2020 Boca Raton Low Carb USA Conference

The 2020 Low Carb USA Conference in Boca Raton, FL is a memory now. We left the conference resonating an exciting new energy for the benefits of a carbohydrates restricted lifestyle. Most of the attendees were MDs from as far away as Argentina and Singapore with specialties in Family Medicine, Internal Medicine, Cardiology, Psychiatry, Obstetrics/Gynecology, Oncology, Endocrinology, Researchers, PhD in Nutrition and Nutrition Communication, PhD in Exercise Physiology, Nutritionist CDE, Nurses, Physician Assistants, Lawyers, Health Coaches and others. Physicians represented about 75% of the attendees.

A work group of physicians and researchers announced the completion of the first Clinical Practice Guidelines for Carbohydrate Restriction.

Topics

  • Toxins, Obesity and Diabetes
  • Processed Food Addiction: Hidden Impact on Mental Health
  • Low Carb and its Synergistic Allies in the Management of Heart Disease: The Heroes of Intervention
  • The efficacy of low carb approaches for athletic performance
  • How do we evaluate Cardiac Risk with a LCHF Lifestyle
  • Clients who cannot make diet changes
  • Low Carb Medical Education Reform – The intersection at State Level
  • The Ketogenic Diet in Psychiatry
  • Deprescribing: Ending the prescription Cascade
  • Cell inflammation
  • Fasting

Pearls

Clinical Practice

  • Food is the first approach in working with people with a chronic condition.
  • The Carbohydrate Restriction Guidelines
  • A standard of care is providing healthcare in accordance with standards of practice among members of the same health care profession with similar training and experience situated.
  • Clinical guidelines are not the standard of care. They are statements to assist clinicians in making decisions about the appropriate patient care. They are a guide.
  • Clinical guidelines are for interventions after diagnosis. Policy is for prevention in healthy populations.
  • Our current lab values such as cholesterol are based on Standard American Diet. What if they are wrong?
  • Physicians receive little training in nutrition. For example, they are taught that a diet of 45% carbs is what we need. Another gap in training is deprescribing.

Metabolism

  • Inflammation happens at the cellular level.
  • When converting to a carb restricted diet, the athlete will not perform well for 4-12 weeks. They need to be alright with not performing well.
  • Sleep deprivation increases blood sugar and increases insulin resistance
  • Glyphosate (Round-up Weed Killer). Makes toxins such as lead and mercury go deeper into our tissues. which blunts the receptor sites, making it difficult for hormones to communicate with the cell. Detoxification can take years not months.
  • If you want to get well, fix the cell
  • Exercise improves insulin resistance.
  • Excess protein does not turn to sugar, it is broken down into amino acids.
  • There are 4 g of blood sugar in our blood stream and 100 g stored in our liver.
  • Carbs are twigs. Fats are the logs. Become a fat burner. Fat is a steady supply of energy. No ups and downs.
  • Processed food companies sell on the basis of desire. They evoke the addictive pathway through marketing: dopamine, serotonin, and the endocannabinoid system. An example is promoting something as “healthy,” “whole grain,” or “real fruit.”
  • Metabolic theory of cancer: Cancer cells always prefer the pathway of glycolysis over oxidative phosphorylation[1].
  • Oncologist is answering questions about eating not telling them what to eat. Start with bone broth. Patients do better fasted on chemo. If they need to eat, no carbs.
  • APOB/APOA-1 ratio is a better indicator of CV risk.

Carbohydrate Restriction

  • If you are fasting and you “feel like your stomach is going to eat your brain, eat something” such as meat, chicken, fish, eggs or yogurt. Make it easy. If people need to do the math, they will not stay on the plan long.
  • Fat makes food taste good and makes you feel full.
  • To get started on a keto diet, eat meat, fish, chicken, eggs and plain yogurt. Eat enough non-starchy vegetables to keep Grandma happy. If you are hungry, eat meat, fish, chicken, eggs and plain yogurt. Salt your food and drink enough water to make your urine nearly clear.

Resources

2021 LowCarbUSA Conference 

GuidelineCentral.com

Processed Food Addiction Book by Joan Ifland

Low Carb MD podcast. Listen to podcast with Dr. Unwin. 1:12:15

Youtube: Understanding Carb Addiction Part 1 – by Dr. Robert Cywes. 15:27

Youtube: Understanding Carb Addiction Part 2 – by Dr. Robert Cywes. 14:49

2019 Diabetes Consensus Report

Virta Health

Grass Based Health

LowCarbMD

Visit Dr. Daniel Pompa’s website: https://drpompa.com/

Visit Dr. Brian Lenzkes website: https://www.LowCarbAdvisor.com
Visit Dr. Tro Kalayjian website:  https://www.doctortro.com

Visit Dr. Bret Scher website: dietdoctor.com

  1. Phosphorylation  is the process of introducing a phosphate group into an organic molecule. It plays a critical role in the regulation of such cellular processes as cell apoptosis, cycle, growth, and signal transduction pathways.

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