53 minutes | Oct 22nd 2020

Bone Broth Histamine, Kidney Disease, Muscle Mass | THRR052

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Eating for Kidney Disease, Muscle Mass, LDL Up 102 points, Is Bone Broth Made In Pressure Cooker Healthy?, Biochemistry For Beginners

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Show Notes:

News topic du jour:

Iatrogenics: Why Intervention Often Leads to Worse Outcomes

Iatrogenics is when a treatment causes more harm than benefit. As iatros means healer in Greek, the word means “caused by the healer” or “brought by the healer.”  Healer, in this sense, need not mean doctor, but anyone intervening to solve a problem. For example, it could be a thought leader, a CEO, a government, or a coalition of the willing. Nassim Taleb calls these people interventionistas. Often these people come armed with solutions to solve the first-order consequences of a decision but create worse second and subsequent order consequences. Luckily, for them at least, they’re never around to see the train wreck they created.

1. Eating For Kidney Disease [23:54]

Tyler says:

Hey Robb,

Years ago, you wrote a multi-part post about kidney health, and mentioned a former client at NorCal S&C who was recommended dialysis. One of your coaches instructed him to eat super low carb, and about the same protein (around 10% for both macros), and the rest of his diet consisting of fat. The end result (at least in your article) was that he recovered a great deal of his kidney function...

Now that I’ve told you about your own article (lol), here are my questions:

1. Is that still a protocol you’d recommend for someone with stage 4 kidney disease?

2. If so, what can you even eat on an 80% fat diet?

This info is for my mother-in-law. She’s almost 70, and has kidney disease presumedly brought on by Henoch-Schoenlein Purpura. She lives in Japan so she has access to great quality seafood, but coconut products are uncommon. I’ve been trying to get her to quit eating bread, rice and soy products as a start. She still eats some dairy.

Are there any foods within a typical Paleo diet she should avoid? For example, fruit?

She is prescribed some type of steroid (not sure what or how much), and

is of normal weight, and does not take any blood pressure meds that I

know of.

Not expecting any type of miraculous full recovery, just wanting to help her get the most she can out of life. Thanks for any direction you might be able to guide me towards.

PS: the wife and I are huge fans of LMNT, and you were right: do NOT accidentally (Or purposely) inhale the Lemon Habanero dust!!

Low carbohydrate diet may reverse kidney failure in people with diabetes

Researchers have for the first time determined that the ketogenic diet, a specialized high-fat, low carbohydrate diet, may reverse impaired kidney function in people with Type 1 and Type 2 diabetes.

2. Muscle Mass [33:04]

Ben says:

Hey Robb,

Love the work you have done and really appreciate all that you do. FYI Sacred Cow was a phenomenal book, very nice work. I am writing in regards to muscle mass. You have mentioned previously on the importance of muscle mass as we age and starting around age 30 we will start loosing it slowing and/or it's much harder to gain muscle mass as we age. My question is how much muscle mass should I be aiming for. For context I am a 30 year-old male, 6'4", 218-225 lbs 8-10% body fat (depending on season). The reason I ask is I enjoy competing in Crossfit; however, am uncertain if I should focus more on trying to put on more mass or if moving forward with these numbers seems appropriate? Ultimately I do enjoy competing, but don't want to become decrepit when I'm older. (Other info if it helps-- squat- 425 DL- 545 Be- 325 Fran 2:45. I have never done full extensive blood work but my most recent basic blood work ie Chem 7, testosterone, basic lipid panel all looked "normal".)

Thanks for all you do,

Ben

3. LDL Up 102 points [36:47]

Clint says:

Hey Robb- I recently got some blood work done for work and I was pretty amazed at my lipid profile. My total cholesterol went from 148 to 268.  LDL went from 86-188. Triglycerides went down 62-54 and HDL increased from 50-69. My GP wasn’t too concerned bc the triglycerides decreased and HDL increased but he still wants me to monitor it. The two weeks leading up to my blood work have been mostly carnivore-esque as I’ve noticed some headaches from fruit and indigestion with some veggies. I sneak in some full fat dairy by means of a little heavy whipping cream, I cook with kerrygold butter, and have a little kerrygold cheese from time to time. I’m 6’2” 186lbs at about 8-10% body fat. I do drink about 40 Oz of French press coffee per day and I know that can muck with LDL but I’m not so sure of that big of an increase over 3 years. Exercise- I Do some variation of cardio 4-6 times per week and flirt with some CrossFit style workouts 1-2 times per week. I dropped the intensity since going more low carb/carnivore as to not fry myself. Protein intake usually consists of chicken (all parts, not just a breast guy), beef (steak, burgers), eggs, Wild planet sardines, wild caught salmon, etc... I never cook with coconut oil or seed oils (coconut never agreed with me). I’ll eat some stevia sweetened dark chocolate a couple times per week. I’ve been sleeping 6-8 hours per night (2 kids going on 3). Any insight from your experience as to why my bloodwork took a shit? I’ve been relatively low carb for years.

Thanks!

Total cholesterol and all-cause mortality by sex and age: a prospective cohort study among 12.8 million adults

~

4. Is Bone Broth Made In Pressure Cooker Healthy?? [45:56]

Matthew says:

Hi Nicki and Robb,

Appreciate your work and show.

Question: I have a hard time digesting bone broth, it gives me some digestive upset and I can't really consume it, even though I know I could use the gut healing benefits. I have issues with histamines, so that may be a big reason since it's typically slow-cooked, which is one of the things that creates a lot of histamines in foods and is an issue for those with histmaine tolerance issues (I'm working on that issue, but it's a long healing trajectory). I've heard a little about using a pressure cooker like and instant pot to make bone broth, which allws it to be done more swiftly, but I can't find any information on how beneficial it is when made in pressure cooker.  Is it as good as when it's slow-cooked, in terms of nutritional value? Curious if you might have any information or insights on this.  Many thanks!

Matthew

Oakland, CA

http://delicatebelly.com/low-histamine-bone-broth/

chicarones?

5. Biochemistry For Beginners [48:47]

Hoby says:

Robb,

Love your podcast and books, and listening to you and some others in the Paleo/keto/carnivore universe, I hear a lot of biochemistry discussed. I have a medical background from military service, but biochemistry was not a subject I got a lot of info in... I was wondering if you had a recommendation on a “ biochemistry for dummies” book.

I appreciate any recommendations you may have..

Hoby

http://watcut.uwaterloo.ca/webnotes/Metabolism/

  Sponsor:

This episode of The Healthy Rebellion Radio is sponsored by White Oak Pastures. White Oak Pastures is a six-generation, 154-year-old family farm in Bluffton, GA. They pasture-raise 10 species of livestock and practice regenerative agriculture that improves the land. Their cattle and sheep are grassfed, their pork and poultry are pasture-raised and given non-GMO feed. All their meats are raised, slaughtered, and butchered on the farm. They also sell organic vegetables, pasture-raised eggs, honey, pet chews, leather items, tallow goods, and more artisan products that they make on the farm. They are committed to animal welfare, land regeneration, and rural revival. Check them out at http://whiteoakpastures.com/robbwolf and enter code REBEL10 to get 10% off product total ($100 max discount) for first-time customers.

Transcript:

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