Dr Penny Figtree is General Practitioner from Port Macquarie, NSW, Australia. She has been employing ketogenic and low carbohydrate diets for the past several years in her suburban medical practice to reverse a range of chronic diseases, often de-prescribing large numbers of medications. In this conversation she and Dr Max discuss the her transition from conventional GP to metabolic practitioner, the role of refined carbs in driving chronic disease, how mainstream guidelines are failing patients, and much more.TIMESTAMPS 00:00:35 Starches and refined sugar drives insulin resistance and obesity00:04:10 Conventional GP’s prescribing pills for problems caused by lifestyle00:07:23 Conventional ‘lifestyle’ advice is ineffective 00:10:15 Dr Figtree’s transition from conventional to metabolic GP 00:16:25 Fragmentation of care for each broken organ system00:18:52 Insulin therapy for Type II diabetics is only necessary on a high carb diet00:21:13 Insulin drives insulin resistance 00:23:55 Low carb diets for gestational diabetes00:27:48 Contribution of seed oils to insulin resistance00:30:08 Metabolic health theory vs practice00:35:02 Failing to inform patients of effective dietary strategies is harming them00:38:25 Chronic disease reversal with low carb will be a GP led revolution00:40:00 Dr Figtree’s advice for patients embarking on low carb00:42:40 Dr Figtree’s advice for medical colleagues DR FIGTREEhttps://www.twitter.com/PenelopeFigtreehttps://www.lowcarbpmq.com DR MAXhttps://www.twitter.com/maxgulhaneMDLINKSDr. Penny Figtree - 'The Life of a Low Carb GP'- https://www.youtube.com/watch?v=11x9PhlZuK0Dr. Tim O’Dowd - ‘PCOS and Insulin Resistance: A lifetime of opportunities' - https://www.youtube.com/watch?v=N2KD-nTiJ14Reversing Type 2 diabetes starts with ignoring the guidelines | Sarah Hallberg | TEDxPurdueU -  https://www.youtube.com/watch?v=da1vvigy5tQDr. Jason Fung YouTube channel - https://www.youtube.com/c/drjasonfung1Dr Eric Westman YouTube channel - https://www.youtube.com/c/AdaptYourLife/videosLily Nichols Real Food For Pregnancy -  https://lilynicholsrdn.com/real-food-for-pregnancy/Always Hungry by Dr David Ludwig - https://www.drdavidludwig.com/books/Diversa Health - https://diversahealth.com.au/Defeat Diabetes - https://www.defeatdiabetes.com.au/ Diet Doctor - https://www.dietdoctor.com/Send us a textSkool group - www.skool.com/dr-maxs-circadian-reset-7528/ Support the show

Jake Wolki is a regenerative farmer from Albury, NSW, Australia. He raises beef cattle, pastured pork, laying hens and meat chickens using holistic and regenerative techniques. He sells direct to his community via a self-owned butchery.In this podcast he and Dr Max discuss conventional vs regenerative grazing approaches, the challenges of operating small scale agriculture, the parallels between human and animal health and many other topics.TIMESTAMPS00:00:36 Jake’s backstory00:03:58 Wolki’s multi-faceted farming operation00:10:15 Rationale for intensive rotational grazing00:11:34 Food quality and digestibility of Wolki produce00:13:09 Similarities in human and animal health 00:15:20 Regulatory obstacles to expanding holistic/regenerative meat production00:17:56 Inherent lack of sustainability of factory farming00:21:05 The disconnect of people from their food00:22:54 Nutrient quality of supermarket vs pastured eggs00:26:04 One customer cures her food intolerance with Wolki beef00:31:04 Additive harm of conventional agricultural practices 00:32:14 Respecting natural processes = healthy animals00:32:20 Analogy of conventional agriculture to human development of insulin resistance 00:34:56 Humans are inseparable from Nature00:36:37 Simple rules for healthy eating 00:46:26 Jake’s early success with a carnivore diet00:49:37 Customer preferences influence for food sourcing00:53:50 How to increase the number of farmers selling direct to consumer00:58:30 Five pillars of Wolki Farm01:00:00 Jake's idea of hard work and environmental ‘backbone’01:01:04 The need for profit and economic viability in regenerative farming01:04:39 Jake’s five year vision for Wolki FarmLINKSWolki Farm - https://www.wolkifarm.com.au/Jake Wolki Facebook - https://www.facebook.com/wolkifarmSHOW NOTESJustin Rhodes Blog - https://youtube.com/c/JustinRhodesVlogPolyface Farm - https://www.polyfacefarms.com/our-story/Joel Salatin on folate level of Polyface eggs - https://www.youtube.com/watch?v=wXXMvxvFN_IAllan Savory TED Talk - https://www.youtube.com/watch?v=vpTHi7O66pIWill Harris One Thousand Beating Hearts - https://www.youtube.com/watch?v=qpvegapd1T4DR MAXhttps://www.twitter.com/MaxGulhaneMDSend us a textSkool group - www.skool.com/dr-maxs-circadian-reset-7528/ Support the show

Dr. Andrew McIntyre is a Gastroenterologist from QLD, Australia. He began treating his patients with low-carbohydrate and ketogenic diets over six years ago, seeing marked improvements in conditions as wide irritable bowel syndrome, fatty liver disease, PCOS, ulcerative colitis and Crohn’s disease. In this conversation they discuss metabolic health and the causes of metabolic dysfunction, the importance of waist measurement, the link between insulin resistance and pancreatic and biliary cancers, nutritional guidelines, vested interests and much more.TIMESTAMPS00:03:05 Pancreatic cancer patients almost always have markers of metabolic dysfunction00:03:54 Fatty liver responds spectacularly to low carb diets00:04:51 What is metabolic health?00:07:00 Vegetable oils as a cause of type II diabetes00:07:52 Obesity as an adaptive mechanism to metabolic dysfunction00:09:21 Insulin resistance manifesting as PCOS and IBS in people with normal BMI00:09:51 Body fat is a buffer for excess energy00:11:57 Cutting out seed oils improves markers of metabolic dysfunction 00:14:48 The dangers of visceral vs peripheral fat00:17:01 Rising incidence of bowel and pancreatic cancers  00:18:56 Persistent and outdated narratives about the harms of animal foods are harming people00:23:00 Seed oil consumption and macular degeneration 00:24:01 Vested interests are headwinds to people eating healthy diet00:30:52 Dr McIntyre's advice to a patient with metabolic dysfunction 00:32:25 Metabolic dysfunction and effects on fertility00:35:47 Vegan and vegetarian eating causes irritable bowel syndrome00:39:50 Nutrient deficiencies on vegetarian diets00:42:59 Dr McIntyre on carnivore dieting00:46:54 Closing thoughtsDR MCINTYREhttps://www.twitter.com/akmcintyreDR MAXhttps://twitter.com/MaxGulhaneMDLINKSDr. Andrew McIntyre - 'Implementing Low Carb In Gastroenterology Practice' - https://www.youtube.com/watch?v=hhRTAWxoJPcDitch The Carbs - https://www.ditchthecarbs.com/Dr David Unwin's Sugar infographics - https://phcuk.org/sugar/Send us a textSkool group - www.skool.com/dr-maxs-circadian-reset-7528/ Support the show

Dr Rob Szabo is General Practitioner and Metabolic Health Physician in Albury, NSW, Australia. He is the director of Diversa Health, a diabetes reversal telemedicine service that uses health coaching and close medical follow up to safely guide people through low carb eating and safely de-prescribe lifelong medications.Dr Rob Szabo outlines his personal experience of diabetes, his journey from conventional to lifestyle GP with a focus on ancestral health, how patients are being let down by current dietary recommendations, the power of low carbohydrate and carnivore diets, and much more.TIMESTAMPS00:00:34 Introduction00:03:45 Dr Rob's initial diagnosis of diabetes at age 3700:09:54 Lifestyle practice is more demanding than conventional prescription approach00:13:20 Dr Rob's criteria for metabolic health 00:16:45 Triglyceride HDL ratio as marker of insulin resistance00:18:00 Low urea as a marker of inadequate protein consumption00:21:50 Failing to make a diagnosis of metabolic syndrome is failing patients00:29:40 Carb induced brain fog is the norm00:32:55 Holistic health improvements on low carb00:35:20 Failings of conventional high carb dietary recommendations 00:37:30 The power of relationship building with patients00:39:20 Being sick is a normal outcome00:42:00 Dr Rob's recommendations for patients with metabolic syndrome00:43: 39 The challenges of low carb for vegans and vegetarians00:48:20 Dr Rob’s take on plant consumption00:50:45 Humans have evolved to digest meat00:57:27 Plant toxins and anti-nutrients1:01:40 Dr Rob’s clinical experience with the carnivore diet1:05:00 The poor digestibility of dietary fibre1:08:16 The importance of self-experimentation1:12:15 Dr Rob’s advice for those looking to adopt dietary changeDR ROBGardens Medical Group, Albury NSW (for local patients) https://thegardensmedical.com.au/DR MAXTwitter - https://twitter.com/MaxGulhaneMDSend us a textSkool group - www.skool.com/dr-maxs-circadian-reset-7528/ Support the show