Dr Boz: Fix Insulin Resistance Once & For All (10 COMMON Symptoms)

looking across the room now you can diagnose insulin resistant from across the room in most people if you fart on the way to the lab you changed your insulin Dr Anette Bosworth she's a bestselling author of any way you can and an expert in fixing the world's most chronic diseases she will help you get your life back and it starts with eating more fat I've never known insulin to be anything but the hormone that puts weight on my patients that ages their brains that crystallizes their arteries really makes them crispy and stiff the opposite of

what you want if you want to be healthy a patient of mine 71 years old her 10 years under my care was with a cancer growing in her white blood cells and she'd been through chemotherapy a couple of times and the last time she went through chemotherapy her brain went offline and she says what would you do if it was you and this patient was my mom and I've been reading about this diet that is great for brains but there is some research that says if we put you in an in an advanced ketogenic state

it might be good for your cancer when the reports came back it showed that her cancer had dropped by 70% just being on a ketogenic diet insulin is what caused my mother's cancer you have to be in a state of ketosis you have to be strict that's why I put so much energy into saying you're not on the ketogenic diet if you're not checking the ketones and finding those little turkeys in circulation you have to be there in order to get these benefits this is ketones for life you recommend for your patients sometimes to have

a butt only day why oh it is the best experiment first of all this episode with Dr Anette Bosworth was a topic I've never discussed on this health podcast insulin resistance now I'm guessing if you're watching this episode you will know somebody that is insulin resistant or maybe you're insulin resistant yourself and by the end of this episode you'll know the exact signs to look out for now this information is not what you'll hear from big food or big farmer so if you're learning from and enjoying these episodes please hit the Subscribe button and by

doing so you can help Millions more people hear this message now let's get into the episode with Dr Annette Bosworth Dr BOS welcome thank you for having me I am so excited to be your reader now you are an internal medicine doctor and you have thousands of patients that come to you with a wide variety of problems it could be things like brain disease diabetes heart problems autoimmune conditions obesity and all of these chronic health problems come from one big problem which is hidden that problem is insulin resistance so today Dr BOS is going to

share her 25 years of experience and talk about how you can fix insulin resistance the early visible signs that you need to know and also why you might need to have a butter only day so Dr BOS my first question if somebody has just clicked on this video and they're thinking I have so many health problems I don't know where to start why should they first look at insulin resistance well if you're find if you're looking for the best first step forward in today's modern world where you want to stay out of my clinic I

am an internal medicine clinic and I take people to the Grave with lots of medications and chronic medical problems if you're looking for the best avoidance for that the stimulator for every one of those diseases comes from this Whisper of insulin that grows and grows into a roar but it never tells you from the front page it is this internal message that you can find the answer do you have this do you not without a lot of fanfare without a lot of labs and the reversal of it is absolutely in your court you do not

need to see me to reverse it to keep track of it to measure yourself to say am I doing better than I was and and those messages of avoidance for me I wish I could have told patients 15 years ago uh the number of funerals and grave site you know tissues full of tears uh I have a lot of regret for that I I did not use this message then I I filled their bodies full of prescriptions their chronic diseases got worse and uh in honor of them we're here to keep you from knowing me

absolutely so if we're treating the insulin resistance which is the root cause of so many chronic health conditions as Dr BOS is saying you don't have to be on these medications a lot of doctors they will prescribe pills first they'll try to look at the diet but they'll prescribe pills first let's talk about what is insulin resistance and to understand that context is first uh very important to understand what is insulin and the role it plays in the body so insulin is this wonderful dictator of a hormone in your body and again you can't live

without it you know when you look at my ability to prescribe you insulin to try and you know play the endocrine God within your body we didn't have that option in 1920 it was in in that era in that decade where insulin came uh uh into our uh world of medicine that we could give it to people without it and those diabetics those type 1 diabetics that were just emaciated they were wasting away from the inside out because that little dictator that little hormone is in charge of getting glucose or carbohydrate based fuel inside your

cell and although that carbohydrate is not required in the human diet it is uh you do need this hormone to get some of that fuel in the cells without it to run solely on fat without without the access to that insulin gives those cells to use some carbohydrates uh you're going to you're going to die you're going to die of very young death and your body will eat itself from the inside out so that's what life looks like without it and indeed it was a horrific death when we when you look at some of the

rescue missions of uh the 1920s and 30s where insulin came to these people who didn't have it the doctors were the hero they really did save their life but from that point forward the use of insulin and the excessive production of insulin has grown and grown and has exploded in the last 30 years that our bodies make a little bit of insulin when you're when when glucose comes into our systems in fact they make insulin whatever food comes into our system to store certain ones for for future use of that fuel and then to be

able to um mobilize fuel in the right direction using the highest priority when insulin uh is at the right levels nobody calls it evil but as in in all of my medical career I'm 25 years into seeing patients I've never known insul to be anything but the hormone that puts weight on my patients that ages their brains that that crystallizes their arteries really makes them crispy and stiff the opposite of what you want if you want to be healthy and that insulin is sneaky uh the first wave of it makes the cells inside the internal

organs in those cells a little bit more crabby uh as the as the insulin signal gets a little louder then the cells themselves get crabby and then the organ systems get crabby and then only then can you start to see the symptoms of you know looking across the room now I'm you can diagnose insulin resistant from across the room in most people because it's not a subcellular or a cellular or maybe even a one organ problem it has it has encompassed their body and the the outward signals of having too much weight having swelling in

their ankles um having that sluggish mind where their brain just isn't crisp there isn't you know responding as as robustly as they should especially if you get them after they eat a meal and they do that sluggish thing brains do that you're like no no no no how do I make it go away that insulin resistance is um is is is ubiquitous it's it's everywhere it's in 12 year olds it's in 95 year olds and the reversal of it is not as simple as you wanted to be meaning there's a lot of Temptation and a

lot of cultural things that we have come accustomed to that if you're going to try to not be on the side of insulin resistant stay out of my clinic he might need a friend you might need somebody to help do this with you I love that you say that support is so important especially if you want to go into the solutions what which we're going to get to and also you mentioned three of those early symptoms which we're going to talk about 10 of them so there's more to come um so you mentioned the insulin

the hormone it is a master hormone it is required but then we have elevated levels of insulin and then we have a term called insulin resistance I think many people have heard of insulin resistance but maybe they don't know exactly what the mechanism the body is can you explain that yeah so the beginning part of that insulin was to get the fuel in the right spots uh and at the beginning of that message there was one little listening device one receptor that was saying yep I my cell that I'm living in needs this fuel but

as the noise for and the signal Rises the amount of insulin your body is making Rises uh in response to the excessive amount of processed foods and carbohydrates that we're consuming that long gone is the time where teenagers eat a couple of times a day uh they come from the era where food was going in every couple of hours and indeed without that food their bodies got crabby that insulin that glucose lowered their insulin was a little lower and that was the right move but in our lack of you know the Comfort crisis don't let

them feel uncomfortable give them what they want our culture keeps putting those processed food giving them a snack and as you added that food as you added all of those sequential carbohydrates not for one or two times in life but every day every day for that age seven 8 nine 10 up into those teenage years each month after month that you did that you raised the production of how much insulin your body was going to make make because you kept putting a a bunch of carbohydrates in the blood and your blood can only hold about

a a a teaspoon a heaping teaspoon worth of sugar so every time you overate and my gosh they're great they're they're designed to make you eat more so you would consume more than that tablespoon full or teaspoon full of sugar and every time you push the limit your insulin would rise a little bit more and it it it Whispers it doesn't tell you this is happening parents think they're doing the right thing and now they've got a teenager with acne all over their back cystic acne in armpits because we've added hormones to you know hormones

of their sex hormones to this insulin hormone which also dictates how our fat-based hormones work and they I mean the most common conversation that I have with moms is how do I get my teenager to do this because they're so resistant to changing food and I say tell them one week of keeping their carbohydrates under 20 and their acne will be down by 90% and their mothers are like do you know how valuable that is to my teenager because it is it is a ubiquitous problem in teenagers the amount of acne a a a core

response of excessive insulin that inflammatory response of insulin rising over the last 10 years now when they eat that gram cracker they make three four some 10 times as much insulin as they would have made in you know in a season where they were only eating a couple of times a day maybe you know in a growing season three times a day but adults I say you never need to be eating that many times a day you're just over stimulating the insulin and to reverse your problems becomes um well you're going to need me eventually

if you don't reverse the problems I wanted to uh focus on the effect of insulin and insulin resistance on chronic health problems because the commonest cause of death is heart attacks and strokes um if people understand how insulin resistance actually causes plug in the arteries if you could explain that uh that would help them understand the solution so can you explain how insulin elevated insulin is going to cause arthrosclerosis arteriosclerosis which is hardening of the arteries causing heart attacks and strokes yeah so I will tell you this process is not as glib as oh go

get your cholesterol checked if your cholesterol is high you're going to have Harding of the arteries uh what a disservice we've done to our patients to say check that bad cholesterol and if it's high that's how you're making a heart attack uh I would be you know I tell my patients it has very little to do with uh what your cholesterol number is in fact it has almost nothing to do with the cholesterol you're eating if it's in the setting of a diet that is low in stimulating insulin so that insulin resistance was this noise

of 10 times the amount of insulin is being produced when you eat that same snack that you would have eaten before you had insulin resistance and now this hormone the dictator of all hormones is insulin it's going to tell your testosterone what to do it's going to tell your estrogen what to do it's going to tell your growth hormone what to do all of them are at the uh at the dictatorship of this insulin and now your insulin is it has a commanding voice and you consume that food that has let's let's say it has

saturated fat in it and it's in the setting of um a bunch of carbohydrates with that high insulin which is what made the the carbohydrates is the the carbohydrates stimulated that insulin and that fat the ability to move that fuel into the place where you store it healthy you've got easy you can easily do that but as you look at the carrying units that are going to circulate that fat throughout your body um they they also are looking for um their entrance back into your liver and when when you look at the recycling of our

cholesterol that's really what we should be focused on if I could have a blood test that measured how long have you been circulating that uh that cholesterol in your blood waiting to get recycled then I could tell you are are you at risk for a heart attack instead of just measuring what's your LDL cholesterol so as I look at the the inner lining of those arteries so if I could be inside your blood vessels and saying let's see does Reena have a uh have a risk for heart disease and sitting inside your blood vessels what

you would look for is who's around you if you have particles of fat circulating around you that are they're crusty they're oxidized they've been in circulation for a couple of days waiting to get recycled that is a neon sign that your body will say you know what we give up we're never going to get recycled back into the liver let's just help out the liver and store you in this little pocket Under the Skin in your artery and as that little fat gets deposited Under the Skin and your artery yes it might cause a little

bump if you get a few of them in there but as soon as it's in there it actually looks just like a pimple in that kid with acne it's inflamed it's it would be tender if I would touch it uh and what's happening under the hood underneath that skin is your body says holy Hannah this does not belong here get this out of here and your immune response comes in and says oh my goodness what is this doing here and your body will attack it will find the friends to say get it out of here

this is not good what why isn't it in the liver and if there's only one pimple in your whole body your white blood cells your immune system will remove it and you'll never know what happened but that's not how it works that level of high insulin was 10 years in the making maybe 20 years in the making and now that process of recycling fat is so broken that you have millions of those little pimples happening throughout your the arteries of your body from your brain to your toes to your heart to your organs and your

immune response is saying I am overwhelmed I can't get to all of them and as a consequence the longer they Peck away trying to undo this fat is in the wrong spot it should not be there it leaves behind some calcium that's the almost like the waste product of your white blood cells coming in to say I'm the hero I can take care of this but now it leaves behind uh a remnant of uh-oh now we've left some crystallization some some you know mineralization in the spot where inflammation used to be and over time that

hardening of the arteries doesn't just happen in your coronary arteries the ones that go to your heart that that is the rate limiting to life so everybody cares about that but it's happening throughout the body it's happening to your to your um you know your tongue and your fingers and your toes and and your brain and when we look at that chronic disease processes and we judge you by let's put dye in your coronary arteries and see how narrowed are those I'm like dang they are some pretty pretty important inches of real estate when it

comes to hoses and your when it comes to arteries but uh it's not the only ones it is it is throughout your body that this has been happening it's a universal process and so I think you know when when I hear and when I'm trying to educate patients of where to focus um you know they really don't like to hear that their LDL cholesterol is too high that their that one marker that the American Heart Association has done a great job of saying hey everybody pay attention to that and I'm saying I want you to

look over there I want you to wake up in the morning and prick your finger and tell me what is your blood glucose and if it's in the two-digit range at less than 100 we're going to say all right now we're going to check it every day for 10 days and if every day for 10 days your blood sugar is less than 100 first thing in the morning we're doing a pretty good job of saying probably not terribly insulin resistant um unless you've got some of those outward signs where you've got a nice large tummy

it looks like you're pregnant or you've had that female 15 lounds that you just can't seem to get rid of uh so those those outward signs will give me a couple other hints that there that there's a place to focus let's focus on getting those pounds off instead of saying doc do I have an LDL um I have an LDL cholesterol that's you know running in the 130s and the commercials say it should be less than 100 I tell them stop focusing there focus on the prevention of that because when you look at the hardening

of arteries if you wait till they are um bathed in insulin for three decades and then you asked me to help you get the calcium out of your arteries uh you got the wrong Focus uh we got to undo that monster called high insulin before we can ever make an impact on what your cholesterol is doing as Dr BOS mentions one way to fix insulin resistance is to monitor your blood glucose because if your blood glucose is constantly elevated it is a sure sign that you have insulin resistance but I do want to point out

this is just one part of overall health another very important aspect of a healthy body is brain health and it's not just what you eat it's your thought patterns and also dealing with stressful situations in life and that's why I have better help as a sponsor of today's video better help will connect you to a licensed therapist who is trained to listen to you and give you unbiased advice and through my life there have been different stages where I needed extra support and more recently I needed support dealing with my dad's terminal brain disease and

I found this particularly beneficial because sometimes you don't want to speak to your family or your friends maybe out of judgment or maybe they might not understand and the best thing about Better Health is that you can do it all from your phone or computer via video call phone call or messaging it is the easiest way to connect yourself to a therapist and they'll match you to a professional that has years of experience helping people with struggles just like yours so if you'd like more support just head to betterhelp.com 5minute body or choose 5 minute

body on the sign up page and get a special discount on your first month it's not just heart attacks and strokes and the reason why I want you um I wanted you to explain that is because people would come to you or any doctor with a problem and it's important to understand this is universal this is not just specifically in the body in a specific artery it's inflammation caused by predominantly insulin and insulin resistance it also affects the endocrine system I also wanted to focus on this because depending on who's watching they might think well

I don't really have a heart problem or a brain problem but I do have a hormonal problem I do have a thyroid problem how does insulin resistance affect the endocrine system which is your hormonal system yeah so one of my favorite ways to teach this is actually to look at insulin resistant patients and uh uh one of one of the other tests that I like to say do do you have a problem let's look at your vitamin D vitamin D is actually a hormone a fat-based hormone that you can test without my permission there's you

know there's tests throughout the on Amazon or that you can prick your finger look at your look at your blood uh test put your blood on a little sponge mail it in and say what's your vitamin D and it should be above 50 health brains need it to be about 50 but if you want to see if insulin is roaring uh that insulin dictates what happens to fat-based hormones so vitamin D is one of those fat-based hormones and when I have patients coming to me saying you know I have a few problems but really this

vitamin D has been low and I'm trying to get it to be higher I'm taking all these supplements and I can't seem to to make it raise and now instantly in my mind I know that the cause is almost always not not that they're not swallowing you know repeatable pills it's that they're insulin the dictator of what happens to fat in your body is saying put it in storage put it in storage and as soon as that vitamin D is in circulation uh it will then be dictated to by your excessive amounts of insulin and

stored in your fat and when we watch uh we take fat biopsies and say let's just see how much of the testosterone estrogen and vitamin D three of the easy to measure fat-based hormones are found in the fat cells and it the first time I read the study I thought I didn't know that no no wonder no wonder my insulin resistant patients this was probably about 15 years ago where I'm like oh this is why they cannot get uh their vitamin D elevated is uh they were my diabetic patients they were injecting insulin and I

was giving them vitamin D on one you know one part of the day and I was giving the dictation that the the the commanding uh instruction to put that vitamin D in their fat cells and if it's in your fat cell it is not circulating to be able to help your brain do what it's supposed to do your heart do what it's supposed to do and and I love that teaching point because vitamin D is something many people um you know they they know what their numbers are they hopefully are they care about it it

is incredibly important hormone that uh goes into every cell uh binds with the nucleus of every cell and depending on the cell will depend on what protein does that cell make so your vitamin D does certain things in your eye cells different things in your heart cells different things in your brain cells and it is you you'll think when you read about Vitamin D it must be snake oil because it affect so many things but it's because that hormone goes into the nucleus and helps to trans uh transcribe proteins based on the cell so once

people understand that they they do want to know their vitamin D and I am a you know my CL has a hyperfocus on repairing broken brains uh again you can't do that with high insulin levels this is how I got into this space so deep is I can't fix their Parkinson's disease without uh I can't even impact their Parkinson's when their insulin was that high I couldn't reverse that concussion with their insulin so high and one of the most powerful hormones that was going to help their brain was I have to have their vitamin D

above 50 and when they had I insulin I couldn't do it it was after that study where say oh that biopsy uh was filled with the fat-based hormones that I'm trying to deliver to their brain and it is getting you know parked in the ditch of their fat cells and I think once patients understand there's another great story I had with a patient who had just come to one of my support groups and I said well you're you're new to this I would love for you to do an experiment with me uh you know looking

at your medical records it appears you've been insulin resistant for at least a decade and you know we looked at the labs but we also the weight had been there for at least a decade and his profile was gorgeous he had this nice big round tummy he could have profiled for Homer Simpson and had the the perfect shape and I said I know that um looking at these Labs that your vitamin D is probably in that fat in your tummy do you take vitamin D and he's like no no I don't do that I'm like

okay I don't want you to take vitamin D but I will sponsor your the next eight vitamin D tests every every other week while you go on a strict ketogenic diet one that I know lowers that insulin is the antidote it is the enemy of insulin resistance is to stop putting in so many carbohydrates and so he was he was game and he he wanted the tummy to go away and so I said not only will this help you be really compliant because I'm going to be doing this experiment on you but um your vitamin

D will rise and here's here's where it's coming from it will be in circulation that vitamin D doesn't like rot or go bad it's it stays there and when your fat cells open up and they are no longer Shackled by the commanding voice of insulin that says store fat store fat store fat and as that insulin gets better gets lower you you now have a crop of fat cells that are no longer in that concentration camp they are now free to open up their resources and as his uh uh weight loss happened his b vitamin

D Rose as he did not take any vitamin D I think that's one of my favorite teaching lessons of here's a demonstration real life medicine you can do this on yourself if you have insulin resistance and you have low vitamin D and you go on a strict ketogenic diet and I I remind people you are not on a ketogenic diet if you're not checking to see if you're making ketones ketogenic diet is not decided by your thoughts that you're in ketosis you must prove that ketones are in circulation and as long as that's the case

we're going to be emptying those fat cells we're going to be improving those fat-based hormones those sex based hormones and U wow do I get the privilege of watching people have an Awakening uh for what happens when their bodies go without that when they have way too much insulin and then this surge of improved sex drive better hair better skin vitamin D is flowing again uh and you know they'll you know they'll say oh it must have been you doc I'm like really was just the absence of that insulin it's amazing when you actually eat

more calories you eat more fat moderate protein and we're going to talk about ketosis and a ketogenic diet after uh the signs that you might have insulin resistance but Dr BOS you wrote an amazing book any way you can The Beginner's guy to ketones for life I know why you wrote that book but can you share what was your inspiration for that book well that is a great story yeah so I actually lost a bet to my husband to write that book um so I have happily married now 30 almost 30 years and um if

you've been married anywhere close to that long when your husband when your spouse tells you to do something it's usually the last thing you want to do uh but this story was happening in my life where uh a patient of mine 71 years old had been under my care and I'm not bragging when I say I really love my patients I take good care of them and this one was no exception uh but her 10 years under my care was with a cancer a cancer GR in her white blood cells and she'd been through chemotherapy

a couple of times and the last time she went through chemotherapy her brain went offline um to the part where when she got done with chemotherapy she was a seamstress and she didn't know what a sewing machine was so here's my my clinic with a peak brain performance and This Woman's brain is offline uh now we did get it back working but it was at least 6 months before that was even close to measurable that this was a version of her previous self and she walks through the door it's been a few months since I've

seen her and you don't need to be a doctor to know that the Ashen look on her face the dullness in her she looked like a zombie uh and her to see her cancer was back so at the oncologist the it was like one in 500 of her white blood cells was functional the rest of them were deformed and not able to do their job 70 out of the last or 50 out of the last 52 weeks had been filled with antibiotics because her white blood cells were so poorly functioning and um it is a

moment where I had this question a lot in my practice uh you might have asked this question to your doctor where they say if it was you what would you do and I'll be honest um sometimes I lie if I'm having a bad day if I just don't have the energy to tell them my personal truth I will tell them what the guidelines say now most of my patients know me well enough to know when that's happening but it's it's it's an emotional place where we should all be rested enough and in a resilient enough

place that anytime a patient asks you that question I would love to tell you that I give the perfect answer um but I don't always but this patient was asking me what to do uh she had a six-month survival plan if she didn't do chemotherapy she did not want to go through that again she did not want that offline brain again and and by God she was doing everything I'd asked her to she was the perfect patient um and she was refusing chemotherapy and I'm standing there with her as we look at the assignment to

go get chemotherapy and she says what would you do if it was you and this patient was my mom and at 71 years old I knew better than to to lie uh I said Mom you know I'll be honest another round of chemotherapy is going to to put you in a place that you may not come back from and I've been reading about this diet that is is great for brains which was why I was reading about it but there is some research this is in 2015 that says if we put you in an in

a in an advanced ketogenic state it might be good for your cancer now I didn't tell her any of that because she would have said what you're speaking a different language I said Mom do you trust me and she said with my whole life and we got in the car together we drove a 100 miles to our family farm and we avoided the chemotherapy and we went we cleaned out the cupboards for all carbohydrates so she didn't have any Temptation and I said Mom this is going to be difficult giving up carbohydrates at 71 is

like giving up a friend and I'll do it with you I'll go on a ketogenic diet with you so we can do it together and it made all the difference she wasn't alone my kids got put on a ketogenic diet my husband went on a ketogenic diet and our journey uh together as a family was I think we struggled with it more than she did um I call her you know we this was a 2015 we didn't do FaceTime or any kind of looking so I'm on the phone with her and I I can just

hear this youthfulness in her voice and I thought wow maybe I'm maybe I'm wanting it you know maybe it's me my brain's working better I feel better um and you know we live a 100 miles apart so we don't get to see each other that often she comes back six weeks later and you know she's been great we've been on a we didn't lose any weight but we felt amazing uh and as she walks through the door for the oncology person I was like out of a movie like back lit by a sunlight her face

was just glowing and the only other clue I knew that we were headed in the right direction is I was that doctor writing the prescription for antibiotics 50 out of the last 52 weeks and she had not asked for antibiotics in the last six weeks we were hoping that her chemotherapy would have blunted that uh that uh cancer down dropped it by by 30% um you know cut it in half would have been a miracle uh but we had no place in our brain that when the reports came back it showed that her cancer had

dropped by 70% just being on a ketogenic diet and of course the doctor's like what are you doing and before he walked in he's my friend and I said I mean I knew she was I knew she looked better I said you know mom um if he asks what we're doing just shut up I don't know what to tell him I'm really nervous about manipulating your health like this and putting your life at risk and um just shut up so we get through this moment where her her ketogenic um intervention had really helped her cancer

uh I think that's gets you to like the fourth chapter of the book uh what really happened was this resurrection of a woman at 71 years old who acted 90 and that's not her spirit uh my um my image of my mother is Mary Poppins she had abundant energy and life was magical growing up with her love and that woman was long gone my kids hadn't seen her in at least a half a decade and um I am so happy to report that she stayed on a strict ketogenic diet that I learned more about the

ketogenic diet and became now what I would call an expert on the ketogenic diet because of her first my first patient which was my mom and um the book I wrote it tells her story but also is a basic set of lessons of here's how you screw it up here's what most people screw up here's why you should care uh and it's more than just weight loss it is how can we get our bodies to live in this removal of inflammation and I know that word inflammation is used so much today that people kind of

tune it out but it is that message it is that process that insulin is what caused my mother's cancer the insulin resistance where it was at least 10 to 15 times higher than it should have been for for 15 years at least and when we put her on that ketogenic diet her her her insulin went down her ketones went up and the body started sweeping out the inflammation that was causing her to be the Zombie that was robbing her of Being Mary Poppins and you know that book uh I self-published it and thought no one

would read it and it's sold over a million copies so I just think how much grandma Rose's uh story has helped other people it's important to say because I'm I'm glad that you mentioned that insulin resistance is linked to cancer I think people again they think cancer is something that I'm just going to die from it I can't do anything about it but with a ketogenic diet which we'll talk about ketosis and also spotting the insulin resistance in the first place you can prevent all these chronic Health um conditions let's talk about signs and symptoms

early signs that you can visibly see in your body this is kind of fun I have 10 well I have nine here but you mentioned some earlier but let's spell them out one by one the first one is increased body mass index right yeah so that that hormone is telling your body store fat store fuel store fat uh and when we look at folks being overweight if you go back 200 years ago this was not that common of a problem you had to be a very elite person of our society to get enough of that

processed sugar uh to to be able to have enough of the fat on your body to be insulin resistant that you know I people beat this uh metric up like oh I'm big boned and or oh that metric doesn't work because I have an excessive amount of muscle mass I'm like you're one in a thousand I mean that's not the norm and I'm glad you have excessive muscle mass but there is still uh a very good metric behind most people using body mass index body mass index which takes your height and your weight and says

when you get out of the green zone when you get above 25 you're insulin resistant you're storing too much fat and the ability to remove it because you live in 20 24 is uh yeah you have too much insulin too much processed foods that have allowed you to put that squishy layer on your body so body mass index is number one and uh you can make the argument where you put the fat gives me a little more understanding but I try not to parse those words just being overweight today says you got too much insulin

you got to lower the insulin here's the rules okay next one is skin why does why is skin an early sign early warning sign of insulin resistance so that there's a there's a couple of classic uh med student questions that I think are great for people to uh uh to notice there is a process that the uh the skin responds to when it's been exposed to high insulin uh the so again the in insulin does a lot of things one of the things that I I haven't mentioned on this podcast is that it's a growth

hormone it makes things grow and one of the things that grows is skin so the first uh easiest thing that you can see across the room is anybody with a skin tag if they've got their hair up and they've got a skin tag on the back of their neck they say oh it's from my collar I'm like no it's your collar plus insulin that's been around for a long time they're like oh it's from my my seams under my armpits I'm like no it's from the insulin and then maybe your seam is stimulating it meaning

the friction that happens in the places where you grow skin tags well that happens to everybody you you must add the secret ingredients of excessive amounts of insulin to grow those skin tags and it is a very phenomenal process when people say I didn't you know I didn't think that I could reverse uh my skin tags because they don't care about those by the time they're coming to see me they've got heart disease they got a brain that's not working they got a heart that's failing they got a liver that's full of fat uh skin

tags does not even make the list for the first seven or eight visits but when they accidentally fall off it is the top of their list like I've had those things forever and I'm saying that was your warning that was one warning that your body was making excessive insulin uh there's another another process that is a a Latin word for a velvety looking skin and it's I point to the back of my neck because it's often this uh place that's on the back uh of uh of the neck and it's more prominent it's easier to

see in people with dark melanin higher melanin In Their Skin So you'll you'll often see um you know mothers and sons saying no I you know it's it's not clean and it's as clean as anybody else's skin but it's skin grown in a bath of insulin and these are teenagers that have excessive amounts of they have the skin tags they have the um the velvety skin under their armpits and and on the back of their neck uh and they'll get it in the folds of their of their their thighs as well when when you look

at uh the number of years spent with high insulin uh just looking across the room at the folds of in their elbows uh the back of their NE if you if you happen to see their armpits they have a brown Hue that is uh related to that high level of insulin and it is a tellall as you said all those things I was checking myself so when I was listening to all these signs I was looking at okay I don't have anything here fantastic the next one is hilarious um thumb print test on the shin

yes well so again insulin is the in excess does it shifts the chemistry of your body uh what thing you can think about is that when the insulin resistance is happening you're holding glucose in circulation too long and as a result that glucose holds on to water so you are circulating more water uh than you need to be when you're insulin resistant and your body will leak you can't hold that much liquid in your veins it will seep out so what we're looking for with this test is the tissue the the the fluid that's found

between the cells in your tissue tissue and I'm not talking about when you cut and those out comes blood I'm I'm actually saying if you've ever seen if you've ever had a pimple and the pimple pops and then out ooes this kind of seramy uh see-through stuff part of that is interstitial space and there's this pressurized system throughout your body that's really kind of hard to measure except on your shin so if you go to the Bony part of your of your leg below your knee uh and you look that's where the bone should be

and you take your thumb and you push on the bone and when I do this to patients they often say ow so you're pushing hard enough to actually take the capillary to whiten the tip of your thumb you're going to hold that Thumb in your shin for 30 seconds and then you're going to take your thumb out now if an indent is left remaining in that spot you have fluid in the interstitial space which is a huge sign of you've got insulin resistance dude or dudette uh that uh that that area of your body first

of all doesn't have fat in it you are not pushing on fat even if you say well I have fatty ankles I'm like no no no no I'm not talking about that I'm talking about this F this this fascia this kind of like Saran wrap that usually goes around muscle layers and compartments of your body that's not fat over the bone that is fluid and that fluid does not belong there the longer it's there the more it's there gives meat a signal of here's a history lesson in a in a hurry how long has this

patient been insulin resistant and you push on that Shin print you hold for 30 seconds and then you pull that thumb up and if there's a dimple that stays there that is insulin resistance the next one is swollen ankles yeah almost along those same lines when patients get done with the day and they say boy you know my my ankles collect water throughout the day yeah gravity will do that uh but not if there's not excessive insulin around that excessive insulin caused your body to have a decreased amount of the the lmph uh lymph um

circulation as well as the same problem that caused that Shin print and that was excessive fluid is there and by golly it goes away in fact one of my favorite things when I do check-ins for a support group is people who say I have ankle bones again that's one of the benefits of doing a ketogenic diet and being in ketosis and eating more fat okay let's get to uh number five is hairy toes a sign that you have insulin resistance or that you don't yeah so hairy you want hairy toes you want hair on your

toes I know ladies will do things to make them look lovely but uh it's it's actually a signal about microcirculation in one of the most distal parts of your body from the heart so as your heart's doing its job it's going to sacrifice uh parts of the body when you don't uh when when you you're not healthy and years of not being of having that excessive insulin if you go back to those pimples on the inside of the blood vessels as that's happening to the bigger blood vessels it's also narrowing those tiny blood vessels and

it will it will pinch off that peripheral delivery of of blood when you do that and the the the tissue the real estate on the other side of that that part that got pinched off was the hair follicles on your toe the hair stops growing now I'll have patients who the the hair on the toe is actually one of the last parts to stop growing you'll often see that the distal part of the leg right above the ankle is also a place that stops growing hair and you cannot guess what the number one answer is

when I point this out to patients guess what they think it is what they think it's their socks um you wore socks for 60 years that didn't take the hair off the bottom of your legs why do you think it's taking the hair off of the bottom of your legs now it's not your socks it's that the vessels that go to that part of your body are clogged and not working and the hair follicles were the first to be sacrificed they're not going to grow let's go to the next one which is change in spage

especially after eating cobs yeah so I'm a brain person right so watching how brains function and what they do in different states of uh of energy is is it's like second nature to me when somebody's eating and they're insulin resistant so they've got pretty good glucose fuel happening at the uh beginning of the meal and then about maybe even 15 20 minutes after the meal the insulin is going to be the highest which is pushing all that glucose it out of the circulation hurry up get it out of the circulation and it's a relative drop

in glucose and during that time you can see their spee is slower now I'm exaggerating it here for effect but it's remarkable you watch somebody's Cadence of delivering those words and when that the swelling is what's really happening in the brain the insulin causes the glucose to shift the water will follow it uh that's what that's swelling of the brain like a concussion and it also changes the Cadence at which they can articulate they just can't push the words out as fast and it is recognizable when they when they stop uh changing that blood uh

sugar so much when they go on a ketogenic diet it's you can just hear it in their voice much like that phone call I had with my mom you know six or eight days into this ketogenic you're like oh my gosh she just sounds youthful she's she's back to normal and you can see that in patients where they've they've left normal this is clearly not normal okay similar to feeling tied after eating carbs if you have fatigue yeah that's exactly the same thing similar process that it it really is is it's a brain thing I

mean that that shift in fuel uh also results in a shift in what the brain if you could do a functional Mr after a high carb Spike and an insulin response to it in an insulin resistant patient you're going to see parts of the brain just they shut off and it's not um you it's not you saying oh I'm carb drunk you really are concussed you've got a brain contusion from excessive amounts of sugar I think most people feel tired after eating carbs especially fruit I'm going to ask you about fruit later okay these are

sexual function erectile dysfunction yeah so yeah I think that's one of my most popular YouTube video and I will credit my husband to this like if you're trying to get the attention of men you should just tell them the same thing you told me if you keep gaining weight like this your penis isn't going to work like huh that does get the attention of boys they come in they don't care about the the you know 20 Ines of hoses that run through their heart but they do care about what goes into the however many inches

of genitals those arteries are the same they are the same pimples they are the same calcification they are the same processes that that uh that decrease how a an erection can um be firm enough for penetration as the blood supply is now compromised to that heart muscle uh those are the same pathology it's just different parts of the real estate you know I I also uh you know when when one of the other benefits um when people are in this very high insulin State yes the hardening of the arteries is one thing um but they'll

come into me and say hey my testosterone's low and the first thing my brain is is well it's probably all in your fat cells if you would just change your Chemistry we could empty it and you would be getting testosterone injections from your own fat over the next six months um but they'll ask say oh I I need testosterone injections and I'm like here's what's going to happen with that there's this dictator called insulin and when I put it in when I put testosterone this fat-based chemical in your body it's under the dictatorship of that

hormone and your hormone is so high that I don't care how much testosterone I give you you're going to still put about a third of it into your fat cells the other two3 you're going to get to use but as as you watch what happens to that testosterone process uh the effect of their sex drive will initially be improved but then it flatlines and and now we have a problem now you're dependent on my testosterone in order to have any sex drive and uh you you didn't do much to reverse that insulin resistance in the

last six months the last one I want to ask you about is the Dr BOS ratio because that is how you can detect if you have insulin resistance um you don't need a lab but you do need a little device but can you explain what that is and how somebody can test right so I I I arrived at this uh DR Boss ratio kind of by accident and I'll go back to my mom so again she's a 100 miles away from a hospital uh and she's not unlike many of my patients in South Dakota where

they live distant from we've been social distancing for 200 years uh and that ability to have them go check in insulin well it came after a 40 minute car ride and then they waited in the lab and it's never first thing in the morning uh that insulin is very sensitive it's a volatile hormone that changes dramatically I mean I would tell patients if if you fart on the way to the lab you changed your insulin you know it it is super responsive to what's going on in your body and I'm going to make a bunch

of decisions based on where that's at so God forbid you happen to suck on a cough drop or you do something on the way to the lab now you just screwed up my insulin test and it's kind of expensive so we're going to use that to judge you for the next year no that's not going to work instead let's look at the two molecules that insulin is most the commander of that are very volatile and accessible and that is how much is your glucose and how much how many ketones are in your blood so first

thing in the morning I have patients prick their finger and say Here's my glucose and here's my ketones and I'll be honest I got this information from the glucose Ketone index which is where cancer researchers across the globe use to predict are we impacting the growth of cancer are we are they in autophagy and I'm trying to teach my mom how to take glucose convert it to Mill moles and do a bunch of math and she's like uh-uh and I said okay Mom we're just going to do dirty math uh we're going to have the

glucose in one metric we're going to have the kones and the other I want you to take the big number the glucose and divide it by the little number the ketones and I'll get you the I'll convert it for you so if you take the big number the glucose and you divide by the ketones and your your doc we call this the DR Boss ratio it's dirty math for glucose Ketone index but if the DR Boss ratio is less than 100 many people lose weight if it's less than 80 a whole bunch I mean it's

hard not to lose weight first thing in the morning that that uh glucose or that Dr B's ratio is 80 when I'm trying to reverse things like um autoimmune problems or um I'm really helping them with reversing some some heart disease I want that Dr B ratio to be 40 or less and then finally if you're one of my seizure patients we're trying to prevent seizures with a ketogenic diet or you're like my mom and they are in the midst of fighting cancer I want that Dr BOS ratio to be 20 or less so what

is this number really predicting it is predicting how much insulin are you making today and as you watch people reverse insulin resistance this is the hardest part if I'm only measuring the metric of insulin it's really difficult to assess well how well does that affect your glucose in your body and that's the goofy part about insulin resistance when as you're on your when they're on the way up of making ins insulin resistance that insulin Rises and they do get a little um you know a little worse a little worse a little worse but they don't

get you know no APB goes out that this just happened inside your cells and a very secretive process happens on the way down as you're lowering the glucose and your your pancreas is learning to produce less insulin when you eat uh it's a slow process how you're doing today actually might not be the same as how you're doing in a month but we'll know by how much glucose is your circulation and how many ketones are in circulation when insulin is high it push you you don't make ketones when insulin is high your glucose is usually

stimulating it to be high as you lower glucose insulin lowers and as that insulin stays low your ability to make ketones which is the mobilization of fat and turning that fat into fuel uh activates and you can see it you can judge this you can see it on your own you do not need me to do this but you do need a meter yes so you don't need a doctor Dr buz I'd love to see you anytime but um we just have a simple device okay let's talk about ketosis because that is the way to

have to fix insulin resistance whether that be you have diabetes dementia cancer heart disease depression Auto well autoimmune conditions maybe fixing that would fix the autoimmune condition I'll tell you the first time I I saw that in a patient I thought I was actually just on an interview the other day with Dr fun and I told him the story uh so Dr fun was one of the first brave souls to step out into the universe and talk about a ketogenic diet and how fasting is probably the best answer once you're keto adapted and he was

talking about thyroid disease um I had bought the the lecture series from a a conference in um South Africa Cape Town South Africa and it's like 2015 2014 2015 super long time ago and I remember seeing Jason fun on this lecture and he said something that I was seeing in my patients that I didn't know how to explain and that is you have an autoimmune disease that means your body was attacking the thyroid your immune system screwed up and labeled your thyroid as the enemy and it's pecking away at it and you're you're just screwed

you're going to need thyroid medicine forever you're going to need to see me forever this is not undoable and yet people on a ketogenic diet when they were persistently in ketosis they would I was overtreating their thyroid so I'd lower their thyroid Mets they'd come in you know six weeks later I was still overt treating their thyroid so we lower their thyroid meds and I'm like dang let's just stop your thyroid Med we lowered it three times maybe it's not a problem anymore and in my H my mind I'm like that's just not true I've

never seen that before I've been doing this for a decade that can't be true and I'm like and when I saw Jason fun say that lecture he's like I didn't know what to do with this at first but I'm telling you I see this and I'm not crazy I have labs to prove this and I'm like I have the same I see the same thing and and then then my heart broke I mean one of the worst autoimmune disorders that I um that I've seen witness is Crohn's disease um where that gut uh is being

attacked by the immune system all sort of colitis and Crohn's disease different parts of the gut that the immune system attacks and they were young they were 21 years old and they were typical South dakotans working hard wanting to go party do their life at 21 years old and their gut was under a Warfare it was just a bloody mess and I can remember I was a medical student at the time and you know the doctor before we walked in to see the patient he's like you know this kid just won't take our advice we

want to cut the colon out if we cut the colon out this would all be better yes he would need a colostomy bag but you know he's just going to he's just going to have to have to take our advice and of course I'm pretty naive like well why wouldn't the knucklehead and take your advice I mean of course that's the only option there is and and he um I can just remember beautiful young man and he's like I'm not letting you cut this out I not going to be that guy with a bag of

poop hanging out on my tummy and and he I mean I can remember he got super sick his colon shut you know swelled shut so now you know we're going to see him in the hospital and he's like see I told that kid if he didn't do it he was going to have to you know all glib and they didn't mean it but nobody likes to see your patient die and that autoimmune problem in the years of seeing um what a state of ketosis can do uh that immune system is being revved up by a

growth hormone the growth hormone is excessive amounts of insulin not for a week or two but over and over and over again it's screaming at your white blood cells to overproduce and the error actually produces easier when that when it's inflamed when all that swelling that I was talking about is chronically at the cellular level and when you reverse that when you take away the swelling by being in a persistent state of ketosis oh my goodness I have seen people reverse their Crohn's disease reverse their ulcer D citis stuff I didn't think was possible I

mean it was actually an emotional this is selfish to say but it was an emotional thing for me to say oh my God that kid was right there was another answer we were wrong and to know that the immune problems that I mean autoimmune problems they are happening younger they're happening more often they're happening I mean and if you come to my prescription pad and say how am I going to treat that well I'm just going to sh down your immune system we're going to give you an immune modulator which is a lovely word to

say we're just going to weaken your immune system and then say now don't get a virus and don't get exposed to this and d and if you have herpes it's going to flare and all this stuff that is like yep that's our plan for Life For Life instead of saying or you could remove the excessive insulin and you could bathe those cells in ketones and that process allows the reversal now it's not right away me one of the best parts of that Jason fun woman he's like it started happening about 8 months after patient said

I just don't want to get out of ketosis I feel so good and it was those patients that said that he said and then the thyroid kind of gave me a right hook like nobody told me you could reverse a thyroid problem of autoimmune origin nobody told me you could reverse autoimmune origin causing all sort of citis Crohn's Disease rheumatoid arthri these other problems and indeed you have to be in a state of ketosis you have to be strict that's why I put so much energy into saying you're not on the ketogenic diet if you're

not checking the ketones and finding those little turkeys in circulation you have to be there in order to get these benefits but for those patients it is a Lifeline let's talk about how to get into ketosis because I think people like I think people some know and some don't know can you walk us through how you can get into ketosis to get those good Ketone numbers yeah so there's a there's uh a hurry up and do it kind of way and then there's the way that you you do it and you're there for life so

I like to talk about the Dr BOS brand as not the first time they've tried keto but we like to think it's the last time that they'll want to you know Adventure into the ketogenic diet because you'll stay there uh and I do think this is uh not everybody has to stay there to to have the best health uh I'm going to stay there because I I get the unfortunate uh point of view that well that's what life looks like when it doesn't have ketosis uh so a persistent life with ketosis is not only a

good example for my patients but it's a better life and when we see people I call them my my ass over apricot people they come in and say I'm going to do everything you tell me to Doc I'm going to do it perfectly and they drop their carbohydrates to 20 they don't know a thing about what's about to happen they flush out a bunch of extra fluid their Shin thumb print on their leg goes down they lower their blood pressure sometimes they pass out by day two because they lower it so quickly so fast and

then by day four they can't poop and say this diet is terrible so that's what ass over apricot looks like uh what I do and when I teach in my books and when I teach to people who come to see me is you must do a couple of mental shifts uh number one why are you doing this and if your reason is for a skinnier waistline probably not going to be a good enough reason to stay the course I'm going to have you look a little deeper uh you know one of the you know predecessors

of my life you knowe pre-seasons of my life was to work with patients with addiction and when people would show up and say I'm here to take care of my addiction because the court service officer and judge have mandated me to do it I was just like you need to find a different doctor unless you want to find a deeper reason for being here we're not your team I think the same thing goes for a ketogenic Journey if you're here to lose 10 pounds and then you're done we're not your team we're way too complicated

for that but if you're saying I want to show the Next Generation how life can be done how you can age without these problems or your team and so we start with mindset like you really need to know what you're saying goodbye to and what you are dreaming for um so we we set that framework the second thing we do is you must clean out the cupboards the day before you start and you have to share that picture with a friend and you do this even if you have a husband and even if you have

kids cuz this process of saying you're going to eat over here like uh in a ketogenic way and then no one else in your sphere of influence is going to be with you on that Journey we just we think that's ridiculous we think that there is um there you know families do things for a reason because somebody needs help if you're not vulnerable enough to say husband I am struggling I need the last 30 l pounds off I can't sleep my sex drive is terrible I want to do this that relationship and addressing some of

those issues we we Foster that on this team because it matters if you're doing this and you're the outsider in the family it will only alienate the process and by gosh if you're the mother if you're the matriarch of the home which across the globe women that's our job is to set the tone for what is what the nutrition is in a family that your children I mean I'm all about Peak brain performance my kids had keto they were and not like I was crazy keto I was like no if you're eating and I'm paying

for it this is what we have in our home we don't have cereal we don't have bread we don't have processed food sure do we have Easter you know um treat on Easter uh do we have a Christmas treat oh yeah on Christmas but not on a random Saturday because that's what great moms do no it's not uh this life that I'm teaching you to to eat this palette that I'm introducing you to will set the tone for what you want for life and as your mom this is my job so we have that conversation

and if people don't want to do that find somebody else there's lots of people that teach a halfway ketogenic diet this is ketones for life and when we do that we say all right we're going to start this uh the timer on the you're going to start it but it came after you shared the photo that your pantry was empty the carbs are out of your sphere of influence you've got your a few partners that are going to either try to do this with you and even if you fail and many do a f the

first few times they do not realize how addictive how much dopamine you get out of that surge of glucose that is that is showered with excessive insulin and then making that insulin resistance perpetuate and so as we look at how once all that is once I have the Right audience and these are the people that I really do want to say let me show you how to do this for good uh we walk them through and say 20 total grams of carbs per day not net carbs 20 total and uh I usually feed them a

couple of ideas for the first few days because people are a little wigged out you're going to get up in the morning you're going to have eggs with the actual yolk and you're going to cook it in some butter and you can have some sausage or bacon with it no toast no almond anything just bacon and eggs and eat them and then you can put some you know some uh salami or some hard hard salami in your uh snack for for lunch and you could have some cheese and again uh that's a little bit of

the the food that you can have for lunch other things we show them how to do and then for supper that night we want you to go to like a a Buffalo Wild Wings and have hot wings with blue cheese no beer and no breading and that and that kind of shows them there's some really great satisfying foods that are in your world you don't need to you know reinvent your life but they're out there they're high fat they're low protein or excuse me high fat low carb and medium protein and at the beginning all

we care about is that they don't have carbs in them we we push them to to Really embrace the fat because there is quite a fear that this is way too fatty and you'll often find that some people have been lowfat for so long that they have a sausage eggs that you know buffalo wings with blue cheese and then they get a bunch of fatty diarrhea because their gut's ability to absorb the fat is so out of shape but they just pooped it right out we're like just hang in there it'll go away you're going

to wake up your gut here in the next two or three days just keep eating and really what we find is to not limit their Foods at all we want them finding out what things on their palette taste good and because they've come from this low fat World they kind of forgot how great some of this food tastes and then they start to realize how much they really did like the processed carbs uh and that I think is the Journey of the long game um so step one is to mind be mindful and set that

mind frame up for what it looks like to do this and then as they step through those first three days um I know I have a workbook that I used to give to patients and now I say you don't need to see a doctor to do a ketogenic diet but it really prepares them day one this is going to happen day two this is going to happen day three on day four we talk about poop because if you're going to have the um the shift in your bowels where you didn't hear me talk about a

lot of vegetables on those first few days um most of the time they overeat the vegetables so much on those first few just because they're craving the carbohydrates that I really pushed them for this high fat um mostly carnivore plus eggs whatever that is in carnivore these days uh and and really ask them to just find what tastes good and if they are coming into the ketogenic diet like most people that the way your bowels have been moving for the better part of a decade is to stretch the colon and there are stretch receptors in

your colon that cause the peristalsis the contraction of that colon to move the stool along but if we don't have fiber your body has to use a different mechanism and it's built in you've got it there but it might be a little sleepy and that's where constipation shows up on that third day and fourth day and we say we have a fix here's what you do so I can walk you through that if you care but we can talk about that I want to talk about fat uh because you recommend for your patients sometimes to

have a butter only day I'm fascinated why oh it is the best experiment first of all so let's just place this the scene let's say you're a month and a half in you've done this ketogenic kept those lot carbs to less than 20 or less and now we have you you know we're done peeing on a peton strip we actually have you pricking your finger with with glucose and ketones and if we're fighting insulin resistance what's happened in that six weeks is you used to make five cups of insulin well now you're making four and

the first you know couple weeks of making four cups of insulin uh your cells were a little confused the ketones came to rescue them they delivered the energy you got through that and now your body is reset so now the sergeant of arms does not need to scream as loudly to get the job done there's still an excessive amount of insulin there to reverse that we got about a year and a half of timeline before that's gone but they get to this place where doc my my ketones used to be like 2.5 3 you know

three or four and now they're like 6.5 I can't get my ketones to rise and indeed it is a place where we said all right this is the real Crux about what happens with insulin resistance is I'm doing your ketogenic diet and I don't feel nearly as good as I did that first couple of weeks it's not working for me anymore and I'm like let's just do an experiment for the next day I want you to check your ketones and glucose three times a day for the next 3 days that's not normal we don't usually

make them prick that much but I want you to eat only butter today and then for breakfast tomorrow morning so 24 hours I want you to eat butter and by gosh when they eat just fat they eat just fat what's what happens is of course there's no carbs in that and the stimulus to produce insulin is now really so now they've got gone from four cups of insulin and now they produce three and the next thing that happens is this way their body is already in shape to make ketones so we don't have to wait

3 days like we did when they first start the ketogenic diet before their body is making ketones within 24 hours boy they have a ketone number of you know 2.4 and you know they're back in that level where the brain is flooded with a bunch of ketones their energy is good again and they're like oh so the answer is to eat butter the rest of my life I'm like not quite but this is a great teaching moment to say You're still making excessive insulin what the butter did was lower the insulin from wherever you were

to this new low and you could do that by first of all you were satiated you you felt good people think it's easy to eat butter and I'll tell you by the end of the first stick it's a little you're like oh God I don't another bite of butter ever again but what's happening is this excessive amount of fat that's going in keeps them from snitching or craving and it's it doesn't stimulate insulin and now you've got a lower insulin another wave of Ketone uh improvements and ketones in circulation be get more ketones so when

you do that surge like that um now you've got you've got a grace period of at least a week where they're going to have production of ketones better so they can tighten up there there's there's all kinds of little things we can do after the butter to keep them in the good Zone but that's why we do that I wanted to ask about ketosis and fasting because I think people they hear many different things they think what should I do what's more important ketosis or fasting oh that's a nice question um so I I I'm

going to start with the answer to someone who's never been on the ketogenic diet if they've never been on a ketogenic diet and they ask what's better fasting or being in ketosis I'm going to say ketosis every time uh the production of ketones really is this Fountain of Youth your body is repairing when those ketones are on the Rise um when you look at somebody who's coming into a fasted state or they're going to try to fast and they are not in ketosis they have this High insulin uh they're like pretty much 90% of the

planet uh insulin resistant and they are not a standard American diet whatever you want to call it the amount of time they have to fast to get to ketosis is like 72 hours and to ask somebody to fast that long first of all they're going to hate it I mean the the amount of chemistry shifts that people go through when uh when they stop eating and they are in a high insulin State uh it's a heck of a roller coaster IDE it's not fun uh so if they have never been in a state of ketosis

I would say go for it I you should be in ketosis but when I look at people who are on a ketogenic diet and they're trying to reverse their insulin resistance I remind them it took you a couple decades ades to get here and you kept inching that insulin up because of the persistent Behavior now as you are trying to inch it down it's going to Plateau the way you inch it down to the next level is to go long enough that you shift a chemistry you shift the chemistry like personally I fast every week

you know when my mom and I started that story in 2014 um i' had three babies and I worked way too hard and I was pudgy and I had all the problems I was trying to prevent from happening in my patients so I'd been insulin resistant for at least a decade that's thanks be to God for children that's what you need to have in order you got to be insulin resistant to carry babies so I'm happy that it happened but I didn't want it to be happening anymore and I really realized after I was in

a state of ketosis how easy it was to Plateau when you're just being a normal person um so it was only by adding fasting on a regular St regular time that I was able to take that insulin resistance down probably took me 60 years to reverse the insulin resistance and I at first was fasting intermittently like I would go 48 Hours here 48 hours there and I think it was 2017 when I just started doing it every week I would start uh fasting on my show I'd fast for 72 hours and I got that by

looking at what the data was that I really wanted to burst my growth hormone and I wanted to you know increase the carrine in my brain and you know do all the things that are very well documented with a state of fasting but only if the insulins down so you do not get those benefits of a surge of neopine phrine a surge of without that pred that that that premise that your chemistry set can produce the ketones that you can get past that cortisol level and and then burst the the growth hormone the neurop nephrine

you can't do that in a high insulin state so in those with insulin resistant if they're in a state of ketosis and then they add fasting and I would contend that they don't add fasting randomly they find a rhythm to it and you fast to a certain chemistry set you fast to an increased to a DR Boss ratio you know get reaching that level of of bursted metabolism gives you the first it gives you the ownership this is you know your body has rules they're not like your wives they're not like your kids you have

a different Journey so know what your journey is and don't reach for the the clock to measure how you're doing look at your metrics and it really does take out the confusion last question for you people love supplements you mentioned vitamin D I'll ask you about vitamin D but I'll first ask you about magnesium why is that important for the brain oh my goodness magnesium is important for every single cell but it's mostly that when you look at the the mineral that people have a consequence quence of when when we ring out that inflammation we

flush it out with a bunch of fluid so especially in a state of ketosis you don't have that excessive fluid around and what got washed away is the one that was right at the edge of normal anyway which was magnesium uh as magnesium um percolates back through the body not only is it helping an incredible number of enzymes do their job it's also helping muscles to contract brains to relax that that depth of sleep that um you know being a physician that studies brain repair I need them to get into the depth of sleep where

the dishwasher is washing off the brain and if you have low magnesium you will not get there you can't get there so having not only magnesium that's present in your circulation enough that you don't tip into the deficiency St State uh when you when you fast for 12 hours uh but also that you guarantee the depth of sleep every night which is where you're immune system reboosts it's where your brain repairs it's where your heart disease is prevented it's where the erectile dysfunction is prevented um uh and magnesium not only helps with all those enzymatic

things on the periphery of the brain but as you watch for depth of sleep magnesium levels are a huge predictor for whether they'll get to that dishwasher effect so vitamin D do you think that every person should take a vitamin D supplement if they are under 50 yes that's so again the 50 is really where um I I'm in I'm in the world of repairing brains and not not just that I want my brain to be at Peak Performance so the literature is very clear that if you want your brain to have this Peak Performance

to have this ability to to comp you know today's commodity is how well can you deal with you know stress change life differences you know setbacks and and even successes uh and that brain performance is related to how well you can make the proteins in inside your brain that are needed to function and that vitamin D is critical at at producing that so to me was you know the sneaky setbacks that you see patients suffer with after 25 years in medicine yes insulin resistant is one of those gnarly sneaky things that the patient did not

get the memo on that it was happening but the other one is mental health issues that they have the strong identity of who they are and what seeps into their their ecosphere is a brain that can not function like it used to because it isn't nurtured it isn't hasn't been sleeping well and it doesn't have the nutrients to actually build the the the neurotransmitters that we're asking them to use and vitamin D is a critical part of that so you know for many years I've said 50 is the number I don't want to be below

50 now I'm below 50 all the time I'm terrible at taking supplements but I keep reaching for it and um I have all kinds of new little tricks I keep trying to keep my vitamin D okay is there anything that is pertinent to your work that we didn't cover in this episode that you would like to discuss I think there there's one thing that I I think um I would say and I'll let you decide if it's pertinent to your audience but when I when I entered into medicine you know I chose to be an

internist because it was the kind of Doctor Who was really advanced in how they were answering questions and when my parents would ask me questions I didn't like the feeling of answering a little bit I loved going all the way to the bottom of the understanding here's what what the answer is and as you look at that job of Physicians to educate patients to to Really Bridge the understanding of what is wrong with you why is this happening and you shouldn't get the patient addicted to you in the process like oh you need my prescription

medication in order to feel better that's a bunch of Hoy that's not how the human body is supposed to work if we're really doing our job and as I transitioned into this you know Strange World of educating through a YouTube channel um my popularity of my clinic became overwhelming in fact it there were times where I was like I I can't I can't tell people I actually see patience cuz all that happens is the phone goes off the hook staff can't get their job done you know people call the Better Business because we didn't answer

the phone I'm like no I can't de I can't handle all of it and when I um so I recently moved to Florida uh I moved during the pandemic life happened and uh I moved from South Dakota where I'd been for 50 years and now I said I'm going to do my life here in Florida and when I did that there were some hiccups in how the federal government registers a medical clinic when the provider was moving and the paperwork looked like we were either doing something fraudulent or something went wrong and of course Washington

DC is shut down so the people to undo the paperwork we kind of absentee or that's what it felt like to us so the paperwork to start my clinic was super delayed here in Florida and I did something that I I know it was God helping me I I don't know that I would have had the courage to do this had I not been boxed in a corner what am I going to do I still have payroll to pay right is I've had this idea for a long time that patients when they would come to

see me for addiction didn't get better because of the prescription I wrote they didn't even get better because that the super great therapist walk them through their lifehood trauma no they got better based on how well they attended the support group and I have often said you know these chronic diseases they come to see me their Medicare will pay for them to see the doctor for chronic diseases once every 12 weeks for that chronic problem now you get 20 minutes of my time four times a year and you think that's enough interface for me to

help you get over this it it doesn't work I mean it's just not a formula for improving you and I said I think if we had a class where I showed them what I do with patients who have the most severe problems the seizure patient who needs a strict ketogenic diet the cancer patient like what my mom needed you need to stay the course Mom this is what you need and you can't do it alone I'll do it with you I said we're going to have a class that's live that where it's three weeks and

we may never do it again we are going to do what I do in the clinic uh over what would take probably two to three years to get done on a one toone basis but in a group setting we get done in 21 days and Arena I think it is the best medicine I've done in 25 years when patients join that class they show up with broken metabolisms and a minor understanding of what the ketogenic diet can do or does and 21 days later they have a support group that's been trained by us you all

know the rules now there's no arguing over the rules you got them answered completely by the time that course was over you own the group that's your problem and your J so that transfer of responsibility I think is very important in the health of people you need to take ownership of this not your medical team and when when we watch we're about to start our third year of this which will be our uh fifth class of this uh and the number of people that have been healed by um being in that support group and they

do it all on their own after class I mean I'm trying to get to the to the right side of Heaven someday and I swear to go the work we do in that class is the best work we've done that's wonderful I'm going to leave all the links for Dr BOS the support group the books because you have two books um any way that you can begin's guide to ketones for life and you also have uh how to stay consistent on a keto diet because that's also the other problem that you have to stay consistent

on a ketogenic lifestyle um so all the links are going to be in the show notes of the description of this video but Dr BOS thank you for this master class on insulin resistance ketosis and how to live an awesome life um if people want to find you apart from your support group where can they find you YouTube's the best place to land from there you'll you'll hear all the goodies that we do but thank you for uh highlighting the insulin resistance and I really just want to praise the work you do I've uh been

watching your show and it's just it's getting all the accolades it deserves because it is a great collection of speakers I'm honored to be part of this thank you for joining me on this episode with Dr Annette Bosworth if you're learning from and enjoying these episodes please hit the Subscribe button that is an excellent zeroc cost way to support this free health podcast if you have a question for me or a recommendation of a guest speaker please leave that in the YouTube comments as I check every single one you can also find me on other

social media accounts I'm on Instagram and on X formally known as Twitter under the name of five minute body I generally share different information to what you'll see here on YouTube I share health tips and advice that I hear from the best experts and finally if you love this episode you'll also enjoy another episode I did with Dr Georgia Eid Dr Eid is a 25-year Harvard psychiatrist and she's specifically interested in nutritional therapy pertaining to brain health Dr Eid asserts that you can reverse brain diseases like Alzheimer's and Dementia but also mood disorders like anxiety

and depression with diet and it comes down to eating saturated fat and increasing your cholesterol Dr ID will also talk about the Ro of different medications including statins and how they affect the brain as well as the role of spices particularly a certain spice and how that affects your brain finally thank you for your interest in root cause healing and I'll see you next week