Dr. Robert Lustig says most people fail at keto by sneaking carbs back in, which restarts insulin release and kills ketosis. Success requires obsessive carb tracking and ketone testing. Done right, he uses it clinically for severe insulin resistance.
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Bulletproof radio, a state of high performance, to be honest with you. You can do keto wrong also? Oh, most people do. Very, very straightforward. That's been my biggest concern. After two months, most people who think they're on a keto diet are not on a keto diet, because if you check their ketones, they're gone. And the reason is because carbohydrate has entered into their diet surreptitiously without their knowledge, and the insulin response from that carbohydrate has shut down ketogenesis so that it's not even there. And the worst diet you can be on is a keto diet gone wrong, because what that really is is a high fat, high insulin, medium carbohydrate diet. And that is basically the processed food diet. So if you're going to do a keto diet, you have to monitor, you have to know what you're doing and you have to really be religious about it and fastidious. You have to be almost obsessive about it. Now, does it work? Yeah, absolutely, it works. And I used it in clinic all the time, so I am not against the ketogenic diet. I'm for is the best way to deal with the worst insulin resistance in the toughest patients. And when you use it, it will work. The point is that it's not something you do haphazardly, it's not something you do in the field without help.