished.
1:36:17I started doing what I would do if you
1:36:18had all the money in the world. I took
1:36:20care of these patients.
1:36:21I gave them IV iron. She gave them iron.
1:36:24Which was expensive. It caused a ruckus.
1:36:26I got put on the radar of somebody that
1:36:28did not like that.
1:36:30So, this is the budget. The whole state
1:36:31gets a budget for how much you're going
1:36:33to spend on each patient. Yeah. I mean
1:36:35by expensive it was like 350 bucks per
1:36:37person. That's not that expensive.
1:36:38>> Mhm. But it was and nobody else was
1:36:40doing it.
1:36:42And I got a sticky note inside an
1:36:44envelope from the state capital. Stop
1:36:46doing Cadillac medicine.
1:36:49Yeah. So, you you were sued eventually?
1:36:52Oh, they they called Medicaid fraud.
1:36:54Okay. They thought I was wasting
1:36:56Medicare's numbers because I was giving
1:36:58IV iron. And I said, "No, I didn't bill
1:37:00for it bill for it. I paid for it."
1:37:03And when I paid for the medicine for
1:37:05these
1:37:06impoverished patients, they said, "Well,
1:37:08that's Medicaid fraud."
1:37:10So, the government tried to sue me for
1:37:12that and they lost. But now they're
1:37:13ticked off.
1:37:15They've brought me to court and they
1:37:16lost.
1:37:17And
1:37:19what happened next is a lot worse.
1:37:22I don't know if you want to hear that.
1:37:22Do you want me to go there?
1:37:23>> Of course, yeah.
1:37:24>> Okay.
1:37:25So,
1:37:27when you are being investigated for
1:37:29Medicaid fraud, all income stops.
1:37:31Yeah. Yeah. So,
1:37:34I have to come home to my husband and
1:37:35say,
1:37:36"I just can't I can't give in. I think
1:37:39we need to fight this."
1:37:41He said, "Okay."
1:37:43He he he
1:37:44God bless him. He I "Okay, let's fight
1:37:45it."
1:37:46Have you ever tried to fight the
1:37:47government?
1:37:49It's very expensive. So, they hold off
1:37:52when you're under a Medicaid and
1:37:53fraud investigation, you get no
1:37:55paychecks. So, we have no paychecks to
1:37:56pay payroll, to pay house payments, to
1:37:58do anything for about 9 and 1/2 months.
1:38:02Actually, it lasted longer than that.
1:38:03During that time, we started doing
1:38:05things like
1:38:07we sold the lake cabin, we sold the
1:38:08boats, we sold the extra car.
1:38:11We sold our own house.
1:38:12We moved into a donated RV.
1:38:15You moved into a car?
1:38:17An RV, yep.
1:38:19In South Dakota, where there's 50 below
1:38:21zero weather.
1:38:22With three little kids.
1:38:24We actually
1:38:26used
1:38:27we took our wedding rings in for the
1:38:29last paycheck.
1:38:31I I just can't give in.
1:38:34And then I won. Okay, so Medicaid fraud
1:38:36wasn't there.
1:38:38But in the midst of that, I said
1:38:40I This is when Obamacare was really
1:38:42happening.
1:38:43And I got asked to run for US Senate.
1:38:46There's only 100 of those in the
1:38:47country.
1:38:49I run for US Senate and I did really
1:38:51good.
1:38:54I raised
1:38:56insane amounts of money.
1:38:57Uh saying, "I am a doctor that serves
1:39:00the poor.
1:39:01I am a physician that runs her own
1:39:03company.
1:39:04Uh I think I am a great voice to send to
1:39:07Washington DC to make policy about
1:39:09patients and care
1:39:12as opposed to the other opponents."
1:39:15But that same attorney general
1:39:17his best buddy was running against me.
1:39:20And when I am in a mission trip
1:39:22uh in the Philippines that has nothing
1:39:25to do with it, but I was on a mission
1:39:26trip in the Philippines.
1:39:27And um I left a petition behind. I don't
1:39:31know how you do it in London, but a
1:39:32petition means if you're going to run
1:39:33for office, you got to get some people
1:39:35saying it they believe in you.
1:39:37>> Mhm. So, we needed 2,000 signatures.
1:39:39And we got 6,000 signatures. We
1:39:42submitted them to the state.
1:39:44We think there's no problem.
1:39:46But then the quarterly earnings come
1:39:47back for a campaign raising and my
1:39:49opponent
1:39:51had about 70 donors at about $10,000
1:39:55a pop and we had something like 740,000
1:40:00dollars.
1:40:01I put my earnings in and they were
1:40:03780,000 dollars. So I out raised him.
1:40:07You have to report to the government
1:40:09whenever somebody gives you more than
1:40:10200 dollars.
1:40:12So his donors are right there on the
1:40:13list.
1:40:15My list is empty.
1:40:18Because the average size of the donation
1:40:19was 45 dollars.
1:40:21And they know they can't win with that.
1:40:24I have a grassroots behind me.
1:40:26And that's when the black cars started
1:40:29showing up in my life. It sounds like
1:40:31I've got a tin foil hat, but it was
1:40:32real.
1:40:34The black what? The state card started
1:40:37to show up outside my house.
1:40:39They started to say, "Find something on
1:40:41her."
1:40:42And I am the first person in the history
1:40:45of the United States of America
1:40:47to be investigated for not witnessing a
1:40:50signature on those petitions. Okay, so
1:40:53there was these petitions you had to get
1:40:542,000 of them signed and you had to
1:40:57witness them. So you had to be there
1:40:58when they were signed by people?
1:41:00>> Well, that's what it says and you're
1:41:01right. It says, "I bear witness." So as
1:41:05I'm I left them in my clinic, my staff
1:41:08signed it. The preachers in my
1:41:11my clinic signed it.
1:41:13And those signatures were collected
1:41:14while I was in the Philippines. And so
1:41:17you signed to witness them when you were
1:41:18back from the Philippines.
1:41:19>> Right. So I didn't witness them. I just
1:41:21vouched that that's my sister, that's
1:41:24the preacher. I know who these people
1:41:25are. And so they
1:41:28charged you for they realized that you
1:41:30were in the Philippines at the time so
1:41:31you couldn't have witnessed them based
1:41:32on the dates or something. Yep. And then
1:41:34they arrested you? I 12 12 felonies.
1:41:38They give you 12 felonies? And 24 years
1:41:40in prison.
1:41:43That's what they charged you for or
1:41:45that's what They charged me the 12
1:41:47felonies. Six counts for each of the six
1:41:49petitions. Six uh so that's 12 felonies.
1:41:52There's six mistakes, but each mistake
1:41:54counts for two felonies. I mean, if
1:41:56you're going to make a mistake, there's
1:41:58one felony. Mhm. When you're trying to
1:42:01make a statement,
1:42:03there's 12 felonies.
1:42:05And you're the first one in the history
1:42:06of the United States of America to ever
1:42:08have this charge, let alone brought to
1:42:10trial.
1:42:12And then found guilty.
1:42:14The trial didn't happen in my state, my
1:42:16town. It happened in
1:42:18the state capital,
1:42:20where everybody knew that attorney
1:42:22general, everybody knew the opponent.
1:42:24So they they tried to get you to serve
1:42:2624 years in prison? Yeah. They sentenced
1:42:28me to 24 years in prison. They sentenced
1:42:30you to
1:42:30>> Yeah.
1:42:31My kids were sitting behind me. I'm you
1:42:33are guilty of 12 felonies and 24 years
1:42:36in prison.
1:42:38And then he says, "But this stack of
1:42:39papers in front of me
1:42:41might be the biggest he'd been a judge
1:42:43for 20-some years.
1:42:45And I had patients who had written in
1:42:46saying, "This is the best doctor I've
1:42:48ever seen."
1:42:49I didn't ask them to write that. They
1:42:50just sent them in. How did you feel when
1:42:52you hear that you're going to be in
1:42:53prison for 24 months? 24 years?
1:42:56Oh god, it is the lowest moment of my
1:42:58life.
1:43:00Because
1:43:01I mean, I do not like that the that that
1:43:04story cost the state of South Dakota any
1:43:06money.
1:43:08But I also don't like that when you
1:43:10oppose
1:43:11the the political giants,
1:43:16and you stand there with all of the
1:43:18right intentions,
1:43:19that if they need to find something on
1:43:21you, they will.
1:43:24Six petitions.
1:43:26And we had a thousand extra signatures.
1:43:30There was noth- This was a
1:43:31nothingburger. but it was enough and
1:43:34that attorney general said
1:43:37prosecute her to the fullest extent.
1:43:40And I'm not a martyr. I do things that
1:43:42aren't right and if there was a mistake
1:43:44that I made, I I would take full
1:43:46ownership and to that judge I made I
1:43:48took full ownership.
1:43:50That the attorney general was he won.
1:43:55I got sentenced.
1:43:57But you didn't have to serve the 24
1:43:58years. He said I'll probate that. I will
1:44:01suspend that with
1:44:03the highest number of service hours ever
1:44:05in the state of South Dakota. It was 500
1:44:08community service hours serving the
1:44:10poorest patients in the state. And when
1:44:11he said those words I thought, "Oh my
1:44:13god, you don't know who I am."
1:44:15That's what I've been doing. I was
1:44:16already working in Pine Ridge.
1:44:18How did you How did you feel about all
1:44:20of this? I mean I I think of it as a
1:44:21test.
1:44:23It was a test of
1:44:25I mean most marriages aren't going to
1:44:26make it through that.
1:44:28You got kids that'll end up in rehab at
1:44:30that much stress.
1:44:31And I didn't want that life. I didn't
1:44:34want that to be my
1:44:37ending.
1:44:38I framed it different. I said, "All
1:44:39right, God, you're testing me.
1:44:42You're testing to see can I be Can I
1:44:44stay true to who it is that you've
1:44:46called me to be?"
1:44:49That
1:44:51our marriage was incredibly
1:44:54That's a lot of pressure. I mean, I was
1:44:55the number one news story in the whole
1:44:57damn state for 3 years running by a
1:44:59mile.
1:45:01I can't go anywhere without
1:45:03That's her. That's her. My parents were
1:45:05ashamed.
1:45:07My kids would say, "This is the woman
1:45:08that takes me to Haiti. She is Mother
1:45:11freaking Teresa and now she's on the
1:45:13front page of a newspaper as a 12-time
1:45:15felon."
1:45:16And your teachers at school say
1:45:20I read about your mom again in the
1:45:21newspaper.
1:45:22I mean, it's a old
1:45:24It should have crushed me.
1:45:29But it didn't. It did not.
1:45:31When did your life begin to turn upwards
1:45:33from that point onwards? When was the
1:45:35the moment where
1:45:37things were
1:45:39Well, the first thing is we appealed
1:45:40that to the Supreme Court. Yeah.
1:45:42>> That's where the big legal bills come
1:45:43from.
1:45:44Second, you're fighting an attorney
1:45:45general. That's where all
1:45:47And the Supreme Court said that that
1:45:49attorney general abused his power
1:45:51for at least six of them.
1:45:52And then that judge said
1:45:54I'll erase all these because of the work
1:45:56you've done. So, the 12 felonies went
1:45:58away
1:45:59during
1:45:59>> them? All of them.
1:46:01I think on the edge of that story, um
1:46:04I work to resurrect people's health back
1:46:06to a place where they they get their
1:46:08best life.
1:46:10And yes, ketones are really a big part
1:46:11of that.
1:46:13But as you look at the relationships
1:46:16you've got around your life
1:46:18take the core ones and nurture them to a
1:46:20place where
1:46:22uh
1:46:22your best life comes out of those
1:46:23relationships.
1:46:25Find the purpose that you've been
1:46:26designed for.
1:46:28And take those relationship with you as
1:46:30you seek that.
1:46:32I know that's what happened to me.
1:46:35I cared about the ones on the inner
1:46:36circle and I had a one track of this is
1:46:38what I'm designed to do.
1:46:41We have a closing tradition where the
1:46:42last guest leaves a question for the
1:46:43next. And the question left for you is,
1:46:45do you have a daily practice
1:46:48to find deep inner peace when you are
1:46:51emotionally triggered? And if so, please
1:46:55share it with the audience.
1:46:58Yeah, I have a uh devotion that I do
1:47:00every morning.
1:47:01That um
1:47:03that centers me, keeps me
1:47:05in line with my faith.
1:47:08And that's not that you do it on the bad
1:47:10days. It's that you've got the
1:47:12foundation for doing it on the good
1:47:13days. And there are
1:47:16generations
1:47:17>> Uh
1:47:17the a daily devotion. Like Upper Room is
1:47:20a is a spiritual devotion for
1:47:23my church. What what does that look
1:47:24like? Is it a prayer or Yeah, it's a
1:47:26prayer. And
1:47:27>> And how does that sound? What is
1:47:29Yeah, the it's a usually a scripture and
1:47:30then it's a prayer that is been
1:47:33uh paired with that scripture.
1:47:36And again, it's easy to not do it
1:47:37routinely.
1:47:38But when you practice it on the good
1:47:40days,
1:47:41it's what lifts you on those really
1:47:43tough days.
1:47:45And sometimes you forget you're not the
1:47:46first person to run through these
1:47:47problems.
1:47:49But there are
1:47:50thousands of generations that have
1:47:53taught you how to do life and get
1:47:55through those hard places.
1:47:57And I'm going to use their rules.
1:48:00I'm going to follow what that
1:48:03scripture says
1:48:05and live for my best life.
1:48:07Dr. Bosworth, thank you.
1:48:09Very good. We are done. I really think I
1:48:11really appreciate so much about you. I
1:48:13appreciate your personality.
1:48:14Well, I could have been engaging, but
1:48:16also just um I appreciate that you've
1:48:18taken the time to make so much content
1:48:20over on your YouTube channel, which I'm
1:48:22going to link on screen and below now
1:48:24um to sort of demystify and break down
1:48:26some of these really complicated
1:48:28subjects that people struggle with and
1:48:30they're looking for someone who they can
1:48:31trust, who has a bit of personality.
1:48:33Um who can communicate some of these
1:48:36very complicated things to them. And on
1:48:37your channel you talk about everything
1:48:38from the ketogenic diet to many of the
1:48:41things we talked about today to the
1:48:42creatine stuff to cancer more broadly,
1:48:45the scientific theory of autophagy and
1:48:47fasting um and lots of other things and
1:48:50everything we've talked about today and
1:48:51much, much, much more. So I highly
1:48:52recommend people go and check your
1:48:53channel out if they would like to learn
1:48:55more. It will be linked below.
1:48:58And um you've written some wonderful
1:48:59books. Um
1:49:00some of them that we've referenced.
1:49:02We've got the Keto Continuum, which I'm
1:49:03going to link below as well. Um this
1:49:05wonderful book called Anyway You Can, a
1:49:07Beginner's Guide to Ketones for Life,
1:49:09which um talks a lot about Rose and has
1:49:11some wonderful photos of Rose in that
1:49:14book. And we have the the Continuum
1:49:15Workbook, which is a much more practical
1:49:18um Yeah, it goes hand in hand with the
1:49:20other one and it's what I give my
1:49:21patients in the clinic as they got to go
1:49:24through that workbook. I think a lot of
1:49:25people are looking for exactly that.
1:49:26They're looking for something that they
1:49:28can follow step by step, which gives
1:49:30them a framework for progress and I
1:49:31guess in in a way holds them
1:49:32accountable, which is exactly what the
1:49:33workbook does.
1:49:35Thank you so much. You're you're you're
1:49:36helping millions of people. You've had a
1:49:37[ __ ] rough ride and been outside. 12
1:49:39felonies and 24 years in prison is for
1:49:42for something as as little as what you
1:49:43did, I think is is bizarre.
1:49:46Quite frankly, but you know, it's a
1:49:48story of inspiration that it didn't hold
1:49:49you back and you've risen like a phoenix
1:49:51and created so much incredible work
1:49:53therefore that's benefit so many. So
1:49:54please do keep going.
1:49:56God bless you. Thanks for having me
1:49:57here. I'm really excited to be on your
1:49:58show. Thank you so much, Dr. Boz.
1:50:03This is something that I've made for
1:50:05you. I realize that the Diary of a CEO
1:50:07audience are strivers, whether it's in
1:50:09business or health. We all have big
1:50:11goals that we want to accomplish. And
1:50:12one of the things I've learned is that
1:50:14when you aim the big big big goal, it
1:50:17can feel incredibly psychologically
1:50:20uncomfortable because it's kind of like
1:50:22being stood at the foot of Mount Everest
1:50:23and looking upwards. The way to
1:50:25accomplish your goals is by breaking
1:50:27them down into tiny small steps and we
1:50:30call this in our team the 1%. And
1:50:31actually this philosophy is highly
1:50:33responsible for much of our success
1:50:35here. So, what we've done so that you at
1:50:38home can accomplish any big goal that
1:50:39you have is we've made these 1% diaries
1:50:43and we released these last year and they
1:50:44all sold out. So, I asked my team over
1:50:47and over again to bring the diaries back
1:50:48but also to introduce some new colors
1:50:50and to make some minor tweaks to the
1:50:51diary. So now we have a better range for
1:50:56you. So, if you have a big goal in mind
1:50:58and you need a framework and a process
1:51:00and some motivation, then I highly
1:51:02recommend you get one of these diaries
1:51:04before they all sell out once again. And
1:51:06you can get yours now at the diary.com
1:51:08where you can get 20% off our Black
1:51:11Friday bundle. And if you want the link,
1:51:12the link is in the description below.

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