IS FAT WORSE THAN SUGAR? - Doctor Reacts 

Sounds like someone's drunk the saturated-fat-phobia koolaid.

There are successful high fat and high protein and no carbs people out there. We do what works for us. Sometimes all this information just confuses people. I prefer simple. Thx doc. 👏

I really wish people would stop talking about calories. I eat at least 2 pounds of fatty red meat daily for 6 months and I weigh 102 pounds at 5’2. I am moderately disabled and can only exercise sometimes. This way of eating has stopped my autoimmune issues which was greatly exacerbating my back issues and that’s a lifesaver. I won’t touch carbs at all. And BTW… celery is loaded with oxalate which i experienced dumping of oxalates when I quit that poison so I know it’s bad. He acted like people like me are silly for shunning crap celery.

In my opinion, Dr Naiman is making things way too complicated and confusing. I like it simple as Dr Westman, Dr Bikman or Dr Berry explain. At the end, being healthy without being hungry is all I care about.

Thank you Dr. Westman. I am getting very disillusioned with these young carnivore "coaches". I can never eat as much as alot of these people eat. 2 eggs, 4 slices of bacon for a late breakfast. Ribeye at dinner. The most exercise I get is a little house work or lifting my paint brush. 69 doing great.

While I love bacon and butter, I find it really really hard to eat a ton of either. It’s really hard - physically - to overeat fats, because you just get tired of eating them very very quickly.

Dr. Westman, could you make a reaction video to "Can we reverse atherosclerosis?", a video released two days ago on a channel called Physionics. The claims in this video are that high LDL (whether large or small) will automatically cause plaque because ApoB is somehow attracted to the endothelium of the blood vessels (he gives a detailed explanation based on some studies - something to do with electric charge). Thank you 🙏🙏🙏

I eat OMAD, meat - just meat & eggs. I enjoy what I eat. I'm 66 and healthier now than 30 years ago. I don't exercise. Healthy eating is easy - just eat meat and sometimes some eggs. Oh yes, I take high quality vitamins and mineral supplements.

Eating one pound of 80/20 ground beef with all the rendered fat poured over it with of Redman's salt while watching this video.

Thank you Dr. Westman! I'm 55, and when I'm on carnivore, I'm very strict. Buty sugar addiction is keeping me off of it. Trying again tomorrow. Fridge is stocked with BBB&E. Carbs are horrible for me!

The one thing I agree with is that people should move. Exercise can simply be going for a walk. I myself, play drums for an hour a day on my days off. The fast movement itself keeps me pain free and feeling youthful. As for fat intake, my satiation from eating fatty meats does that for me. I listen to my body.

It’s super hard to overeat protein and saturated fat. Interestingly, after 8 months carnivore, my body is going through a phase where it wants less protein, more fat. I can’t eat as much protein as I was … so I increased the fat and feel better. That may change. But I’m listening to my body.

Never did well with carbs. Try to keep at 0-10. My cravings are just better with less carb. Everyone is at a different place.

Bart Kay should debunk Nieman’s nonsense.

Great perspective Dr Westman. Ive watched her and she complains about all the influencers that are making carnivore confusing. Unfortunately she can be confusing as well 🥴

Why are doctors so invested in people eating carbohydrates? Studies of isocaloric diets have shown that carb-heavy nutrition plans have higher insulin and more weight gain. Hard to take medical advice from folks not worried about the effects of "insane amounts of coffee," diet soda, and habitual four hours of sleep periods on the body, but consider the stress of eating two meals a day in a four-hour window something unhealthy. From a species perspective which is the more likely scenario our metabolic systems evolved to manage? Dr. Ted Naiman is doing his own n=1 experiment.

I used to follow Lilly but she changes her beliefs in carnivore so much that she lost my interest, she gets to easily infuenced by others.

I appreciate how clear Dr Westman is. Especially after listening to these two. Thank you, Dr Westman!

I’m so glad that an actual clinician with a heavy research background is helping to clarify all the noise out there in the internet regarding diabetes and the impacts of a low carb lifestyle, because a lot of social influencers sure do use a lot of persuasive language that isn’t held up with science and experience like Dr. Westman.

( 48:46 ) So Dr. Shawn Baker, "you're just going to be losing muscle honestly if your eating window is too small". Has this guy ever SEEN Dr. Baker? EDIT: Or Dr. Anthony Chaffee? Both OMAD most of the time.

If I ate like he says is healthy. I would lose my eyesight and a leg in a couple of years. Looks like Diet Doctor jumped the shark

Dr. Noakes has started talking about carbohydrate intoxication. Well stated.

Great video Dr...... Yep, so much misinformation fuelling the content of their conversation. It's no wonder people are staying sick and fat. Hope your videos reach them before it's too late..... 2.5 year Carnivore here. Never been healthier and emotionally happier. Crazy how well it works.

What is it about Neiman that is so off putting? Maybe it's his hatred for folks who struggle with weight? His air of superiority? His awful voice? Think it's the snarl & lack of warmth. 🥶 Burrrrr

Dr Westman, excellent point that Lilly Kane is young and healthy, and her life experience biases her approach, for her and for her audience. For example, she eats fruit. I am 64 year old diabetic, and cannot eat fruit. What's good for her is not good for me.

I have followed Lily for a while now. She used to be a strict carnivore, but started to transition as she built her coaching community. I don't think she has ever claimed to be a registered dietitian. I believe she is still lowish carbs.

Well I can asssure that lady that even if someone eats 3000 calories they dont get many vitamins if they dont eat crap. So here she said nonsense. I will get much more vitamins eating 800 calories meat and fats than a person who will eat whole grains. They are full of calories and not so full of nutrients.

Apples get me too. Sugar spikes insulin which stores sugar from blood as fat then you cannot burn fat and don’t have sugar so you MUST reload. This drives chronic disease

I never tell people calories don't matter. Instead, calories are a misunderstood, arbitrary metric that does not fully or accurately define how your body metabolizes food. I do think using calories as a benchmark for how much food we eat is probably the best way unless and until a better system is derived. Just understand that, depending on your diet, not all of those calories are used for energy, and not all calories on SAD are even metabolized.

This doctor's vibe has all the arrogance of a thin guy telling people they are fat and just need to eat less and move more.

Lillie is awesome, she has helped me tremendously on my ketovore journey. Awesome video. Dr. Westman😎🤙

After three weeks cycling in mountainous Europe in September my 6'4" 70 year-old body went from 85kg to 75kg. I attribute this to insufficient calories due to an "inadequate" diet, very little good fat, and high cal burn. I'm currently 81kg, and quite content with that, but now more focused on upper body muscle gain. There is a shortage of inexpensive nutritious food in Eastern Europe, and lots of refined flour and seed-oil poor quality bakery goods.

Another great episode of Dr. Westman Reacts!

Thank you! Thank you for clarifying!

Whateverrrrrrrrrrr... Oy! I wouldn't follow this guy. Now I see why Bret Scher left "Diet Doctor". Yikes! Great commentary, Dr. Westman! 👍

I am sooo grateful for your reaction videos. Helps a lot! So thank you, Dr. Westman!

This is definitely geared toward younger, more active bodies. People older in the decades of damage chapter in life they struggle responding as quickly as positively as a young person take. It’s heartbreaking even when generally healthy older people are trying to use their old tricks to improve health and don’t understand why it’s not working like it did before. Then, an understanding of hormones, and how they respond to one another when there’s an imbalance, becomes very useful.

Another great upload Doc !! Very educational, as always.

Being a former type 2 diabetic, thanks to the Carnivore live style; I can say nothing is worse than sugar.

Jardiance commercial before this video started. 😮 Grateful for Dr Westman and go keto with Casey. Y'all speak truth.

So whose pants are on fire? Ted Naiman's or Ben Bikman's? Also, I know from my own experience that whenever I overeat fat, it's excreted in my stool, so the whole "only exhaled" is bogus. Half a dozen apples a day? Good luck with the blood glucose in a couple of years. Holy moly!

Eats half a dozen apples a day …. because they are so satiated …lol

"...super lean beef..." What a shame.

High carb means lots of glucose entering the blood, which the body has to get rid of to avoid a diabetic condition. That also means regularly higher than normal glucose excursions, which can be measured over the last 3 months by checking the HbA1c. This measures the amount of glycation of red blood cells. Glycation is damage caused by glucose, and pretty much all cells in the body get glycated, it's just easy to measure the red blood cells' glycation. Over time, there is accumulative damage all over the body if you're always consuming high carb, leading to all kinds of ailments as you get older. Many people are also in a pre-diabetic condition as insulin resistance builds due to the constant high levels of insulin required. High fat causes zero glycation. No such damage occurs (over the normal amount that occurs naturally when blood glucose is well maintained in the normal range). This alone indicates high fat is better. But I prefer to be neither high carb nor low carb: just low carb, normal fat keto 🙂

You’re the best Dr Westman. I first was introduced to you through “A New Atkins for a New You”. I started my keto journey Jan 1st, 2006, lost over 100 lbs, went Carnivore higher fat 3 years ago and have gained a little, now I’m looking at changing my Protein:Fat ratio. I’m 66, never been an “exerciser”, a small walk or 2 a day and some housework and that’s about it.

Eenfeldt is trying to get a foothold in the nuanced niche so he doesn't get lost in the general idea of low carb. He can't make money touting low carb. The basics are the best. Eat low carb.

The problem is the people who say the carnivorous diet is bad fail to grasp that the ‘normal’ ‘healthy’ diet was what got me here in the first place. So if it’s all the same to these experts I think I’ll eat the diet that takes my pain lowers my insulin away and burns my body fat, so cheers and have a great day.

What good is a doctor that doesn't know about seed oils?

With this dialogue it is essential that we know the target audience and I’m glad you mentioned it Dr Westman. They are talking to people who are younger and metabolically healthy. For someone in their 50s-60s, overweight and insulin resistant (and probably addicted to sugar and flour foods) I don’t see how you can be successful in turning around your health by not reducing carbs to a therapeutic level of below 20g and then perhaps adding back whole food carbs as your metabolism heals. With longer fasting (24 + hrs) again, as a therapeutic tool to reverse damage and heal the metabolism, it can be very helpful. If used strategically.

Is Ted Naiman ok ?? Someone should really check on him.

Hope Prof Kay can do a video on that guy. Thank you Dr Westman for another great video

I’m so glad u did this video I had just recently watched dr naiman as well as Layne Norton talking about this and have been so confused about what I thought I knew … it’s so hard to hear so many conflicting views.. they r saying u can get insulin resistance as well as diabetes with eating fat just as carbs

Yes, let's keep it simple. Avoid highly processed, hyper palatable foods. Find a healthy, real food lifestyle that fits in with your situation and current health. We constantly hear how difficult a low carbohydrate diet is to sustain. I think most people making this claim are referring to the so called lion diet. So, ribeye steak, salt and water. Well, I don't think I'd last very long on such a restrictive regime - and I love ribeye - but that really is the absolute extreme end of the spectrum. It is important not to lose sight of our goals AND our starting point. If weight loss, or remission of diabetes is the aim, well, cut the carbs. That said, a race to extreme carnivore, is probably not the wisest choice. The same can be said for the butter-laden coffee, MTC potions, along with all the other snake oil. Personally, I prefer meat,fish, poultry and fish with the fat already present. Seems to me a little silly to remove fat religiously, only to add cream, butter or cheese in order to up the fat content. As for the 5 apples a day. Good luck with that if you are diabetic or overweight!

A large amount of heavy exercise alone has also been measured to lower the basal metabolism, as well as if you eat too little. Your body starts to resist exercise that is not normal. This seems lost on these two. This is what Jason Fung said. Many move too much and don't rest and recover. I can't move, but I can lose weight and keep my weight where I want.

Great info thanks

The beginning about eating the same food if you reduce your exercise but the point of this way of life is to get your system working well enough to tell you how much you need. So therefore if you have got healthy enough to be able to listen to your body you will actually eat less as you need less. I like Lilly but sometimes she says the obvious but not noticed why this happens.

High amount of carbs plus seed oils cause adipose tissue enlargement and even visceral fat increase. Low or no carbs will cause these fat reserves to diminish as long as their food intake is reasonable and they eat 1 or 2 times per day hopefully within a 6-8 hour window.😊

I simply can't go much lower than 2000 calories per day, and am still a sugar addict. My carbs are usually fairly low --- normally under 50. I generally eat yoghurt, avocado, eggs, meat or fish, sauerkraut and a small amount of high-cocoa chocolate each day. I also have some olive oil, cream and MCT oil, and often some cheese. Oh, and a few nuts sometimes --- woe is me. I need to lose another 10 kilos, although I have, through low calorie and lowish-carb-eating (on and off) over the past few years, managed to lose 40 kg.

Seems to me if you wanted to help the largest amount of people under the bell curve, the simplest way is lc, keto, carnivore.

I’m curious. As a former diabetic when I started losing weight something internal happened and the motivation to get active just came over me. My theory is people on LCHF will develop an exercise habit. This is hard to explain. I’ve engaged in exercise throughout my life but it was often a chore to maintain. It was dependent on my willpower. However now my motivation is not willpower driven.

glad you explained this as it was way too complicated for me

Good video Dr. Westman. I had to laugh when he talked about what he eats. Not really saying just "lots and lots of____" Well, what's lots and lots?

Thank you so much. You are my number 1 source but zi do watch and listen to others. Most people in the keto low carb carnivore community definitely know who Lillian Kane is. And why I take all her videos with a grand assault because she is not a physician I do enjoy her content. I think she is constantly evolving and trying to learn and trying to do the best that she can and I appreciate that from her.

Another great reaction Dr Westman. Many thanks. I went low carb twenty years ago (aged 40) and lost 80 pounds. [Male of 250lbs going down to 170lbs.] (Unfortunately, I added cereals back into my diet and put the weight back on). Anyhow, I've gone low carb again - at aged 60. But this time, my body only wanted to (allowed me to) shed 40 lbs. Is that level of fat loss OK or should people re-double their efforts to lose more? Perhaps the extra (midriff) fat the older person retains is actually protective in some way - and therefore a good thing?

City BBQ, brisket, one of my favorites!

I watched 8 minutes of this video and then gave up. Critique of Dr. Naiman 1. He said the only way to excrete carbon is to exhale. False. Normal things, such as cutting your hair and toenails, shedding skin, bleeding (which females do, and both men and women if they bleed from gums, digestive system, sinus infection), excreting mucus through the respiratory tract, including runny nose and cough. There is also carbon excreted in stools. So maybe Dr. Naiman meant to say the "main" or most significant loss of carbon is by exhalation. Do people who eat sugar exhale the same amount of carbon as carnivores exhale? No. Carnivores have higher body temperature and shed more heat from their body. Therefore, they burn more energy and exhale more carbon. People who eat sugar are more likely to bleed. Carnivores, being well nourished, grow hair, nails and skin faster. This whole "you only way to excrete carbon" is a red herring. He is pretending to avoid the energy balance model (calories in, calories out) but he is only deflecting by changing the words. Counting carbon atoms corresponds to counting calories. He is ignoring the Carbohydrate Insulin Model (CIM) which proposes that carbohydrates stimulate more insulin. More insulin forces the body to store fat. A carnivore and a carbohydrate-iv-ore consuming the same number "carbon atoms" will have different metabolic outcomes. The carnivore has lower insulin, their metabolism is fat adapted; they burn fat rather than store fat. The carbohydrate-iv-ore raises insulin, their metabolism is glucose adapted, they store fat. Because they are storing carbon atoms in fat, their muscles do not get as much energy. Their body temperature goes down. The carbon atoms go into body fat, so less carbon atoms exhales. So Dr. Naiman carnivores and Carbohydrate-iv-ores do not exhale the same amount of carbon, even if their intake of carbon is the same. 2. Lilly Kane and Dr. Naiman discussed the idea that carnivores will lose the effectiveness of their diet over time. Their theory is that carnivores tend to lose weight by eating less food; that is: calorie restriction (or carbon atom restriction). False. Carnivores don't have to restrict their food intake - their body tells them when to stop eating. That's satiety. There might be unusual cases where satiety does not work, but that's not usual. Dr Ken Berry, who has years of clinical experience, often says in his videos about eating meat: eat until you are comfortable stuffed. Other influencers, such as "5 minute body", advise some people if their weight loss is stalled, to increase, NOT decrease, fat intake. On the other hand, carbohydrate-iv-fores do not satiate with carbohydrates. Eating carbs stimulates the desire to eat more carbs. The brain's sense of satiety is distorted by the hormonal effects of carbs. Higher insulin cascades feelings of hunger. Carbs stimulate dopamine in the brain, creating a desire (an addiction) to eat more. In diabetics, multiple hormone systems are damaged. .Ghrelin, Incretin, adrenaline, and cortisol. The cellular organelles are damaged by the oxidative stress from glucose and fructose. The Randle cycle switches to glucose metabolism, inhibiting the metabolism of fatty acids.

Dr. naiman looks really fit. In addition of exercising, the intermittent fasting is the main factor

Dr Ted totally derailed my keto diet two summers ago. His approach sounded too good to be true (for me it was). I switched to a high protein high carb diet but what his approach doesn’t take into account AT ALL is sugar and carb addiction. While I’m sure a body builder has the willpower to keep proteins high and carbs/fats in check I count not. ANY carbs In my diet lead back to the worst carbs imaginable. Approach with caution if having an apple will lead you to having a HoHo an hour later.

Between Carb and Fat it's not a matter of choice. Fat is a necessity for the body. You can live without carbs but not without Fat. Your brain is made of 70% Fat and every cell in your body is 50% Fat. So Fat is a necessary but carbs you can do without at no cost.

Can you review Biolayne's "debunk" video of Robert Lustig? There were so many things in that video that threw me for a loop, like him citing a "study" that fructose from sugar and cereal was associated with _decreased_ mortality.

I have insulin resistance. My Dr. would not believe me, I lost 52 pounds in 3 1/2 months. He was telling me I had cancer. I just moved here and my former doctor told me twice I had insulin resistance. I guess he requested medical records, saw the diagnosis and I finally got a referral to a dietician that knew what I was talking about. I regularly get Blood sugar readings from 85 to 106 during the days, over night my metabolism bottoms out and no carbs so the liver releases it, my opinion and dietician mentioned it too. I referred to my 149 readings in the morning and my evening meal was Pan fried, wild caught Ahi Tuna steaks n wasabi with a leafy green salad, vinegar dressing. But I use elements of Keto, eat meats not as much beef as it is tougher than shoe leather around here. Eat carbs in the form of salads, and mine are healthy. I like the mixes with spinach, arugula, kale, rocket and romaine. I eat a lot of Greek salads too. I experiment by measuring blood sugar after meals and try resistant starches, found that it works for me. So I make crock pot stews with more meat than usual and i don't spike my Blood sugars. Same with Brn rice mixed with wild rice, I can eat that too.

Knee pain doesnt hang around for long on with keto/ carnivore eating. Good nutritian wont let you be lazy.

I am not a fan of this doctor sorry in this interview. I like a dr that keeps is real. Thank you Dr. Westman!! Wish you were here in AZ.

Stopped counting calories 2 years ago! Lost 50 pounds in 5 months and have weighed 170 (goal AND OPTIMAL Weight) for 18months. Usual meal since I eat once a day: 20oz ribeye with 4 eggs and butter, 2150 calories, or 1 pound hamburger with 4 eggs and butter, 2100 calories. BUT, let's look at what really matters, the PERFECT fat to protein ratio 66% fat and 34% protein. I just looked it up, funny, exactly what I want is exactly what I need! Thank you Dr! Well this guy turned into Saladino, eat whatever you want because we all workout 8 hours a day and never sleep, GREAT strategy... sigh. Listen to DR WESTMAN please people! I believe these people are exercise addicts, getting dopamine and endorphin hits from exercise. The rest of the lifestyle adds up to addiction. BEWARE.

Are you talking about Protein Sparing Modified Fast (PSMF) at 14:26?

Can someone point me to the study/ Dr Westman video debunk (maybe) of the 2016 study that found that Keto diets lead to higher all cause mortality. I can't remember where I read this recently and I'd like to see Eric's thoughts on this.

Low carbonated diet haha! She was staying away from Bubly water.

If you eat low carb (less than 40gm/day) the rest will take car of itself if you only eat when you are hungry. You cannot exercise your way out of a bad diet.

I wish you and others would talk about candida. It'sa nasty fungus that compels you to eat sugar to feed itself. I had it bad. Brain fog, depression, cravings, aggravation... It was awful.

Sugar is always worse because it blocks fat metabolism. VLDL is created in your body specifically for burning as energy. When you are eating too many carbs that builds up higher than it's supposed to be, and they end up staying around a bit too long and oxidize into GEP.

I can remember fruit, and how disappointing it was to get not one. That was perfect. Certainly don't miss fruit because of this.

Dr. Westman did I hear you say you can eat 1200-1400 calories a day (sedentary), and it's enough for nutrients if protein is prioritized?

If you have the willpower, you can rock any diet you put yourself on. These people are talking to the people who will start keto, but give up after 2 days because they felt hungry.

unnecessarily complicated. thank you.

Can't believe carb cravings go away in one or two days sometimes. That is an exaggeration,,I think.

"Skinny" People - "I can eat apples and yogurt, candy bars sometimes.. I don't get fat, why can't fat people do the same as me?" / "Fat" People - "?????"

Naiman loves to use bodybuilders as examples. These are extremely dedicated and disciplined people and only represent a tiny percentage of the population. He’s really just another cico guy.

Yes it works 100% and results are fast.

Just this past week I had a lung scan to keep trac of a node in my lungs and it is same size as last year so most likely benign BUT they noted on the findings arterial calcification 😮😮😮 could that be from Keto diet ??

The problem with these teachings is that they are so long you forget what you're hearing because you need to concentrate for too long.

Most of my life I had to worry about being to skinny. Right now I'm 6'1" and 195lbs. I went carnivore at 235. I was not that heavy for long. I quit tobacco after twenty years of chewing cold turkey and packed on a lot of weight. After I went down to 185 I tried to stop the weight loss with fat and carbs. I added a little bit of carbs and cranked up the fat. Now I've been stable for two years with my weight and my blood tests didn't hardly move a bit.

Do u recommend a certain Amt of protein per day?

Where this fat goes? I use to eat 1 jar ( 500g ) peanut butter or 500 g almond butter on its own in one go. Daily spon by spoon..Its a lot of calories and addictive. But never put on weight.

Dr. Neiman's diet is very good if you want to build muscle (it has very high percent of protein). I've switched to it when I got close to my goal... I've stayed the same weight for 2 years. At the same time I've lost fat and gained muscle (smaller pants, visibly more muscle) ... It's a very good diet IF you are close to your goal weight and if you lift weights at least twice per week.

I get my ribeyes cut from a whole side and tell the butcher to leave on the fat. There’s a nice tail of fat on every ribeye. One summer we grilled out every day. My son and hubby don’t like fat. I ate theirs with mine. I noticed that I was chunkier at the end of the summer. So, yes I can eat too much fat. Calories do play a role. The body - at least my body- will store as fat the food energy I don’t need at the moment. Most of us probably don’t overeat fat. I’m a glutton.😜

The irony of advising to emulate successful people then proceeded to mention vegans. Sir, you and vegans don't look healthy to me but thanks for the wisdom.

It’s not JUST satisfying but also fat has a minuscule insulin response. However, tons of protein will give a small spike. Carbs have a huge spike. I quit exercising when I found low carb and fasting. If you have an overeating problem then I would assume eventually anything will end up unhealthy. I eat once a day and often just steak (2 pounds) and drink beer low carb of course. I’m energetic and healthy at 56. I also eat pizza and stew and chili. 19 hours of low insulin will control your excess fat storage. Why eat more times a day if I’m strong, healthy and lean?!

What about fats for female hormones? Feel much better after uping my butter intake.

I've come to an understanding that excess pork fats can cause lipoma lesions in the skin. Any truths to this?

Wish you were my doctor.