Interview with Megan Ramos with the Intensive Dietary Management Program, chatting about insulin spikes, body fat & its role in intermittent fasting, and more. The easiest way to listen to podcasts on your iPhone, iPad, Android, PC, smart speaker – and even in your car. Bonus and ad-free … That is completely separate from nutritional ketosis, except maybe in people taking SGLT-2 inhibitors. I don’t know why we do it every month. Live Q and A with Megan Ramos. And so they start to question that, so they’re willing to try. So I think there needs to be more evidence for that. Now most often or not, the minimum fast is 24 to 36… Well, the minimum and the most common fast we use is 24 to 36 hours three times a week for our patient population. Megan:  Absolutely, saltwater… it really depends on the patient and their level of activity just how much we recommend. Megan:  That’s something everyone’s very concerned about I’d say every day in my email, my IDM email, I get questions about this from patients and from strangers asking about it and it’s something I’m chronically tagged in on different social media. There’s a lot of patients who I know who aren’t going to benefit unless they are doing 36 hours of fasting, but I have to start them off at three meals a day and maybe a 13 hour fast and slowly transition them up to that point. Megan:  Yeah, but most of the time within 30 days I’d say that they’re off of insulin and within six months off of all of their oral diabetic medication. July 15, 2018 By Leanne Vogel. If they are not going to drink broth or pickle juice, just have that salty water, drink it and teach them to hydrate. Diet Doctor Podcast #22 – Dr. Georgia Ede. So we talk to them about all of the refined process salt that’s in all their refined processed foods that they are eating and show them what a regular day eating low-carb looks like in terms of sodium intake and the day of eating the standard North American diet looks like and then you have these days when you’re not eating at all, but you’re still consuming a lot less sodium even if you’re guzzling a glass of saltwater. And that’s where I like what you’re talking about the 24 to 36 hours, which is you know, when a lot of people think about fasting, they think about the extended fast. I go to Drive Thru’s. And so years have gone by, I’ve been in clinical research for over 20 years now. Olives require zero preparation, avocado zero preparation, eggs can be unbelievably simple and bacon, you can throw it in the oven or in the microwave, you don’t have to sit there at the stove. I’ve had 31 hours of cardiac ablation before my 30th birthday. The Podcast; Listen; Expert Panel ... Posted on April 12, 2018 January 10, 2019. And even then it was only short-lived, for about a year before they became a little bit wonky. And it’s not that their doctors are bad people, their doctors are poorly educated people. Diet Doctor podcast #14 with Dr. Robert Lustig. So why do you think it was so shunned for so long in the medical community and actually still is in some circles? Today is my pleasure to be joined by Megan Ramos from idmprogram.com. And we just really educate them on the importance of staying hydrated. And he said if you look at the Koran and they talk about dates. But he continued to fast for all 120 days. So Georges St-Pierre is a Canadian and he’s UFC fighter and he’s won some world championships, he’s a very, very nice Canadian man. This is usually someone who comes in who is barely hanging on to the cliff anymore. Bret:  So it seems like the secret might be the physical activity and the continued training, because there are some studies that show some loss of lean body mass, but I guess I’d have to go back and look at those if they’re controlled for physical activity, because it seems that might be the secret here. It had gone up a little bit, but he had also lost a nice chunk of body fat during that time, so you would expect it to go up, but there was really no change. And in whom do you use them, what version, what are your recommendations about that? And for so many people now is so powerful. Podcast: Play in new window | Download Subscribe: Apple Podcasts | Android | RSS Megan Ramos has been working for and with Dr. Jason Fung for most of her adult life. Most notably dry fasting. I grew up assuming that the people that put together the Canadian food guide and who educated my daughter… or that she even had education in the first place about nutrition. And do you have patients whose blood pressure worsens when they supplement with salt even though they’re fasting? I’ll look forward to seeing that that evidence. But I want to go back quickly to something that you mentioned about replenishing their electrolytes and losing the water weight. Bret:  Great thanks again for joining us on the DietDoctor podcast. Especially with coffee. What people can consume while fasting, that won’t break their fast. Stay updated like 500,000+ subscribers with our weekly Diet Doctor newsletter. Starting as a cancer surgeon and researcher, Dr. Peter Attia would never have predicted where his professional career would lead. It doesn’t matter what they supplement with. Fasting, sodium, everything… insulin is a really important hormone that we know too little of it will kill us, and too much of it will also kill us. But for sick metabolic patients we usually take something pretty aggressive. Listen to The Obesity Code Podcast episodes free, on demand. One of the things I find so interesting is people love this these medicines now, especially if you look at the most recent guidelines that came out, which by the way low-carb diets were finally mentioned in, but they’re mentioned in like half a page of a 12 page document that was all about medications. So I have this patient, I love him to death, his name’s Paul, he’s got a whole Twitter feed about this and encouraged us to share his story. I am a big believer that if I’m going to ask a patient to do something I should have a little bit of experience doing it myself. And it sounds like you use both of those. We always tell our patients that human beings are a dumb species. But nowadays he says his family has totally transformed. It was just the years of poor eating habits topped off by a year of really poor eating habits that sort of did me in. So I don’t restrict but back then those foods were also foreign to me. It enabled them to really get control of their health, start to feel better, change their appetite and their cravings and then enable them to buy the food that was good for them too in the first place. So we don’t we don’t utilize it. She has worked along side Dr. … Hear Nina Teicholz’s perspective on the faulty dietary guidelines, plus some the advances we have made, and where we can find hope for the future. Often 24 hours doesn’t quite cut it. And that’s not always the case. Low Carb MD is a patient-centered podcast focusing on weight loss, wellness and preventative medicine. Be sure to listen in! So as a cardiologist…. Whether you fast or not, this interview is full of great information and may just inspire you to try your first … Megan:  So he was perfectly okay, but there was no change in his lean mass really from start to finish. That extra 12 hours getting to 36 hours seems to make a real difference, a huge impact on patient outcomes. Does that mean it is safe and without concern? Bret:  Yeah, such a great point to be able to institute fasting in a responsible way that is going to prevent that. And if they don’t eat bacon for whatever reason then they have eggs, olives and avocados, I don’t care, but just those four foods. So this protects your body and helps it to grow, especially when you start to eat again and re-feed again.