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Keto Talk (Episode 63): Severe Leg Cramps, Male Pattern Baldness, White Blood Count, Pounding Irregular Heart Rate, Quantifying Ketone Usage

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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 leap tall stacks of bacon and answer your questions on the low-carb, high-fat, ketogenic lifestyle in Episode 63.

****Special THANK YOU to Glyn****

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KEY QUOTE: “It’s fascinating to see that a ketogenic type diet essentially slows the aging process.” — Dr. Adam Nally

Here’s what Jimmy and Adam talked about in Episode 63:

KetoTalkFB.com  – Goal of 1000 members in the first week obliterated

Bottled water overtakes soda as America’s No. 1 drink — why you should avoid both

New appointment to support physical activity and nutrition in schools

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Italian Emma Morano, last known survivor of 19th century, dies at 117

– Am I getting severe leg cramps from my high-carb cheats or from working out my legs while in a ketogenic state?

Dear Jimmy and The Doc,

I have been low-carb/keto for the past two years. A few months ago I started getting pretty severe leg cramps that would wake me up at night. I lift heavy weights 2-3 days a week and I noticed I would tend to get the leg cramps a few hours after leg workouts. To help with the leg cramps, every night before bed I mix an electrolyte drink of 5g of magnesium, 1/4 tsp of salt and 1/8 tsp of potassium. I also try to have a cup of homemade bone broth daily and add more salt to it as well. When I drink the electrolyte drink daily, my leg cramps do not occur.

Whenever I have any sort of high-carb cheat meal, within an hour or two I get severe leg cramping. I have been strict keto of 20g total carbs and moderate protein of between 60-90g since March 2017. I have tested my blood ketones and I am getting readings of 0.5-0.8 mmol. I cheated last Sunday on Easter chocolates and three hours later I had severe leg cramps yet again. I also just returned from a two-day hiking event and took my electrolyte supplement both days.

I am sore today but do you think the leg cramps is from the hiking or the high-carb load? I just find it suspicious and almost predictable that if I cheat, the leg cramps come on. Any insight is appreciated.

Thank you,

Sara

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Eating fresh fruit every day and making lifestyle changes lower the risk of diabetes, study says

KEY QUOTE: “Context is everything. Just telling people that eating more fruit will reduce their risk of diabetes without telling the whole story is misleading.”  – Jimmy Moore

1. Can a ketogenic diet help delay the onset of hair loss from Male Pattern Baldness?

Dear Jimmy and The Doc,

I’m a little embarrassed to say that I’ve only really discovered podcasts in 2016. I guess I’m just old-school for a 29-year-old. Since discovering your podcast, it has literally taken center stage in my life. Thank you for ALL the incredible answers, insights, and obvious passion for keto! You really keep me and my fellow Ketonians inspired! My question for you is about Male Pattern Baldness. I’ve come to understand that through ketosis, testosterone levels go up, so could being in ketosis beginning in my 20’s with no signs of hair loss yet actually prevent hair loss? Is there any research about this?

Thanks for all your wisdom on all things keto!!!

Best,

Armand

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2. Can eating keto produce a false elevated white blood cell count?

Hello Jimmy & Doc Nally,

I enjoy your show and am learning so much from you guys after being keto for a couple of years. I wanted to ask you about something my family doctor has brought to my attention over the past year or so. He has told me three times that I have a raised white blood count. He initially thought that I might have a bladder infection. I had no symptoms of illness, so this shocked me to hear this from my doctor. Is there any connection between eating keto and having a false elevated white blood cell count? Have you ever seen this before?

Thanks for your help with this question and I look forward to a lot more Keto Talk!

Your Keto Friend,

Lynn

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3. Can you go into more details about why some Ketonians deal with a pounding irregular heart rate and corresponding sleep issues?

Hello Jimmy and Dr. Nally,

Back in Episode 37, you answered a question about heart rate and sleep. But the answer did not identify the problem nor did it give a solution. I am having the same irregular pounding of my heart and sleep loss since I started keto. Normally you guys do research and give an answer that explains the cause behind the issues asked about and then you share what to do about it. But it seems like you swept the problem under the rug and gave a ”there’s something else going on” response. But I’m sure a lot of other people have this problem and it deserves a real answer. I live keto and won’t go back to my previous diet, but I still want to solve the pounding irregular heart rate and sleep problems since going keto.

Thank you for all your help and energy spent to spread the keto message,

Linda

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– Is there a way to quantify the amount of ketones being burned and used by the body? What percentage of ketones go to the various parts of the body?

Hey Jimmy and Adam,

Loved meeting you guys at the Metabolic Therapeutics conference in Tampa, Florida earlier this year. I wanted to ask a question about how to quantify the ketone bodies being produced at any given time. The problem with testing blood ketones is it only gives you a snapshot of the ketones being produced in the blood, but not necessarily what is being burned at any given moment. Over time once you become keto-adapted, beta-hydroxybutyrate levels decrease ostensibly because they are being used more efficiently. In other words, a 1.0 mmol blood ketone reading of something who has been eating keto for a couple of years might actually be identical to a keto newbie getting a reading of 6.0 mmol. So, how can we measure the amount of ketones being burned and their distribution to the various parts of the body, especially the brain? Is there any way to know what percentage of ketones go to the various functions in the body?

I look forward to hearing what you have to share about my questions.

Elena

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There are three ways you can listen to Episode 63:

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 63 [01:04:24]

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!

Don’t forget to check out the show notes section of Episode 63 and tell us what you think about Jimmy and The Doc’s answers to your questions, and be sure to join us at the all new Keto Talk Facebook Group. We’ll be back next Thursday to bring you more information and to answer your questions about keto! 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!

  • Andy Lopez

    Sara may still be having cramps because she is upside down in her mineral intake and apparently does not know what electrolytes are.

    She says she’s taking 5 grams of magnesium, which is 5000 milligrams, when the recommended daily intake is around 310 for women and 400 for men, and she said she’s taking one eighth of a teaspoon of potassium which is only around 400 milligrams when the RDA for potassium is 4200 milligrams or 4.2 grams.

    In other words the recommended daily intake for potassium is around 10 times higher than that of magnesium, but Sarah is doing it the other way around.

    Sodium makes muscles contract and potassium causes muscle cells to release the contraction, and although magnesium also causes muscles to relax, which is why Magnesium Citrate is used as a laxative, as an electrolyte magnesium is simply the molecule that signals cell uptake of potassium to release contracted muscle.

    So cramps are caused by having plenty of sodium to cause muscle contraction but not enough potassium to release the contraction. So cramps are basically caused by a deficiency of potassium, it is the potassium that does the work of releasing contracted muscle in cramping not magnesium, Ms Sara is learning the hard way one eighth of a teaspoon of potassium is not nearly enough to solve the cramping problem..

    As was mentioned in the podcast, electrolytes are dependent upon a sufficient volume of water for transport to all the cells of the body. Most electrolyte solutions that I’ve seen require at least a pint if not a full quart of water to mix with the electrolyte in order to provide a sufficient volume of water for proper hydration, so Sara may also not be drinking enough water, and is definitely not taking the right balance of minerals.

    http://www.bodybio.com/content.aspx?page=elyte-inside-a-muscle-cramp