Practical Keto: Dr. Berg at Low Carb Denver 2020 | DrEricBergDC

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so this morning i released a video had the most  views i’ve ever had is 25 000 views an hour  

and take take a while to guess what the topic is  corona virus yeah it’s a very hot topic right now  

you know about i would say 15 years ago i was  doing talks around the governmental agencies  

in washington d.c and also exxon mobil and they  kicked me out they actually said you can’t talk  

anymore i called them up and said why they said  well because you’re recommending 45 eggs a day  

and that’s very bad for the heart i  said no i didn’t say 45 i said 4-5

they said oh okay you can come back so  sometimes you have to clarify things

so uh disclosures no financial ties to  pharmaceutical diagnostic or medical devices  

or food industry owner of dr bird.com dr berg  supplements authored the healthy keto plan i  

organized a summit called the healthy keto  summit every year and my bias is low carb  

so today i want to talk about some unique problems  that happen in the keto uh world i have a large uh  

following on social media i have a facebook close  private group of 300 thousand people and i’m it’s  

called my keto lab i’m able to test different  things to see what works see what problems that  

people are running into and uh gain a tremendous  amount of understanding about what people are  

running into and what the solutions are so i  want to share today some common problems and  

solutions one of the biggest ones being plateau  it’s keto stall so i want to talk about that first

so a couple couple things one is that you  have people who say well it’s not working  

i only lost two pounds the first week i  lost six and now i just lost two pounds  

i’m like well you have to understand that is  normal so it takes a little bit of education  

at first to set people up but there’s there’s  different levels of awareness that you have to  

understand you have awareness of the  problem awareness of the cause of the  

problem awareness of the solution  and also of the correct solution so  

like i would take like men for example they might  have this huge belly but they’re not very aware  

that that is a fatty liver they’re they’re  just like oh yeah it’s fine i can deal with it  

so i wouldn’t necessarily go right  into teaching them about what to eat  

because that’s too high level so i really address  people where they’re at and then build them up  

and one of the things i found is that you have  to teach them the basics of certain things  

uh especially like one guy came in he goes um  yeah your program’s not working i tried it for two  

weeks and it didn’t work well it did work but then  it stopped working well what did you do well i  

stopped stop the diet i said did you think it was  going to keep working if you stop so you really  

have to educate people from the very beginning and  so there’s a really important very vital principle  

that i talk about and that is about it’s not lose  weight to get healthy it’s get healthy to lose the  

weight and this is so basic because looking at  diabetes as a disease doesn’t work as this being  

this is like this cause of cause situation  it’s the effect of course of high insulin  

if someone does not understand this concept  they’re very susceptible to doing the wrong  

solution very unhealthy programs diet  appetite suppressants low quality  

products they try to get they try to actually  diet to lose weight how many of you agree that  

dieting actually destroys your metabolism you  take someone who’s menopause and you ask them  

how many diets have you been on it’s probably  been 10 or 12 and every time they do it  

of course they’re doing it wrong it slows down  the metabolism so just because someone’s losing  

weight doesn’t mean they’re getting healthy  it really depends on how they’re losing weight  

so there’s some products that people think  are healthy you have you know of course the  

slim fast hidden sugars if you take a look at the  ingredients high levels of soy protein isolates  

which are exposed to hexane which in pubmed is a  neurotoxin and there’s no fda has no sealing of  

how much hexane is in there had a lot of clients  come in that have done like programs like ideal  

protein that really high in soy protein isolates  and end up with liver and gallbladder issues so  

and they’re hidden sugars as well so is a  really important question that i always always  

ask people to figure things out and i think  it’s just it’s not emphasized and that is okay  

when did this problem start and what happened  just before that and you can get so much data  

i had one lady came in with a heart attack  a heart attack symptoms she’s been to the  

hospital spent forty thousand dollars worth  of testing and nothing showed up and then we  

find out i said when did you start well two  weeks ago what day tuesday what did you eat  

she was oh a big banana split i said okay laid  it on my table started doing some work on her  

and it was basically just a congested gallbladder  backed up in the liver causing heart pain all  

the all the heart symptoms went away so  it’s really really important to find out  

what occurred just before you started having  that problem i asked that question a lot

maltodextrin glycemic index way higher than  glucose and sugar so obesity is a symptom  

it’s not if you focus on obesity you’re going to  basically you’re not going to be as successful  

it’s coming from too much insulin so i have  people focus on other indicators of health i  

try to get them off the weight loss at first  because they may not lose weight initially  

especially if they have a slow metabolism  so i always ask them how is your energy is  

your hunger going away that’s a good indication  that the insulin is coming back in a good range

carb cravings if you still have carb cravings  there’s still there’s a problem with your blood  

sugars is your belly shrinking um there are people  women that are actually menopausal that have a lot  

of atrophy and it looks just like fat identical  because what happens after menopause is sometimes  

you have a spike in cortisol cortisol tends to  turn muscle protein into glucose and then it  

raises insulin so you have this loss of muscle  looks like cellulite and fat and they’re really  

adamantly want to lose weight but this takes  some time to heal this process so in the process  

they’re building up their proteins you know it  takes months and months maybe even a year or two  

to build up this protein back there where actually  they’re per volume the muscle is heavier than the  

fat so everything is shrinking they’re not losing  weight you just have to teach them that this is  

normal they have to know that so they’re not  setting themselves up for a loss so the most  

important thing that a person could do to increase  their health is to use their own fat as fuel  

so there’s several advantages of doing this number  one now you start running on ketones and there’s a  

lot of advantage it’s a superior fuel more energy  output appetite suppressant more efficient better  

lipid profiles tumors can’t consume ketones  reduce oxidative stress and more o2 less co2  

and then you have the benefits of reduction  of insulin which is the common denominator  

of so many health problems i mean inflammatory  conditions heart of course diabetes the fatty  

liver high cholesterol aneurysms stroke  dementia other than that it doesn’t have  

any effects but it’s actually pretty connected  to everything so you get to do these two things  

there’s a you know about the glycemic  index there’s actually an insulin index  

too how many of you have not familiar with the  insulin index okay those are that’s a scale  

that um it’s all the non-carbohydrate triggers  or the non-carbohydrate influences on insulin  

and of course fat is the lowest effect  on insulin but lean low low-fat protein  

like whey protein is very high on the  scale of the insulin index and this is why  

the keto works really good because you have higher  fat higher fat if you have a whole egg for example  

versus the egg whites you have a much less insulin  spike and this is important just understanding um  

what we’re trying to do we’re trying to create as  much health benefit by the reduction of insulin  

and so you have the lowering of carb we don’t want  to be afraid of fat and we need to understand that  

scale but we also want to look at other ways of  decreasing insulin and one of the biggest ways is  

fasting intermittent fasting um fasting  is not low carb it’s no carb and uh  

what happens there’s a little hormone called  the gip hormone in the small intestine that gets  

activated every time you eat no matter what you  eat so if you don’t understand that you may not  

put emphasis on fasting and realize that  that’s really important especially in the  

helping people with really resistant weight  problems and that’s very beneficial so the  

combination of both of these are vitally important  insulin is a dominating hormone in the presence of  

too much insulin a lot of the other hormones  are suppressed especially growth hormone  

insulin-like growth factor

and then you get uh when you consult  people you get this thing where um  

uh you find out they’re on sorta keto uh how many  of you ever had clients that are in sort of keto  

yeah i’m not losing weight well what are you  doing well on sort of keto well keto is like  

you can’t be in sorta keto i mean it just  doesn’t work it’s like a switch there’s  

gonna be a point where you’re you’re not gonna  get into ketosis there’s a certain amount of  

carbohydrates that you need to go below and if  your metabolism is low it has to be even lower

so i know this might be hard to believe  but some of your your patients or clients  

do cheat occasionally and they  don’t tell you that they cheat  

they keep it a little secret how many have  ever had that happen once once before so  

what happens is they keep a little secret and  they do it again and again you’re coaching  

them and you go they’re not getting results what’s  interesting about this is they tend to be a bit um  

critical to kind of justify it and so i have  learned in practice i have an advantage of being  

a practice for 29 years i work with so many people  that um i see this common scenario that happens  

if a client comes in that’s not  progressing and they’re critical  

like they’ll say well you know i really  don’t like the color of your walls and  

and your secretary is just so rude and i’m not  losing weight and i go thank you very much i have  

a question is there anything that you’re eating  that you shouldn’t be eating i look them right  

in the eye and they’ll look they’ll do this  like no they look down you know right there  

they’re not telling the truth so i don’t make them  feel guilty says well what do you think about when  

they ask you that question they go well i did have  a little ice cream but it was organic you know  

i said okay good anything else uh potato chips  but i didn’t have that many i got okay how many  

do you have well i did have a bag okay and i  just keep going anything else and you will be  

shocked to find out these guys are consuming  massive amounts of junk food on the side  

found out this one lady she’s doing literally i  think a whole bag of oreo cookies every single day  

so it’s very important if you’re coaching someone  to know that because if you don’t know that you’re  

going to be uh trying something else and they’re  going to eventually leave and you’re going to  

be chop living so it’s i spend a lot of time just  keeping that communication line open so there’s no  

secrets i don’t care if they cheat just  tell me i want that communication line open

so for those people that have a very slow  metabolism and i know you have some clients  

that no matter what you do they just can’t nothing  works okay let’s put you in a 500 calorie diet  

still doesn’t work have you exercised more it  doesn’t work strict keto it doesn’t work you  

ever have a client like that yeah they’re usually  menopausal they usually have the thyroid removed  

the gallbladder removed they’re pre-diabetic  and they have a history of many different diets  

and now they end up in your office and you’re  like okay what do i got to do with this  

so what i will do is i’ll i’ll do all the things  i told you then i’ll start to go down the list and

start to really beef up no pun intended the  intermittent fasting so i will decrease the  

frequency of eating and i’ll have them  fast longer there’s a really important  

rule that i tell my clients and also even the  videos right now is that don’t eat if you’re not  

hungry do not eat if you’re not hungry because  then you’re going to be hungry when you eat  

because it stimulates insulin so then the blood  sugar comes down so it’s so simple and so these  

individuals what happens is they’re they’re going  a long period of time and i told them they have  

two meals a day i said are you hungry now i  just eat them because you told me i said okay  

let’s go to one meal a day all right and i’ll do  that are they progressing sometimes they’re not  

they’re not really um seeing the um the changes  that they really need and they have maybe a huge  

belly and you just have to come up with something  that’s a little more powerful so i will um i’ll  

do this kind of a stair step method the first  thing is i’ll take their uh their um breakfast  

and i’ll say listen if you’re in the morning  if you’re not hungry just don’t skip it and  

start pushing it forward to lunch and so pretty  pretty much there the lunch the breakfast is gone  

and so they have lunch and dinner and then what  i’ll do is i’ll take the lunch and the dinner and  

i’ll start squeezing them together and until  the point where it’s like a four-hour window  

most people do very very well with this and i do  have quite a few people doing this on my lab with  

tremendous amounts of success some people need  to do one meal a day the key is making sure they  

have enough nutrients in that meal you know to  prevent things like hair loss which i will cover  

now some some people need to go even a little  bit longer not everyone but i have put people  

that fast to the point where they’re eating once  every other day now as long as your energy is good  

they’re taking the nutrients and you’ll see that  they’ll finally start to change and i have had  

a handful of people who were consuming one meal  every other day make sure they do the sea salts  

and electrolytes and they finally after all this  time start losing weight so their metabolism is  

so efficient that this is what they need and it’s  not that they’re starving when they’re not eating  

they’re just they’re basically eating their own  fat when they’re not eating and that’s the concept  

that you have to get across is that you are eating  when you’re not eating you’re just eating your fat  

so sleeping interesting had a lady who um she  lifted three and a half million pounds at the gym  

over course of a year and lost one single pound  and she came in very depressed and i found out  

she was not sleeping she was actually on the  right she was eating pretty good but she was  

she wasn’t sleeping so um i i actually worked with  with sleeping i actually told her to stop watching  

the news right before bed that was the big problem  um i told her to start taking calcium magnesium  

i did some work on her and she started sleeping  like a baby and that was the only time that things  

started to kick in she lost a lot of weight great  before and after i mean don’t underwrite sleep  

like my wife and i went on a trip uh recently  because we were like completely pale and white in  

january so we went to the bahamas to this little  remote little island where they have like no  

internet no reception and it got dark around 6:30.  there was nothing to do so we went to bed at 7 00  

and i said well let’s just go to bed we go to  bed i s we think we slept for 13 or 14 hours  

i’ve never felt that better in my life it  was amazing so i mean i’ve been running on  

maybe six hours if that just getting  more sleep can create huge changes  

in your in your blood sugars in your  body so i need to do more of that  

okay stress yes that can affect you i think out  of all the stress people have a lot of the stress  

comes from other people how many realize that  people can stress people out certain personality  

types you got the slow drivers that just really  jack up my adrenals they’re just driving and then  

you have the antagonistic people but really the  the worst case is the is the passive aggressive  

the underminers they’re the person they told  you they stood up for you but they actually ruin  

your reputation they’ll say comments like well  you’ve done quite well for your educational level

what had this attorney come in to see me  he said i said hey how did you find out  

about me he says well out of all the  quacks you seem to be the less weird

it was kind of a hint of a compliment but it’s  really kind of just taking my wind out so as  

a as a practitioner you’re always going to get  a percentage of those people that come in that  

are just you don’t feel good when they’re around  them i screen those out right now i screen those  

guys out and they constantly are nullifying  your results if they get results there will  

be someone else that worked on them wasn’t  you or they’ll say comments like hey that’s  

a nice sweater was that on sale like oh you  got a haircut was that cheap cuts and like  

so it’s just something about them you don’t really  like but i do have a way of i finally figured out  

a way of getting back at these people revenge  you want to know how i do it you can do but how  

many of you have clients like this yeah this  is what you do it’s it’s a great great thing  

you when they start doing that all you do is you  just look them right in the on the face look them  

really close and just say what  what’s that has that been growing  

has that been growing you should probably get  that checked out yeah get your liver checked out  

because that’s what they’re doing  to you they’re introverting you  

you just flip it they’ll be in the bathroom  for hours looking at that little back there  

and like oh my gosh is that the coronavirus  and then just get them out of your space and  

but with this attorney that came in uh what  i did is i said um i knew i did not want to  

take him on so i said i tell you what this  is what i want to do go up to the front  

and i have a bottle of calcium it’s four dollars  i want you to buy that go ahead and try that if  

it doesn’t work i can’t help you never saw him  again so nice way of getting rid of those guys  

but stress is a really really key thing to oh my  gosh exercise either over exercising over training  

or not exercising at all so regular consistent  exercise um creates some really nice effects with  

a lot of things autophagy the  cleaning up of old damaged tissue  

protects your immune system keeps your body full  of oxygen but i had one lady who came in she was  

uh exercising i’m not kidding six hours a day  and no weight loss six hours a day at the gym

so she was over training so i had her which took a  long time to do this but i got her to exercise um  

like for an hour twice a week and she started  to lose the weight and it was really a weird  

brain strain because she didn’t realize that  overture i mean the benefit of exercise occurs  

when you’re sleeping the 48 hours later not during  the exercise exercise is a stress the benefits are  

delayed she didn’t understand that um okay  bloating so you you i do recommend vegetables  

for most people but if they start bloating i take  them off of it because they might have sibo small  

intestinal bacterial overgrowth they might not  deal with them and so there’s been a handful of  

people not the majority that would just can’t do  well on vegetables so i will adjust what i do but  

i do i’ll tell you why i recommend more vegetables  in a bit but if they’re bloating that can cut down  

on the weight loss because they’re they’re fluid  retained they’re just holding the stress in the  

gut and that’s happened a handful of times so you  want to you know just kind of look at that as well

okay next thing is the transitional phase  when you’re getting into ketosis there’s  

a thing called keto fatigue has anyone  ever experienced that so i had a chance  

to just work with a lot of people and find  out this is mostly potassium deficiency  

and when you do keto you’re no longer running  in carbs so you’re going to dump a lot of fluid  

because carbs retain fluid with that fluid becomes  electrolytes not just potassium but sodium now our  

bodies tend to retain sodium more than potassium  we don’t have um any mechanism to retain potassium  

hardly at all so there’s this false information  being spread that spread out there that potassium  

is dangerous on our body if you have well  of course if you have staged kidney disease  

yes but if you have healthy kidneys it’s not  dangerous in fact potassium is protective of  

the kidney if you want date on that i have amazing  research on that you can you can ask me later but  

but the thing about potassium is out of  all the nutrients we need potassium in  

large amounts 4,700 milligrams a day if you take  a look at what you have to eat to consume that  

you’re going to find out the majority of  people are just not consuming enough potassium  

so um potassium is involved with a lot of things  fluid exchange energy it buffers uric acid  

it’s really an effective thing for blood  pressure wow it just brings blood pressure  

down there’s a lot of data on this also heart  rhythm rhythm um really helps with arrhythmias  

because it’s involved in the  pacemaker nerve and energy muscle  

making hcl but the main purpose of  potassium is involved in the sodium  

potassium pump in the cells so you have  these little pumps on the cell surface that

you have a billion of them let  me just go right to that first  

yeah this is what they look like they have one  purpose to keep the potassium inside the cell  

and the sodium outside the cell to keep this  electrical gradient to keep these two minerals  

separate that forms through the help of the  insulated wall of that cell it helps to form  

develop a battery the body allocates  30 of all of its energy to these pumps  

and what the what what this energy this  electrical energy does is it it activates  

the nerve and the muscle tissue so if you’re  deficient and this pump doesn’t have enough  

raw material you’re going to get weakness  and uh in the muscle and things like that and  

so this is one wikipedia so you know it’s true  they said it’s the causes of hypokalemia low  

potassium is uh look at the cause one of the  causes is going a ketogenic diet i don’t know if  

i believe that but i do know that you’d lose fluid  um with this and so that could be the reason why  

also one of the big symptoms of hypokalemia the  first one is feeling tired so if you if you’re  

into exercise and you’re doing endurance exercise  if you take a little more potassium you’re going  

to find you can go a lot longer too because your  your cellular pumps have are are recharged so

to prevent that i i recommend foods that are high  in um potassium on the ketogenic diet i don’t want  

to get too much into this but the potassium and  the the insulated phospholipid layer on the cell  

acts as a capacitor which basically stores  electrical charge your cells are batteries and  

if you divide the amount of voltage which  is uh 150 microvolts inside the cell by  

the thickness of the wall which is very small  it can yield electrical fields in excess  

of 200 kilovolts that’s 200,000 volts  so certainly enough to break down any  

most insulators so if you compare that  to anything like underground cables  

it smokes anything else so your cells are just  amazing how it can generate this incredible  

amount of voltage and activate muscles and if you  make sure that you give it the right nutrients  

beet tops have the most potassium per cup  1300 so i mean i don’t consume beet tops so  

it’s uh spinach the problem with spinach that  i have on the keto is it’s high in oxalates  

if you’re prone to kidney stones i have them avoid  spinach brussels sprouts 600 something cabbage 300  

tomatoes 400 swiss chard so you can see avocados  830 milligrams asparagus 400 so typically speaking  

you’re going to get a little more potassium with  greens um but you can also get them from lamb you  

can get potassium from lamb 2 268 for 3 ounces  can of tuna is 280 round steak 3 ounces of 300  

so you really just have to you should probably uh  yourself or with a client just start calculating  

how much potassium is a person really eating and  you may find that it’s not even close so you may  

want to substitute with calcium citrate or another  type of calcium i’m sorry potassium okay keto flu  

is purely a salt deficiency sodium or chloride  no one’s really talking about chloride salt is  

composed of 40 sodium 60 chlorides chlorides are  really necessary to make the hydrochloric acid  

so it’s a very important mineral just as sodium  so when you do keto you do need more sea salt  

and so that will take care of the flu  flu-like symptoms very quickly and also weak  

muscles here’s another gem if you  don’t know this this is a no-brainer  

you’re going to have clients come to you that have  peripheral neuropathy and there’s a really good  

remedy that seems to work the majority of the  time because hyperglycemia depletes vitamin b1  

and b1 is involved in making myelin sheath it’s  it protects the cells against the complications  

of high sugar it’s considered a nerve vitamin  when you’re low in b1 you get neuritis  

you get that excessive thinking thinking and  like nervous anxiety um i like the best source of  

b1 being nutritional yeast it’s more of a natural  type it rids lactic acid so if you put someone on  

metformin one of the side effects it’s rare is  lactic acidosis b1 reduces that complication  

so if you have someone on metformin if you  have on b12 and b1 that would be very smart  

it’s involved in four different steps in the  krebs cycle and the mitochondria in the generation  

of atp so it’s like the spark plug that occurs  when you have fuel and oxygen coming into that  

krebs cycle and so if you’re not if you’ve  been on a high carb diet you’ll deplete b1  

and that’s when you start getting  the complications of diabetes and  

mainly it’s the destruction of the vascular the  capillary function the blood flow to the nerve  

and the eye and the nerve and the also the  epithelial cells in the heart and the kidney  

as well as in the um the peripheral nerves  not to mention the brain um so ben thought  

to me if you’ve never heard of this it’s a fat  style will be one uh it’s a no-brainer it it’s  

quite miraculous and they made it fat soluble  to penetrate the myelin sheath in the brain  

and it can be absorbed i think it’s seven to nine  times more than waterside will be one but it’s a  

really um you start like you just get a bottle  of it and have them take uh you know four four  

times a day whatever the recommended dosage is and  uh it seems to work for peripheral neuropathies  

i will say that some people if it’s  really bad it does take months to kick in  

alpha lipoic acid also is good as well  but it reduces the oxidative stress  

and the complications of diabetes i have a lot  of references if you want it hair loss okay  

so you have sometimes people say well keto is very  healthy because you’re going to lose all your hair  

well that’s probably um if you’re  doing it incorrectly if you  

the the main thing with the hair loss  is you need certain trace minerals  

not just for the thyroid um but for the hair  directly so the two trace minerals that seem  

to work the majority of time are zinc and selenium  and they both are actually involved in the thyroid  

um there’s biotin is another really good one as  well if someone has gut issues it could be the  

reason why they’re not your body makes biotin  so it could be either that you have you don’t  

have the friendly bacteria to make biotin or  you have gut damage that you’re not able to  

absorb that biotin so sometimes i’ll give people  biotin in higher amounts to kick in the hair  

but zinc is a really important thing  so what i do is i make sure that  

they do what’s called a healthy  version of keto which is high density  

nutrient foods especially the trace  minerals and that would be the shellfish  

these are high zinc foods tuna eggs pumpkin  seeds lamb fish as well as selenium is another  

important one selenium is probably one of the  most important trace mineral antioxidants really  

important in the thyroid especially hashimoto’s  because you have all this inflammatory reactions  

and to counter all that free radical damage  that’s happening with hydrogen peroxide and  

so selenium is really important and where do you  get it you get it actually in fish and seafood so  

this is just a chart to show you the the mercury  some people are concerned about mercury as long as  

you have enough selenium it’ll counter the mercury  so like the three types of fish that you wouldn’t  

want to consume would be pilot whale which i know  i i really love that uh mako shark or swordfish  

but everything else is is pretty good so you  don’t necessarily have to work worry about that  

selenium tuna brazil nuts eggs sardines halibut  sunflower seeds spinach and beef shellfish you  

can see that different different uh nutrients  contain a lot of different trace minerals uh so a  

well rounded meal would be fine shellfish i think  is is great for keto as long as it’s a you know  

healthy version key additional because i’m  trying to go fast because i can see the times  

running out here key foods i do recommend  a small amount of dairy for certain people  

but if they start getting acne if they  have problems with fibroids if they have  

a prostate problem i’m going to take them  off dairy um but because i’m from wisconsin  

um i like high quality dairy and of course i do  the grass-fed uh organic um at halloween we gave  

out um these little mini packs and you know these  kids just don’t come back anymore i don’t know why

i want to thank you for coming and listening and  have a wonderful afternoon thank you very much