Controversial Thoughts: The Dangers of Long- term Ketogenic diets

Paul Saladino MD podcast

Paul Saladino, MD

Medicine, Health & Fitness

4.8 • 2.7K Ratings

🗓️ 1 October 2021

⏱️ 37 minutes

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Summary

If you saw my "What I eat in a day" video you know that I've been including fruit and honey in my diet for a while now and feel much better with these... In fact, I'm going to go so far as to say that I have a number of concerns about long-term ketosis and don't think this is a great thing for most individuals... Maybe there are a few out there who can manage this, but for most thyroid, sex-hormone, electrolyte and glucose issues develop over time with a ketogenic diet... Before you get your keto dogma panties in a bunch, watch the video - you might just learn a thing or two! And this is not to say that I don't see value in ketogenic diets for some individuals (epilepsy, parkinsons, other neuro-degenerative disorders), or to begin treating diabetes... But long-term eating in this way may have many negative consequences. Please repeat after me: carbohydrates do not cause diabetes, carbohydrates do not cause diabetes... Results over dogma. Reclaiming your birthright to radical health is what this is all about. Not getting stuck in a label of one sort or another. #theremembering

Transcript

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0:00.0	What is up you guys welcome to our virtual thoughts. This is my weekly solo podcast where I get some time to talk about
0:08.9	Whatever is germane whatever is on my mind
0:11.4	And whenever I think you guys might be most interested in hearing about I released a video this week of how I eat in a day in
0:19.1	2021 we did a filming here in Costa Rica of my normal diet and
0:23.8	And though this hasn't changed much in the last I would say year and a half or so
0:29.4	There have been changes over the last three years that many will know about but I just want to bring everybody up to speed on what I'm doing and why I'm doing it and in that context
0:38.6	I thought it would be interesting to do a video about my concerns with long-term
0:44.1	ketosis and
0:46.1	ketogenic diets in humans and I know this will seem
0:49.2	Like apostasy to many but bear with me. I will begin with my personal experience
0:54.9	I will share my clinical experience and some of my own blood work and then I will get into some of the literature which supports these concerns with long-term ketosis
1:06.0	Before I dive it. I want to just define what a ketogenic diet is. It's a very low carb hydrate diet
1:12.4	There's a lot of different terms out there right now low carb very low carb
1:16.4	I think of a generally a ketogenic diet is less than 50 grams of carbohydrates a day usually less than 20 grams of carbohydrates per day
1:24.9	This is in stark distinction to what may be considered a low carb hydrate diet
1:31.0	Which can be defined a lot of different ways but
1:34.1	most precisely perhaps is less than 40% of your calories from carbohydrates
1:40.4	So as many of you know if you watch the video about how I eat now I do include fruit and honey in my diet
1:46.4	And I still eat a very low carb
1:48.7	I excuse me I still eat a low
1:50.9	carbohydrate diet according to the traditional definition because much fewer than 40% of my calories are coming from carbohydrates
1:59.1	I thought it might be useful to give you guys a breakdown on my macros at the beginning of this video
	...

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