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Remembering Kevin Moore

Ask The Low-Carb Experts (Episode 5): ‘Ketosis: Devil Or Angel?’ | Mark Sisson

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In Episode 5 of “Jimmy Moore Presents: Ask The Low-Carb Experts,” we have Mark Sisson from the “Mark’s Daily Apple” blog who is the author of several health books focused on primal/Paleo/low-carb living, including his bestselling 2009 release The Primal Blueprint: Reprogram Your Genes for Effortless Weight Loss, Vibrant Health, and Boundless Energy as well as several cookbooks. He has been critically acclaimed for challenging many flawed elements of conventional wisdom about diet and exercise. Sisson’s “Primal” theme encourages us to reconnect with our hunter-gatherer ancestral roots by eating natural plant and animal foods, getting plenty of low-level daily activity interspersed with occasional brief, intense exercise, and engaging in lifestyle behaviors that balance the stress of hectic modern life. Sisson was one of the world’s most versatile and accomplished endurance athletes, with a 2:18 marathon to his credit and a fourth place finish in the Hawaii Ironman World Triathlon Championships. He also served as the first anti-doping leader of the International Triathlon Union and consulted internationally for the International Olympic Committee on endurance training, nutritional supplementation, and the effects of performance enhancing drugs on athletes. He is the founder and president of Primal Nutrition, Inc. a Malibu, CA-based supplement company. Sisson lives in Malibu with his gorgeous wife and two teenage children. Mark has studied nutrition very closely over the years and is pretty astute at articulating information from the scientific research on diet and health. One specific area of expertise he possesses is on the controversial subject of ketone bodies. This is a BIG TOPIC in the low-carb community and Mark Sisson does an excellent job addressing YOUR questions. We were so pleased to have him join us on ATLCX answering listener questions about ketosis in EPISODE 5 on February 9, 2012.

Listen to Mark Sisson discuss “Ketosis: Devil Or Angel?”:

  • His “pet peeve” of using the term ketosis itself
  • When ketones are produced, you’re in “energy bliss”
  • Why having Ketostix turn purple isn’t necessarily the goal
  • Why he prefers the term “keto-adapted” instead of ketosis
  • A dietitian describes ketosis as merely “smelly breath”
  • The goal is to use the ketones for fuel and not have excess
  • We all are burning a mix of fats, carbs and ketones
  • Being a sugar-burner means dependence on glucose as a fuel source
  • A “fasted state” requires a fuel source and ketones provide it
  • The “smelly breath” is what happens when you can’t burn ketones
  • Whether the color change on the Ketostix is important or not
  • Optimal choice of using ketones as fuel efficiently at ideal weight
  • Spilling out ketones in the urine during weight loss is not bad
  • When you use ketones as fuel, you find you’ll be less hungry
  • Why you don’t need to be eating as much food as you do
  • Stored body fat can serve as a “500-calorie saturated fat meal”
  • Ketones help to “unburden the rest of the body requiring glucose”
  • On a low-carb diet, you get your energy from fat and ketone bodies
  • Why medical professionals seem to confuse ketosis with ketoacidosis
  • Ketosis is a “normal thing” for fueling the body
  • Ketoacidosis is “pathological state” that’s “dangerous” for Type 1
  • In low-carb studies, there have been no documented case of ketoacidosis
  • How you can know if ketosis is from stored body fat or excess dietary fat
  • The body doesn’t know what the source of the fat it consumes is
  • The first step in weight loss is to become fat-adapted for fuel
  • Body takes the fat from stores when you don’t consume dietary fat
  • Why it is important to create a “calorie deficit at some point”
  • Low-fat and low-calorie eating is unsustainable, low-carb is
  • Whether eating under 50g daily of plant foods may be deficient
  • The least amount of sugar you can get away with is optimal for health
  • How long it takes to get adapted to using ketones for energy
  • Whether ketosis is necessary for people who want to lose weight
  • If there are negative health consequences to long-term ketosis
  • Why low-carb may not be ideal for people to stick to for years
  • His belief that it’s okay if you have a few high-carb days sometimes
  • Whether excess protein can knock you out of ketosis
  • Why one meal isn’t going to derail your low-carb efforts
  • Whether a ketogenic diet is inflammatory or anti-inflammatory
  • What remedies can be used to deal with “keto-breath”
  • Why you “don’t notice it” when you use ketone bodies well
  • What role ketosis plays in muscle-building
  • A ketogenic diet by definition is “protein-sparing”
  • If ketosis has anything to do with hair loss during weight loss
  • Dr. Mike Eades’ blog post about hair loss when losing weight
  • When the body changes, it is trying to fight to keep what it has
  • Whether the brain works as effectively on ketones as glucose
  • Glucose is “nitro-burning funny car fuel” to help you flee quickly
  • Whether medications can impact the production of ketones
  • Exercise can help increase and stimulate ketone production
  • Mitochondria can be trained to be more efficient with exercise
  • Whether evolution can address the hormonal damage of modern society
  • Humans would not have survived had it not been for ketosis
  • Why Type 2 diabetics don’t have “defective genes”
  • Reducing carbs, moderating protein, and high-fat will improve health
  • If the absence of a gall bladder can prevent ketone production
  • Dr. Steve Phinney video about getting out of nutritional ketosis
  • Other things besides carb restriction that impact ketone production
  • His goal this year to train endurance athletes on a low-carb diet
  • Whether there is any harm to being in ketosis if you have gout
  • Find a low-carb friendly doctor in your area

    There are four ways you can listen to Episode 5:

    1. LISTEN LIVE ON THURSDAY NIGHTS AT 7PM ET by calling (712) 432-0900 or on Skype at “freeconferencing.7124320900”–whether you call or Skype, be sure to use the access code “848908.” You can listen and even participate on the topic discussion by asking your questions directly to the featured expert.

    2. Listen at the iTunes page for the podcast:

    3. Listen and comment about the show at the official web site for the podcast:

    4. Download the MP3 file of Episode 5 [60:46m]:

    If you cannot join us LIVE on the podcast on Thursday nights at 7PM ET, then you can still ask your questions of the expert guests in two ways. First, you can visit AskTheLowCarbExperts.com and fill out the form along the right-hand side of the page under “Submit Your Question” to input your name, e-mail address, the name of the expert you want to ask, and your question for them. These questions will be asked LIVE on the show airing on Thursdays. Or, for your convenience we have set up a way for you to e-mail us your questions directly to AskTheLowCarbExperts@gmail.com. Be sure to include your name, the name of the expert you want to ask your question to in the subject line, and your question on the specific topic of discussion. This is a golden opportunity for you to tap directly into the wealth of knowledge and experience on all things related to healthy low-carb living featuring the best and brightest experts in the realm of health!

    Did you have any feedback about what Mark Sisson shared about “Ketosis: Devil Or Angel?” Let’s hear what you think about it in the show notes section of Episode 5. Pick up a copy of Mark’s bestselling book Primal Blueprint and don’t miss his amazing blog Mark’s Daily Apple. We’re excited about the expert we have coming up for you in EPISODE 6 next Thursday, February 16, 2012 at 7PM ET featuring a Paleo blogger and soon-to-be PhD in Nutritional Sciences with a concentration in Biochemical and Molecular Nutrition from the University of Connecticut named Chris Masterjohn who will address the topic of “All Things Lipids (Cholesterol 101).” You can start submitting your questions for Chris Masterjohn about anything and everything on the subject of cholesterol by using the “Submit Your Question” form (on the right-hand side of the web site) or e-mail your name, the name of the expert you want to ask your question to in the subject line, and your question on the specific topic of discussion to AskTheLowCarbExperts@gmail.com. If you have any burning questions related to cholesterol, then be sure to tune in LIVE next Thursday night to ask your question directly to Chris Masterjohn.

    Here are the upcoming experts and topics we’ll be covering on #ATLCX:

    EPISODE 7: February 23, 2012 | Dr. Cate Shanahan | “Long-Term Effects Of The SAD Diet”
    EPISODE 8: March 1, 2012 | Dr. Mary Vernon | “What Questions Should I Ask My (Non-Low-Carb Friendly) Doc?”
    EPISODE 9: March 8, 2012 | Mat Lalonde | “All Things Calories (Calories 101)”
    March 15, 2012–NO PODCAST–ATTENDING PALEOFX
    EPISODE 10: March 22, 2012 | Chris Kresser | “All Things Thyroid (Thyroid 101)”
    EPISODE 11: March 29, 2012 | Dr. Jeff Volek | “Saturated Fat Is Good For You?”
    EPISODE 12: April 5, 2012 | Denise Minger | “The Fallacy Of Vegan/Vegetarian Diets”
    EPISODE 13: April 12, 2012 | Dr. Cassandra Forsythe | “Low-Carbing Women & Weight Lifting”
    EPISODE 14: April 19, 2012 | Dr. Larry McCleary | “Dietary Remedies For ADHD”
    EPISODE 15: April 26, 2012 | Dr. Eric Westman | “Exploding The Low-Carb Myths”
    5-3 and 5-10: NO PODCASTS–ON THE 5TH ANNUAL LOW-CARB CRUISE
    EPISODE 16: May 17, 2012 | Valerie Berkowitz | “Low-Carb, Pregnancy & Kids”

    Spread the word about this podcast: PLEASE REVIEW THE SHOW ON ITUNES!

    • BeccainSC

      First of your podcasts I’ve actually listened to.  It was very informative.  I especially liked hearing that it was okay (and in fact a good thing) for the strips to not turn purple!  

      • Anonymous

        I appreciate you listening, Becca! Where in SC do you live? I’m in Spartanburg.

        • BeccainSC

          I’m in Irmo, right outside of Columbia.    We also have a Virginia connection in common as I grew up in Norfolk :)    I enjoy reading your blog ,just have never been much into the podcast thing :)  I may have to do some catching up!

          • Anonymous

            I know where Irmo is. Small world.

    • PJ

      This was a very informative podcast!  Mark’s explanation of the whole ketone strips/purple thing made so much sense.  It explains why I spill ketones at certain times of the day and not others.  I used to wonder why it seemed to fluctuate in the morning, after meals and in the evening.  (Duh! forehead slap! Makes sense, now!)

      • Anonymous

        Thanks for listening!

    • Listened to this today while running errands! Enjoyed it. Thanks Jimmy and Mark!

      • Anonymous

        Glad you enjoyed! Thanks for listening.