Replying to Avatar Ken Berry, MD

What keto folks won't tell you:

1. Diabetes results when the body is driven on stress hormones and gluconeogenesis, the process Ken is promoting here, for too long.

2. The keto diet keeps users in lipolysis, resulting in their own body gradually losing the ability to leverage the sugars their liver is producing (the Randle cycle).

Long term keto exposes you to diabetes.

"Production of glucose in the liver is always seen in diabetics. Why would their livers be producing glucose if dietary intake is to blame?

It’s a failure to use glucose.

Insulin secretion from carbohydrate intake fixes this. Shifting away from fat oxidation fixes this."

-Jay

#Peatstr

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Discussion

I don't know who is right in this debate, but on it's face getting your liver to make glucose out of protein seems metabolically expensive when you can just consume it instead.

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Laser has hit a point here.

I specialize in prescribing Parenteral Nutrition in acute care settings, especially Critical Care. I’ve seen the negative effects of too much delivered carbs, yet extended ketosis past a week is also detrimental.

The healthy body is meant to cycle back and forth between carbs and fatty acids for fuel, but it isn’t a flip-switch. Both are still utilized while one dominates.

Laser has a fair point here. Man was meant to eat in sync with seasonal cycles, feasts and famines. I have eaten a lower to very low carb diet but have always done better with a periodic break and higher carb days.

I have aged, I do better with less extended (24-36hrs max) and less strict ketosis.

We are all individuals. Flex to what your body tells you. The key is attuned listening.

In this day and age, many aren’t as active.

Marketed foods are often stuffed with carbs.

A toggle toward more ketosis to offset the energy intake imbalances can benefit most, but it’s not right for all, all the time.

Peat seems like the most reasonable option as time goes on.