Coming up on today's show.

Metabolic dysfunction for a lot of doctors and certainly the way I was trained is whether

or not you have type 2 diabetes.

And if you're short of that, you're okay.

Metabolic dysfunction, being metabolically unhealthy, starts at that early stage of insulin

resistance when your body tends to be overweight, have too much adipose and not responding

as well as it should to the insulin signals

to keep that blood sugar in a steady range. And if your blood sugar is spiking to 170, 180, 200,

and staying there for an hour and a half or two hours after your meals, that's a sign your body's

not responding well to the food you're eating and that you have this component of metabolic

dysfunction and insulin

resistance. As insulin is chronically high, it can prevent you from accessing your fat stores and

burning your fat stores for energy. So it's a good way to add fat to the body. Second is it can actually

trigger a chronic inflammatory state. You can measure the relationship between hyperinsulinemia

and inflammation and they tend to really

be correlated fairly closely. Not that everybody needs to be on a ketogenic diet, but the fact that

it is such a powerful treatment that contemporary medicine doesn't even talk about is just a crime.

I mean, it should be at least a tool in every doctor's toolkit to be used at the appropriate time.

As a cardiologist, what is the best diet for somebody looking to prevent heart disease?

Starting off with a good one.

Well, if you walk into any, you know, mainstream medicine doctor's office, they're going to tell you it's a plant-based vegan or vegetarian diet.

And that simply is not true.

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