LowCarbSurgery

Collaborative forum to discuss low-carbohydrate peri-operative strategies

[LowCarbSurgery @LowCarbSurge]

New blog!

By Dr. Shaun Scott @upyrbike & Prof @scarlettmcnally, for people preparing for surgery who want to try a low carbohydrate diet (LCD), or those already established on it

Hosted by @CPOC_News
https://t.co/IxwaP7E7kh

[Alexandre J. Pelouze @alexpelouze]

Low carb before surgery A MUST. #lowcarb #fitforsurgery “If you fail to plan, you are planning to fail!” You can decide. #cardiacsurgery #surgery #diabetes

[LowCarbSurgery @LowCarbSurge]

@AdrianSotoMota @keto_live @idlake @grahamsphillips @DoctorTro @I_mitochondria @KenDBerryMD @Diabetescouk @sarah4info @lowcarb_aus @lowcarbusa @TheSMHP

[LowCarbSurgery @LowCarbSurge]

New blog!

By Dr. Shaun Scott @upyrbike & Prof @scarlettmcnally, for people preparing for surgery who want to try a low carbohydrate diet (LCD), or those already established on it

Hosted by @CPOC_News
https://t.co/IxwaP7E7kh

[LowCarbSurgery @LowCarbSurge]

@LowCarbProgram @PHCukorg @rcgp @Freshwell_HC @LifestyleClubUK @lowcarbGP @CampbellMurdoch @DrScottMurray @NutritionNetwrk @IPTNCanada @lowcarbusa @lowcarb_aus Please repost!

[LowCarbSurgery @LowCarbSurge]

New blog!

By Dr. Shaun Scott @upyrbike & Prof @scarlettmcnally, for people preparing for surgery who want to try a low carbohydrate diet (LCD), or those already established on it

Hosted by @CPOC_News
https://t.co/IxwaP7E7kh

[LowCarbSurgery @LowCarbSurge]

New blog!

By Dr. Shaun Scott @upyrbike & Prof @scarlettmcnally, for people preparing for surgery who want to try a low carbohydrate diet (LCD), or those already established on it

Hosted by @CPOC_News
https://t.co/IxwaP7E7kh

[LowCarbSurgery @LowCarbSurge]

@LowCarbProgram @PHCukorg @rcgp @Freshwell_HC @LifestyleClubUK @lowcarbGP @CampbellMurdoch @DrScottMurray @NutritionNetwrk @IPTNCanada @lowcarbusa @lowcarb_aus in summary, LCD may be expected to deliver tangible perioperative benefits:

🌟weight loss (A&B!)
🌟improved BP&diabetes control
🌟tolerance of fasting
🌟improved perioperative metabolic stability:
✨less hyperglycaemia
✨less proteolysis
NB early medication adjustments!

[LowCarbSurgery @LowCarbSurge]

Truth👇

Also, before surgery, if able,
walk, walk, walk
and fast in the morning

i.e. pre-adapt to not eating till ‘post-op time’

[#hellomynameis Shane @drohanlon]

After #surgery,

walk
walk
walk

Every 4 minutes of mobilization per hour was associated with fewer postoperative complications and with shorter hospital length of stay
@JKDhesi @BrianwDolan @betterageing @DrPhilipBraude

https://t.co/ByITFppTGX

[Adrian Soto-Mota @AdrianSotoMota]

One of my patients today:

Sept/21:
60yo male, T2DM since 2019, BMI:29.5, took 6 different drugs qd. HbA1c 7.7%.

I stopped all pills except metformin and prescribed a ketogenic diet which he started 6 weeks ago.

Dec/21:
HbA1c: 6.0%, BMI: 24.5. And he is VERY 😃

Lipid panels 👇🏼

[LowCarbSurgery @LowCarbSurge]

@RethinkCake 👇

[LowCarbSurgery @LowCarbSurge]

@paulmelzer1 @upyrbike @cadiulus @lowcarbGP @grahamsphillips @LowCarbProgram @SamFeltham @DocRunner1 @ProfTimNoakes @FructoseNo @longevity_pro @drtroystapleton @CampbellMurdoch @JeffryGerberMD @FatEmperor @SBakerMD @russwinn66 @RealFoodRocksUK @wildingsnacks @PHCukorg @Dr__Guess @lchfRD @LCPamDevine @TaraKellyRD @the_hough @lowcarbusa @WeDietitians @hjluks @DoctorTro @tednaiman @drjasonfung @FreeStyleLibre Handfull of nuts (cashews - a mistake: dry mouth=paste; choking hazard, even sitting still😫)

Cup of tea+milk

1/2 pack dried meat

I ate at that time not for hunger, but it was nearly dusk & I was uncertain what the night would hold…

All regrettable, felt sick…

[LowCarbSurgery @LowCarbSurge]

Another reason why CHO-dominant metabolic state, and pre-op CHO loading in particular, may be disadvantageous🧐

Stress (eg surgery, fasting) + CHO-dependency:
▶️early glycogen depletion
+lack of alternative GNG substrate (glycerol, acetone)
=early proteolysis

▶️Lean mass loss

[Shaun Scott @upyrbike]

@nicknorwitz @KetoCarnivore @DrJonLittle @Ad_SotoMota The alanine paper adds weight to the notion that metabolic flexibility in times of stress includes healthy FATox (and normal ketogenesis) - and that these help to preserve lean mass by reducing proteolysis, besides preservation of glycogen/glucose/lactate fuels

[Shaun Scott @upyrbike]

@FerroMd @lowcarbGP @RuthTapsell @CampbellMurdoch @ProfTimNoakes I assume your ‘tongue-in-cheek’ 🥁

Even if that were a thing, I’d advocate #lowcarb 1st-line

The ‘liver-shrinking diet’ employed before #BariatricSurgery is #lowcarb -all visceral adipose shrinks (including tongue)🧐

#lowcarb is sustainable if not #lowcalorie👊

[Shaun Scott @upyrbike]

🧐#Periodontitis associates with...
1. Carbohydrate intake
2. #metabolicsyndrome
3. Poor outcome #Covid19
... in that order

tl;dr: #lowcarb improves #metabolichealth, reduces much downstream illness and improves😁

[LowCarbSurgery @LowCarbSurge]

@KeithBX3 👊

[Shaun Scott @upyrbike]

💥”fatty tongue” contributes to OSA
💥it is rapidly reversible #lowcarb
💥reversibility is independent of body-weightloss

#metabolicairway 🧐

[Dr Ruth Tapsell @RuthTapsell]

"It's time to stop papering over the cracks & deal with the root cause"

Wise words from @Billal72073638

Huge thanks to these incredible specialists for demonstrating that carb restriction is a powerful & safe intervention in T2D & many other diseases 🙏
https://t.co/dDfViZpfnb

[Shaun Scott @upyrbike]

👊this is attainable #preop @CPOC_News @LowCarbSurge

[Shaun Scott @upyrbike]

How might “Intermittent Fasting”
apply to those scheduled for elective surgery?

Or, how better to prepare for pre-op fasting??

2aspects:
- practice fasting (skip b/fast)
- low-insulinogenic diet: liberating lipolysis makes fasting easier (probably reduces early protein loss)