107: Guest Cohost Dr. Adam Nally, Exogenous Ketones & Fat-Burning, Difficulty Getting Pregnant, High Ketone Side Effects, Keto-Adapted & High-Carb, Moderate Protein vs. Moderate Fat For Weight Loss


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By Kevin Kennedy-Spaien, Jimmy Moore, and Dr. Will Cole. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.

“When you look at studies about certain foods, follow the money.” – Dr. Adam Nally

If you are interested in the low-carb, moderate protein, high-fat, ketogenic diet, then this is the podcast for you. We zero in exclusively on all the questions people have about how being in a state of nutritional ketosis and the effects it has on your health. There are a lot of myths about keto floating around out there and our two amazing co-hosts are shooting them down one at a time. Keto Talk is co-hosted by 10-year veteran health podcaster and international bestselling author Jimmy Moore from “Livin’ La Vida Low-Carb” and Pittsburgh, PA functional medicine practitioner Dr. Will Cole from DrWillCole.com who thoroughly share from their wealth of experience on the ketogenic lifestyle each and every Thursday. We love hearing from our fabulous Ketonian listeners with new questions–send an email to Jimmy at livinlowcarbman@charter.net. And if you’re not already subscribed to the podcast on iTunes and listened to the past episodes, then you can do that and leave a review HERE. Listen in today as Jimmy is joined by Dr. Adam Nally, former co-host of Keto Talk and Jimmy’s co-author of the brand new book The Keto Cure in Episode 107.

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“When you look at studies about certain foods, follow the money.” – Dr. Adam Nally



1. What are the primary signs that indicate that you have insulin resistance?

2. How would you ideally improve the Dietary Guidelines for Americans?

3. How do you explain the difference between ketosis and ketoacidosis?

4. Do you have to test for the presence of ketones in the breath or blood to do keto?

5. Are there any sweeteners that are safe to use when you are on a ketogenic diet?


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“I think insulin resistance is misunderstood .” – Jimmy Moore – Just one high-fat meal sets the perfect stage for heart disease

– American adults just keep getting fatter

– Are You Carbohydrate Intolerant? Here’s How To Know + What To Do About It

– Is it true that your body cannot burn stored body fat if you are taking exogenous ketones since the body has to deal with these first before fat-burning can happen?

Hey Jimmy and Adam,

Craig and Maria Emmerich say in their book KETO that taking exogenous ketones should be avoided because the body can’t store them. On the oxidative priority list alcohol is number one followed by exogenous ketones, carbs, protein, and then fat. Since alcohol and exogenous ketones can’t be stored in the body, it immediately begins working to get rid of it as a matter of priority. They say that fat comes in last on the list because it is the body’s preferred fuel source. According to them, when these exogenous ketones are ingested, lipolysis (fat burning) stops. At least that’s how I understood the explanation. This is so frustrating for me to try to understand because exogenous ketones are pushed so strongly in the ketogenic community. I want my body burning stored fat, not exogenous ketones. I’m so very confused on this issue.

Thanks for your help,


– STUDY: Pasta can be part of a healthy diet without packing on the pounds

1. Can a ketogenic diet help heal the “killer cells” that make it more difficult to get pregnant?

Hi Jimmy and Dr. Nally,

My question is about fertility. I have heard that a keto diet is very beneficial for woman who are trying to get pregnant. I have a friend who has been trying for a very long time and it seems that she has what some have described as “killer cells.” What does that mean and can a ketogenic diet help? Thanks again for your great podcasts.

Thanks so much,



2. Why do I feel funny in my head and nose side effects when my ketone levels go higher after consuming a Bulletproof coffee?

Hi Jimmy and Doc Muscles,

When my ketones are elevated, I start to get unwanted side effects and feel kinda funky in the head to the point that I have to lie down and I even get a weird sensation in my nose. This morning after putting Brain Octane Fuel from Bulletproof in m coffee with cream, about 30 minutes later my blood glucose was 84 and blood ketones at 3.3. That’s when I get that issue. What is that? I take 45mg NP Thyroid every morning a couple of hours before my coffee or eating, but no other prescriptions.

Thanks again for all you do!


3. Is it possible to be so well keto-adapted that your body can go in and out and back into ketosis more quickly even after a high-carb meal?

Hey Jimmy & Adam,

Last night, my fiancé and I went out to eat at an Italian restaurant for a friend’s birthday dinner and I decided to cheat. I had a salad, squid ink pasta w/lobster, and for dessert…a big slice of cake. Needless to say, this was a very high-carb, low-moderate protein, and low-fat dinner. I’ve been doing keto on and off for almost 2 years now, and this morning my fasting blood sugar showed 83 and blood ketone was 2.3. I’ve never experienced anything like this before.

Is it possible that I’m just so well keto-adapted now that my body can go in and out and back into ketosis much more quickly? I must also mention that because this high-carb meal was premeditated, I prepped for it by drinking a green drink w/apple cider vinegar and some kimchi before we left for the restaurant. Do you think this helped? I’m also in fairly good shape, and workout quite often so that might have also played a factor. I’ve also heard that eating carbs separately from protein and fats helps with digestion and vice versa.

Do you guys think that the low protein and low-fat helped with my body’s process of allocating the sugar properly so I was able to get right back into ketosis again?

Thanks for all you do,



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– Do I need to moderate my protein or moderate my fat intake in order to see success at losing weight on a ketogenic diet?

Hi Jimmy & Dr. Nally,

Thank you for doing Keto Talk. I binge listened the last two months and now I’m all caught up. Thanks for the great show because I’ve learned so much. Atkins was my first foray into this community a couple of decades ago and the Grain Brain, Paleo, Dr. Jason Fung and many other followed. Learning more about keto has become my favorite pastime and I only just discovered all these amazing podcasts. There’s one question I haven’t heard anyone provide a good answer for yet and I’m hoping you guys are up for the challenge of answering it. It has to do with the concept of gluconeogenesis. I’ve heard you and Dr. Nally state that it can play a significant role in kicking you out of ketosis and raising blood sugar levels which is why you need to moderate protein intake. You also discuss eating a high-fat diet to satiety and that this within the context of a low-carb nutritional intake does not lead to weight gain. You’ve noted on several occasions that if fat is consumed in excess of what is needed, then the body excretes the extra fat out of the breath, urine, and feces.

However, there seems to be two very opposing views amongst the greater keto world and I’d like to know which side is right and why you think the other side is wrong. One the one side, you’ve got people who say that gluconeogenesis is not something to worry about and that eating a higher protein intake will not affect ketosis (or fat adaptation) and that dietary fat should be moderated for those needing to lose weight so your body can tap into those fat stores instead of using dietary fat for energy. On the other side, you have people like you guys who say the body is burning both stored body fat and the dietary fat that you eat simultaneously so you do not gain weight when you eat more fat. This side also thinks you should moderate down on the protein to prevent the insulin and blood sugar effects that can come from consuming this macronutrient in excess of what the body needs.

So who’s right? Is there some middle ground between these two positions? My main question is whether moderating protein or moderating fat is the best way to shed pounds which is my current goal. It seems that many people listening to this and other leto-focused podcasts are interested in weight loss, so we need to be crystal clear about what will work to make that happen. I understand everybody needs to find the version of keto that works for them but this is difficult for the common person to figure out. Can you help me and others determine how we can figure all this out so we can be successful on keto?

Thanks for all you do!


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LINKS MENTIONED IN EPISODE 107 – SUPPORT OUR SPONSOR: Staying in ketosis just got easier – Your new keto-diet ally (Enter MOORE15 at checkout for fifteen percent off your first order.) – SUPPORT OUR SPONSOR: Drop an FBOMB for the freshest, high-quality fats from JimmyLovesFBomb.com (Get 10% off your first food order with coupon code “JIMMYLOVESFBOMB”) – SUPPORT OUR SPONSOR: Jump start your ketogenic diet with PerfectKeto.com/Jimmy (USE PROMO CODE LLVLC FOR 15% OFF) – SUPPORT OUR SPONSOR: Become A Nutritional Therapy Practitioner – Just one high-fat meal sets the perfect stage for heart disease – American adults just keep getting fatter – Are You Carbohydrate Intolerant? Here’s How To Know + What To Do About It – STUDY: Pasta can be part of a healthy diet without packing on the pounds – DocMuscles.com – The Keto Cure – Dr. Nally on Facebook – Jimmy Moore from “Livin’ La Vida Low-Carb” – DR. Will Cole D.C. from DrWillCole.com

141 episodes