Time To Update Your Keto Knowledge

haste actor Schmitz so I've been to five big seminars this spring all on nutrition I love going to seminars and there were thousands of people in attendance if you put them all together and dozens and dozens of speakers and I see throughout the field that there are some missing points in ketosis it's time to update your knowledge on ketosis I'm gonna do that right now for you so the first one is that regarding the three macronutrients fat protein carbs the only thing that matters to get into ketosis is that your carbohydrates are less than 20 grams a day it's got to be low the protein can be high or low the fat intake can be higher low doesn't matter that's why people who fast get into ketosis because their carbohydrate intake is below 20 grams of carbs for most keto teachers they say high fat moderate protein low carb that's okay for a short period of time to get into ketosis because when you lower your carbs down people want food they're hungry they're not used to it so they can increase their fat their fat up so they lower the carbs increase fat now two weeks go by three weeks go by now they're in ketosis okay great can you sustain that for a long period of time no that's the extra added oils and fats that are not advertising like avocado oil coconut oil olive oil butter so I used to have people scooping tablespoons of fat into their mouths and there's still some doctors that do this but the point is it's okay it's beginning to get into ketosis but once you're in ketosis you can you lower the fat intake down that way you're losing weight and then your protein can be high no protein does not kick you out of ketosis protein does not burn like sugar physiologically or clinically even I used to say that that it does that it burns like sugar clinically but some I have a patient that's a an engineer he keeps track of his glucose and his ketones when he eats more protein the glucose comes up a little bit but so does his ketones so his gki the glucose ketone index stays the same so let me kind of this together into what's called the unified theory of food and here's how it goes there are three nutrients that maintain the structure of your body they maintain your muscles your so you don't get a trophy like a vegan they maintain your bones so you don't get asked to your process they maintain your brain and those three nutrients are protein vitamins and minerals now you're left with two macronutrients fat and carbs so if you lower your carbs down below 20 and now you're in ketosis what do you do with your fat intake so if you're an endurance athlete you can have your fat intake very high to give you energy during your marathons and but if you want to lose weight you lower your fat intake down so that you're burning the fat that you're carrying around instead of the fat that you're eating so your protein is high your carbs are low to get into ketosis and your fat intake is low now if you imagine our ancestors a long time ago they killed a deer or buffalo and though in rabbit and those fat those animal fat percentages were very low like a buffalo might be 4% fat or rabbit might be 2% fat so the muscle meat itself is very lean so then our ancestor hunters would have to go after the fat they'd have to break the skull or the spine to get to the central nervous system to eat that fat they'd have to break the long bones like the femur for example to get to the bone marrow and there was fat in different parts of the animal based on the season so for example fat stores on the back of a buffalo or camel or you know there's there be fat stores but those fat stores weren't there in the late winter early spring so depending on the season so the hunters had to go looking for the fat so if you were to mimic that style of eating you're eating lean meat and then and then there are times when you eat you can eat more fat okay you can cycle this around but if you've been eating a high carb diet for a long time and have a lot of weight to lose there's no need to eat the fat like from high fat steaks or fatty fish or add extra butter to your meat or fat bombs and keto desserts and like bulletproof coffee butter coffee all that stuff becomes unnecessary because you're burning the fat that you're carrying around so let me just reiterate this so and I got to get into the protein a little bit more here but high protein low fat low carb okay now how much is high protein so the whole point of doing moderate protein is two reasons number one because the idea was that protein kicks out of ketosis that's been that's not a true statement I did a video of months ago proving over the course of 12 different research studies on ketosis the ketone levels in your body will only rely on carbohydrates not fat or protein the second reason why moderate protein was recommended is because you need to get an auto fudgy and when you eat protein at a Fiji stops at Apogee is when your cells die and then you get new cells it's like a rejuvenation of the body but the point is when you eat a pound and a half of meat like I've been doing for lunch I'm not hungry for dinner I go to bed with no food and there's an 18 hour fast that's super easy and I'm getting into autophagy if you eat tons of calories of junk food and then you skip a meal it's so much harder for your body to get into a toff adji because the carbs are very high but if you're eating meat and then you skip a meal it's so much easier for your body to get into etapa G because you're eating meat okay so when you if you were to eat meat five six times a day there's no esophageal now you can do that initially for you know two months if you want and that will help get you in a ketosis all right but then it's it's not sustainable because you're so full you have to end up skipping meals you just can't eat anymore so that's where a toughie G comes in because now you're skipping meals now you're doing you know 15 12 you know 20 hours between meals and your body's recycling itself and the other fears that mTOR which is like insulin for protein like mTOR is crazy high and it's causing disease causing cancer or igf-1 which is a growth factor high with protein intake meat intake it causes cancer these are single chemical individual factors that the body has so many other things that can do to bypass any damage that mTOR or igf-1 causes but the point here too is that if you're intermittent fasting those things come down so the low-carb diet is the foundation of any diet it's the way of our ancestors ketosis is the native state of the body I've been saying that for three years and so but what but the point of this video is the updates on the information so how much protein can you have well let's say you wanna weigh 160 pounds eat 160 grams of protein per day now your carbs are less than 20 and your fat can go up or down if you're thin you can have more fat if you're overweight you bring a fat intake down so if so lower fat intake would be 50 to 80 grams of fat a higher fat intake would be let's say 75 to 130 grams of fat all right so I'm just talking to a broad audience right now and I don't know how much you weigh or how much you want to lose so I can't give you specific advice even though I'm talking to you directly I'm actually talking to a large audience so I hope you understand where I'm coming from so don't type in the comments section on how much fat should I be eating because I don't know the answer to that so now I've been doing this myself and I've had many patients do this and to eat the equivalent grams of your weight in pounds is very healthy it's and you have to work to it you can't just start like right now I'm at about 180 so if I were to start like with the standard American diet and then try to eat a 180 grams of protein in a day it'd be kind of difficult because your body's got to get used to it your intestines have to get used to it and and then you'll have different sleeping patterns your body will go through some sort of a cleansing change and it's kind of radical you might end up sleeping a lot for the next two weeks or or you might be feeling more way more active and wanting to exercise you know around that time it's pretty pretty awesome so one factor that comes up often is the need for salt for dehydration so eat a high carb high insulin diet the insulin is up and it maintains water people get edema their fingers swell their belly swells their ankles swell their high bluff they get high blood pressure so then you go low carb whether it's keto carnival or whatever the insulin comes down and then you lose that water this is when people lower their blood pressure except if they have mold in their body but if you don't have any mold you lose that water you start urinating excessively and I've had people urinate you know larger quantities for three days and then now their blood pressure is almost normal so when you urinate more like that you can lose the potassium calcium and magnesium minerals that you're about your muscles use to contract it or to actually to relax with and so you can get muscle cramping you can get constipation your intestines are all muscle you can get the keto flu symptoms just feeling like draggy and tired and brain fog so you load up on calcium magnesium and potassium you can do calcium powder magnesium powder and potassium powder don't even bother with potassium capsules or tablets because viola those are 99 milligrams and it's too little you got to have potassium powder scoop one scoop might be 1200 or 2,000 milligrams so when you add these minerals now your muscles work better their cramping goes away now you can also do Celtic sea salt or Himalayan the pink salt so I'm saying two teaspoons a day and the way that I do it is a one teaspoon and a shot glass fill it with water and then I shoot it while I stir it with a knife shoot it chase it down with water it's like taking hundreds of little supplements that's how I think of it and there are people who take three teaspoons a day now how much is two teaspoons a day it's about eight and a half grams now there are native tribes around the world that live it by the ocean and they're eating fish and seaweed and they get a hundred grams of salt per day so don't think that two teaspoons is a lot because it's not so you want that those minerals you want that density and you want those symptoms to go away like such as constipation Quito flu or muscle cramping so dehydration from eating a lot of meat not a big deal it's easy to fix make sure you make sure you're drinking extra water and if that's even too hard then you might end up having to go back to some salads if you're trying to go carnivore but you need some salads I mean not a big deal like iceberg lettuce or something that's my favorite vegetable don't tell anybody I said that or even like granola if if you need to do like a low carb there are some low carb granolas on the market as your body is getting used to the change in your diet the next thing I want to go over I want to give you some examples I have a patient now she's been with me for a year type 2 diabetic for 25 years and she was doing the high fat moderate protein low carb testing her blood glucose and ketones every single day writing down her numbers and her weight every single day and her blood sugar used to spike up to 300 now it only spikes up to about 130 so her type 2 diabetes is almost cured I can't say that word though so I'm gonna say helped in remission stopped now she's still on insulin so that's the next thing to do is to start removing the insulin and see what happens with her blood sugar so she still has some work to do but a few months ago I told her okay I need you to lower the fat down that way she can lose some weight raise a protein up that way she can go out more hours between meals and she goes oh thank god you're telling me this because I didn't know how long if you go with these tablespoons of oil and she's eating like six tablespoons a day and let you know it almost basically reversed her type 2 diabetes we've had 11 people reverse their cancer with this we've had plenty of people help their heart can do normalize their lipids etc etc so the high-fat matter protein low carb still works but it's just not as sustainable as doing like higher protein and then low carb and then moving the fat up and down depending on what your body needs I want to share with you a story that one of the seminar leaders said at a seminar that he attended the spring and he's not a Kido advocate but his story is very interesting this is what he said there was a panel discussion so there's a few doctors on stage and they were talking about a condition I don't remember what the condition was and you know if a healthcare practitioner is gonna talk about a condition you better talk about a solution or else you're wasting everybody's time that's my opinion so he chimes in on this condition he said yes it mostly happens with women and I'm thinking okay so what's the cure and he says and most the time they're postmenopausal and I'm thinking okay so what what's secure and he says then usually they have cysts okay so this is all like inconsequential to how to help the person and then he says and the luteinizing hormone is usually high I'm like okay you're wasting everybody's time right now just with these facts that are you know I consider them not random but how do you fix it so then he said this the woman went on an all protein diet and everything went away all the problems went away and the people who know me who were sitting around me turned and they faced me and they looked at me with a smile on their face and I wanted to jump up those like over a hundred people in the audience and say yeah the carnivore diet now when he said all protein that's impossible it's got to be an all meat diet because meat has protein and fat so I just thought that was a funny experience because in his limited experience with ketosis and carnivore this woman found it somewhere online probably and went on it herself in reverser condition so one thing that I pushed a lot was cycling ketosis and do you need to cycle ketosis do I change my message on that somebody brought this up with me and when you're eating a carnivore diet let's you just eat nothing about me you will be in ketosis because it's a low carb so there are plenty of people who eat nothing but meat every day for years I follow them on Twitter there's a number of people who do this and their health is totally fine so the reason why you would want to cycle ketosis is if you're doing the old-school keto way the high fat moderate protein low carb because it's not sustainable it's not something that you can do every single day for years like I mentioned the woman who did it for a year when I told her to cut that fat down eat more protein eat more meat she was so happy she goes I don't know I didn't know how long it could sustain this for so if you eat if he do ketosis the right way with meat then no you don't have to cycle it like I used to say in my older videos now bringing up older videos I've taken down about eight videos where I talked about this ratio of fat versus protein plus carbs and that was taught to us by the Mayo Clinic and the Charly foundation still uses that and that ratio is good for kids with epilepsy it's a very high fat and it's good short-term for some people but I've taken those down because people are getting confused by that so and I still have patients now they come to me from long distances they come to my office and they say I'm doing a two to one ratio or 3:1 ratio and I'm like okay okay that's fine now but now we're gonna change it once you're in ketosis we're gonna change it back lower fat increase the protein when the seminars leaders said that quote we all know that the ketogenic diet causes fatty liver okay so we have to just stop that thought right now the ketogenic diet is the best thing for a fatty liver so when you're in ketosis your fat intake is down your body starts burning this fat out of here it comes out of here first and it comes off your belly and off your thighs and off your butt later so it's cleaning up your pancreas in your liver and around your heart and intestines that fat leaves first now two tools that I use still all the time number one chronometer that's the diet app where you put your food in and it gives you the macronutrients of fat protein and carbs in grams I don't care about percentages I want to know the green it also gives you grams of fiber per day you put those four macronutrients into the website that's PTO er comm it stands for protein to energy ratio comm from dr. Ted Nieman I'm using this all the time I've made some videos about this but I use these two internet tools to help people understand what to do with their diet now pto AR comm there it's not about ketosis right they show you like fat gain versus fat loss and but I just tell my patients look if you're if you're trying to get into ketosis keep your carbs below 20 boom that's done is super easy those are the two best internet tools that I found for controlling your diet and understanding what to do with your diet so I want to talk a little bit more about the carnivore diet I'm probably 90% carnivore and I've talked to people who are more carnivore than me painters patients of mine and the changes that they get so we're talking physical strength we're talking reduction and actual like they feel slimmer here in their waist it gets sucked in and then a poise and a calmness and a strength and a stature and what's the term posture that has not been experienced before it's a settling feeling it's energetic it's strength that's strong it's all these combined it's so when Weston a price traveled the world in 1930s and he looked at 134 indigenous tribes he talked about this all the time he talked about like the moral fabric of the culture of the tribe was very strong they had no jails and they had peace and calm amongst the tribe now there were tribes that fight each other but in his travels he compared these indigenous tribes versus modern society and he said that the diet helps these people work well with one another so when you look at our culture today and you look at the insanity and the violence and the crime and the inability to communicate with somebody else sanely there is some factors related to the diet in there and just look at what people are eating and how they drive and whether or not they pay attention and look at the students who do well versus the students that don't and what are they eating and it's these are all like broad generalities so but if your brains not you know doing well your body's probably not doing well either feed your body feed your muscles make your brain work better and what's the best food for your muscles the biggest organ in your body your muscles it's red meat and I've gotten on and on about how important it is to eat red meat it is the best superfood on the planet better than kale and avocados and spinach and whatever other green things you can come up with red meat is the superfood it's red because it has heme iron in it also known as myoglobin and that feed your muscles it provides iron and oxygen to your muscles and it makes your brain work better too so I've seen a number of people whose brain function is much improved and I even have an Alzheimer's patient two months ago I hit her touch her fingers together like this and she couldn't do it and then I said to her her and her husband okay red meat everyday they came back last week and they're eating four steaks a week and I had I told her to do this and she went like this and she touched her fingers and I had her do some other things that her husband was a was blown away by how much better she was doing in two months on lots of red meat but it's not even a lot his only four steaks a week so I told them both two servings of red meat per day eat as much as you possibly can and we'll see how much better her brain gets on red meat okay I want to do this update on ketosis with new information that's even greater information that what I knew nine months ago I got sucked into Twitter one year ago I've been learning a lot I think Twitter is a little bit of a hellhole with the attackers the trolls but it yet at the same time it's like Twitter University and I found I'm following some really intelligent people who have been around the black with nutrition and ketosis and food etc etc and as I learned from them I apply it to myself in to my patients so the things that I've said in this video I say with total confidence because I see it to be true and of course I know the research back and forth and I know what research is valid and invalid I can figure that kind of stuff out too and so if you're into interest in being a patient of the office of my office then this video is very important because if we decide that ketosis is good for you then these are the steps it takes to get there to do like baby steps or you could just eat meat and and tackle whatever symptoms come about from that maybe constipation or muscle cramps or something like that or some maybe some goblet or discomfort but we can help you walk you through this and give you the steps and then you can achieve better health and you can achieve this brainpower this calm the feeling this muscular strength that that I mentioned earlier in this video

40 thoughts on “Time To Update Your Keto Knowledge”

  1. Breakdown of this video:
    0:22 Carbs are the only nutrient that matters to get into ketosis
    0:50 high fat, mod. protein, low carb. What about the extra added fats?
    1:36 Once you're in ketosis
    1:42 Protein can be high.
    2:12 Unified Theory of Food
    2:45 What to do with your fat intake
    3:09 How it equates to ancestral eating
    4:49 Why moderate protein was recommended
    5:17 Protein and Autophagy
    5:50 Junk food vs. meat and autophagy
    7:13 Low Carb Diet is Foundatoinal
    7:31 How much protein exactly?
    7:50 How much fat intake?
    8:22 Work your way up to eating more protein. Body changes
    9:13 Salt and dehydration when eating more meat.
    12:07 patient example
    13:35 A speaker’s story about carnivore
    15:20 Still cycle ketosis? Carnivore vs. “old school keto”
    17:02 Ketosis and Fatty Liver
    17:32 Two internet tools I always recommend
    18:30 Carnivore diet: changes
    20:24 Red meat= superfood
    21:02 Brain on red meat
    21:49 Summary

  2. Thank you for correcting yourself on the topic of carb cycling; I do have one concern though regarding who you should say should carb cycle: If I understand what you said in this video correctly, you said that people who eat moderate protein in their keto diet should carb cycle because it is "not sustainable." You also said that a meat-based diet does not require carb cycling. Did you ultimately mean that the problem with the moderate amount of protein intake would eventually be inadequate protein? If so, how does adding carbs in a cycling fashion solve this problem? Carbs are the opposite of protein sparing. The ketogenic diet is protein-sparing and even glycogen sparing. Eating more carbs (during cycling or with the SAD diet) only makes one's body turn to burning the protein when their sugar-burning carbs cycle downward, right???
    And that's not even addressing the harm that is done to a type 1 or type 2 diabetic who is insulin resistant. Eating carbs in the fashion of keto-carb cycling will only delay any metabolic progress and make them more diabetic or closer to it.
    Personally, during the metabolic adaptation phase, I advocate a high-fat keto diet with carb grams 20 or under just like you do. They must stay satiated during the adaptation phase or they will fail altogether and miss out on the incredible benefits of the keto diet.
    I do recommend absolutely adequate protein the whole way through the ketogenic diet, while reducing the fats in order to burn fat (once adapted); plus, eating more ketogenic food (protein AND fat [not carbs]) as needed in order to maintain body mass. I also advocate periodically feasting once adapted, but NOT ON CARBS!!!
    I made a response video because of the one that you did with Siim Land as follows: https://youtu.be/uZyrWDHjHik
    I am 60 years old, and I have done strict keto (including grass-fed red meat) with my husband for almost 2 years, with NO CHEATING OR CARB CYCLING, and we are all the better for it. Check out that video link that I included in this comment and see for yourself.

  3. Hi Dr Schmidt, can you help me find the sources of how protein metabolises differently from carbs and how all you need to stay in ketosis is keeping carbs low? I thought protein had a similar effect to carbs.

  4. Dr.Schmidt, thanks for Yor videos and knowledge sharing. I just saw followig video: https://youtu.be/pnQW_sBRc_k and I have a lot of question but let start with the calcium topic ( in the video somwehre 10:00) any studys that the body is taking the calcium from bones to buffer the acid state caused by ketosis? My understanding was that in therapeutical ketosis the body is nit realy acid so there is no need to buffer with calcium…

  5. ….."so you don't get atrophy, like a vegan" 🙂 lol Freaking vegans…. should have been born a cow 🙂 lol

  6. You know, I discovered by accident, that having something that excites and motivates you to the point just shy of obsession, you tend to ignore hunger while pursuing whatever. For me, it was research and writing. I was also working on my house, too. I went from 162 down to as low as 141. I think my optimum weight was what I was at age 24 to 27, 146 lbs. I would eat more if I was going to work. Just being active, burned fat left and right. I take lots of supplements, though. Most people equate exercise with strain. completely false, just moving around on your legs constantly and standing, too, will cause major energy burn and fat loss. that said, I like this Keto thing. now that I am 60, Keto makes good sense. sitting in chairs a lot, is not good. We are not active enough as a nation.

  7. Speaking of Meet the other night a major News Network story was I think it was a half a serving of red meat will increase your morbidity rate by 50% something similar to that. I'm not sure exactly the numbers but it was pretty drastic and I'm just amazed at you know going against the meat industry on major News Network like that I just wonder what is the thought I just thought red meat was considered bad by some butt That's pretty drastic.

  8. One question about the carnivore diet please.
    You mentioned you noticed positive effects with a Alzheimer's patient, after eating red meat 4 x p/wk, over a 2 month period – that you had since requested to up the diet to 2 x serves of red meat per day.

    Can I ask, what oil, if any, is best to cook it with, pls? I've read that coconut oil is best for dementia & Alzheimer's, but what would you use?

  9. I would LOVE to be one of your patients (or one of your colleagues' patients), but being in Australia, I have no hope!
    90% of our "Bulk Billing" Drs., all still preach for those who pay the "tips & bonuses", for them.
    The 5 food group triangle!
    Even diabetics here are still being told to eat whole grains etc! … and then the Dr. tells them off for not checking their sugars vs food properly?!
    They'd HAVE to know why they're out of sync!?
    I'm on a disability payment & can only afford these type Drs., so I only go specifically for my spine injury, or if I'm otherwise dying. So, rarely ever.
    Other than that, I try to stay right away from our GP's & their immediate "go-to" – solve everything, cure no one – Big Pharma!

  10. Just sub! Greetings from Greece 🌅and thank you!
    One month in keto and int.fasting(omad) just to deal with my Hasimoto.
    No weight problem.👍I feel double energy🙌 lost some pounds ,no brain fog(used to eat too much carbs and sougar)I just wanna ask is that keto diet right for long term period or even forever?

  11. Everyone on keto needs this great info. You're exactly right on lowering fat intake to burn more belly fat. Some people use keto as a license to eat bacon all day. They plateau, get frustrated and cant figure it out. You just gave them the answer. Thanks. Will subscribe.

  12. Great video Dr. Schmidt. Have you ever read Brian Peskin's book "The 24 Hour Diet"? Basically says the same thing your said. He also explains why people seem to get constipated on a meat diet. They are not constipated at all. Their body is using so much of the meat for structure and energy that there is very little waste left over. Thus less pooping.

  13. What you're saying about high protein, low fat keto only applies to people who need to lose weight. Once they are lean, like I am you do need to eat extra fat. I love eating extra fat, my body craves it I've been eating this way and maintaining my weight for about 8 months, now. I require very little protein. And I don't count calories. I literally just listen to my body and give it what it wants and needs.. Everybody is different. And not everybody eats keto for weight loss.

  14. Your on point… Morbid obese person will DROP weight cutting carbs alone, a person with 20 lbs or less to lose will only lose by cutting calories, fat and carbs with light exercise (I am doing this right now, lost 100+ lbs twice during this lifetime).

  15. Thank you for bringing up the way people drive and communicate and the relationship to diet! I'm dreading going to work tomorrow b/c it's so bipolar in the office, the attitudes, the filthy bathroom, and the whispering about how stupid everyone is… No wonder Xanax is rampant! Driving, forget about it, between the smartphone and diet, I'm surprised I don't see accidents on every other corner. Funny, I had a bunch of McDonalds coupons last week, so I took them to work – you should have seen the excitement! I should probably have thrown them in the trash, but I was curious as to the reception. These little things speak volumes.

  16. Wanted to know if you could do a video on Hashimoto thyroiditis- I noticed that you mentioned to build up to larger amounts of iodine (Iodoral) in your links below your “Iodine” video but I was wondering if you could do something on general points of interest you have found in your practice. I’d love to hear your opinions considering you seem to be cutting through all the bs and getting straight to the point in your delivery on all your amazing videos (which I absolutely LOVE)!

  17. All meat, but not all rabbit! It doesn't have enough fat. And grass fed fed/finished organic beef has the healthiest fat profile/type. Any meat not commercially raised…

    I was 90% carnivore through third pregnancy, biggest baby, home birth. I do have low stomach acid, so I doused most of my meat in apple cider vinegar and so much celtic sea salt.

    Recently got myself and 4 and 2 1/2 year old daughters totally in love with steak tar tar.

    Thanks for these videos! Good for a nudge to lean back toward carnivore.

  18. But people with insulin resistance need a high fat diet… similar to lean athletes/body buliders in order to keep burning fat off of the body…

  19. I have followed a Keto diet for years, HOWEVER, I could never lose weight on keto. I have experimented on my body for years and I discovered I cannot eat all the recommended fat that typical keto diets recommend when I want to lose weight. Like you said, I was burning the fat I was eating but not the fat on my body. I can maintain my weight and can consume more fat ONLY if I am exercising. Everything you said in this video is exactly what I discovered as well. Glad I am not alone! Thank you!

  20. Yes you do carnivore diet and you might loose weight… but in the process get kidney problem, heart and arteries , cancer .. you name it

  21. So can I eat cans of Spinach, or asparagus, or any greens with no carbs while I’m on carnivore? Ik carnivore is only meat, but why not add the greens? Would it hurt in any way!

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