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hey everyone I’m excited to introduce a

special guest today it’s actually a

famous doctor dr. Jeff Gerber who you

know I don’t know if if you probably

have seen him he actually hosted and

created the low carb Denver it’s like a

keto summit that’s every year and it’s

coming up in March so I wanted to bring

him on and talk about that because

actually I’m gonna be there I’m actually

gonna be there answering questions and

also I’m gonna be on his panel I won’t

be one of the speakers for one of the

seminars because he’s he has so many

speakers this year but it’s an awesome

event I’ve been wanting to go but I’m

gonna go this year it’s gonna gonna put

the details down below so you guys want

to definitely check this out and come

because um that will have a chance to

meet you and you can ask some questions

so welcome doc are you doing great Eric

it’s a pleasure to be here thanks for

the invite and we’re all so excited that

you’re going to be joining us for no

carb Denver 2020 in March absolutely I

think um you know there’s various

summits and Quito conventions around the

planet and I think we have two of the

largest summits and so it’s really good

to Ally and get-get with you and and I

kind of Mike I’m curious how did you get

involved with the low carb ketogenic

diet and then this deciding to do a

summit like what tell me a little bit

about that yeah well firstly about the

the conferences and I know that you have

one as well and our conference started

in 2016 we we befriended dr. rod Taylor

he’s an anesthetist as they called him

down in Melbourne Australia and we made

friends because of our love of skiing a

lot of the Aussies and the Kiwis come

out to Colorado to ski so we skied up in

Vail for a couple years and rod runs

conferences look hard Down Under

and also he’s he was putting on

anesthesia at conferences and he kept

saying let’s have a conference in

Colorado and

what are you crazy so we we started back

in 16 with our first conference up in

Vail and a hundred and fifty people and

it basically grew that we to the point

that we couldn’t handle it in the

mountains and so we came down to Denver

and last year we had over 850 people and

it continues to grow and so one thing I

think is important for the audience to

understand is that these conferences

that the niches are slightly different

and perhaps who were trying to attract

so we started out as a medical nutrition

conference for healthcare professionals

offering educational credit and yeah I

can’t help myself I’m a physician so I’m

a little bit partial to healthcare

professionals so we offer see Amy but

then what we realized is this unique

opportunity where we get a diverse

audience so not only healthcare

professionals but professionals from all

walks of life researchers scientists the

general public and so this is what our

niches has become and you know that was

the conferences were in 2016 era but my

interest in nutrition I think that was

the second part of your question how did

I get interested in that yeah well you

did you start up being you know

traditional doctor and then you decided

Wow well I mean I have no idea right so

essentially that that’s correct how it

started so I’ve been doctoring now for

thirty years come from a family of

doctors also come from a family that was

always struggling with their weight and

and looking at nutrition way back in the

70s and actually I have to give credit

to my parents that you know my mother

she she did every latest greatest diet

that was out there and really influenced

myself over the years about an interest

in nutrition and then going into

to medicine and so family practice as

they call family medicine was my area of

focus back in medical school and aside

from my parents talking to us about

nutrition we just learned a standard

nutritional advice back in medical

school and only had a couple hours of

nutrition science that they were and you

know it was basically eat less exercise

more and watch your calories and being a

vegetarian or a vegan was actually

pretty maybe a pretty good approach and

I have to tell you back then I mean I

considered the fact that we’re omnivores

and that I didn’t understand this aspect

that you know why should we cut out you

know a real food animal based product so

but with that so standard standard

training and was doctoring for the first

ten years and somewhat frustrated

because we just tell people to eat less

and exercise more and didn’t seem to

work and we kind of gave up and I’d say

it was 20 years ago that patients

started to come approach us with

different nutritional attempts and some

of those attempts were low-carb and I

even remember Suzanne Somers one of the

patient’s identities yes he says numbers

approach and I’ve always been

open-minded in trying to think outside

the box and I said well you know we can

watch you but you’re gonna eat all these

all this food that’s high in saturated

fat and worried you’re gonna drop dead

from a heart attack but lo and behold we

monitored the patient we saw actually

they lost weight they did great they

thrived their metabolic markers improved

and personally I lost 40 pounds with an

experiment myself and and I started to

read about the science in particular the

metabolic syndrome the work of dr. Jerry

Raven and that was just I open to me

because the metabolic syndrome real

just to find a root cause for metabolic

disease and what causes obesity diabetes

and heart disease and so from that point

forward 20 years ago I started

introducing low-carb keto nutritional to

my patients and it’s just exploded ever

since and here we are today well that’s

very interesting because um there’s a

lot of people searching for keto

friendly MD as I go there and they’re

they’re not happy with what they’re

getting and they try to find a doc

that’s open to at least listen to them

and then they’re either made fun of or

they’re told that you’re gonna die of a

heart attack

I’m just curious when you work with

people I can’t imagine putting people on

this keto diet and then you’re going to

see massive changes with blood pressure

cholesterol stuff like that so you’re

probably working just getting people off

nets all day long it seems like I mean

yeah okay because it’s traditionally

you’re just a doc that’s not a nakida

they tend to manage the symptom and they

keep coming back and it’s illness a

medication and they get more medication

over time are you finding just getting

less medication over time with these

guys yeah so traditionally you can say

that the medical model is that of sick

care and you you know you’re just

treating symptoms that’s what you said

and you’re you’re treating the symptoms

of medication and you’re not addressing

the root cause and so look we love our

health care professionals and you know

most of the the health care

professionals have spent a lot of years

training and they care about patients

just as much as I do but we didn’t learn

about prevention and how to properly

prevent disease and so what we have done

is now we bridge the gap between modern

medicine which which saves lives very

important and the nutritional side of

things and we bring it together and what

we prevent disease we treat disease we

reverse disease

and patients understand that we are

their personal health coaches is how we

say it we like this aspect and they we

teach them the science they understand

the science they and and therefore they

understand how to approach it how to

change their diet they see the results

and we get patients off of medication

not completely but you know the the best

example is for diabetics we can get

people completely off of insulin through

the low carb approach an Aikido approach

which by the way should be the default

diet thankfully the American Diabetes

Association just in 2019 again came out

with an endorsement that a low carb diet

is an appropriate approach for diabetics

and you know there’s always this

argument and it’s challenge that we say

that we can the first diabetes we can

put it in remission and this isn’t D

true because you can’t do that with

medication you can only do it with diet

interesting interesting

yeah it’s you know when you obviously if

you’re something you’re getting a lot of

medical professionals coming to the

summit are they um they’re obviously

open but do you think as a profession as

a whole that we know the the hard thing

to overcome is the cholesterol the

saturated fat because you know that’s

probably a big thing what do you feel is

a common omission or the thing that they

just are not taught and I well I think I

already know what it is but what what

are they not taught in medical school

that is missing is it the link between

high insulin and all these problems

there’s a kind of a common thread to so

many conditions and I mean it’s just

like there’s something obviously

taught incorrectly well we know that’s

where the fast but I’m just curious

about like the insulin aspect to it yeah

well but both important things to talk

about and it and I say this all the time

in medical school it was physiology 101

that carbohydrates drive insulin right

right it is that simple in fact I just

saw a post from Gary Feeny from Tasmania

Australia and the diabetic the Dietetic

Association there he quoted a little

line where they said that all the

protein and fat in the diet is what

drives diabetes okay I said that goes

against everything we learned in medical

school because carbohydrate is is the

single driving force for insulin which

ultimately drives diabetes so it simply

makes sense that if you want to address

insulin insulin resistance

hyperinsulinemia that you focus on the

carbohydrate content of food and the

problem is is just everything got

conflated because the heart

association’s again they came in in the

1950s with an selkies and and again

wanting to to help each patients I you

know people it wasn’t a conspiracy there

was a rise of hardening heart disease

after World War two I mean smoking had

something to do with it as well but so

the idea there was that there was this

connection between bad cholesterol and

air quotes LDL cholesterol and heart

disease and so then the focus just

literally shifted to doing everything

you can to lower LDL cholesterol in the

diet and the way to do that you can

lower LDL cholesterol by reducing

saturated fat and also since that since

was a cleric dense food if you eat less

fat or caloric dense food you’re

reducing calories so it was like a

double whammy you cut back on your

saturated fat you’re gonna supposedly

reduce your risk of heart disease and

you’re also going to lose weight and

what we know today is that nutritional

advice if you if you watch what’s been

going on for the past half century or

more is that obesity diabetes and heart

disease is on the rise the big three and

so the approach isn’t working right

right yeah so unfortunately though this

conflated nutritional recommendations

and so and another way to think about

this that nothing connected at all and I

love to tell people what’s the

nutritional advice when you go to your

doctor well if you go to the

cardiologist he’s gonna tell you to

reduce saturated fat in the diet he’s

gonna tell you to reduce the fat content

if you go to the nephrologist he’s gonna

tell you he’s worried about your kidneys

so he’s going to tell you to reduce the

protein in the diet and then if you go

to the endocrinologist he’s going to

tell you I’m worried about diabetes so

we’re gonna reduce the carbohydrate in

the diet so you put that all together

and they’re saying well if you never

ever eat you’re going to be super super

healthy right now that that’s not

intermittent fasting or skipping meals

they’re just it doesn’t make any sense

and so again the common theme are what

did it what it is in the diet that that

that drives insulin that that drives in

inflammation and drives metabolic

disease and so that that changes the

whole perspective and it all gels

together and the root cause again being

insulin metabolic disease eating a Whole

Foods diet that’s lowering carbohydrate

and

lower in processing and a little more

protein a little more fat that seems to

make a lot of sense and there’s some

common themes in there that we can

possibly all agree to yeah yeah it’s

definitely uh that makes total sense

what about like when testing insulin

it’s just something that an average

medical doctor doesn’t test the fasting

insulin level for the Homa

i our tests they don’t look at that they

focus on blood sugars and a1c and but I

guess they just haven’t looked dug deep

enough into the insulin aspect yes so

actually my presentation coming up in

March I have a wonderful slide that

looks at the the timeline of the

development of type 2 diabetes and what

your you’re pointing to there is that if

you don’t do the right measure and you

don’t know that there’s a problem and so

the work of dr. Joseph Kraft he measured

insulin through the five-dollar insulin

assay and we do a short version of that

in our office where we measure to our

insulin after a glucose challenge but

what dr. Kraft showed is that patients

have hyperinsulinemia as he called it or

the earliest signs of diabetes and

prediabetes almost twenty years okay

25 years not five years that ended 20

years before you you have the diagnosis

of type 2 diabetes where you know and

you know it’s like a Blind Pig can can

pick up a diabetic and you really

haven’t helped the patient at that point

it’s it’s it’s decades before that you

need to take action and and do the right

measures and so what we’re trying to to

explain and for our healthcare

professionals and to understand is that

having an early level of suspicion were

for the for the metabolic syndrome for

these metabolic diseases and doing the

right measures can really help your

patients for those of you new to this

concept we’re talking about insulin

insulin tends to go high way before your

blood Sugar’s go high a long time so if

you actually measure that when you see

your doctor and you see you’re gonna to

tie then you can actually have

prediction and do something about it

before you end up with the problem do

you find that a lot of doctors don’t

even know about that has the Houma IR

test yes absolutely

okay we could go on for hours about this

Eric but I have two thoughts that I can

remember I have a perfect example of a

patient just this week and he he has to

lose probably 40 to 60 pounds and we

when we see patients initially we do an

evaluation and we do metabolic markers

and lo and behold he comes in and we

measure his lipid profile and the only

tip off when the lipid profile is he had

to hit a really low HDL like in the 20s

and his triglycerides were high in the

200 LDL isn’t terrible his fasting

glucose was 95 his hemoglobin a1c was in

the normal range of was a 5.3 5.4 right

and so I said well interesting well you

know you have a bit of way to lose the

the triglyceride ratios is a little

tip-off that there might be some

metabolic issues or some pre-diabetes or

insulin resistance I said let’s let’s go

ahead and do because tolerance test so

we do the glucose tolerance test and his

his fasting glucose is okay is one hour

and his two hour were all normal

• our glucose under 140 is fine okay no

worries but I look back they actually

measured his his fasting insulin was was

high at 20 his c-peptide was high at

like 4 which is a pro insulin molecule

and as to our insulin was off-the-charts

at 200 so a normal to our insulin is

under 40 and so that that shows you

right there that most mother must

healthcare professionals and and the

doctors they say ok well your your

triglyceride HDL ratio is off but your

hemoglobin a1c is fine it’s when you

measure the insulin sometimes fasting

can give you a tip-off but also after

the insulin challenge Wow so you haven’t

eaten and you measure so many hours

later with insulin right so we give them

a 75 grams of glucose okay

they come in fasting and so what we do

is we do a fasting one hour two hour

Luco see in two hours we draw the

insulin and then that gives us the

answer right there now now the second

point I did remember it is I was

discussing a patient with an

endocrinologist the other day and and

again a great doctor brilliant doctor

but does everything by the textbook by

the book and is saying why are you

measuring insulin on these patients we

don’t we don’t you know the American

Diabetes Association doesn’t recommend

it as a as a screen and so you know my

response is there guidelines and lucky

for us we have the freedom to do other

other things other testings other

approaches to our patient and this is

why we do the the insulin measurement

and most people do not know about the

work of dr. Kraft and they need to just

just as much as they need to know about

the work of dr. Ravin and the metabolic

syndrome mm-hmm Wow fascinating

so I don’t know if you have your browser

up I wanted to just let people know

who’s going to be speaking at your

summit but for those of you watching you

may want to consider coming I’m going to

put the link down below but let’s see

who we have here

doctors Stefan’s Fanny is coming let’s

see who else dr. Sarah Hallberg sure

David Ludwig who actually isn’t he the

doc who did the sugar on the sugar he’s

an endocrinologist he said actually I’m

Harvard and he’s worked on the new C

study with Gary Taubes and yeah

dr. Ludwick is is an excellent

researcher and scientist and you know we

don’t want to scare people away with

these research right scientists being

there one thing I do like to point out

is that the speakers know that there’s a

diverse audience and we we pick people

that are great at presenting information

in a very simple way so doc dr. Ludwig

last year he published a paper it was it

was from the new Siri search for

instance and this study used used EE

labeled water and he was actually

looking at energy balance and and it was

it was not in a clinical setting it was

you know it was it was in the research

setting and it was just a short-term

study and basically showed that there

was a an energy benefit for the

individuals that were on a low-carb diet

that he actually controlled for calories

and and he showed that those patients

actually lost more weight on the

low-carb arm seen seeming to defy the

laws of thermodynamics

right but that’s the thing it doesn’t

defy the law of thermodynamics if you

add up the the energy properly it’s all

accounted for but in the end the

patient’s lost weight and and this this

study for instance was contentious in

the claims that it was making but dr.

Ludwig does a great job of standing his

ground and also explaining the research

so yeah that’s great but you got a whole

list of I’m just looking at these

doctors it’s good let’s say the date of

its going to be March where’s the date

March March 12 to 15 okay good yeah

right here in Denver Colorado Colorado

are you gonna do it at the Gaylord again

or is it another yeah we keep moving it

around every year because it’s a

conference rose we can’t find we can’t

establish ourselves so we this year it’s

gonna be at the Sheraton downtown which

is just a couple blocks from the Capitol

okay and then we even have our date set

for 2021 which is at the the Hyatt

Regency which is a couple blocks away

nice good that you’re planning in

advance

yeah now one of the speakers I’m really

excited is joining us is dr. Arthur

agates Tim yeah and so people might know

his name from the South Beach Diet so oh

yeah that’s the man himself now what you

have to understand dr. agate Stan was

and is a pioneer in cardiovascular

prevention I didn’t know that Wow yes

and so long before he became interested

in diet but probably the reason he did

become interested in diet was because

he’s a cardiologist and when you get the

the calcium heart scans that’s where

he’s a pioneer the score is called

a J AJ a is for agates tin and J

Rhianna which wow I didn’t know not so

so so he’s the man and so as you know

myself and my my colleague Ivor Cummins

who we co-authored a book II rich lived

long were very much interested in

cardiovascular disease prevention and

finding the right tests and we think the

calcium score the heart calcium score is

a wonderful and proper method of

screening for heart disease because

you’re actually looking at the disease

process itself rather yeah you’re

looking at the disease process rather

than using a blood marker which just

loosely associated and so doctor agates

did again you know this is where he

pieing he was a pioneer and then he

became interested in nutrition and I

actually heard dr. agate-stone speak

here in Denver 10 years ago at the

cardiology office down the road Wow

yeah and and I said the South Beach diet

yeah that sounds pretty good not bad and

Ivor actually connected us with dr.

agate sting and of recent it turns out

dr. agaton has become and now

understands and as an advocate of low

carb and and intermittent fasting Wow

and and he just came out with a new book

the low carb it’s it’s the keto friendly

South Beach diet oh that’s funny

it just came out and so as I say the

stars of a line yeah

and the you know I want there to be

I want people from different walks of

life and I want there to be some common

themes that we want people to understand

that their their science to back up the

nutritional advice that we’re discussing

mmm-hmm

yeah yeah yeah there there there there’s

science to back it up and so one of the

common themes

like to say is the low-carb

Mediterranean diet what whatever

the Mediterranean diet is it’s so well

defined but it has to be healthy because

it’s Mediterranean exactly but at the

end of the day eating whole foods foods

unprocessed foods a variety of animal

and plant based foods so these are

common themes I think dr. agates din and

and and our speakers all all understand

this so it’s every year it’s just a

wonderful conference we have some of the

regulars and then some of the new people

again like agates den William Yancey

another great researcher Robert Lustig

he he’s just he’s just phenomenal yeah

yeah

Belinda Linares I believe

endocrinologist talking about diabetes

who else is on the list

Sean Sean McKelvey is a pharmacist from

Canada Chris Kenobi is a the malla gist

Sarah Hyun is a nephrologist yeah Brian

Len skits is a primary care troll troll

I have to put troll in there I oh

there’s trouble tro yeah gladion is

another primary care Lulu Chia Aronica

does research in Stanford

we have Michaela Peterson coming out and

it’s just going to be a great event

oh yeah that’s that’s gonna be hot so

for those of you that don’t know

anything about what we’re talking about

check out the link down below and

definitely consider coming because it’s

going to be pretty exciting there’s just

so much data question are you gonna have

different rooms or it’s all going to be

one room just one speaker after another

after another right no breakout rooms

just one room we tried that in the past

and so people you know they have this

decision to make it

and it’s tough that way so yeah just

just fam room yeah it’s it’s a long

conference because it Strunz from 7:30

till 6 p.m. on Friday Saturday Sunday it

cuts off a little bit early and then we

have a wonderful reception on Thursday

night and again Eric what what’s unique

and there’s nothing like coming to a

conference and meeting the speakers in

person and realizing that you can come

up to them and introduce yourself and

ask them anything you want sharing in in

in the passion other other people

attending and there’s nothing like it

and you know as we say our goal in the

conference is to educate and embrace

people to take charge of their health

and it’s not a boring medical conference

it’s it’s just there’s passion Wow

awesome well thank you so much for

taking the time I think this is going to

be an exciting conference and I hope to

see a lot of you that are watching there

this March but all right well thank you

so much doc thanks for having me you’re

looking forward to seeing you there

absolutely