Does reducing carbohydrates improve metabolic health beyond what can be explained by weight loss alone?Dr. Bret Scher breaks down a new randomized controlled trial published in Cell Metabolism that compared three diets in people with prediabetes and fatty liver disease: a ketogenic diet, a higher-carbohydrate Mediterranean diet, and a very low-fat, plant-forward diet.One challenge with ketogenic diet research is that participants often lose more weight than those in comparison groups, making it difficult to separate the effects of carbohydrate reduction from those of weight loss itself.In this trial, researchers provided all of the meals, and participants achieved greater than 95% dietary compliance. Importantly, all three groups ultimately lost the same 10% of their body weight. That gave researchers an unusual opportunity to compare metabolic outcomes across the three diets without differences in weight loss muddying the picture.And even with weight loss held constant, the outcomes differed.The ketogenic group reduced liver fat by 67%, compared with 45% in the Mediterranean and plant-forward groups, and saw larger improvements in liver insulin sensitivity. Prediabetes remission also occurred in 50% of the ketogenic group, compared with 29% of the Mediterranean group and 7% of the low-fat, plant-forward group.Dr. Scher covers:Why similar weight loss across the three groups makes this trial especially informativeHow all three diets affected skeletal muscle insulin sensitivityWhy liver insulin sensitivity improved more with the ketogenic dietThe differences in liver fat reduction between the three groupsPrediabetes remission rates across each dietary approachHow carbohydrate reduction may suppress liver fat productionChanges in the glucagon-to-insulin ratio on ketogenic therapyWhat the study found about saturated fat, LDL cholesterol, and ApoBImprovements in triglycerides, VLDL, and lipoprotein insulin resistanceThe study’s limitations, including its small size and 4- to 5-month durationFor people with fatty liver disease or prediabetes, this study adds evidence that carbohydrate reduction may produce metabolic benefits beyond those achieved through weight loss alone.🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #FoodAsMedicineExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdResources Mentioned:Effect of diet macronutrient content on the cardiometabolic response to weight loss: A randomized clinical triallinkinghub.elsevier.com/retrieve/pii/S1550413126002937Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice or establishing a provider-patient relationship. Many of the interventions we discuss can have potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. In addition, it is important to note that people may respond differently to ketosis, and there isn't one recognized universal response.

For many women, the wellness strategies that carried them through their 20s and 30s can start to backfire in perimenopause. Changes in hormones, muscle mass, insulin sensitivity, sleep, and stress can make midlife feel like a completely different metabolic landscape.In this episode of Metabolic Mind, Dr. Bret Scher speaks with nurse practitioner Cynthia Thurlow about why perimenopause can act like a metabolic stress test. They explore how midlife can change the way women respond to carbohydrates, fasting, exercise, meal timing, and other strategies they may have relied on for years.As Women’s Health Month brings more attention to the health challenges women face across different stages of life, this conversation focuses on one that is still too often misunderstood: the metabolic transition through perimenopause and menopause.They cover:How perimenopause can affect insulin sensitivity and body compositionWhy preserving muscle becomes increasingly important in midlifeThe roles of sleep, stress, protein, meal timing, and strength trainingHow intermittent fasting may need to change across the menstrual cycle and menopauseWhen ketosis may help with metabolic symptoms, and why some women may benefit from more dietary flexibilityHow PMDD and severe PMS may relate to the perimenopause transitionWhere hormone replacement therapy may fit into an individualized planThe potential role of GLP-1 medications alongside lifestyle changesWhy fiber and the gut microbiome deserve more attention during menopauseSimple steps women can take now, including walking after meals, improving sleep, and staying well hydratedCynthia’s message is that while midlife can bring meaningful metabolic and hormonal changes, with the right support, there are practical ways to adjust nutrition, exercise, sleep, and other strategies to support overall health and wellbeing.👉 Want to stay up to date with the latest research on metabolic health and metabolic psychiatry? Sign up for our newsletter to stay informed: metabolicmind.org/about-us/newsletter/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#Menopause #Perimenopause #MetabolicMind #KetogenicTherapy #WomensHealthExpert Featured:Cynthia Thurlow, NPhttps://www.cynthiathurlow.com/https://www.instagram.com/cynthia_thurlow_/?hl=enhttps://www.youtube.com/cynthiathurlowhttps://www.linkedin.com/in/cynthia-thurlow/https://x.com/_CynthiaThurlowhttps://podcasts.apple.com/us/podcast/everyday-wellness-midlife-hormones-menopause-and/id1435214303https://cynthiathurlownp.substack.com/Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Hannah Warren spent years living with severe bipolar I disorder before discovering metabolic therapies in 2021. Today, Hannah has been in remission for more than five years, is no longer taking psychiatric medication, and works as Metabolic Mind’s Community Engagement & Advocacy Manager, helping others understand the emerging field of metabolic psychiatry.In this course module, created as part of Nutrition Network’s broader low-carb course for vegetarians, Hannah combines her lived experience with practical guidance for using vegetarian and vegan ketogenic approaches to support metabolic and mental health.She explains how ketogenic therapy differs from general healthy eating, how nutritional ketosis changes the fuels available to the brain, and why that shift is being studied in metabolic psychiatryShe also takes a detailed look at the practical side of vegetarian and vegan ketogenic therapy, including:How to structure a meat-free ketogenic diet while maintaining ketosisWhy ketone testing is especially important for therapeutic useHow to think about carb limits, protein targets, and complete protein sourcesVegetarian and vegan sources of fat and omega-3sKey micronutrients and supplements to monitorMedication interactions and the importance of clinical supervisionHow to use lab testing to monitor metabolic healthCommon foods and meals that can make plant-based keto satisfying and sustainablePositive framing and behavior-change strategies that can support planning and long-term adherenceHannah also shares the mistakes she made when first starting ketogenic therapy, the strategies that helped her refine her approach, and why she believes people should be able to pursue metabolic treatment options without giving up deeply held dietary values.👉 Learn more about the benefits and implementation strategies for vegetarian low-carb diets with the full Nutrition Network course: courses.nutrition-network.org/p/low-carb-for-vegetarians🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#MetabolicMind #KetogenicTherapy #VegetarianketoExpert Featured:Hannah Warrenhttps://www.metabolicmind.org/team/hannah-warren/https://x.com/Radiantbeastinghttps://www.linkedin.com/in/hannah-warrenjhoole/https://www.radiantbeast.com/https://www.instagram.com/radiant_beastingResources Mentioned:https://courses.nutrition-network.org/p/low-carb-for-vegetariansFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

How can clinicians become more comfortable using ketogenic therapy in mental health care? In this episode of Metabolic Mind, Dr. Bret Scher speaks with Dr. Deanna Kelly about Live It, Launch It!, a training program designed to help clinicians learn ketogenic therapy by experiencing it themselves.Dr. Kelly explains why evidence-based treatments can still take years to reach everyday clinical practice, especially when providers don't feel confident using them. To address that gap, her team recruited clinicians for a program that combined ketogenic therapy education with four weeks of personally following a ketogenic diet and published it as a study: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1913325/fullClinicians started with very low confidence in their ability to use ketogenic therapy. With education alone, those scores improved substantially, and actually living the diet pushed confidence even higher. Participants also reported improvements in mental and physical health, along with an average weight loss of about five pounds.They cover:Why clinician confidence can limit adoption of new treatmentsHow Live It, Launch It! was designedWhy experiential learning added more than education aloneHow clinicians learned to troubleshoot ketosis in real timeWhat participants reported about mood, brain fog, anxiety, and physical healthWhy group support helped clinicians understand how differently people respondWhat side effects and challenges came up during the four weeksHow this model could be scaled across residency programs and health systemsWhy the next step is measuring whether clinicians actually use ketogenic therapy more often with patientsFor Dr. Kelly, the goal is to help clinicians move from knowing about ketogenic therapy to feeling prepared to discuss it and use it in practice as the evidence continues to grow.📖 Want to learn more about metabolic psychiatry? Check out our blog “Metabolic Psychiatry: A New Lens on Mental Health” to explore how researchers and clinicians are examining the connection between metabolism and mental health: metabolicmind.org/resources/library/blog/stories/metabolic-psychiatry-a-new-lens-on-mental-health/🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#KetogenicTherapy #MetabolicPsychiatry #MetabolicMind #LiveItLaunchItExpert Featured:Dr. Deanna L. Kelly PharmD, BCPPhttps://www.linkedin.com/in/deanna-l-kelly-pharmd-bcpp-3a8b299b/https://www.instagram.com/dr.deanna.kelly/https://x.com/ProfDeannaKResources Mentioned:https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2026.1913325/fullFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits: https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

How should we think about LDL and ApoB, and how much metabolic health changes the cardiovascular risk picture?In this episode of Metabolic Mind, Dr. Bret Scher speaks with vascular surgeon Dr. Lily Johnston about cholesterol and plaque formation, along with the need to personalize cardiovascular prevention.👉 Download our Make Sense of Your Cholesterol guide: https://metmind.co/cholesterol-listenersDr. Johnston brings a unique perspective as both a vascular surgeon who treats advanced blood vessel disease and a physician focused on cardiometabolic prevention. She discusses why ApoB and LDL can play a role in atherosclerosis, while also emphasizing that vascular disease is shaped by many factors, including insulin resistance, diabetes, blood pressure, inflammation, smoking history, fitness, sleep, stress, social connection, and personal goals.They cover:What vascular surgeons treat and why atherosclerosis affects blood vessels throughout the bodyWhy prevention starts long before surgery becomes necessaryHow LDL and ApoB fit within a broader cardiovascular risk assessmentWhy metabolic health and insulin resistance deserve more attentionHow diet, medications, and imaging can help personalize risk assessmentWhy lowering ApoB may matter more for some patients than othersWhat we still need to learn about lean mass hyper-respondersWhy curiosity and humility are essential in cholesterol researchHow patients can ask better questions when the conversation focuses only on LDLThis interview offers a thoughtful look at LDL, ApoB, metabolic health, and cardiovascular prevention, with a focus on better conversations between patients and clinicians.🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#LDL #ApoB #MetabolicMind #CardiovascularHealthExpert Featured:Dr Lily Johnstonhttps://www.instagram.com/lilyjohnstonmd/https://www.tiktok.com/@lilyjohnstonmdhttps://www.youtube.com/channel/UCMaFSJtYbK8LQ7AyV31TrgQhttps://x.com/lilyejFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Is saturated fat really the villain it’s been made out to be? Or has decades of poor research and dietary policy misled us?In this video, Dr. Bret Scher dives into the controversy surrounding RFK Jr.'s call to remove the cap on saturated fat, and the Wall Street Journal’s misleading take on it.We explore:✅ Why saturated fat doesn’t just mean pizza and ice cream✅ The science behind whole foods vs. processed foods✅ How carbs, fats, and metabolic health interact✅ What the evidence really says about saturated fat and heart disease✅ Why individualized, whole-food diets matterRemoving the cap on saturated fat isn’t about giving fat a health halo, it's about making room for nutrient-dense, metabolically supportive diets.👉Subscribe to Metabolic Mind for more real conversations about metabolic health, metabolic psychiatry, and mental health: https://www.youtube.com/@metabolicmind.#MetabolicMind #KetogenicTherapy #FoodAsMedicine #SaturatedFatExpert Featured:Dr. Bret ScherBaszucki Group Medical Directorhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Should LDL be treated? In this episode of Metabolic Mind, Dr. Bret Scher explains why the better question is who may benefit from LDL lowering, how aggressively it should be treated, and what outcomes matter most to the individual patient.👉 Get our free 11-page Cholesterol Guide to better understand your lipid panel and prepare for a conversation with your clinician: https://metmind.co/cholesterol-listenersDr. Scher reviews two major trials that studied aggressive LDL lowering in very different populations. VESALIUS-CV looked at high-risk patients with serious vascular disease and found that adding a PCSK9 inhibitor reduced both cardiovascular events and all-cause mortality. STAREE studied older adults without known cardiovascular disease and found fewer cardiac events with statin therapy, while overall survival and hospitalizations did not change. Disability-free survival also showed no differenceHe covers:Why LDL treatment depends on the person, not just the numberWhat VESALIUS-CV found in high-risk patients with vascular diseaseWhy STAREE tells a different story in older adults without known heart diseaseThe difference between reducing cardiac events and extending lifeWhy vascular disease should shape how aggressively LDL is treatedHow age, frailty, cognition, cancer risk, and independence affect the risk-benefit conversationWhy LDL may need a different discussion for someone using ketogenic therapyHow metabolic health, insulin resistance, and direct evidence of vascular disease fit into the decisionThese trials illustrate why LDL treatment should be individualized with a healthcare provider. For some patients, aggressive lowering may save lives. For others, the benefits may be smaller or less connected to the outcomes they care about most.🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#LDL #CardiovascularHealth #MetabolicMind #MetabolicHealthExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdResources Mentioned:Effects of Evolocumab on Mortality Outcomes in Patients Without Previous Myocardial Infarction or Stroke: A Prespecified Analysis of the VESALIUS-CV Randomized Clinical Trialhttps://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.126.082436Atorvastatin, Cardiovascular Events, and Disability-free Survival in Older Adultshttps://www.nejm.org/doi/10.1056/NEJMoa2607314https://youtube.com/playlist?list=PLzWI83-NWCL5V7N6MjywX5QbkVn9Svi3q&si=oKVT518X1u0rUcMkFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Is it possible to follow a diet that’s both vegan and keto? And can a diet like that be used as part of a care plan for bipolar disorder? In this episode of Metabolic Mind, Dr. Bret Scher speaks with author and advocate Dyane Harwood about how she uses a vegan ketogenic diet as part of her treatment for postpartum bipolar disorder.Dyane shares how she first discovered vegan keto, why she started tracking ketones and net carbs, and what she eats in a typical day, from her vegan keto smoothie to tofu, avocado, nut butter, and carefully chosen supplements. She also discusses the practical challenges of vegan keto, including protein intake, B12, omega-3s, magnesium, vitamin D3, eating out, social pressure, and finding a clinical team that understands metabolic psychiatry.They cover:How Dyane discovered vegan keto for bipolar disorderWhy ketosis became more important to her than dietary labelsWhat a typical vegan keto day looks likeHow changing her protein intake affected her ketone levelsWhy tracking net carbs, glucose, and ketones helped her personalize the dietThe supplements she uses, including B12, DHA/EPA, magnesium, vitamin D3, and acetyl-L-carnitineWhat Dyane reports about changes in her energy, activity level, cravings, and moodWhy support, resources, and mentorship can make the process easierHow she thinks about progress, flexibility, and improving over timeDyane’s experience offers a personal example of how a vegan ketogenic diet can fit within a broader treatment plan. Her approach is practical and grounded in the idea that progress can start before everything feels perfect.👉 Learn more about vegan and vegetarian ketogenic approaches on our blog: Is Vegetarian or Vegan Ketogenic Therapy Possible?🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.#VeganKeto #BipolarDisorder #MetabolicPsychiatry #MetabolicMindExpert Featured:Dyane Harwoodhttps://dyane92.wixsite.com/dyaneharwoodhttps://www.linkedin.com/in/dyane-harwood-b41a741b8/https://www.instagram.com/dyaneharwood/Free CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Can therapeutic ketosis be considered for type 1 diabetes and bipolar disorder? In this Metabolic Mailbag episode, Dr. Bret Scher and producer Erica Gerard answer viewer questions about ketogenic therapy, type 1 diabetes, Parkinson’s medications, omega-3s, fasting, protein intake, metabolic rate, and why some protein foods are more filling than others.They cover:The association between type 1 diabetes and serious mental illnessWhy ketogenic therapy may be possible for some people living with type 1 diabetes, but only with careful medical supervisionHow Parkinson’s medications can interact with protein timingWhether cooking salmon changes the benefits of omega-3 fatsHow intermittent fasting can affect protein intake and ketone levelsWhy MCT oil in coffee may change the meaning of a “fast”What basal metabolic rate means and how ketogenic diets may affect itWhy a protein shake may feel less satisfying than meat, even with the same grams of proteinFrom medication timing to protein needs, this episode explores why metabolic therapies work best when they are personalized, measured, and guided by the realities of each person’s health goals and daily life.🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.#MetabolicMind #KetogenicTherapy #FoodAsMedicineExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

A red flag next to your LDL number can feel alarming, but LDL is only one part of a much larger cardiovascular risk picture. In this episode of Metabolic Mind, cardiologist and lipidologist Dr. Bret Scher explains how to read a cholesterol panel with more context and less fear.Dr. Scher walks through LDL, triglycerides, HDL, non-HDL cholesterol, ApoB, Lp(a), and the triglyceride-to-HDL ratio. He also explains how the 2026 cholesterol guidelines use the PREVENT risk calculator, where LDL targets currently stand, and why individual risk factors, metabolic health, family history, and direct measures of vascular disease can change the conversation.He covers:Why LDL should not be read in isolationWhat triglycerides and HDL can reveal about metabolic healthWhy Dr. Scher pays attention to the triglyceride-to-HDL ratioWhen LDL above 190 may raise concern for familial hypercholesterolemiaWhy Lp(a) should be measured at least once in adulthoodHow ApoB differs from LDL cholesterolWhat the PREVENT risk calculator includesHow coronary calcium scans and CT angiograms act as tools that may help refine riskWhy LDL targets vary by risk categoryWhy metabolic health, insulin resistance, and individual preferences and priorities should be part of the discussionA cholesterol panel can start a thoughtful conversation with your healthcare provider. One number rarely tells the whole story, and better decisions come from looking at the full cardiometabolic picture.📘 Download Making Sense of Your Cholesterol, our free visual guide to understanding your lipid panel and preparing questions for your clinician: https://metmind.co/cholesterol-listeners🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.🎙️ Take the Metabolic Mind Podcast Listener Survey for a chance to win! We’d love your feedback on what you’re enjoying, what you’d like to hear more of, and how we can make the podcast even more helpful. Complete the quick survey by September 15 for a chance to win a Metabolic Mind giveaway bundle featuring a Keto-Mojo meter, books from Dr. Chris Palmer and Dr. Georgia Ede, Metabolic Mind swag, and more. Winners will be notified September 18. Take the survey here: https://metmind.co/survey-listenersNo purchase necessary. Open to U.S. residents and international participants 18+. Ends 9/15/26 at 11:59 PM PT. Void where prohibited.#MetabolicMind #KetogenicTherapy #Cholesterol #HeartHealthExpert Featured:Bret Scher, MD - Baszucki Group Medical Director & Host of the Metabolic Mind Podcasthttps://www.linkedin.com/in/bret-scher-08baaa102/https://www.instagram.com/drscher858/?hl=enhttps://x.com/bschermdFree CME Clinician Trainings:Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-ytFollow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/About us:Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.