Ep 108 - Dr Robert Lustig | Get Rid Of Insulin Resistance Once & For All
Jan 12, 2025
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Dr. Robert Lustig, a neuroendocrinologist and bestselling author, delves into the intricate world of insulin resistance and its effects on metabolic health. He shares actionable insights on fixing insulin resistance through dietary changes, emphasizing the significance of healthy fats and the perils of sugar. Lustig discusses the five types of fats the body needs, the hidden dangers of processed foods, and innovative ways to shop for healthier options. The conversation wraps up with the importance of individualized dietary approaches to combat metabolic issues.
Insulin resistance, a major contributor to chronic diseases, can be mitigated by understanding fasting insulin levels as crucial metabolic indicators.
Dr. Lustig emphasizes the detrimental effects of added sugars, especially fructose, on metabolic health and its role in insulin resistance.
Adopting a low-carb, high-fat diet rich in real, unprocessed foods is vital for improving insulin sensitivity and overall health.
Deep dives
The Role of Insulin Resistance
Insulin resistance is identified as a central cause of various chronic metabolic diseases, including heart disease, diabetes, and even cancer and dementia. Dr. Lustig emphasizes that a high fasting insulin level is a key indicator of metabolic health, noting that 93% of Americans exhibit some form of metabolic dysfunction. He stresses the importance of the fasting insulin test, which many individuals are unaware of due to a lack of awareness among both patients and doctors. Understanding insulin's function is crucial, as it directs energy use in the body, and when it becomes resistant, it leads to increased fat storage and obesity.
The Dangers of Sugar and Fructose
A significant portion of the American diet is laden with added sugars, with a staggering 73% of grocery items containing hidden sugars. Dr. Lustig argues that both sugar and fructose lead to insulin resistance, highlighting that fructose can generate three times more fat than glucose does. He explains that increasing fructose intake leads to mitochondrial dysfunction in the liver, which then signals the pancreas to produce more insulin, perpetuating the cycle of insulin resistance. The misconception that low-calorie options, such as diet sodas, are harmless is also challenged, with Dr. Lustig noting that they can still trigger insulin release and create systemic inflammation.
Understanding the Impact of Diet
Dr. Lustig advocates for a diet rich in real, unprocessed foods while warning against the dangers of ultra-processed foods that often contain excessive sugars, artificial ingredients, and unhealthy fats. He recommends a low-carb, high-fat diet to combat insulin resistance, encouraging the consumption of healthy fats like omega-3 fatty acids and saturated fats found in butter. The intake of fiber is also crucial for maintaining gut health and regulating insulin levels, as fiber helps to slow sugar absorption and enhances feelings of fullness. Dr. Lustig acknowledges that while carbohydrate reduction is effective, adherence can be challenging due to the ubiquitous nature of carbs in processed foods.
The Importance of Biomarkers
Identifying hidden signs of insulin resistance is vital for early intervention and treatment. Dr. Lustig explains that visible signs such as acanthosis nigricans, characterized by dark, velvety patches on the skin, can indicate high insulin levels. He calls for more awareness regarding fasting insulin as a critical biomarker that is often overlooked in traditional medical practice. Quantifying levels below five micro-units per milliliter is suggested for metabolic health, while levels above ten indicate potential metabolic dysfunction that necessitates lifestyle changes.
Challenging Misconceptions About Calories
A common belief that reducing calorie intake alone leads to weight loss is challenged, with Dr. Lustig asserting that not all calories affect the body equally. He highlights that calories from sugar can inhibit ATP generation, rendering them less effective compared to other sources of energy. Dr. Lustig's perspective is that instead of focusing solely on calorie restriction, individuals should prioritize the quality of their food choices. By consuming nutrient-dense foods and reducing sugar intake, they can effectively manage insulin levels and improve overall health.
Dr Lustig will discuss the best way to fix insulin resistance and the 5 types of fat you need to eat. Head to http://DrinkLMNT.com/theprimalpodcast to get your free sample pack with any purchase.
Fix Insulin Resistance (Free Guide): https://www.theprimal.com/lab/get-rid-of-insulin-resistance-once-for-all
In this episode, my guest is Dr. Robert Lustig, M.D., neuroendocrinologist, professor of pediatrics at the University of California, San Francisco (UCSF), and a bestselling author on nutrition and metabolic health. We discuss how to fix insulin resistance, the 3 ways you can become insulin resistant, and nutritional protocols to fix insulin resistance without medications.
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