In this episode, we discuss the importance of metabolic health, insulin resistance, and various diets with Dr. Matt Caulkins. We touch on fasting insulin levels, calcium scans, the impact of nutrition on non-communicable diseases, and the challenges faced in healthcare. We also explore the carnivore diet, satiety per calorie (SPC), and the potential for open-sourcing nutritional tools for physician customization. Join us as we delve into these topics and more!

TIMESTAMPS:

04:21 - Discussing Importance of Fasting Insulin Levels and Patient Care

04:43 - Insulin-Sensitive vs. Insulin-Resistant Patients

05:07 - Laura's Experience and Pushback on Lab Tests

05:20 - Introduction to Calcium Scan (CAC Scan)

05:27 - Connection Between Insulin Resistance and Calcium Score

06:10 - When to Consider Getting a Calcium Scan

06:53 - Ordering CAC Scans for Patients with Family History of Heart Disease

07:16 - CAC Scan's Ability to Detect Soft Plaque

07:36 - Peter's Example of Early Detection through CAC Scan

08:25 - Alternative Methods to Detect Soft Plaque

09:08 - Dr. Matt Caulkins' Anaphylactic Reaction to IV Contrast

09:25 - Dr. Matt Caulkins' Unpleasant Experience with IV Contrast

09:43 - Improving Medical Education for Metabolic Health and Nutrition

10:21 - How Nutrition Affects Non-Communicable Diseases

11:07 - Motivating Medical Students to Learn About Nutrition

12:01 - Top-Down Change and Factors Influencing Healthcare

12:26 - Breaking Unhealthy Cycles in Healthcare and Food Industry

12:42 - The Three-Body Problem: Food, Healthcare, and Pharmaceutical Companies

14:12 - Overcoming Inertia in 15-Minute Visits with Patients

14:16 - Group Medical Visits for Diabetic Education

14:36 - Quality Improvement Project on Group Medical Visits

15:22 - Using Continuous Glucose Monitors in Group Medical Visits

15:42 - Power of the patient and physician

15:51 - Introduction to Dr. Westman

16:00 - Dr. Westman's background

16:35 - Dr. Westman's encounter with the Atkins diet

17:00 - Dr. Westman's research and work with low carb diets

17:15 - Low carb conferences and collaborations

17:35 - Observing the impact of low carb diets on patients

18:00 - Weight loss and health improvements

18:26 - Changing the narrative around chronic progressive diseases

18:44 - Obstacles in prescribing diet and nutrition

19:23 - Misaligned incentives in medicine

20:00 - The impact of billing and complexity on patient care

20:57 - Incentive to put patients on new medications

21:28 - The ambiguity in medication management

21:51 - Balancing time in residency clinic

22:35 - James Miller's experience with the carnivore diet

22:57 - Dr. Matt Caulkins' thoughts on the carnivore diet

23:23 - Dr. Rob CWIs and the carnivore diet

23:59 - Patient experiences with different diets

23:45 - Working with patients on different diets and discussing risks and benefits

24:13 - Most concerning metric for carnivore diets: Apo B or LDL

24:36 - Monitoring lab work and evaluating improvements

25:02 - Satiety per calorie (SPC) argument and its role in patient diets

25:38 - SPC as an innovative and disruptive idea

26:43 - Concerns about introducing SPC without trials or case studies

27:51 - Potential issues with SPC scores and food industry influence

28:49 - SPC blind spots and limitations

29:26 - The role of food industry in popular diet programs

30:06 - The potential for open-sourcing SPC for physician customization

30:15 - Final thoughts on metabolic health and lifestyle changes

Keywords: Dr. Matt Calkins, family medicine, metabolic health, ketogenic diet, carnivore diet, nutrition, healthcare, obesity, weightlifting, hiking, Eric Westman, Duke Ketomedicine clinic, Society of Metabolic Health Practitioners, low carb keto education

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