Its a fascinating conversation, balancing the cultural sensitivities around diet and the power of ASF (animal sourced foods) in helping people with acute conditions.
Major focus on diabetes, and patients presenting to the ER with complications of metabolic syndrome.
- 63% of ER patients are pure vegetarians
- 33% eat meat/eggs/fish once a week or so
Dr. Ankur improved Tg/HDL ratio, GERD, acid reflux, bladder control, GI issues, fat loss, muscle soreness, and hypertension on a carnivore diet.
Trained in emergency medicine at George Washington University, Dr. Ankur is currently a Principal Consultant and Faculty of Emergency Medicine in New Delhi. He has a keen interest in trauma, airways, academic emergency medicine, resuscitation, point-of-care ultrasound (POCUS), and metabolic health. Dr. Ankur conceived and coined the term #SATisfied airway to promote awareness of innovative airway management techniques. With over 40 publications in national and international journals, he has delivered numerous talks at conferences worldwide. He is also the Creator-Founder of THE DESI EM PROJECT™, India’s first and only emergency medicine podcast, listened to in over 70 countries.
A self-taught nutrition advocate, Dr. Ankur focuses on raising awareness about species-specific carnivore lifestyles and addressing root causes of chronic non-communicable diseases. Recently, he has begun integrating emergency medicine with metabolic health research, spearheading studies in this emerging field.
Dr. Ankur serves as President of the Society for Emergency Medicine India (SEMI) – Delhi Chapter and chairs the Trauma Special Interest Group (SIG) for the International Federation for Emergency Medicine. He launched the #EACH1SAVE1™ campaign, empowering SEMI-Delhi members to teach bystander CPR in communities. Under his leadership, SEMI-Delhi organized India’s first carbon-neutral medical conferences, Best Practices in EM v1.0 and v2.0—the latter featuring the country’s inaugural all-women speaker lineup at a medical conference. He also contributes to the ACEP International Ambassador Regional Committee Leadership Team.
Timestamps:
00:00 Trailer and introduction
05:31 Nutrition’s impact on health awareness
06:34 Reevaluating statin use in normal lipid profiles
09:47 Enforcing sugar-free coffee policy
14:46 Diabetes and smoking concerns in India
16:49 Dietary factors in India's diabetes rates
20:18 Avoid frailty with nutrition & exercise
25:21 Calcium channel blockers in SVT management
29:03 Flawed incentives in healthcare system
30:58 Vegan vs. carnivore diet
34:42 Traditional vs. modern fat choices
39:19 Oats triggered TMJ issues
40:56 Perceptions of health and illness
46:09 India's massive cattle industry
47:27 Climate impact of monocropping
52:20 Vegetarian diet vs. medications
54:44 Where to find Ankur
Notes:
^^This sentence has a assumption, incorrect, that the brain preferences glucose. I think this is reversed, in the absence of ketones the brain can use glucose. In people with both ketones and elevated glucose levels in the blood a healthy brain burns ketones at a 70:30 preference.
3.3 Patient 3
This is super interesting, she recovers, quits keto, the GBM comes back, and gets back into keto and has a ECOG of 0.
^^This is just sad
The liver makes glucose, steroids increase glucose levels, etc
Thoughts
This was a dietary ketogenic intervention, I wonder how the outcomes would differ with exogenous ketones? Since compliance with the intervention was so low (33%), could we have seen the other 66% benefit from a ketogenic diet + exogenous ketones? The one patient in the study (patient 5) who took exogenous ketones did suffer a relapse, i would have liked to see their GKI history.
Several of the patients reported constipation when starting the keto diet, probably because they increased fiber consumption. It would be interesting to see the same intervention without fiber. We have other papers indicating full resolution of constipation with the removal of fiber.
The theme amongst the patients is that the lower the GKI, and the better adherence, the better the outcomes and fewer recurrences.