Does a ketogenic diet result in greater energy expenditure? | Peter Attia & Layne Norton

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The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 40 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.
Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).
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15 окт 2024

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Комментарии : 68

@lyleburns8532 2 года назад

Keto works for me simply because I'm not starving hungry all day like I was for 20 plus years on a low-fat diet. My wife on the other hand hated low-carb and has the self-control to stay on a low-fat diet. We both eat salads and low-carb vegetables as part of our overall plan. However my salads and omelettes look a lot different than hers.

@Scruffed Год назад

Good thing that there's no real need for diets to be low-fat or low-carb, just highly satiating and not overly caloric has been the way to go for me (there are highly satiating carbs AND fats).

@ericwarmath1091 2 года назад

Somebody once said people will eat until the body gets all the nutrients it needs. Poor food choices equal higher calories but low nutrition. People on these diets get better foods/nutrition on lower calories and thus lose weight.

@get8020fit 2 года назад

Interesting perspective. Will digest

@nowayout8773 2 года назад

I agree because I experience this energy from burning my own fat off my skinny ass. I don't even think about food for a long time because I am not hungry. I get worried sometimes because I don't want to eat or snack. Since I am what is referred to as fat adapted or metabolically flexible, I can binge sometimes on tortilla chips and salsa but I did the so called reset and can bounce back and forth but I prefer to stay fat adapted because it is easy. I don't bonk anymore, or get hangry. At 56 at feel better than I have for years. I am also a lean person who bike commutes but now I don't worry about exercise making me raving hungry. I'm am always fine. Also nice to not spend extra time on the john. Life definitely improved in every way imagined. Food is medicine.

@artsteale3443 2 года назад

Is energy expenditure really that important? Eating nutrient dense food that stops cravings and snacking is the most important and eat less often will control insulin and weight more than just reducing calories. The ability to switch into ketosis is more important than being in ketosis.

@littlevoice_11 2 года назад

Energy expenditures is a single piece in a complex puzzle. Keto (when done right I.e. quality protein, wholefood fats focusing on omega 3, olives, nuts, seeds, avocado, cacao, lots of non starchy vegetables, herbs, spices, mushrooms and fermented foods) has benefits on health including sleep, hormones, energy, mood, inflammation, body composition, cognitive function, insulin sensitivity and more... this has profound benefits on quality of life. It also, by multiple channels, would increase energy expenditure through physiological, biological and habitual changes across the day. As they say "When you feel better, you can live more"...

@kenhalal375 2 года назад

I was thinking along these same lines as I watched the video. Also, there is the question on increased mitochondrial density because your body isn't inflamed from the overdoses of insulin and thus has an opportunity to be as efficient as possible.

@drsaintdc 2 года назад

From the beginning, Gary Taubes had it right: the discussion of CICO is besides the point, we eat a low carb diet because it’s easier to eat less. Period. The discussion of CICO is akin to telling a person “getting rich is about how much money comes into to your account vs what goes out.” Which is COMPLETELY true… but useless info. We have to leave this behind.

@btown418 2 года назад

Exactly. You nailed it

@christineg3905 2 года назад

I really wish Peter would dummy down some of his scientific speak. I think he assumes we all are on the same page. I can interpret most of what he says it’s most important to assume your listener is the average person not integrated into the field of science. Sometimes just a reminder of a term’s meaning and/or explanation of all of his acronyms would be super helpful. I spend most of my time researching terms to make sure I fully understand what the term’s meaning is within the context of the conversation.

@drsaintdc 2 года назад

I can tell he’s trying. This is worst when he speaks to an expert. He’s just having so much fun riffin with them. If you listen to an AMA it’s a vast difference.

@simplelife9065 2 года назад

Soooo true. I really struggle to follow. Andrew Hubermans podcasts are kind of easier to grasp

@chrissargent3136 2 года назад

And you think this isn’t intentional?

@888jucu 2 года назад

Yes but it makes you smarter too right! 👍

@christineg3905 2 года назад

@@888jucu but he’s making the podcast for public consumption. I work with clinicians all day long and the beauty of the great ones is their ability to speak in simple terms for all to understand. I have to translate clinical speak for public products so I’m very familiar with medical terms and technologies.

@CashMoneyMoore 2 года назад

Not sure I understand the conclusion here. It seems to me that ketosis was trending towards more energy expenditure, even when matched for calories. You do a higher protein modified ketogenic diet and then you're really cooking.

@NotMyRealName1 Год назад

They were saying it was so small it was barely measurable, and that the CIM predicted a much higher expenditure increase. Attia was the keto fanboy but even he’s had to admit it doesn’t work the way he thought it did.

@vexilar1 Год назад

Would be nice to see studies linked here. Great content, however.

@nickeimer 2 года назад

Both professional and are giants in their respective fields. Glad to see them tackle this. Disappointed that he didn’t talk about the satiety and compliance factors that the keto diet prompts… yet what since it’s there on leptin to back that possibly mechanism up?

@sc4332 2 года назад

Of course the keto diet doesn’t increase energy expenditure. But it makes it a lot easier to be in a calorie deficit as the body can easily burn stored body fat for fuel.

@888jucu 2 года назад

That only makes sense if you are wanting to lose weight but at a point you will just want to maintain in which case you will need to eat more to balance the energy needs. The major concern I hav with long term keto is that it is pretty clear in most medical literature that fats, be they saturated or otherwise (including vegetable fats), can inhibit the insulin site in your cells and start to present insulin resistance and you dont need to be obese for this to happen. I think the long term effects of being keto and eating high fat is going to have adverse longtime effects on CVD and insulin resistance and for some this may only manifest itself much later

@madhu_1489 Год назад

But why dietary fats cause me dizzy for hours ?

@NotMyRealName1 Год назад

That just doesn’t make sense though, as you’re eating so much more fat in a keto diet. Not saying they don’t work for some people, but the only reason they work is fewer calories.

@jackjack4412 Год назад

@@888jucu how does fat present insulin resistance? Which study did you read if you dont mind?

@888jucu Год назад

@@jackjack4412 Hello Jack, I have read about it quite a lot and although I don’t collect and keep track of everything I read I just watched a video on this topic. If genuinely interested you can search “Ending carb fear: How animal fat causes diabetes” it was produced by RU-vidr Mic the Vegan and he quotes some studies there to support his case. I have no idea if they are the same studies I read before but I didn’t do a background check so I don’t know. Please note I’m not Vegan and not even vegetarian so I’m not pushing any ideological angles here I just listen and make my own judgements. I listen to a wide variety of RU-vidrs from Vegan to Carnivore and all inbetween

@JonathanWilliams-pr6tf 2 года назад

Yeah CICO is pretty useless outside a lab or classroom. What matters is satiety. Very little exists in low fat diet. I was hungry all the time and didn’t lose any weight. Lost 35 lbs so far on Keto and almost never feel hungry.

@Filip-sp2vk 2 года назад

Protein is most satiating nutrient, remember? And plus, fat is doubled calories so.. CICO is king

@stevend481 2 года назад

Energy balance is useless? Ok bud

@Filip-sp2vk 2 года назад

@@stevend481 those keto heads…

@Michael-4 2 года назад

This is all very well. Real world, long term compliance is the only way you will keep off what you lose and CICO is not that for 95% of people.

@JD-rc6lq Год назад

Layne is the master of spin. Fat leaves the body primarily as CO2. So the fact that he is talking past the discrepancy in chamber data between ketogenic and non-ketogenic diets is troubling. Keep in mind that their formulas posit energy equilibrium. Also if you want an undisputed metabolic advantage, acetone (a particle containing energy) is wasted in breath exhalation while in Ketosis.

@eswyatt Год назад

"But fat is sooo shassheeeateinggggg!" Nothing hits the spot like a stick of butter.

@sebastianeditz12 11 месяцев назад

Do you feel more energy while on keto?

@carlotonydaristotile7420 2 года назад

What about health risks, inflammation, cardiovascular disease, etc..? Which is worst?

@888jucu 2 года назад

I think this is very good point as high fat diets (regardless fat sources) have been shown to creat insulin resistance. Its also well documented about the long tern CVD issues associated with long term high fats diets and this damage can happen even to non-obese people

@dr.proteomix1257 Год назад

@@888jucuthis assertion is verifiably incorrect

@888jucu Год назад

@@dr.proteomix1257Which assertion as I made 2 or maybe you reject both?. If you have any comment beyond just pure rejection please share 👍

@Exodus26.13Pi 2 года назад

YES! It's about sleep quality... Workout then eat well to lose body fat however sleep is stopping at weight loss. Less, more, fast, many meals, hi/low carbs/proteins. SAME WEIGHT FOR A YEAR and my muscles are getting bigger... I DON'T WANT TO BE BIGGER. HOW DO I LOSE ALL MASS?! Thank you

@richardmiddleton7770 2 года назад

If you do a higher protein version of the keto diet then your energy expenditure will increase because of the energy required to digest the protein.

@kenhalal375 2 года назад

Or is because some of that excess protein is being converted to glucose?

@btown418 2 года назад

Too much protein and you aren’t keto anymore due to gluconeogenesis

@Filip-sp2vk 2 года назад

@@btown418 yes, so why even bother being im ketosis?

@lisatowe778 Год назад

Calories in calories out is still and will always be the bottom line. I’ve maintained for decades that way. Didn’t do it well in menopause and gained about 10#, now will have to shave it off but even the 10# I’ve maintained within a pound up and down for four years which is not usual to keep weight that maintained. I didn’t expect the differences with menopause and should have adjusted when I noticed I was eating outside my maintenance amount

@Scruffed Год назад

Calories in calories out is the name of the game, but it doesn't teach you how to play it very well. Some calories are much more satiating than others, and some taste better than others, both of which are hugely important for diet adherence.

@lisatowe778 Год назад

@@Scruffed I was raised on what they now call “organic” and “vegan” back then it was simple farming and vegetarian. If you’re eating healthy foods with no obvious inflammation to the body, diversifying the micro biome like you would a portfolio, then it’s a matter of what makes it possible for you to maintain a level of calories versus activity. I know my problem, I was suddenly attracted to foods I never ate AND had a massive mold exposure I’m still working on. As I decrease the mold the diet naturally returns to normal. Parasites and mold etc can trick your body into wanting foods the parasites and mold live on beat like artificial sweeteners and H Pylori lol

@lisatowe778 Год назад

Sinclair Kennaley and others really dive into mold and the effects on the body and chemicals, parasites. It’s amazing

@APEXCARNIVORE 11 месяцев назад

CICO doesn’t work, you all forget the tandem of these hormones : Insulin, Glucagon, Ghrelin, Leptin, Cortisol, etc…

@GregariousAntithesis Год назад

Well there has to be more to this metabolically when you have so many metabolically diseased people going low carb and loosing 30-40 lbs in a matter of months. You cannot do that eating a high glycemic diet.

@888jucu Год назад

Walter Kempner rice diet was high glycemic and reversed both obesity and diabetes so it’s not so open and close case as you might think

@GregariousAntithesis Год назад

@@888jucu heard this before and i dont care about trying a high glycemic diet after getting sick from a high glycemic diet. You can loose weight on potatoes doesnt make it healthy or sustainable.

@888jucu Год назад

@@GregariousAntithesis I could say exactly the same thing about Keto or Carnivore, anyway at the end of the day stick with what works for you seems to be the takeaway message 👍

@GregariousAntithesis Год назад

@@888jucu im a Paleo omnivore.

@888jucu Год назад

@@GregariousAntithesis I had to look that up and realised I’m the same, or atleast try to be 🤣👍

@mosin9105 2 года назад

Mind blowing

@danielmccarthyy 2 года назад

I like these snippets.

@Lukas-bl9wy 2 года назад

@Nellis202 Год назад

What on earth are they on about. Is this even for real people ?

@Filip-sp2vk 2 года назад

Dr Layne just explain in the video that no data support low carb as something superior for health markers or fat loss. So don’t you all understand what means no data to support…

@NotMyRealName1 Год назад

It’s just what works for some people. You can’t tell them it doesn’t, but then they can’t say it will work for everyone. It’s about every individual finding the best/easiest way to restrict calories (obvs making sure getting sufficient nutrients).

@Sheikdaddy 2 года назад

150 calories x 365 days = 54,750 extra calories burned (assuming that somehow this is a constant) This is 15.6 pounds a year eating at "maintenance" At least in my case hypothetically this math sort of adds up. The beginning of Keto for me 200 lb then 190 after glycogen depletion. Never did keto for weight loss always under doctor and PT recommendation. General exercise working out and not counting calories, occasional cheats where scale temp balloons from water, after one year my keto weight 179. 11 pounds. Definitely some muscle loss. Immediately went on my honeymoon, total non-healthy stuffing our face everyday with cruise ship buffet cookies breakfast eating everything at Disney world just non-stop gluttony for three weeks and went to 206 in 3 weeks. Today about two and a half years later I am my goal weight of 175 and I can finally chase hypertrophy. Hopefully with some carbs.