Remembering Kevin Moore

Keto Talk (Episode 48): Carb Cravings, Signs Of Ketosis, A1c, Surgical Menopause, If Keto Is Right For Me


If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing cohosts are shooting them down one at a time. Keto Talk is cohosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Arizona osteopath and certified bariatric physician Dr. Adam Nally from “Doc Muscles” who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at livinlowcarbman@charter.net. And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy and Adam are back and better than ever to take on your questions in the new year starting today in Episode 48.

**THANK YOU to James, Kathryn, and Masaya from Japan**


KEY QUOTE: “In patients whose A1c is lower than 6.2, when I put them on Metformin it can make them hypoglycemic. Berberine would help with this dramatically and plays a big role for patients like this. There’s no hypoglycemia or diarrhea with berberine like this is with Metformin.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 48:

– What can I do to deal with the cravings that desserts bring on when I am most vulnerable?

Hey Jimmy & Adam,

I’m a sugar addict. My current streak of not eating sugar and other crappy carbage is 42 days, but the holidays are always the toughest when I struggle the most. Dessert is my biggest downfall and, unlike Dr. Nally who can get back on the wagon within a few days, it takes me a couple of months to recover. It was Thanksgiving, then Christmas, then New Year’s…and now Valentine’s Day, Easter, Fourth of July and more are coming up in the next few months. My willpower is very strong before the winter holidays, but I need a good strategy for staying strong through all these temptations. I’ve been looking for good dessert alternatives, but even maple syrup, honey, stevia, and the other sweeteners seem to set my cravings off. Is abstinence from all sweets altogether the only answer for someone like me?

Thanks for your great podcast.


– CONSUMER REPORTS article: The Truth About a High-Protein, Low-Carb Diet

1. What are the signs other than testing that my body is running primarily on ketone bodies?

Hi Jimmy and The Doc,

I enjoy your Keto Talk podcast and I have a question for you guys. I am mostly Paleo (eating the 80/20 lifestyle) but have always been curious about the ketogenic diet and have even tried it a couple times. But I haven’t been able to stick with it for very long. I don’t have any health issues (my insulin is normal, I’m at a healthy weight, I exercise regularly), but I am interested in maybe implementing some form of keto lifestyle for changing my body composition.

My question for you guys is when do you know you are in ketosis other than testing with a ketone strip or getting blood work done? What specific signals does the body give you to let you know ketones are your primary fuel source? I have noticed that when I am low-carb, high-fat, I can feel some change in my body in terms of energy and a spring in my step. But I also get a cold feeling running down the back of my throat. Is this normal when in ketosis?

Thanks for your help and I look forward to hearing from you!




NOTICE OF DISCLOSURE: Paid sponsorship

2. Why isn’t my A1c going down on my ketogenic diet? Would taking Metformin help?

Hi Jimmy and Adam!

I love this podcast and I’ve learned a ton of information about ketosis along with reading Keto Clarity. I have Hashimoto’s and was recently diagnosed with Celiac Disease. I am on Armour thyroid and my thyroid labs have been consistently doing well for the past few years. However, my A1c has been in the pre-diabetic range (5.7-6.0) for the last few years despite my best efforts to reduce it through diet. Two months ago I went keto hoping to bring it down while also treating my Hashimoto’s. Imagine my surprise when my latest labs show my A1c is still 5.8 despite keep carbs under 20 grams a day and carefully watching my protein intake.

Is 2 months not long enough for me to see real improvement in my A1c? My endocrinologist tested me for adult onset type 1 diabetes, but that came back negative. All my other blood work looks great except for the A1c and my liver panel. Could the liver abnormalities impact the A1c? I wonder if someone like me could stand to benefit from taking a low dose of Metformin to give an extra push with my ketogenic diet. I’m using the Ketonix to test for the presence of ketones in my breath and I’m almost always positive for ketosis. Do I just need to be more patient? I am fully committed to keto regardless, but just wondered about these other things.

Thank you for all of your hard work. It is greatly appreciated!



3. Does surgical menopause increase carb cravings? Will keto prevent a recurrence of cancer?

Jimmy & Doc Nally,

I had surgical menopause in 2015 in response to persistent PCOS and early stage breast cancer and it gave me peace of mind that those cysts would not become cancerous. However, this surgery has caused other issues now. Most notably, I’m finding it harder to MENTALLY do keto because I feel like I am having more cravings and less willpower than ever before. I’ve done low-carb and ketogenic diets with great success previously, but menopause seems to have changed something in me. Did something actually change or is this all in my head? And do we have any evidence that a ketogenic diet will prevent a recurrence of cancer?

Thanks for sharing your answers to my questions!


KEY QUOTE: “I’ve never understood where people blame the holidays for not eating right for their health. There’s always going to be some excuse. It’s time to lay aside the excuses, buck up, and do what you gotta do and implement strategies to make it work for you.” — Jimmy Moore


– How do I determine whether going ketogenic is right for me?

Hey Jimmy and The Doc,

I’m really grateful for discovering your podcast. I think we will look back on these past few years as the place where the truth about food and health began to come to the surface. I have been listening to KetoTalk and it has convinced me that going keto is the way to go for me. You guys have often said that you need to find what works for you and that a ketogenic approach isn’t necessarily for everyone.

My problem is if I want to get into full on keto mode, it sounds like that I need a doctor to help me get started who would be willing to help me to do something that many in that profession thinks runs counter to his belief about health. But Dr. Nally has clearly said that a ketogenic diet isn’t for everyone, so here’s my question for you guys—how do I know whether or not it is right for me? Do I have to be metabolically broken and how do I know if I am? And if a ketogenic diet is not right for me, then what is?

It seems this message of low-carb, high-fat, ketogenic diets is still so fringe and it’s difficult to explain it to doctors, friends, and even my own family where my wife says if sugar was so bad for you, then why would they sell it in stores? This is an uphill battle that I face here in the real world and would love your help in navigating through it all.

Grace and peace to you and yours,


iTunes review:


Sign up by February 6, 2017 for the 9-month program

NOTICE OF DISCLOSURE: Paid sponsorship

There are three ways you can listen to Episode 48:

1. Listen at the iTunes page for the podcast:

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

3. Download the MP3 file of Episode 48 [70:46]


Use coupon code KETOTALK for special discount

NOTICE OF DISCLOSURE: Paid sponsorship

WE NEED YOUR FINANCIAL SUPPORT OF THIS PODCAST! Adam and I are committed to answering all of your questions about low-carb, high-fat, ketogenic diets on this podcast. Your financial support and regular listening is sincerely appreciated. If this Thursday podcast helps you in any way, then won’t you consider helping us out by clicking on the DONATE button above? Or you can USE OUR AMAZON.COM LINK to make your regular purchase and we’ll get a small portion of your purchase. THANK YOU!



NOTICE OF DISCLOSURE: Paid sponsorship

Don’t forget to check out the show notes section of Episode 48. We’ll be back next Thursday with more answers to your most pressing keto questions! If you’ve submitted a question and haven’t heard the answer yet, then tune in next week and you just might hear it. If you have a question about keto you’d like for Adam and I to address in a future episode of “Keto Talk with Jimmy Moore & The Doc,” then email it directly to me at livinlowcarbman@charter.net. Spread the word about this new podcast and let us know what you think! Be sure to leave us a review on iTunes. THANK YOU for listening!

Comments are closed.