November 08 2019

Weekly Link Love — Episode 54

By Mark Sisson
68 Comments

Research of the Week

Researchers discover the fossil of an 12 million year old arboreal ape who also did bipedal walking.

Human diseases may have wiped out the Neanderthals.

The flaws of food frequency questionnaires are fatal.

Whether you take it with or without MCT oil, coffee acutely reduces oxidative stress and increases ketone levels.

New Primal Blueprint Podcasts

Episode 387: Ali Miller: Host Elle Russ chats with “food as medicine” expert Ali Miller.

Episode 388: Chris Irvin: Host Brad Kearns chats with with keto supplement expert and Perfect Keto scientist Chris Irvin.

Primal Health Coach Radio, Episode 33: Laura and Erin chat with Samm Murphy about breaking through limiting beliefs.

Each week, select Mark’s Daily Apple blog posts are prepared as Primal Blueprint Podcasts. Need to catch up on reading, but don’t have the time? Prefer to listen to articles while on the go? Check out the new blog post podcasts below, and subscribe to the Primal Blueprint Podcast here so you never miss an episode.

Media, Schmedia

Good illustration of the disproportionate impact elite endurance training and coaching (as popularly practiced) can have on the health of young women.

Are generic drugs safe?

Interesting Blog Posts

Blue space might be even better than green space.

Social Notes

Woz does OMAD.

How I stay active all week.

Everything Else

Living off the land in an unlikely place: Orlando.

The best stuff lies along the margins.

China approves a new seaweed-based Alzheimer’s drug.

Things I’m Up to and Interested In

Podcast I’m loving: Healthy Rebellion Radio, the awesome, essential, and important new podcast by the inimitable and equally awesome, essential, and important Robb Wolf and Nicki Violetti.

Well deserved: Terry Wahls’ research team receives a $2 million gift.

This should prove useful: A new tool for studying the interaction between diet, lifestyle, exercise, and mitochondrial health and aging.

I haven’t seen it yet: Can you overdose on happiness?

I’ll probably have to write about this one: Higher fat intakes associated with higher HbA1c.

Question I’m Asking

What kind of roles did your parents play in your health?

Recipe Corner

  • Prosciutto is the best cured meat. Asparagus is one of the best vegetables. Why not combine them?
  • Most people don’t think about lamb when they consider Asian cooking, but this Vietnamese lamb is great.

Time Capsule

One year ago (Nov 2– Nov 8)

Comment of the Week

“How to eat an egg properly:
https://www.youtube.com/watch?v=2eYYvWZST54
Start at about 16 seconds.”

– Glad to have you, Animanarchy.

If you'd like to add an avatar to all of your comments click here!

68 thoughts on “Weekly Link Love — Episode 54”

Leave a Reply

Your email address will not be published. Required fields are marked *

  1. I am no longer receiving my Weekly Link Love Emails!!!! Can you please enter my Email address in your list again again. Many thanks, Jerry

      1. I’m happy to pass on your requests, but is this for the Sunday With Sisson emails or an RSS or similar feed notification?

  2. You DEFINITELY have to write about the high HgbA1c thing.

    My long time Dr. diagnosed me as prediabetic on the basis of ONE A1c result that was 0.1% above the normal range, despite normal glucose and a LCHF/Primal lifestyle.

    I fired him. Was I justified?

    1. Yes. The numbers on a lab result aren’t gospel. There are good doctors and bad ones. Find one with some critical thinking skills.

      I recently fired a doctor who had put me on 3 different kinds of blood pressure drugs–all of which have side effects up the gazoo. He wouldn’t listen when I told him I have a severe case of White Coat Syndrome.

      My new doctor, a woman, suggested I have my blood pressure checked manually. This has helped a lot. I’m also learning how to consciously relax my body when it’s checked, instead of getting panicky and almost freaking out. The upshot? I don’t take any BP meds now, and my blood pressure was in the normal range the last time it was checked.

  3. You DEFINITELY need to write about the HBGA1c thing.

    My long time Dr. diagnosed me as prediabetic on the basis of ONE HgbA1c result that was 0.1% above the normal limit, despite normal blood glucose and a LCHF/Primal lifestyle.

    I fired him. Was I justified?

    1. Re: A1c
      Decades ago, a doctor told me that mine was in the good range, but also said I will develop diabetes in the future unless I made changes then, even though I wasn’t pre-diabetic. Fortunately he had reports spanning several years which showed a trend….. each year my A1c increased. My Dad had type 2 diabetes as well. If I had listened to him, I would not have developed it.

  4. Great reminder on the benefits of fasted workouts Mark. I’ve been Primal for 4 years. The move to intermittent fasting and fasted morning workouts were game changers for me.

    Hopefully you found some young bucks to play a good game of Ultimate in Florida!

    1. I second this. Fasted workouts first thing in the morning are the best. Sets me up for the whole day. Outdoors too. Has to be outdoors. Without fresh air it’s 1/2 as good.

  5. That HbA1C study … A1C is a measure of blood sugar over weeks, but the study participants only self-reported four days’ of food intake. Doesn’t seem like a valid study design, or I am missing something?

  6. The fatal fallacies in Memory-Based food surveys are one of the major reasons why Mark doesn’t need to do a detailed critique of the “Game Changer” film . (I can’t call it a “documentary”)

    There is nothing new or unique in the research that it claims to support its argument and it all either falls into the above categories, or is too limited in scope and design to draw any solid conclusions.

    1. They were doing food logging, probably. Only four days. That is just fine unless they are being asked to estimate portion size.

  7. Dammit. The last thing I needed was another study telling me how beneficial coffee is. Can someone please tell me it’s bad for me so I can stop? Seriously though, I really don’t benefit from it and I 95% of the time suffer negative effects from it, and the one thing that convinces me not to quit for long is all these damn studies showing how healthy it is to drink it. I know I’d personally be better off without it but man it’s hard. Coffee is my last vice after finally quitting sugar. Tips from anybody here who also reacts poorly to caffeine and has successfully quit despite really enjoying a cup of bitter, creamy iced coffee? (i should have never tried coffee with cream)

    1. My humble opinion … coffee stresses your adrenals, is acidic, disrupts your circadian rhythm, can cause anxiety and heart palpitations, is addictive and requires more-and-more to achieve the same level of stimulus. Green tea has some caffeine that is mitigated by the theanine that it contains. There is nothing about coffee that not drinking it is going to be denying you something so wonderful that it offsets the liabilities. There are many, many ways to get beneficial antioxidants and phytochemicals without drinking coffee. Just walk away from it TGJ and don’t look back. 🙂

      1. Re:Keto dieting
        Last week, after stepping on my scales, I began to veer toward eating Keto. I am obese?. I also am type 2 diabetic mostly controlled by taking meds. My weight has gone up and down the scale; this has got to stop.
        I am hoping that this time I will meet my goal of being healthier and loose weight as a bonus.
        Since I’m 76 years old, everything is a big challenge. ??????????

        1. You have 10 years on me Beverly and props to you for wanting to keep fighting the good fight. Not sure I have any advice for you that you are not already aware of. A classic primal diet, cycle in and out of keto if you’d like, all meals consumed within (for a female) 10-hour window is ideal. If you can take a walk right after each meal that is also ideal. Of course, other key factors are getting a good night’s sleep in total darkness, controlling stress, and movement daily. Once a week if you can do some light weight lifting or body work and once a week if you can do a little interval training is great if possible. All the best to you, we are finding out more-and-more that folks can do more that we used to think later in life, but of course you have to listen to your body and err on the side of caution as you carefully ramp things up. – George

      2. Thanks for the reply HealthyHombre. I appreciate your comment, how do you get your antioxidants/polyphenols? I can’t afford a wide array of vegetables/produce in general but I do grab herbal teas when I can and I enjoy those. Thank you for the motivation! I am day 2 without caffeine and I’m not looking back. I LOVE THE MDA COMMUNITY, you’re all great.

        1. Young person on a budget, I get that TGJ. Full disclosure, I eat a lot of organic veggies, berries, drink green tea, and take a whole host of supplements. When I did an antioxident test I was in the 99th percentile, but there is a monetary investment involved that I happen to be lucky enough to be able to afford at this point in my life. But yeah, eat the veggies and berries as you can afford, drink green tea, decaf coffee if you can tolerate and want to … and enjoy your youth … no amount of money can replace that!

    2. I’m with you. Trust yourself. That is the advice I’d give. You know your body. I also don’t react well to coffee so I mostly stay off of it. It’s a very social thing to go out for coffee, but peppermint tea is my jam now. I barely look back. The only time I drink it is when I find a coffee shop that prepares their decaf correctly so it’s not full of chemicals. I’ll do a decaf americano with steamed coconut almond milk. So good. Yet, that is still once in a blue moon. Coffee isn’t my bff either.

      1. Thanks for the advice 🙂 I am happy to say I’m on my second day without caffeine (I did have decaf today). I love all kinds of herbal teas so will definitely be leaning on those. Had a cup of turmeric ginger tea this morning, was delightful.

    3. I recently made the switch to decaf. I still get most of the good taste and creaminess, but none of the negative effects I used to get from coffee.

    4. I haven’t had a cup of coffee in more than 15 years. I’ve always had minor GI issues from it that got progressively worse over time. I switched to tea (both black and green) and noticed immediately how much better I felt. Tea has just as many health benefits, if not more.

      Don’t force yourself to drink coffee if it bothers you. It isn’t healthy for you, personally, and that’s what counts–not the studies.

  8. Yes, Mark. Please explain why the study showing that LCHF diets cause diabetes is incorrect. At least I hope it is incorrect…

  9. To TGJ, yes I know the feeling. I didn’t start drinking coffee until I was in my 50’s. Was always a tea drinker before that. All the women in my family were coffee drinkers and all of us who are now a bit older have discovered the same things that don’t sit well: minor heart disturbances, sleep problems, acid stomach, etc. I have decided that no matter what the studies say about it, coffee is no better than whole fruits, vegetables, herb teas, etc for anti-oxidant properties. If something doesn’t agree with your physiology then its best to ignore all the hype, in my opinion. One can go crazy trying to swing back and forth so I just stick to things I know work for me, no matter what the popular studies are saying in the moment. The taste of coffee IS an acquired thing and I think it can be given up, though it may not be easy at first. Still worth doing.

    1. Thanks so much for the advice. I started young (14 with bottled coffees and energy drinks) and am 23 now, largely depending on caffeine for the years since then, except for through one of my pregnancies. It’s definitely not easy to establish what a normal energy level is when you’ve abused your body with caffeine (and sugar) for so long. Thanks again for responding 🙂

      1. Been a coffee drinker for like, 52 years now…. side effects?>>> smoking most guys my age (65)
        Don’t sweat the small stuff…if you like it, do it. Just be smart about it.
        IF you don’t like, don’t do it. That said, you can always gradually cut back. Have ONLY 1 cup for that morning kick start and avoid the rest of the day…..
        I WAS doing that for a long time until I got a Keurig, discovered keto & the green light to use butter & whipping cream & MCT oil….
        Now I’m back up to 4 or 5 cups again.
        In my 20’s it was double double….about 10/day!
        In my 30’s it was black only….. then with a touch of cream.
        In my 40’s it became black nescafe instant ( I know…yuck for most, lol)
        Now it’s Keurig thick creamy coffee all the way.

  10. With some adjustments to my diet especially just eating brown rice pretty much almost every night before bed, eliminating large amounts of gluten and totally eliminating pasta, as my carb and vegetables with some protein I’ve been able to lower my blood sugar by 40% also pretty much cutting out all simple sugar canned corn syrup when I tried to go quit Keto I read some things that were like you have to do under 50 grams of carbs or 30 grams of carbs a day honestly that was a little bit too low and it seems like around a hundred and twenty 150 is my sweet spot

    1. Why would you eat any rice if you are looking to control blood sugar?

  11. I liked when someone said that when you eat high fat with high carbs you weaponize the fat
    It makes sense

  12. Thank you for discussing the study. I’m a physician and notice that unfortunately, and especially with the amount of media exposure these days, the general public is quick to “latch onto” supposed studies without having the tools to critically examine said studies. As you know — nutrition studies are difficult… many are flawed, and many simply depend on ones interpretation of the results.

    I had a question — I was wondering about low-carb/keto diets in Type 1 diabetics. I have a friend who has been following such a diet (Dr. Bernstein’s diabetes diet) with great results. His blood sugars generally run lower and don’t vary as widely during the day, and he hasn’t required as much insulin (which he loves from an economic standpoint!). I haven’t asked him about his A1c lately, but I assume it’s lower, given his better glycemic control.

    Wondering your thoughts on that!

    Thanks, and keep up the good work!

  13. You state: “As I’ve always said, either go high-fat, low-carb or low-fat, high-carb. Choose one. The middle ground tends to be the most obesogenic.” It looks like you’ve always been wrong. The healthiest diet restricts calories and balances the right type of proteins, carbohydrates, and fats in the right ratios. My friend Barry Sears figured this out decades ago. Perhaps you should read his new book “The Resolution Zone”. By the way, hgbA1c is a marker of inflammation regardless of levels of insulin resistance.

    1. Billy my man … Mark has always advocated a Primal, low carb diet. His point as I understand is if someone who for example does distance training insists on eating a high carb diet there is some evidence to indicate that combining that with high fat may not be optimal. The vast majority of his readers eat a low carb-based diet. Are you new to this site and have you read his Primal Blueprint and the other free information available on the site? You don’t seem to be grasping the concepts.

  14. So just how does this classify as a “Study”? “Eat what you want, we will check your blood, and if your blood results show negative results, we will call it ‘low carb'”? How do these “Studies” get into the MSM? Do people actually believe everything they read?

  15. Just read Lower carbohydrate and higher fat intakes are associated with higher hemoglobin A1c: findings from the UK National Diet and Nutrition Survey 2008–2016 in Pubmed. Although it was difficult to understand most of the stats and such, it is un-flipping believable that only 8 people out of 3000+ kept their carbs below 26%. Also did you see the ‘conflict of interest’ statement? Here it is: “MEJL has received departmental research support from Diabetes UK, Cambridge Weight Plan and Novo Nordisk and consultancy fees and support for meeting attendance from Novo Nordisk, Eli Lilly, Novartis, Counterweight Ltd and Eat Balanced. EC declares no conflict of interest.” Interesting……

  16. Hi Mark,
    In response to your “Sunday with Sisson” on November 10, I wish I could say I had hope for the future but I can’t. I have taught health class to junior high students for several years and most really don’t care about what they eat, don’t care about how it affects them, and don’t care to learn much about it. As you mentioned, even trying to get them to understand something as simple as the macronutrient categories seems like “too much information” for most of them.

  17. Low fat A1c – bull****. Diagnosed pre-diabetes in February with A1c of 5.8. Didn’t change diet much (and not honest about what I was eating). 3 months later still 5.8. Found the Low car. Diabetes group and did a total overhaul. 4 months later dropped 5 points to 5.3. Feel better (though have more soreness after working out). May decide to go Keto soon but dropping the points and avoiding drugs is the best result.

  18. Agreed on all points. I lost 30 pounds and felt great on a 7 months trip to China where I ate only veggies and white rice. It’s disappointing how little people actually read the studies to better understand the science.

  19. No one ever speaks to the older persons diet…80+ Some of us are still out there wanting the best for the rest….

  20. Thank you for all help in maintaining health, I’m concerned in my Kidney health, how to have less protein loss through my Kidneys and is there a way to stop the protein that goes through kidneys.
    Please help and let people be aware of this that is not in the mainstream of health maintenance.
    Herlin Woolery

    1. I agree that this is beyond the norm of health maintenance. Protecting the kidneys should be part of basic health messages. Just telling people to drink water isn’t enough to tell them why. I”m not sure how to phrase it though without giving undue focus on the kidneys. Water affects more than that, but it’s one of the few universally available ways to keep kidneys healthy.

      Once there is protein, the conventional wisdom says there’s no way to fix it. But we know the kidneys have a lot of Omega-3 in them. Must be a good reason for that. So you could ensure your o-6/o-3 balance is good. Then you might want to discuss potassium carbonate with your doctor. Or just sodium carbonate. Some carbonate of some kind. Find a drink that includes a carbonate like Nuun or just use a drink mix you like and add a bit of K-carbonate. Small amounts. Tiny until you know how it works for you.

      Additionally, eat kidneys because it will give you more of what you need to heal than any other food. If healing is possible, and that’s a big if, then eating say, kidney pie, or making a pate from it should provide some nutrients you can’t get otherwise.

      My only other advice is to look for old library books on medicine. Spend time in the local university med ctr library and look for old books on kidneys. Newer books don’t do a lot of explaining, but old books do. Search for them by limiting the search to things before 1970, 1950, 1930… This method helped me find information I could understand about the liver. It may work for kidneys too.

      Whatever you find, bring it to your doctor. If s/he gets nasty, tell them you came to them for advice, so that shows you want it. Would they rather you just acted on it and said nothing?

      I hope you feel better.

  21. I am weary of these study’s that want to suggest LCHF is detrimental…..in 8 weeks I dropped 14 pounds and lowered A1C from 6.1-5.3….!!! People who have no idea what low carb really looks like need to butt out…oh, and yes, it is a lifestyle one can maintain….I certainly carb cycle adding winter squashes, beans and sweet potatoes to my meal plan from time to time..but ai yi yi!
    I’m inclined to say this “research” comes from a place of fear and worry about big phama loss of $$$$$. If we actually let food be our medicine, and we don’t take all the crap pushed at us….Big Pharma looses money….

  22. I see logic behind Mark’s comment about sticking to carbs if you’re eating any of them. As we evolved, we ate meat if it was available and didn’t bother trying to find carbs while we had the meat. If we couldn’t get meat, then we’d eat carbs, and carbs only, because that’s all that was available. Carbs were survival food. Adding and digesting carb survival food to our natural diet of meat isn’t something that we evolved to do and isn’t ideal for our health.

  23. Interesting and timely. I’m getting my Hba1c tested on Tuesday. Will let you know how it, and the rest of the bloodwork goes. I am legitimately low-carb.

  24. About a month ago our primary care doctor put both my husband and I on a low carb lifestyle. She counseled us for an hour and a half on the how to. My husband has had type 2 diabetes for 11 years. His sugar levels have been high for quite some time. Within a week of this lifestyle his sugar levels dropped to normal.

  25. I think this is right on Mark. I would like to add that people should take specific eating habits on a case-by-case basis unique to them-self.

    I recently learned I have hypoglycemia from testing, which explains why I feel like a basket-case (deathly hallows hopeless depression) when I go too low with the carbs and keto. I originally got into paleo eating and explored low-carb/keto approaches for mood problems.

    I got my best traction (feeling consistently stable, strong, confident, clear-headed, positive, engaging, warm, and solid from the inside out) when I did low carb eating with plenty of vegetables combined with meat and small meals. That is my jam. I’ll never forget how life confirmed it the first time I found the sweet spot. I had lovely women coming up to me at high-noon in the middle of the grocery store, swooning and making eye contact I wasn’t getting as positive feedback before I found the sweet spot for myself.

    Thanks again for your great content Mark!
    James

  26. Mark started me on my health journey ten years ago. I have read hundreds or more peer reviewed articles.

    Like this bogus “low carb” diet, I’ve never seen anything similar that didn’t have flaws that should be setting off klaxon horns. Even an amateur scientist like me can see the problems.

    A big issue with many is that rodents thrive on carbs. Fats are not important. So right there, poor test subjects.

    Then you get into definitions. I remember one that not only thought 35% fats was high, the fat used was Crisco!

    Gee, I wonder why the results dissed “high fat.”

    Of course, the press just gets an abstract with the conclusions drawn for non-scientists.

  27. Hey, Mark!

    You’ve done a ton of writing on collagen and collagen peptides and the way their specific ratios of amino acids somehow act differently in the body than when complete proteins enter the body. Will you ever write on other peptides? Right now I’m especially interested in BPC-157 and its many studied interactions particularly useful in tissue repair and gut health.

    Thanks!

  28. Dr. Westman (Duke University Med Ctr) calls this the “donut diet” and points out that most studies of “low carb” are actually showing the results of the “donut diet.” He wrote a book with Jimmy Moore about keto.

    I think it’s important to stay realistic about expectations from diet. If that’s all you’re doing, you’re missing the point. So a study that only studies diet and no lifestyle changes is always going to be confounded by complexities.

    If you’re low carb, honestly, and every time you eat a carb it’s industrial wheat or corn based, then you’re dealing with glyphosate and processed foods on top of gluten. Science isn’t good at teasing out these differences because health is an interdependent system.

    To use science to define a multifactorial concept like “health” is a fool’s game. I’m not anti-science, but any scientist will tell you that you have to take one piece of reality at a time to get any answers to scientific questions. The title should’ve told everyone it was a marketing ploy to sell an idea about health, not a serious inquiry.

    Show me a study of 1:1 keto diets (vs control with ordinary restaurant quality food, which most people are living on today) that are planned and totally in the control of the scientists, which avoids confounders like pesticides, and which force a moderate amount of activity on all participants (because that’s a requirement for basic health). Then I’ll pay attention to changes in A1c. Until they’ve designed a good test, there’s no point even bothering.

    I’d like to know the effect on A1c. I just don’t see the answer out there yet because they don’t take the time to familiarize themselves with what a keto diet is in the first place. They probably couldn’t even answer this simple question: Why did I suggest a 1:1 diet? Why not 4:1?

    Or they’d use % of calories instead of % of gram weight of macros. That’s a dead giveaway right there. It’s the fundamental difference between the plant based group of thinkers and the keto/paleo group of thinkers. Remember Engine 2 shouting about “hot dogs are 90% fat!!” Yeah, dude, by calories because fat is 9 calories per gram, not 4. Way to use math to confuse the issue.

    That was probably my first moment of doubt about the plant based crowd.

  29. To this week’s Question You’re Asking:

    My parents have played both roles, but primarily have been cautionary tales.

    My father worked long, hard hours, dawn to dusk, during my growing-up years. Many days, he ate a pack of nabs and a pint of chocolate milk for lunch, or a fast-food burger and a Coke. He was significantly overweight for 20 to 25 years, until he was diagnosed with type 2 diabetes in his late 50s. He promptly adopted a low-carb diet, dropping 40 lbs. in three months, and began walking daily. Unfortunately, he only managed a few years on oral meds such as metformin before having to go on insulin.

    He’s in his mid-80s now, mind still sharp, but body showing the damage wrought by all those years of high blood glucose pre-diagnosis. Both hips replaced, both knees replaced, cataract surgery, colon cancer (caught early). This is what keeps me motivated to exercise regularly, strive to keep my weight somewhere close to normal, and stick with a low-carb way of eating.

    My mother used to smoke at least a pack of cigarettes a day, from the time she graduated high school in 1961–except, she claims, for her two pregnancies. I remember, as a teenager, waking up to her hacking up a lung for 10-15 minutes or more every morning. She gave up the cancer sticks, except for an occasional puff, after 35 years; but not in time to keep her from developing mild emphysema.

    Even as a child, I wanted nothing to do with smoking. I’ve wondered many times as an adult how much growing up in that smoke-filled house affected my own aerobic capacity.

    I fear my husband will be a cautionary tale for our children. He was diagnosed T2D three or four years ago, around age 60, but thinks taking a prescription med is an adequate solution for every ailment. He needs to lose 50 or 60 pounds. He eats somewhat lower carb, but not low enough to bring his weight down. He doesn’t exercise, not even a daily stroll. He also has high blood pressure, gout, and mild depression.

    On the “supportive” side: I wish I had listened closer 20+ years ago, when my mother questioned the wisdom of giving tiny babies multiple doses of vaccines at one time. I assured her that it must be safe, naively believing that the pharmaceutical companies had tested all that for safety. I learned much later that they haven’t, simply ass-u-ming that *IF* vaccines are safe individually, there couldn’t possibly be any interactions from giving them together, and surely babies’ undeveloped immune systems can handle an onslaught of 7 or 8 types of injected viruses and bacteria at once, and it’s so much more “convenient” for doctors and parents to give the shots all together like that…

    I wondered, when my children were infants, why they and so many other babies had chronic otitis media. My first child developed it at 6 months, my second at 4 months–both right after a set of vaccines. The pediatrician fobbed it off on “babies’ Eustachian tubes are nearly horizontal,” never bothering to mention that one of the vaccines (DTaP, I think) can thicken the fluid in the inner ear…so my kids had tympanostomy tubes placed at a year old, and speech problems requiring a couple of years of speech therapy each…I wish now I had listened to my mother, done some research, delayed and spaced out shots instead of going with the CDC’s non-science-backed schedule…

  30. I started on a low carb, higher fat diet back in August. I had some really bad lab values. 3000 triglycerides, 320 glucose, 13.6 a1c. Two months on the diet, glucose 104, a1c 6.5, triglycerides 459. Yes, I have a way to go, and I’m not 100%perfect, but this is proof of success with low carb eating.

  31. This Sunday with Sisson was a good one for me. I just had my annual after being (not a poster child) Keto for over a year. I dropped my cholesterol points. I’m still at 230 but would have loved to see my doc’s face when she read my labs. She said Keto wouldn’t drop it…
    My A1C was the same as last year at 5.6 just below the pre diabetic marker. Your article gave me much better insight to what that means. My RBC probably stick around longer than most. Thank you for changing my life!

  32. The Sunday With Sisson email mentioned a study that asserts low carb diets raise A1C. It’s supposed to be here. Anyway. I digress…

    After doing keto consistently for a while (a year, maybe?) my A1C was actually slightly below range. I was very hypoglycemic my whole life before keto fixed that, but I’ve never been diabetic or anything.

    Just saying that there’s at least one person on the planet for whom this study just doesn’t apply.

  33. Hello Mark, would it be your position that chewing sugar-free gum would break a fast? Mindset that saliva would keep the body working. Just curious. I didn’t think so until a regular doctor mentioned it. Thought I would ask you. Thank you for your perspective.

  34. Mark, again great balance of information along with the “study”. There is a storm brewing against low-carb lifestyles, thank you for being the “Primal Lighthouse” to help folks continue their Primal journey!

  35. As a whole people choose to be and tend to be uninformed idiots. A belief gets locked in and a refusal to listen sets in. We are a silly doomed species.
    Not PC I know but so what.

  36. Please keep up your thoughtful reviews for those of us who cannot keep up with all of the studies!!

  37. Apple cofounder Steve Wozniak says Apple Card offered his wife such a lower credit limit it has him eating one meal every two days.

    Deval Patrick has entered the 2020 Democratic Presidential Race. “I’ve out-Warren’d Warren in the State of Massachusetts. I was virtue signaling before it was cool. My dance moves do not cause climate change (e.g. make it rain), and I will only support your dreams, never try to catch them”.

    When asked for a comment, Warren’s staff stated she was harvesting the last of the Three Sisters’ Crops.

  38. I WANT TO CHANGE EMAILS, AND CANNOT FIND OUT HOW TO DO IT SO THE NEW ONE GETS ALL YOUR SENDS.

    1. Jim, if you just use the basic signup form at the top of the homepage, that will get your new email in our system. No correction of address needed. Just enter the new email you’d like us to send to. Best — M