Your Adrenal Fix Podcast 8: “How To Treat Adrenal Fatigue By Using Dietary Ketosis Part 2”

What We Are Going To Cover:

  • What exactly is a Keto-genic Diet, What it means to be Keto-Adapted, and What it is Not…Most Doctors get this wrong, Forever impacting your ability to Recover from Adrenal Fatigue.
  • Why unstable mitochondria dysfunction and blood sugar is often the root cause behind food sensitivities, autoimmunity and ultimately Adrenal Fatigue
  • The common dietary “pitfall”s and roadblocks that you must identify in your attempt to become keto-adatped in order to solve your adrenal fatigue
  • 6 Ketogenic Supplements that you should be using as part of your adrenal fatigue recovery strategies
  • 5 Steps to ensure ketogenic adaptation
  • What exactly is a Keto-genic Diet,
  • What it means to be Keto-Adapted,

What it is not…

  • What most doctors think it is.
  • Why this will impact your ability to Recover from Adrenal Fatigue.
  • Why Most Doctors get this wrong, Impacting your ability to Recover from Adrenal Fatigue
  • Ketosis is a healthy state VS Ketoacidosis can be lethal!
  • Dietary Ketosis starts from >0.45 mmol/L blood ketones Vs Ketoacidosis is generally 16mmol-20mmol/L and above
  • Dietary Ketosis Glucose levels ~ 4 mmol/L (72mg/dl) vs Ketoacidosis glucose levels are often agove 160mg/dl
  • Dietary Ketosis Insulin levels above the reference ranges vs Ketoacidosis insulin levels are above the references ranges
  • Keto-adapated (KAD) Maintenance levels generally between 0.8 and 5.0 mmol/L

Physiology 101
Is the energy system simply a matter of

Food in = food out?
No matter how much food/calories we take in on a day to day basis (fluctuations) our cells still need to do what they need to do. Our Cells are adaptive in nature: need to adapt to a fasting state when we sleep and then varying degrees of activity during the day, food molecules are therefore stored in special reserves for future use. Each cell adapts to internal metabolic demands and has an ability to switch the type of substrate that is burnt as fuel

This adaptation is crucial and is achieved through the several regulatory mechanisms involved in controlling energy and its utilization
Energy use is tightly regulated so that demands of all cells can be met simultaneously.

Measuring ketones
Ketones are water soluble molecules from fatty acid oxidation. Fats are broken down in 3 main Ketones: β-HBA (measured in Blood) – specific levels at that time, measured with a glucose meter, test strips. Acetoacetate -AcAc (measured in Urine) ‘interim spillage, use the ketone test strips. Short-term measurement. Acetone (measured in breath) – overall level reflecting metabolic usage of ketones from Acetoacetate, use the ketonix breath analyzer

Benefits of dietary ketosis
Reduction in inflammatory response and risk of chronic degenerative disease:

  • Improved mitochondrial efficiency
  • An increase in ergogenic and decreased thermogenic
  • Increased mitochondria concentration/density as a response to low carbohydrate levels
  • Mitochondria run better on fats for longer low intensity energy requirements
  • When combined with Intermittent Fasting (IF) shows an increase in autophagia and mitogenesis
  • Improved Cardiovascular function:
  • Improved energy performance:
  • Epigenetic control:
  • MicroBiome and Gut Function
  • Reduction of Small Intestinal Bacteria Overgrowth. & other bacterial (gut) infections
  • Reduction in pain and bowel spasms.
  • Reduction of IBS symptoms

Whose it for?
Adrenal fatigue sufferers but….
Whose it not for?

  • Clients that cannot commit
  • Pregnant women
  • Cancer patients who are at risk of developing cachexia and Liver cancer
  • Clients with unusually high blood lipid profiles when on a reasonably healthy diet (still possible but requires more accurate monitoring)
  • Vegetarians & vegans?
  • People with chronically high life-load and/or with ‘exhausted’ A-HPA axis

Stress Response:
Body thinks it is an emergency therefore chooses to use a quick burning, readily accessible fuel!
High and chronic levels of stress contributes to insulin resistance and elevated glucose levels
This in turn reduces/inhibits fueling from fat stores.

5 Steps to ensure ketogenic adaptation:
Step One | Evaluation

      • Ensure that the patient is appropriate and suitable for ketogenic diet
      • Educate Client to understand reasons why high fat diets attract so much negativity (peers, family, media opinions).
      • Not suitable for an ‘On and Off approach
      • Explain the purpose of a Ketogenic Diet – shifting fueling
      • Prepare the patient for potential ‘Keto Flu’
      • Evaluating Labs & Genetic Markers
      • Complete blood chemistry – Look for any underlying issues & address:
      • Impaired liver function (AST, ALT, GGT, CRP, Steatosis, Gall Bladder) Thyroid problems (High TSH and Low T3)
      • Kidney or blood cell issues
      • Low Vitamin D
      • Lipid metabolism (Full CV Profile, Hypercholesteremia)

Absolute Contra | indications

      • Carnitine deficiency (primary)
      • Carnitine palmitoyltransferase (CPT) I or II deficiency and Carnitine translocase deficiency, CAT
      • Fatty Acid Desaturase Deficiency FADS
      • b-oxidation defects
      • Medium-chain acyl dehydrogenase deficiency (MCAD)
      • Long-chain acyl dehydrogenase deficiency (LCAD)
      • Short-chain acyl dehydrogenase deficiency (SCAD)
      • Long-chain 3-hydroxyacyl-CoA deficiency
      • Medium-chain 3-hydroxyacyl-CoA deficiency
      • Pyruvate carboxylase deficiency
      • Porphyria
      • Lipid Metabolism SNP’s
      • Caution is also advised with elevated liver enzymes, impaired gut function, history of kidney stones or renal disease, certain heart conditions, history of pancreatitis or abnormalities in blood chemistry.

Step Two | Preparation
Start new routine:
Introduce healthier eating habits. Start by adding healthy source of vegetables, protein and fats very gradually. Where to buy food, What supermarket aisles to source food from (walk the ‘L’), how to read labels Basic cooking techniques & recipes. Remove unhealthy habits. Clear sugar and refined foods from diet. Shift towards Paleo style diet

Step Three | Glucose
Start measuring Glucose 2 main approaches:
If the client is insulin resistant and/or high BGL’s (>110mg/dl fasting): Start on
60-75 grams carbohydrates a day for 3-4 weeks. If the client is not insulin resistant – moderate BGL’s (<110mg/dl fasting) Start at 20 grams carbs daily.

Step Four
Ketones Once glucose levels are stable and regularly hitting a fasting level of 6.0 mmol/L or 108 mg/dl, start measuring urine or blood ketones. Aim for 65 mg/dL (3.7mmol/L) to 85 mg/dL (4.7 mmol/L). Once stabilised with regular ketones, carb levels can be modified to suit the individual lifestyle (keeping ketones between 0.6-3.0 mmol/L).

Step Five
Adaptation Keto-adapted Protein adjusted at 15%-25% of TCI. Fats at 60%-75% of TCI. Carbs stabilized at 10%-15% of Total Caloric Intake (TCI) How do I know when I’m Keto? For therapeutic applications monitoring is strongly recommended Urine testing:Aim to have >15mg/dl. Blood testing: Aim for 0.6 to 1 mmol/L in the morning and between 1.0 to 3.0 mmol/L for the rest of the day.

Breath testing:
Aim for >45 in breath test with ‘Ketonix’ or 1 mmol up to ≥6 mol (breath via‘Metron’TM). 6 Ketogenic Supplements that you should be using as part of your adrenal fatigue recovery strategies

      1. MCT oils
      2. NADH
      3. Oxaloacetic Acid
      4. L-Carnitine
      5. Phosphatidylcholine
      6. Digestive Enzymes/Bile Acids

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