I lowered my A1c from 6.1 (prediabetic) to 5.2 (normal) in 2.5 months by going low carb (30-60 gr day), LCHF (natural fats and meats). Lots of non-starchy veggies, limited starchy veggies, and 1/2 berries a day (Not blackberries). This was a relief after seeing the chart showing how heart disease risk rises in the prediabetic stage. Very please with myself. Thanks for the hard work, Dr. Sikaris.
@mikeycbd
5 жыл бұрын
As a 13 x marathon runner since 2008 and a personal best of sub 3:30 the one thing I never said no to was sugar... because I thought I was burning it up.... even my GP thought that a few weeks ago. It took a heart attack December 18 to realise... stop eating the sugar. I'm surprised millions of people have not seen this video. I've now given up sugar, my weight is coming down as i restart my running. Thank you #Ken #Sikaris
@lesleyfromdecolish5807
7 жыл бұрын
What a fantastic video. My GP is trying to tell me my lipids are all over the shop. Don't think he's ever seen anyone who has been low carb for five years. This has reassured me that I'm right and he is wrong. My triglycerides are 1.0.
@totaletransformation9440
6 жыл бұрын
Interesting, now, 4 years later, Sikaris contradicts what he said in 2014. As you can see in this 2017 video here, at minute 24, kzitem.info/news/bejne/k6Zj05-Yh6elqYY he returns to an old school risk predictor, TC/HDL. Not only that. He uses the predictor cardiologists usually use, but promotes a hazard ratio as low as 2.5. Cardiologist establishment uses 4.0. With this bold move he basically is putting most of the Keto world above the hazard ratio. Ivor Cummins for example promoted TRG/HDL as risk predictor and his TC/HDL ratio was 3.5 in one of his videos. Which is a pretty normal lowcarb number. I am wondering myself how my lipid profile turned from excellent (TRG 81 mg/dl) and HDL at 69, which makes a TRG/HDL ratio of 1.17 to hazardous TC/HDL 3.3 when using the now promoted TC/HDL. Using one and the same lipid profile my sdLDL risk went from excellent to hazardous just by watching two different Sikaris videos. Should I now take statins... as recommend in his 2017 video to reduce sdLDL... LOL. He basically is contradicting himself in just one video, that of 2017. Because he still references the inverse relationship of TRG and sdLDL, but names now TC/HDL as the most meaningful risk predictor. I know a lot of Keto people, myself (I was keto, stopped after my lipid profile was even worse than compared to when I was severely obese and vegan) included, who have excellent risk predictions according to TRG, but hazardous when looking for TC/HDL, like he recommends in 2017. In 2014 he promotes to only look at TRG, in 2017 he tells you that TRG is not reliable and that you have to look at the ratio old school cardiologists look since decades. But he does not stop there. He names a hazard ratio of 2.5. Oldschool cardiologists use 4.0. He does that after recommending high fat lowcarb to everyone. Eating like that will always raise your TC and your LDL. But your HDL won't raise as easily to the numbers needed to get below the TC/HDL ratio of 2.5. The example patients he uses to justify his new best risk prediction method are out of this world: HDL hyper responders.
@petardotlic2670
4 жыл бұрын
Professor shifted away from TG because they can be unstable, i.e. hard to measure reliably. The TC/HDL value of 2.5 is a measure of hazard, as in strength of TC/HDL as a predictor of CVD or sdLDL in comparison with other predictors, it is NOT a ratio between TC and HDL. I assume the TC/HDL limit of 4 or 4.5 still applies.
@pi.314
Жыл бұрын
This hazard-ratio is NOT the threshhold for the TC/HDL ratio. (As you see a hazard-ratio is also given for HDL or TG, which are no ratios at all) It is a statistical value, which says, how the risk inreases, when the given treatment variable changes. An hazard-ratio of 1 (here for TC) means that this a useless predictor. (No statistic significant changes at all) The higher a hazard-ratio is, the more increases the risk, when the value changes. (In this study per one-standard deviation increment)
@georgeelgin3903
Жыл бұрын
it is not high TCs at any moment that -> heart disease ... it is their integration over time. Plaque formation is like crystal growth you can't totally prevent cracking, but it accelerates non linearly over time. a key moment in the earlier video when he says the particle size test (nmr) a waste of $5o since smaller size prevents reuptake in the liver
@NickWestgate
8 жыл бұрын
Such a great talk, I keep coming back to refer to it. Please write a book, or at least a pamphlet. : - ) And there was a funny blooper when Ken says Low Carb High Fructose, but the audience didn't catch it. ; - )
@doctorhedgcock
7 жыл бұрын
Yes saw that but we will forgive him!!
@georgeelgin3903
Жыл бұрын
oh i caught it but then again i had transcripts on
@thehealthychefri
4 жыл бұрын
Nice presentation. 70% of my nutrition is complex carbohydrates! Let me say that again, (complex carbohydrates) Carbohydrates are thrown around too loosely!! I'm 49/195/8% BF! My triglycerides in mmol/l are 0.7774! LDL/3.103/. Bear with me I'm from America and trying to convert the mmo/l to MG. My hA1C is 4.2 in mg. All my inflammation markers are amazing. Why? I add zero added sugars and very little fats. It's the combination of fats, mainly seed oils and simple carbohydrates. I'm so insulin sensitive it offensive! Why? I do very heavy resistance train mainly through my legs! And sprints! Muscle metabolizes body fat! The more muscle you have the more insulin sensitive! On a side note my small particles are non existent. Lift weights! One last thing, calcium score (ZERO)!
@hikerJohn
4 жыл бұрын
But how old are you. My profile was great when I was younger but i'm 65 now and struggling . . . It's harder to be insulin sensitive at 65 even if you're lean.
@annhill3375
4 жыл бұрын
Congratulations and great advice about weight lifting,
@thehealthychefri
3 жыл бұрын
@@hikerJohn I'm 50! Lift weights, the more muscle you have the more insulin sensitive you become! Muscle is the biggest reservoir for glucose to be burned! Check your testosterone levels, if low get on therapy!
@thehealthychefri
3 жыл бұрын
@@annhill3375 Thanks, sounds like you lift weights!
@oldude979
Жыл бұрын
@@hikerJohn at the time he wrote this he was 49
@hikerJohn
4 жыл бұрын
Going keto (almost carnivore) has improved my profile by lowering Trigs and raising HDL but after a full year I'm still out of range. My Chol/HDL Ratio was 9.2 but now is 5.2 which is too high and my Trigs are 80 (down from 180). Still have a LOT of small dense LDL. All this talk is doing is teaching me I'm not there yet but it's not telling me how to get there when LCHF is only getting me half way there.
@petardotlic2670
4 жыл бұрын
You went too far with carnivore. You need more plant fats, e.g. avocado and nuts, that will increase your HDL, which is your key issue. Further reduction in TG can be achieved with HIIT and ACV 20 minutes before meals.
@oldude979
Жыл бұрын
I'm confused. The most important ratio is Trig/HDL not Chol/HDL. And converting your trig 80 mg/dl = 0.9 mmo/l which the doctor said indicates less small dense LDL
@georgeelgin3903
Жыл бұрын
@@oldude979 i assume she mean't total cholesterol so as per dr sarkis she;s only 20 yrs out of date ! i'd be ok w/.8 !!
@georgeelgin3903
Жыл бұрын
there is a genetic factor Lp(a)
@takatsu5
8 жыл бұрын
I like the numbers side of this video. Thanks!
@xnostalgiax
5 ай бұрын
This is the best video I've ever seen on cholesterol test results. I've learned how to interpret my test results and how to talk to any doctor about why high LDL isn't an immediate reason to put someone on statins. I've been doing a LCHF diet and my doctor doesn't like my 4.2 mmol/l LDL (telling me to get under 1.8) but my triglycerides are great.
@georgeelgin3903
Жыл бұрын
The clarity here was amazing. Perhaps i misread, but the c-peptide slide lead me to think for someone beyond prediabetes (me) the c-peptide is meaningless.
@VASI_LIKI
8 жыл бұрын
I am from Melbourne Australia and want to find a good Doctor who treats Type 1 diabetes with this method.
@bigbenhebdomadarius6252
7 жыл бұрын
VASILIKI I hope you found such a doctor, but if you haven't, you might try Googling Dr. Troy Stapleton, a radiologist who developed Type I a few years ago, at the age of 41. His talks at Low Carb Down Under contain a lot of advice on eating LCHF to help regulate Type I diabetes.
@munihousen123
2 жыл бұрын
I appreicate the breakdown of how VLDL exports its TG load into forms. Very clear. Great Presentation, thank you.
@grantw7946
3 жыл бұрын
Think Podcast needs to be reposted. It's soooooo Valuable!!!!!
@petercyr3508
3 жыл бұрын
Odd he doesnt talk about all the glucose made by the liver.
@andreasb.769
9 жыл бұрын
Probably the best talk Dr. Sikaris has given on Low Carb Down Under. Thank you! Also, you need to watch your protein intake: excess protein gets converted into glucose by the liver (Gluconeogenesis), hence depending on amount ingested ... insulin spike.
@VASI_LIKI
8 жыл бұрын
Do you have a diet protocol that helps you to monitor this?
@andreasb.769
8 жыл бұрын
Not sure what you mean by a diet "protocol", but on a Ketogenic diet which is advocated on the talks and lectures on Low Carb Down Under your cholesterol tests will prove that sugar and excess of carbohydrates increase your Triglycerides and lower your HDL. Based on nutritional regimes for performance sports, an athlete ought to consume about 1.5 - 2 gr. of protein per Kg of body weight, and an average sedentary life-style person about 0.5 - 0.8 gr per Kg of body weight. Also a rough rule of thumb is that on average you don't really need to consume more meat for protein than the size and thickness of the palm of your hand (without the fingers!) per day, if you enjoy a whole food diet which means no processed foods and a wide variety of healthy foods: i.e. eggs, free range organic pasture raised meat and/or organs (liver being amongst the richest) or wild caught fish (the fat ones being the best: sardines, herring, mackerel, tuna, anchovies, Alaskan salmon as opposed to aquaculture raised one), good cheese mature and hard and/or unpasteurized fermented ones, an abundance and variety of dark green leafy veggies, raw organic butter, sauerkraut, full fat yogurt and other ferments which are excellent for the digestive system, and of course a wide variety of nuts and seeds ... while paying attention to their Omega 6 content in relation to Omega 3 (1:1 or better 1:2 ratio). I hope this helps a bit, while I think a few books could be of great benefit, such as: John Yudkin, "Pure White and Deadly" Mary Enig, "Know your Fats" Michael & Mary Eades, "Protein Power" Sally Fallon and Mary Enig, "Nourishing Traditions" Jeff Volek and Stephen Phinney, "The Art and Science of Low Carbohydrate Living" and If you are an athlete or sports enthusiast, Jeff Volek and Stephen Phinney, "The Art and Science of Low Carbohydrate Performance" Obviously every body is different, based on life-style and genetics ... one needs to find out through trial and error what works best for oneself. As Hippocrates already knew, "Let food be thy medicine ...".
@John--nj4lp
3 жыл бұрын
I’ve just found out that I’ve been looking for this guy for 5 years , his talks are great!
@ECHutchinson
9 жыл бұрын
Forgotten just how good this talk is.
@stuwhite2337
3 жыл бұрын
Interesting. When I ate lots of carbs my Trigs were 1 or less. On LCHF and in ketosis Trigs went up to 1.48.
@jerseyjim9092
3 жыл бұрын
An oldie but goodie.
@JesusSaves7012
3 жыл бұрын
9-21
@natashawiebe8351
5 жыл бұрын
SIBO also causes a fatty liver without increasing your triglycerides
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