Q&A2 Transcript - Revision history

Bferrell: /* Module 2 Q&A Handout */

2020-10-18T19:08:56Z

Module 2 Q&A Handout

Bferrell: /* Module 2 Q&A Handout */

2020-10-18T19:04:59Z

Module 2 Q&A Handout

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	Your focus needs to be keeping those carbohydrates low. That is the key to switching is chemistry. I put this question first because it was so paramount for the success in people transitioning to the ketogenic diet. In the folks who struggled and said, I just am not getting results that I need. Why am I not getting the results I need? I tell them to scrap looking at anything else, only focus on those 20 total carbohydrates a day. Do that for 10 days. Watch what happens. And the anxiety of checking all of these things at first can overwhelm people. We don't want you anxious. We want you happy and and mentally not stuck in the high scroll here..		Your focus needs to be keeping those carbohydrates low. That is the key to switching is chemistry. I put this question first because it was so paramount for the success in people transitioning to the ketogenic diet. In the folks who struggled and said, I just am not getting results that I need. Why am I not getting the results I need? I tell them to scrap looking at anything else, only focus on those 20 total carbohydrates a day. Do that for 10 days. Watch what happens. And the anxiety of checking all of these things at first can overwhelm people. We don't want you anxious. We want you happy and and mentally not stuck in the high scroll here..
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	<div id="No2">'''Question 2'''</div>		<div id="No2">'''Question 2'''</div>
	2. What foods should we be eating to lower blood pressure? +31		2. What foods should we be eating to lower blood pressure? +31
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	When you say what foods lower blood pressure, I would flip the question, say the foods that raise blood pressure or carbohydrates, because as those carbohydrates get high, the insulin goes high and that whole meal you have high carbohydrates, high insulin create a the osmotic or the pull to keep the water in circulation. When you drop those carbs, you drop the glucose in your, you drop the insulin and those three trifecta remove the pole to keep the fluid in circulation. And that's how you drop your blood pressure. It's for that same reason.		When you say what foods lower blood pressure, I would flip the question, say the foods that raise blood pressure or carbohydrates, because as those carbohydrates get high, the insulin goes high and that whole meal you have high carbohydrates, high insulin create a the osmotic or the pull to keep the water in circulation. When you drop those carbs, you drop the glucose in your, you drop the insulin and those three trifecta remove the pole to keep the fluid in circulation. And that's how you drop your blood pressure. It's for that same reason.
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	<div id="No3">'''Question 3'''</div>		<div id="No3">'''Question 3'''</div>
	3. How much salt do we need in a day? +92 How much water should we try to drink each day? +24 Doctor limits water + sodium due to Afib		3. How much salt do we need in a day? +92 How much water should we try to drink each day? +24 Doctor limits water + sodium due to Afib

Bferrell: /* Module 2 Q&A Handout */

2020-10-18T19:04:11Z

Module 2 Q&A Handout

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Bferrell: /* Module 2 Q&A Handout */

2020-10-18T19:00:53Z

Module 2 Q&A Handout

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	<div id="No38">'''Question 38'''</div>		<div id="No38">'''Question 38'''</div>
	38. Wondering why ketones are strong when I go to bed, but very light not existed when I get up. I have a very low carb dinner meal.		38. Wondering why ketones are strong when I go to bed, but very light not existed when I get up. I have a very low carb dinner meal.
	So wondering why ketones are strong when I go to bed, but very light not existed when I get up. I have a very low carb dinner meal. Okay, so 33 of you said, would you answer this question? And the next one talks about Dawn effects, which are very similar. So again, the Dawn Effect is every morning, and this is even if you're the night nurse who's been working the night shift for the better part of three decades.		So wondering why ketones are strong when I go to bed, but very light not existed when I get up. I have a very low carb dinner meal. Okay, so 33 of you said, would you answer this question? And the next one talks about Dawn effects, which are very similar. So again, the Dawn Effect is every morning, and this is even if you're the night nurse who's been working the night shift for the better part of three decades.
	Video Time Stamp: (01:35:39):		Video Time Stamp: (01:35:39):

Bferrell: /* Module 2 Q&A Handout */

2020-10-18T19:00:09Z

Module 2 Q&A Handout

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Bferrell: /* Module 2 Q&A Handout */

2020-10-18T18:41:07Z

Module 2 Q&A Handout

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Bferrell: /* Module 2 Q&A Handout */

2020-10-18T18:06:43Z

Module 2 Q&A Handout

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	\| [[#No2\|2]] \|\| What foods should we be eating to lower blood pressure? \|\| 31 \|\| (00:19:00) \|\| [[#No2\|Question 2]]		\| [[#No2\|2]] \|\| What foods should we be eating to lower blood pressure? \|\| 31 \|\| (00:19:00) \|\| [[#No2\|Question 2]]
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	\| [[#No3\|3]] \|\| How much salt do we need in a day? / How much water should we try to drink each day? +24 \|\| 92/24 \|\| (00:28:22) \|\| [[#No3\|Question 3]]		\| [[#No3\|3]] \|\| How much salt do we need in a day? / How much water should we try to drink each day? +24 \|\| 92/24 \|\| (00:21:00) \|\| [[#No3\|Question 3]]
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	\| [[#No4\|4]] \|\| How much water do we need in a day? \|\| 82 \|\| (00:29:23) \|\| [[#No4\|Question 4]]		\| [[#No4\|4]] \|\| How much water do we need in a day? \|\| 82 \|\| (00:25:20) \|\| [[#No4\|Question 4]]
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	\| [[#No5\|5]] \|\| Are sparkling water allowed in the beginning or ever? \|\| 52 \|\| (00:31:05) \|\| [[#No5\|Question 5]]		\| [[#No5\|5]] \|\| Are sparkling water allowed in the beginning or ever? \|\| 52 \|\| (00:25:23) \|\| [[#No5\|Question 5]]
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	\| [[#No6\|6]] \|\| How much Sole water can you add to your drinks per day? \|\| 21 \|\| (00:31:20) \|\| [[#No6\|Question 6]]		\| [[#No6\|6]] \|\| How much Sole water can you add to your drinks per day? \|\| 21 \|\| (00:26:20) \|\| [[#No6\|Question 6]]
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	\| [[#No7\|7]] \|\| How long does it take to start losing stored fat? \|\| 66 \|\| (00:32:06) \|\| [[#No7\|Question 7]]		\| [[#No7\|7]] \|\| How long does it take to start losing stored fat? \|\| 66 \|\| (00:32:06) \|\| [[#No7\|Question 7]]
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	<div id="No3">'''Question 3'''</div>		<div id="No3">'''Question 3'''</div>
	3. How do we ~~get vegetables and keep our carbs down~~?		3. How much salt do we need in a day? +92 How much water should we try to drink each day? +24 Doctor limits water + sodium due to Afib
	~~I would contend that the vegetable content as you become more keto adapted~~ is much ~~lower. I would say what is the reason you want vegetables~~? ~~And I~~'~~m not trying to~~ be ~~a carnivore advocate here~~. ~~I'm just saying if, if you~~'re ~~saying you're getting vegetables because they're healthy, I'm saying vegetables were always added because of their nutrients~~. ~~So if you're looking for specific nutrients, let~~'s ~~talk that game~~. ~~But if you're~~ saying, ~~“but~~ I ~~was told vegetables are healthy.” Yup. And you were told that breakfast cereal was healthy too. Oh, this is~~ a ~~different way~~ of ~~thinking~~. ~~I would push~~ you ~~back to that fridge guide and say which vegetables are the best and start using vegetables in a way that keeps your carbohydrates less than 20 per day.~~		That question number three is how much salt do we need to take in? You shouldn't be measuring it. You're measuring 20 carbohydrates a day. That's it. Do not focus on saying, well, I only had one and a half tablespoons of salt today. Why are you measuring it?
			Video Time Stamp: (00:21:13):

			You need to assault until you don't feel like you need salt anymore. But the idea that your system needs a measuring cup to tell you how much salt is mixing up messages. We want you listening to your body and we want you salting. Thanks. Salt will prevent that. Keto flu. Salt will prevent you from dropping your blood pressure too quickly but still not compromising that you keep the fluid in your circulation because of high sugar or high insulin. We want you to keeping it there because the salt ratio matches the meat. Your kidneys are going to do a great job of regulating that. Let them do their job. Salt is something that will satiate you. It feels it shuts off hunger, it shuts off cravings. But you shouldn't have to measure the amount of salt. My coffee this morning has salt in it.
			Video Time Stamp: (00:22:07):

			It has got solely water in it. It is if I have too much my, my body, my efficient, not inflamed body will pee it out. And yours will too. Eventually as you start into the ketogenic journey many people wrote in saying, Hey, my doctor, I have atrial fibrillation. I have a DEMA. I have swelling, my thumbprint was really large. What do I do? This is where your doctor needs to help you with this. Now if you, if you lower your blood sugar and you lower your blood glucose too quickly and you have really stiff old arteries, like let's take an 80 year old who's got atrial fibrillation, has a DEMA, starts on the ketogenic diet, and by day three, they're passing out because they dropped their pressure so much and their poor little hearts has too many other things going wrong and they're taking the medications that the doctor has been doing to counteract the atrial fibrillation and their 80 year old heart was diff arteries.
			Video Time Stamp: (00:23:17):

			Okay, that's really complicated. That's what internal medicine job is, is to manage that. And it's totally doable, but it is not not a good idea to do all that. Without your doctor being unaware, please let them know, tell them what you're doing. They are going to tell them to reach out to me. I'll, I'll tell them what I would do, but to advise a thousand people online, here's what I do. I think you're setting people up for a dangerous precedent. Let's see. Keto says add water and salt. My doctor says, stop at how confusing, right? I know only five people voted for that, but this poor little lady or man, it's super confusing and I'm telling you, you will have less need for these medications. Your heart will be under such less pressure. When you get keto adapted, when you get through this taking the time to do this journey with your doctor, and then you'll get the free just confidence from your doctor when you show up saying, look, I've been studying my blood pressure.
			Video Time Stamp: (00:24:24):

			So that's what those charts are for in those handouts is I'm giving you the tools that as a physician, when the patient shows up and they have this documentation, it is a glorious moment because first of all, I know they're committed and second of all, they're studying the things that I need to know about. If I'm going to give you advice and that if the doctor sees that right in front of them, they're going to be able to say, Oh, here's what we do next. When you come in and ask the question, but you don't have any information they're guessing. They're trying to say, I think this is where they're at. Why is eating sunflower seeds a good way to take insult? I wouldn't do that. A sunflower seeds. There's just so many other good ways to take insult that don't have the distraction of sunflower seeds.
			Video Time Stamp: (00:25:12):

			I mean, they're seeds, they're not terrible. But pickle juice with no additives for probiotics is salty. Yes, that's another nice idea, but I would just stick with salt. It's less complicated.

	~~Video Time Stamp: (00:29:23):~~
	<div id="No4">'''Question 4'''</div>		<div id="No4">'''Question 4'''</div>
	4. ~~Do I stop taking supplements like D three Cod liver oil, vitamin Metamucil capsules?~~		4. How much water do we need in a day? +82
	So I would contend that at the beginning, I, I don't, yeah, the only one that really makes my skin crawl is the Metamucil. Again, those are all carbs. They are carbs that have been modified to not be absorbed. Which is the same thing that fiber is. That's why vegetables have so many carbohydrates in them is they are carbs that you don't absorb except they still do ~~things to you. And that's a longer story than~~ we~~'re going to get~~ in today. But it will come up in the future, especially next week when we talk about constipation, diarrhea and all kinds of poop stories. Vitamin D three important so is K2 and I would tell you that the people who need the most supplements are the ones that have been.

	~~Video Time Stamp: (00:30:15):~~
	They'll be the longest. So at the beginning I would say I wouldn't take any of those supplements if I was telling somebody right out of the gate, you're going to go into the ketogenic diet and you know, tomorrow is day ~~one. What, what do I do with these supplements~~? And I would just say, pause them for a moment. Just don't take those. Without the Cod liver oil. But daily vitamin D, vitamin D three, all important. But one of the key things to becoming healthy is that you stop losing the nutrients out your gut. You're not going to do that the first week, but there are plenty of problems that happened the first week. And I would mitigate that by saying just put those on hold for a week.

	<div id="No5">'''Question 5'''</div>		<div id="No5">'''Question 5'''</div>
	5. ~~When will~~ the ~~workbook be published~~?		5. Are sparkling water allowed in the beginning or ever? +52
	~~Yeah~~, I know I ~~talked~~ about the ~~workbook on video one~~.		How much water do you need a day, again speaking to that sparkling water. So I think it's really important to clarify this question. Our sparkle is sparkling water. Allow it at the beginning or ever in this diet. And 52 of you wanted to know if I if that's what's the answer to that? I would commend that your sparkling water needs a definition. When I talk about sparkling water, I think of it as Agua Kongese that's Spanish for water with gas in it. So the, bubbles in water is, what I call sparkling water. Now there've been branding people who put in Stevia and sweeteners and some cucumber juice or lemon juice and those flavors end up with a stimulation of cravings.
			Video Time Stamp: (00:26:13):

	~~Video Time Stamp: (00:31:05):~~		So just be careful that if you're talking about just taking water and putting, get carbonation in it, that's what I, that's my one of my non coffee drinks that I love, but it doesn't have extra flavors in, it doesn't have essence in it. It, it, I would be careful about what's in that.
	~~The outline is very similar to~~ what ~~is in your handouts. But the published workbook will probably be~~, I ~~don~~'t ~~know~~, I'~~d like to think June~~. ~~Stay tuned. Yeah~~, we'~~re getting there~~.

	<div id="No6">'''Question 6'''</div>		<div id="No6">'''Question 6'''</div>
	6. ~~I thought~~ you ~~weren~~'t ~~supposed~~ to ~~be doing keto~~		6. How much Sole water can you add to your drinks per day? +21
	~~That~~'~~s my favorite~~. ~~Okay~~.		How much solely water can you drink in a day again till you feel like you don't want anymore salt? Is this really primal signal when you are, when you're satisfying it, your kidneys will remove amazing amounts of salt in a day if they need to. And it will also hold onto the salt that you need. You want to oversalt versus under salt these first few days. And you will feel it. You will feel the sensation of, I just don't want any more salt. So listen for that signal when you're replacing salt.
			Video Time Stamp: (00:27:06):

			All right, question seven.

	<div id="No7">'''Question 7'''</div>		<div id="No7">'''Question 7'''</div>

Bferrell: /* Module 2 Q&A Handout */

2020-10-18T18:00:19Z

Module 2 Q&A Handout

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