THE KETO DIET – ACCEPTED BY MEDICAL COMMUNITY? | MEDICAL MINUTE MONDAY EP 6

THE KETO DIET – ACCEPTED BY MEDICAL COMMUNITY? | MEDICAL MINUTE MONDAY EP 6

July 21, 2019 100 By William Morgan


[clap] Hey, guys, welcome
back to my channel. Welcome, finally, to another
Medical Minute Monday. [intense percussion music] I’m sorry if you can hear
the nasal sound in my voice, but the allergy season is
upon us and I am suffering. Today I am going to
respond to a culmination of questions that were
submitted through my Medical Minute Monday questionnaire form where you can kind of
ask anonymous questions. A bunch of responses had to do with the ketogenic diet or the keto diet. And they wanted to know if there was any medical basis behind it, what the medical community
thinks of it, and is it safe? I have to preface this by saying, although I’m a doctor, I
am an anesthesiologist. I am not a nutritionist. I am not a weight loss specialist. My specialty has nothing to
do with diet and nutrition. So, bearing that in mind, I just wanted to let you know that I did a kind of very shallow,
cursory scan of PubMed. From a couple of different
journals there were some articles that I did
look at that explored the role of the ketogenic
diet for medical reasons. And it does look to me
like the ketogenic diet has been around for at least
15 years, if not longer. One of the articles I
have here is dated from, well, this one was 2018,
so I’ve printed them out here ’cause I’m old school. And I’ll link some of these below. They’re really interesting. This one is from Brain Sciences, and then, there’s another article,
let me get past this one, it’s a lot of pages. But there have been some studies that have basically shown that the
ketogenic diet and what it is and any benefits that they have. There are some, this is a really interesting article because it shows, kind of explores the
role of ketogenic diet in adult neurological disorders, so there’s definitely some
benefits, you know, to, sorry, someone walked past my door. So, what is the ketogenic diet? So, I’m going to read directly from this article because it really explained it the best way and the most scientifically. So, basically, it’s
saying that even though the ketogenic diet, here we go, was formally introduced
into practice in the 1920s, the origin of ketogenic medicine may date back to ancient Greece. And it says that it’s a
high-fat, low-carb diet that induces ketone body production in the liver through metabolism of fat. And so, it’s basically mimicking
a starvation state in the body even though you’re not
actually starving yourself. These ketone bodies can, they’re called acetoacetate
and beta hydroxybutyrate. I remember that well from my
biochem days in med school. They enter the bloodstream
and are taken up by organs including the brain
where they’re metabolized in mitochondria to
generate energy for cells. It’s an alternative form of energy that the body uses when it is starving. And so, although this
particular article talks about the benefits in
neurological disorders such as Alzheimer’s disease and malignant gliomas and adult epilepsy, you can read that if you want, it does show that the
science behind it is there and that it does show that in adults who are obese and have
high LDH cholesterol levels and low HDL cholesterol levels, which is the good cholesterol, you want to reverse those things, and the ketogenic diet
does appear to do that. I’m sure there are a couple
of different scenarios where it would not be indicated
to do the ketogenic diet. For example, just off the top of my head, I’m not certain it would
be advisable for someone who has diabetes because
they’re prone to ketosis anyway, and I’m not really sure how that would work with your glucose metabolism. But do not quote me on that. Basically, if you have
a medical condition, then you should really
consult your doctor first so that they can, they know you, they know your medical history, and they’re way more
versed in this than I am. But suffice to say that my
answer to your questions about the ketogenic
diet and whether or not the medical community is aware of it, yes they are, and in most cases, that’s actually where it came from. So, it’s well-studied. It doesn’t mean that
that necessarily means it’s safe for you or safe for everybody, and you should, in my opinion, still consult your doctor
or your nutritionist before starting a ketogenic diet, especially if you have
any medical conditions, including if you’re pregnant. So, yeah, I would definitely
consult with your doctor, but it looks to me that the, at least, the answer I can give you
is that the ketogenic diet is well-studied, it has
been around for eons, and it’s probably not
going away anytime soon. So, I think that it’s
maybe a nice practice to look into if you have
been struggling with weight loss and you’ve
tried a different number of diets and none of
them are working for you. I always kind of hesitate
to say to go on a diet because a diet implies that
it’s a short-term solution, and really, it should
be something that you’re doing that is instilling
permanent, long-lasting behavioral changes to the way
that you approach food and consume food and the amount
that you consume and all that. So, definitely the realm
for a nutritionist who is really, really, would be
really, really helpful here, and if I can find any resources as far as nutritionists go, maybe there’s a nutritionist
tele-medicine service, I will link everything down
in the description box. I will also link some
of my favorite articles related to this that are going to be free to access through PubMed, which is the kind of online, it’s basically the Google
of research papers. That does not mean that everything you see on there is gospel. We all know people can
put anything on there and it doesn’t mean that
they’re a well-run study or that there is any kind of
validity to these studies. You have to really understand
how to look through a research paper and how to
dissect and analyze a study, looking at the N number,
looking at the power, looking at the statistical significance at confidence intervals, all these things, statistics is important. So, I hope that answers your question. I’m very interested in
the keto diet myself. I could definitely lose a few pounds. I think 10 pounds is something that I would really, really like to lose. So, um, yeah. I think it’d be interesting. It’d be a struggle. I don’t know if I’d go the whole
intermittent fasting thing, but I kind of intermittently fast anyway because I’m usually in the operating room and we can’t eat in the operating room, so we don’t eat for like
long periods at a time, but it’s really hard to do
that and not eat breakfast. I don’t know. Are any of you guys
doing the ketogenic diet? Have you seen any results from it? Let me know in the comments below what diets have worked for you, what are your thoughts
on diets in general? What’s worked for you? What are you doin’ right now? It’s March, we’re well past
our New Year’s resolution time, has that resolution worn off on you? What’s goin’ on? So, let me know your thoughts, and I’ll see you in my next video, bye.