"The greatest challenge is understanding your relationship with carbohydrates."
Dr. Robert Cywes is a bariatric surgeon and expert in obesity and metabolic health. He makes the case that most conventional approaches to obesity and type 2 diabetes focus on the wrong thing — targeting food quantity instead of the behavioral patterns driving it. For many patients, the issue isn't discipline. It's a dysregulated relationship with food that no amount of calorie-counting will fix.
That reframe is at the heart of what Dr. Cywes brings to the 2026 San Diego Symposium for Metabolic Health this August — a full-day focus on the metabolic roots of obesity and type 2 diabetes, where leading clinicians will push past the standard-of-care conversation and into what's actually moving the needle.
Hear from the clinicians at the forefront of metabolic health this summer.
Earn up to 28 CME credits. Learn more and register now — link in bio.
https://t.co/RWQ0ZjXHgT
#LowCarbUSA #MetabolicHealth #NeverStopLearning #SMHSD2026 #CarbAddictionDoc
Clean doesn’t have a smell.
If something smells like Passion Fruit Breeze or Strawberry rain it’s just chemical slop.
If a something is truly clean it will smell like nothing.
Yet another case of drug free T2 Diabetes remission🥳 He just stopped eating the foods that put up his blood sugar (yes carbs) Dramatic weight loss, no hunger as low carb stimulates NATURAL GLP-1 production Well done that guy!! @StevenBartlett@drchatterjeeuk
This is the third study showing a ketogenic or low carb diet may help with eating disorders. Previously some worried that restricting a food group (carbs) would make eating disorders worse I have not found this in clinical practice @BDA_Dietitians@BrownAdey
Is it any wonder property values near solar complexes go down?
This is the signage you’re staring at out your back window. It obliterates any semblance of a viewshed, pastoral history, and the American agricultural way of life.
The same thing would happen if a Walmart or any other industrial complex was suddenly allowed to be built next to your house.
Except a Walmart can’t do that. It has to follow zoning. Everyone around you has to follow the town zoning, or they’ll be fined.
Unless you own a foreign solar corporation. Then you can break from our American zoning.
That’s what makes this more than a “personal decision” to alter your land. It causes a “take” in property values for everyone in the greater area. And it’s causing in-fighting among families and siblings that have been the backbone of our rural villages for generations.
It’s a massive money-laundering operation between New York State and foreign corporations intent on grabbing subsidies, credits, and locking American farmland into 40+ year leases.
𝗬𝗼𝘂 𝗳𝗮𝘀𝘁𝗶𝗻𝗴 𝗶𝗻𝘀𝘂𝗹𝗶𝗻 𝗶𝘀 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗶𝗺𝗽𝗼𝗿𝘁𝗮𝗻𝘁 𝗻𝘂𝗺𝗯𝗲𝗿 𝘆𝗼𝘂𝗿 𝗱𝗼𝗰𝘁𝗼𝗿 𝗶𝘀𝗻'𝘁 𝘁𝗲𝘀𝘁𝗶𝗻𝗴.
Not total cholesterol. Not fasting glucose.
Fasting insulin.
Because insulin rises years, sometimes decades, before A1c does.
By the time you're "pre-diabetic," your insulin has been elevated for 10-15 years.
Optimal fasting insulin: below 5 uIU/mL.
Most labs state anything under 25 or 18.7 as "normal."
That's not normal. That's a slow metabolic disaster in progress.
Ask your doctor for a fasting insulin test at your next visit. If they don't know why you'd want one, find a different doctor.
This number changes everything about how you understand your metabolic health.
A scientist was hired by a chemical company to study its weedkiller. He found it was castrating and feminizing frogs. So the company stopped studying the chemical and started studying him. This is the documented story of atrazine. 🧵
There are hundreds of thousands of members in withdrawal-related support groups and that figure does not include the countless individuals who never formally joined these communities or those who suffered in isolation, never finding them at all.
It is a profound failure that drug manufacturers and regulators did not adequately warn patients, people who simply trusted their doctors, about the possibility of severe, life-altering withdrawal and the need for careful, often years-long tapering. For many long-term users, tapering is not a passive process. It requires measuring tiny amounts of medication (crumbs, beads, or drops) with extraordinary precision to avoid debilitating symptoms.
In the absence of meaningful medical guidance, patients have become the experts, creating makeshift laboratories in their kitchens and developing tapering methods through necessity and lived experience. Attempts to dismiss these experiences as mere anecdote, or to discredit patients’ accounts of their own bodies and minds because they have a mental health diagnosis, are fundamentally anti-patient.
The next food crisis won't start at the grocery store.
70% of farmers can't afford all fertilizer this year (AFBF survey). Nitrogen costs spiked 28% in 3 weeks after Hormuz disruptions. Wheat acreage is the lowest since 1919.
The shelves are the last place a food crisis shows up.
City Prepping on YouTube breaks down the chain: fertilizer → diesel → wheat → flour → feed → beef → your table.
We don't use synthetic fertilizer. Zero dependency. That's by design.
https://t.co/K9A3PMAwf6
This is exciting and fascinating on many levels — therapeutically and scientifically.
These women with weight-normalized anorexia nervosa showed "less dietary restraint" without weight change on the ketogenic diet. So they ate more but weight didn't change?
Is it possible that anorexia is a fat-storage disorder, not an eating disorder (just as I and others have argued about obesity)?
If so, this observation is unsurprising.
“A ketogenic diet for anorexia”
You heard that right. A new study published TODAY suggests cutting carbs might help in anorexia.
The reason that pairing sounds so paradoxical is that we’re still largely trapped in a framework that views eating disorders as purely psychological phenomena, and assumes restrictive eating should never be treated with a restrictive diet.
On the surface, that logic seems reasonable.
But one of the most important shifts occurring in psychiatry is the growing recognition that the brain, like every other organ, is fundamentally metabolic.
When metabolism goes awry in the brain, the consequences can manifest as psychiatric illness—including eating disorders.
From that perspective, it becomes far less surprising that a metabolic therapy such as a ketogenic diet could help treat anorexia nervosa, one of the deadliest psychiatric disorders in existence.
Quoting from the author of the research @GuidoFrank “The level of recovery [on a keto diet] was far better than what we see in other anorexia treatments.”
Huge kudos to @janellison@BaszuckiGroup for supporting this life-saving work.
They condition you to view your natural survival mechanisms as chemical imbalances that require correction.
Fear after trauma. Grief after loss. Hypervigilance after danger. Emotional numbness after overwhelming stress. These are often normal human responses to difficult circumstances, not necessarily signs that something is "wrong" with your brain.
But, when every human struggle is framed as a disorder and every emotion as a symptom, we can lose sight of the wisdom of the nervous system. Sometimes the question isn't, "What's wrong with me?" but rather, "What happened to me?"
Our God-given emotions are NOT mental disorders.
Magistral clase de metabolismo del Dr.Fettke.
" Nuestros cuerpos no fueron diseñados para funcionar con carbohidratos"
"Si la glucosa es tan buena, ¿por qué el cuerpo hace lo posible por sacaría del torrente circulatorio?"
Low cholesterol destabilizes mitochondrial membranes.
They lose their electrical potential, swell, and die.
That's how statins contribute to aging, heart disease, and cancer.
Years ago, I learned of a published case study describing how a ketogenic diet helped @Carobeckwith recover from a 15-year battle with anorexia. Today's newly published research is a direct result of Caroline and her family's valiant journey, and their determination to help others explore the metabolic intervention that put Caroline's anorexia into remission.
At @BaszuckiGroup we've been honored to support @GuidoFrank and his team who designed, launched, recruited for, completed and published this pilot trial of ketogenic therapy in weight-normalized anorexia nervosa.
This paper is the culmination of many years of hard work--including from those who participated in the trial. A second study is already underway.
One family's journey sparked one clinician-scientist to want to learn more. Together, Dr. Frank and the Scolnick family have challenged the field to explore the metabolic roots and treatment possibilities of a disorder in which current treatments fail far too many.
Please share widely. A second nation-wide trial is enrolling now.
It's INSANE to me that teens who are addicted to screens, nutrient deficient, avoiding sun and exercise and nature, getting poor quality sleep, ingesting toxic seed oils are then put on a health impairing, mind altering pharmaceutical drugs that at least doubles risk of suicide.
Natural England wants to remove 90% of Dartmoor’s ponies.
Our Exmoor ponies are next. These animals have been here for thousands of years.
A government quango, destroying the countryside and its heritage.
The Adirondack Park used to be off limits to this kind of industrial desecration.
The park used to be a place where “Forever Wild” was prioritized.
It all changed with the 2019 Climate Act that gave climate extremists the “justification” to do this to our land.
@KathyHochul stacked the Adirondack Park Agency, and the @NYSDEC, with individuals who would rather see Chinese-made panels and turbines anchored to our ground than the unspoiled environmental wonder of the ADK Park.
Here is another solar facility that’s located inside the bounds of the ADK Park (Crown Point, NY).
It’s sad to see this.
For fifty years the world's obesity advice has come down to one phrase. Eat less. Move more.
A Harvard pediatric endocrinologist named David Ludwig spent twenty years showing it was the wrong answer.
Ludwig directs the New Balance Foundation Obesity Prevention Center at Boston Children's Hospital. He is a professor at both Harvard Medical School and the Harvard T.H. Chan School of Public Health. He has spent his career treating the most obese children in New England.
The standard playbook was not working. The kids cut calories. They tried harder. They came back heavier.
So Ludwig started asking a different question. What if the calorie was not the lever.
He built what he calls the carbohydrate-insulin model.
Refined carbs spike your insulin. Insulin tells your body to store fat. After the spike your blood sugar crashes. Your body interprets the crash as starvation. You get hungry again. You eat. You store more fat. You crash again.
It is a feedback loop. And the loop runs on the carbohydrate, not the calorie.
In November 2018 his team published the result in the British Medical Journal.
164 adults. 12 percent body-weight loss on a run-in diet. Then randomly assigned to high-carb, moderate-carb, or low-carb at calorie levels designed to maintain their new weight.
For twenty weeks straight.
The low-carb group burned over 200 extra calories per day at the same body weight as the high-carb group. The effect was larger in participants with the highest insulin secretion.
Read that again.
Same body weight. Same maintenance calories. The low-carb body was running 200 calories per day hotter.
That number ends every "a calorie is a calorie" debate the moment you read it.
Ludwig is not a fringe figure. He is the most credentialed voice in nutrition science quietly dismantling the orthodoxy from the inside.
His 2016 book Always Hungry has been on the New York Times bestseller list. His 2021 paper in the American Journal of Clinical Nutrition formalized the model into a unified theory of obesity.
The standard advice is not just wrong. It is the wrong question.
Eat less and move more is what you say when you do not understand the disease.
#NSNG #DavidLudwig #CarbInsulinModel #AlwaysHungry #LowCarb #Insulin #Obesity #HarvardMedicine