Low Carb MD Podcast

Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Steven Reyes is an experienced clinician with many specialties including bariatric psychology, body image issues, substance dependence, mood disorders, and relationship issues. He is affiliated with multiple Centers of Excellence (COE) bariatric programs in southern California where he does pre-surgery psychological assessments, & facilitates pre-surgery educational classes. As an active member of the weight loss surgery community, he is passionately committed to helping people implement their own long-term behavioral change strategy. In this episode, Drs. Tro , Brian, and Steven talk about… (02:55) How Dr. Steven became interested in pursuing Bariatric Psychology as a career (04:31) Common denominators among those who, in Dr. Steven’s experience, seek out and/or would benefit from Bariatric Psychology (08:30) Challenges faced by those who have undergone bariatric surgery (18:22) The social/psychological aspects and complexities of obesity and poor metabolic health (23:02) Satiety, pop tarts, and food addiction (26:48) Indicators that a particular patient is not a good candidate for bariatric surgery (29:28) The acceptance rate of patients seeking bariatric surgery, problems with the incentive structure for bariatric surgery, and how the incentive structure might be fixed (39:42) GLP-1 and post-op weight regain (44:35) How to stay ahead of hunger and be prepared for those moments and circumstances where you will feel week to your cravings (54:09) How to help and be there for those in our lives who struggle with food addiction (56:03) How to help yourself psychologically and emotionally if you struggle with food addiction For more information, please see the links below. Thank you for listening! Links: Resources Mentioned in this Episode: New England Journal of Medicine Article on the “Spread of Obesity in a Large Social Network over 32 Years”:https://www.nejm.org/doi/full/10.1056/NEJMsa066082 ASMBS Study on the Top 6 Behaviors that Post-op Bariatric Surgery Patients Engage In: https://asmbs.org/wp-content/uploads/2020/12/Heinberg-Bariatric-Behavioral-Health-Post-Operative-Considerations.pdf Dr. Steven Reyes: Website: https://www.drstevenreyes.com Instagram: https://www.instagram.com/dr.stevenreyes/ Books: https://www.drstevenreyes.com/thebariatriccode The Selfcare Society: https://www.drstevenreyes.com/membershipsupport-1deb03be Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.  Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Mohammed Alo is a cardiologist based out of northwest Ohio. Dr. Alo grew up in Toledo, Ohio, attended St. John’s Jesuit High School and then went on to complete an Economics degree and graduated Magna Cum Laude from the University of Toledo. He worked in politics, business, computers, sales, and networking and then went to medical school in Chicago at Midwestern University’s Chicago College of Osteopathic Medicine. He has a passion for teaching and travels the country giving talks on various topics. Most of his lectures focus on teaching other physicians on various cardiology topics that span a wide gamut of topics from cardiology, to health and fitness, to diet and weight loss. Dr. Alo has countless research publications and articles in scientific, peer-reviewed journals. He’s had thousands of articles published in magazines in print and online. In this episode, Drs. Tro and Mohammed talk about… (01:29) Why Dr. Mohammed chose to go into medicine and become a doctor (05:10) What Drs. Tro and Mohammed agree about (11:32) The genetics of familial hypercholesterolemia patients, how these patients are treated, and the health complications they face (23:41) Lifelong lowering of lipids, atherosclerosis, preventing atherosclerosis, and when to consider using medication (33:04) CCT scans, LDL, and high LDL’s association with atherosclerosis (42:05) The power of zero study and coronary artery calcium in cardiac risk assessment (45:12) Tro’s LDL levels and atherosclerotic/cardiac event risk (59:09) The findings of the ACCORD trial which studied the effects of intensive glucose lowering in the management of patients with type 2 diabetes mellitus (01:08:22) Pros and cons of statins and other drugs (01:16:04) Smoking and endothelium destruction; diabetes and cardiovascular risk (01:20:50) Whether or not plaque can be reduced/reversed (01:24:20) Fish oil pills, Colchicine, and cardiac health (01:30:03) Summing up points of disagreement as well as common ground For more information, please see the links below. Thank you for listening!   Links:   Dr. Mohammed Alo: Website: https://mohammedalo.com/ YouTube: https://www.youtube.com/user/TheMohammedAlo Cholesterol TRUTHS (book): https://www.dralo.net/cholesterol   Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author   Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM   Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.    Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Andrew Koutnik Ph.D. is a scientist specializing in the role of nutrition, exercise, and stress on metabolic health across populations, from metabolic disease (diabetes) to elite performers. Dr. Koutnik has trained in top-laboratories and held research positions at the University of South Florida (USF) Morsani College of Medicine, the Institute for Human and Machine Cognition, and Sansum Diabetes Research Institute, with significant contributions to the field of nutrition, diabetes management, and human performance. Dr. Koutnik has also worked directly with elite athletes and performers (e.g., NHL; Military/Special Forces; C-Suite) translating science to the end-user. In this episode, Drs. Tro and Andrew talk about… (03:55) How Type 1 Diabetes provides great insight into metabolic health in general (08:58) The lack of ADA guidelines for people with Type 1 diabetes and why there are so few organizations putting out dietary guidelines for Type 1 diabetics (16:12) Why doctors in general have such a hard time helping/advising patients with Type 1 and the difficulties involved in changing the mindset that medical professionals bring to Type 1 management (22:01) The recently published IPTN Type 1 Guidelines—their impact on the community and how they came to be (29:35) The fact that it is not the doctors but patients and concerned parents who are leading the way in Type 1 management (37:02) Type 1 diabetes and mental/psychological health co-morbidities (53:41) Why low carb diets don’t have to feel restrictive in order to be healthy (57:11) Why you should never stop seeking to reclaim your health and how you can effectively/safely seek it For more information, please see the links below. Thank you for listening!   Links:   Dr. Andrew Koutnik: Website: https://andrewkoutnik.com/ X: https://x.com/AKoutnik Instagram: https://www.instagram.com/andrewkoutnikphd/ TedTalk (Rethinking Nutrition for Type-1 Diabetics): https://www.youtube.com/watch?v=eDfgulV_F6o IPTN Type 1 Guidlines: https://www.therapeuticnutrition.org/post/first-guide-for-carbohydrate-reduction-in-type-1-diabetes Type 1 Grit: https://www.facebook.com/Type1Grit/ Dr. Bernstein’s book: https://www.amazon.com/Dr-Bernsteins-Diabetes-Solution-Achieving/dp/0316182699   Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author   Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/ SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM   Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.    Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/ 

Thank you for joining us for another episode of the Low Carb MD Podcast. Beth McNally, MS, MA, CNS®, LDN, CKNS®, is the co-founder, along with her husband, Matt, of T1D Nutrition—a company providing the support and education that people with T1D need in order to thrive. She has earned a Masters in Science in Nutrition & Integrative Health from Maryland University of Integrative Health and another Masters in Public Policy from the University of Sydney. After here son was diagnosed with T1D in 2015 she and her husband began researching like crazy in order to learn how to prevent the long and short term risks of the disease. They came to realize that one of the best ways to reduce diabetes complications is to keep blood sugar levels as close to normal as possible. This led them to adopt an approach to T1D care for their son that would revolutionize his life and theirs—Therapeutic Carbohydrate Reduction. In this episode, Dr. Tro and Beth talk about… (05:42) Beth’s son’s T1D diagnosis and how she discovered the power of the low carb diet for people with T1D (09:37) Beth’s experience of walking the tightrope of caring for her recently T1D diagnosed son and the obstacles she faced right away (21:37) Why every T1D person should be aware of Therapeutic Carb Reduction (25:03) How Beth’s journey, beginning with her son’s diagnosis in 2015, led her to eventually publishing two of the most important documents in the history of T1D literature (33:47) How we can drastically impact health in North America simply by changing the food landscape back to eating real food (41:06) How the IPTN Type 1 Guidlines and SMHP Position Statement can help impact health of T1D people everywhere (44:45) The unacceptable performance of the ADA in preventing diabetes For more information, please see the links below. Thank you for listening!   Links:   Beth McNally: X: https://twitter.com/T1DNutritionLC Facebook: https://www.facebook.com/t1dnutrition/ Instagram: https://www.instagram.com/t1d.lowcarb.nutrition YouTube: https://www.youtube.com/@t1dnutrition T1D Nutrition: https://www.t1dnutrition.com IPTN Type 1 Guidlines: https://www.therapeuticnutrition.org/post/first-guide-for-carbohydrate-reduction-in-type-1-diabetes SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM   Dr. Brian Lenzkes:  Website: https://arizonametabolichealth.com/ Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author   Dr. Tro Kalayjian:  Website: https://www.doctortro.com/ Twitter: https://twitter.com/DoctorTro Instagram: https://www.instagram.com/doctortro/   Toward Health App Join a growing community of individuals who are improving their metabolic health; together.  Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.    Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888  Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US Learn more: https://doctortro.com/community/