Episode 102: The 3 Biggest Obstacles to Losing Weight on Low Carb Keto Diet

In short, Insulin resistance, sustained elevated cortisol, and thyroid concerns. How to tackle these simply and in a way that allows everyone to continue their metabolic transformation long after they finished our program.

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Until next time, Dr. Karl

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speaker 0:   0:00
Hi, This is Dr Karl Goldkamp. If you're interested in learning about the ketogenic diet like I was to save my own life, then this is probably the podcast for you. Eight years ago, I knew nothing about it. Six years ago, it saved my life. Three years ago, I started researching and talking with some of the authorities in the field and attending medical conferences about this to understand why and how Keto so dramatically changed my my wife's and my lives. The first of his podcast is to share our journey of discovery with you and understanding how Keto is so effective in improving so many different conditions from obesity, epilepsy, diabetes, infertility, MS, Alzheimer's, heart disease, to name a few. So take a step away from all the hype you've probably heard and roll up your sleeves with me and join me weekly to explore this living miracle that anyone can access. We'll talk science. We'll talk food. We'll explore its history and evolution to today, which is that the sheer wonder of the ketogenic way of eating has changed untold number of lives, unlike anything before and in case I forget to mention it, please join our Facebook group -  Keto Naturopath.  

speaker 0:   1:13
Welcome back to the next episode of the Keto Naturopath. I'm Dr Karl Goldkamp, and we have some things to talk about. You know, it's been over two years of doing this podcast over 100 episodes spent over two years of actually coaching other people at various levels. By the way, large group small groups, individual people that have signed up to work with us . Sometimes just me.  We do work together in the larger groups of men and women. So some of the things that we had to discover on our own that we're not presented at the various conferences we went to, this is not to speak badly of conferences.  I think they're great. And this is where we learned. I first go in saying, how did I miss this?  And so my eyes were all about everybody else in the room knew more than I did. Well, then, after a number of these conferences, one you've obviously learned more so that is no longer true probably wasn't true initially, anyway. But you realize the presenters know a lot about one little thing and they're putting that one little thing that is in the bigger circle of low carb, high fat ketogenic diet or little carp ketogenic diet. And that's helpful. And I appreciate all that.  

speaker 0:   2:21
However, there gets to be a kind of a shadow part of that circle that things don't want to be talked about. Nobody really wants to talk about the negative side of dairy. Just not gonna go there. They don't want to talk about how there's only a 50% success rate by a number of professional institutions and people in terms of  having people benefit from the ketogenic diet. Obviously, that's where I've had to learn, whether I wanted to or not, and us helping people as well and me, taking sort of the lab perspective on say, we're going to find out about the data. It was interesting what showed itself. I see that a little bit like you can look out over the water, maybe even a cove if you're imagining in your own mind, and it all looks pretty calm and yet you don't see what's under the surface. You don't see if there's rocks or a pile of rocks or jetty that's out there that could rip a hole in the side of your boat, however big or small, so looking below the surface of what has been presented to me at the various conferences and digging deeper has really allowed me to see what it is. Still very remarkable. I missed it, period. I own that, and it was not part of my education.  

speaker 0:   3:43
However, I think I see a lot more than most people, and I think the conversation goes a lot deeper. And right now this whole idea of Keto, whether it's psychiatric disorders, weight loss, immune disorders, neurological disorders,  arthritic disorders, there's still things, once people have garnered a certain sort of following about that particular specialty that they're talking about, they don't necessarily want to talk about the gray areas anymore. They had some success Move on. Please follow them for that particular thing that they're good in. So I appreciate that, but I find that the conversations are are limited, doors are closed. A certain sort of continuations. Have you ever thought about don't know why that is? Now it's sort of a cultural change we've all made. People are more concerned about who likes them, who's following them than an honest exchange of answering some questions. They all want to be specialists , they got it, you follow them. They know what's going on as opposed to there's still another 27 questions really need to be answered anyway.  

speaker 0:   4:52
Enough of that. But some of the things that I have had to learn in digging deeper to look under the the water, so to say, where some of those rocks are and those jetties are have been the following, and we'll go into that. Really. I think the three biggest obstacles to losing weight on low carb ketogenic diet are as follows: Insulin resistance, you can say, well, of course it's insulin resistance. That's why everybody is heavy. Okay, well, there is a big range on insulin resistance. So how do I know about that? Well, I know about that because basically, in the very least you take labs. The labs are easy in the're cheap insulin, so fasting, insulin concurrent with fasting glucose.  If you really want to spiff it up then you'll do fasting glucagon. That's an expensive test. You'll do a fasting C R P, which is an inflammatory marker. We'll do a fasting HDL cholesterol. You'll do a fasting triglycerides, and they have to be at least 12 hour fast. Okay, so now you got the rules down. That's one set you could do if you have not been keto, that is, if you're not been producing key tones for a while, the first test you might find really pretty interesting to do, but not a fun test to do. Just results are interesting. And that is that the call glucose tolerance test, in which you take 75 grams of glucose. First of all, you do the fasting, insulin, fasting, all the tests I just talked about. Then you have your 75 grams of glucose, and 30 minutes later you measure glucose and insulin. Another 30 minutes, glucose and insulin. An hour later, same, an hour later, the same an hour later, the same in an hour later, the same. So it's a long time. You have to hang around to have your blood work done, and just  small labs. Nothing no big major contribution of blood is required for these.  

speaker 0:   6:58
That data will really give you a sense of how your pancreas is doing for one what your body needs to depend on in terms of, can it control your glucose levels in a  'normal range', or can it not?  If it if it is a normal glucose, consistent. So they call that euglycemia  ans in euphemism. Right. Okay, so that looks good. But now you find, Where is your insulin? Is it whoppingly high, which it probably will be. So if I haven't talked to you and you're concerned about losing weight and you're really not that familiar with blood work, my guess is you will probably be insulin resistance, which is going to be your producing a lot more insulin than everybody else . You get right down to certain formulas which we use, not worth going over here.  I find the simplest thing to do is really a ratio of triglycerides to HDL gives you a nice ratio on that. It's pretty much on par with HOMA-IR, which is a fancy insulin resistance formula that many people use.  You can use that too -  you can look it up online, in fact. Okay, so you got that down. That just sets you out.  

speaker 0:   8:16
So you have those labs in, and then you go - are you insulin resistance or not? Was there a lot of insulin required? That's a GTT I was talking about, but it was a lot of insulin required to keep your glucose down. Could you keep your glucose down? Was your glucose high? So it would be the hemoglobin A1C.  What were your averages there?   Okay, so you have that, now what do you do with this spectrum of people? Let's say there's 100 people that have tested that they have to produce a lot of insulin to keep their glucose either normal or semi normal, in the course of that GTT test. Or, assuming 100 people did not want to do their glucose tolerance test, they go forget that it's uncomfortable. I don't have that much time. Give me something simple and you just defaulted to the fasting insulin and fasting glucose. And there's others all right. You start there, you'll get  a pretty decent picture. It won't be as accurate. And by the way, if you've been keto for a while and you want to go do the GTT, it's not gonna work out. You have to go back for at least 14 days and eat. I think it's 250 grams of carbs for 14 days to put your metabolism back to the way it was. And then you can go test it. So why waste your time? Right?   But you'll find you're gonna waste your money if you just go in and take a GTT because it's  very muted. You won't have a very big spike up on insulin or anything because of your ketones.  

speaker 0:   9:47
So anyway, you find you have this big range of about 100 people. What are you gonna do? All right, well, we're gonna follow their macros, right? We're gonna follow Macros. We're all gonna eat under 20 carbs a day. You've calculated their protein to be roughly around 1.5 grams of protein per kilogram of body weight.  Then you've calculated  their BMR and so you know what their gross caloric intake should be, and so the rest would just be fat. And that's how it goes, right? And yet what are your expectations? Are your expectations that somebody's going to start losing weight. If that's your beginning,  few people actually lose weight starting there. Hope you're not disappointed. So anyways, that's where we started. So we had to learn from there. I mean, us personally.  So just the ketogenic diet by itself.  Unless somebody is so high carbs and has been eating way over there caloric intake, that would be a significant change and they would probably lose weight. But they would have to be pretty big, meaning heavy, obese, extra fat. Okay, so that means it's pretty much an extreme minority where you're dealing with very obese people. In that case, it might even be fun because you've been making some fast gains quickly, but they're a minority of people who are gonna come in to say, Yeah, let's do this. I want to work with you and I promise I'll be doing the work and let's do this. They're usually obese people. 150 pounds over weight, height someplace between 5.5 to 6 feet. And usually age is fifties or sixties as an average. Your avatar, so to say. Okay, well, you help some , others are not doing all that great. What you gonna do? Panic?  No. You try to work on the quality of the fats. You go through and educate them about the fats, they're not gonna do seed oils. Okay, that's a good thing. Don't use seed oils.  You're going to get out the processed foods. That's a good thing. That's required of everybody. This is not esoteric. Get that out.  

speaker 0:   12:02
So you got good fats coming in. What are good fats? Good fats are the animal fats. You have the tallow in the lards, and they're probably taking their fish oils.  Ideally, they're even having salmon. So they're getting their fish oil in their fish that's pretty good for your brain is what 80% DHA which is one of the two essential fatty acids that you get from fish. You get it from animal other animal products too,  but you get a lot from fish. Okay, so that's improved. But still, there's not a lot in terms of weight loss. All right. Well, the first step we've learned , we have a 90 day program-  in the 1st 2 weeks they get all their labs done. So they have to get their big metabolic panel done. They usually go to quest, and after that, they get an intracellular test done. That's an intra lymphocyte test for micronutrient deficiencies. And so these nutrient deficiencies are caused from A) they've been eating a life of processed foods that had no nutrients for them to gain in the first place or B)  its induced because of medications. So a lifetime of that, you know, they had four or five decades of that behind them. You can bet there's gonna be some pretty big holes that you're gonna have to fill in with the appropriatenutrients. That will be one of your assignments.  

speaker 0:   13:21
Okay, so now you've looked at that,  then they do their hormone panel, and then they do a genome panel. Okay, so what do we find that's true for a lot of people?    So you really have to educate them on how they get their insulin up. And that was a carb consequence. They had a lot of carbs. Their insulin was sustained high on a regular basis. Well now I have to counsel them on decrease the number of times you're gonna eat during the day. This is assuming they did the first thing, which is 20 grams or less per day of carbs. They finally got there, right? So that's what they're doing. Give him a week or so that they'll just get to there. And you're tracking them on whatever your favorite tracker app is. Okay, they got that done. And you look at their insulin again. It's come down some, but it's not like, Oh, my gosh, we just made a windfall. You know, we changed everything. These people have that expectations. By the way, those who come to you about Keto, they expect that it's going to change soon as they start producing ketones. Well, so you have to get rid of that idea. You have to say No, it's  a bit of a work. Took you 34 years to get here. It's gonna take you at least six months of serious work to make a serious dent. Okay. Okay. So now they are educated on the insulin. And what else did you find? You looked at some of the nutritional deficiencies. Well, I would say the second area that comes up in the metabolic panel is really about thyroid. Thyroid. Usually you can say it's hypothyroid . Yeah, it's Hypothyroid. You would have known that. Well, maybe yes, maybe No. But you find depending on the person if they've been self diagnosing  and taking a lifetime of supplements, you know, unperscribed with just themselves. Of all the various articles they've read because they're 'smart people' that they may have induced,  and I've seen this more than a few times, an autoimmune condition.  

speaker 0:   15:40
So more than likely, they're going to start heading off to Hashimoto thyroiditis, which is Hypo thyroid, but an autoimmune variation of that. Now you go,hmm, well, clearly, we think get the carbs out. That auto immune noise I call those antibodies. They're probably gonna start decreasing on their own be heading off to a good direction. But remember, these are the people. They're just not getting the gains. They have this thyroid thing. They're seeing some people in the group going, Wow, you know, I'm reporting some good gains  and this is all I've done, so you you have to get them away from looking at each other, But they need to know that they had different labs. This is where the data comes in. So, we may have to take care of this hypo Thyroid issue separately.  Did mention glucagon, which very few people take. And we've been taking that as a test. We find that those that are low on glucagon. So what is glucagon?  It is the hormone that,  when you're stressed, it tells the liver - make some glucose. You don't need to eat carbs, ever. You can make all the glucose you want. And this is what makes all the glucose is tells your liver, make glucose. Please make glucose. And there's other places in the body you can get some glucose dumped out there. So you're checking glucagon and this goes way back to the sixties. The insulin versus glucagon.  

speaker 0:   17:14
If you're making plenty of your own glucose by  glucagon, you don't need to eat any carbs. And I just said that. But when people think, Okay,  I'll just stop eating carbs and be all glucagon and no insulin. Well, that's how it would go in a game show. Ah, it doesn't adjust quite that well. And what we find in taking more and more people is glucagon and insulin, of course, but we find there's a correlation between those who are low thyroid and those that had low but in range and then low out of range.  How is that? And there's not a lot of research on that, but that's the first head scratcher. They have a thyroid problem, and also they're making less glucose. And you go, Well, that's interesting. They're making less glucose. Sorry, they're not making less glucose. Their glucose numbers were fairly normal. Their insulin numbers were fairly normal. Maybe a little bit elevated. But their glucagon is down. So they are making  less than everybody else is making according to these labs, and they're eating more carbs to sort of make up for that. So it's an interesting situation. So now you got the thyroid and you've got glucagon to take care of. None of these issues were discussed at any of the conferences. They're just outliers, you know? Please  got to end of the line be taken care of by somebody else because they're changing the data, and it's not working out well or something like that. But you have to deal with it, and it's not that hard to deal with it.  

speaker 0:   18:53
Once you understand it, you can  help the thyroid by having them go on thyroid medication.So that's not too difficult. You can refer them to their doctor. The doctor will see the labs and go on some thyroid medication.  So even if it's temporary, temporary being six months or so, they'll go back. Once you go on thyroid medication, it  will be adjusted and checked on. Usually it's by an endocrinologist, but it could be  a family doctor as well, and so that's gonna help them a lot. I mean, their metabolism is gonna speed up. You don't know how they got there. We're living in a polluted world and a lot of pollutants do directly lead to hypothyroidism. Whether it's heavy metals or what used to call down winders from various nuclear power plants and such, there's a lot of reasons that could affect and even that's a very short list. So they have it, you've dealt with that, they're gonna feel better. And now they're gonna start burning more burning, more fat.

speaker 0:   19:51
Okay, So the the other thing I wanted to say is that in the course of the program , we realized that it's 90 day, so a 12 week program. For the 1st 6 weeks, you really have to make sure that they're having a high fat diet, meaning they are doing the rest with that. Remember, we said you calculated a protein and you have the 20 grams of carbs or less. Well, the rest is fat. Make sure they're having the rest is fat. And for them, it's gonna be weird. They're having to add more fat to their diet to lose fat. They're probably not gonna be losing it that quickly, but they'll be losing some. You have to sort of box in their metabolism. So it really does start to remember how to a make ketones and burn ketones,.  Here's the part that nobody else talks about their microbiome, their small intestine, their small bowell they're large bowell has to change that whole microbiome to be a a fat burner, if you will. So when you eat protein and fat, which is primarily what ketogenic diet is,  it takes a complete change in terms of the different bacterial and viral groups and fungal groups that are in your gut. That's what makes up your gut.  It's like shifting of the guard. So I put about six weeks on that, So  I  really have to harp on them to say, please increase your fats to the six weeks. However, at the end of the six weeks, cramming in that extra fats to complete that macro picture really isn't necessary, let it fall away you know, let them go by appetite. So at that point, if they are now used to eating, so we're gonna assume this is all whole foods we're talking about, right? No process.  

speaker 0:   21:52
So at that point, hopefully they discovered that really do like steak and fish and poultry and lamb and all sorts of protein. You know, they it's much more difficult on plant. So I'm saying this person's gonna go animals for this conversation even though we actually have worked with vegans um, success way that now they realized When is they like eating these things? And they don't need to eat much more beyond having some, um, a small meal, lunchtime ish and then a dinner someplace between 4 36 30 entirely up to them because it's usually, you know, with their family or their partner and so on, so forth and so they could eat, Let's say, 30% of their calories. That's and probably no no carbs, cause they've graduated to that and protein during their lunch break kind of thing, and then then 70% of their calories will be their dinner meal so small that a larger so it's not so mad it's not just one meal a day. It's two meals a day, but a smaller in the larger now because they're eating what I call who foods, protein and all protein has his hone fat right, so you have your steak has plenty of fat on it. You're having your chicken that has less fat. You can even have your sardines even as less fat and things like that. But you can either add some fat or not have it. We do apple cider vinegar. And so the point is, what is happening here? The amount of fat after after they are fat adapted drops down significantly, so they're now eating about half the fat. Their body can burn the fat they have and they'll find will start dropping there. That's very quickly, and it will seem to them like they're not exactly following the rules. And it seems to them like they're not following the rules because they're no longer measuring. Their proteins are not measuring their fats. They're just having this smallish meal and largest meal. And does he? It seems to work for them, and it works for everybody, actually, So you got to get him to that place in which they are primarily just eating a whole food source of protein. So let me clarify on the use of the word protein, and this goes back to this debate. I have a doctor say this, Um and that is when people actually take a protein powder. They're being stupid so that I know they're in the gym and their weight lifting. We wanna be buff and so on, so forth. But they're still being stupid. And that's a very nice scenic ah diet to have, especially if they have way. And by the way, way Onley exists after cheeses made. There is no such thing as WeII in cow milk. Way is a byproduct of making cheese. So it became popular, and it's what they used to just feed pigs. So gosh, they fed it to pigs. Why it made pig's fat. But it's not part of the essentially essential amino acids. So it's kind of a growth hormone. If you were to go your muscles growth hormone. Yeah, I want that, Um, but there's really no reason to have it. That'll Okay, so these if you were to line up all the amino acids and then take them one at a time and see how that would increase your blood glucose. And actually there are research doing exactly this, and they give it a ratio of you. Have this protest, this amino acid, and do you burn more carbon dioxide versus oxygen? Meaning are you a fat burner versus ah, glucose burner on a per amino acid basis? And they find that our thinks about three amino acids Argentine and do other. Sorry Can't. Can't think if I think Lucy is probably another one, that they are right up there, almost equivalent with glucose or equivalently glucose, So that's amazing. So that's why, and for those who have been following this conversation before, it's like, Well, that's why they would put carbs and proteins together because they both could have a glass Simic, meaning a glucose response. But that's not the real world. Nobody in history ever ate, dug in their spoon to powdered amino acids and added some water and stuffed it in their face, and just had that That's ridiculous. So it's an artificial comparison to, say, protein versus, uh, carbohydrates for fats relative to glucose index. That only happens in a lab. So in riel life, when I say hole food protein, that means the stake, the chicken, the fish And you know what I mean. The egg, all of that. That's the whole food part. So it has a lot of fat in there. Even if you trimmed away the fat, you still have a lot of fat in your meat. Um, let's less less so in most fish. Obviously, salmon is very fatty. You can You can only have so much salmon because I'm bad enough. And that's because it's so rich. Okay, so when you have that, how far back to saying, Hey, you guys or women just have protein? Whole food proteins don't even have to calculate it, have some around lunch and have some the rest at dinner or different form of it. They're gonna find in a week or two. They've dropped weight pretty considerably. So that ends up being the core. And you say, Well, that's Carnivore. Yeah, it is. Um, if you have to call it something calling car number, that's where you head. That's where you end up. So as you evolve through this low carb, ketogenic lifestyle and you like it and you find the getting healthier. You're really heading towards a whole food protein only, and that's gonna be 95% of your diet, whether you want to keep the salads and the other carbs totally unnecessary, that's strictly of thing you want to do. Um, and if you want to have your treats every so often, like Judy makes Oh, she's pining for a cheesecake that she does once a year. Still, they have to eat after Easter cause she has to get her blood work done. And she's been off dairy that she wants to see what that looks like without dairy. So ah, we'll have it in a couple weeks and there's only so much that you can have at one sitting. But it is great, but you save those special occasions for being special occasions. This isn't a religion, but that's where it heads. And if you have good sources of protein and you diversify as much as possible, and there's been people doing this for 2030 years, so there's not like all that's what we're diet now, it's may be weird to you because you've been on a process food diet, you went on a diet of lives as I call you. Been on the diet of lives since lies Hasn't dishonest since you were born after you're born. When give it a couple of years, we assume you have a healthy childhood and breast fed and all that. So after that phase of your life, post toddlerhood, okay? And so that's where that ends up. So there, there you've now marched through all our plans. So what are the biggest obstacles Don't about, Ah, insulin resistance and what that is, And you basically have to sustain so over time, you know instantly isn't something you can just drop that way. But you have now counseled people that probably 86 times a day because that's the diabetic diet. If you go to the A d a American diabetic association. Pathetic, huh? And they they encourage you to have more proteins and to eat more frequently through the day. So you're always keeping a certain glucose level there. So this is just the opposite. F one is you're gonna get those six times down to four times. What is that too? That cuts down your insulin production by probably about 60% So now your pancreas gets to rest. Now you've changed the Constitution. The constituents of those two eating times from being very low carbohydrates. Two, um, really no carbohydrates, just the whole protein. So there's even less required insulin to come out. So now you are primarily a glue. Gone. Click a gun asking your liver to produce your own insulin. So your your produce Sorry, the glue gun is asking your liver to produce is on glucose And now you're making your own glucose. You're not depending on anything you need to eat for. Isn't that amazing? So at this point, these air major major steps down. So for some, um, within 90 days, you've had a remarkable change. If you check their labs again, more than likely if you can keep them on track of what I've just described. Ah, six months out, you will see somebody who is one is. They've rediscovered their body and ah, yes, let's say they're working out. But they don't have to be, you know, a bodybuilder workout. They're gonna find um, having this amount of protein without the carbs dropping the fat, thereby to become a somewhat chiseled ah, by itself And if you add in things like Dr Ben's high intensity training, uh, there you go. You know, it is amazing. So I've seen so many transformations, and I can thread that needle very well. I can thread that needle very well along the way. I found their nutritional deficiencies I told you about. I found out, you know, maybe they had a thyroid thing or didn't have a thyroid thing. But I found that out through labs, and we adjusted those. We had those addressed. And so you just, you know, you just hit the low hanging fruit. Get that out of the way. These people will probably be off their thyroid in a year if they had to go on their thyroid if they were one of those kind of people that I just told you about. All right, So, um, the third category of people that are just heavy and it's not necessarily by Oh, my gosh, Look at my diet. These are people that have chronically elevated cortisol. And by the way, people who have chronic, chronically elevated cortisol are eventually gonna burn out, and they're gonna They're gonna be people who have really no cortisol. they're gonna be exhausted, burned out, chronic fatigue and all that. So you need quarters all, obviously not just as a stress hormone in case the the line was chasing him in the woods, and you just had to swerve out of the way or save your life for that moment. It's less about that. It's just that we're in a culture of people, have sustained stress for financial stress, marital stress, environmental stress. There's just so many reasons, and so it's always on. So when your stress is always on, your core is all hits your Google gone. Now that you know what Luca Gone is drives out to deliver to constantly being producing glucose so you can actually get into diabetes without having had a lot of carbs. Because you're so stressed, you forced yourself to be in a very high glucose diet. They got that so they forced themselves stress cortisol, the glue gun to deliver, making its own glucose called glucose neo genesis. And that's it. So diet is less about those people, and it's more about their stress levels. And so from that you you know, you've look into their hormone panel. That's what we do the hormone panel up. It's a lot about stress. So you get to see at four time intervals, it does their first of all does recorders all rise up for that with a call? Um, cortisol Awakening response or don effect. So cores are awakening. Response called. Khar said their car effect or their dawn effect. Um, some people don't get that. They're exhausted, you know? They can't do that anymore. So they wake up tired. They didn't sleep well, and now they have to kind of shuffle off to wherever they're going, and it's downhill from there. So they need support if let me start with the person who had the high quarters all the time. They need some stress management. For one, they need to be ableto break that relentless push, push, push, push, push of stress and some of its thinking so you can work on sleep, how they're gonna get a better sleep. Maybe that would be an easy place to start. Dark room. Cool. Um, ideally, no e m f. And you're in your bedroom. So you work on these hygiene factors, So if their sleep was poor and you address that, there's that's what? You took a factor away of the stress. That's a good thing. Obviously I'll check their melatonin, but that's part of the the or mon panel. You find out that they were lower their high. So now you work to bring that down to normal leather levels, and you bring it down to a normal curve, right? Because you actually, uh, it's urine test that you're doing four different times. So you're seeing where that is and you're seeing the amount of cortisone of this court is all. Excuse me, various sex hormones and so on. So you get the bigger picture, and now you could pick a piece, gradually bring it, helped them support them. So now let's say the other person who was pooped, they could they didn't have a good car response and have a good dawn. Their quarters all really just never rose up, and they didn't sleep well. So now you don't have to do something to maybe give precursors for cortisol, helped him give up or or you this number of herbs to that you can help. Which allow slows down the did the rate of breaking cortisol down. So you're maximizing its effectiveness, but the's is some of the basic strategies use and and and go in various different directions. If somebody gets so pooped out that they just can't get their cortisol up and they're tired all the time, um, chronically low cortisol is going to open the door to all sorts of infection. Cortisol is is kind of the the alarm in the submarine, if you will. The guru, guru, Guru ge that stimulates your immune system your white blood cells to jump into action when that needs to happen. And if you just can't muster the court is all response. You're gonna be chronically sick. So when people talk about they have chronic fatigue, you can bet that has a lot to do, saying 95% chronic fatigue with just not being able to get their court is all up. And then they start to go to all this very direction various directions, and they can often get to be very, very confusing. So the last thing I had seen and this is an amazing group that I've gone through is that we do Gino James a big word. So we do an abbreviated Gino. We look at about 80 different snips, singular mutations and, um, of these, well, I look at different. I call him ego systems. Different clusters. So you have the one that has to do with methylation. So you've heard of empty HFR. And there's two other, um, mutations that have to do with that cluster. And that cluster has to do with if you have these mutations, which is a bad thing, but they can be addressed, then you most likely will have very elevated homocysteine. That's a blood test that I do. That would be the first hint that I had way back when I did their metabolic panel. So now I say, Well, there's three invitations, and that basically just means on this sort of. I've seen this. This is more common than you think. Uh, basically just means for that they'll need fully be 12 and b six. And ideally, when this is kind of controversial, it's not a black or white answer with a call. Methylated full eight and methylated B 12 seems to be preferred. The jury's that out on that, but you'll see that in supplements methylated, fully methylated B 12. So perhaps it's better. There's also research, saying there's no difference. And then be six to that. You be thinking about What is your diet look like? Look, Att River flavor. Riboflavin is tthe e um, vitamin makes your urine turn yellow. So ah, look at that as a nutritional deficiency. Did it come up in the metabolic panel? Did it come up in the Inter cellular panel and look a coolie? Think of Coleene as a seal coal in its precursor for neurotransmitters. It's a precursor for things like Sami, which is, Ah, part of the methylation cycle. All these have to do this with a pretty tight little neighborhood of mutations. So if they're working pretty well, there, that's probably great. But in this particular group that came, came through, it was if you looked at all their labs and the guy that had the most out of range labs most inflamed highest home, assisting highest insulin, the highest glucose on and on, and I'm that they had there. He had the highest. Now he had a very bad I called him an intersection of these mutations, and so now what I go through this to him gave him a buy in that his situation wasn't just from bad habits. He also had a predisposition to who wanted to drink. It wasn't an alcoholic, but they're did, as he would say, addiction in his family. Well, now it realized the addiction in his family is a predisposition to wanting these things from there goes into addiction in terms of dopamine and serotonin and, um, and a few other mutations. But this is the heart of it Really interesting, Really interesting. So when I brought that up saying, You know, it's important, I'm saying it's not your fault. I Here's how you have something here that we can address, but I need you to understand it. So they had to understand it. We have to go over it again and again. And I put them on a personal sort of video of my, ah story of all this to him and then recommends, um, here a great opportunity. Have some very specific supplements. I don't mean ones and twos, but have one that covers it all. Kind of a multi would have focused on this, and there are multi. Is that are focused on the homocysteine factors that I've just named out. So, um, so There you go. Said that was just amazing. You know, people's eyes wake up by. They had this thing all their life now can be addressed, so a big weight comes off their shoulder. So, yeah, they ate a lot of carbs. Yeah, but why did they do that? Because they had a predisposition to addiction. Well, why do they have that? They had certain mutations. Common mutations. This isn't esoteric folks comin mutations that could be addressed that could alleviate that. Is that amazing? That's an amazing burden taken off somebody's shoulder. You mean they don't have to be a diabetic the rest of life? And it's not just a story of dropping the carbs, is the point here. It's bigger than that, but dropping the carbs is necessary to do so. You can't do all this other you know finds, too, you know, fine tuning that I'm talking about without dropping the carbs. So that's kind of a drumbeat that goes on in the background. That's why you have to start with the bigger picture and get down to the smaller picture as you look to these things. Ah, but it is phenomenal. I mean, it really lights up some eyes. People really feel grateful that you came in in another way and they see you as a little complicated, but it's not beyond them. And I and I say, you know, it's important your responsibility to step up, to meet me more than maybe halfway, maybe 1/3 of the way up. So you're gonna reach to understand, And I'm gonna reach over and over and over again to discuss and have you understand this because this is your responsibility in the end, is that interesting? So that's the perspective, Um, and I think I'm gonna stop there. So we had the three reasons that people have trouble losing weight. They have severe insulin resistance. We talked about that. They have possibly a thyroid problem. You have to address that as well. But it's not a for everything that you probably will normalize itself, where it has normalized itself on my situations that I've dealt with and elevated cortisol, which is from a life of elevated stress. And then now you're helping them to do that. And for that we looked at obviously insulin fasting, insulin, fasting, glucose glue, gone. C. R P triglycerides and HDL were the core. And from that and the only expensive one there is tthe igloo gone. But go get those done. You get things done on your own. Now I use all the lab use, all the lab you can if you're in the United States. Asked me toe right that script for you and I don't get a penny out of it. It's all on you and it's pretty darn cheap. Save your life. Go save your life. Okay. Take care till next time. I hope you got something out today and more to come. Hi, this is Dr Gold Camp. I just wanted to encourage you to send in your questions too. Dr Gold, Kampuchea naturopath dot com Many of you have And so what I've done with these questions that gotten back to mostly people I email But some of the questions that were so good and if they're overlapping to other questions, I would combine them and try to put that into the topic of a podcast, either via one of the micro topics that are covered in an interview. As you know, we cover a lot of topics and any given interview or some of my own sort of reporting, if you will, on some of these issues, So please keep the questions coming. Feel free to send in an email and I will get back to you. One thing I want to say. A number of questions have come in in which I've given this answer and the email didn't work. So just make sure that you're receiving at the same email that you sent it in. And I think that might have been the difficulty. So I look forward to your questions. I just wanted to make sure that you knew that I'm open to answer your questions. And I think this world of Kato is not just black and white. You know, it's nice that it's simple, but it's not simple for some. I'm really trying to, you know, go down as anybody, any of you who have listened to all my podcast. We started way back when history of evolution, epilepsy and so on so forth, you know. Now we're seeing some tremendous overlap in various mental disorders, schizophrenia or neurological disorders that are not just epilepsy and also just for people and losing weight. It's sometimes pretty complicated for them to engage in Cato, and so they need some help. And so that's the whole point of please. That's what I think I'm doing is exploring the world of why are there other factors? So in exploring some of those other factors, we've covered addiction. We've covered hormones, have covered nutritional deficiencies. We've covered certain metabolic lab results, and we'll go further. We'll even get Theo moron, genome and aspect. So these are all just contributions that make for an obstacle for some people to engage easily in the ketogenic diet. This my belief and these are things that I've discovered, and I think other people have discovered some of these things but not ever put them together. So stay listening. Send in your questions and I will definitely get back to you. But by morning