139: Loose Stools From Higher Fat, Diabetic Neuropathy, Antibiotics While Fasting, San Filippo Syndrome, Regular Exercise On Keto


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In Episode 139 of Keto Talk, Jimmy and special guest co-host Dr. Gus Vickery answer your questions about Loose Stools From Higher Fat, Diabetic Neuropathy, Antibiotics While Fasting, San Filippo Syndrome, Regular Exercise On Keto and more!

We begin today's show with special guest co-host Dr. Gus Vickery from DrGusVickery.com talking about Dr. Vickery's basic philosophy on nutrition and health, and his unique seasonal use of fasting and ketosis with patients as a way of honoring ancestral design.


1. There’s a weight loss medication called CONTRAVE I’d like to use to help control carb cravings while I am adapting to keto. Is this a good idea? 2. When I try to stop taking the prescription version of Prilosec that I’ve taken for 15 years after starting keto, my heartburn is as bad as ever. Will keto help heal this? 3. What is the best way to eat a healthy ketogenic diet on a tight budget?

“There are times that we blow by satiety because the keto foods we eat taste so good, but if you listen carefully to your satiety signals you can get that dialed in.” – Jimmy Moore “It's not normal for children to be diagnosed with metabolic syndrome and the number one cause is the change in our eating patterns.” – Dr. Gus Vickery


Jimmy and Will answer your questions:

- What’s the solution to dealing with loose stools stemming from eating more calories and fat-based keto foods that normal?

Hi Jimmy and Dr. Vickery,

I’m a big fan of Keto Talk and I’ve listened to every episode since day one. I’ve been eating keto for the past four years and love this lifestyle. I’ve been constantly tweaking and refining what I’m doing to dial in the amount of food and macronutrient ratios that help me feel the best. So far so good.

But I will admit there are times on occasion that I overindulge in the amount of keto foods that I consume that puts more calories and especially fat into my body than my body would typically require. I can always tell when I’ve done this because I have very loose stools. I’ve listened to your show enough to know that is likely a result of eating more fat than I need or some gut health component.

The obvious solution is to stop doing that, but I’m wondering if there is anything I can do before, during, or after those times I have a bit more than normal to mitigate these side effects in my bowels. Thanks so much for your answer and keep up the great work!

Brian in Winnipeg, Manitoba, Canada

– Does diabetic neuropathy ever get fully healed once blood sugar becomes stabilized from eating a ketogenic diet?

Hi Jimmy and Gus,

I have type 2 diabetes as a 51-year old male, 6’3”, 255 pounds (down from 326 pounds since starting keto seven months ago. My A1C has dropped from 7.8 to 5.2 and I came off all my diabetes medications four months ago. The only remaining physical effect I’m dealing with from my pre-keto days is a a slight neuropathy in my feet. Will this ever improve completely or is the nerve damage just too severe for even keto to help heal? Thanks for all you help on this journey because your show has been a real inspiration.


– Does taking an antibiotic cause the body to respond adversely during extended fasting?

Hey Jimmy and Dr. Vickery,

Thank you for being a sounding board for all things keto and fasting! It has truly inspired me in my own journey. I have been eating keto since the beginning of the new year and I’ve noticed this way of eating makes fasting for upwards of 24 hours very easy to do. I tried my first 72-hour fast this week to see how I’d do and the first 24 hours was a cinch. Day two was a challenge, but I already knew that from hearing Jimmy talk about this so much. I was anticipating the “euphoria” of day three, but at hour 58 I woke up feeling absolutely horrible. I took some salt, drank coffee, pounded water, and did my best just to walk on the treadmill for a mile that day. After the workout I felt so bad that I knew it was time to end the fast because hunger pangs and food cravings at that point were just too much to bear.

I feel like I did everything right and saw blood ketones in the 2.0-3.5 range and blood sugar in the sixties feeling great. There is one monkey wrench in this story I haven’t shared yet, but on the night of day two of this 72-hour fast, I had to take an antibiotic. Is it possible that is the culprit in my hunger and symptoms that forced me to quit the fast? Is there a way to safely and effectively get the benefits of fasting if you are taking an antibiotic? Thanks for all of your guidance and support for the keto and fasting community!


– Would a ketogenic diet with periods of intermittent fasting perhaps help children who are afflicted with San Filippo Syndrome?

Hey guys,

I saw a story on the news last night about kids who get Alzheimer's-like symptoms and, dementia at the age of two and then go downhill fast living as long as five years. When I looked up this condition called San Fillipo Syndrome, it seems these kids have trouble breaking down sugar and clearing cellular trash. Do you know if this condition is being researched for the impact a ketogenic diet could play on it? Like epilepsy, perhaps a simple diet change and maybe some intermittent fasting may be all that's needed here. What role would the diet of the mother during pregnancy play in preventing a condition like San Fillipo Syndrome from developing? Thanks for your thoughts on this.

This Old Housewife


– What impact does engaging in regular exercise while eating keto have on cholesterol and general health?

Hello Jimmy and Gus,

I listen to Keto Talk frequently when I am working out at the gym. My story is quite unique as I once weighed in at 799 pounds at the age of 16. With lots of prayer and commitment to my own health, I was able to lose around 600 of those pounds. Today, I am a very active person and have been eating low-carb for the past nine years. In late 2018, I decided to shift my nutritional intake over to the ketogenic diet. I love to move and do an hour plus of cardio six days a week as well as strength training for 20 minutes 3-4 times per week. I have a standing desk at work, and I attempt to move as much as I can throughout the day - sometimes even doubling up on the cardio sessions!

My question for you guys is this: What impact does all this exercise that I do have on my cholesterol levels while eating a ketogenic diet? How well does engaging in regular exercise like I do pair with keto? Do you recommend that people eating low-carb, high-fat engage in some form of cardio to ensure proper heart health and weight management? Thanks for your help with my questions.




– Listen to Dr. Gus Vickery on Episode 1469 of The Livin’ La Vida Low-Carb Show


139 episodes available. A new episode about every 10 days averaging 67 mins duration .