The emerging field of metabolic psychiatry is demonstrating that many patients may be able to effectively treat serious psychiatric conditions, like bipolar disorder, major depression and schizophrenia, with ketogenic therapy. However, some individuals object to a medical keto diet claiming that the brain needs carbs. Ketogenic diets usually do, in fact, include some dietary carbs, but even if they didn’t, this is a false assertion.
Some clinicians and the American Diabetes Association may make this false declaration because they are confusing carbs with glucose. The brain does require glucose (synonymous with blood sugar). While glucose can come from dietary carbs, it can also be produced from fat and protein through a process called gluconeogenesis. In this video, Dr. Bret Scher dives into the details, as well as explaining why research related to dietary interventions can be misinterpreted, and can even become a source of confusing misinformation when taken out of context.
Here are links to some of the key studies about brain metabolism and ketones
Brain metabolism during fasting
pubmed.ncbi.nlm.nih.gov/6061736/
Inverse relationship between brain glucose and ketone metabolism in adults during short-term moderate dietary ketosis: A dual tracer quantitative positron emission tomography study
pubmed.ncbi.nlm.nih.gov/27629...
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at metabolicmind.org/
About us:
Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
Timestamps:
0:00 Introduction
1:02 Can a keto diet include carbs?
2:13 The brain needs glucose
3:23 Why do people think we need to eat carbs?
5:14 Conclusion
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