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Gastropod

The Keto Paradox: Fad Diet *and* Life-Saving Medical Treatment

Gastropod

Cynthia Graber and Nicola Twilley

Science, Food, History, Arts

4.73.5K Ratings

🗓️ 22 August 2023

⏱️ 43 minutes

🧾️ Download transcript

Summary

What do some epilepsy patients have in common with tech bros, bodybuilders, and Joe Rogan? The high-fat, carb-shunning diet known as keto, whose history dates back much further than its 2010s rise to fame. In this episode, Gastropod traces how a medical treatment pioneered more than 2,500 years ago was refined in the 1920s to treat seizures. We trace its wild ride in and out of fashion, with cameos from Robert Atkins, the 80s exercise craze, and Meryl Streep. And, of course, we've got the myth-busting science on what ketosis and ketones really are, the dangers of eating this way to lose weight, and the reason this diet can be life-saving—for people with a very specific medical condition. Bust out the butter (but please don't put it in coffee) and join us down the keto rabbit hole. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Transcript

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0:00.0

Here is a diet that goes against all conventional nutrition advice, banning bread, potatoes,

0:09.1

and pasta in favor of red meat, eggs, and bacon.

0:13.2

What's not to love?

0:15.2

People all of a sudden are allowed to eat cheese, and all of a sudden they can have a steak

0:20.0

a few times a week that couldn't have before.

0:22.2

They can eat the eggs with the yolk.

0:24.5

This is something I've heard on and off for literally decades.

0:33.5

People saying they're cutting out all sorts of things that I love, like grains and beans

0:37.3

and bread, and most fruit, and even a bunch of vegetables, in favor of steak and bacon,

0:42.1

and that this is a good thing.

0:43.4

Me too, and I hate hearing it.

0:45.7

For a lot of reasons, some of which are to do with the concept of diets in general,

0:49.3

in which we talked about in our episode on diets and dieting, and some of which are

0:53.3

to do with the fact that eating basically only meat and fat sounds terrible.

0:58.4

And frankly, like, kind of a disaster for the environment.

1:01.2

But one of our listeners made us think about this topic in a new way.

1:04.3

Hi, gastropod.

1:05.6

This is Catherine Elkins from St. Louis, and I just listened to your recent podcast on

1:10.8

medically tailored meals, and it got me thinking about a dietary therapy that we use in patients

1:14.9

with epilepsy called the ketogenic diet.

1:17.1

Catherine is not only a gastropod listener, she's also a pediatric neurologist.

1:22.5

I treat children with epilepsy, and that includes both treatment with medicine and both

...

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