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#023 Dominic D'Agostino, Ph.D. on Modified Atkins Diet, Ketosis, Supplemental Ketones and More

FoundMyFitness

Rhonda Patrick, Ph.D.

Nutrition, Health & Fitness, Medicine

4.85.8K Ratings

🗓️ 23 March 2016

⏱️ 114 minutes

🧾️ Download transcript

Summary

Dr. Dominic D'Agostino

This podcast is with Dr. Dominic D'Agostino, an assistant professor at the University of South Florida in Tampa and all-around expert on ketosis.

In this podcast we discuss:

  • (00:00) Introduction
  • (03:46) Ketosis has abundant therapeutic potential 
  • (10:20) What to eat to maintain nutritional ketosis
  • (19:58) Does a high-fat diet harm the gut?
  • (29:14) Adaptations to a ketogenic diet expand mitochondrial capacity
  • (38:45) How the brain uses ketones
  • (46:36) Ketones improve Alzheimer's symptoms (unless you have an APOE4 allele)
  • (57:17) Are ketone supplements a "magic pill?"
  • (01:07:32) Why cancer cells may need sugar
  • (01:23:51) Metformin is more than a diabetes drug
  • (01:30:33) The body creates sugars while in ketosis
  • (01:36:21) Restricting glutamine to slow cancer growth
  • (01:43:24) Ketone supplements taste awful, but likely improve health

If you're interested in learning more, you can read the full show notes here.

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Transcript

Click on a timestamp to play from that location

0:00.0

Hello, my friends. Today's podcast is with Dr. Dominic Dagestino, an assistant professor

0:06.0

at the University of South Florida in Tampa and an all-around expert on ketosis. I have

0:11.1

to warn you guys right now this is a fantastic podcast. In this podcast, Dominic discussed

0:16.8

Dom's efforts at teasing out the differences between induced nutritional ketosis through

0:21.4

a low carbohydrate high fat diet and ketosis from the dietary introduction of exogenous

0:26.3

ketones like beta hydroxybutyrate, especially in the context of therapeutic and performance

0:31.8

enhancing effects. His work on formulating ketone esters, the difference is intolerability

0:37.8

between medium chain triglyceride powders versus liquids, as well as the amount of supplemental

0:43.5

medium chain triglyceride a person would need to consume in order to achieve mild ketosis

0:47.7

without carbohydrate restriction. The difference is between different types of ketogenic

0:52.0

diets, the modified Actins diet which has been demonstrated to have similar efficacy

0:56.8

to the classical ketogenic diet and the treatment of drug-resistant epilepsy and how this

1:01.1

may be a slightly more practical option for achieving therapeutic nutritional ketosis.

1:05.9

The importance of making the correct carbohydrate choices, even and maybe especially in the

1:10.0

context of a ketogenic diet, with a diverse variety of raw vegetables being the most favorable.

1:16.0

What keto adaptation is and what it means at a physiological level to be keto adapted

1:21.8

and how this is distinguished from short periods of ketosis we experience in our day to day

1:26.0

lives. Some of Dom's ideas around cycling various dietary strategies as a way of promoting

1:31.3

metabolic flexibility, how ketones, when used as a source of energy, may result in a net

1:36.7

reduction in the number of damaging reactive byproducts known as reactive oxygen species,

1:41.9

than what may be produced by other forms of energy metabolism, while also producing more ATP

1:47.6

proportionately the same amount of oxygen. And so much more, oh my lord, there's so much more.

...

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