Manage episode 274038335 series 2565034
Trying To Avoid Statins, Autoimmune Hepatitis, Chronic Low Back Pain - Supplementation, Still Holding Body Fat Even An A Keto Diet, Shaky Legs and Lactate
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1. Trying To Avoid Statins [27:54] Gabe says:
Hey Robb and Nicky,
I was wondering if you could offer some guidance regarding some of the best things I can do to improve my cholesterol. I recently had a standard lipid panel done that showed that my LDL-C was calculated at 154. Total was 234, HDL was 60, and Trigs were 93. I'm having more comprehensive blood work done by my functional medicine doc to get a measure of apoB and LDL-P. But during my appointment he brought up the possibility of statins. I'd like to avoid that if at all possible and was curious if your work with Specialty Health gave you some insight as to what interventions generally worked best for folks. Some of the research I've been doing from Peter Attia seems to indicate that cholesterol is largely just a function of how much your cells produce and how many hepatic LDL receptors your genetics blessed you with which makes me feel pretty powerless.
Just for reference I'm 42, and have eaten more or less along ancestral guidelines for the past 8 years with some very occasional minor offenders like oats, beans and corn. I exercise very inconsistently...kind of a 3 months on, 3 months off pattern which consists of mainly of 5x5 powerlifting. I'm also coming off a year of being stuck in an office with a lot of recent college grads which meant a good bolus of donuts, pizza, and other non-sanctioned foods which started infiltrating my day to day. But I've changed work situations now and eating is much more on track for the last couple months. I'm 5' 11", 170 lbs, and perpetually squishy around the mid-section.
Any thoughts are appreciated.
In the spline analysis (Fig. 4, Supplementary Fig. 2), the TC ranges associated with the lowest mortality were approximately 200–240 mg/dL, except for men at 18–34 years (approximately 180–220 mg/dL) and for women at 18–34 years (approximately 160–200 mg/dL) and at 35–44 years (approximately 180–220 mg/dL).
2. Autoimmune Hepatitis [33:57] Ben says:
You were one of the first people I started listening to when I began my journey towards living a clean lifestyle. I heard your name pop up through Katy Bowman. I have a female friend, 20 years old, who just got diagnosed with autoimmune hepatitis. I haven't read much about it in the past and haven't heard much about it on various podcasts. A google search doesn't make a compelling argument for other ways to manage it besides steroids. Besides the obvious, (improve sleep, limit stress, avoid alcohol, exercise, eat an autoimmune style diet) is there anything specific that would help target the disease?
3. Chronic Low Back Pain - Supplementation? [37:05] Matthew says:
Hey Robb and Nicki. I have been listening for a while and also caught you (Robb) on Joe Rogan when you spoke a little bit about your chronic back pain. I've had mine for about 5 years thanks to a desk job and poor deadlift, squat technique (subsequently corrected). My question is if there is any supplementation (Kratom?, CBD?) or specific protocols you find working. For context I crossfit 5 days a week, yoga once a week, mobility work 15 mins a day, use a standing desk almost exclusively, daily walks, and have been eating clean for almost a decade. I think I have the basics down and seeing if you have extra tips. I'd love to be able to not have to scale deads and squats some day down the road
4. Still holding body fat even on a Keto diet [49:41] Martin says:
Okay so about a decade ago I lost over 80 lb going on a Paleo Diet and I was very happy and feeling in the best health I ever have since I was a teenager. I am now 54 and eat a mostly keto diet with very very occasional cheats and when I do that it's on a Paleo kind of platform. However I am just not satisfied with my body composition and maybe it's dysmorphia or something like that but I don't have that cut or ripped look. I can do a lot of pull-ups, I do a lot of powerlifting type lifting, I'm very strong, but I look like I still have subcutaneous body fat which is near impossible to shed and especially around my chest where I try to get a defined but I still have these rules what appears to be at on the very corners of my Pecks near my armpits am I just being silly or is there something I can do to get a more ripped lean look? thank you for your consideration
5. Shaky Legs and Lactate [55:03] Caroline says:
Hello Rob and Nikki. Can't believe this is my first question for you as I've been following your work since 2009. I usually do my own research but this time I really need help.
I've been starting to get shaky legs (!) when I do for example shoulder press or biceps curls. Never been especially prone for lactic acid (lactate) buildup before even as I was exercising much more intensely. This worries me.
I read that lactate is produced from pyruvate via the enzyme lactate dehydrogenase (LDH) in a process of fermentation both during normal metabolism and exercise. But why do I get so much of it after only a two minute session? I recently also learned that LDH is a good indicator of cancer, in its early stage. Does this mean that people with beginning cancer also get more lactic acid?
I'm hoping you can help to clear the correlation between the two and what other factors could possibly be contributing to my legs shaking when doing upper body workout!
Short facts: Female age 36 170 cm, 55 kg Hashimoto (but under control) Keto, carnivore-ish Lyme disease one year ago (doxycycline for 21 days) Thank you so much! Hugs from Sweden
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