Keto Cardiac Fibrosis, Floating Poo, Parenting Advice | THRR071

Apr 2, 2021

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Keto and BHB Question, LMNT and Autoimmune Condition, Floaters, Appendectomy Recovery Diet to get gut health back, Parenting

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News topic du jour:

The Effects of a 6-Week Controlled, Hypocaloric Ketogenic Diet, With and Without Exogenous Ketone Salts, on Body Composition Responses

1. Keto and BHB Question... [9:48]

Thomas says:

I am a huge fan of your guys' work and follow your content wherever I can.

I will try to keep this short:

I have been on a ketogenic diet personally for 3+ years, and I have tested myself daily to confirm that I have BHB ketone levels of .4 - 1.2 throughout this timespan. So, while I'm not quite a 'ketone-chaser' :-), I would say have a somewhat vested interest in the topic.

Then I came across this study:

https://www.nature.com/articles/s41392-020-00411-4#MOESM1

I know they did a rat study here, and the chow is questionable (although they did at least use mostly coconut butter here for the KD arm). But that said, is the mechanism of β-OHB induced cardiac fibrosis via mitochondrial biogenesis inhibition in cardiomyocytes (and resulting apoptosis increase) plausible in humans?! Perhaps there is a counter mechanism that mediates this?

Thanks so much in advance for your valued opinion here. It's interesting but i'm not sure the mechanism is sound or consistent across the spectrum of metabolic health. If it were, how would tribes subsisting on mostly animal foods not be observed to have cardiac issues...etc.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5609489/

2. LMNT and Autoimmune Condition [17:02]

Kimberly says:

I eat a somewhat low carb diet. I exercise 5 days a week and I have lupus. I am currently trying LMNT and drinking one a day during my 6 pm workout. I am finding I am sleeping better! I am planning on ordering more, but I wanted to check with my rheumatologist first. I sent him the info, and his response was: People ususally get those supplements through their food, and with this addition you may end up with too much of them. With people with autoimmune disorders I usually err on the side of caution and would say no to any supplements.

What is your opinion on LMNT + autoimmune?

Kimberly

3. Floaters 💩[19:23]

Justin says:

Hi Robb and Nicki,

First of all, thank you for the great podcast. I thoroughly look forward to each episode every week.

My question for you is this: Should my poop float?

I remember hearing or reading somewhere (I can't find it now) that if my poop is floating in the toilet it means that I am not digesting fats. Is this true?

My poop pretty much always floats. Since I have been paying attention I would guess I have floaters about 95% of the time. I am pretty regular with my bowl movements and don't typically have any issues with constipation or loose stools. Are the floaters anything to be worried about?

I follow a mostly Keto diet. I get ample protein (about 160g per day) and typically keep my net carbs around 50g, the rest of my roughly 2,500 cals per day obviously coming from fat. This provides me with sufficient energy to fuel my workouts and keep my weight stable. My concern is, if I'm not digesting fats is the keto diet a good fit for me?

I look, feel, and perform well on the keto diet, but would like to try to optimize as much as possible. And I don't want to be flushing calories down the toilet that could be put to better use.

What are you thoughts?

Thank you,

Justin

4. Appendectomy Recovery Diet to get gut health back [25:30]

Mark says:

I just underwent an emergent laparoscopic appendectomy, and was wondering what foods I should eat to restore my gut health. They gave me iv antibiotics after, and it took a couple of days for me to even have a bm after the surgery. While I am now having BMs again they are far from normal. I am frustrated with the conflicting info I am finding on line and it all seems to be biased on the side of plant based diets. Was wondering if you had any recommendations.

5. Parenting [29:50]

Hanna says:

Hi Robb and Nicki,

Hope you are all well! My husband is an avid listener to your podcast, and I love tuning in for topics like your homeschooling experience, etc. I'm hoping you can expound a little on topic that has been on my mind!

My question for you is regarding parenting young children, particularly teen and tween girls. Essentially, what is your family's take on whether parents apologize to their children? Robb, if you lost your temper, or said something that resulted in hurt feelings for Zoe, for example, how would you handle that situation? If you do apologize, under which circumstances would you do that, and what would you say?

Thanks so much!

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