Keto Diet/Fasting/Ozempic

One doctor I have listened to is a very well respected British cardiologist named Dr Aseem Malhotra. He notes the widespread myths and misunderstanding about what the main drivers of disease are when it comes to diet. Many people including doctors believe that saturated fat and high levels of cholesterol are the drivers, while in fact things like diabetes and obesity are driven largely by high levels of carbs and sugar. People who successfully overcome diabetes often do so by adopting a diet high in saturated fat and low in carbs, which is the opposite of how many people and doctors think a healthy diet should be.

Ketosis/Keto diet

One diet with a lot of sound science behind it is the Ketogenic diet. Ketosis is a process that happens in the body when it runs out of carbohydrates to burn for energy. It then starts to burn fat in order to make compounds called ketones which it can use for fuel.

Ketosis typically is induced by either fasting, or following a very low carb diet. The benefits of this can include weight loss as well as lower and more stable blood sugar levels. Ketones can cross the blood-brain barrier and provide fuel to your brain as well as your body. I’ve spoken to people that have done a keto diet (as has been my own experience, although I do not follow a strict keto diet) who have stated that they feel more mentally alert and without a doubt less prone to “food coma” and the fatigue that often comes after eating meals higher in carbohydrates.

People tend to feel less hungry and more full on a ketogenic diet, partially attributed to the reduction in blood sugar and insulin spikes. It has been recommended by doctors for individuals struggling with any form of diabetes. Interestingly Dr. Eric Berg notes that cancer cells need glucose for fuel and yet cannot use ketones, making a Ketogenic diet something that people with cancer might give consideration to. One video below is an extremely interesting account of a man who was diagnosed with cancer, and overcame it using a very strict keto diet, eating mostly grass fed ribeye steaks for several weeks, attempting to “starve” the cancer by denying the cancer cells glucose. This worked for him and validates the principle.

My personal favorite foods that I eat a lot of that are compatible with a keto diet are: olives, avocado/guacamole, eggs, fish (esp wild cod or salmon), pecans, pistachios, coconut, and high quality meats.

I should mention, because it is closer to how I actually eat, I believe in the principles at work in a keto diet rather than strict adherence to it. As a diet it undoubtedly works for and has helped many people. But personally, I think having SOME carbs has its place too. The following video is from someone who once ate a strict carnivore/keto diet, wrote a book about the benefits of it, and has since come out and advocated for eating some carbs within that diet. To me it’s all about balance and sustainability. So while I eat many meals including breakfast where I have almost zero carbs following a sustained period of not eating, I enjoy things like fruits, cacao, or rice as part of my lunch, dinner, or snacks.

Fasting (intermittent, and longer forms)

Fasting is a word that has a negative connotation for many people because it immediately conjures notions of self sacrifice or being extremely hungry. I recently became interested in the topic upon hearing of the benefits of “intermittent fasting“, which is in fact not that big a deal at all. Most of the time “fasting” is at night and when you are sleeping, first of all. One suggested approach is “16:8”, which is to not eat for 16 hours and then to eat all meals within the following 8. If you eat dinner around say 6:00, 16 hours takes you until 10:00 the next morning. You don’t have to do this every day, but the basic idea is that this gives your body and digestion a break (as well as induces ketosis), and there are numerous benefits toward anti-aging and obesity issues. There are benefits to other more difficult forms of fasting, but I think people can benefit a lot without going to any kind of extreme simply by trying a few days (even off and on) of the 16:8 intermittent fasting approach, or even once a week. Intermittent fasting can be helpful but by no means is essential for good health or weight loss, in case your schedule does not allow this or you prefer not to use this practice.

As to other longer forms of fasting, one that I did was a 3 day water only fast. I definitely felt like it was good for me so it will probably be something I do again. But there are some risks to this, so again this is not medical advice. It is not for everybody or the feint of heart, but some of the purported benefits:

Saunas

When it comes to burning fat as well as general metabolic health, saunas can play a very positive role. I own a far infrared sauna, which is not quite as good as a regular steam sauna, but unlike a regular it can fit in a decent size closet. They can be found for as cheap as $200, and can last for many years. I have had mine for a decade. The benefits include burning calories which can help with weight loss, dilating blood vessels which can provide cardio and circulatory benefits, raising body temperature which can help to kill internal and external bacteria, and helping eliminate toxins in the body through intense sweating. 30 minutes in one of these can be a bit of a mental and physical challenge, the last 5 minutes especially with elevated temperature and heart rate. Even if it is not as beneficial as a steam sauna, it is a very convenient and passive way to experience some of the same benefits.

Informative Videos

The videos below are some really basic information on what are some very healthy foods to eat that fit well within a ketogenic diet, as well as suggested supplements to take. One video talks about how fasting and diet can have anti aging effects. Another mentions how there are some people who have difficulty losing weight even if they try many sensible suggestions. Factors toward that can vary from genetics to stress, and also include problems with imbalances of bacteria in the gut. But I think pretty rare is the individual who desires to lose weight and has literally tried “EVERYTHING”, so hopefully whatever your interest or reasons are for wanting to improve your diet or lose weight, some of the information below may be helpful for you.

Ozempic

I put this at the bottom of this page, as my philosophy on health is that I view any pharma intervention as a last resort, and believe that people would be better off seeking more natural methods to address most health issues.  Especially when it comes to weight loss, when there are many things people can do to help themselves. However, there are undoubtedly times where medication can be helpful.  Ozempic is a peptide derived drug that is known for helping people lose weight quickly.  Peptides are short chain amino acids that are found in foods and occur naturally in our bodies. Which makes Ozempic intriguing to me, as it is at least partially derived from peptides rather than being a completely foreign laboratory created invention.

Ozempic can have some nasty side effects, one of which is muscle loss. However, Brigham Buhler is a compounding pharmacist who has a wellness center, and offers that the explanation for muscle loss is that the dosage is too high for many people.  He claims that by titrating the dosage to lower levels and making it a more individualized rather than one size fits all medication, that muscle loss can be avoided.  It also greatly reduces the price of the drug.  This clip is very interesting and informative, to me.  As against pharma drugs as I generally am, Ozempic sounds promising because it is somewhat naturally derived.  I think most people can achieve weight loss by more natural means (which of course require effort and work), but there are some people that a short term personalized regimen of Ozempic might be extremely helpful for. I also wonder if peptides might truly be a cutting edge niche, and provide healthier, safer, and more naturally derived ways for people to address health issues than traditional pharma drugs.

The rest of the video (the first couple of hours) is in the category of things I think would be very helpful for people to become more aware of. It is very informative about why there are so many issues with our food supply and how the pharma industry has morphed into a pernicious monster and exploitative predator rather than something that serves to improve people’s health.  As is pointed out in this video, the industry would still make plenty of money if it was not morally bankrupt and corrupt, just not as much. This is not to discourage people from seeking or trusting medical advice or interventions.  There are undoubtedly many doctors and drugs that help people.  But at the same time, the system as a whole has been corrupted in so many ways, that unless somebody knows that their doctor is a standout who thinks outside of the box, they might be well served to seek more holistic advice toward implementing nutritional and lifestyle changes to try and improve their health, instead of or in addition to pharma/medical interventions.