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Time-restricted eating is said to encourage weight loss and improve metabolic health. But how effective is it? In conversation with guest host Leslie Beck is Dr. Ethan Weiss, a cardiologist who studies human metabolism at the University of California, San Francisco. Dr. Weiss used to be a fan of intermittent fasting—until he conducted his own randomized controlled trial on humans. His findings may surprise you. LINKS AND HIGHLIGHTS: Dr. Ethan J. Weiss’s web page at UCSF, and his Twitter feed. Dr. Weiss’s randomized control trial on the 16:8 form of intermittent fasting is published in JAMA Internal Medicine. The study was featured in numerous different publications, including the New York Times and CNBC. Episode website: https://www.eatmovethinkpodcast.com/podcast/ep38-intermittent-fasting
Dr. Ethan J. Weiss has been passionate about health since a young child, growing up around a cardiologist father. He eventually went on to attend Vassar College before moving on to medical school and residency at John Hopkins. He came to UCSF in 1998 to complete his clinical and research fellowships in cardiology and has remained on the faculty since then. Dr. Weiss has maintained an active clinical practice with expertise in the emerging intersection between endocrine and metabolic disease and cardiovascular diseases. He is a leading authority on novel tools to predict and prevent cardiovascular disease and has special interest in using technology as a tool to enable lifestyle changes. When you look at the role of nutrition in cardiovascular health, you’ll find that there is imperfect information. So, we need to review the information that we have and take the best approach going forward. Dr. Ethan believes that cholesterol is causative in cardiovascular disease. In the past ten years, there has been an abundant amount of information that LDL is a massive risk factor. Dr. Ethan explains the effects of cholesterol. If you look at plaque in human arteries, there is definitely LDL cholesterol. How LDL contributes to the growth of plaque is still something we are learning about. We are hindered in this field because it is difficult to get ahold of the tissue. We don’t have the best or most refined understanding of how this happens. However, the latest theory is that cholesterol will cause problems by inducing an inflammatory response. Diet relates closely to lipid health. In the seventies, we told people to eat low fat; therefore, people started eating high carbs. However, Dr. Ethan doesn’t want to say that he has the answers prematurely. No one has the answers; there is still a lot to learn about nutrition. If you take a low carb and high-fat diet, the impact is an increase in LDL cholesterol. After digging deeper, Dr. Ethan felt more comfortable with the rise in LDL because it didn’t increase the risk of cardiovascular disease. Some individuals will have a much more significant change to their LDL when they start eating low carb. Dr. Ethan says people have five choices: - Ignore it. - Keep an eye on things by measuring calcium. - Try a different diet by adding more carbs. - Start taking a statin. - Replace saturated fats with plant-based fats. Dr. Ethan is most excited about the last choice, replacing saturated fats with plant-based fats. When people have heart attacks, it’s important to treat things differently. So, Dr. Ethan does not recommend using diet to treat heart attacks alone. However, food should be part of the recovery. Then, Dr. Ethan explains the relationship between keto and diabetes. You don’t often see people coming into the doctor’s office with fewer and fewer drugs. However, people with diabetes are coming off of their diabetes medications and blood pressure medications once trying the ketogenic diet. Dr. Ethan has found publications on low carb diets and diabetes in 1795. So, the relationship between keto and diabetes is not a new phenomenon. Plus, keto offers an opportunity to track a biomarker; it changes the focus from stepping on the scale every day. Measuring weight is a terrible way to measure how well you are doing. When you’re eating keto, you’re eating fewer carbohydrates and less refined sugars. Stay tuned, as Dr. Ethan describes the inspiration behind Keyto. TimeStamps: [ 0:05 ] About today’s guest, Ethan Weiss [ 1:15 ] How diet relates to lipid health [ 8:20 ] The effects of cholesterol [ 11:15 ] The ways that diet can cause high LDL [ 21:15 ] How to improve lipid health [ 25:10 ] The relationship between keto and diabetes [ 28:20 ] About Keyto [ 40:15 ] Recommendations from Dr. Ethan Mentioned in this episode: Ethan’s Profile: https://profiles.ucsf.edu/ethan.weiss Check out Keyto: https://keyeats.com Thinking, Fast and Slow: https://rb.gy/gb405q Follow Dr. Ethan: Twitter: https://twitter.com/ethanjweiss Follow Keyto: Facebook: https://www.facebook.com/GetKeyto Instagram: https://www.instagram.com/getkeyeats/ Twitter: https://twitter.com/keyeats Enjoyed the Podcast? Subscribe on iTunes and leave a review! For more Dr. Mowll, check out his website drmowll.com For more information on this week’s episode, visit: Mastering Blood Sugar Podcast
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Emily Oster, Professor of Economics at Brown University and bestselling author, joins Best Known Method to speak with host Ethan J. Weiss about her most recent book, "Cribsheet, A Data-Driven Guide to Better, More Relaxed Parenting, from Birth to Preschool", her best known method for parenting, and her thoughts on the nature of evidence in the internet age, behavior change and weight loss.
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Dr. Eric Jeffrey Topol, cardiologist, geneticist, digital medicine researcher, author, and the Founder and Director of the Scripps Research Translational Institute, joins Best Known Method to speak with host Ethan J. Weiss about his innovative career, and the promise he sees in artificial intelligence and other emerging technologies to make medicine more humanistic.
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Best Known Method is a podcast where host Ethan J. Weiss asks some of the most successful people how they approach making life’s most important decisions - all with less than perfect information to guide them.Produced by:Noah Snidermanvoicemagic.ca