Please Subscribe and Review: Apple Podcasts | RSS Submit your questions for the podcast here News Topic: Lab Meat. The $1 Trillion Ugly Truth   Questions:    MCT oil Liz writes:  Hi guys, one of my clients was told by a previous health coach to never have MCT oil because it is highly processed. I know it is fractionated, but I can't see how that would damage it. Another process is "lipase esterification" which I think involves heat to rearrange the molecules? You recommend MCT oil often so I can't imagine it's up there with hydrogenated oils, if you could please clarify it would be much appreciated. Thanks!   How to Improve My Carb Tolerance Jason says: Hi folks, I love the show including the non-health stuff ;-) You guys are a treasure. Now my question. My carb tolerance is poor even though my fasting insulin is low. Been using a CGM which matches a finger prick within 5-10 points My fasting glucose is typically 97-105. Just 100g rice (30g carbs) as a morning test spikes my BG to 180+, though it comes down quickly: 110 by 90 minutes. Same with potatoes, and fruit. If I eat a big meaty restaurant meal with mashed potatoes and a medium dessert, 200!. Then during the day even if I eat no carbs, my BG will hover from 100-110. I'm 6-pack lean (12% fat as per DEXA) and fit, 145 lbs 5'7". I eat carnivore-ish with dairy and fruit. I eat 3x a day (usually just a protein smoothie for breakfast after working out). I do 30 minute daily heavy band workouts, and just started doing daily 20 minutes zone 2 in addition. No health conditions other than this. I sleep very well most nights. Am a bit stressed with life recently though. My TG are typically 70+; HDL 60+. Liver numbers good. A1c was 5.2, fasting insulin 3.5. This should mean my insulin sensitivity is good. I seem to have "lost the plot" as a year ago my morning BG was usually 83-89, and my BG would only spike briefly to 125 after a small potato as a morning test. One change is that I used to drink homemade kefir every day. I just re-started again, but so far no improvement. Some more clues: - I tested Acarbose and 50 mg reduces the BG spike a lot - I tested a mountain of carbs and 200 mg Acarbose, and... almost no spike but ... HOLY GAS BATMAN!!!!! I'm not doing that again unless I want to annoy my wife and co-workers! - If I eat a bunch of carbs and I see BG rising rapidly, I do 3-4 minutes of HIIT on my air bike and it brings my BG way down in 15 mins. - If I have half a shot of Brandy with 4 oz ice cream, my BG spikes less than with ice cream alone... wuuut? - I tried metformin slow release, 500 mg for 2 weeks and it didn't seem to help - I tried berberine for 2 weeks and it didn't seem to help. I'm now trying dihydroberberine and after a week, no change. Why is my carb tolerance poor even though my fasted insulin and A1c are low? How do I improve it? I want to eat the occasional carby meal without my BG spiking to 200. Thanks so much and may you and all the listeners have the blessing of vibrant health. Cheers, Jason   Kids and Food Lindsey writes: Hi Robb and Nicki! It's been a year- you both helped me tremendously last spring (2022) when I was diagnosed with GD during the last trimester of my pregnancy. You pointed me to Lily Nichols and her books and videos and I was able to manage my blood sugar through food alone. My doctor was skeptical (surprise, surprise), but humored me for a few weeks until she saw it was working (side note: for any other pregnant moms out there- if you fail the first glucose test, just ask if you can skip the second one and go straight to the glucose monitor. It saved us a lot of time and expedited stopping any potential health issues with the baby... I also didn't have to have a redo on that nasty drink.). Post-partum, I gave myself a year to try different eating plans, watching my glucose, and by far the most helpful for my milk supply was paleo with lots of water and LMNT. Last week's episode-