This is brilliant. I'm so grateful for the public medical practitioners of the carnivore community. I'd probably be dead now if it wasn't for the information I find through you all. ❤
3 months ago today My triglycerides were 191. My LDL was slightly like 100. My doctor wined over my LDL but did not say a word of my triglycerides. So from that point on up until today 90 days later everything is back to normal due to changing my diet over to a carnivor. Interesting note you know my triglycerides are 60.
I'm wondering here, if your patients' stress levels have been taken into account. Stress can wreak havoc on all the bodily systems (as I'm sure you know, Dr. Cywes.) It can suppress immune & thyroid function, BP, enzyme production & digestion, mental health...literally everything. Since it wasn't mentioned, I thought to raise it as not to be overlooked.
Excellent video very compelling. I am 69 years old. Been on carnivore for almost a year eating fatty meats. Previously, I suffered from metabolic syndrome, hyper insulinemia, and now hyper lipidemia. I’ve always been an active athlete, but have always had a sugar addiction up until a year ago. I am currently competing as an amateur cyclist and doing CrossFit. I believe I’m a LMHR. I am 5’7.5” tall and weigh 145. Here is my latest bloodwork, total chol-768, HDL-85, tri-117, ldl-350, GLUCOSE-77, BUN-24, CREATININE-1.08, EGFR-75, AST-21, ALT-22, A1c-5.1, protein total, 7.1. Cardiac calcium score 33. Overall fitness level excellent, no heart history issues. My question is do I need to also add milk to my diet have been into ketosis for a long time and I’m enjoying the consistent energy that I have when I train.
@@kathrin9674 I don’t know good question I’m simply reading the information off of my quest blood panel results. In the blood panel results that states the following, “Total Cholesterol is a combination of three tvpes of cholesterol: HDL, LDL, and part of triglycerides.”
I think this video might have just saved my life. I've been in an accute and sudden episode of CFS for two weeks. So much brain fog and bodily exhaustion. This is not typical illness. This is something serious. I sobbed the other day because I couldn't figure out how to use my fork and knife nor had the energy to do so. Walking from one room to another as if I'm an old lady. Keto four months, carnivore one month. Working out with weights 3 to 4 days a week, lost 18 pounds in four months. Two weeks into strict carnivore, and it's like someone unplugged me. I can't work. I can't drive. I can barely get out of bed for more than 1/2 an hour to do one task. So much testing to look at thyroid, EBV virus, Lymes disease, etc. Thyroid was fine and everything else negative. But my blood panel!!! 350 cholesterol, 250 LDL, 44 HDL, and 148 triglycerides. My blood panel, page by page, almost exactly mirrored the female in this video except for me having much lower HDL. I was shocked at the ending. Thought, okay, what the heck! Let's try some milk. Two large glasses today. All my brain fog is gone, vanished. I'm working. If I had to drive somewhere, I could. If I can string three days together like this, I'm getting back to working out. And I'm keeping the milk.
Thank you Dr. Cywes. Awesome video. My stats. " Triglycerides at 138, HDL 63, would fat loss cause trigs to be 138? TC 493, LDL 377. I keep carbs under 20 grams always and have for over 3 years, 90 to 110 grams protein and fat to protein ratio
Thank you Dr, I needed this! JUST (Like an hour ago) got my cholesterol numbers. total was 304 and tri was 75 and HDL was 71. LDL 218 and ratio was 4.3. Non-HDL chol was 233. I am much less worried about these numbers now :) Been keto for 18 months and ketovore moving to carnivore for the last year. Just did a 5 day fast and have now lost 65 pounds, almost underweight and looking to start gaining some weight now. 51M, 5'10" 155 (from 221). THANKS DR CYWES!! Ohhh yeah, CAC was 1! I fix CT scanners and my buddy scanned me (legit ordered and sent through proper chain, it cost 45$) and she let me see the results, looked for tumors in my lungs and upper abdomen, pretty cool stuff! One little plaque was all I saw. AS an aside, you said "I am the carb addiction Doc, and it translated to "I am the carb addiction Duck"!!! Quack! woah, that's derogatory for Doc, no offense my good good friend :)
My GP and cardiologist are adamant that statins save life. They don’t look at the fact my triglycerides are low and HDL high, I’m slim, fit and active. All they see is my very high LDL. It’s so frustrating and it makes me so angry, so many people having to take these doctors advice because they can’t do their own reading and work it out for themselves
Great story. Conclussion was obvious to me cause when I have started carnivore I had similar problems. For some reason I was craving for... yoghurt. So I bought some of them cause I was looking for the one I will like and I've testem them all and picked greek yoghurt. Some time later all the problems were gone. Some dairy have solved everything and I eat my greek yogo atleast few times a week.
Wow! I think this video is one of The most interesting videos I’ve watched on RUclips! Looove medical detective work! Will you tell us later if those 2 persons lowered their tryglicerides?
if I understand the analysis, the two patients *can* take steps to trigger insulin if they want to try to bring down their triglyceride numbers, but they don't *need* to because they are not at risk for CVD from their diet based on their other numbers
Nonalcoholic fatty liver disease will now be called metabolic dysfunction-associated steatotic liver disease, or MASLD, according to new nomenclature adopted by a global consensus panel composed mostly of hepatology researchers and clinicians.
This is brilliant to watch with your blood results. My urea was high on the standard diet and low on low carb. Very interesting. My latest ldl was 458, it crept up while my triglycerides went down. I’m 5 10 and 154 pounds. Very lean. My alt ast hasn’t budged from 20. My A1C has normalised by Irish standards from 6.3 to 5.8. Based on results from Nov 2022, Feb 2023 and July 2023. I went low carb in Dec 2022, alcohol on Jan and coffee in July.
This was a fantastic episode. I am coming up on my next set of bloodwork 6 months after my last batch earlier this year. I have had a fasting insulin level of
Hey, Doc! Your videos are thought-provoking! I have: Trig=86, insulin = 3.2, A1c = 3.82, HDL=55, Gluc=74, liver, & c. is normal. Kosher? A little milk maybe for me, too. Curious.
Great video Dr , I'm early days on the carnavour diet, only 2 months , being told that I was pre diabetic, made me get my ass into gear on health , I'll get my blood work done in a couple of months and look at the results
QUESTION: When did cholesterol blood tests start being taken? I'm wondering if the timing coincides with when the SAD diet started. The reason I am wondering this is that there may have been a lot of people prior to the cholesterol tests being done and were metabolically healthy who had high LDL results but because they weren't being tested it wasn't known about. I've been low carb for 21 months and my LDL increased 3 times for the blood tests where were done post 7 months on low carb, and my trig/HDL has improved each time. I'm a 65 yo F with CAC of 0 and both the cardiologist and GP recommend statin. In fact I thought my GP was going to have kittens when I got my results from her this week when she told me that I am at a high risk (might have said very high) of heart disease; I don't know if she was concerned, frustrated or angry that I am not following her advice. Interestingly she knows that I am low carb but she never asked what I eat, said anything diet, suggest seeing a dietician or discussed that I might consider changing what I am eating. That to me is a red flag. And she was more interested in the total cholesterol and LDL; but I said that my Trig/HDL ratio is good. I'm very thankful for the people who are providing quality information about low carb and what changes can occur and whether we need to be concerned. I was going to get an LDL particle test done, but according Dr Paul Mason's information I am an LDL hyper responder with a Pattern A.
it did and the range went down after bringing statins to the market. Earlier times ( I can remember those time bc we in Europe tend to be a little bit behind - trigylcerides e.g. are considered normal up to 180) it was 200 + age. Questionably, if you'd ask me.
@@kathrin9674 Thanks Kathrin. I've been thinking about this overnight and realised that smoking, which is known/proven? to cause heart disease, was prevalent up until the early 1980s. Diets changed to higher processed foods and progressively got more highly processed from about the 1960s. Statins (developed 1976) started being used in humans in 1987. Dr Ken Berry said that the normal blood pressure range used to be higher than it is now. Like statins it may be that the acceptable range was lowered for blood pressure lowering drugs. Another example is the antidepressants and the now debunked myth that people need an antidepressant for life (which many medical professionals still say; I was told this in 2010 - I needed an antidepressant like a diabetic needs insulin) of the supposed "chemical imbalance". After being on an AD for 25+ years I have managed to get off for nearly 2 years now and I definitely do not need to be on one for life! I have no proof but I think eating low carb helps with mental clarity and mental health, and other have said the same.
Here are a couple questions that I saw incomplete in the video. And what should the range be for insulin for a carnivore? For glucagon, you said, low for obesity recovery, and high, 30 to 40, for carnivore veteran. What range would you want to see for obesity recovery patient?
Dr Cywes, would you give an episode about the long-term effects of being on megace (or similar drugs) for 20 yrs.? It was necessary for uterine cancer, but had Cushing like symptoms. It's been since 2006 when my meds were changed to femera. Is it possibly to lose weight and keep it off. Right now my highest caloric day is 1700 cals, the average day is around 1300 cals. 5'1" tall and 70 years old. Please address this so I know if this is something I can fix or if I need to just accept my weight and continue to live as healthy a life style as I can. Thank you Dr. Cywes for what you are doing.
My triglycerides are comfortably low, last they were checked. But ethanol is converted to triglycerides too! I don’t know whether eliminating ethanol is essential, but… Last value I have is in late May 2023, 61 mg/dl, fairly low after a couple months of somewhat low ethanol use. Should I just not use ethanol at all? Maybe. I suspect that there are more powerful sources of triglycerides out there. Doesn’t mean that I can start serious boozing with no consequences!
Ethanol use is a separate issue: It's the liver that detoxes alcohol, and yes, part of the process results in triglyceride production - that stays mostly in the liver. Too much alcohol detoxing will result in fatty liver, and if continued will cause liver damage and a serious risk of cirrhosis and cancer.
I have to disagree with you regarding recommending that the goal for triglycerides should be in the 40's & 50's mg/dl in these two patients you highlight or for the average person in general. You mention that both patients are relative lean but no history of their exercise routine if they engage in any routine exercise activity at all. As you know, regular exercise of an aerobic nature or in combination with HIT will significantly lower triglycerides to below 100 for many individuals but almost never to the levels you recommend. You are blessed with such a low triglyceride level and for that matter your hdl cholesterol level as well. Thank you for you blood chemistry and clinical lab results explanations for these two patients as well as the overall education your provide.
I believe Shawn Baker says that if you're on a carnivore diet then you should fast for 18 hours before having blood drawn for tests. I wonder if that would make a difference on their results...
1st patient (male) Tri/Hdl was 1.893333333333333, anything below 2 is a win. 2nd patient (female) Tri/HDL is 1.072727272727273 again, anything below is a win.
I would lean toward a Trig/HDL ratio closer to 1 in order to call it a win. But, as Dr. Cywes points out, you want to make your assessment by looking at many other test results altogether.
You just described my situation to a TEE. My question is wouldn't a single meal high in protein stimulate insulin enough. I don't want to be adding carbs back in. My insulin and c-peptide were also very low. Insulin suppression. HDL high but TG 98-117 on two occasions. Also lean mass responder without the super low TG but with a BMI 18.5 and high LDL-C and TC
I am not at this point to even worry about this. Hopefully this time I will break the cycle of addiction I only like milk if it is poured into cereal. So milk would be a no-go. Would full fat Greek yogurt work or cheese?
Hello Dr. Cywes. Thanks for the video. I would greatly appreciate your take on semaglutide's mechanism of action on the human body. If possible please focus on how lipolysis can occur while semaglutide-induced elevated insulin levels exist. It seems counterintuitive. I've always been under the impression that lowered insulin levels are best for effective lipolysis. Is it possible for the body to use other things, other than body fat, for energy when semaglutide-induced insulin levels are present? Thanks for the info. Have a good one.
I'm confused. I thought that when I eat a 0 carbohydrate diet, my blood sugar comes from gluconeogenesis which is my liver converting fat to sugar. You said several times that since these people are carnivore, they get their blood sugar from converted protein. Maybe you could discuss this in a future video. Thanks!
The way I understand it, the liver only offers about 20% glucose, the rest comes from fat conversion to Ketones, which is another fuel. I just learned Alcoholics create acetate, ANOTHER fuel for the body. Always wondered why alcoholics in their 50's and on hardly ever eat. They are literally drinking their fuel, but it doesn't end well.
I need to find someone who can help with my blood numbers here in fly over NW Iowa or where I winter in west central AZ. I started keto in March and have transformed to carnivore in May after a CAC score of 429. I've had high triglycerides for several years while being just under obese. 73 years old now and seem to have no energy unless I've had a fatty meal within 4 hours. Maybe I should move my winter home to Florida.
Triglycerides (mmol/L) Oct 2020 - 1.74; Oct 2022 - 1.67; Jan 2923 - 1.82 - Was not tested when I went for my A1C in May 2023 - Dr. has never spoken to me about this. There were 6 other things that were high that were never tested. Is this because I am 75 and not important anymore? This past year - on keto -A1C is down to 6.5 from 8.9, Glucose fasting is to 7 from 11.4 and I have lost 25 lbs.
I appreciate this channel so much, but if you can put the UK equivalents on the screen, that would make things much easier to follow 😅 Thank you for clearing up the effect of higher triglycerides. I was curious as to how mine was double HDL but now it makes sense with it being from excess protein 🥩
@@josephcostello1812 I don't joke! Hi told - I don't care how high your HDL or how low your TG are, your LDL is crazy high! I have the drug to take them down! Your will go to the MAX dose!
👍👍💯💯💯💯💯💯❤❤❤💥💥🙂 love this Doctor that was amazing i want him for my Doctor I'm going to call him and have him do my lab work to see what's going on with me I do OMAD Carnivore 24hr
So the female patient is 5 feet tall, 128 lbs on a *Carnivore* diet. 😮I'm 5 feet 1/2 inches tall. I'm mostly 90 to 93 lbs. I'm an omnivore. One time I went Carnivore for about one month. I dropped to 86 lbs. It took a few months going back to omnivore to regain my weight! Most people lose a lot of weight on Carnivore. I guess she's an anomaly. Interesting about introducing *dairy* into diet to lower triglycerides. You're a *great* medical detective! I've been losing interest in cheese. Can't tolerate milk. So I'll try yogurt instead! 👍
@@kathrin9674 Not body shaming. Dr Cywes has said she's overweight, has insulin suppression, & high triglycerides. He's fixing it by recommending dairy to her. So if it is a fix, she'll have a *new* problem. She'll need to continuously spend *money* on new *clothes* as she starts losing weight & continue to do so until her body reaches a *new* equilibrium.
I work in an ER. I worked 2 jobs the entire pandemic. Never took the vaccine, this includes the flu vaccines too. I do not eat sugar or carbs. Many years ago, our annual education told us soap and water and friction was the best for germ control. Then they said hand sanitizer was the best. Hand sanitizer has endocrine disruptive properties. I just use soap and water, like old school taught me. I don't socialize during the winter months. Nothing BUT sick people from socializing during cold and flu season. I had a covid pisitive baby sneeze right in my face the other night. Ok. The RN told me the baby was postive AFTER the baby sneezed on me. I am fine.
Have tremendous respect for upholding your Hippocratic oath....you are truly HEALING people ! Thank you Dr Cywes for ALL you do.
Dr Cywes you are highly respected. Thank you
This is brilliant. I'm so grateful for the public medical practitioners of the carnivore community. I'd probably be dead now if it wasn't for the information I find through you all. ❤
3 months ago today My triglycerides were 191. My LDL was slightly like 100. My doctor wined over my LDL but did not say a word of my triglycerides. So from that point on up until today 90 days later everything is back to normal due to changing my diet over to a carnivor. Interesting note you know my triglycerides are 60.
I'm wondering here, if your patients' stress levels have been taken into account. Stress can wreak havoc on all the bodily systems (as I'm sure you know, Dr. Cywes.) It can suppress immune & thyroid function, BP, enzyme production & digestion, mental health...literally everything. Since it wasn't mentioned, I thought to raise it as not to be overlooked.
Every time I watch your content, I'm filled with gratitude!
Thank you Dr. Cywes for the good work you do. You're simply amazing!
So interesting. I hope yoy will update us on these two patients after they have their next blood work done.
Absolutely fascinating how you work through this maze of numbers. This is the future!
Love the shout-out to Ben Bikman....he is a metabolic genius, as are you Dr. Bob!
Excellent video very compelling. I am 69 years old. Been on carnivore for almost a year eating fatty meats. Previously, I suffered from metabolic syndrome, hyper insulinemia, and now hyper lipidemia. I’ve always been an active athlete, but have always had a sugar addiction up until a year ago. I am currently competing as an amateur cyclist and doing CrossFit. I believe I’m a LMHR. I am 5’7.5” tall and weigh 145. Here is my latest bloodwork, total chol-768, HDL-85, tri-117, ldl-350, GLUCOSE-77, BUN-24, CREATININE-1.08, EGFR-75, AST-21, ALT-22, A1c-5.1, protein total, 7.1. Cardiac calcium score 33.
Overall fitness level excellent, no heart history issues. My question is do I need to also add milk to my diet have been into ketosis for a long time and I’m enjoying the consistent energy that I have when I train.
question: how do LDL and HDL sum up up to 768?
@@kathrin9674 I don’t know good question I’m simply reading the information off of my quest blood panel results. In the blood panel results that states the following, “Total Cholesterol is a
combination of three tvpes of cholesterol: HDL, LDL, and part of triglycerides.”
Thanks doc for explaining these very specific cases that show very much not to be dogmatic but rather be responsible with sugar!
Got my last bloodwork out you that you ordered and took notes. Excellent class Dr Cywes, I am SO glad that you are my doctor!!!
I am so looking forward to having my consult. So much awesome information that I have NEVER gotten in with my conventional Provider.
I think this video might have just saved my life. I've been in an accute and sudden episode of CFS for two weeks. So much brain fog and bodily exhaustion. This is not typical illness. This is something serious. I sobbed the other day because I couldn't figure out how to use my fork and knife nor had the energy to do so. Walking from one room to another as if I'm an old lady. Keto four months, carnivore one month. Working out with weights 3 to 4 days a week, lost 18 pounds in four months. Two weeks into strict carnivore, and it's like someone unplugged me. I can't work. I can't drive. I can barely get out of bed for more than 1/2 an hour to do one task. So much testing to look at thyroid, EBV virus, Lymes disease, etc. Thyroid was fine and everything else negative. But my blood panel!!! 350 cholesterol, 250 LDL, 44 HDL, and 148 triglycerides. My blood panel, page by page, almost exactly mirrored the female in this video except for me having much lower HDL. I was shocked at the ending. Thought, okay, what the heck! Let's try some milk. Two large glasses today. All my brain fog is gone, vanished. I'm working. If I had to drive somewhere, I could. If I can string three days together like this, I'm getting back to working out. And I'm keeping the milk.
Amazing video, and I just had my labs, so it helps me understand them, thanks you for your hard work!
Thank you for the research and discovery it has taken for intricate, detailed labs that explain better health. Never get tired of more learning!
Excellent! I love your personal talks like this. Hope for adult children❤
That's my doctor! You go, dude!! Brilliant, as usual.
I need to set an appointment with you! It is my goal to get my blood work ordered and read by you to see how I’m doing.
Thank you Dr. Cywes. Awesome video. My stats. " Triglycerides at 138, HDL 63, would fat loss cause trigs to be 138? TC 493, LDL 377. I keep carbs under 20 grams always and have for over 3 years, 90 to 110 grams protein and fat to protein ratio
Thank you Dr, I needed this! JUST (Like an hour ago) got my cholesterol numbers. total was 304 and tri was 75 and HDL was 71. LDL 218 and ratio was 4.3. Non-HDL chol was 233. I am much less worried about these numbers now :) Been keto for 18 months and ketovore moving to carnivore for the last year. Just did a 5 day fast and have now lost 65 pounds, almost underweight and looking to start gaining some weight now. 51M, 5'10" 155 (from 221). THANKS DR CYWES!! Ohhh yeah, CAC was 1! I fix CT scanners and my buddy scanned me (legit ordered and sent through proper chain, it cost 45$) and she let me see the results, looked for tumors in my lungs and upper abdomen, pretty cool stuff! One little plaque was all I saw. AS an aside, you said "I am the carb addiction Doc, and it translated to "I am the carb addiction Duck"!!! Quack! woah, that's derogatory for Doc, no offense my good good friend :)
This is a really good lecture. The setup is a bit lengthy, but it's worth it.
Nearly 4 years keto, this is the kind of insight into how complex the long term considerations can be. Thanks.
Bravo! That was like watching a symphony!
wow this episode was an edge of your seat educational Blood Tests Murder Mystery until the very end! Well done!
Thanks for all you do.
Excellent video!
My GP and cardiologist are adamant that statins save life. They don’t look at the fact my triglycerides are low and HDL high, I’m slim, fit and active. All they see is my very high LDL. It’s so frustrating and it makes me so angry, so many people having to take these doctors advice because they can’t do their own reading and work it out for themselves
Great story.
Conclussion was obvious to me cause when I have started carnivore I had similar problems. For some reason I was craving for... yoghurt. So I bought some of them cause I was looking for the one I will like and I've testem them all and picked greek yoghurt. Some time later all the problems were gone. Some dairy have solved everything and I eat my greek yogo atleast few times a week.
Bravo Dr. What a lesson in bloodwork analysis. Thank you.
Thank you so much. Great listening
I love what you are doing with these peronal stories.
Wow! I think this video is one of The most interesting videos I’ve watched on RUclips! Looove medical detective work! Will you tell us later if those 2 persons lowered their tryglicerides?
Extremely interesting.
This was absolutely fascinating!
if I understand the analysis, the two patients *can* take steps to trigger insulin if they want to try to bring down their triglyceride numbers, but they don't *need* to because they are not at risk for CVD from their diet based on their other numbers
Nonalcoholic fatty liver disease will now be called metabolic dysfunction-associated steatotic liver disease, or MASLD, according to new nomenclature adopted by a global consensus panel composed mostly of hepatology researchers and clinicians.
This is brilliant to watch with your blood results. My urea was high on the standard diet and low on low carb. Very interesting. My latest ldl was 458, it crept up while my triglycerides went down. I’m 5 10 and 154 pounds. Very lean. My alt ast hasn’t budged from 20. My A1C has normalised by Irish standards from 6.3 to 5.8. Based on results from Nov 2022, Feb 2023 and July 2023. I went low carb in Dec 2022, alcohol on Jan and coffee in July.
Nice
Excellent video...thank you for always sharing your knowledge and not making people feel weak because they struggle with obesity and sugar issues.
Once again, bringing the truth and saving lives 👍
I’m anxious to hear the outcome Keep us posted Thanks
Great Vid, as simple as that lol. Pure milk. Thanks for all you do.
This was a fantastic episode. I am coming up on my next set of bloodwork 6 months after my last batch earlier this year. I have had a fasting insulin level of
Hey, Doc! Your videos are thought-provoking!
I have:
Trig=86, insulin = 3.2, A1c = 3.82, HDL=55, Gluc=74, liver, & c. is normal. Kosher? A little milk maybe for me, too. Curious.
Likely
@@robertcywes2966 Thanks!
Amazing video! Explains a lot!
Tant'è all right❤
Wow!!!👍
Great video Dr , I'm early days on the carnavour diet, only 2 months , being told that I was pre diabetic, made me get my ass into gear on health , I'll get my blood work done in a couple of months and look at the results
Great video and why I trust Dr C to analyze my bloodwork for health and nutritional advice. Thank you!
Thank you for this!
Thanks Doc.
Health like almost everything else is dynamic.
QUESTION: When did cholesterol blood tests start being taken? I'm wondering if the timing coincides with when the SAD diet started. The reason I am wondering this is that there may have been a lot of people prior to the cholesterol tests being done and were metabolically healthy who had high LDL results but because they weren't being tested it wasn't known about. I've been low carb for 21 months and my LDL increased 3 times for the blood tests where were done post 7 months on low carb, and my trig/HDL has improved each time. I'm a 65 yo F with CAC of 0 and both the cardiologist and GP recommend statin. In fact I thought my GP was going to have kittens when I got my results from her this week when she told me that I am at a high risk (might have said very high) of heart disease; I don't know if she was concerned, frustrated or angry that I am not following her advice. Interestingly she knows that I am low carb but she never asked what I eat, said anything diet, suggest seeing a dietician or discussed that I might consider changing what I am eating. That to me is a red flag. And she was more interested in the total cholesterol and LDL; but I said that my Trig/HDL ratio is good. I'm very thankful for the people who are providing quality information about low carb and what changes can occur and whether we need to be concerned. I was going to get an LDL particle test done, but according Dr Paul Mason's information I am an LDL hyper responder with a Pattern A.
it did and the range went down after bringing statins to the market. Earlier times ( I can remember those time bc we in Europe tend to be a little bit behind - trigylcerides e.g. are considered normal up to 180) it was 200 + age. Questionably, if you'd ask me.
@@kathrin9674 Thanks Kathrin. I've been thinking about this overnight and realised that smoking, which is known/proven? to cause heart disease, was prevalent up until the early 1980s. Diets changed to higher processed foods and progressively got more highly processed from about the 1960s. Statins (developed 1976) started being used in humans in 1987. Dr Ken Berry said that the normal blood pressure range used to be higher than it is now. Like statins it may be that the acceptable range was lowered for blood pressure lowering drugs. Another example is the antidepressants and the now debunked myth that people need an antidepressant for life (which many medical professionals still say; I was told this in 2010 - I needed an antidepressant like a diabetic needs insulin) of the supposed "chemical imbalance". After being on an AD for 25+ years I have managed to get off for nearly 2 years now and I definitely do not need to be on one for life! I have no proof but I think eating low carb helps with mental clarity and mental health, and other have said the same.
You added milk would soft or hard cheese do this also? Also whole milk only?
Always inspiring!
Brilliant explanation! How do we push this out to other docs, especially the cardiology folks who freak out when they see our labs! ❤❤❤
Excellent video!! Thank you!!
Here are a couple questions that I saw incomplete in the video.
And what should the range be for insulin for a carnivore?
For glucagon, you said, low for obesity recovery, and high, 30 to 40, for carnivore veteran. What range would you want to see for obesity recovery patient?
There is a misunderstanding about carbohydrates. They are not the enemy. Our body produces them for a reason.
thank u sir
Dr Cywes, would you give an episode about the long-term effects of being on megace (or similar drugs) for 20 yrs.? It was necessary for uterine cancer, but had Cushing like symptoms. It's been since 2006 when my meds were changed to femera. Is it possibly to lose weight and keep it off. Right now my highest caloric day is 1700 cals, the average day is around 1300 cals. 5'1" tall and 70 years old.
Please address this so I know if this is something I can fix or if I need to just accept my weight and continue to live as healthy a life style as I can.
Thank you Dr. Cywes for what you are doing.
My triglycerides are comfortably low, last they were checked. But ethanol is converted to triglycerides too! I don’t know whether eliminating ethanol is essential, but…
Last value I have is in late May 2023, 61 mg/dl, fairly low after a couple months of somewhat low ethanol use. Should I just not use ethanol at all? Maybe. I suspect that there are more powerful sources of triglycerides out there. Doesn’t mean that I can start serious boozing with no consequences!
Ethanol use is a separate issue: It's the liver that detoxes alcohol, and yes, part of the process results in triglyceride production - that stays mostly in the liver. Too much alcohol detoxing will result in fatty liver, and if continued will cause liver damage and a serious risk of cirrhosis and cancer.
I have to disagree with you regarding recommending that the goal for triglycerides should be in the 40's & 50's mg/dl in these two patients you highlight or for the average person in general. You mention that both patients are relative lean but no history of their exercise routine if they engage in any routine exercise activity at all. As you know, regular exercise of an aerobic nature or in combination with HIT will significantly lower triglycerides to below 100 for many individuals but almost never to the levels you recommend. You are blessed with such a low triglyceride level and for that matter your hdl cholesterol level as well. Thank you for you blood chemistry and clinical lab results explanations for these two patients as well as the overall education your provide.
I believe Shawn Baker says that if you're on a carnivore diet then you should fast for 18 hours before having blood drawn for tests. I wonder if that would make a difference on their results...
I only fasted 16 hours and my kidney and liver panel results are crystal clear on 3-year keto/carnivore❤
Do you recommend drinking the milk at meal time after eating meat or away from meal time?
Thanks
1st patient (male) Tri/Hdl was 1.893333333333333, anything below 2 is a win. 2nd patient (female) Tri/HDL is 1.072727272727273 again, anything below is a win.
I would lean toward a Trig/HDL ratio closer to 1 in order to call it a win. But, as Dr. Cywes points out, you want to make your assessment by looking at many other test results altogether.
My Doc doesn't do extensive blood work, ever!
My wife can't drink milk since milk trigers cystic acne. What can she eat or drink that will trigger an insulin response like milk?
You just described my situation to a TEE. My question is wouldn't a single meal high in protein stimulate insulin enough. I don't want to be adding carbs back in. My insulin and c-peptide were also very low. Insulin suppression. HDL high but TG 98-117 on two occasions. Also lean mass responder without the super low TG but with a BMI 18.5 and high LDL-C and TC
I am not at this point to even worry about this. Hopefully this time I will break the cycle of addiction I only like milk if it is poured into cereal. So milk would be a no-go. Would full fat Greek yogurt work or cheese?
Does anyone know if Dr Cyves
accept Canadian patients if we pay out of pocket for appointments?
Hello Dr. Cywes. Thanks for the video. I would greatly appreciate your take on semaglutide's mechanism of action on the human body. If possible please focus on how lipolysis can occur while semaglutide-induced elevated insulin levels exist. It seems counterintuitive. I've always been under the impression that lowered insulin levels are best for effective lipolysis. Is it possible for the body to use other things, other than body fat, for energy when semaglutide-induced insulin levels are present? Thanks for the info. Have a good one.
My triglycerides are 55 and hdl is 59. Been ketovore for 3 months. Am I ok?
I wish there is translation to units we use in Europe so that I can follow what is talk about
We do use the same units, dear. Otherwise use a converte, there are plenty on the Internet.
What about heavy cream? Can you use instead of milk.
Don’t think so because you want the sugar that is in milk but not heavy whipping cream.
Blood work should be extensive otherwise things are missed.
Sweet! No pun intended - lol
I'm confused. I thought that when I eat a 0 carbohydrate diet, my blood sugar comes from gluconeogenesis which is my liver converting fat to sugar. You said several times that since these people are carnivore, they get their blood sugar from converted protein. Maybe you could discuss this in a future video. Thanks!
The way I understand it, the liver only offers about 20% glucose, the rest comes from fat conversion to Ketones, which is another fuel. I just learned Alcoholics create acetate, ANOTHER fuel for the body. Always wondered why alcoholics in their 50's and on hardly ever eat. They are literally drinking their fuel, but it doesn't end well.
the body is able to convert proteins into sugar if presented in a large amount. Look up gluconeogenesis from protein. hth.
Humans are not carnivores! We are fruits eaters!
@@adrianaghitoaie2996
What did we do during the winter, spring, and summer months? Fruit is only available in one season
I need to find someone who can help with my blood numbers here in fly over NW Iowa or where I winter in west central AZ. I started keto in March and have transformed to carnivore in May after a CAC score of 429. I've had high triglycerides for several years while being just under obese. 73 years old now and seem to have no energy unless I've had a fatty meal within 4 hours. Maybe I should move my winter home to Florida.
Triglycerides (mmol/L) Oct 2020 - 1.74; Oct 2022 - 1.67; Jan 2923 - 1.82 - Was not tested when I went for my A1C in May 2023 - Dr. has never spoken to me about this. There were 6 other things that were high that were never tested. Is this because I am 75 and not important anymore? This past year - on keto -A1C is down to 6.5 from 8.9, Glucose fasting is to 7 from 11.4 and I have lost 25 lbs.
If the woman has autoimmune/Hashimoto's, why dairy ? Suppose to stay Away from dairy with that???????
I appreciate this channel so much, but if you can put the UK equivalents on the screen, that would make things much easier to follow 😅
Thank you for clearing up the effect of higher triglycerides. I was curious as to how mine was double HDL but now it makes sense with it being from excess protein 🥩
Great point. Yes, can we have U.K. equivalents on screen, please?
Can hypothyroidism also be associated with high triglycerides?
Mine shot up when I went on thyroid medicine. Not back down yet. Dr has no answers except, we sometimes see this
Terrible
What are the downsides for staying in ketosis/starvation mode for too long ? And what is too long?
I really need to know this aswell
TG 20 HDL 98 LDL 240. Doctor is crazy...
Ha ha
@@josephcostello1812 I don't joke! Hi told - I don't care how high your HDL or how low your TG are, your LDL is crazy high! I have the drug to take them down! Your will go to the MAX dose!
👍👍💯💯💯💯💯💯❤❤❤💥💥🙂 love this Doctor that was amazing i want him for my Doctor I'm going to call him and have him do my lab work to see what's going on with me I do OMAD Carnivore 24hr
So now you sell ketone supplements? What about your video Ep:74 BEING IN KETOSIS IS USELESS! It's all about fat adaptation. - by Robert Cywes
My triglyceride is 44 and my HDL is 71. Ekkkk not 75
Your good to go!
So the female patient is 5 feet tall, 128 lbs on a *Carnivore* diet. 😮I'm 5 feet 1/2 inches tall. I'm mostly 90 to 93 lbs. I'm an omnivore. One time I went Carnivore for about one month. I dropped to 86 lbs. It took a few months going back to omnivore to regain my weight! Most people lose a lot of weight on Carnivore. I guess she's an anomaly. Interesting about introducing *dairy* into diet to lower triglycerides. You're a *great* medical detective! I've been losing interest in cheese. Can't tolerate milk. So I'll try yogurt instead! 👍
I guess she simply has the weight her body thinks might be ok for her. Do we start weight-shaming even HERE!?
@@kathrin9674 Not body shaming. Dr Cywes has said she's overweight, has insulin suppression, & high triglycerides. He's fixing it by recommending dairy to her. So if it is a fix, she'll have a *new* problem. She'll need to continuously spend *money* on new *clothes* as she starts losing weight & continue to do so until her body reaches a *new* equilibrium.
Ooohhhh! Does that mean if we're healthy enough to ever get to that point that we could add more cheese in (as opposed to milk)???
What about Apob?
ApoB is very important. No, actually, ApoB is irrelevant. Confusion is what you'll discover if you watch enough videos on RUclips.
Dr Berry doesn’t believe the verdict is out on Apob
Dog's milk yum🥛😋
I work in an ER. I worked 2 jobs the entire pandemic. Never took the vaccine, this includes the flu vaccines too. I do not eat sugar or carbs. Many years ago, our annual education told us soap and water and friction was the best for germ control. Then they said hand sanitizer was the best. Hand sanitizer has endocrine disruptive properties. I just use soap and water, like old school taught me. I don't socialize during the winter months. Nothing BUT sick people from socializing during cold and flu season.
I had a covid pisitive baby sneeze right in my face the other night. Ok. The RN told me the baby was postive AFTER the baby sneezed on me. I am fine.
F Keto IQ
I'm about halfway through and it sure takes you a long time to say not very much.
29:30 give them sugar. Sorry. Sure nobody wants to hear that.