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My blood sugar goes high and stays high. I’m attempting carnivore now, but even on insulin (which causes blood sugar to lower if I eat carbs) it gets up into the 250 range and sits there. Exercise brings it down, but it just goes right back up. I feel like it’ll never get to a place where I can stop the insulin and lose weight. I keep gaining. This is frustrating.

Dr. Bikman, how do you feel about diabetics getting run over by rich people, who want to lose weight and can pay full price for these drugs, that are making them not available for diabetics that the drugs were developed for, and that the drugs are a crucial part of our therapy who can no longer get them because of shortages? I would love to see at least one or two of the many RUclips doctors who are talking about these drugs, and spinning up the demand for them, talk a bit about all the off label prescribing that is making diabetics have to chase these drugs from pharmacy to pharmacy, and frequently change dosages or completely change drugs or go completely without any because people are getting these drugs that should not. There is only one of these meds that is approved for weight loss.

But Dr. Bikman what if.................? Every person that likes alcohol.

I am agape. absolutely fascinating. saving this one for future reference and repeated viewing.

Its amazing the way you explain things. thank you so much from the Netherlands !!

Thank you Dr Bickman.

My husband had a STEMI (heart attack) just over a year ago. He was told to stop adding salt to foods. Can he use this Redmonds Seal Salt? He’s so tired all the time and I’m wondering if this could help give him some energy back. He is currently off all heart meds including Plavix blood thinners.

Question for Dr Bikman: Excellent lesson as always. I am still unclear on what officially constitutes obese. Is it a body fat % if so what is that? 30% by DXA is very different from 30% by calipers. I have a close friend who is not diagnosed as sarcopenic but qualifies as skinny fat-which seems to be the same thing to me. Shes 30% fat by dxa but almost “underweight” by bmi etc. i got her to measure her insulin at last bloodwork and it came back as 2.0 so shes not hyperinsulinemic. We were talking about our parents aging and muscle loss etc so were both pushing to build more muscle in our 50s but i wonder how much i should suggest she take the fat mass seriously. Can anyone point me to benchmarks for obesity or sarcopenia (muscle mass per height?). There are plenty of charts from who knows who floating around, im having trouble finding a solid science-based resource to point her to … “for reference for her mother”. She’s a smart one, she’ll figure it out for herself. I just dont want to perpetuate bad info.

Would adding a good protein and amino acid especially branch chain amino acid. Would that effect insulin resistance.

What is the normal blood glucose?

I know a lady who has been told she has sarcopenia. But she walks for miles every day. She told me she had a history of dieting you. But her Gp takes no interest in what she eats. Just walk he says.

Great video again .

Ben, love the science your vocab makes Miss Crabtree’s heart sing! Few use “myriad” correctly.

Thank you, am a physician and your lectures are far the best, alhamdullillah

Thanks Doc...A born teacher..🙏🙏🙏

Dr. Bikman produces the most amazingly insightful content. I prefer to watch his videos than anything on TV.

Outstanding, as always. Thank you, Dr. Bikman!

How does this effect those with hypoglycemia? I feel like after 50 I can't control anything anymore no matter how good I eat..

I find body builders grotesque regardless 🤢

I just cannot eat the amount of protein food recommended by carnivore proponents, so then i get shouted at for 'under-eating' by the carnivore-for-president crowd

Awesome talk!

I have to say your book on insulin resistance was great (Why We Get Sick), I knew a fair share going in and I still learned quite a bit. Highly recommended.

Going on high-protein keto would probably help maintain muscle while losing fat. But there are good drugs for that too; it's just that WADA doesn't want us to have them.

If fat being starved of blood supply contributes to sarcopenic obesity, I bet angiogenesis promoting drugs like BPC-157 could help.

If wegovy and siblings are to be avoided because they simply suppress appetite, does that imply that Allulose, touted as the cheap wegovy, have the same drawbacks?

Wow! Thank you. Your best video ever.

Oh my goodness, the huge bellies on "worlds strongest men" explained. It looks terrible. Great video, I love your channel Doc, you explain things so clearly.

Hello Ben, a really great video. I just read your book recently, 'Why We Get Sick' and have added so much to my store of knowledge. Sadly I was unable to purchase it in New Zealand, so had to order it in and wait months. Lots of my friends have asked where they can buy it... do you have any influence with NZ booksellers? we need more and better information, as even in our tiny slice of paradise we have an enormous metabolic health crisis. Love the way you can blend a little humour with what would appear to be dry material, your work is inspirational.

Thank you.

I’m going to my gynecologist 7/12 and asking for replacement hormone patches. I’m 59 and was tested for metabolic rate and it was a little more higher than average. Therefore, I’ve got to experiment with low dose hormones to see if that is the thing to get an additional 20-30 lbs. Kick in all my menopausal symptoms have never gone away. I don’t believe in all these temp weight loss injections, or gastric bypass. I do take Metaformin for pre diabetes. I have a FT laborious job. Doctors believe I eat all day and know I don’t. I was 115 lbs until 40. This isn’t all in my head.

I'm pretty sure I have Pizzapenic obesity.

Thank you, Dr Bikman! I really enjoy these metabolic classroom sessions! Bought your book when it first came out, and have recommended it to everyone in my circle. 😊

“ More knowledge, better health” indeed. I very much appreciate this information. Thank you.

Hey Ben. I just love the way that you challenge my thoughts. Confusion leads to enlightenment

I used to say us fat girls don't get osteoporosis becausr we do weight beating exercise everytime we move. Now, that's said mostly in jest because we really need to maintain muscle mass as we shed fat pounds and maintain better cellular health. My insulin resistance is significantly improving after 636 days carnivore and A1c down from 6.3 to 5.2. I did have much worse sarcopenic obesity that is improving but I have a ways to go. I will be improving all my metabolic functions the rest of my lifespan. I still haul 50 pound bags of animal feed without help, but it is getting harder. I thank you for this level of undersranding the cellular intricacies at work.

Very good indeed

I’m working with people with severe handicaps, they aren’t able to exercise at all and are lying/sitting all day. Their insuline-resistance must be high, and their sarcopenia also. One of them is following a ketogenic diet for his epilepsy, that’s also helpfull for keeping some muscle mass I guess?

I love your lectures. I’ve recently experienced muscle loss as I’ve been healing from major surgery. Complications kept me in a chair instead of getting up and doing small stuff. I paid for that with increasing weakness. I am getting better but boy do I need to get back to strength training and walking.

❤❤❤

This is by far your best video. It answers so many questions and explains so many things that didn't make sense before. I will watch it several times to make certain I remember and absorb it all. Thanks.🙂👍👍👍

Having just read the book "Dark Calories" by Catherine Shanahan, her theory is the effect of PUFA seed oil which tends to poison the mitochondria, forcing a tendency to favor glucose metabolism. So the effect of dieting is lowering the blood sugar, making the body (with poor metabolism) break down protein to make sugar to get the blood sugar back up, because the brain is forcing this signal by the effects of cortisol and adrenaline. The real catch 22 is the low blood sugar effect forces sarcopenia because the fat cells are all metabolically sick and cannot use fat energy, so stress hormones take precedence over insulin, and you have this battle between the brain and the pancreas, known now as insulin resistance.

Dr. B. another grand slam here. Thank you

Wonderful talk! It really opened my eyes to the process of how we lose muscle mass and gain fat mass. Thank you for explaining everything in a manner that is easy to comprehend. Who better to listen to than a scientist that studies metabolism on the cellular level. You make me want to learn more, and actually practice what you are preaching!

Thank you for your explanation on liposuction! Do you have any insights regarding cryolyposis aka coolsculpting? I would assume the MOA is comparable to liposuction but I would be interested to hear your opinion and the nuisances.

Well this explains alot about why my body got so flabby. And are can barely stand. Time to take advantage of that free Y membership. Thank you ever so much for taking the time to make this video. U gave me the missing puzzle piece called my messed up body. 😊😊

Anecdotal, I know. I will never forget a morbidly obese patient I had taken care of that literally used to deficate in bed prior to coming to the hospital. Led to sarcopenia. On one occasion he attempted to get out of bed with a walker and fell. X-rays were performed to see if he had broken any bones as he had leg pain. Although his legs were literally the size of some people's waist the amount of muscle surrounding the bone was miniscule. Don't let that happen to you.

Is there a blood test to check for bcaa in blood?

I look forward to your content. Well thought out, well spoken, great tone of voice. A plus!

I don't believe it's natural to lose muscle as we age, eating the sad diet sure But not eating the way our ancestors ate(carnivore). Im putting on more muscle @ 55 without even trying then ever before in my life.

Carnivore FTW!