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16 January 2025

Keto Diet Specialist: What The Keto Diet Is Really Doing To Your Body! Can It Cure 43% Of Mental Illnesses? The Truth About The Keto Diet!

2Frameworks
14Insights

Frameworks in this episode

Insights & moments

The myth-busts, hot takes, explainers, and tools worth keeping.

Myth Buster· 2

Myth Buster34:30

Ketosis Is a Metabolic State, Not a Meat-and-Dairy Food List

Ede defines a ketogenic diet by its ability to lower insulin enough for fat burning and measurable ketone production, not by a fixed menu. She says vegan, vegetarian, omnivorous, and carnivorous patterns can all theoretically be ketogenic, although their nutritional adequacy and practicality still require separate evaluation.

  • Ketosis can follow carbohydrate restriction, fasting, exercise, or severe calorie restriction
  • The liver produces ketones when fat burning is active
  • Ede says a well-formulated ketogenic diet can maintain ketosis more sustainably than fasting
  • A ketogenic label alone does not prove a diet is balanced or medically suitable

the definition of a ketogenic diet is any diet that lowers insulin levels

Dr. Georgia Ede · 34:30

it's not a food list

Dr. Georgia Ede · 45:30
#ketosis#insulin#metabolism#diet myths
Myth Buster1:21:00

Fiber, Carnivore Diets, and What Long-Term Evidence Cannot Tell Us

Ede disputes claims that fiber is required to clean the intestine or supply butyrate, arguing that ketones can provide an alternative fuel. Yet when asked whether an unsupplemented carnivore diet is safe long term, she says the answer is unknown; her stronger claims about nutritional completeness and vegan diets are contested positions not established by evidence presented in the episode.

  • Ede distinguishes soluble from insoluble fiber
  • She argues that lower carbohydrate intake can reduce the glucose spike that fiber might otherwise soften
  • She says the bowel-cleansing description of fiber lacks direct evidence
  • She explicitly acknowledges a lack of long-term carnivore-diet data
  • The episode does not establish comparative long-term safety across carnivore, ketogenic, Mediterranean, or vegan diets

fiber is not a nutrient

Dr. Georgia Ede · 1:21:30

we really don't know and we really don't have any long-term data

Dr. Georgia Ede · 1:25:30
#fiber#carnivore diet#gut health#evidence gaps

Hot Take· 1

Hot Take54:00

Few-Foods Diets for ADHD: Strong Claims, Cautious Guidelines

Ede cites older European few-foods studies reporting large improvements in children with ADHD after common dietary triggers were removed. Bartlett counters with guideline and review summaries that found the evidence insufficient for routine dietary treatment and suggested only minor benefit in a subset, exposing a real gap between Ede's interpretation and mainstream guidance.

  • The few-foods diets used a narrow selection of mostly whole foods
  • Ede reports response rates of 62% to 82% across the studies she references
  • Bartlett cites organizations that did not recommend dietary modification as standard ADHD care
  • The episode does not resolve study quality, selection, blinding, or generalizability
  • Families should not treat the disputed evidence as a reason to stop effective care

it doesn't tell us which foods were the problem it tells us that food can be the problem

Dr. Georgia Ede · 55:30

do not recommend dietary modifications as standard treatment for ADHD due to insufficient evidence

Steven Bartlett · 56:00
#adhd#elimination diet#children#evidence

Explainer· 4

Explainer02:00

What Metabolic Psychiatry Adds to the Chemical-Imbalance Story

Georgia Ede describes metabolic psychiatry as an emerging field examining how brain metabolism and nutrition may relate to mental health. She identifies inflammation, oxidative stress, and insulin resistance as important drivers, but the episode presents this as her clinical and scientific interpretation rather than a settled explanation for every psychiatric condition.

  • Ede distinguishes nutritional psychiatry from the newer metabolic-psychiatry label
  • She argues that chemical changes may be downstream of metabolic dysfunction
  • She also says light, relationships, work, exercise, and stress affect the brain
  • The discussion does not establish one metabolic cause for all mental illness

how food affects brain metabolism and how brain metabolism affects our mental health

Dr. Georgia Ede · 02:00

everything matters to the brain

Dr. Georgia Ede · 08:00
#metabolic psychiatry#mental health#brain metabolism
Explainer29:30

What the 31-Patient Keto Study Can—and Cannot—Show

Ede recounts a retrospective hospital analysis of 31 adults with treatment-resistant bipolar disorder, major depression, or schizophrenia. Among the 28 who followed the diet for more than two weeks, she reports broad improvement, 43% clinical remission, and 64% leaving on less psychiatric medication; she and Bartlett also acknowledge close supervision, whole-food substitution, and other changed variables as important limitations.

  • Participants had reportedly been ill for about ten years on average
  • All had at least one marker of poor metabolic health
  • The reported percentages apply to a small uncontrolled clinical sample
  • The study could not isolate ketones from hospitalization, support, or removal of ultra-processed food
  • Medication and physical-health monitoring were part of the setting

43% of them achieved clinical remission

Dr. Georgia Ede · 31:30

we don't know the answer

Dr. Georgia Ede · 36:00
#ketogenic diet#psychiatry#clinical evidence#study limitations
Explainer38:30

Why Ede Says Ketosis Can Quiet Hunger and Craving

Ede argues that steadier glucose and insulin can reduce swings in appetite, stress, satiety, and reproductive hormones. Bartlett says this matches his experience after the first week or two, while Ede compares ketosis to partial protection against temptation rather than a complete cure for food addiction.

  • Ede links glucose and insulin swings with changing appetite and stress signals
  • She says some people notice they can go longer without thinking about food
  • Environmental temptation, habit, and food addiction can remain
  • Bartlett reports a calmer craving pattern during his own ketogenic periods

this diet really stabilizes appetite hormones

Dr. Georgia Ede · 39:00

being in ketosis as a suit of armor

Dr. Georgia Ede · 40:00
#appetite#cravings#food addiction#ketosis
Explainer1:09:30

Ede's Case That Ultra-Processed Foods Sustain the Craving Cycle

Ede argues that refined carbohydrates can trigger glucose, insulin, and later stress-hormone changes that encourage another round of eating. She cites a study in teenage boys in which adrenaline rose hours after sugar-sweetened cola, then broadens the point into a critique of products engineered to be irresistible and insufficiently satiating.

  • Insulin affects many hormonal systems beyond blood glucose
  • Ede describes stress-driven eating as partly capable of starting with food itself
  • She says refined products can bypass normal satiety signals
  • The cited cola study supports an acute hormonal effect, not every broader claim about addiction or product design

insulin is so much more than a blood sugar regulator

Dr. Georgia Ede · 1:10:00

they blow past your hormonal stop signs

Dr. Georgia Ede · 1:13:00
#ultra-processed food#cravings#insulin#stress hormones

Story· 3

Story10:00

The Diet Experiment That Redirected Georgia Ede's Career

Ede recalls developing fatigue, IBS, headaches, anxiety, and low energy despite following conventional healthy-eating advice. She says six months of trial and error led to a mostly animal-food, low-carbohydrate diet that resolved her symptoms; importantly, she studied nutrition for years rather than immediately prescribing her personal solution to patients.

  • Specialist testing reportedly did not explain Ede's symptoms
  • She used dietary experiments and a food-and-symptom journal
  • She reports improvements in both physical and mental symptoms
  • She explicitly says immediate clinical recommendation would have been reckless

six months later trial and error changes food and symptom Journal

Dr. Georgia Ede · 11:30

that would have been Reckless I didn't know the first thing about nutrition

Dr. Georgia Ede · 14:00
#personal story#nutrition#career change
Story1:06:30

A Bipolar Patient's Reported ‘Buffer’ During Marital Stress

Ede recounts a patient with bipolar II disorder whose suicidal thoughts reportedly disappeared in ketosis even while marital conflict continued. She says he experienced more distance from distress and more ability to imagine alternatives, but this is a single clinical anecdote and must not be treated as proof or as guidance to self-treat suicidal thinking.

  • The patient's external relationship stress reportedly remained
  • Ede says suicidal ideation returned when he left ketosis
  • The patient described more perspective and behavioral control
  • Anecdotal temporal association cannot establish efficacy or causation
  • Suicidal thoughts require urgent professional or emergency support

when he was in ketosis he could then imagine other ways of coping

Dr. Georgia Ede · 1:07:30

it buys them time perspective it's like a buffer

Dr. Georgia Ede · 1:08:00
#bipolar disorder#suicidal ideation#case study#ketosis
Story1:13:30

Carl's Reported Recovery—and Why His Diet Still Had to Change

Ede tells the story of ‘Carl,’ a man with lifelong depression and anxiety who chose a carnivore diet after medication and exercise had not provided durable relief. She reports zero scores on depression and anxiety scales by week six, but also says he became underweight and later added potatoes and yogurt, tailoring carbohydrate to exercise days.

  • Carl reportedly entered mild ketosis while eating meat only
  • Ede says symptoms began improving around week three
  • The account is a clinical anecdote, not a controlled test of carnivore eating
  • Weight and athletic needs required carbohydrate to be added back
  • The final diet was personalized rather than permanently carnivore

he started to improve by week three

Dr. Georgia Ede · 1:18:00

he was tailoring it to his personal energy needs

Dr. Georgia Ede · 1:20:00
#carnivore diet#depression#anxiety#case study

Q&A· 1

Q&A58:00

Ede's Nuanced Answer on ADHD Medication

After criticizing medication-first care, Ede clarifies that stimulants are among the most effective medicines she has prescribed and can be life-changing for people who respond. She frames ADHD as a spectrum that can seriously affect safety, work, relationships, mood, and substance-use risk, making treatment a personalized risk-benefit decision rather than an ideological choice.

  • Ede has prescribed psychiatric medication for 25 years
  • She says stimulants can work very well for the right person
  • ADHD can be disabling rather than a minor concentration problem
  • Treatment decisions should weigh benefit, side effects, access, cost, and feasible lifestyle change

the stimulants are some of the most effective medicines we have in our toolbox

Dr. Georgia Ede · 59:30

there's always a risk benefit analysis

Dr. Georgia Ede · 1:01:30
#adhd#medication#risk benefit#psychiatry

Tool· 1

Tool1:29:30

Why Ede Uses Ketone Readings Alongside Glucose

Ede says a continuous glucose monitor can show responses to food and activity but cannot directly reveal insulin levels or confirm fat-derived ketone production. She recommends a blood ketone meter to verify whether a ketogenic diet is actually producing ketosis, while emphasizing consistent trends rather than assumptions about which foods are ‘keto.’

  • Ede uses 0.5 mmol/L beta-hydroxybutyrate as the conventional ketosis threshold
  • Glucose can look stable while insulin remains elevated
  • A ketone reading confirms ketone production but not overall dietary quality or safety
  • Ede recommends sustained daily ketosis for a trial, a claim that requires individualized clinical context

a ketone meter will tell you if you're burning fat

Dr. Georgia Ede · 1:32:00

the thing that makes it ketogenic is the ketones

Dr. Georgia Ede · 1:32:30
#ketone meter#glucose monitor#insulin#self tracking

Takeaway· 2

Takeaway1:02:30

Keto for ADHD: Why the Honest Answer Was ‘No Data Yet’

Ede says there were no results establishing ketogenic diets as an ADHD treatment at the time of recording. She describes planned adult studies at Oxford and Michigan and cites metabolic correlations as a rationale for research, while Bartlett correctly raises the possibility that obesity or diabetes associations may reflect confounding rather than causation.

  • Ede explicitly says there was no ketogenic-diet evidence for ADHD yet
  • The planned trials involved adults rather than children
  • Obesity and type 2 diabetes correlate with ADHD but do not establish cause
  • Daily ketone and symptom tracking may test whether changes move together
  • Early pilot signals mentioned by Ede were too preliminary for conclusions

we have no data on ketogenic diets and ADHD

Dr. Georgia Ede · 1:03:00

it's too early really

Dr. Georgia Ede · 1:06:00
#adhd#ketogenic diet#research#causality
Takeaway1:40:00

Keto and Anxiety: Clinical Enthusiasm Still Outpaces Trial Evidence

Ede says reduced anxiety and mental clarity are among the most predictable benefits reported by ketogenic practitioners, sometimes within days to weeks. Bartlett cites a 2023 review that found potential benefits but called for randomized controlled trials, so the episode supports cautious interest rather than a definitive anxiety-treatment claim.

  • Ede's time-to-benefit estimate comes from practitioner experience
  • She connects anxiety partly to fluctuations in stress hormones
  • She also acknowledges that external stressors still require attention
  • The review summarized by Bartlett says controlled trials are needed
  • The episode does not justify replacing established anxiety care with diet alone

one is reduced anxiety and the other is mental Clarity

Dr. Georgia Ede · 1:40:30

the ne necessity for randomized control trials to establish definitive conclusions

Steven Bartlett · 1:42:00
#anxiety#ketogenic diet#mental clarity#clinical evidence