6. Low Carb from an Orthopaedic Surgeon's Perspective with Dr Doron Sher

In this conversation Dr Doron and Dr Max discuss weight loss, preventing surgery with low carb eating, insulin, the hormonal model of obesity, risks of bariatric surgery, ethical sourcing of meat, eating the animal nose-to-tail, and much more.

Dr. Doron Sher is an Orthopaedic Surgeon from Sydney, Australia. He was an early pioneer in using low carbohydrate and ketogenic diets in patients with osteoarthritis needing knee replacement surgery. He currently practices in Sydney at Randwick and Concord.

TIMESTAMPS

00:00:18 Dr Sher’s journey to surgery
00:01:03 The process of knee replacement
00:03:01 Obesity and overweight greatly exacerbates knee osteoarthritis and surgical risk
00:05:20 Diabetics have increased peri-operative risk
00:05:54 Traditional (ineffective) approaches to weight loss prior to surgery
00:07:52 Dr Sher’s encounters with low carb diets
00:09:18 Low carb benefits the Sher family
00:11:07 Patients are being let down by incorrect dietary advice
00:13:30 MMPs and AGEs exacerbate arthritis in insulin resistant patients irrespective of weight
00:15:03 On the harms of fruit and fructose consumption
00:17:39 Using continuous glucose monitoring to see which foods spike blood glucose
00:19:15 On the benefits fasting and time restricted eating
00:21:56 Diverting patients from knee replacement surgery with diet
00:24:19 Dr Sher’s recommended approach to low carb
00:25:19 Keep insulin low and eat more protein
00:29:20 On omega-6 polyunsaturated seed oils
00:32:44 The challenges of feeding patients a high protein, low carb diet in hospital
00:36:05 Thoughts on the benefits and harms of bariatric surgery
00:39:44 On ethically sourcing meat and animal foods
00:42:21 The challenges of low carb as vegetarian
00:44:04 On the purported links between red meat and cancer
00:45:00 Changing the healthcare system towards lifestyle-first care
00:47:48 Empowering patients with knowledge
00:48:15 Closing thoughts

DR DORON

Dr. Doron Sher - 'Carbs, Insulin and Fat' - https://www.youtube.com/watch?v=E16hfXmPGcA

Dr Sher's personal website – https://www.doron.com.au

DR MAX

https://www.twitter.com/maxgulhaneMD

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