LowCarbUSA Podcast

When Dave Feldman first walked into a LowCarbUSA® event in 2016 carrying a laptop full of lab results, few people could have predicted where that moment would lead.  "I'm approaching everyone with my computer," Feldman recalls, "because I'm doing these self-experiments—getting blood work—and I'm trying to figure out why my cholesterol numbers were doing what they were doing."  What started as a personal puzzle became The Cholesterol Code, a global research effort, a nonprofit scientific foundation, and now a forthcoming documentary film. In this episode of the LowCarbUSA Podcast, host Doug Reynolds sits down with Feldman to trace that journey—and to explain why the next chapter will take center stage at the Symposium for Metabolic Health in Boca Raton, January 23–25, 2026 The Question That Wouldn't Go Away Dave's original question was deceptively simple: Why do some metabolically healthy, lean people see their LDL cholesterol rise dramatically on a ketogenic diet?  Over time, he noticed a consistent pattern. These individuals didn't just have high LDL—they also tended to have high HDL, low triglycerides, and excellent metabolic health. In 2017, he coined a name for this group: Lean Mass Hyper-Responders (LMHRs). But identifying a pattern wasn't enough.  "Even if the lipid energy model proves correct," Dave explains, "does that mean having higher LDL on a ketogenic diet carries higher cardiovascular risk?"  Answering that question required something far more difficult than a blog post or a hypothesis: a prospective imaging study. Building a Study When No One Will Fund One Dave spent years trying—and failing—to convince established institutions to study this population.  "There's not a lot of funding to study metabolically healthy people with sky-high LDL," he says dryly. "The interest is usually in people who already have multiple cardiovascular risk factors—which confounds everything."  So in 2019, he made a radical decision. He founded the Citizen Science Foundation, a public charity created for a single purpose: to fund independent research, with no money going to salaries or overhead.  "We raised $200,000,"Dave says, "and paid a research center to do the study."  By late 2021, recruitment was underway. One hundred lean, metabolically healthy ketogenic individuals underwent coronary CT angiography (CTA) scans to assess plaque in their coronary arteries, with follow-up scans roughly one year later. What the Data Actually Showed The early findings were striking.  When Dave's cohort was matched against participants from the Miami Heart Study, there was no statistically significant difference in coronary plaque, despite Dave's group having LDL levels less than twice as high.  "In fact," he notes, "our group trended toward lower plaque." But the most important finding emerged as more analyses were completed:  "There was no association between ApoB or LDL and plaque progression," Dave says. "Whatever your LDL level was, it did not correspond with how plaque developed."  What did matter? Baseline plaque. "Whether you're low-carb or not," he explains, "the more plaque you have at baseline, the more likely you are to see progression. That's consistent with the existing literature." When One Dataset Didn't Make Sense Then came the controversy.  An AI-based quantitative analysis from a company called Cleerly showed plaque progression that appeared inconsistent—not only with Dave's other data, but with decades of prior research.  "All of the scans showed progression," he says. "No regression. Not even noise."  For an engineer, that raised immediate red flags.  "If a bathroom scale is off by a quarter pound," Dave explains, "you expect wobble.  Below the noise floor, measurements go up and down.  But this dataset showed only one direction." Later, when Dave gained access to the anonymized data, he identified multiple anomalies and requested a blinded quality-control reanalysis.  That request was declined.  "I don't assume wrongdoing," he emphasizes. "But when something looks implausible, the response should be course correction."  Instead, he sought independent confirmation.  A second AI company, HeartFlow, conducted a fully blinded analysis—and its results aligned with every other analysis except Cleerly's.  "Three out of four analyses agree," he says. "Cleerly is the outlier." Why This Matters Beyond One Study The implications extend far beyond a single dataset.  Dave believes this episode exposes a deeper issue in nutrition and cardiovascular science: how dominant theories shape interpretation.  "The lipid hypothesis has a gravitational pull," he says. "It affects what people expect to see—and what they question."  As I put it, Dave has repeatedly taken the LowCarbUSA stage to announce findings that challenge assumptions—and each time, the conversation moves forward.  "If we want better answers," Dave says, "we have to do better science." The Documentary—and What Comes Next All of this has reshaped his upcoming documentary, The Cholesterol Code. Originally slated for release last year, the film has been expanded to include the scientific and human story behind these findings.  "We couldn't release it without covering what happened," he explains. "It's part of the truth."  For the first time anywhere, the official trailer for the film will be shown at the LowCarbUSA Symposium in Boca, immediately following Dave's talk.  Attendees will also be invited to help bring the film to live screenings around the world.  "The world premiere of the trailer will be at your conference," Dave told me.  "That alone is worth coming for." Why You'll Want to Be There One full day of the Boca symposium is dedicated to cardiovascular health, and Dave is one of the central voices shaping that conversation. Whether you attend in person or via live stream, this is a rare opportunity to engage directly with research that is still unfolding—and with the scientist who helped drive it. As Dave puts it: "The work just needs to get done,  and in Boca, it will." Learn more and reserve your in-person or virtual seat for the Boca Symposium for Metabolic Health (January 23–25, 2026)

Doug Reynolds welcomes listeners back to the LowCarbUSA® Podcast with a guest who works in one of the most specialized—and most misunderstood—corners of cardiovascular medicine: the heart's electrical system.  Dr. David Nabert is an electrophysiologist ("EP" doctor), focused on heart rhythm disorders, and he's one of the featured speakers at the Boca Symposium for Metabolic Health (January 23–25)—including the event's full day-plus dedicated to cardiovascular conditions. What gives this episode its pull is the combination of clinical depth and lived experience. David isn't just talking about rhythm problems from a textbook perspective—he's explaining how his own curiosity about metabolic health evolved, what shifted when he started questioning conventional assumptions, and why those questions matter for real patients in the real world. David describes how his entry point into metabolic health didn't begin in a clinic—it began with a random Google search. In 2021, while looking up a cardiology formula, he accidentally landed on a Nina Teicholz talk at the Cato Institute. "I started to watch it, and all of a sudden, an hour and a half passed," he says—one of those moments where interest turns into momentum. He listened to Teicholz's book, The Big Fat Surprise, then began searching for more voices in the low-carb space and quickly reconnected with familiar names, including Dr. Robert Cywes and Dr. Eric Westman (both will also be presenting in Boca), whom he calls mentors. That exploration ultimately led him to the Society of Metabolic Health Practitioners (The SMHP) and, importantly, a willingness to test ideas on himself. David is candid about his own weight journey. He describes a time when a body mass index under 25 felt "skinny" to him, and he's open about losing weight, regaining some after a series of hip surgeries, and continuing to work on it. What ultimately shifted, though, wasn't just the number on the scale—it was how he began to rethink what "doing everything right" actually means. For years, he approached weight loss the way many clinicians were trained to: low-fat, high willpower, endure the hunger. He describes his old strategy bluntly: "The only way I had lost weight… was by doing protein sparing modified fast… I was just eating almost no fat." Predictably, it wasn't sustainable. When he later shifted to a lower-carb, higher-fat approach—"bacon, eggs, hamburger"—he was "amazed at how quickly I started to lose weight," and he began seeing changes in markers that traditional cardiology often de-emphasizes. After stopping long-term statin therapy (which he had been on for 25 years), he saw his LDL return to roughly where it had been earlier in life, but other changes caught his attention: triglycerides dropped to the lowest he'd ever seen, HDL improved, and fasting insulin improved as well. Just as meaningful were the changes he felt: "Every 10 or 20 pounds I lost, my hips got better," he says, attributing it not only to less load, but "also part of it was less inflammation." From there, the episode moves into the heart of why David is speaking during the cardiovascular-focused programming in Boca: rhythm, electricity, and the surprising overlap between conditions that seem unrelated—like seizures and arrhythmias. David explains that early ketogenic diet research in the 1920s focused on refractory seizures, and he argues the connection matters because many antiarrhythmic drugs and antiseizure drugs overlap mechanistically. In his view, these aren't separate worlds. "Treating seizures or treating cardiac arrhythmias is basically two faces of the same coin," he says—and that opens a practical question: if ketosis can help reduce seizures, might it also influence certain rhythm symptoms? He shares a striking clinical example that stuck with him: a former submariner with PTSD and episodes of fast heart rates who said, "I know when I'm… ketogenic… when I fall off the wagon… then I start having palpitations and fast heart rates." David later learned the patient was experiencing atrial fibrillation, and while he's careful not to overpromise, he describes a pattern he's observed: in earlier stages of rhythm problems, being in a ketogenic state may reduce symptoms and potentially slow progression for some people. "It doesn't cure atrial fibrillation," he emphasizes, but he's seen ketosis "improves symptoms," not only in AFib, but in other rhythm issues like SVT and PVCs—especially early on. From there, David widens the frame to what he's seeing in younger patients—particularly young women—showing up with palpitations, rapid heart rate, anxiety, and signs of metabolic dysfunction even when they don't "look" unhealthy by BMI alone. "Only 90% of them are metabolically unhealthy," he says, describing a familiar cluster: A1C not quite normal, resting heart rates high, daytime heart rates that shouldn't be running 100–120, and a nervous system dialed up in what he calls a "hyper adrenergic state." The mainstream response is often medication—beta blockers, for example—but David argues metabolic context matters, and he's exploring how nutritional strategies (including ketosis, sometimes even supplemental ketones) may reduce symptom burden in certain cases. He also discusses POTS (Postural Orthostatic Tachycardia Syndrome), noting it can be associated with viral infections and has become more common since "the bad virus we had five years ago." Again, he's measured in his claims: ketosis isn't a cure, but he's seen it help reduce symptoms in select patients who have tried many other standard approaches first. The second half of the conversation touches on medications and the tension between "lower the number" cardiology and whole-person outcomes. David brings up PCSK9 inhibitors and recalls being troubled by early data patterns: "You were less likely to die from that, but you're more likely to die from cancer or infection… And… the overall mortality was the same." That line of thinking captures what pushed him toward metabolic health: a concern that focusing on a single marker can obscure the bigger picture of risk, resilience, and long-term outcomes. He also discusses SGLT2 inhibitors (like Jardiance and Farxiga) as potentially useful tools—especially in heart failure and diabetes—while stressing the importance of monitoring and hydration. In a moment that captures both his clinical caution and his enthusiasm for empowered patients, he tells people who go low carb on these meds to "get a Keto Mojo to check your ketone levels," because the goal is to use tools intelligently, not blindly. As the episode closes, Doug returns to the bigger mission behind the upcoming Boca program: helping attendees develop a confident, educated response to the most common fear tactic people face when they change their diet—LDL, heart attacks, and the assumption that low carb automatically means danger. Doug notes there are still "so few that really do get it and support it and talk about it," which is exactly why the cardiovascular-focused day-plus at the Boca Symposium for Metabolic Health (January 23–25) matters. David, for his part, is grateful to be part of it—and to be healthy enough to show up differently than last time. He reminds Doug that at previous events he was "either walking with one or two canes," but now, "I'm actually not going to run up on the stage, but I'll be moving pretty quickly." That moment captures the heart of the episode: metabolic health isn't theoretical. It's lived. And in Boca, that lived experience meets serious clinical discussion—especially for anyone trying to better understand cardiovascular risk, rhythm disorders, and the metabolic foundations that too often go unaddressed. If this conversation sparks your curiosity, the next step is obvious: join the community in Boca January 23–25 and immerse yourself in a day and a half of cardiovascular-focused talks designed to help you think more clearly, speak more confidently, and act more effectively—whether you're a clinician, a patient, or someone trying to help the people you love. Learn more about the Boca Symposium and register here.

Inside the SMHP Research Academy: How Practitioners Can Turn Real-World Results Into Published Science When the Society of Metabolic Health Practitioners (SMHP) launched the Journal of Metabolic Health in late 2023, one question quickly rose to the surface: How do we help frontline clinicians, many of whom have never conducted research, learn to design, run, and publish high-quality studies? Enter Dr. Melanie Tidman. A professor, researcher, and longtime SMHP member, Melanie recognized a gap, and built a solution. The result is the SMHP Research Academy, a fully supported, step-by-step pathway that teaches practitioners how to take research ideas from concept to publication. In this podcast episode, she walks listeners through what the Academy offers, why it exists, and how it's already helping clinicians produce peer-reviewed science. Below is a summary of what you'll hear, but the full interview is worth every minute. A One-of-a-Kind Resource for Practitioners Melanie created the Academy in early 2024 with a clear mission: make research accessible to clinicians working in the real world. "I had the vision back then to create an academy where our members who have never done research before could learn all of the ins and outs… of how to do research, how to collect data, how to analyze that data and how to publish a research article." Over nine months she built a 10-module, self-paced research curriculum, complete with video lessons, customizable learning formats, downloadable notes, and direct faculty support. Members can take the modules in order or revisit individual sections as needed. Each module, she notes, is "completely comprehensive and customizable for your own learning style." IRB Support—Including Up to $3,000 in Savings One of the biggest hurdles for new researchers is the IRB (Institutional Review Board) process. It's required for human studies in the U.S., but few practitioners know how to navigate it, and few are aware that approval often costs between $1,500 and $3,000. Melanie explains the differences between exempt, expedited, and full-board studies and then shares the Academy's unique advantage: "Two of us on the academy faculty are also faculty for universities having access to university IRBs… we become the primary investigator for the purpose of the IRB application… and there is no cost." For members, that alone is a major benefit—one of many. Faculty-Guided Support From Design to Publication The Academy pairs each participant with a research mentor and faculty team specializing in study design, data analysis, manuscript writing, and qualitative methods. Projects now include case reports, retrospective analyses, literature reviews, mixed-methods studies, and more. As Melanie notes, the Academy already has 16 projects underway, including "three articles in peer review right now." She emphasizes that no project is too small: "Say you just have one patient who had an incredible result, and you want to publish… I'm your man." Up to $10,000 in Total Value—Free for SMHP Members When Melanie adds up the typical costs—IRB fees, data-analysis consultation, manuscript editing, and open-access publication fees—she estimates that members receive between $9,000 and $10,000 worth of services at no charge. "If you publish with the Journal of Metabolic Health and you are a member of the SMHP, the SMHP will pay your open-access publishing fees," she explains. "There's another three to four thousand dollars worth of savings." Why This Matters The Academy empowers clinicians, from solo practitioners to large-system physicians, to turn real-world metabolic health outcomes into peer-reviewed evidence. And as Melanie reminds listeners: "I can't say enough about my gratitude… It's there for your benefit. If you are a member, you have an entire Academy worth of information at your fingertips." Learn more about The SMHP™ and join here.

I talk with producer, Kevin Carter, about the new movie they just launched called 'Animal'. This movie seeks to set the record straight about the benefits of the carnivore diet and what the 'Proper Human Diet' for humans really looks like.  It sets out to debunk so many of the untruths about meat and animal products that are proliferated by the plant based community.  It imparts the information in such a relatable way and provides us with, what I called, a 'toolbox of comebacks' so that we can have meaningful discussions with people who seek to disseminate misinformation about what we should be eating. The film features so many of the people who have graced our stages as speakers at many of our events.  Icons like Dr Robert Cywes, Dr Robert Kiltz, Dr Anthony Chaffee, Dr Shawn Baker, Dr Ken Berry, and Sally Norton are all featured in the movie. The film just launched on June 20 in select theatres and released that day to streaming as well.  It is available on pretty much all platforms where you can watch streaming content. The most interesting thing for me that came out of our conversation was the fact that people can arrange screenings in local theatres and even places like church halls on an ongoing basis.  I was very excited to hear about that and encourage everyone out there to try to do something in their town or city. Not only will you be helping to get this message out but you can put together an amazing community event and really do something real to make a difference.  Just go to the website and then scroll down and click on 'Host a screening'.  There's no risk, if you don't get enough people to sign up for it to be cost effective then that screening doesn't go ahead and everyone gets their money back.  It's not hard!

In the latest episode of the LowCarbUSA Podcast, Pam and I sit down with Siouxie Boshoff, founder of Scrummy Sweets, for a discussion exploring the murky world of food manufacturing, ingredient transparency, and the quest for truly clean, sugar-free treats. She says, "I'm just a girl who loved gummy bears and couldn't find one that didn't either kick me out of ketosis, spike my blood sugar, or disrupt my digestive tract in a way that was pretty catastrophic," she explained. "So I made my own." Throughout the conversation, she exposes some of the food industry's best-kept secrets—like how manufacturers sneak toxic additives into products without disclosing them. She recounts a shocking moment when a production manager suggested using an anti-foaming agent to fix a minor visual flaw in her gummy bears, "She looked at me and said, 'Oh, don't worry, you don't have to put it on the label. It's just considered part of the manufacturing process.' And I was like—You think I don't want it in there because I don't want to put it on the label? I eat my own product!" Siouxie's commitment to clean ingredients is unwavering. She discusses the meticulous process of sourcing organic, non-GMO ingredients and how even "natural flavours" can be a smokescreen for hidden additives. Her message is clear: if you care about your health, you need to demand better. Her insights are already making an impact. One sceptical physician at LowCarbUSA's recent Symposium for Metabolic Health in Boca Raton, FL admitted he initially avoided Siouxie's booth, assuming her products were just another "sugar-free gimmick." But after attending her talk, his perspective completely shifted, "I've been avoiding them all weekend, thinking it's just another sweet thing I can't trust," he said, "but after hearing you speak, I get it. We need more products like this." From revealing the hidden dangers of maltodextrin to explaining why she insists on MCT oil over seed oils in flavouring agents, Siouxie leaves no stone unturned. If you've ever wondered what's really in your "healthy" snacks—or why so many sugar-free products still sabotage metabolic health—this is an episode you won't want to miss. Watch the full interview and join the conversation on how we can push for cleaner, truly nourishing food choices in our world today. ScrummySweets website Scrummy Sweets Instagram Scrummy Sweets Facebook

In this powerful episode of the LowCarbUSA podcast, Doug Reynolds and Pam Devine sit down with Beth McNally and Matt Miernik, the couple behind T1D Nutrition, to discuss their journey with type 1 diabetes (T1D) and the transformative role of nutrition in managing the condition. Their journey began in 2015 when their son Lachlan was diagnosed with T1D at age 9. After months of frustration with conventional high-carb, insulin-heavy treatments, they adopted a very low-carb diet, which dramatically improved Lachlan's blood glucose stability and brought his A1C levels into the normal range. Now, at 18, Lachlan is a thriving athlete, and Beth and Matt are dedicated to sharing the benefits of therapeutic carbohydrate reduction with others facing similar challenges. A central theme of the conversation is the recently published Position Paper by The SMHP on therapeutic carbohydrate reduction for type 1 diabetes, to which Beth, Matt, and a team of experts have made significant contributions. This paper will revolutionize T1D management by advocating for therapeutic carbohydrate reduction as a viable, evidence-based option. It calls for healthcare providers to support patients choosing this approach and underscores the importance of continued research and education on low-carb nutritional strategies. Beth expresses her enthusiasm for the Position Paper, noting its potential to challenge current T1D care practices. With only about 17% of youth and 21% of adults meeting the American Diabetes Association's A1C target of 7.0, this paper could be a game-changer, providing clinicians with new guidelines and resources to enhance patient outcomes. It advocates for open access and support for those exploring low-carb diets as a therapeutic intervention, signaling a much-needed shift in mindset. Throughout the episode, Beth and Matt stress how this Position Paper will empower both patients and clinicians, offering a solid foundation for discussing low-carb options within healthcare teams and integrating evidence-backed guidelines into mainstream T1D care. They encourage families to share the Position Paper with their doctors, fostering more comprehensive and supportive care. The couple also reflects on their involvement in the January 2024 LowCarbUSA Boca Raton Symposium for Metabolic Health, which featured a dedicated Type 1 Day. This event assembled international experts in T1D management, including Dr. Ian Lake, Dr. Suzanne Schneider, Dr. Eric Westman, Dr. Belinda Lennerz, and Dr. Robert Cywes, who shared innovative insights into how nutrition can stabilize blood glucose levels and improve the quality of life for those with T1D. These presentations set the stage for the Position Paper and underscored the need for a low-carb approach to gain wider recognition and support within the medical community. Matt offers additional insights into why therapeutic carbohydrate reduction is so effective, explaining how reducing carbohydrate intake decreases insulin dependency, leading to more stable blood glucose levels. He compares it to "removing logs from a fire," minimizing the blood glucose fluctuations that make T1D so difficult to manage. This Position Paper will address these scientific principles, equipping clinicians with the knowledge and tools to guide their patients more effectively. Matt also discusses the phenomenon of "double diabetes," a condition where individuals with type 1 diabetes develop insulin resistance, resembling type 2 diabetes. He explains how the conventional high-carb diet paired with large insulin doses can lead to this dangerous overlap, increasing health risks and complications. By adopting a low-carb approach, insulin needs are minimized, reducing the chances of developing double diabetes and supporting better metabolic health in people with T1D. Doug and Pam share how eye-opening the Type 1 Day event was for them and other attendees, with many healthcare professionals admitting they gained more insight into T1D management in one day than they had in their entire careers.  Click here to listen and discover the latest advancements in therapeutic carbohydrate reduction. Additionally, LowCarbUSA® has released all the Dedicated Type 1 Diabetes Workshop & Presenter videos from the recent LCUSA & SMHP Symposium for Metabolic Health, held in January. This video playlist features expert presentations that explore therapeutic carbohydrate reduction, optimal protein intake, healthy fats, and low-carb strategies for T1D. Featured speakers in this series include: Dr. Èvelyne Bourdua-Roy, MD & Dr. Tro Kalayjian, DO- Workshops intro & Prevailing outcomes in T1D Beth McNally, MS MA CNS LDN - Therapeutic Carbohydrate Reduction (TCR)/Low-carb Diet Implementation for T1D Dr. Ian Lake, BSc, BM,MRCGP - Low-Carb in T1D: Getting started, troubleshooting and guidance Dr. Belinda Lennerz, MD - Medication & Technology Implementation Allison Herschede, BSN, RN, CDCES - Hormonal Challenges for Women with T1D Dr. Ian Lake, BSc, BM,MRCGP - Exercise how to & Fasting (intermittent and multi-day) Lester Hightower & Beth McNally, MS MA CNS LDN - Parents Perspective - TCR/Low-carb for Type 1 diabetes Dr. Eric Westman, MD, MHS - Standard of Care - Advances and challenges in Type 1 diabetes care Dr. Jessica Turton, PhD, MND, B.App.Sc (ExSpSc) - Current research on low-carbohydrate diets for Type 1 diabetes management Dr. Belinda Lennerz, MD - Children living with Type one Diabetes - Current and future research questions pertaining to therapeutic dietary carbohydrate reduction in children Dr. Eric Westman, MD, MHS, Dr. Jessica Turton, PhD, MND, B.App.Sc (ExSpSc), & Dr Belinda Lennerz, MD - Panel Discussion Dr. Robert Cywes, MD, PhD - Clinical implementation of low-carbohydrate diets in T1DM – experiences from adults and children Dr. Ian Lake, BSc, BM,MRCGP - Exercise and Therapeutic Carbohydrate Reduction – Current research and clinical experiences Suzanne Schneider, PhD Researcher, MSc, Bcomm - Cognitive and Psychological Implications of Carbohydrate Reduction in T1DM Dr. Robert Cywes, MD, PhD, Dr. Ian Lake, BSc, BM,MRCGP, & Suzanne Schneider, PhD Researcher, MSc, Bcomm - Panel Discussion These videos are available for free on the LowCarbUSA® YouTube channel in the "Type 1 Workshop - Symposium for Metabolic Health - Boca 2024" Playlist. Explore this valuable resource to gain insights from the leading voices in T1D management and be part of the growing community dedicated to improving outcomes for those living with type 1 diabetes. Links: T1D Nutrition website

In a recent LowCarbUSA®, hosts Doug Reynolds, MHP and Pam Devine, MHP spoke with Dr. Jeremiah Eisenschenk and Dr. Angie Ausban, two prominent practitioners from the Brainerd Lakes area in Minnesota, about the upcoming LowCarbUSA® Metabolic Health Conference in Brainerd Lakes. This one-day event, scheduled for September 21, aims to unite healthcare professionals and the public around the importance of metabolic health. Dr. Eisenschenk, a board-certified Family and Obesity Medicine physician, shared his journey into metabolic health, which began after attending a transformative lecture in 2016. Since then, he has co-founded the Metabolic Health Conference in Brainerd Lakes and Essentia Health – Brainerd Weight Management Department, bringing his expertise to both the hospital and community settings. "I saw some pretty impactful results, even in six months," he noted, reflecting on the positive changes in his patients' health through carbohydrate reduction approaches. Dr. Ausban, who has a background in Internal Medicine and Pediatrics, recounted her own evolution in understanding obesity and metabolic health. After co-founding the CentraCare Medical Weight Management program, she became certified in Obesity Medicine and later joined CRMC as the Medical Director of the Metabolic Health and Medical Weight Management Program. "It's not just obesity and diabetes; it's everything—heart disease, stroke, dementia," she emphasized, underscoring the widespread impact of insulin resistance. The one-day event is open to the public, but technical enough to also offer optional CME opportunities for healthcare professionals, carbohydrate reduction meals, and local vendors, fostering a collaborative environment between the community to address the growing metabolic health crisis.  The symposium will feature a diverse lineup of expert speakers, including: Robert Cywes, MD, PhD Gurpreet Padda, MD, MHP, MBA Mark Cucuzzella, MD, FAAFP, MHP Vera Tarman, MD Jeremiah Eisenschenk, MD Angelina Ausban, MD Shawn Roberts, MD. This event is unique for the Brainerd Lakes area, as four health systems have come together to support this initiative—a rare collaboration in today's competitive healthcare landscape. Dr. Eisenschenk highlighted the importance of this unity, saying, "If we can coalesce for this greater mission... any part of America, any part of the world, can do this." In addition to the symposium, a charity golf event was going to be organized by Dr. Ausban's husband, Kevin Smith, but will now be postponed and take place next spring to raise funds for the Society of Metabolic Health Practitioners and the local Boys and Girls Club. Dr. Ausban invited attendees to participate, adding, "We are super excited about this event." The upcoming symposium promises to be an inspiring and educational gathering, providing healthcare professionals and the public with the tools and knowledge to improve metabolic health and, ultimately, the quality of life for many. Learn more and register here.

This podcast episode offers just a preview of the comprehensive, science-backed health insights Dr. Roshani Sanghani will share at the 9th Annual San Diego Symposium for Metabolic Health, August 15-18. Don't miss this opportunity to gain invaluable knowledge and interact with leading experts in metabolic health. This year's symposium will feature a full day, Thursday, August 15th, dedicated to exploring the connection between mental health and metabolic disease. Endocrinologist Dr. Roshani Sanghani recently sat down with Doug Reynolds for a compelling podcast interview, discussing her innovative approach to diabetes management and her upcoming participation in the LowCarbUSA 9th Annual San Diego Symposium for Metabolic Health from August 15-18. Dr. Roshani, who has become a leading voice in the field of endocrinology, shares her profound journey and introduces her new book, Turn around Diabetes: The Step-by-Step Guide to Navigate Type 2 (and Type 1) Diabetes with Less Medication. A Transformative Approach to Endocrinology Dr. Roshani's medical career began in Mumbai, India, where she completed her medical degree before moving to the United States. She is board-certified in internal medicine, endocrinology, diabetes, and metabolism. Her practice evolved significantly during the pandemic, transitioning to a 100% virtual model, which she continues to implement successfully. "I've always been interested in the mind-body connection," she explains. "Endocrinology became a natural space for me because hormones directly link our thoughts, emotions, and physical sensations. Helping that system stay in balance through mindfulness, lifestyle changes, and medication when needed became my passion." Turning Diabetes Management on Its Head Her shift towards a lifestyle-first practice was catalyzed by a patient in Mumbai who was struggling with uncontrolled diabetes. "This patient was labeled non-compliant because he refused insulin. Instead of ending the relationship, I suggested he reduce his carbohydrate intake. A year later, he was well-managed with just one tablet," she recounts. This experience ignited her journey toward emphasizing lifestyle changes over medication. Her approach focuses on empowering patients through motivational interviewing, a technique that encourages patients to discover their own motivations for change. "Patients come to us because they want to get better, not stay sick. Motivational interviewing flips the model from compliance to empowerment, helping patients make sustainable changes," she says. An Advocate for Behavioral Change Dr. Roshani's upcoming book, "Turn Around Diabetes," explores the behavioral aspects of managing diabetes. She emphasizes the importance of addressing psychological barriers and equipping patients with strategies to overcome them. "This book is meant to be a companion for anyone with diabetes, aiming to prevent diabetes, or seeking a healthier lifestyle. It's about overcoming obstacles in nutrition, sleep, stress management, and exercise," she explains. Using the analogy of a "lifestyle car," she describes how nutrition, sleep, stress management, and exercise are the four wheels that keep us moving forward. "Life is dynamic, and our journey will have its ups and downs. It's about continuous adaptation and navigating through challenges," she notes. Joining Forces with LowCarbUSA Dr. Roshani is thrilled to be a speaker at the upcoming LowCarbUSA Symposium. "I'm excited to meet everyone in person and share insights on how behavioral change can significantly impact diabetes management," she says. Her talk promises to be a highlight, given her reputation for delivering engaging and informative presentations. Doug praised her contributions, noting, "One of the best talks we've had was by Dr. Roshani. Her ability to prepare engaging content and provide deep insights is unmatched. We're looking forward to her talk next month." Listen to the full podcast interview to gain deeper insights into her approach and philosophy. Her new book, "Turn Around Diabetes," will be available at the LowCarbUSA Symposium, providing attendees with practical strategies to navigate diabetes with less medication.

In an insightful interview conducted by LowCarbUSA® co-founder Pam Devine, Dr. Georgia Ede, MD, shared profound insights from her new book, "Change Your Diet, Change Your Mind," and highlighted the significance of metabolic psychiatry. Dr. Ede, a Harvard-trained psychiatrist with extensive experience in nutrition, brain metabolism, and mental health, will be a key presenter at the upcoming LowCarbUSA 9th Annual San Diego Symposium for Metabolic Health, taking place from August 15-18, 2024. Pam Devine expressed her excitement about her participation, recalling their first collaboration in 2017. Dr. Ede emphasized the unique atmosphere of the LowCarbUSA® conferences, describing them as "science for the people." She praised the efforts of Doug Reynolds and Pam Devine in creating a warm and welcoming environment. According to Dr. Ede, "Every conference has a different feel, and this particular conference has a really nice down-to-earth, people-focused feel. It's science for the people." Join Us at the Symposium in San Diego, August 15-18 This podcast episode is just a glimpse of the comprehensive, science-backed health insights Dr. Ede will share at the 9th Annual San Diego Symposium for Metabolic Health, August 15-18. Don't miss this opportunity to gain invaluable knowledge and interact with leading experts in metabolic health. This year's symposium will feature a full day, Thursday, August 15th, dedicated to exploring the connection between mental health and metabolic disease. Focus on Metabolic Psychiatry One standout feature of this year's conference is the dedication of an entire day to metabolic psychiatry on August 15th. Dr. Ede noted the explosion of research in the field and the quantum leap it represents for psychiatry. "The brain matters," she stated, highlighting developments in treating mental health conditions through metabolic interventions. Addressing the limitations of conventional psychiatry, she remarked, "We have not been thinking about root causes. Metabolic psychiatry looks at the metabolic root causes, the drivers, the underlying forces that are damaging and destabilizing the brain." She pointed out that the traditional approach of treating mental health conditions as lifelong chemical imbalances requiring medication is being challenged by new findings in metabolic psychiatry. Debunking Dietary Myths Dr. Ede debunked common dietary myths, such as the belief that oatmeal is a brain-healthy breakfast. She shared a case from her book where a physician's blood sugar spiked dangerously after consuming oatmeal, underscoring the need for a fundamental shift in dietary recommendations. "If you want real change to your mental health, you need to fundamentally restructure your diet from the ground up in ways that make biological sense," she stated. "Base your diet on science, not wishful thinking and wild guesses." Importance of Nutrient-Rich Foods She emphasized the importance of nutrient-rich foods that provide the essential building blocks for brain health. "The brain needs nutrients. All food is about parts and energy. We need the right parts to build cells, including brain cells, and we need to fuel those cells sustainably." Essential nutrients include amino acids, fats, vitamins, and minerals, which are often lacking in typical modern diets. "Most of what we're eating now is not nourishing or energizing our brain properly. In fact, it's damaging the brain," she added. One major culprit in this dietary crisis is the widespread consumption of vegetable oils. "Vegetable oils are extraordinarily high in Omega-6 fatty acid called linoleic acid," she noted. "Over the past 60 years, our intake of linoleic acid has increased significantly, and it's accumulating in our body fat and brain, causing oxidative stress and inflammation." This leads to brain damage over time. She highlighted the importance of choosing foods that support brain health by providing necessary nutrients without causing harmful spikes in blood sugar and insulin levels. She asserted, "Animal-based foods, rich in essential nutrients and low in carbohydrates, are key to this approach." Dr. Ede also discussed the concept of "quiet diets" featured in her book, which include variations like quiet paleo, quiet keto, and quiet carnivore diets. These diets emphasize low-carbohydrate and ketogenic principles to reduce metabolic stress on the brain. "The more sugary your diet is, the harder it can become for your brain to use that sugar for energy," she explained. This can lead to insulin resistance, making it difficult for the brain to process glucose effectively. Balancing Brain Chemistry She expanded on this, explaining how the brain processes glucose and the critical role of insulin. "The brain doesn't need insulin to let the glucose in; it needs insulin to process the glucose once it comes in," she explained. Without adequate insulin, the brain, despite being flooded with glucose, cannot utilize it effectively, leading to a paradoxical situation where the brain is both overwhelmed with glucose and starving for energy. This disruption in brain chemistry can lead to severe mental health issues. "If you want to balance your brain chemistry, one of the most effective ways to do that is to unbalance your diet," she stated. Lowering carbohydrate intake, particularly to ketogenic levels, can significantly improve brain function by stabilizing glucose and insulin levels and providing ketones as an alternative energy source. Dr. Ede also discussed the balance between glutamate and GABA, the brain's primary neurotransmitters. "Glutamate is the gas pedal, and GABA is the brake pedal," she explained. The balance between these neurotransmitters determines the brain's activity level, and eating refined carbohydrates and vegetable oils can profoundly disrupt this balance, leading to overstimulation and mental health issues. "If you're eating these refined carbohydrates and vegetable oils, you're getting all this inflammation and oxidative stress," she said. "The inflammation and oxidative stress throw this system profoundly out of balance." The interview concluded with Pam Devine highlighting the importance of attending the LowCarbUSA Symposium in person. Dr. Ede echoed this sentiment, emphasizing the unique benefits of in-person conferences. "It's a completely different experience," she said. "You'll meet other people, make lasting connections, and leave feeling energized and more knowledgeable." She encouraged people to take advantage of this opportunity to learn from experts and immerse themselves in the latest research on metabolic health.

LowCarbUSA co-founders Doug Reynolds and Pam Devine recently sat down with Dr. Erin Bellamy, a ketogenic specialist and metabolic health practitioner, for an illuminating podcast episode. Dr. Bellamy, who holds a PhD in Psychology from the University of East London and an MSc in psychiatric research from King's College London, brings a wealth of experience in using ketogenic metabolic therapy to improve mental health. A Journey into Ketogenic Diets and Mental Health Dr. Bellamy began the conversation by sharing her journey into the field of ketogenic diets and mental health. Her interest was sparked during her time working in psychiatric inpatient units, where she noticed a connection between diet and mental well-being. "I always had an interest in nutrition and diets," she explained, recounting her early research on eating disorders and her personal struggles with weight. Her curiosity led her to explore the impact of low carbohydrate diets on type 2 diabetes and subsequently on mental health. She recalled discovering a 1965 study on the ketogenic diet and schizophrenia, which demonstrated significant improvements in patients' symptoms. This study ignited her passion for investigating the potential of ketogenic diets to support mental health, ultimately leading to her PhD research. Pam highlighted the burgeoning interest in this field and the importance of collaboration among researchers and practitioners. Erin echoed this sentiment, expressing her excitement about the growing momentum in the field of metabolic psychiatry. "It's mind-boggling to me that we are actually building a little bit of momentum," she said. "We might actually get somewhere." The Foundational Role of Nutrition Throughout the interview, Erin emphasized the foundational role of nutrition in mental health. She likened metabolic health to a pyramid, with stable blood sugar levels, good sleep, and strong social connections forming the base. "You need a strong, healthy foundation," she stressed. Only after solidifying this foundation should individuals consider other interventions, such as hormonal testing or specialized therapies. One of the most impactful insights she shared was the transformative effect of nutritional ketosis on mental resilience. "Once you have somebody on a ketogenic diet for a while, they start to feel that kind of Zen feeling and sense of calm," she observed. This newfound stability enables individuals to effectively utilize cognitive behavioral therapy and other therapeutic tools. "It seems like through nutritional ketosis, people seem to have a bit more buffer space," she added. Erin's approach underscores the importance of addressing the root causes of mental health conditions. Her work demonstrates the potential of ketogenic diets to not only improve physical health but also to provide a foundation for mental well-being. As the field of metabolic psychiatry continues to grow, her insights offer a promising perspective on the integration of nutrition and mental health. Pam shared an anecdote highlighting the profound impact of metabolic health on anxiety. She recounted a story about someone who had a severe fear of bees, which subsided once they achieved metabolic health through ketosis. This led to a deeper discussion about the physiological and hormonal changes brought about by ketosis. "The really cool thing about ketones is they have lots of different roles," Erin explained. "One of them is their anti-inflammatory properties, and another is that they are anxiolytic, meaning they reduce anxiety in the body." Qualitative Research on Ketogenic Therapy for Depression Erin also discussed her recent research, which focuses on the qualitative experiences of individuals using ketogenic metabolic therapy for depression. Her study revealed that those with higher levels of depressive symptoms found it easier to adhere to the ketogenic diet and reported significant improvements in self-esteem, motivation, and overall outlook on life. "One participant said he had a renewed sense of meaning and purpose in life," she shared, highlighting the transformative potential of the diet. Doug noted the importance of these personal stories in convincing others to try ketogenic metabolic therapy, recounting a Symposium for Metabolic Health held in Boca Raton back in 2020 when Christopher Palmer MD, a Harvard psychiatrist, delivered a powerful presentation where he described a case of a patient with schizophrenia.  Palmer went into great detail explaining how traumatic the person's life was beforehand, and then told the story of how the patient used a ketogenic diet to effectively put his schizophrenia into remission. "No meds, functioning as a regular person in society," Doug recounted. "And I'm even choking up now with that," he said. "It was amazing. And everybody in attendance just sat there and looked at each other. I think everybody had a lump in their throat. I had to kick off the Q&A session after that, and I couldn't speak." Doug continued, "What you're doing, Erin, relating all of these other anecdotes and these people's experiences, I think that's what's going to convince people that this is something that's worth trying much more than somebody giving them the physiology of it behind it – This is how different your life can be. I think that's huge." The Importance of Proper Medical Supervision Erin concluded by emphasizing the importance of proper medical supervision for individuals on psychiatric medications who wish to try the ketogenic diet. She advised working closely with a knowledgeable professional to ensure safe medication adjustments and overall well-being. Accreditation and Ethical Standards of The SMHP In the podcast, Erin emphasized the value of her accreditation as a Metabolic Health Practitioner (MHP) through the Society of Metabolic Health Practitioners (The SMHP™). She noted that prior to The SMHP, there was no international consensus on guidelines for therapeutic carbohydrate restriction or ethics in the field. She stressed the importance of having a governing body like The SMHP that works to establish clinical guidelines, ethics, and scope of practice. This helps ensure MHPs are providing safe and beneficial care to clients. She appreciates being part of a like-minded group of practitioners who have access to science backed information from a trusted organization.  As a chartered psychologist, under the jurisdiction of the British Psychological Society, she is governed by ethical standards through her professional body. She sees The SMHP membership as complementing this, allowing her metabolic health work to be backed by a trusted society.  Access the full podcast interview here. 9th Annual San Diego Symposium for Metabolic Health The 9th Annual San Diego Symposium for Metabolic Health will be held August 15-18. Don't miss this opportunity to gain invaluable knowledge and interact with leading experts in metabolic health. This year's symposium will feature a full day, Thursday, August 15th, dedicated to exploring the connection between mental health and metabolic disease. Learn more and register here.

Join us for an enlightening episode of the LowCarbUSA® podcast, where host Doug Reynolds sits down with Dr. Paul Mason, a distinguished sports and exercise medicine physician, to discuss the nuances of blood test interpretation and preview the upcoming LowCarbUSA®  9th Annual San Diego Symposium for Metabolic Health, to be held August 15-18. Meet Dr. Paul Mason Dr. Mason uses an evidence-based approach to challenge conventional medical wisdom on topics such as saturated fat, cholesterol, dietary fiber, and sun exposure. He has authored a chapter on nutrition in the textbook Clinical Sports Medicine and is actively involved in curriculum development and teaching within the Australasian College of Sports and Exercise Medicine. His approach to managing complex medical conditions spans patients from the general public to elite athletes, including the Australian Olympic rowing team. Revolutionizing Blood Test Interpretation In the podcast, he offers profound insights into the often misunderstood realm of blood tests. "The concept of having biomarkers that reflect our health is a very good one," he explains, "but the trouble is, some of them are more reliable than others, and sometimes the reference intervals are completely out of whack." He emphasizes the need to interpret blood test results through the lens of optimal health rather than population averages and he believes reference intervals should be set using data on longevity. "The people who take statins whose cholesterol actually lowers the most actually have the worst survival," he noted, highlighting issues with overly aggressive cholesterol lowering. He went on to explain, "Every blood panel I do is actually personalized to their history." He also discussed the complexities of evaluating markers like ferritin and the importance of considering inflammation. His meticulous and systematic approach ensures that each patient receives a nuanced and accurate health evaluation. Optimizing Health for Longevity Dr. Mason advocates for using all-cause mortality data to set health benchmarks, stating, "My favorite outcome in science is mortality. And that's because you can't fudge it. In terms of clinical outcomes, nothing beats living. And you can't fake that. You can't have a mischievous researcher come through and manipulate the methodology too much when you've got mortality as an outcome." Listeners also learned how subtle factors like thyroid function can influence cholesterol levels. He  provides valuable insights on the importance of thyroid health and its impact on cholesterol levels. "An underactive thyroid can elevate your triglyceride levels and your cholesterol levels," he explains, emphasizing the interconnectedness of various health markers. Join Us at the Symposium in San Diego, August 15-18 This podcast episode is just a glimpse of the comprehensive, science-backed health insights Dr. Mason will share at the 9th Annual San Diego Symposium for Metabolic Health, August 15-18. Don't miss this opportunity to gain invaluable knowledge and interact with leading experts in metabolic health. This year's symposium will feature a full day, Thursday, August 15th, dedicated to exploring the connection between mental health and metabolic disease.

An engaging conversation with Jeff Roslund and Ryan Boudreau, the innovative minds behind Dapper Barons, a company at the forefront of crafting near sugar-free liqueurs and zero-sugar ready-to-drink cocktails. In a culture where sugar consumption is a growing concern, especially among those following ketogenic and low-carb diets, Jeff and Ryan shared their journey and passion for revolutionizing the cocktail industry. Jeff explained the genesis of their idea, "We're the first company to create near sugar-free liqueurs, as well as zero-sugar ready-to-drink cocktails. We knew if we could pull the sugar out of these liqueurs, you could go back to making cocktails the way they're meant to taste." Their conversation covered the nuances of alcohol's impact on the body, particularly in relation to a ketogenic lifestyle.  Jeff clarified a common misconception about the sugar content in spirits. He noted, "All of these products like vodka, gin, tequila, whiskey, are sugar and carbohydrate-free. When you start to get into the flavored spirits, that's where brands are starting to reintroduce sugars." This distinction is crucial for those striving to make healthier choices without giving up on enjoying a drink occasionally. The conversation touched on the often overlooked aspect of calorie content in alcohol which Ryan stated was normally around 80 to 90 calories per ounce, depending on the base spirit.  It emphasizes the point that even if a product is sugar free there are often still calories associated with it which we need to be aware of. One of the most striking moments of the discussion came when Jeff presented a visual comparison to illustrate the sugar content found in typical liqueurs, comparing it to the sugar in a Hershey's candy bar. "So, you know, you're looking at about 300 grams [of sugar in a bottle of Kahlua]. That's the level that we're talking about." This vivid imagery serves as a stark reminder of the hidden sugars in many popular beverages and the necessity of transparency in labeling, a challenge the alcohol industry continues to face. You can find out more about getting some to try out on their website and click on the 'Where To Buy' menu option.

In this episode we talk with Pascal Lemieux, a passionate advocate for health and wellness, with a specific focus on type 1 diabetes management and endurance sports.  His blend of personal experience and professional dedication makes him an invaluable voice in the dialogue on type 1 diabetes care. His involvement in the planning and organization of the special workshop and presentations devoted to type 1 diabetes management at the upcoming Symposium for Metabolic Health January 11-14, 2024 in Boca Raton is a testament to his experience and passion for making a difference in the lives of those affected by this disease. Use the code TYPE1BOCA to get a 20% discount Pascal was diagnosed with type 1 diabetes at the age of 11 and has navigated through various complications associated with the condition, including proliferative retinopathy, gastroparesis, and severe hypoglycemia. These challenges have deeply shaped his understanding and approach to diabetes management.  In 2020, he took a significant step in his career by pursuing nursing, aiming to leverage his personal insights to assist others dealing with type 1 diabetes. This professional shift underscores his commitment to making a tangible impact in the diabetes community. A turning point in his journey was the discovery of the benefits of a low-carb diet in 2014. Inspired by Dr. Richard K. Bernstein's "Diabetes Solution," Pascal adopted a very low-carb diet that remarkably controlled his diabetes, reversed many of his complications, and significantly reduced his insulin dosage. This approach not only transformed his health but also fueled his passion to educate and support others in managing type 1 diabetes. "I was shocked because no one ever told me about this way of managing type 1 diabetes," he said. Despite skepticism from his endocrinologist, Pascal persisted, and the results were remarkable: "My A1C went down to 6.7, then 6.4, then 6.2. Now it is 5.4 (normal, non-diabetic range). My retinopathy reversed, my frozen shoulder went away, my trigger fingers are now perfect, and I lost 60 pounds."  His transformation extended to his passion for marathons, where he proved that a low-carb diet could sustain intense physical activity. "In 2017, I ran a marathon, requiring only 25 grams of carbohydrate... I still had energy to go even further," he said. He subsequently ran 60 kilometers in one day and required only 40 grams of carbohydrate. "That convinced me that I don't need 300 grams of carbohydrate a day to live. I do fine with eating between 30 and 50 grams of carbohydrate a day." Recognizing the lack of support and guidance for many with type 1 diabetes, Pascal became a fervent advocate for education and community support. "There's at least 40 plus factors that affect blood glucose in type 1 diabetics... we're trying to cover most topics that are important for someone who wants to try low-carb," he explains. His involvement in organizing workshops and events is driven by a desire to bridge the information gap for both physicians and patients.  His motivation is fueled by the diabetes community's solidarity and success stories. "It's all about the community holding together to change the world," he said, looking forward to the focus on type 1 diabetes at the upcoming Symposium. "It's about empowering patients and physicians with knowledge and practical tips." You can see all the topics to be covered at the Symposium here. His story is a testament to the power of personal transformation and the impact of community-driven support. His journey from battling the complications of type 1 diabetes to becoming a leading advocate for dietary management and patient empowerment is truly inspirational. His experience, shared in this podcast, is not just informative but a call to action for better understanding and management of type 1 diabetes. Register for the 2024 Boca Symposium for Metabolic Health here.

In the latest episode of the LowCarbUSA® Podcast, host Doug Reynolds sits down with renowned health influencer Dr. Eric Berg, an authoritative figure in the ketogenic diet and therapeutic carbohydrate reduction community. This engaging interview explores Dr. Berg's personal health journey, his professional insights, and the global impact of his work. He candidly shares his transformation from a junk food enthusiast to a keto diet advocate. His personal health struggles in his late 20s led him to discover the life-changing benefits of the keto diet. This revelation not only alleviated his own health issues but also sparked a deep interest in nutrition and low-carb diets. He has a massive online presence, with over 28 million subscribers across his YouTube channels. He emphasizes the importance of making complex medical information accessible to the general public. He has successfully done this through his simple, easy-to-understand explanations of nutritional concepts and is the author of the popular book The Healthy Keto Plan. Doug talks with Dr. Berg about his enormous reach in non-English speaking countries. His channels in Arabic, Russian, and Taiwanese, among others, show the universal appeal of the keto message. Dr. Berg's efforts in providing translated content demonstrate his commitment to spreading health awareness globally.  He shares his unique approach to content creation, focusing on topics that resonate with his audience and exploring new, sometimes unconventional, aspects of nutrition and health. His dedication to continuous learning and providing fresh, research-based information has helped build a robust, engaged community. Listeners will be excited to hear about Dr. Berg's upcoming participation in the upcoming LowCarbUSA Symposium for Metabolic Health conferences in Boca Raton and San Diego. Learn more about the Symposium and register here. Connect with Dr. Eric Berg: YouTube Website Instagram Facebook Twitter

Sangeetha Aiyer, a certified Low carb Nutritionist focusing on Metabolic Health based in Mumbai, recently joined host Doug Reynolds on the LowCarbUSA® Podcast, sharing her inspiring journey and profound insights about metabolic health, sustainable fat loss, fitness and more.  In her 40s and a mother to a teenager, Sangeetha embodies the everyday struggles and triumphs of a working woman balancing family life. Her quest for health began with a common goal: weight loss. However, this objective soon evolved into a pursuit of optimal health and fitness, transcending the superficialities of mere physical appearance.  Her approach, 'Rewrite Your Story,' is a testament to her belief in the power of personal transformation through informed choices in diet and fitness. In the podcast, she discusses her personal health challenges, including battling PCOS and pre-diabetes. She candidly discusses the limitations of conventional advice and her transformative journey through the adoption of a low-carb, ketogenic lifestyle.   "I went from being pre-diabetic and overweight to reversing my PCOS and achieving my high school weight," said Sangeetha. "It was not just about vanity but understanding that something deeper was happening with my health."  She explained to Doug that finding a path to good health required her to challenge much of what she had been taught about health and nutrition.  "The ketogenic lifestyle was a complete overturn of what mainstream advice had told me. Embracing animal protein and saturated fat was crucial in my journey towards health," she said. She talked with Doug about the intricacies of tailoring nutrition plans for diverse dietary preferences, particularly focusing on Indian vegetarian diets. She emphasized the importance of restructuring the traditional food pyramid to suit individual needs. For pure vegetarians, she advocates a diet rich in dairy products, supplemented by whey protein, and a balanced intake of lentils, legumes, non-starchy vegetables, and low-carb fruits.  A significant challenge she addresses is catering to vegetarians who are also lactose intolerant. In such cases, she resorts to soy-based products like tofu and tempeh, despite her reservations about soy. She acknowledges the challenges in managing diets for individuals with specific health issues like gluten intolerance and advocates for personalized approaches based on one's tolerance and metabolic markers. Sangeetha stressed the importance of sharing transformative health stories and success cases, especially relating to Indian cuisine adapted to low-carb diets. "Sharing success stories and adaptations of Indian cuisine to low-carb diets is crucial. It's not about eliminating carbs but changing your plate proportion to prioritize protein and healthy options."  Her insights reflect a deep understanding of the complexities of dietary preferences and the importance of customizing nutrition plans. Her focus on education, adaptation, and gradual changes offers a realistic and inclusive approach to healthier eating habits. Connect with Sangeetha Aiyer: Twitter Instagram Website

In the latest episode of the LowCarbUSA® podcast, host Doug Reynolds engages in a fascinating conversation with Hal Cranmer, the visionary behind A Paradise for Parents Senior Living, based in Arizona.  Hal's career journey, which began in the Air Force and traversed through the realms of corporate operations and real estate, took a life-changing turn when he stepped into the world of assisted living. Inspired by his personal experiences of caring for his aging relatives, including an uncle who battled Lou Gehrig's Disease, Hal transformed his real estate acumen into a mission to revolutionize elder care. He discuses with Doug his commitment to providing exceptional care, regardless of the complexity of residents' needs. From basic assistance to advanced memory care, his facility pledges the same level of compassionate care that his uncle received, treating each resident as a valued member of their extended family.  He goes on to describe his unique approach to enhancing metabolic health and fitness in the older population. He shares enlightening perspectives on therapeutic carbohydrate reduction, a method he passionately advocates for in improving the quality of life for the elderly.  Hal's approach to senior care goes beyond traditional methods, focusing on a model that integrates diet and exercise as key components of health. His observations about the detrimental effects of sedentary lifestyles and poor diets among the elderly have led to revolutionary changes in his facilities. By reducing sugary desserts and unhealthy foods, and incorporating regular physical activities, he has seen a significant improvement in the overall health of his residents. This includes a remarkable reduction in the need for medications. His own personal journey with dietary changes adds an authentic layer to his advocacy. Adopting a predominantly animal-based, low-carb diet himself, he experienced firsthand the benefits of this lifestyle change, which he describes as rejuvenating. This personal transformation not only strengthens his belief in the diet's efficacy but also provides a relatable example for others to follow. Perhaps most striking are the improvements he has observed in residents with chronic conditions, particularly diabetes and dementia. By managing blood sugar levels through diet, he has witnessed a decrease in insulin dependency among diabetic residents. Moreover, his concerns about the rising rates of Alzheimer's and dementia underscore his commitment to preventative health measures. He emphasizes the potential of dietary intervention in slowing down, or even preventing, the onset of these conditions. "It's not just about adding years to life, but adding life to years," says Hal, whose dedication to combating chronic illnesses in the elderly through diet is particularly evident when he discusses the potential of therapeutic diets to manage conditions like type 2 diabetes.  He notes the significance of early intervention, stating, "Alzheimer's begins developing long before symptoms appear, often starting in the 30s and 40s." His proactive approach is exemplified in his success story of a resident whose dementia improved dramatically after six months on a ketogenic diet, underscoring the importance of nutrition in managing cognitive decline. Physical activity is another cornerstone of Hal's philosophy. He challenges the conventional wisdom of restricting movement to prevent falls among the elderly. Instead, he advocates for strengthening exercises and outdoor activities, understanding that physical and mental health are deeply interconnected.  "I tell people, the way I want people to not fall is we make them strong enough that they don't fall," Cranmer explains, highlighting the empowering aspect of his approach. This combination of diet and exercise has led to significant improvements in the residents' motivation and overall health. Implementing these lifestyle changes has not been without challenges, particularly resistance from some families and the medical community. Hal points out the irony in how unhealthy foods are readily accepted, while healthier options like the ketogenic diet are often viewed as unconventional. Despite these hurdles, he remains committed to his vision of improving elderly care through a holistic approach.  The most compelling evidence of his success comes from the stories of residents who have dramatically improved under his care. He shares heartwarming anecdotes, such as the 98-year-old resident who, after regaining health and vitality, was able to enjoy a cruise with his family. These stories are not just about medical improvements but also about restoring dignity and joy to the lives of seniors.  "In the eight years I've been doing this, I've sent seven people home that got well enough that they could live at home," Hal proudly shares. Connect with Hal Cranmer: Twitter: A Paradise for Parents  Facebook: https://aparadiseforparents.com Email list signup: https://fightmemoryloss.com Instagram: Assisted_Living_Hal_Cranmer

In a compelling LowCarbUSA® podcast interview with host Doug Reynolds, Dr. Roshani Sanghani shares her multifaceted approach to managing a wide range of health conditions, including type 2 diabetes, thyroid issues, hormone imbalances, weight management, and other metabolic health conditions. An American board-certified endocrinologist, Dr. Sanghani brings 15 years of clinical experience to the table, alongside her own personal journey as a patient of hypothyroidism and pre-diabetes. This personal touch allows her a deep understanding of the struggles many patients face, including medication's side effects and escalating doses. Her philosophy? The true "magic pill" is lifestyle change.  Her medical journey is as layered as her approach to healthcare. She grew up between Chicago and Mumbai, completing her medical training in both cities. Her career took a transformative turn when she encountered a type 2 diabetes patient with a dangerously high HbA1c level who refused insulin. "In a patient compliance model, the doctor holds the power and tells the patient what to do," she told Doug. "I've worked to flip that to a patient empowerment model, where my knowledge as a doctor can empower the patient to decide what they want to do for themselves."  To bolster her approach, Dr. Sanghani became a certified diabetes educator in the U.S., subsequently launching culturally relevant diabetes education classes in Mumbai. "I want to help you make lifestyle changes to reduce your medication," she emphasized. One of her key strategies is addressing the nutritional imbalances many patients face, particularly in India, where vegetarianism is culturally prevalent. "One of the biggest challenges we have is protein deficiency," she noted. To tackle this and other chronic conditions more effectively, she shifted from "one-off" doctor visits to a model of ongoing, three-to-six-month coaching programs. She also calls attention to broader challenges in healthcare, particularly in India, criticizing a traditional, reactive model that is ill-suited for lifestyle-induced chronic diseases.  While discussing the evolving attitudes toward a lifestyle-based approach to healthcare, she admitted her own evolving perspective. "I've sat across from patients probably until 2014, till my eyes opened. I used to convince patients they needed insulin therapy for progressive type 2 diabetes because I just didn't know better."  She is forthright about the complexities of behavior change, calling it a piece that's often missing in healthcare. "Behavior change is extremely complex.  So I took The SMHP™ training to be part of this community and am also working aggressively on coaching techniques." In summary, this interview provides a captivating look at a patient-centered, lifestyle-focused approach to healthcare. It presents a compelling case for a paradigm shift—one that empowers patients rather than merely prescribing to them. This podcast is a must-listen for those interested in sustainable healthcare solutions that tackle root causes instead of solely treating symptoms. You can find her on Instagram @roshanisanghani and through her website.

In a revealing LowCarbUSA podcast interview with host Doug Reynolds, Dr. Diljan Mansoor shares the inspiring yet challenging journey that led him to become an advocate for low-carb diets as a treatment for metabolic illnesses. Dr. Mansoor, who is also known as Dr. Kurt, is an internal medicine doctor who is Nepal's first low carb practitioner. His journey into low-carb nutrition was deeply personal and profoundly influenced by his father's medical struggles, which included type 2 diabetes and kidney damage. "My dad was hypertensive and diabetic, and despite everything I learned in med school, I couldn't control his hyperglycemia," he said. "There was a complication and I lost my dad." This tragic loss left him questioning the medical practices he'd been taught and subsequently sparked his interest in alternative approaches to treating conditions like diabetes and hypertension. His search led him to discover low-carb community experts, including Dr. Jason Fung. "I started digging into this low carb community, and I decided in my post-graduation I'm going to work as a low-carb doctor," he said. Challenging the conventional wisdom around diabetes treatment, Dr. Mansoor focused on preventative measures to stop diabetes from progressing into kidney disease. Dr. Mansoor's clinic in Kathmandu soon boasted more than 6,000 patients benefiting from a low-carb, high-fat diet approach. "Things were beyond my imagination," he said. "I was tapering them off medication, taking them off medication, it was like a miracle for me." His clinic specialized in group counseling sessions for patients suffering from metabolic illnesses like diabetes, hypertension, and other conditions associated with poor dietary habits. The setting not only allowed him to reach and educate more patients simultaneously but also fostered a sense of community among those struggling with similar health issues. However, his non-conventional approach attracted scrutiny from regulatory authorities. They forced the clinic to shut down for three months, citing the absence of scientific papers supporting the low-carb, high-fat diet that he advocated. "They asked me to do counseling one on one. That's what they want me to do," he said. He finally reopened his clinic, and he now conducts one-on-one sessions, still committed to helping metabolically ill patients improve their health through dietary intervention, albeit at a smaller scale. Despite these limitations, his dedication to his patients and his belief in the effectiveness of lifestyle interventions in medicine remain steadfast. Doug took this opportunity to ask Dr. Mansoor if there was anything that can be done to help him as he encounters resistance from authorities in his country. Dr. Mansoor stressed that he will continue to help as many people as he can within the constraints that have been placed on him. He is hopeful for the future, believing that increasing evidence will continue to tip the scales in favor of low-carb diets and metabolic health. "Maybe this is new for my country, but gradually people are going to understand what is happening," he said. The interview serves as an eye-opening journey through the complexities medical practitioners face around the world when advocating alternative health practices.

Host Doug Reynolds welcomes Shashikant Iyengar and Anup Singh to the podcast to discuss their contributions to metabolic health in India, and the upcoming Metabolic Health India Conference slated to take place October 27-29, 2023.  Metabolic Health India will be available for live streaming across the globe.  This resource is being made available at no charge. Shashikant, who is the creator of the Metabolic Health India, was the first Metabolic Health Practitioner accredited by the Society of Metabolic Health Practitioners in India. Singh is the founder and CTO of the dLife.in Indian Diabetes Community, and he is working with Iyengar on the organization of this conference. Iyengar talks about his long career in the pharmaceutical industry before devoting his primary focus to metabolic health and therapeutic carbohydrate reduction. After being diagnosed with Type 2 diabetes in 2015, he went in search of alternative ways to manage the condition. That led him to low-carb, high-fat diets. With guidance from Singh, he saw his HbA1c levels drop from 7.2 to 5.2 in a month. Impressed with the results and armed with multiple certifications, he transitioned into health coaching in November 2022. Anup Singh, also a Type 2 diabetic, went a different route, adopting a 100 grams per day carb limit. Though he faced skepticism from the medical community, his HbA1c dropped to 5.0 in May 2011, underscoring the effectiveness of his approach. He emphasized that the challenges of adopting a low-carb diet in India are cultural, given the heavy reliance on carbohydrates in the traditional diet. Both guests discussed the cultural difficulties of implementing low-carb or keto diets in India. Iyengar pointed out that different Indian regions have unique dietary patterns, making it complicated to offer a one-size-fits-all solution. Anup stressed that while the western model of low-carb is difficult to implement in India, he has found success in adapting the approach to suit Indian palates. The podcast ended with a discussion of the upcoming Metabolic Health India Conference, which aims to bring more awareness and resources to the low-carb community in India. Both guests are enthusiastic about their roles in helping people navigate metabolic health challenges in India and look forward to sharing their experiences at the upcoming conference.  

Tune in for a compelling episode of the LowCarbUSA podcast featuring guest Dr. Laura Buchanan, a board-certified family medicine physician who graduated valedictorian from the University of Florida College of Medicine. Dr. Buchanan recently completed her family medicine residency at Wake Forest in 2022 and now collaborates with Dr. Tro Kalayjian at Dr. Tro's Medical Weight Loss and Direct Primary Care. Both serve on the board of directors at the Society of Metabolic Health Practitioners (The SMHP™). In this episode, host Doug Reynolds and Dr. Buchanan explore the intriguing intersections of longevity, metabolic health, lifestyle changes, and chronic disease management. she offers her unique perspective on lifestyle modification as a first-line standard of care, emphasizing her dual role as a physician: promoting prevention and practicing medicine. This conversation provides invaluable insights into the real-world effectiveness and scientific underpinnings of low-carbohydrate lifestyles. Dr. Buchanan shares critical insights based on her clinical and research experience, stating, "The standard dietary advice has failed us. It's time for a shift in the paradigm." She highlights the transformative outcomes she has witnessed in her patients, adding, "When people understand the 'why' behind nutritional changes, their adherence and success skyrocket." Reynolds complements this perspective by saying, "I've seen countless lives changed, including my own, by just understanding the right way to eat." Dr. Buchanan discusses the advancements and contributions of the Society of Metabolic Health Practitioners in the field of evidence-based medicine. She highlights the focus on type 1 diabetes in the upcoming 2024 Boca Symposium for Metabolic Health and the organization's efforts to secure ACCME accreditation, which will make it easier for other conferences to earn credits and attract more attendees. Additionally, she talks about the forthcoming Journal of Metabolic Health, aimed at expediting the dissemination of new research in the areas of ketosis and carbohydrate reduction. She mentions mentoring programs designed to guide people through the process of submitting research papers and case studies. She also reflects on her experiences and frustrations in conventional medicine settings, particularly the resistance to low-carb interventions and dietary advice. She underscores the lack of data supporting conventional beliefs that low-carb or ketogenic diets are harmful, pointing out their efficacy in treating conditions like eating disorders and metabolic diseases. Laura notes a growing interest in metabolic health within the medical community, suggesting that change is happening, albeit slowly. She is also developing a new four-week course focused on diabetes to educate the public about the disease's prevalence and dangers, viewing these educational programs as essential steps toward combating widespread issues like diabetes and insulin resistance.