Avsnitt

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    Lab-Grown Meat’s Carbon Footprint Potentially Worse Than Retail Beef

    Show Notes:

    How to LOWER LDL on Keto. No meds!

    Feverfew for Migraine

    Migraine Prevention through Ketogenic Diet: More than Body Mass Composition Changes

    Elimination Diet for Migraine

    Questions:

    Linoleic Acid

    Gerry writes:

    Rob and Nickie..

    Fellow Montanans here.. from the Kalispell area snd have seen you both around town! Hope you are enjoying Bozo town, you will definitely get more sunshine there..

    My wife and I have been avoiding seed oils for several years now.

    Recently, I heard Dr.Mercola speak about the dangers of linoleic acid. He urged everyone to avoid bacon and eggs from conventionally fed chickens and pigs. He stated that the soy and corn fed to these animals contains seed oils and is stored in muscle and fat.. When we eat bacon or eggs we are loading up on toxic fats!

    I have not heard others warn of this danger, even high profile carnivore advocates..

    I have been carnivore for over a year and noticed much less joint pain and substantial weight loss .,

    Bacon and eggs are a major part of my diet! It’s is disheartening to think of avoiding them.

    What do you two think about this??

    Saturated Fat for Type 1

    Will writes

    I'm a 51 y/o type 1 diabetic. I'm 5'10" and 170 lbs. I'm also very lean and carry a healthy amount of muscle mass. Since I'm wholly reliant on exogenous insulin, I'm hyper aware of my own insulin sensitivity, or lack thereof. Every time I eat a large bolus of saturated fat, especially beef, my insulin sensitivity drops dramatically and I end up taking 2 - 3 times the amount of insulin for a known food than normal. The worst food offenders are saturated fat + starch combinations like steak and potato or coconut curry and rice. Even if I restrict the carbs completely, large doses of saturated fat leave me chasing blood sugars and often injecting large doses of insulin to counteract the high glucose levels. Aside from limiting intake of beef, lamb, and other meats containing lots of saturated fat, what proteins would you rely on for health and body composition?



    Migraine with Aura

    Renea writes:

    My daughter has suffered from monthly migraines since the age of 2. She vomits every-time. Around the age of 8 she began getting migraines with aura and the vomiting went from one occurrence to 6-15 hours long. She is now 12, almost out of puberty and still suffers from auras. We have tried a lot of functional medicine but can’t seem to find many answers. Her neurologist wants to put her on anti seizure meds but we have put it off due to the side effects of that class of drug. Preventative drugs are not favored either due to the side effects.

    I too suffer from auras but only get them when I workout at 100% (CrossFit causes many of my auras and have since stopped CF) I try to workout at 80% to prevent them. Any advice how to prevent auras with migraine?

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    6 ways to LOWER LDL on Keto!

    Tom Bilyeu Visibly Scared by Jordan Peterson's Warning of What’s Next

    Tomas Pueyo on SO2 injection to stop global warming Show Notes:

    Coach Cinnamon Prime - Mindset Mastery Course

    Uniquely human evolution of sialic acid genetics and biology

    A Simple Method for Assessment of Human Anti-Neu5Gc Antibodies Applied to Kawasaki Disease

    https://www.foundmyfitness.com/topics/neu5gc

    Questions:

    Testosterone levels and fasting insulin

    Kevin writes:

    Hey Robb and Nikki, I am 65 1/2 years young. The last couple of years my sex drive has not been like it had been (it comes and goes, but mostly goes). I did a self referred testosterone level test thinking my levels were low ( also was feeling sluggish and just not feeling quite like myself, but I was thinking that was from my age). To my surprise, my level came back at 1150! I have been taking a prostate supplement the last 6 months called Prostagenix. Before that I was taking flow-max for about 5 years and it just seemed to not be helping my symptoms (taking a lot longer to empty bladder and when I had the urge to go, I had to go, if you know what I mean!) so I switched to this natural supplement. It has a sterol blend on the supplement so I am thinking that maybe that is causing my elevated levels? I also googled it and seen that adrenal gland problems can also cause the high level. I had never had a testosterone level done before so I have nothing to compare this high level with. What are your thoughts on that?

    Also I did a self referred fasting insulin test and it came back at 5.2. My last 2 fasting glucose test were at 112 and 117. I did a fasting A1C and it was 5.1. Just want to know if 5.2 is high and will lead to insulin resistance or am I there already? The test shows I am in the “normal” range between 2.4 and 26 something! I don’t trust what they think normal is.

    I have been listening to you guys for a while now. I first heard of you when you were in the Tom Woods show and been following you since then! Keep up the great work!

    Neu5 GC

    Teresa writes:

    Hi Robb and Niki I love your show and listen to it all of the time. I recently listened to Dr. Gundry speaking on Gabby Reese‘s podcast about Neu5 GC, which we get when we consume red meat. He says it causes inflammation and cancer, and that we should only eat it sparingly or only naturally fermented. Not exactly what I want to hear and I find it kind of hard to believe. I have cut out high fodmap vegetables, nightshades,high oxalate vegetables and I’ve adopted a higher protein diet, 1 g of protein per pound of desired body weight. Chicken is not my favorite and I find it hard to digest. Can you shed light on how much truth there is to this claim .

    Thank you!

    Am I Eating Too Much or Not Enough?

    Jessica writes,

    Hi Robb and Nicki,

    Been listening to the podcast for a few years, and appreciate the content! Also love the way you interact with each other--the love and respect in your relationship comes through--it's encouraging!

    My question is: Am I eating too much, or not enough?

    For context, I'm 43 years old, 5'7, 211lbs, and while I am feeling better than I have in probably the last 5 years, I cannot get the scale to budge. My goal would be about 155 (I felt my best at this weight about 8 years ago)

    I've spent the last 2 years working with a functional medicine practitioner who has helped me clear up some gut infections, mold, and sort out some other digestive concerns (constipation)

    I've had all the tests: Dutch, GI Map, HTMA, OAT, full thyroid panel (not just TSH), and bloodwork. I'll mention that I'm MTHFR heterozygous, and FNP says based on HTMA, also a "slow oxidizer". Not sure how relevant those two things are to the question.

    We redid the Dutch recently, and I do seem to be on the low side of progesterone, so she's having me supplement on days 14-28 of my cycle (I'll note my cycle has always been very regular).

    I sleep 8+ hours a night (actual sleep according to tracker) average 9300 steps/day according to my garmin watch, and lift heavy 30 to 45 minutes 3x/week. I do have a desk job, but I have a walking pad I use daily at the office.

    I've been working with a nutrition coach at my gym since about August of last year, and while we are seeing some slight body comp changes based on pics and measurements...I'm still carrying more body fat than I would like, and it absolutely seems like it's NOT going anywhere.

    We started at 1880 calories. (160 grams protein, 175 grams carbs, 60 grams fats), and have adjusted all of those levers to a degree over these 6 months (sometimes up, sometimes down). I'm still basically exactly where I started with my weight. My gym has an InBody Machine, and according to that, my skeletal muscle mass is 76.5 lbs, with a 35.6% body fat.

    I hear you guys recommend the keto gains calculator, and when I've input my data there, I get the following recommendation: 1489 cals (143 P, 20 C, 93 F) for rest days, and 1679 cals (168 P, 20 C, 103 F).

    The overall calories seem low, and I do tend to have issues with fat digestion.

    I hear and read so many things that say women shouldn't be eating less than 2000 calories because of stress on the body, etc....but then some other macro calculators I use put me anywhere between 1800 and 2500 calories. I lost 25 pounds in 3 months about 4 years ago, but didn't keep it off. At that time I was eating 1400 cals, lifting heavy (oly) 3x a week, and training for a 10k 3x a week. It was unsustainable, and I also think may have contributed to some of my other issues.

    Would really appreciate your all's input as to whether my current macros really are "too much", or if it's not enough.

    Thanks so much.

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    Ketone bodies: from enemy to friend and guardian angel

    Show Notes:

    Robb substack article

    Lily Nichols book links

    Questions:

    600 drinks a year

    Mike writes:

    Hey Robb,

    For a number of years my friends and I, all mid to upper 30’s at this point, have been back-of-the-napkin tracking our alcohol consumption. Why? To be honest, no real reason other than a little accountability to oneself, something to talk shit about in group texts, and potentially to nudge some improved habits. I led with the part that seems shocking. ~600 drinks last year. Every year I’ve counted has ranged from about 450-675, the low end being the years we had infants, the higher numbers being when I was 30ish and didn’t have a care. Here’s the question. 500+ adds up pretty easily for someone who likes to drink. 10/week can be 0-1-2-1-0-4-2 and often is, and I don’t need to tell you this but that becomes 520 drinks across the year. We all know alcohol is bad. Can you weigh in on your feelings about this kind of volume, given very very little of what anyone would call binge drinking?? 6 foot Male, ~165, 38 yrs old. Hike and/or lift weights approx 6 days a week and drinking doesn’t affect me negatively in any accute way. Is this bad? Any time I’ve had labs done they’ve been normal accross the board. What does Robb think?? I know less is probably better but is the juice worth the squeeze?? I like drinking, and again, very rarely drinking to imparement, and the count is very honest. Thanks, your fifth listener.

    Carb tolerance

    Holly writes:

    I just tested sweet potato, utilizing your carb tolerance protocol using a CGM. While my blood sugar returned under 100 after two hours, the spike was significant at 60 over baseline. So would you say this food is okay for me because of the test at two hours or potentially still a problem if trying to minimize the glucose variability?

    Stevia for Birth Control

    Jonathan writes:

    Hi Robb and Nicki, I'll first say that I really appreciate everything the two of you have put out into the world. My question is regarding the legitimacy of a Tik-Tok conspiracy about Stevia (I felt very strange typing that sentence).

    My wife and I have two young girls (coming up on 4 and 2 years old), and in June of 2023, we started trying for the third and final addition to our family. My wife got pregnant on the first try, as she did with the first two pregnancies. Miracles, yes, but a part of me was cursing this cruel, cruel world - my wife's pregnancy hormones cause a 180 on her libido.

    At the first ultrasound for fetus #3, however, we couldn't find a heartbeat - it turns out there was a "missed" miscarriage around week 9 or 10. It came as a shock to both of us, since the first two pregnancies were quite healthy, and conceiving was not an issue.

    We took a break from trying, but still have plans to try again in a few months. In the meantime, my wife is working on stacking the deck where she can to make sure her body is 100% ready this time around, so that we don't repeat the difficult experience we had last year.

    She recently came across a Tik-Tok video that warned of the dangers of Stevia - allegedly, native cultures used to use the Stevia leaf as a form of contraception. Despite heavy skepticism, I've looked into it a little bit, and it's not entirely baseless. A textbook written by Obama's former science czar, for example, contains an anecdote of native Paraguayans adding a powdered form of Stevia to tea to serve as a contraceptive. A cursory glance as more recent research has some mixed results in rats, but the "consensus" seems to be that Stevia is no issue. I typically tend to trust "ancient wisdom" passed down through generations, but the anecdotal evidence seems a little weak in this case.

    What is your take on the legitimacy of Stevia as a contraceptive? My wife, who probably did increase her intake of Stevia during the first couple months of that pregnancy, is avoiding Stevia altogether just in case, since it's a very one-sided risk. Regardless, I would be curious of your thoughts.

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    Oreo Cookie Treatment Lowers LDL Cholesterol More Than High-Intensity Statin therapy in a Lean Mass Hyper-Responder on a Ketogenic Diet: A Curious Crossover Experiment

    Show Notes:

    Precision Health Reports

    Dr. William Cromwell discusses the LMHR

    Coach Cinnamon Prime

    Questions:

    High Blood Sugars

    Eric writes:

    Hi Robb & Nicki - long time listener and fan! I’m hoping you have some thoughts or suggestions on this one.

    Background: I’m a lean, 56 yo male who follows a lower carb (50-75g daily) / higher protein diet (1+g/body weight). I’m very in tune with my diet given my wife is a T1D following Bernstein. I lift weights 3x/week and run about 20 miles/week (because I enjoy it). Admittedly, my work stress is high and I work about 50-60 hours/week. I get about 7.5 hours of sleep nightly and do all the sleep hacks to ensure I’m getting restful sleep. I’ve been wearing a CGM in hopes to better understand a recent A1c test of 6.0. I also had my fasting insulin level checked and it was 3 - so I don’t think I’m insulin resistant.

    The CGM consistently shows fasting glucose around 115 and staying there through mid afternoon, when I’ll typically drop into the 90s. I see spikes for exercise as high as 160, but come back down within 1-2 hours.

    I’m trying berberine (even though I don’t have a carb load) and l-theanine for the stress spikes, but so far, I’m not seeing much change

    Could this all be stress related?

    Any suggestions on how to fix this?

    Could this be gluconeogenesis from too low calorie? I don’t think I eat too few calories and am about to embark on some tracking to see where I am.

    Keto and xanthelasma

    Fredrik writes:

    Hi Robb and Nikki,

    I have a question about a condition I heard you mention once on the podcast, xanthelasma. Basically yellow spots around the eyes. I have been on paleo since 2009 and keto since 2012 and you were some of the first people I found on my journey. It really has changed my life for the better. Back in 2009 I was training 5-6 days a week as a 28-year old with good performance but still had a less than optimal body composition and generally did not feel great.

    Now many years later on keto, as you guys often say, I look, feel and perform much better. There is just one nagging issue, yellow spots around my eyes. They started to occur after about three years on keto and I had a couple of them removed surgically but they are now coming back slowly. Obviously I cant keep on having surgery, so what to do? I have theorized that dairy might be a contributing factor but the problem of just trying to remove something is that I will not know if it is effective until years later.

    I have tried but it is very hard to find any useful advice for this online. Some people mention that supplementing with bile salt could help, what do you think? Physically and mentally I feel my absolute best on keto bordering to carnivore so I really want to maintain that. Dairy has also been really helpful for me to get enough calories for my workouts (three days a week of heavy weights and two days of either running or cross country skiing). So how do I know what to do and is dairy a likely contributor? Also, what else, other than dairy, could I eat to get in the calories for not just maintaining but building muscle? Protein is at 150-200 grams per day btw and aiming for around 2600-3000 calories a day.

    Thanks for all your great work with the books and podcast!

    Fredrik

    Weight loss/mind change

    Mark writes

    Robb,

    Long time follower, my wife and I went to Nutrition seminar in 2009 at crossfit Monrovia. I like listening to yall.

    I am the former football/rugby player that eats too much food and sits at a desk. It has come to a point now that Life Insurance is requiring me to lose 60 pounds. I need to get to 231 pounds at 6'0". Currently i range between 285-295. I have tried diets the last couple of years for challenges, clean it up for a month and lose 30 pounds, super focused, lift, train without burning the joints. Skip meals, Skip Carbs. I lose the weight. Then i go back to normal life and eat my normal food which is too much.

    The question is how do i reset my need to eat and take in extra calories. Should I consider counseling? I eat as a feeling. I eat the same as I used to when I was playing rugby.

    I do also follow Dan John and I try to use Easy Strength for lifting. But I have not found a balance where i steadily lose. I have been maintaining my weight at about 285 with what i normally eat. My sleep is ok, Normal is 10:30 pm to 6 am. I sit at a desk 30 hours a week. I lift 15 minutes once a week. I play/run/yard work one time a week also. I have heard you talk about this before where we have been trained to gain and grow. Now that I am not trying to keep muscle mass on I have trouble shutting off eating. I still have not written my food down, like in the ketogenic reset. Is it habitual and I need to change how I eat for 25 days? Or is there another mental change needed?

    Mark

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    Recent advances in the exploration and discovery of SARS-CoV-2 inhibitory peptides from edible animal proteins

    Questions:

    Too much cardio for diabetes?

    Thomas writes:

    Hi Robb and Nicki, second time questioner with an answer on the first question. First was about long term Imodium use. I am one of the six who truly appreciate what you do and listen all the time. I’m also an LMNT believer. This one is for my mother in law. She has controlled diabetes with diet and exercise for years. I would say they are Paleo on the lower end of protein. Now her A1C and fasting glucose are going up. Lots of walking and biking (weather permitting on the biking). Walking upwards of 7-10 miles a day. Could this be causing her body to produce more glucose for energy if protein is low or is her time up and leading towards insulin after all these years. Would weights be a benefit? Failed to mention she is in her low 70’s and pretty small framed.

    Junk food calories - can the junk be burned?

    Caleb writes:

    Howdy Robére and Nikki,

    I'm an OG supporter that came across you all while I was working for one of the first Whole30 approved products, Tessemae's All Natural. I've been to a handful of PaleoFX events and my last one was a few years back where we connected at the LMNT booth and I just want to extend my appreciation for you two staying true to real food and nuanced information without turning into sh*thead snake oil salesman selling Beauty Counter or other garbage products like the majority of the old "real food influencers". I recently started ultra training and found that if I use whole foods for all my fuel I end up with a giant rock in my stomach and occasionally have to sprint off trail to test my below 90 degree wall sits on a tree to relieve myself. I've since gone towards gu's and swedish fish for my training and race fuel and the rest of my calories come from lean red meat, fruits, japanese sweet potatoes, avo oil, ghee, and trace amount of calories from a little slice of heaven called LMNT (plug).

    My digestion is great, my stool is strong, my skin is clear(ish. I always have trouble with acne), and my energy is solid. I just want to make sure I'm not causing any long term issues by crushing swedish fish, gu's, and chilled peanut m&ms during training and wondering if the fact that I'm currently a furnace for calories, if that furnace burns the "bad" stuff in processed foods along with the calories themselves.

    Stay salty,

    C

    Weight Loss and Maintenance

    Jenn writes:

    Hi Robb & Nikki,

    I want to start by first saying thank you for the entertaining and informative podcast as well as the delicious electrolytes! My question today is related to weight loss and how to potentially move that needle. Sorry for the long winded story and question!

    I'm a 34 year old female 5'7" and 175 pounds. I have a desk job, but I am active every day. I box/kickbox twice a week, crossfit once a week, swim laps once a week, practice yoga/mobilty several times a week, strength train at least once a week (aim for 2-3x) and I walk between 7 & 10,000 steps every day.

    I have in the past lost weight doing chronic cardio and extreme calorie restriction, and I have reached 155 pounds, which is where I feel the best (confidence and energy wise), but of course, once I stop the extreme dieting and exercise, the weight comes back on. At my heaviest I was 215 pounds but I am able to maintain 175 very easily now, but getting that last 15-20 pounds off and keeping them off is a major struggle. Peter Attia has said that your waist should be half of your height or less, so at 5'7", my waist should 33.5" and I'm at 37" and it will not budge.

    I eat a very clean diet, following Paul Saladino' animal based framework - beef, eggs, chicken, apples, blueberries, hard cheeses (parmesan and old cheddar), potato, carrots, squash, sauerkraut, mangos, bananas etc. and I follow Dr. Mindy Pelz's intermittent fasting framework. Chronometer shows that I'm eating between 140-160g of protein, 50-150g of carbs and the remaining calories are fat, and on average I'm eating between 1800-2000 calories a day and feel satiated. Taking my activities into account, I have between a 250 and 500 daily calorie deficit which means that I should be losing weight at a slow, steady pace, but I'm not.

    I'm wondering if my hormones are possibly causing a problem? I have regular bloodwork done and my thyroid levels are in normal range and my fasting glucose is 4.6 mmol/L and all other markers are normal. A problem is that I live in the socialist country of Canada and my doctor won't test my hormones because of my age and the fact that I don't have any health issues and I'm not obese (preventative healthcare does not exist). I've tried to look at CGM's and private hormone testing, and each of those will put be out of pocket between $500 and $1000, which is more than I can afford at the moment. I try not to overdo the fasting and exercise so as not to increase cortisol levels too much, I do have a stressful job and I purposefully take a break in the middle of the day to go for a walk or exercise to help keep those stress levels under control. I try to get outside for at least 30 minutes a day (not always possible due to the weather) and I get between 7.5 and 8 hours of sleep a night - usually good quality sleep but I do have the occasional restless night. The supplements I take besides LMNT are magnesium, Vitamin D and CBD. My only vices are coffee and tea, which I drink black or with a small amount of honey or coconut milk.

    I feel like I'm doing everything right, I feel healthy and have a great partner and life but I just can't seem to get the weight under control. Do you have any thoughts or suggestions that may help me to move the needle and keep the weight off for good? Or am I worrying over something that is not a big deal? I want to be as healthy and strong as I can be going into my mid-life years. Appreciate any thoughts you may have.

    Jenn

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    Steven Koonin on The Limitations of Climate Change Models

    Show Notes:

    Classical Conversations

    Institute for Excellence in Writing

    Life of Fred

    Math U See

    Questions:

    Homeschooling

    Jessica writes:

    Hi Robb and Nicki!

    I have been a fan for over 10 years. You, along with a couple others, helped me to find the paleo diet when I was in the midst of several health issues. Long story short, I changed not just my diet, but my lifestyle years ago and have never looked back. I am actually writing to you on something unrelated to diet, something I never thought I would do! My husband and I live near a big city and over the last few years we have become increasingly unhappy with our environment. We have always loved cities for their walkability, culture, and convenience, but our city leaders keep developing to the point where my 5-year old daughter doesn’t even know what “the woods” are. Also, while my daughter seems to love school, we have concerns for her staying in the public education system with all its current issues. We are seriously contemplating a move into the middle of nowhere. Unfortunately, my husband would have a long commute to work, but this would enable us to possibly do some things we have dreamed about such as homeschooling or finding a microschool for our daughter, have chickens and/or goats and bees, and create our own environment instead of worrying about the city building something in our backyard. I am writing to you all for advice. Do you have any tips for starting this journey? Any thoughts on starting homeschooling for a 5 year old, especially for a kid that is extremely social and extroverted? I currently work fulltime, but will have to quit to either support her schooling or look for a remote position that will offer me some flexibility. Either way, I have some obvious anxiety over all these changes, but it would be good to hear your thoughts and any lessons learned. Thanks for all you do and for continuing fighting the good fight.

    Homeschooling

    Jack writes:

    Hi Robb and Nicki

    We’re struggling a bit with our daughter just now. She’s not loving school, not wanting to go, not engaged by it particularly, all this against a backdrop of some sensory processing disorder that makes the whole environment a little much for her. The occupational therapist thinks autism - if it’s there it’s fairly mild.

    So we were discussing all options - pushing the school a bit harder, moving her elsewhere etc and the possibility of home schooling. I was wondering what that actually looks like for you guys. How much of their academic learning do you provide personally? Are any of the online teaching resources really good? What is a realistic time commitment? Would you do this if you just had the one child, or do you feel that they’d be too isolated? Do you take steps to ensure that they spend time away from home or from you, for example. Are there other aspects of this that we may easily miss as we try to anticipate what it might look like?

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

    Coming soon...

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    Too Late and Not Enough: School Year Sleep Duration, Timing, and Circadian Misalignment Are Associated with Reduced Insulin Sensitivity in Adolescents with Overweight/Obesity

    Show Notes:

    Effect of Very-Low-Calorie Ketogenic Diet on Psoriasis Patients: A Nuclear Magnetic Resonance-Based Metabolomic Study

    Gluten free

    AIP

    Semaglutide, a glucagon like peptide-1 receptor agonist with cardiovascular benefits for management of type 2 diabetes

    Stone Ridge Investor letter

    Questions:

    Magnesium Supplementation

    Charles writes

    Hi Robb and Nikki, I have a question about Magnesium intake. For years I've supplemented 400 mg of Mg nightly based on Rhonda Patrick's recommendation. I always use a highly bioavailable form (e.g. Glycinate or Malate). Recently I've had some discussions with people online who brought to my attention that supplemental Mg *at best* provides like 15% elemental Mg (i.e. a 400 mg supplement gives you 50-60 mg Magnesium). I thought this was fine since I eat a paleo diet rich in fruits and vegetables, which presumably provide a few hundred milligrams of Mg, and I supplement LMNT; but some argue that with our modern soil situation plus anti-nutrients in other foods (not sure if that applies to Paleo people) means that our dietary Mg intake is effectively zero.

    My questions:

    1) Can you get most of your Mg from food in a reasonably simple Paleo diet?

    2) If supplementing, is 400 mg (The Rhonda Patrick recommendation; 50 mg elemental) Mg enough if you do (1)?

    3) Can you supplement hundreds of milligrams of elemental Mg without shitting your pants?

    Keep up the good work.

    Charles

    Psoriasis

    Steve writes:

    Any evidence on any particular dietary solutions to help with psoriasis? I turned 50 and it hit me, mainly my right hand and right foot. Makes lifting difficult. Chalk, Wash, leather up with doc spartan and repeat. I am on a medication, lowest dose. Prefer not to use meds at all, it helps, keeps the tearing pain to an acceptable level to keep moving forward.

    Semaglutide

    Trevor writes:

    What’s the deal with semaglutide? I’ve read that it slows down stomach emptying, but wonder what the health risks might be?

    I have a family member who legitimately needs to lose about 100 pounds. They have some orthopedic and neurological issues that make exercise pretty difficult right now. Some version of semaglutide seems pretty appealing right now, if just to get the weight loss ball rolling.

    Thanks to you both for your podcast.



    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

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    The anabolic response to protein ingestion during recovery from exercise has no upper limit in magnitude and duration in vivo in humans

    Show Notes:

    The most important protein study of the year! | Dr. Gabrielle Lyon and Dr. Don Layman

    Acute Effects of Caffeine on Heart Rate Variability, Blood Pressure and Tidal Volume in Paraplegic and Tetraplegic Compared to Able-Bodied Individuals: A Randomized, Blinded Trial

    Basis NY instagram

    Grayson Strange instagram

    Questions:

    Collagen Type

    From Eric:

    Hi,

    I've seen some recent research indicating collagen supplementation doesn't help with joint repair.

    https://examine.com/research-feed/study/1wY2A9/

    https://examine.com/research-feed/study/dbXgr0/

    However, they were testing types I and III. Perhaps type II is required?:

    https://jissn.biomedcentral.com/articles/10.1186/1550-2783-10-48

    Types I and III can be purchased in bulk powder form, but type II appears to be only easily available in small doses via capsules or mixed in with types I and III in unknown, probably small amounts.

    I suffered a massive ankle injury from a bike accident, so am looking for as much extra help healing as I can get. I'm already getting 1 gram of protein per pound of bodyweight and eating paleo plus lots of homemade bone broth. Maybe the extra collagen isn't necessary?

    Thanks,

    Eric

    Diatomaceous Earth for Silica and Heavy Metal Detox

    Nate writes:

    Hey Robb and Nicki,

    Appreciate all you do. Long time reader and listener.

    Have you dug into (or tinkered around with) diatomaceous earth as a supplement?

    I’ve been hearing about how consuming a food grade version of this at low doses (~a teaspoon a day) can detox heavy metals from your body, and that it is high in silica, which has been claimed to have health benefits of its own.

    As more and more metals are discovered in our food, our foods packaging (such as aluminum cans), our water supply, and really in our environment all around us, do you see the consumption of diatomaceous earth as an effective and also safe way to help rid your body of some, or any of these metals?

    Thanks guys.

    Exercise and Blood Pressure as T-10 paraplegic

    Eric writes:

    Robb and Nicki, thanks so much for your balanced approach to all the questions you answer. And thanks for all the wisdom you dispense. It’s truly appreciated.

    A rundown on myself: I’m a 35yo male, 5”10 and 155lbs. I’ve been a T-10 paraplegic for 20 years. I had a MVA when I was 15, which resulted in my spinal cord injury (SCI). I’ve been eating paleo for about 3 years now with great success. I’ve never felt better and I’ve never been more regular. Being regular can be a very difficult thing when you have a neurogenic bowel.

    I recently had bloodwork done. Cholesterol 215. Triglycerides 34. HDL 69. LDL 136. Non HDL 146. Coronary risk ratio 3.12. Hemoglobin A1C 5.2. Mean glucose 103. Insulin 5.3. Every man in my family seems destined to have a heart attack or need a stint at age 50, so I’ve really tried to be as healthy as possible.

    I feel like I’m doing pretty good. If not, please tell me. I work 40 hours a week and try to be as active as possible. I also have an 18 month old so she keeps me moving. But I have a couple concerns.

    Exercise: it feels like, damned if you do and damned if you don’t. I know it’s important, but every single time I try to exercise regularly, I always end up pulling something. EVERY DAY IS ARM DAY. And when that’s the case, it takes forever for things to heal up. I’ll inevitably have to take 2 or 3 entire weekends where I do nothing but sit on the couch and watch movies all day, trying to rest the injury as much as possible. This is on top of regular “wheelchair life” repetitive stress injuries. I can’t help but feeling like the juice just isn’t worth the squeeze. I’m probably better off staying as generally active as possible. I’d love to hear your thoughts.

    Maybe one just inevitably has a shorter lifespan as a paraplegic. If so, I’m okay with that. It’d just be nice to know.

    The second question is about blood pressure. Coffee and tea seem to raise my top number between 130-150, and it typically stays elevated within that range throughout the day. The bottom number will get up to about 80. When off caffeine my BP is typically 120/70. Should I be worried about this? Also, what the heck? This is from one 12oz cup of black coffee a day. It doesn’t mess with my sleep or anything else. Just BP. Could there be a way to counteract it? Please don’t tell me I need to give up the nectar of the gods.

    Merry Christmas to you and yours,

    Eric

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    On Hens, Eggs, Temperatures and CO2: Causal Links in Earth’s Atmosphere

    Show Notes:

    Farmina

    The Forever Dog

    Questions:

    High A1C

    Brenna writes:

    Hello from Minnesota.

    I'm an active 38yr young full time mom to two boys, 5 and 3. And I have an A1c problem. This isn't a new problem, so I cant blame it on my still occasionally disrupted sleep. Years before my kids my A1C was 5.7 and as a dietitian I couldn't for the life of me figure out why. At that time I lifted weights, occasionally swam, and ran 1-2x wk. I didn't eat 100% paleo, but I also didn't eat junk and I was relatively lean around 14-16% body fat. I worked with a naturopath on some hormone issues (low estrogen and progesterone from not eating enough to fuel exercise), and she never had a good answer as to why my a1c was on the high side of normal. The only factor we found was my fasting insulin was kinda low at 3. I did get my A1c down into the 4s following a keto diet, but was again not eating enough food to maintain my weight or support hormone production and lost my period. I used a CGM for a while and nothing surprising came from it other than sweet potatoes = giant spikes but pasta and white potatoes do not.

    Fast forward to now, I'm 5'3" 124# and guessing around 18% body fat. I started competing in Kettlebell Sport 2yr ago and I want to continue getting stronger so I can lift 16kg bells this coming year. My coach wants me to put on 3-5# of muscle. But my recent A1C once again at 5.7 has me scared to eat the 180-200g of carbs recommended by him and most fitness calculators. I'm in a hypertrophy phase for the next couple months and lifting heavy 4x wk with no real cardio.

    Daily food is often a high protein/fiber smoothie with about 30-40g of carb and 10+g fiber. Post workout I usually have a cup of cereal or kids cliff bar + whey protein powder. Lunch is usually a big ass salad + a piece of bread or leftovers meat and veg with rice, pasta, potato. When I track these days I do get 130-150g protein.

    I have a dietitian friend who has gone through Joel Greens program and she believes the issue lies in my gut and that underlying inflammation is disrupting my insulin signaling. Because we cant come up with any other ideas as to the cause. So what's a girl todo? Keto gains? Lean Gains? Jason Seib's old AltShift diet? Joel Greens 2 day core? How do I eat enough calories to support my goals of strength and maintaining my hormone levels, while simultaneously not overeating carbs. Or is 5.7 good enough?

    Thanks for any thoughts you might have.

    Proper Supplement Absorption

    Angie writes:

    I’m looking for solid information on vitamin and supplement absorption and best time of day to be taken.

    Can you shed light on this?

    It is one thing to know or Rx for supplement but another when and with what to take or not take with it.

    Great show! Thank you

    What do you feed your dogs?

    Jason writes:

    I have been a fan of y’all since I read sacred cow, currently I’m reading wired to eat. I try to practice carnivore, but with life and kids I’m moderately successful, but overall happy with my diet choices.

    I’m also a veterinarian and after reading your books and thinking about our 4 legged friends, I’m trying to figure out what diets to recommend. I have recommended canned food for cats for years because they are obligate carnivores. Dogs are a little tougher, I feel like they would benefit from the carnivore lifestyle, but who has time to cook for their pets that much? I barely have time to feed myself and family. So what do the wolf’s feed their dogs?

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    SNACK FOOD CEO VOWS TO BATTLE OZEMPIC

    Questions:

    Shitty question: digestion and regularity

    Jonathan writes:

    Hey Robb and Nikki,

    Long time listener, first time caller. Have been listening on and off since the paleo solution days with Greg Everett. (six listeners can't be wrong!)

    Quick back story (that you can cut if this is too much but maybe helpful context), about a year ago I had a bout of food poisoning and developed a weird aversion/anxiety around eating for a few months after. I got through it with meditation and cognitive behavioral therapy and completed the Nerva hypnotherapy course recently (which was pretty nice). I think a lot of ibs symptoms that I developed came from anxiety, panic, hypervigilance and fixation and have mostly subsided as I worked in it.

    However, I still have problems with Regularity. I'll have a few days of slow digestion and some heartburn, bloating, and gas then a few days of everything coming out with some moderate to severe "get your ass to the bathroom quick!" mixed in, then back to slow... You get the picture. It's like things get backed up then all move at once, rinse and repeat.

    Went to a gi doc and he was pretty not helpful - tested for celiac (I don't have it) and IBD (I don't have it) and then told me to, like, ya know, drink Metamucil and maybe, if I wanted, follow a low fodmap diet, or whatever man... Oh, and stop drinking kombucha. Good luck! I also did a Viome test and it told me my overall gut health was good but digestion scores were poor and have some very vague dietary recommendations, though I haven't tried their probiotic yet.

    Anyway, with the testing behind me I went down the path of looking back at diet and driving myself insane, it's just so hard to pick through the noise

    Fiber is good! No fiber is not necessary!

    Eat yogurt! No actually, dairy is bad!

    Take Probiotics! No, Probiotics don't matter, take prebiotics instead!

    It's probably Sibo bro! But you can easily check for that so....

    And on and on it goes.

    OK, so my actual question is: Are there any general dietary or lifestyle non-negotiables you would reccomend to help with digestion and regularity? What are the food or diet boxes to tic. Maybe there are even some supplements or other potential things like zone 2 cardio, abdominal massage, cold showers... Anything.

    I'm pretty healthy otherwise with my exercise being wendler powerlifting and rucking, but don't follow a super strict diet. I do now super enzymes before the first bite of lunch and dinner and take Probiotics on and off along with some fermented foods. I try to drink a lot of water but fiber drinks tend to give me some stomach upset.

    Appreciate you taking the time to read this. Thanks for any help you can give!

    GERD, ammonia breath, and macros

    Nancy writes:

    Hi Robb and Nikki:

    Been one of your 6 listeners since the Paleo Solution Podcast days and first just want to thank you both for the wealth of knowledge you continue to share... your curiosity, smarts, humility and sanity have been a godsend, especially over the last 3 years.

    Okay, here goes... I'm having two troubling issues and am wondering if they're related:

    I've had what I'm pretty sure is undiagnosed GERD for about the last 3 years, but a recent overindulgence at a cookout sent it over the top. I don't feel so much heart-BURN as bloating (in the stomach, not abdomen), along with a dry cough (mostly at night), a globus sensation in my throat, the feeling of post-nasal drip, and even fluid on the middle ear when things really flare up. Oh, and the first symptom I ever noticed was after an emergency appendectomy when I discovered my tooth enamel was being corroded... coincidence?

    To mitigate symptoms since this recent flare-up, I've been sleeping propped up at a 45-degree angle, chewing my food into oblivion, walking after meals, practicing diaphragmatic breathing and hoping like hell to get a handle on this (without meds) before it destroys my esophagus. (Tried pickle juice, ACV and ginger... very modest effects, at best, but tasty!)

    No one has had the balls to tell me this, but I'm pretty sure my breath smells like urine. I constantly smell it on the rim of my drinking glass, and no, I'm not drinking pee. Also did the lick-the-wrist test and got the same smell. The internet wants to convince me I have chronic kidney failure but my kidneys appear to be working fine... no pee issues at all other than smelling it where I shouldn't.

    For context: I'm a 56-year-old, post-menopausal female, 5-ft 8, 150-lb mesomorph, active daily (yoga and hiking), in good shape, strong immune system, don't smoke or drink (other than a glass of white wine once a week), have regular, near-perfect poops, and eat fairly clean (whole foods plus olive oil, butter, the occasional white basmati rice and super dark chocolate), with a long, never-fully consummated flirtation with keto... hey, fat is flavor, what're ya gonna do?

    I also, pretty naturally, tend to stick with a 16:8 fasting-feeding window, skipping breakfast most days.

    I'm wondering if (despite getting a decent amount of vegetable-, fruit-, and rice-based carbs) my high fat intake and the IF might have generated enough ketones to make my breath smell pee-ish, or if that's almost always a sign of too much protein. Thing is, I don't typically get more than 40-50g of animal protein a day (e.g., 2 or 3 eggs for lunch and a 6-oz. slab of salmon for dinner) and as a post-menopausal woman, feel my protein intake is already low.

    My hunch is that the pee breath and GERD are related, but I'm not clear as to how. I'm wondering — if I AM getting enough fat to be in ketosis, could the fat in my diet be causing the GERD? Or is it more likely that I'm not actually in ketosis but that the GERD is causing the pee breath? (And do you think the appendix surgery could have caused the GERD, what with things getting shoved around in there willy-nilly?)

    Apologies for the long-winded question-palooza... totally understand if this is too long for the podcast, but if you ARE able to offer any insights, they would be very much appreciated. Thanks again for all you do!

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    Salt & Blood Pressure: How Shady Science Sold America a Lie

    Show Notes:

    Huberman Lab: What alcohol does to your body, brain and health

    Questions:

    Time to Rethink Alcohol

    Karen writes:

    Love you guys!! I would appreciate your take on the effect of alcohol on the body.

    I am a health coach and I am trying to get as many perspectives as possible so I can offer knowledge to the clients who ask, about the pros and cons of the nightly glass(es) of wine, or the occasional weekend over indulgence. It seems that the deeper I dig on the subject, the more I feel we as a society need to educate ourselves about the potential impact that alcohol can have on our health rather than just look at it as a social acceptance or a “good source of resveratrol”. Please feel free to take a deep dive into the industry as well and a possible comparison to the tobacco industry and the lies that were being told regarding smoking. Are we being told the truth about the effects of alcohol on our body?

    Please know that your podcast is very much appreciated and I look forward to hearing what is going on in the Wolf household. (Team Home Schooling!!)

    Thank you for your time.

    Karen

    Cauliflower ear and BJJ

    Kristi writes:

    Hi Robb and Nicki,

    Have you found cauliflower ear to be something to worry about in BJJ? I worry about it more as a woman, so I'm curious especially if Nicki has ever thought about it. Do you see a lot of people in classes developing it? Do you do anything like putting binder clips on your ears to prevent it?

    Thanks, and I appreciate all you both do.

    Essential Tremor and GABA connection?

    Drew writes:

    Because I haven't seen a response on the podcast yet re: the potential connection between ET's and a GABA deficiency, I was curious what your thoughts were on that deal. I got diagnosed with ET's about 18 months ago and noticed that my sleep has also been inconsistent in that time. I assumed it was mostly lifestyle (stressful job, two special needs kids, etc), but started to wonder how the sleep inconsistency and ET's could be connected. I know it's a bit of a correlation/causation deal, but based on Doc Parsley's work on sleep and this study (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4108714/), I'm curious what your thoughts are on the subject and if you've had any more luck in piecing this whole thing together.

    If it helps, been Paleo for a more than a decade, and recently leaned into more of Paul Saladino's stuff, especially adding the fruit & honey after jits, which I've been training for 2-3 days a week for about 8 months. I too notice a bit uptick in the ET severity after more than 2 cups of coffee, which is pretty rare nowadays since cutting back the caffeine helps so much with sleep and the ET severity.

    Thanks, Drew

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    In this episode Robb goes through a recent analysis he had done on his DNA data. What do his SNP's tell him. A story of genetics vs epigenetics.

    Show Notes:

    Dr. Anthony Jay Consulting

    Sponsor:

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    Feasibility and impact of ketogenic dietary interventions in polycystic kidney disease: KETO-ADPKD—a randomized controlled trial

    Show Notes:

    Fact-Checking Gary Brecka on Rogan: A Deep Dive into MTHFR and Methylation

    Grayson Strange on Instagram

    Questions:

    Lifting Philosophy Changes

    Kevin writes:

    Hi Robb and Nicki.

    First time question submitter, but I am a huge fan as I have been following your work since 2012. I am an active 35 year old male, 5'10", and about 165-170lbs. I eat whole foods, walk about 9,000-12,000 steps/day, lift 5x/week (switched to bodybuilding split for joint recovery), and most importantly train Jiu Jitsu 4x/week. I am very conscious with respect to my training and lifting as I would like to make this a lifetime practice. I have been training Jiu Jitsu for a little over 8 years and lifting about 12 years. I am always thinking about longevity and how I can preserve my body to the best of my ability. Obviously Jiu Jitsu can have other plans and can disrupt this preservation process, which is why I made an effort to switch to a more controlled/"old man" game about 5 or so years ago.

    However, my question is more focused on the lifting aspect. I am curious how your philosophy has changed on weight training and what you think would be the best long term solution. I have a home gym with barbells, kettlebells, dumbbells, weight vests, etc., but the older I get the more I realize that recovery and longevity is paramount. I would still like to maintain and/or gain muscle, but I would not like to sacrifice my longevity. How do you tackle this problem nowadays? Are calisthenics with or without a weight vest a good solution? I am always curious to hear your thoughts. I hope Montana has been treating you well and thanks in advance!

    Fungal Rash

    Sam writes:

    Hello! Love you guys and all the info and perspective you put out. Hoping you can help add some thoughts here. Long story short I have UC that I just can’t control well with diet and lifestyle- 2 years ago, yes TWO YEARS I was put on humira when I first noticed an itchy rash on my back. No one could really figure it out back then. While on humira I got septic arthritis in my knee. 4 surgeries a PE and DVT later I was on IV and oral antibiotics for nearly 6 months. As you can imagine that rash got 1000x times worse along with the IBD. Anyway eventually the rash was identified as a pityrosporum folliculitis. Put on oral Fluconazole and ketaconazole creams which worked for a month or so then rash comes back with force. Had a bad UC flare up and put on steroids recently which completely masked the rash, and once off steroids it comes back 100x worse. It’s incredibly itchy and irritating. Outside of the antifungals I’ve tried probiotics like s.boulliard but doesn’t help. Besides the IBD I have PCOS I work hard to remain otherwise healthy. Very physically active and eat a healthy diet mostly paleo but because Im gallbladder less and don’t tolerate much fat, and do all the things to prioritize sleep, getting outside and supporting well being. Any thoughts on this rash that won’t quit. I clearly have an underlying process going on that the FOUR goddamn dermatologists I have seen for this are completely clueless on. Thanks for any input!

    High Blood Pressure

    Sissy writes:

    Hello Robb,

    Long time listener first time caller. Big fan of all that you and Nikki do. Both books have helped me properly wire myself to eat and sacred cow has been a gift I’ve given to all of my coworkers and friends. So thank you for shedding the light on all things about health for our bodies and the planet.

    I’ve been on a journey of losing a whole human. 523lbs to 265lbs. I’m 6’7 and My blood work done regularly and everything is at peak condition or so my doctor says. Healthy as a Clydesdale they say. A1c is 5.1 and my hdl/tris are in the optimal range and a body fat around 22%. Still high and working on losing the last 30ish pounds. Healthy life style weights 4 times a week zone 2 4 times a week. Eat a 90% paleo diet. Make all my meals at home with The occasional splurge on date night with my wife. Not a drinker and don’t smoke. But for some damn reason my blood pressure is still fuckin high 150/105. I’ve been on beta blocker with no results other than the effects (side effects) of cough itchy through and swelling.

    But let me get to the point.

    The new Rogan podcast he has Gary breka on and first thing they speak about is high blood pressure so my ears were perked to say the least. Saying most just need to supplement with TMG in order to break down homosistein for well this would get long if I typed it all out. He goes on a tangent of methylation of certain compounds help the body process things we eat to turn them into Things we need. And goes on about 5 gene mutations that certain folks have that doesn’t allow for certain proteins/micronutrients to be processed properly.

    I’m typically skeptical of all snake oil salesman and even more of the pharmaceutical industry. Whole other convo of docs throwing everyone on a pill that diet and exercise can fix.

    Anyway your the scientist and really the only expert I trust with empirical data. So give it to me straight. Am I fucked genetically with hypertension(doc says so) or can it really be as simple as a supplement and vitamin.

    Again thanks for all the amazing insights you give for free to the world. I wish you and your family a long, healthy and prosperous life.

    Sissy

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    This episode is an interview with friend and MadLab founder Craig Patterson. Robb and Craig have a wide ranging conversation on all things related to owning and running a profitable microgym.

    Show Notes:

    MadLab Business

    Sponsor:

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    In this episode Robb chats with Diana Rodgers, co-author of Sacred Cow and founder of Sustainable Dish. They chat about a recent study out of Harvard that claims that eating two servings of meat per week increases risk for Type II Diabetes. They also chat about Diana’s decision to wrap up the Sustainable Dish podcast and what’s next on the horizon.

    Show Notes:

    Red meat intake and risk of type 2 diabetes in a prospective cohort study of United States females and males

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    An analysis of studies pertaining to masks in Morbidity and Mortality Weekly Report: Characteristics and quality of all studies from 1978 to 2023

    Show Notes:

    Michael Rose - What Evolution Teaches Us About Living Longer (Ancestral Health Today Episode 005)

    Fat Fueled Sheep Hunting with Gina Shively | Salty Talk 019 | THRR

    Modern Wisdom #676 - Eric Weinstein - Why Can No One Agree On The Truth Anymore?

    Questions:

    Unusual blood sugar fluctuations

    Jack writes:

    Hi Robb,

    Long-time fan of your work, first time trying to reach out to you. Thanks very much for any insight you are able to provide. I have been tracking my blood sugar levels over the past 6 months after getting some results from my primary care provider that showed my fasting blood glucose at 93, and my HgA1C at 5.6. Both of these have steadily crept up over the past 5 years. My primary care provider was not concerned because I technically didn't fall outside of any "normal" range, but I have tried making my way through a good chunk of "Your Blood Never Lies" by James LaVelle, and I decided to try to dig into my tendencies a bit more after seeing a number of things "trending" in the wrong direction, though still "normal." I am a 38-year-old father of two kids ages 1 and 3, and I want to do the best I can to optimize my health for them.

    I am about 162 lbs and roughly 12% bodyfat. Resting heart rate hovering in the high 40s and low 50s, blood pressure typically about 115/65. After getting a home glucose monitoring kit and tinkering with my diet, I found a decent rhythm and meal plan that allows me to largely avoid blood sugar spikes throughout the course of the day. I almost never see my blood sugar rise higher than about 125, and only once or twice saw it higher than 140 in the past 6 months. I respond decently well to my meals and snacks per the recommendations Chris Kresser gave for 1, 2, and 3 hour post eating readings. For a period of time, my fasting blood glucose was pretty consistently between 78 and 90, which I was very excited about. However, over the past 5-6 weeks I have been getting lots of high 90s, low 100s, and even some 110-115. Interestingly, my blood sugar will fall lower though throughout the day (typically to between 90-110, even down to as low as 80 in the late afternoon when I get home from work).

    I am a strength and conditioning coach and currently get to workout 3-4 times per week for 30 minutes or so doing kettlebell circuits and the occasional run. My sleep has not been particularly great the past several months due to my son and daughter's nightime routines and sleep habits. I have lately tried to go to bed earlier when my daughter does in an attempt to get about 8 hours, but it was routine for me to get more like 6.5-7.5 hours "in bed," while oftentimes waking up several times per night and/or having a tough time falling asleep. I eat pretty well, though not 100% clean, during the week, and kick my heels back a bit on the weekend with some pizza and booze, but I wouldn't say I completely blow the doors off. These diet practices have been pretty consistent during the period of time before my morning blood sugar began to consistently be lower, and also now that it has gradually crept higher over the past 5-6 weeks.

    A) What do you think could be causing morning blood sugar to be on the "higher" side even if I eat fairly low/clean carb and haven't changed much diet wise over the past 6 weeks? B) If morning glucose is "high" but returns quickly to these 100-110 levels after my eating most of the time and I rarely spike higher than 125 or so, is that still bad for my health, or is an elevated "baseline" ok as long as I don't consistently get higher than 140 or so as I read in Kresser's article?

    Thanks so much for any insight you can share!

    Staying Paleo in the Mountains

    Lucia writes:

    Hi, I'm 39 years old and I practice mountaineering. World wide the food recommended while being in the mountains specially over the 4000 meters (where the body battles to adapt to less oxygen and lower temperatures) is a diet rich in carbs and sugars to access glucose faster, since the physical demand is huge and these are easier to access.

    Since it´s particularly important to reduce the amount of weight we carry in our backpacks and we are not able to keep this food refrigerated, I´m wondering if you are familiar with this activity, and what would you suggest to eat, and how during an ascent and the days before and after, to stay paleo and cover the demands of my body.

    Ps: I usually loose a lot of weight every time i go, that includes tons of muscle lost.

    BJJ in your 40s

    Chris writes:

    Dear Robb and Nicki,

    Thanks so much for the great podcast. Lovin it!:)

    I have a question regarding BJJ:

    I’m turning 39 next month and a bit in a midlife crisis: I’m pretty fit, doing my zone 2 and strength training regularly but I miss a bit the elements of play and community in my life. Zone 2 workouts are a bit lonely:)

    I know you two are doing Jiu Jitsu and I want to give it a try. Do you have any tips for starting with 39 and training into your 40s? How do you avoid injuries? Any chance to keep nice ears?:)

    How did your training approach evolve? My goal is character development and community. Do you think BJJ is ideal for that?

    Hope you have some insight! Thanks so much:)

    Chris

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    Transcript:

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    Blood biomarker profiles and exceptional longevity: comparison of centenarians and non-centenarians in a 35-year follow-up of the Swedish AMORIS cohort

    Show Notes:

    Winnebago Man (We've got flies Tony vid - nsfw - lots of F bombs in this)

    Questions:

    OCR training and nutrition

    Justin writes:

    Hey Robb and Nicki, big fan love all that you guys do for your listeners! My question is if you were to put together the best training plan for running an obstacle course race such as spartan race or savage race what would that look like? I usually do the 10k to half marathon distances if that helps to clarify the distance. I currently attend orange theory fitness classes 4x per week monday, Tuesday, Thursday, Friday then long run on saturdays. I was hoping the consistency of doing orange theory for almost exactly 1 year would really help me get in OCR shape but sadly it just hasn’t made that big of an impact. I just started incorporating the long runs on Saturday back into my training and realized once I did the running from the classes really hasn’t changed how well I run and still feel my heart rate much higher than I’d like even at slower paces. Not sure if CrossFit would be a better option since I’ve never dived into that arena but I’m very open to any suggestions. Nutrition wise I try to get my body weight of protein daily, carbs around 220, and fat around 65. Those numbers were given to me by a nutritionist I did a consult with a few weeks ago. Again any tips you guys have are very much appreciated!

    Salt intake

    Darren writes:

    Hi robb and nikki. Listening to yiu from tasmania australia. I recently read salt fix and hearing alot about sodium intake. I have been having alot more salt recently and have noticed a dramatic improvement in all health perameters. Due to mainstream info i am struggling to accept that i should be taking extra salt. I eat a low carb whole food diet i run a busy cafe some cardio some weight training quite activevery lean 52 yoand my blood pressure is always around 100/70. My question is there any other long term problems with too much salt other than high bp. Thanks for keepin it real

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    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

    Transcript:

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    What It Will Really Take to Restore Trust in the CDC

    Paul Offit (72) is not getting a booster and neither should any healthy person who had COVID

    The most important lesson of the 1918 influenza pandemic: Tell the damn truth

    Show Notes:

    How to Sleep Like Your Life Depends On it!

    Questions:

    What to prioritize?

    Lacy writes:

    Hi Robb and Nicki! I 1st want to thank you for all that you do, you are truly changing the world! I am a mom of 3 kids, ages 4, 3 and 5 months and I work full time. As you can imagine, I have a lot on my plate but am trying my hardest to be as healthy as possible: I do the best that I can with sleep (as best one can do with young children), usually infrared light, attempt to eat healthy/get sufficient protein, workout, etc. but feel like I am spinning my wheels getting nowhere. Each pregnancy has added pounds and with each additional child I find less and less time to get quality workouts in. I guess my question is, as parents who have "been there" what would you recommend prioritizing? I am currently at my heaviest weight but am breastfeeding (VERY successfully partly due to LMNT) and find that my milk supply suffers everytime I try to lose weight and I'm sure my hormones are absolutely jacked up due to being pregnant and/or breastfeeding for the past 5 years (&counting). Should i focus on protein? Sleep? Hormones?What's a mom to do?! Thanks for the insight.

    Masking

    Mari writes:

    Hi, long time listener here. Thanks for keeping on. Not a health related question-

    I’m going to be attending massage school in CA in January. I’ve been living in Idaho and haven’t been paying attention to much but I heard on one of your recent podcasts that certain schools in CA are implementing ridiculous bullshit again. I called the massage school to confirm- they told me they will be following CDC guidelines (mask mandates if the CDC recommends). Is this still….legal? If I say no can they kick me out?

    I would go elsewhere but other circumstances make this particular location and school the best option. Thanks for any advice if there’s any to give. - Mari

    DEXA scan reliability

    Cassie writes:

    Robb & Nicki,

    I hope your move is going well for your family!

    First off I wanted to thank you both for having a significant impact on my health and wellness. I started training bjj over 10 years ago (when I still had braces) and it wasn't until our gym started following you and the Paleo lifestyle that all the wounds in my mouth started magically healing and I could finally sleep through the night. I am amazed by how undereducated our society is about the importance of the food (and poison) we put into our bodies. I really appreciate the effort you two put forth to make better humans.

    I recently started getting into podcasts so I apologize if you've already covered this: How reliable are DEXA scans? I just got one done and the results were shocking to say the least. I am a 34y/o female, 5'2, never had a child, I weighed in at 112 lbs, wear size 0 jeans and this thing marked me at 32% body fat. According to their chart, that puts me in the category of obese. Is this exactly what they mean by skinny fat? Like I'm just fat and bones, no muscle? *Mind blown emoji*

    I will admit, in the past year I haven't been training. I am active duty military, got promoted just about 12 months ago, and I feel like I have no time for myself in my life anymore. Do I cook, sleep, do laundry or finish my homework in my limited spare time? I would say, if anything, that I am definitely calorie restricted unintentionally, which worries me about training if I barely have time to eat as it is. I guess the other part of my question is how do I start over? Eating sufficiently? Training? Destressing? I have 4 more years before I retire, but until then I need to find small successes so that I don't wreck my body in the meantime.

    Thank you again! You're my favorite podcast every week.

    P.S. Are there any plans for flavored LMNT without sweeteners? I don't consume added sweeteners during my anti-inflammatory elimination diet resets so I can only have raw. Now my bf forever refers to LMNT as "sweat water."

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

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    CDC: New COVID-19 Hospitalizations Increase Nearly 16%

    Vinay Prasad: Do not report COVID cases to schools & do not test yourself if you feel ill

    Show Notes:

    Early and late long-term effects of vasectomy on serum testosterone, dihydrotestosterone, luteinizing hormone and follicle-stimulating hormone levels

    Questions:

    30 Day Reset - Loss of Appetite

    Julie writes:

    Some personal info:

    I'm a 40 year old female. 5'3." BMR is 1,542 (based on a calculator I found using the google machine). 199 pounds.

    On September 1, I started the 30 Day Reset. During July and August, I was more conscious about what I was eating and lost 18 pounds. While doing that, I read Wired to Eat and decided to use September for the 30 Day Reset. Today is September 4, so this is just my 4th day on the reset.

    Yesterday morning I woke up hungry (which is abnormal for me), but I waited about two hours before I ate breakfast because that's what I'm used to. After getting my day started, I wasn't feeling hungry anymore so it wasn't a big deal to wait to eat breakfast. I typically wake up, I lift for about 30 minutes, some days I take a walk for 1-2 miles, then shower and eat breakfast. I don't normally feel hungry until a couple hours after waking up.

    Aside from waking up hungry, yesterday and today I have had almost no appetite. Because I lift, I feel like I should be getting a good amount of protein in my diet. Typically I would be eating 25-35g of protein per meal. I had a packet of salmon and some green beans for lunch today, and I basically forced myself to finish so I could get the protein I feel like my body needs. While I'm not trying to make any hardcore gains during the 30 Day Reset, I don't want to lose any muscle mass while I go through this. It just seems like yesterday and today, after I take a few bites of my meal, I'm no longer hungry.

    So, my questions: Is this loss of appetite normal or should I be concerned that I'm not eating enough? For the past three days, I've been eating 850 - 1,100 calories. Should I eat more even if I have to force myself because I'm not hungry?

    Thank you!

    DIM Supplement Causing Sudden Decrease in HDL

    Susan writes:

    Hi Robb and Nicki,

    Longtime listener... maybe since 2009 ~~ Paleo Solution w' Robb and Greg. Good stuff.

    As a spry 20 year old in about 2000, I started the Atkin's diet and transitioned to clean eating around 2008. My total cholesterol has always been ~200 and split 50/50 - HDL/ LDL. I've had it tested dozens of times over the years.

    I've been the same weight since my teen years immediately went back to that weight post pregnancy.

    My body fat by hydrostatic testing has ranged from 17% - 21% throughout my adult life, with it being more near 17% in my later adult life (more self control about calories I think).

    I lift weights with intensity 6-7 days per week and keep my calories between 1600-1900 per day.

    Daily Supplements:

    Magnesium

    Vitamin D

    Cheap little multi

    Fish Oil

    DIM

    I am now 44.

    I just got my fasting bloodwork done, and my HDL has dropped from 100-110 to 77.

    My LDL has gone from 100 to 149.

    Two things have changed in my lifestyle:

    The addition of the DIM supplement last summer. Before taking DIM, I had horrible perimenopause symptoms. I was waking up in the middle of the night so drenched in sweat that I would need to take a shower. If I wasn't drenched, I was nervous, stressing, mind-spinning and not sleeping. 100% of my symptoms are gone since starting 300mg of DIM before bed. Simply in an effort to keep calories under control, I've entirely cut nuts out of my diet (I used to eat tons), and I eat a lot less red meat than I used to. I also have started to sometimes eat fake foods, like protein bars, which I never would have previously touched.

    I've been feeling pretty good, crushing it at the gym, staying lean and mentally pretty clear. So, I was excited to get my bloodwork back. Low-and-behold my LDL is up and HDL is way down. It hasn't been below 100 in the last 20 years. So, I consider this a sudden drop.

    Also, my kidney function is looking pretty mediocre. eGFR = 81 (sodium and potassium are off too)

    In any case, my family tends to drop dead like flies at a pretty early age due to cardiovascular disease (skinny little Irish smokers). So, this sudden fluctuation in cholesterol is pretty scary to me.

    Dr. Google says that taking progestins may cause HDL to drop.

    Dr. Google also says that DIM causes an increase in progesterone.

    My question is....

    Do you theorize a tie between the DIM supplement and my sudden drop in precious HDL?

    As a very active person with a 90% clean diet, should I care?

    The other 10% is protein bars and Chardonnay.

    There is very little to be said about the long term affects of DIM out there on the interwebs. So, I'm interested to hear your thoughts on it.

    Thanks!

    Susan

    Vasectomy Research

    Trevor writes:

    Hello, my question harkens back to THRR episode 063. A question was asked about getting a vasectomy. Robb, you referenced someone you know who found research that indicated negative hormonal consequences (less testosterone) following vasectomy. I find myself in the same situation now as a 44 year old over-fat dude considering vasectomy for birth control. My wife has used hormonal birth control methods during our marriage. Now her functional medicine Doctor is encouraging her to cease her hormonal intervention to work on some health concerns. Before I run my business into a scalpel, I’d like to know the potential hormonal risks I’m facing.

    I’ve done my amateur keyword searches on jama.org and pubmed, but I can’t seem to find the research you mentioned in that episode. The conventional health articles say lower testosterone is not a risk. Can you help me find the research you mentioned? Or some tips on “how to fish” and do better research on my own?

    Thanks for all you two do!

    Trevor

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    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes

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    Pots and COVID

    Show Notes:

    Web3 Working Group - DarkHorse Podcast

    Dr. Aseem Malhotra - Joe Rogan Experience

    Pharma: Not Their First Rodeo – Umberto Meduri & Paul Marik on DarkHorse

    Effect of alirocumab and evolocumab on all-cause mortality and major cardiovascular events: A meta-analysis focusing on the number needed to treat

    Questions:

    Death by lab work

    Olivia writes:

    Hey Robb and Nicki! Long time listener and strong endorser of the work y'all are doing. I wish more people and healthcare providers were on the same page, or hell even in the same book as this community! ANYWAY....I recently got my labs done and I have some concerns on the results I received. For context: I am a 30 y/o female, no kids, work out 3-4 x week (mostly weight training and average 8-10K steps per day) I work as a nurse, tend to focus my meals around 30g or more of protein (red meat, chicken, dairy, eggs, I eat it all), and drink plenty of water and LMNT :), avoid seed oils and other ultra processed garbage. I went through some hormone issues for 5-7 years (i.e very infrequent cycle due to too much exercising and under fueling). Since then, I have become so much more educated and I have recovered my cycle *naturally*; gaining probably 30-40 ish pounds from my low; currently sitting at 155 5'6. I feel great, but these lab results got me shook! Any and all advice welcome.

    Total Cholesterol- 282

    Triglycerides- 43

    Non HDL- 169

    HDL- 113

    ApoA to ApoB- 0.41

    ApoB- 113

    Liver enzymes AST and ALT- slightly elevated

    Total T3 - 68 all other thyroid values "normal"

    Fasting BGL- 95

    A1C- 5.0

    Am I destined for an early death related to heart disease?? I've listened to Huberman on blood glucose control and will implement his ideas to lower my fasting number, but it's hard to eat my last meal 2-3 hours before bed on days I work since I get home at 8. I hope this isn't too long of question, feel free to cut out anything you'd rather not discuss and just give general guidelines. THANK YOU!!!

    Stay salty,

    Olivia

    ApoB confusion

    Marit writes:

    Hi Robb and Nicki,

    I've been listening to your podcast and following your work for many years and I've thrown some similar hard questions at you, which you were kind enough to try to answer (thanks!). I'm so frustrated that I can't understand statistics enough to draw my own conclusion based on the literature on ApoB and statins. I listened to a Peter Attia's podcast and he said (I heard it twice to confirm) that if ApoB were low in the population he "thinks" AS CVD would be dramatically reduced. His pushes alot for statin use. On the flip side, reading the breakdown of studies on statins on Chris Kresser's website, I just can't understand why Peter Attia takes this stance. It doesn't add up! My gut feeling is risk for any chronic disease is never calculated on just one lab value (that's just logical). but even if it was, why does Attia use statins when they don't seem to reduce deaths, strokes or heart attacks by very much, in people without CVD? Don't statins obliterate ApoB?

    You're the absolute best if you answer this question for me. I'd be forever greatful!

    Thanks guys for all the work you do. It's appreciated!

    Cholesterol and Diet

    Jay writes:

    Hi Robb and Nicki,

    One of your original six listeners here. (Can't be wrong!) Thanks for all the good work.

    Recent bloodwork revealed high cholesterol and LDL numbers (216 and 123, respectively), as well as non-HDL cholesterol (137) and apolipoprotein B (94). (HDL is 79 and triglycerides are 50.) For what it's worth, my glucose is in the normal range, though slightly high considering my otherwise overall health, activity level, and diet.

    My functional med practitioner has suggested the "Cardiometabolic Food Plan." (for reference: https://www.allinahealth.org/-/media/allina-health/files/business-units/penny-george-institute-of-health-and-healing/2_ifm_cardiometabolicfoodplan_comprehensiveguide.pdf)

    I'm reticent, considering the plan's emphasis on soy protein, legumes generally, grains, and limiting saturated fat. I could modify it to eliminate those things, but then I'm back to basically what I do already.

    Quick background: male, 38, active (commute on a bike, strength train, chase kids), small business owner with two young kids (i.e., non-zero amount of stress, less-than-perfect sleep). I have a pretty good gluten intolerance (which is how I found your work right around when you published The Paleo Solution — thanks again!) and generally follow a paleo-primal-ish template, with some full-fat dairy and rice/corn, occasionally, mostly to coexist with my family without being a *complete* pain in the ass.

    So: Would those lab numbers concern you? What do you think about the Cardiometabolic Food Plan, specifically? And generally, what would you suggest for diet or any other interventions to right the ship?

    Thanks tons and keep up the good work!

    Sponsor:

    The Healthy Rebellion Radio is sponsored by our electrolyte company, LMNT.
    Proper hydration is more than just drinking water. You need electrolytes too! Check out The Healthy Rebellion Radio sponsor LMNT for grab-and-go electrolyte packets to keep you at your peak! They give you all the electrolytes want, none of the stuff you don’t. Click here to get your LMNT electrolytes