Low carb tribalism with Dr. Ethan Weiss - Diet Doctor Podcast
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- Опубликовано: 28 сен 2024
- Dr. Ethan Weiss is a preventive cardiologist who supports a low-carb and keto way of eating. As a researcher and clinician, he is uniquely positioned to understand how science, specifically nutritional science, informs decisions doctors can and should make with patients. He believes we need to separate emotion from science, and has been a vocal critic of “low-carb tribalism.”
2:08 Welcome, Dr. Ethan Weiss
2:20 Being objective among the myths
5:10 Perspective on quality of nutritional research
7:00 How Ethan differs from preventive cardiologists
9:58 About people who are against low carb
13:25 What has changed during Ethan’s diet journey
16:30 How low carb fits in with patients
18:56 About the low saturated fat content
26:00 The article about low-carb tribalism
31:22 Looking at science objectively
33:13 LDL and HDL on a low-carb diet
37:45 Low HDL as a marker of high triglycerides
39:26 LDL abnormality vs all the health benefits on low carb
43:30 Four things you can do with high LDL level
49:57 Finding the missing pieces of LDL through research
55:08 Should ‘broken’ genes be fixed?
1:00:22 Where to find Dr. Ethan Weiss
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I have been keto for 1.5 years and my blood work has improved significantly, including insulin, A1C, inflammation markers, and lipids too. My LDL went down when I added fats. Always had good triglycerides and HDL. I had Prediabetes before I stopped a high carb low fat diet. Lost 30 lbs too. So the science on high carb for me was a bad fit! Low carb for life!
Low carb is also a great elimination diet as you eliminate most processed foods and junk foods by eating this way as long as you cut out the industrial seed oils as well. Most carbs are processed grains, sugar and seed oils, which are bad for you no matter what diet protocol you follow. This lifestyle eliminates those things by default.
which is probably why it works for so many people - and not so much for being ultra low on carbs! The danger is some people might cut out good carbs like legumes, oats, root vegetables, fruit etc in favour of pork scratchings and deli meat. Seen it many times - that can not be good!
@@ZsuzsaKarolySmithAgree. Low carb does not have to be the Keto Diet definition. Not everyone has to lose weight at this juncture. I did "ketosis" in the 70s. What I have learned in my Life's journey is to be able to stay on a clean healthy plan is to not go into deprivation. Therefore for me low carb is less than 60 gms. If you google it, low carb can be considered less than 100g (which seems high for me).
It is frustrating how it’s seems that he threw low carb under the bus for attention-and he got it. I wonder if he will write a similar article calling out vegans in the title. Overall, I enjoyed the interview, but that part was infuriating.
I’m sorry my last comments what I meant was why would our bodies make something that would kill us
👍None of the “ApoB is evil” crowd can answer that question - why would our bodies make something that would kill us.
I appreciate that Diet Dr is trying to diversify by pushing into the protein sphere as I believe it is important. But if this movement abandons its low carb foundation it will drown in the mainstream. Carbohydrate restriction is the foundation to return to metabolic health. Do not water down this truth.
Great podcast 👍
But he doesn’t eat much saturated fats
LDL carries CoQ10, so does having higher LDL helps having a higher level of CoQ10 in the heart and other tissues? Is there data showing that the level of CoQ10 is higher or lower on a low carb diet?
CoQ10 levels deplete with age, so, supplication is usually warranted. Also, stations will lower levels of CoQ10, so,again supplements are needed.Looks like recommendation is 100mg
@@AI-vs7sm Ok, but it doesn't anwser my question regarding LDL being the transporter of CoQ10.
Sorry, I was trying to say that, CoQ10 will be lower with age or with Statin use, regardless of LDL levels. Supplements will bring level back up.
This is confusing. What is healthy fat? He says mufas... which include canola oil. No thanks.
This guide should be helpful! www.dietdoctor.com/low-carb/fat
Awesome!! Been RN 35 yrs!!! I've unlearned so much!!! Great talk!!! Been healthy keto over two yrs!! #nevergoingback!!!😁
Vegetarian who eats fish and meat? Mediterranean diet without pasta/ pizza/ bread? 1h talk and not even mentioned CAC score as the risk indicator, or I missed it?
Thank goodness for the low carb community. You’ve changed so many lives and saved the quality of life for so many people, myself included. This is the way that I was meant to eat as I feel better and have better body composition than I’ve had in my entire life. So, don’t listen to the naysayers. Put your health and quality of life first.
I almost stoppedl watching this interview, his fence sitting was driving me up the wall. And what exactly is a vegan that eats fish and some meat as he claims he does ? 🤪 This video could be very confusing for those just starting out on a ketogenic diet.
I'm not so sure it's fence sitting as much as an awareness and openness to see where the research is taking us. He clearly seems to be evolving in his thinking and practice.
By now the jury should be in the research is researched to death.
No dosh to be made out of intermittent fasts or throwing out crappy carbs.
He on the fence bro.
@@karenohanlon4183 I was being charitable ...
I'm not sure how anyone who understands the composition of adipose tissue can square the circle of the dangers of saturated fat when, in fact, when you go on a diet or fast, you are basically burning pure saturated fat for energy.
Okay, I'll bite. I am no expert. Is all adipose fat saturated even if a person eats PUFAs?
@@Billy97ify pretty much, PUFA tends to be preferentially oxidised rather than stored.
@NOTREALLY HANKAARON Why should anyone care what he thinks?
@NOTREALLY HANKAARON you don't have an answer?
@NOTREALLY HANKAARON Crickets.
Unfortunately we no longer trust “data” funded by pharmaceutical companies. As a cardiologist he is stuck in a world where he is dependent on these studies in order to voice an opinion. This is why the government is still recommending a high carb diet 60 years after Ancel Keys pushed his hypothesis into public policy. It’s hard to break out of the matrix.
Some studies aren't funded by pharmaceutical companies. That's disclosed in the study. Or at least it's supposed to be.
I don’t understand why “what the government recommends “ has any bearing on my health! We are all individuals so it doesn’t make a difference what the standard protocol or what “normal “ is! I’ve been gluten free for over 30 years because I break out in hives from gluten. I’ve been on a low carb diet because I’ve been pre-diabetic off and on depending on how many calories my job required because I usually have very athletic jobs. So when I retired my blood sugar went back up. Now I walk 2-5 miles a day and my glucose level is back to normal!
@@penniroyal4398government recommendations affect everything in the world of food - hospital food, what is served in prison, what your grandkids eat in daycare. Its also the basis of things like health ratings on foods. People might not be as clever as you and follow this stuff. Kids don't get a choice and often what they're fed is food pyramid shittery.
I stopped when he said "eat more fish". I have been eaten fish 150g a day of top quality fish, after a while I decided to do a mercury blood test thinking that it will be fine but my result was 3x higher than the maximum allowed, 3 times and I was scared, I eliminated fish totally from my diet and in my last blood test it was max limit only (eliminating mercury takes time), so I normalized it by not eating the crap fish.
There is a huge problem in medicine and with the lazy doctors like this one that don't do their job to investigate, I'm an engineer and I was able to solve some issues just googling and reading lot of info in researchgate and pubmed, something doctors should do but they want easy money with least effort possible like this doctor.
Don't eat fish periodically because it's bad for your health and if you do, test your mercury asap, besides mercury fish has micro plastics that harm your organs and farmed fish is not better.
What about one year old sardines? They say small, young fish haven't accumulated any significant mercury to form a problem even when eaten regularly? I never eat anything other than sardines, herring or anchovies.. How bad can it be?
@@karoo_bushman6880 I don't know about sardines, if you were eating them before, stop eating any fish or mollusk for 3 days and do a blood mercury test, is the cheap way to understand if they have mercury or not...
canned tunna is especially problematic. the ones we have here in my country are fished in dirty waters too. tuna is a predatory fish that bio-accumulates mercury by eating other fish. it also lives a pretty long life. unlike sardines which are short lived, tuna has more life time to accumulate mercury. tuna has ALOT of mercury and has micro plastics in its guts. to make things worse, the tuna is canned with vegetable oils, soy protein, starches and sugar. no wonder people are getting sick when they eat those stuff.
farmed fish are a bit different depending on how they are fed and raised. the ones we have are fine since they are not grain fed(usually, but not all the time). tilapia is my favourite. its even better if you raise them yourself to make sure youre getting good quality stuff.
Well the question is what fish u were eating? I'd say it's fine as long as you don't consume the predatory fish like tuna king mackeral, swordfish and others.
He was only eating wild salmon
If the gentleman is conflicted and is shy to suggest low carb to patients, perhaps he should DIVEST himself from these business interests. I would think patient health would come before profits.
Did you even listen before commenting? The man is practicing unbiased, evidence-based medicine.
Wishy washy cardiology, oh, my.
Totally!
Wishy washy indeed !
Wish he had been off the fence.
Disappointing podcast. Not your fault Brett. Unfortunately it seems like Dr Weiss is a major league fence-sitter.
Not bothering with this one after his behaviour on Twitter the last few days re his study and how happy he was with the "misleading" headlines that still got him a heap of attention.
This guy is just kind of a coward. Seems very inconsistent beliefs that don’t actually flow logically. Just trying not to offend anyone.
I think he does not want to give up on the consensus of most healthcare providers that animal fats and LDL are bad. How can they all ignore the addition of refined sugars, processed vegetables oils, and, processed foods in the normal American diet, when our ancestors thousands of years ago, did not eat all this stuff. My great grandfather ate all kinds of animal fat and eggs, took no statins, and lived to be 96 years old. So, the question is, why would so many people need statins, only in the last 50 years, when many lived into an old age, without statins, and consumed much more meat, fat, and lard, than people eat today ?
@@sidsnyder8043 Your comment raises a question I've wondered about for a while. Could it be that high LDL is not dangerous if the arteries are not already damaged by sugars and seed oils? Your grandfather lived before all that crap got into the "standard American diet." Now, however, people in their 40s and 50s have been raised on sugary breakfast cereals, orange juice, french fries, sodas etc, etc and their arteries are already damaged to the point that high LDL might really be a problem now even though it might not have been before. I don't know and I don't recall that ever being addressed.
@@christopherstewart9874 Yes, I don't think that LDL is a cause at all, it is inflammation from glycation and oxidative stress. LDL comes in to repair the damage. It is like they are blaming the fire fighters for starting the fire. LDL has many functions in the body, from acting as a transport in your blood for nutrients and fatty acids, strenghtening your immune system, hormone creation, and brain health. Your brain is 40% cholesterol and your liver produces about 3200 mg.o fcholesterol a day.
@@sidsnyder8043 I understand that argument. My concern is that the evolutionary drivers that resulted in the amount of LDL the liver produces did not include arterial damage of the extent caused by decades of inflammation from glycation and oxidative stress. Could it be that the liver's production of LDL, which was well suited to the arterial damage that generally occurred 100,000 or 1000 or even 100 years ago goes into overdrive trying to repair evolutionarily unprecedented damage, producing so much LDL that it is actually destabilizing plaque rather than stabilizing it? It may be like the cytokine storms a couple years ago. Cytokines didn't cause the infection, but too many of them killed the patient.
Does high LDL raise the risk for cardiac disease??? If not then why worry about LDL? Maybe we worry for no reason. I think oxidized LDL, high triglycerides and high bloodsugar raise the risk. Not LDL. When you do keto and burn fat you need more LDL to transport the fat to the cells. Like the lean mass hyper responders, they are healthy with very high LDL.
I've gotten to 31:06 and am very confused by this guy. He's making claims that have been thoroughly debunked and exposed as poor science, seemingly trying to embrace the actual facts while trying to stay true to the dogma. He's not the first Dr I have seen try to walk this tightrope. What they achieve, to my mind, is to sound nonsensical and inconsistent on the subject. That's not to say they are incompetent or anything, just that's it's a clear example of someone working through cognitive dissonance. I'll have to find something more recent to see if/how his thoughts have progressed.
I tried Low carb for a month and it was great but I can’t stay loyal to this kind of diet. i’m on dirty LC now with IF and I am more okay this way.
Dirty low carb is low carb. I dont know if you mean taking the bun off of a mcdonalds burger (dirty low carb) or something else such as your carbs dont need to be below 20, 50, 100 or some other threshold.
Ok with eating dirty?? I don't understand that at all.
Very informative. Thank you for sharing your knowledge.
Thank you for this one - as a LMHR I actually got a good impression of Ethan's view on LDL - it's nuanced :)
So, I came across Dr. Weiss on Dr. Attia’s podcast, only to be so disappointed. It seems that all this doctor does is opine on the pitfalls of the American insurance industry, pokes certain fun at the lean mass hyper responder concept as it relates to ASCD, and brags about his midlife crisis being bought out by Silicon Valley big tech to push his own branding to get rich. No thanks. Do better, Bret - and frankly Dr. Attia should, too.
Dr. Weiss is doing keto A LOT differently than most people. He's NOT eating a bunch of red meat, butter, tallow etc... he eats a diet low in saturated fat. He eats fish, nuts, seeds, and soy for his proteins. He essentially is eating a plant based low saturated fat form of keto.
I needed to watch this podcast as I am dealing with this issue now. It is hard to figure out what to do. Please have more podcasts no how the risks of LDL and how to figure out how it affects us as individuals.There is so much to consider when we have to make health decisions. I eat very LC and have experienced the benefits of reducing A!C, fasting glucose, and fasting insulin. But I am still dealing with a high CAC score. So I think alot about how to handle LDL, especially when I have to see a doctor. So listening to how to problem solve this issue has been helpful for me as I make my way through our healthcare system. Again thank you for providing this podcast.
This article may be helpful for you! www.dietdoctor.com/low-carb/lower-ldl-cholesterol --Kerry
Statin asap
En diet doctor en español no se encuentran estos vídeos. Por favor podrían considerar agregarles subtítulos en español a sus vídeos? Por favooor 🙏🙏 please 😁
Thank You for this wonderful video!
He had me till he blew kisses to a mass murderer
You are both great ,but at 52 minutes, he was fast, the place was very dark, could not do lip reading to understand.This is from a medical surgeon whose first language is not English.Thank you for writing what is discussed and so can be read.This isa positive feedback and not compliant.I am and all my family are high responder with high Ldl,but very low triglyceride 0-5 and high HDL,and no cardiac diseases ,but one brother surgeon in Germany unhealthy life style ,diabetes type 2,died last year.I look to healthy life style as life or death.It is very serious ,not a, joke to do or not do.I do practice all the package since 1996.Thank you for your time.
Eating a low saturated fat low carbohydrate diet is going to be hard with mostly MUFAs and omega-3s since you are left with only avocados and olive oil and you cannot eat nuts and seeds because they are high in omega-6s.
Unless you can dip your food in salmon oil.
In terms of the question 'what is the quality of the science from doctors' perspective', Dr. Fung said doctors surrendered much of the responsibility to the nuitrition industry, so hearing that there isn't that much evidence seems consistent with that. Why is that, I wonder, assuming Dr. Fung's comment has merit?
When Dr. Weiss says "LDL" i'm assuming he's reffering to LDL partilce count, not LDL cholesterol right?
He has a new study on Intermittent fasting. He’s changed his mind
Wow, what an interesting and powerful discussion. Thanks so much for giving us this gift!
Great endorsement of relativistic thinking!
Thanks for this fantatic video!!! Love from Vermont
Stopped listening at the point he said that Fauci is a great scientist. 😂😂😂
Thanks for sharing Doc
😀
Thx
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Why would bodies make something lethal to us unless it was our dist
Very thoughtful and interesting conversation. I am one of those people who did great on Keto with metabolic improvement and lost weight but my cholesterol was so high it was very concerning to my GP. Then I went to Whole Foods plant based but I just don’t feel good, really sluggish and I put on quite a few pounds and really don’t feel that satisfied. Although it was fun eating more fruit and legumes after being keto for quite a while. So the discussion goes on but I was looking for a mostly plant-based keto when I came across these conversations, it’s very challenging. I did sign up for the KEYTO
Plan. Still trying to work out that sweet spot.
I should add that my numbers really improved as far as my cholesterol, HDL, LDL, triglycerides. I also thought the discussion was interesting because the whole food plant-based community doesn’t support oils. So I’m experimenting to see if I can get adequate oils with Whole Foods.
Amen. Plant only base often is too much carbs converting to glucose which gives you that never ending knawing feeling. I am satiated on animal protein, period. Don't get those sugar/carb cravings after dinner usually compared to a PLANT BASED DIET.
What about the tribe or more accurately the intergalactic species of vegans?
I love and learn a lot from Dr. Scher's videos! As a layperson, though, I found this one to be hard to follow...lots of jargon and reference to assumed knowledge. It did, however, serve as a great introduction to Dr. Weiss' work, which I plan to access. Cheers!