Rash after beginning Keto
Could taking MCT oil cause a Rash? Hello Dr. Attia. I started a completely Ketogenic diet 2 weeks ago. 2 days ago, I added MCT oil to my diet. Two things happened yesterday evening: 1: I didn't have food cravings. 2: I broke out in a skin rash in the places I sweat. I took a look at the MCT oil bottle, and it appeared to be the same as coconut oil, which I've been eating for years, but never in the MCT form, and never that much. (20 ish grams). I'm going to see a personal Dr. and will share his insight. Before going on a strict keto diet, my diet was 25% carb, 35% fat 40% protein, but was mostly whole foods. Now it's 60% fat 35% protein and 5% carbs. So it is a big change. I'm not allergic to any foods that I am aware of. New topic, Probably unrelated to the rash, but I noticed a question from another member about Lamictal. I'm on it and would like to know about any studies involving Lamictal and ketosis. I have a hard time getting into ketosis. I always have to exercise, regardless of my carb intake.
Hypertension at age 35
Peter, I have only recently been able to listen to your podcast with Dr. Allan Sniderman. If I understood him correctly, 95% of people who have high blood pressure at age 35 won’t have substantial improvement as they age. Is that because 95% of people are unlikely to change their habits that got them hypertensive to begin with, or once hypertension is a problem, it stays a problem regardless of a patient’s individual lifestyle changes? I understand this is a multi-factorial issue and this is a necessarily simplified question, but I would really like your input on this, if possible.
Conflicting views on longevity
Can you discussion your view and David Sinclairs view on mTOR, longevity and eating meat. David has said the data are clear that minimizing meat eating is clear benefit in longevity. So he is moving to a vegetarian nutrition plan. With your freezers full of elk Tetris you clearly don’t. Help us mere mortals reconcile the differences
Reversing metabolic disease when mobility is an issue
Hi Peter, love the podcast and all the information you provide. You've talked about Zone 2 exercise as the best way to reverse metabolic disease. What would be the next best way for someone who's unable to exercise very much, either due to a long-term injury or mobility issues? I have myopathy and I'm recovering from a spine injury. I've had severe mobility problems for over a year (mild mobility issues for much longer), and it's not clear to me if these issues will ever be fully resolved. I do a lot of physical therapy and mild exercise, none of which gets me into zone 2 for very long, and my muscles fatigue very quickly from myopathy. I also have trouble with fasting because of myopathy (muscles can't oxidize fat efficiently). Any thoughts would be appreciated.
Utility of HbA1c - potential use case
I understand that you deride the current usage of the HbA1c measurement for the diagnosis and management of diabetes mellitus. However, given our knowledge of the importance of glucose (I'm impressed with the mice studies with SGLT-2 inhibitors and acarbose), would not serial measurements of HbA1c (with the goal of reducing levels over time) be helpful in assessing longevity protocols. ie try to reduce the area under the curve of plasma glucose. I'm not sure if the sensitivity/variability of the standard measurements preclude this of course but its something I am going to look at personally.