BEGINNER’S GUIDE TO KETOSIS by Dr. Boz

BEGINNER’S GUIDE TO KETOSIS by Dr. Boz


hi everybody I’m dr. Bosworth and I am making this video specifically for all of you ketone lovers out there who have a friend that just can’t start the ketogenic diet because it’s too hard and this video is for them so it’s inspired because I had a houseguest our family did last week and as you might imagine our house is all keto and our kids are keto and so he shows up he’s like oh I’ve been dreading coming to your house because you don’t have any carbs and I’m sure I just can’t live without carbs and so I’m not I’ll really pushy you but I’m like how we can find you carbs we live in America we can totally satisfy your craving and then I got to study him for like the next few days as you watch him you know he’s our age and he is amazingly intelligent and of course I can’t help but like point out like geez you know your your energy dies so quickly because of the way you eat and he’s like I know I know I know I know and he was all irritated every time I bring it up but I couldn’t help it I said let me just show you one thing you are in your 40s you should have no swelling in your body I want you to do something and I asked him to take his thumb and I want you to pretend this is his shinbone I said push on yours on your shinbone that hard push hard enough that you can kind of blanch the capillaries or the red stuff in your fingernail yeah some nail now I want you to push there for 30 seconds we did it together and my husband did it as well we’re all in her forties and he is doing this he’s doing this and then he lifts his thumb up and I said you see that swelling that’s that is not normal that is not normal and he’s you know now I’ve got his attention saying no your body holds on to swelling when you eat that many carbs is not meant to do that it’s like oh but I can’t do it it’s so hard and I have cravings every two hours and I tried giving it up and I just got so crabby like don’t do that here is what I would do if you knowing what I know now for the last few years studying and how to help people get from the carb addicted phase into the ketogenic diet for reasons just like my friend who he doesn’t know that he has that much swelling in his body he doesn’t know that his fatigue is so heavy that his brain will work faster better smarter longer if he can switch his chemistry into a ketogenic state but he is drek he won’t go through that 2-week transition and there’s lots of people that won’t do that and what I’ve learned in the last two years of really consulting with patients getting them from a place of carb addiction you know 150 200 carbs a day Oh doc I’ve tried to cut down I have a different plan than I did when I wrote the book so the book anyway you can I’ve asked my friend to read it his brain is just not focusing well enough to read and he’s a super smart guy but he’s been in this kind of state of carbon for so long he doesn’t even realize it so in that story I didn’t know a few things that I know now and so I’m gonna tell you in this video what I would do with somebody like my friend who totally needs the ketogenic diet for his longevity for his health he’s not particularly overweight I mean he could okay he could lose 40 pounds and it would be great so maybe that’s overweight but he’s my friend so it’s hard to look at him that way but mainly he needs it for his health so I’m gonna flip over to some slides and I’m gonna show you what I would tell him what I did tell him by the time he left our house he was with us for like 72 hours and I think I’ve been a little overwhelming alright here’s what I would do alright so I would first remind you and him and everybody that’s new to the ketogenic diet you know what’s the reason for this diet and what is happening in those two weeks where you say hey I can’t possibly go from here to there let’s remind you that you have three fuels in your system you get those fuels from carbs fat and protein and I actually don’t like to talk about protein as a fuel source really protein when you eat it breaks down into amino acids and that turns into so let’s just not focus so much on protein I know that it’s in the book and I know that it is kind of a fuel source but it’s really really really low percentages alright so this graph talks about how glucose is on one side and how long that glucose or that carb energy lasts in your system and so when you first eat a high carbohydrate meal that sugar in your system purse way up and falls way down within about two hours when I’m looking at a campfire I think of that fuel as the fuel found in like the kindling of leaves or pine needles in if you were burning a fire so it’s really super fun it’s high-energy it’s kind of sparkly to look at in the campfire but it goes away and it will not keep you warm the protein lasts longer it doesn’t spike as high in the in the glucose world but more importantly I want you to focus on fat so fat is like a log that’s on a campfire and when you go to light the fire in that campfire if you only have logs it’s really hard to start which is where my friend is stuck he’s like I just I see you feel better and it looks like this dreamy place that you hang out but I give up I can’t do it and I’m like yeah that’s cuz your logs are not brain and if you sit in front of a campfire and you only try to light logs you’re gonna be cold it’s not it takes a while once you get the logs burning once you do these other little tricks to get that metabolic world burning and you burn fat for fuel you have those logs in a fire and you can just add another log and it just keeps burning once you get it going I really like that analogy because of where my friend is stuck and that is that we need to start his mitochondria this is mitochondria only burn glucose these little beautiful things found in each of your cells or most of your cells they are your motors they burn energy and when you feed them only carbohydrates they go up and down and they cause there’s lots of inflammation associated with a carb only fuel when you look at mitochondria burned burning fat for fuel they have a strong steady fuel like the logs in a campfire and so it sounds so dreamy and wonderful but how do you get them from where my friend is that to where to where I’m at alright so we’re gonna watch this little this is I know this is a little bit geeky but I think it’s really learn to use science when you talk about these things so our brains do prefer ketones over glucose and here’s the study that shows that so it was produced I think 2016 10 adults they took tags and they tagged both the glucose and the ketones in a PET scan and so they’re looking at their brains and how much of their brain is burning fuel that’s carbs or glucose and how much is burning ketones or a derivative of fat and so what they did is this is only a four-day study these people were like my friends they were not keto adapted they were just normal folks just hanging out with carbs they weren’t particularly obese so kind of like my friend I wouldn’t call him obese but he could stand to lose some weight and the average age was 35 so between 20 so it’d be just like my friend okay so this is him he’s totally carb addicted and for four days they put him on a super strict ketogenic diet like this is a super advanced four point five to one means for every four point five fat points for everyone carbs plus protein so the carbs and protein are in the 1 and the 4 and a half is the is the fat calories so that’s that’s crazy advanced so anyway but it really proves the point here so hang in there all right so this first slide shows you the metabolism of glucose are those carbs and so if you look we have this measurement over on to the side and the higher up on that measurement the higher the carb fuelling is happening so that Reds Bart way at the top is always intense carb burning the yellow part is kind of medium carb burning and the green and the blue is almost zero carb reading so if you look most of the brain 98% is fueled by glucose either at a moderate or a high rate so lots of red lots of yellow that brain is carb addicted when they started now when you look at the end of the four days the they’d been on the super high fat diet where they didn’t have any access to carbs and look at how fast their brain switched out of the red zone and into that green and yellow zone so this gets more impressive as hang in there so now let’s look at the metabolism for ketones so day four excuse me day one you’ve got these blue intense blue scans that show almost no carbohydrates by the end of it by day four look at how intense those ketones are in their brain so again the first day they were all blue there was no ketones being burned in their brain you couldn’t light up a speck in their brain by day four it’s that quick that you could turn on the mitochondria in their brain to burn ketones and I did not know that I didn’t know that you could do it that fast I mean I suspected that these starvation studies would do that but I thought you had to be completely fasting to do it I didn’t think an advanced ketogenic diet could do that our brains prefer glucose prefer ketones over glucose I’m just gonna repeat this one more time because it’s super important when you look at this study where they looked at these folks for four four days on day one they had glucose and ketones and they tagged them in their brains that top line of brains has lots of red in it because their brains were highly dependent on glucose if you look at the ketone mine brant all blue heard me any cell was alive using a ketone at that point when you get today for their brains acted completely different the amount of glucose had reached the moderate to low and the ketones were on fire the ketones were the hottest to me you could you could measure it and look at all the red by day four that is amazing and that is just like the brain of my patient of my friend that stayed at our houses past week his brain completely Kido it out carb addicted to an insight so if I locked him in a hospital I can totally make his breaking news ketones but that’s not the real world that’s not where these folks live yet the improvement for his rain is highly dependent on whether or not he can get through this transition so hang in there one more point your brain can use two fuels two of them to burn okay they could use carbs or they could use ketones the difference between these two is that same burst of a fire versus the long-acting fire when I’m using ketones for my seizure patients I need their brains to mostly be dependent on those ketones but here’s the trick the brain can’t make the fuel their brain and your brain of my brain oh you have to haul the fuel into the brain it does not show up in the cells of the brain on its own it has to have it delivered into the brain which brings me to this study so this is a ketogenic state you can tell that because if you look at those blood vessels you’ve got the little red square characters which are meant to be the glucose molecules and you’ve got ketones circulating in their blood as well when that happens the brain has two ways to get this fuel into the blood for the glucose it adds the glucose through a glucose transporter this is very much as long as there’s fucose available it’s going to haul it into the brain this is the part where we know over time when they’ve become insulin resistant which I would contend my pick my friend is insulin resistant he’s been carb addicted for so long even though his blood Sugar’s weren’t terrible when I checked them they were around a hundred they weren’t like the diabetic range they were high enough that I know his body is making excessive insulin and that means that blood-brain barrier this glucose transporter right here is kind of wore out from constantly being told by the insulin pushing the glucose pushing the glucose get the glucose in there get the glucose in there and so his receptors right there are insulin resistant and so they aren’t as efficient as lifting the glucose from the circulation into the brain and that’s why he gets brain fog every time he goes a couple hours without sugar without carbs okay so his transporter called the MC transporter this is not same as MC t this is the mono carboxylic transporter which is the little guy that lifts the ketones from the blood and puts him in the brain and I would contend in my friend they’re all asleep he doesn’t have any idea what to do with those okay so if you look our brains prefer ketones over glucose and then the subtext is as long as those Kiton ketones are available so how do we do that so if you look at this study this is the last one of actually a carryover from the last study was has we watched that glucose metabolism and we compared it to ketone metabolism now this is metabolism so this isn’t like blood numbers it’s how much of the brain is using is burning the ketones versus burning the glucose so think back to those hot images of how many cells in the brain are churning through ketones and the higher the ketones were look at that bottom access it went from 3 to 4 to 5 as that number of the ketones go up the the use of glucose goes down and that’s remarkable I did not know that and this means if I give glue if I give ketones to the brain if I give ketones to my patient and just make them available to that receptor to their brain their brain will prefer it over the glucose and I thought you had to like burn up all the glucose before it would ever start to use ketones this brings me to the point of what I would do with my friend I would start your mitochondria start this burning fire of logs before you ever change your diet like what yes I want you to fuel the mitochondria put the fuel in your blood and just let that hang out for like two weeks before you even decrease your carbs a snitch and what’s happening this is fuel for your mitochondria so this is ketones in a can beta-hydroxybutyrate made in the 60s tastes terrible so every single one of the supplements has stevia in it which makes it taste better personally I mix about a teaspoon with some heavy whipping cream I did this for my friend and he’s like oh this tastes really good and I mix it with ice and I blend it with ice awesome it’s kind of little ice creamy and then yeah like a shake almost if you have enough cream in there and for sure he was able to put in Ketones I checked his blood ketones like four minutes after the supplement and by golly he had ketones floating around his brain so what what’s the punchline here when you look at ketones and how to raise them there is good better and best options out there and for my patients that need to make the transition they really know the health benefits on the other side of a ketogenic diet I look to say let’s start with improving your ketones in the good department now it will only increase their ketones for two to three hours so you might consider just sipping on this stuff all day long for two weeks and again I don’t ask them to change one stinking thing in their diet I just say I need to turn on the motor inside your brain and your muscle cells and this two to three our ketone improvement is ketones in a cannon that’s beta-hydroxybutyrate exhaustion is ketones Google they’re they’re everywhere they’ve been around for a long time but the next step if I wanted those ketones to last longer I would move him to medium chain triglycerides and I might do that after he’s transitioned into this next step the trouble with medium chain triglycerides is you need to be careful when you first add them if your gut is swollen at all if its absorption is kind of off kilter you’re gonna get diarrhea from this it’s an oil that your your gut lining doesn’t remember how to absorb and you got to kind of teach you how to do that this is where I talk about lick the spoon just lick the spoon with your MCT for the first week kind of wake up the first few little cells those are sites in your in your Baja to be able to let that slide through their absorption of course the best way to raise your ketones is fasting but there’s no chance my friend is ready for fasting that’s advanced he is in the good section he’s just gonna take the basic put those ketones in a can let them go in his blood for the next two weeks and then watch how easy it is for them to decrease the carbs it is amazing I’ve done this with my patients with Alzheimer’s they can’t remember well enough to cut out carbs so they they are addicted to carbs because they are and I want their brains to do a our job so I put them on this for two weeks before I tell the family to start cutting the carbs back and oh my goodness it has been the best trick I’ve ever seen so again we want to stabilize this mitochondrial dysfunction it begins with giving them the right fuel I am a huge proponent of using the science today using the science today you see of a of your metabolism in advancing the chemistry before I asked them to suffer through the limitations of cutting their carbs and especially my friend he really does need the help and I think there’s so many people out there that could benefit from the ketogenic diet but that first step into the ketosis is too off-putting they just can’t they can’t do the chemical shift so this is my hack this is how I do it for them so please share this video with anybody who says they just can’t do it in the show notes below I do have bhp that I the first thing I ever put my name on is because of this this awesome trick to help patients get from not being able to produce one ketone to being able to easily transition through that carb fuel to ketone fuel by using a supplement so check it out see how it works I look forward to your feedback so put your show your your feedback in the show notes about how this has worked for you or how who who you sent it to what you what friend do you have in mind that says yes they should be on the ketogenic diet I know I’m gonna send it to my friend and even though he hasn’t read my book anyway you can I bet when his brain starts burning ketones he’ll have that drive to focus longer all right sign it off I’m dr. Baz helping your health 1 ketone at a time thanks for tuning in and I look forward to reading your feedback in the show notes

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