
42. Viability of a Plant-Based Keto Diet & Patient Centered Medicine | Carrie Diulus MD
Explicit content warning
07/09/18 • 78 min
This is a VERY loaded podcast in which we talk about combining minimally invasive surgical and medical care with nutrition to Carrie's journey with Type 1 Diabetes and her decision to pursue a plant-based ketogenic diet and then discuss the viability of plant based diets when it comes to achieving dietary and therapeutic goals.
Bio: Dr. Carrie Diulus is one of just a handful of board certified female orthopedic spine surgeons in the United States. She practices “patient-centered” medicine rather than the traditional “disease-centered” model. She starts by identifying all of the factors that influence a patient’s health. This understanding is then combined with state-of-the-art minimally invasive surgical and medical care including complementary and nutritional approaches to develop an individualized program for each patient’s unique needs.
S̶h̶e̶ ̶p̶o̶s̶s̶e̶s̶s̶e̶s̶ ̶s̶u̶p̶e̶r̶h̶u̶m̶a̶n̶ ̶s̶t̶r̶e̶n̶g̶t̶h̶,̶ ̶e̶n̶d̶u̶r̶a̶n̶c̶e̶,̶ ̶s̶t̶a̶m̶i̶n̶a̶,̶ ̶f̶l̶i̶g̶h̶t̶ ̶u̶p̶ ̶t̶o̶ ̶s̶i̶x̶ ̶t̶i̶m̶e̶s̶ ̶t̶h̶e̶ ̶s̶p̶e̶e̶d̶ ̶o̶f̶ ̶s̶o̶u̶n̶d̶,̶ ̶p̶h̶y̶s̶i̶c̶a̶l̶ ̶d̶u̶r̶a̶b̶i̶l̶i̶t̶y̶,̶ ̶a̶ ̶s̶i̶x̶t̶h̶ ̶s̶e̶n̶s̶e̶ ̶a̶n̶d̶ ̶i̶s̶ ̶r̶e̶s̶i̶s̶t̶a̶n̶t̶ ̶t̶o̶ ̶m̶o̶s̶t̶ ̶t̶o̶x̶i̶n̶s̶ ̶a̶n̶d̶ ̶p̶o̶i̶s̶o̶n̶s̶.̶ ̶I̶n̶ ̶h̶e̶r̶ ̶B̶i̶n̶a̶r̶y̶ ̶f̶o̶r̶m̶,̶ ̶s̶h̶e̶ ̶c̶a̶n̶ ̶a̶b̶s̶o̶r̶b̶ ̶e̶n̶e̶r̶g̶y̶ ̶a̶n̶d̶ ̶f̶i̶r̶e̶ ̶p̶h̶o̶t̶o̶n̶i̶c̶ ̶p̶r̶o̶j̶e̶c̶t̶i̶l̶e̶s̶ ̶w̶h̶i̶l̶e̶ ̶b̶e̶i̶n̶g̶ ̶a̶b̶l̶e̶ ̶t̶o̶ ̶s̶u̶r̶v̶i̶v̶e̶ ̶t̶h̶e̶ ̶v̶a̶c̶u̶u̶m̶ ̶o̶f̶ ̶s̶p̶a̶c̶e̶.̶
Time Stamps:
0:16 – “Energy Pod Wars”
7:22 – Why did you become an orthopedic spine surgeon?
10:05 – How do you reduce the invasiveness of a surgery?
13:06 – What does “inflammation” actually mean and its connection with ketosis?
15:52 – Is there a connection between ketogenic diet and wound healing?
17:39 – How do you compose a ketogenic diet for your goals?
21:24 – How do you maintain adherence to a diet?
25:53 – What exactly is insulin resistance in your perspective?
30:17 – How did you become a Type 1 diabetic and your journey with it?
33.55 – Challenges with protein intake and working with plant based proteins
42:23 – Breaking dogma, adaptability and finding solutions that work for an individual
44:35 – Bioavailability of plants and the paradox of “fruitarians”
45:57 – How different dietary components can impact health
51:02 – The importance of stable fatty acids in foods
52:12 - Should I be worried of plant toxins such as lectins and oxalates?
58:04 – What is your workout and physical routines like?
1:05:42 – Vegan Keto vs. Omnivore Keto
1:08:19 – Important things to know before going Vegan Keto
1:10:15 – Concerns with many of the Keto food products
Guest Links:
- Website: http://www.drcarriediulus.com/
- Instagram: @ carriediulusmd
- Facebook Page: / carriediulusmd
- Twitter: @ cadiulus
Ketogeek Links:
- Shop Energy Pods Amazon: https://www.amazon.com/Ketogeek-Chocolate-Energy-Organic-Vanilla/dp/B07B88S36J
- Ketogeek Ghee on Amazon: https://www.amazon.com/dp/B07B29HM3D
- Ketogeek Merchandise, Ghee & Energy Pods: https://ketogeek.com/collections
- Ketogeek Newsletter: https://ketogeek.com/pages/sign-up
- Shop Energy Pods: https://ketogeek.com/collections/energy-pods
- Wholesale: https://ketogeek.com/pages/wholesale
This is a VERY loaded podcast in which we talk about combining minimally invasive surgical and medical care with nutrition to Carrie's journey with Type 1 Diabetes and her decision to pursue a plant-based ketogenic diet and then discuss the viability of plant based diets when it comes to achieving dietary and therapeutic goals.
Bio: Dr. Carrie Diulus is one of just a handful of board certified female orthopedic spine surgeons in the United States. She practices “patient-centered” medicine rather than the traditional “disease-centered” model. She starts by identifying all of the factors that influence a patient’s health. This understanding is then combined with state-of-the-art minimally invasive surgical and medical care including complementary and nutritional approaches to develop an individualized program for each patient’s unique needs.
S̶h̶e̶ ̶p̶o̶s̶s̶e̶s̶s̶e̶s̶ ̶s̶u̶p̶e̶r̶h̶u̶m̶a̶n̶ ̶s̶t̶r̶e̶n̶g̶t̶h̶,̶ ̶e̶n̶d̶u̶r̶a̶n̶c̶e̶,̶ ̶s̶t̶a̶m̶i̶n̶a̶,̶ ̶f̶l̶i̶g̶h̶t̶ ̶u̶p̶ ̶t̶o̶ ̶s̶i̶x̶ ̶t̶i̶m̶e̶s̶ ̶t̶h̶e̶ ̶s̶p̶e̶e̶d̶ ̶o̶f̶ ̶s̶o̶u̶n̶d̶,̶ ̶p̶h̶y̶s̶i̶c̶a̶l̶ ̶d̶u̶r̶a̶b̶i̶l̶i̶t̶y̶,̶ ̶a̶ ̶s̶i̶x̶t̶h̶ ̶s̶e̶n̶s̶e̶ ̶a̶n̶d̶ ̶i̶s̶ ̶r̶e̶s̶i̶s̶t̶a̶n̶t̶ ̶t̶o̶ ̶m̶o̶s̶t̶ ̶t̶o̶x̶i̶n̶s̶ ̶a̶n̶d̶ ̶p̶o̶i̶s̶o̶n̶s̶.̶ ̶I̶n̶ ̶h̶e̶r̶ ̶B̶i̶n̶a̶r̶y̶ ̶f̶o̶r̶m̶,̶ ̶s̶h̶e̶ ̶c̶a̶n̶ ̶a̶b̶s̶o̶r̶b̶ ̶e̶n̶e̶r̶g̶y̶ ̶a̶n̶d̶ ̶f̶i̶r̶e̶ ̶p̶h̶o̶t̶o̶n̶i̶c̶ ̶p̶r̶o̶j̶e̶c̶t̶i̶l̶e̶s̶ ̶w̶h̶i̶l̶e̶ ̶b̶e̶i̶n̶g̶ ̶a̶b̶l̶e̶ ̶t̶o̶ ̶s̶u̶r̶v̶i̶v̶e̶ ̶t̶h̶e̶ ̶v̶a̶c̶u̶u̶m̶ ̶o̶f̶ ̶s̶p̶a̶c̶e̶.̶
Time Stamps:
0:16 – “Energy Pod Wars”
7:22 – Why did you become an orthopedic spine surgeon?
10:05 – How do you reduce the invasiveness of a surgery?
13:06 – What does “inflammation” actually mean and its connection with ketosis?
15:52 – Is there a connection between ketogenic diet and wound healing?
17:39 – How do you compose a ketogenic diet for your goals?
21:24 – How do you maintain adherence to a diet?
25:53 – What exactly is insulin resistance in your perspective?
30:17 – How did you become a Type 1 diabetic and your journey with it?
33.55 – Challenges with protein intake and working with plant based proteins
42:23 – Breaking dogma, adaptability and finding solutions that work for an individual
44:35 – Bioavailability of plants and the paradox of “fruitarians”
45:57 – How different dietary components can impact health
51:02 – The importance of stable fatty acids in foods
52:12 - Should I be worried of plant toxins such as lectins and oxalates?
58:04 – What is your workout and physical routines like?
1:05:42 – Vegan Keto vs. Omnivore Keto
1:08:19 – Important things to know before going Vegan Keto
1:10:15 – Concerns with many of the Keto food products
Guest Links:
- Website: http://www.drcarriediulus.com/
- Instagram: @ carriediulusmd
- Facebook Page: / carriediulusmd
- Twitter: @ cadiulus
Ketogeek Links:
- Shop Energy Pods Amazon: https://www.amazon.com/Ketogeek-Chocolate-Energy-Organic-Vanilla/dp/B07B88S36J
- Ketogeek Ghee on Amazon: https://www.amazon.com/dp/B07B29HM3D
- Ketogeek Merchandise, Ghee & Energy Pods: https://ketogeek.com/collections
- Ketogeek Newsletter: https://ketogeek.com/pages/sign-up
- Shop Energy Pods: https://ketogeek.com/collections/energy-pods
- Wholesale: https://ketogeek.com/pages/wholesale
Previous Episode

41. What is Silvopasture & How It Uses Trees & Animals to Regenerate Farmland & Sequester Carbon | Steve Gabriel
It's important to ask where our food is coming from and how it impacts the environment around us. Silvopasture is an innovative and growing farming practice that uses woodland and domesticated animals to create a regenerative farming system that has one of the highest carbon capture rate and promotes nutrient cycling.
Bio: Steve Gabriel is an ecologist, forest farmer, and educator living in the Finger Lakes Region of New York State. He passionately pursues work that re-connects people to the forested landscape and supports them to grow their skills in forest stewardship. He is Agroforestry Extension Specialist for the Cornell Small Farm Program and co-owns Wellspring Forest Farm & School with his wife Elizabeth, where they produce mushrooms, maple syrup, duck eggs, pastured lamb, and elderberry extract, all from forest-based systems. The school hosts several educational programs each season with the goal of increasing people's understanding of healthy forests and how they can play a critical role in their stewardship.
Time Stamps:
6:37 – How did you get into farming & agriculture?
9:35 – How did you learn about Silvopastures?
12:41- When did humans get into monocropping?
15:38 – What are “Silvopastures”?
17:22 – How do you bring back nutrients into food through regenerative farming?
22:31 – Can a family sustain purely off of farming alone?
23:55 – Why Silvopastures have one of the highest carbon capture among all farming practices
26:07 – What kind of animals work best for silvopastures?
29:00 – How can trees and animals help each other?
30:53 – What kind of trees can you use for Silvopastures?
34:00 – Is this form of farming growing?
36:20 – How do I get started on Silvopastures?
37:41 – What are some of the biggest issues in farming and agriculture these days?
40:07 – How negative farming practices can lead to negative health consequences
45:22 – How can you become a smart consumer when it comes to picking food?
48:23 – Why understanding where your food comes from is very important
51:10 – Challenges for new farms and farmers?
52:16 – Is there a shortage of farmers?
54:32 – Tools that can be connect consumers with farmers?
57:07 – New farming innovations and paradigm shifts
59:59 – Final
Links:
- Shop Energy Pods Amazon: https://www.amazon.com/Ketogeek-Chocolate-Energy-Organic-Vanilla/dp/B07B88S36J
- Ketogeek Ghee on Amazon: https://www.amazon.com/dp/B07B29HM3D
- Ketogeek Merchandise, Ghee & Energy Pods: https://ketogeek.com/collections
- Ketogeek Newsletter: https://ketogeek.com/pages/sign-up
- Shop Energy Pods: https://ketogeek.com/collections/energy-pods
- Wholesale: https://ketogeek.com/pages/wholesale
- Low Carb USA: https://www.lowcarbusa.org/low-carb-events/san-diego-2018/
- Pecan Coconut: https://ketogeek.com/collections/energy-pods/products/pecan-coconut-energy-pods
Guest Links:
Website: www.WellspringForestFarm.com
Silvopasture Book Website: http://silvopasturebook.com/
Farming the Woods Book: Shop Amazon Here
Silvopasture Book: Shop Amazon Here
Next Episode

43. Science of Obesity & Why Carbohydrate-Insulin Model of Obesity is Wrong | Stephan Guyenet, PhD
Obesity is a complicated problem and the solution may lie in a multi-prong approach. We look at what the science tells us about obesity, how various properties of foods can impact consumption, discuss the Carbohydrate Insulin Hypothesis and understand how the brain and body responds to an obesogenic environment.
Bio:
Stephan J. Guyenet, PhD is a former neuroscience and obesity researcher and author of the book The Hungry Brain: Outsmarting the Instincts That Make Us Overeat, which was named one of the best books of 2017 by Publishers Weekly. His research has been cited more than 2,000 times by his scientific peers. His writing and speaking focus on the brain circuits that regulate eating behavior and body fatness, and how we can work with them to sustainably manage our waistlines.
Time Stamps:
12:45 – Stephan’s journey into neuroscience and obesity research
16:06 – What caused obesity in humans?
20:22 – The connection between smoking and obesity?
22:32 – Why does every new diet trend such as paleo fail to reverse obesity crisis?
30:31 – Why focusing purely on taste and flavor to gauge food could be obesogenic.
36:36 – Why pure sugar, pure fat and pure sugar/fat are difficult to consume but in the right combination can be addictive and be overconsumed?
45:49 – How sensory variety could lead to overconsumption
48:40 – NUSI study and why Carbohydrate Insulin Hypothesis probably isn’t the sole driver of obesity
59:39 – Can eating fat raise insulin over time?
1:04:04 – How the food industry is incentivized to create obesogenic foods
1:08:11 – What drives cravings?
1:10:45 – Is short term overconsumption a good predictor of long term overconsumption?
1:14:04 – Does sugar addiction exist?
1:17:20 – Understanding what kind of animal studies are relevant and which aren’t
1:21:03 – What kind of research would you like to see?
Stephan Guyenet Links:
- Book: "The Hungry Brain" by Stephan Guyenet (Recommended!)
- Website: http://www.stephanguyenet.com
- Twitter: https://twitter.com/whsource
Ketogeek Link:
- Shop Energy Pods Amazon: https://www.amazon.com/Ketogeek-Chocolate-Energy-Organic-Vanilla/dp/B07B88S36J
- Ketogeek Ghee on Amazon: https://www.amazon.com/dp/B07B29HM3D
- Ketogeek Merchandise, Ghee & Energy Pods: https://ketogeek.com/collections
- Ketogeek Newsletter: https://ketogeek.com/pages/sign-up
- Shop Energy Pods: https://ketogeek.com/collections/energy-pods
- Wholesale: https://ketogeek.com/pages/wholesale
Citations:
NUSI-Hall Study: https://academic.oup.com/ajcn/article/104/2/324/4564649
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