62 minutes | Aug 27th 2020

Masks, Ketosis and Candida, Beef Growth Hormones | THRR044

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Ketosis and repressed candida immunity, UC/Ostomy Nutrition, Growth Hormones in Beef?, Dealing with chronic mono, Masks

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How Defeating Coronavirus Starts At The Dinner Table


1. Ketosis and repressed candida immunity [15:50]

Jillian says:

Hi Robb,

Just bought Sacred Cow. Yay! And Congrats!

I recently started the Ketogains bootcamp - eating according to personalized ketogains macros - net carbs under 20 (but I've been keeping them around 25ish). For the first time in my life, I've experienced mild oral thrush at the very back of my tongue and throat. After looking into a bit, I've come across this assertion by Paul Jiamet that ketosis may repress cellular immunity to candida:  "Candida is killed by the myeloperoxidase pathway which relies on glucose, it cannot use ketones; also by antimicrobial peptides. Moreover, immune cells are more mobile and more active at phagocytosis when consuming glucose rather than ketones. So anti-Candida immunity is stronger when not on ketosis and getting adequate carbs"

( https://digestivehealthinstitute.org/2015/04/09/dietary-control-candida-overgrowth/ )

This is interesting to me because some other mild symptoms I've had for the past 5 years - recurring ear pain, intense temporary ear and eye itchiness, sinus issues, and sore throats - have always gone away when I've diligently followed a low carb/primal WOE and always flare up when I return to a SAD. So I was surprised to have this new oral thrush as well as all these other symptoms (which turns out may be linked to yeast overgrowth) flare up when eating a ketogenic diet (the lowest I've ever kept my carb intake). I'd love to hear your thoughts and if there's been any more recent research on this topic. So far, I really enjoy eating a ketogenic diet - but if these symptoms don't subside do you think it may warrant avoiding ketosis for people like me with a yeast growth imbalance?

Thanks for all the good work you do - can't wait to read the new book.


2. UC/Ostomy Nutrition [22:38]

Alex says:

Hi Robb,

I’m in the middle of your “Wired to Eat” book and am curious to get your opinion on diets for ostomates.

Here’s a little background:

I was diagnosed with severe Ulcerative Colitis this past March. It hit me full force with very little warning. By the time I was able to see a GI doctor, my colon was in too bad of shape for them to try to treat with medication. I had an emergent total colectomy at the end of March  and now live with an ileostomy.

I have tolerated most foods well and don’t have many restrictions on what I can eat with my ileostomy. I have noticed a lack of energy, dehydration, and hair loss - most of which I’ve attributed to lessened nutrient and water absorption.

I’m planning on moving forward with a jpouch surgery this fall, which will require them to remove a few more inches of my small intestine due to a fistula that has formed.

Living without a colon affects my water and nutrient absorption and I’m sure losing more of my small intestine will only add to those issues.

Any recommendations on how to combat these issues?



3. Growth Hormones in Beef? [26:56]

Tyler says:

I just started reading Sacred Cow and I’m confused about something...

When Robb and Diana state that there simply isn’t enough evidence to claim that grassfed beef is better than conventional beef from a nutritional standpoint, they mention regulations for antibiotics.

However, what about growth hormones? Isn’t that cause for concern? I’ve always been under the impression that conventional beef has growth hormones and antibiotics, whereas grassfed beef does not. Am I wrong?

Thanks, and stay safe!


4. Dealing with chronic mono [37:05]

Cheryl says:

Hi Robb,

In February of 2019 I was diagnosed with a recurrence of mono. I had never been diagnosed with mono before so this in itself was a big shock. I was told that because of my age (52) that the symptoms would hit me harder and that I could be dealing with it for over a year. They weren't joking. At one point I had to start keeping a diary because I was sleeping from 12 to 20 hours a day so I never knew what day or time it was and I felt like I was losing my mind. I finally began feeling better around November and within a few weeks ended up back at the doctor only to be told that I was suffering from yet another recurrence. I'm now essentially bed-bound. The Covid crisis has enabled me to work from home now, but I take naps during breaks and lunches and go back to bed after work. The only thing that has helped to a degree is electrolyte water and eating nutrient dense foods (when I have sufficient energy to cook), but I'm still exhausted and weak and in a lot of pain and there's no end in sight. I've been so depressed that I've had to start going to therapy by phone. If you have any nuggets of wisdom to spare that might provide me with even a tiny spark of light at the end of this seemingly eternal tunnel, I would be extremely grateful!

The Essential Role of Epstein-Barr Virus in the Pathogenesis of Multiple Sclerosis

"sunlight and vitamin D protect against MS by increasing the number of CD8+ T cells available to control EBV infection."

5. Masks [42:05]

Jace says:

Hello, Robb and Nicki!

Masks are now mandatory in my state. (KS)

I'm a very health conscious person. I'm extremely active and I highly value exercise, diet, sleep, play, in my life. I credit my lifestyle with maintaining a strong immune system ( can't remember falling ill in over a decade or more) and find evidence of mask efficacy to be dubious at best. I do, however, understand the "can't hurt" attitude and am mostly ok with the mandate to a point. But....

I am getting increasingly frustrated with people I personally know who are on social media shaming and calling names to people who are questioning the mandate, sharing articles highlighting mask efficacy science, etc.

These are people who I know for certain have spent years either making terrible, personal health decisions (smokers, heavy drinkers, overweight, and/or sedentary) or, at best, not valuing things like diet, exercise, mental well-being, etc. in general. Although I'm mostly quiet and humble about my lifestyle, some of these folks consider me and my health habits to be over-zealous. So, now here we are during a pandemic, having folks like this calling out others for non-compliance and/or questioning mandatory mask wearing, like they're all of a sudden all knowing health experts when before all of this they couldn't be arsed for years' worth of day's to get up and move their asses on a regular basis. I'm seeing #wearthedamnmask. When this is all over, would it be prudent for me to post #putdownthedamnsoda or #runthedamnmile, day in and day out ad-nauseum? Do you see where I'm going with this? Are they being loud mouthed hypocrites who need to be called out or am I being a self righteous a-hole? Maybe both?  I'd love to hear your take on this.

How Defeating Coronavirus Starts At The Dinner Table

It's not about the Nail...  https://www.youtube.com/watch?v=-4EDhdAHrOg


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