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Qualy #43 - What are Peter's thoughts on fasting and ketosis for females?

Oct 17, 2019 8m 17s 7 insights
<p><span style="font-weight: 400;">Today's episode of</span> <em><span style="font-weight: 400;">The Qualys</span></em> <span style="font-weight: 400;">is from podcast</span> <a href="https://peterattiamd.com/ama03/"><span style="font-weight: 400;">#26 – AMA #3: supplements, women's health, patient care, and more</span></a><span style="font-weight: 400;">.</span></p> <p><em><span style="font-weight: 400;">The Qualys</span></em> <span style="font-weight: 400;">is a subscriber-exclusive podcast, released Tuesday through Friday, and published exclusively on our private, subscriber-only podcast feed.</span> <em><span style="font-weight: 400;">Qualys</span></em> <span style="font-weight: 400;">is short-hand for "qualifying round," which are typically the fastest laps driven in a race car</span><span style="font-weight: 400;">—</span><span style="font-weight: 400;">done before the race to determine starting position on the grid for race day.</span> <em><span style="font-weight: 400;">T</span></em><em><span style="font-weight: 400;">he Qualys</span></em> <span style="font-weight: 400;">are short (i.e., "fast"), typically less than ten minutes, and highlight the best questions, topics, and tactics discussed on</span> <em><span style="font-weight: 400;">The Drive</span></em><span style="font-weight: 400;">.</span></p> <p><span style="font-weight: 400;">Occasionally, we will also release an episode on the main podcast feed for non-subscribers, which is what you are listening to now.</span></p> <p><span style="font-weight: 400;">Learn more:</span> <a href="https://peterattiamd.com/podcast/qualys/"><span style="font-weight: 400;">https://peterattiamd.com/podcast/qualys/</span></a><span style="font-weight: 400;">  </span></p> <p><span style="font-weight: 400;">Subscribe to receive access to all episodes of</span> <em><span style="font-weight: 400;">The Qualys</span></em> <span style="font-weight: 400;">(and other exclusive subscriber-only content):</span> <a href="https://peterattiamd.com/subscribe/"><span style="font-weight: 400;">https://peterattiamd.com/subscribe/</span></a><span style="font-weight: 400;"> </span></p> <p><span style="font-weight: 400;">Connect with Peter on</span> <a href="http://facebook.com/PeterAttiaMD%5dFacebook"><span style="font-weight: 400;">Facebook.com/PeterAttiaMD</span></a> <span style="font-weight: 400;">|</span> <a href="http://twitter.com/PeterAttiaMD%5dTwitter"><span style="font-weight: 400;">Twitter.com/PeterAttiaMD</span></a> <span style="font-weight: 400;">|</span> <a href="http://instagram.com/PeterAttiaMD%5dInstagram"><span style="font-weight: 400;">Instagram.com/PeterAttiaMD</span></a><span style="font-weight: 400;"> </span></p>
Actionable Insights

1. Avoid Junk, Sugar, Refined Carbs

Prioritize avoiding junk food, sugar, and highly refined carbohydrates as a general nutrition strategy, as this is considered a far better approach than deliberate ketosis for most people.

2. Individualized Nutrition Approach

Recognize that all questions of nutrition are highly individual, making one-size-fits-all or one-stop-shop approaches difficult and often inappropriate.

3. Ketosis & Fertility Caution

If a woman is trying to get pregnant or experiencing fertility issues, exercise caution with nutritional ketosis, as elevated ketones in a calorie-restricted state can suppress reproductive hormones (FSH and LH).

4. Ketosis & Pregnancy Caution

Avoid deliberately inducing ketosis during pregnancy, as its optimality is not clear and it is generally not considered the best strategy, despite ancestral mothers potentially experiencing ketosis.

5. Ketosis & Children Caution

Do not implement a ketogenic diet for children unless there is a specific medical reason, such as managing seizures.

6. Ketosis for Metabolic Health

If a woman has metabolic syndrome, insulin resistance, or type 2 diabetes, a ketogenic diet might improve overall health and potentially fertility by addressing inflammation and metabolic abnormalities.

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