Metabolic Mind
Metabolic Mind
Bret Scher
Obesity Medicine Doctor on Metabolic Health and Ketosis
14 minutes Posted Aug 23, 2026 at 12:00 pm.
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14:16
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Show notes

How can clinicians use real-world patient data to personalize metabolic health care? In this episode of Metabolic Mind, Dr. Bret Scher speaks with Dr. Jeff Pua, an internal medicine and obesity medicine physician, about obesity medicine, metabolic syndrome, nutritional ketosis, and what clinicians can learn from patient outcomes in everyday practice.

Dr. Pua shares how his approach has evolved from relying only on broad research categories to also paying close attention to individual patient experiments, blood tests, and lived experience. In his practice, he sees patients improve not only in weight and metabolic markers, but also in mood, mindset, mental sharpness, and confidence as they begin to see measurable changes in their own health.

They cover:

  • How obesity medicine is evolving beyond the number on the scale
  • Why metabolic syndrome is a major focus in Dr. Pua’s practice
  • How N-of-1 patient data can help clinicians personalize care
  • What blood tests can reveal about real-world metabolic improvement
  • Why nutritional ketosis can be a helpful benchmark for some patients
  • How nutrition, physical activity, and behavior change work together
  • Why exercise may become more accessible once metabolic health improves

This conversation offers a clinician’s view of how metabolic health care can become more personalized, measurable, and empowering for patients.

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Expert Featured:

Dr. Jeffrey Pua


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Follow 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.