Thoughts on Jimmy Moore’s Summer 2015 Health Test Results

Jimmy Moore Summer 2015

Jimmy Moore, author of the books Cholesterol Clarity and Keto Clarity (both of which I’ve reviewed here and here), and champion of all things keto just posted his most recent health test results and and even shared his personal consultation with Christopher Kelly, a Certified Functional Diagnostic Practitioner where they discussed the results.

Jimmy last shared his health tests this past fall and I had a few thoughts on his results then.  I know Jimmy gets a lot of hate online, but say what you will, the guy is as open as a book.  It’s fantastic that he’s so open and transparent about sharing his results. It doesn’t matter if the lab work isn’t pretty and doesn’t fit into his keto = super-amazing-fix-everything-diet narrative. He still puts it out there, warts and all, and I respect the hell out of him for this.

And like I said in my prior post… I LIKE the guy.  He helped publicize my blog when I was just getting started (look at #3 on the list) and has always been responsive to my e-mails and tweets.  His n=1 nutritional ketosis studies served as a model for my own.

That being said, it’s been hard for me to ignore Jimmy’s recent weight gain.  The photo on the left in the title is from the last post of his nutritional ketosis experiment (click on the link to see more pics) after losing 78 lbs going from 306.2 lbs to 228.2 lbs.  The photo on the right is from a tweet on May 24, 2015.

He hasn’t said recently how much weight he’s regained, but last fall he mentioned that he put back on almost 50 lbs.  Here is a photo from a tweet posted on November 14, 2014:

Jimmy Moore Summer 2015 2

Comparing this photo to the one from May 2015 it looks to me like in the interim, his face is a little fuller and he’s filling out the jacket a bit more (looks to be the same jacket), so I think it’d be reasonable to say that he has put on a little more weight since the fall.  If we were to say that he put on an additional 10-20 lbs since November 2014, that would bring him close to his starting pre-nutritional ketosis weight of 300ish lbs.

It’s with this background that I want to share some of my own thoughts… but before doing so, I want to share the notes I took from Jimmy’s consultation with Chris Kelly (I know I’ve been in the habit of sharing a lot of notes from podcasts recently… but it’s just a way for me to process the information better, so bear with me):

Jimmy’s Main Complaints

  1. He gained weight – Jimmy again attributes this mainly to the stress from writing his recent books.
  2. Low back pain – Jimmy thinks this is probably related to the weight gain. He’s tried using foam rollers and inverted tables to address this.
  • Jimmy believes that he is still highly insulin resistant.
  • Jimmy says he’s keto pretty much all the time.  He’s tried using safe starches and resistant starches and doesn’t do well.  He starts to gain weight, he loses his ketones, and his blood sugars start to go up.
  • He eats 80-100 gm protein per day and he’s found that that’s his threshold for staying in ketosis.
  • He’s been trying to add in more probiotics like Kombucha and supplements to be more conscious of his gut health.

Salivary Adrenal Panel

  • Jimmy is convinced that his insulin resistance is related to stress and cortisol, so they dive into the cortisol panel.
  • It turns out that he actually has low cortisol.

Salivary Cortisol

Jimmy Moore Summer 2015 3

  • In the morning Jimmy’s cortisol is 15.3 when ideally it should be 24 (the reference range is 13.0 – 24.0).
  • At Noon, Jimmy’s cortisol is low, at 1.9 (normal is 5.0 – 8.0).  Chris says that when he sees this, people normally feel lethargic because of the low cortisol, but Jimmy says that he still feels great.  He only gets tired at night.
  • At Nighttime, Jimmy’s cortisol is very low at 0.6 (normal is 1.0 – 3.0).  Chris says that the normal problem he sees is people having too high of a cortisol at night.

The first question Chris asks is how Jimmy’s sleep is. Jimmy says that he gets 7.5 – 8 hrs per night and tracks it with a fitbit.

DHEA-S:  Jimmy’s is very low at 1.22 (2.0 – 10.0).  Chris describes this as the antagonist of cortisol, and says this is a sign that something is not right.

Salivary Testosterone – Jimmy’s is low at 65.2 (40.0 – 130.0 for males), and Chris says that ideal should be around 100.

Melatonin – Jimmy’s is sky high and off the charts at > 50.0 (normal is 12.0 – 35.9), but it turns out that he uses melatonin as a sleep aid, which explains this.

Estrogen – This is within normal limits. There are no signs of Jimmy having too much estrogen or being an over-aromatizer (process by which the body converts testosterone into estrogen)

GI Pathogen Screen with H. Pylori

This was completely normal. There were no signs of abnormal pathogens.  A lot of times Chris sees that people become stressed and pick up an infection which causes a lot of their problems, but he doesn’t see any of that with Jimmy.

[I was expecting a little more data from the GI test regarding Jimmy’s gut biome… but I guess this was a simple screen for pathogens which ‘duh’ is the title of the test.  Jimmy mentioned a few times that he’s planning to get a UBiome test that will sequence his entire gut biome… which is more inline with what I was expecting.]

Comprehensive Urine Panel

  • Chris saw some findings in the urine organic acids that suggest Jimmy might have a folate deficiency.
  • Chris actually said that he worries about the nutrient density of a ketogenic diet. The best place to get folate is from leafy green vegetables. Jimmy says that he eats spinach but they both agree that he may need to increase the variety of his veggies.
  • Chris says that the organic acid findings can also reflect a MTHFR mutation, which Jimmy plans on getting tested. Jimmy says that he doesn’t have any brain fog or allergies, which can be symptoms of MTHFR mutations.
  • Chris also notes that Jimmy has a build up of lactic acid in the urine. Potential causes of this are micronutrient deficiencies that are needed for the Krebs cycle, which then causes shunting of the metabolism into the anaerobic cycle, which generates lactic acid.
  • Nutrients like Coq10 and B vitamins are the ones typically deficient… but Jimmy is actually supplementing with these things.

Blood Panel

  • It looks like Jimmy is a little anemic. His hemoglobin is 13.00 (normal is 14.00 – 15.00).
  • Jimmy explains that he gave blood a few years ago and was told that he had borderline hemochromatosis, so he made a conscious effort to donate blood regularly while at the same time avoiding red meat and supplements with iron.
  • Chris thinks that Jimmy probably went a little overboard now because his numbers the RDW and MCV values are show that Jimmy’s red blood cells are iron deficient.
  • Because red blood cells are the route of oxygen delivery throughout the body, and Jimmy isn’t transporting oxygen well because of his iron deficiency anemia, this can explain that lactic acid in the urine panel and possibly the low cortisol.

Blood Chemistries

  • Jimmy was slightly dehydrated at the time he took the test because his BUN/Creatinine ratio was slightly elevated, although this is normal for people who fast before a blood draw.
  • Chris points out that Jimmy has a low alkaline phosphatase, which can be related to vitamin C and zinc deficiencies.
  • People who are in ketosis are susceptible to vitamin C deficiency because they don’t eat enough fruits and they cook their vegetables breaking down the inherent vitamin C, which is very heat sensitive.

Blood Sugar – Chris says that Jimmy’s fasting blood glucose is sort of high at 94, especially for someone in ketosis.

Jimmy’s Homework

Chris gave Jimmy a list of things to do:

  1. Keep a food diary for 3 days
  2. Sleep at least 8 hours
  3. Walk more
  4. Incorporate more resistance training. Chris recommends Pavel’s Sinister and Simple
  5. Stress reduction. Use guided meditation. Chris recommends the Headspace app.
  6. Track HRV.

After the consultation, Jimmy got the labs recommended by Chris including a HS-CRP, thyroid panel, iron panel, sex hormone panel, cholesterol panel, CBC, Vitamin D, and blood chemistries which he shows at the bottom of this post.

Looking over Jimmy’s Post-Consultation Numbers

Jimmy plans on going over these numbers with Chris when they meet again later in the year… so until then you’ll be stuck with my interpretation!

I’ve compiled some of his labs in this table:

Jimmy Moore Summer 2015 4

Cholesterol and Thyroid Panels

These were both essentially unchanged since the Fall of 2014.   I won’t rehash everything I wrote before, except to say that if he is in ketosis less often or to a lesser degree than during his his n=1 experiment, then this can be a potential explanation for the improved cholesterol and thyroid numbers from 2013 to 2014… and the stability of these numbers from 2014 to 2015.

The triglyceride of 64 indicates that Jimmy isn’t eating too many carbs, so it doesn’t look like he’s been cheating with carbs… at least not enough to change these numbers.

Iron Panel

Jimmy’s ferritin and %transferrin saturation are super low and his total iron binding capacity (TIBC) is high which confirms that he is iron deficient.

Blood Sugar

His blood sugar went even higher up to 100. Jimmy’s HbA1c is elevated at 6.0 telling us that his blood sugar has been high for at least 3 months.

Vitamin D

His levels are low at 34.9 which is incidentally close to mine!

Jimmy’s Diet:

I looked over Jimmy’s 3 day diet update and plugged them into myfitnesspal and this is what it looks like (I estimated the amount of heavy cream he had with each meal to be 1/2 cup):

Jimmy Moore Summer 2015 5

Total calories: 2459

My Thoughts

Jimmy Moore really is an interesting case study isn’t he?  His narrative as I understand things goes something like this:  He tried Atkins and went low carb, found success and lost of lot of weight, but then put it back on.  Then he discovered nutritional ketosis and found astounding success, lost a ton of weight… and now it looks like he’s putting it back on.

So here are the things we know are going on:

  • Weight gain
  • Rising blood sugars
  • Iron deficiency anemia
  • Low Vitamin D
  • High total cholesterol and LDL (albeit improved from 2013)

Looking over his diet, my first impulse is to say that he probably isn’t eating enough.  For someone who’s approaching 300 lbs, 2459 calories per day doesn’t seem like nearly enough.  We know from research that people who are chronically hypocaloric can induce hormonal changes that lead to a slower metabolism as the body attempts to adjust to energy deprivation (hence Tim Ferriss recommendation for a weekly cheat day and Kiefer’s recommendation for a weekly Carb Nite).

Maybe Jimmy just needs to eat more.  The thing that confounds is that his thyroid numbers look ok.  His Free T3 is slightly out of the optimal range but not enough to explain everything.

I’m not sure what to make of this.

I also don’t know what to make of his rising blood sugars.  For someone who’s only eating 8% carbs, it doesn’t make sense that his fasting sugars are creeping up.  Having an HbA1c of 6.0% makes him prediabetic.  How does someone who is in ketosis have worsened blood sugars?  It really doesn’t make sense at all.  Maybe he’s sneaking in carbs somehow?

I also wonder if he’s still taking the Berberine and Banaba leaf. I seem to remember these ads a lot in his podcasts and they supposedly helped him with his blood sugars.

In any case, I’d be interested to see what his fasting insulin is.  If it’s high, then that would tell us that he has some degree of insulin resistance, since we know that people who go low carb and are not insulin resistant tend to have low fasting insulin (like yours truly).  I’d also be interested to see him do another n=1 nutritional ketosis experiment for a month documenting his ketones and blood sugars daily.  This would show without a doubt that he is in ketosis and give a sense as to how deep into ketosis he is.

Maybe his adrenals ARE really screwed up.  According to this handout put out by Genova Diagnostics, since Jimmy his low salivary DHEA and low to low normal cortisol, he would fall somewhere in the A4 to C range which indicates chronic stress (don’t ask me about the accuracy of this).  Chris seemed to dismiss this because Jimmy didn’t FEEL fatigued… but who knows… maybe instead of feeling fatigued, Jimmy’s symptom was simply just weight gain?

Maybe Jimmy’s iron deficiency really is the underlying culprit of it all.  I found this article on the Wellness Resources website (again take it for what it’s worth, it’s a site on the internets) written by a nutritionist, describing a link between iron deficiency and weight gain:

A new study details the dire metabolic consequences of low iron status. It shows that low iron turns on genes in your liver and muscles that promote fat storage and cause abnormal blood sugar elevation – precisely what goes wrong with metabolism that leads to the metabolic syndrome.

The consequence to thyroid metabolism is twofold. First, the inactive thyroid hormone, T4, is converted to the biologically active hormone, T3, mostly on cell membranes of liver cells. Hepcidin is made in your liver and is produced excessively in response to high inflammation. Such inflammation will also damage liver cell membranes, thus reducing the conversion of T4 to T3. This is one main reason why inflammation of any type disturbs thyroid function.

Second, when biologically active thyroid, T3, binds to cell membranes and communicates to the nucleus of your cells how fast their metabolic pace should be set, it is like a hormone manager giving an order to a cell factory. The worker bees in the cell factory then need iron for the genes that will implement the thyroid order. In fact, the next 80 metabolic genes responding to a thyroid order all need iron. If iron is lacking, metabolism simply cannot run at an optimal pace, resulting in all the symptoms of hypothyroid—even in the presence of normal T4 and normal T3.

Even if iron is normal on a blood test, a person can still have all the problems above, though levels tend to be toward the lower end of the normal range. Hemoglobin (Hgb) and hematocrit (Hct) are also on the low side of the normal with this problem. One or another being out of range or on the low side signifies a major problem. Serum ferritin is typically low or low normal, unless inflammation is very high, which can actually drive up ferritin scores. Lab tests can help; however, fatigue along with trouble losing weight despite eating better and exercising are general indicators of a potential problem.

Then there’s this study I found on the more reputable PubMed, published in La Clinica Terapeutica (which I think is Italian?), where they treated 21 women with iron deficiency anemia with oral iron and found improvements in their waist circumference, body weight, HDL, and triglycerides.

So what would I recommend to Jimmy?

1.  Fix your iron status – Stop giving blood.  Consider adding red meat back into your diet and even adding in some oral iron supplementation with something like the Thorne Iron Supplement.  How much? I’m not sure, but I think Chris Kelly would have a good idea.  I’d imagine it’d be something like take X amount, retest in a month, and adjust accordingly.

2.  Reduce your stress – Jimmy is already planning on taking the months of July and August off to take care of himself.  I’d recommend cutting back on podcasts and social media and book tours, and focusing instead on taking it easy.  Get out of the spotlight and away from all of the negativity.  Try out yoga.  Focus on meditating consistently, once in the morning and once in the evening.  Consider taking an adrenal support supplement like the Thorne Vitamin B and Relora.  Of course getting good sleep is essential and minimizing the crossing of time zones  from all the speaking engagements and book promotions would be tremendously helpful for him.

3.  Check fasting insulin – To give us a better understanding of what the heck is happening with his blood sugars.

4.  Check ketones and blood sugars regularly – This seemed to work really well for him before and now that he’s not checking in as regularly things seem to be falling apart.  Maybe he just needs the consistency and accountability of it all to keep things in check.

5.  Think about adding carbs back in at least once a week or every two weeks – Try this out for a month and see if it helps to get things going.

6.  Raise your Vitamin D – It wouldn’t hurt to get his vitamin d levels up.  The best way of course is to get it via sunlight.  Maybe he can meditate or do yoga outside, killing two birds.  If not, he could try the Athletic Greens Vitamin D supplement or the Exos fuel Vitamin D and K2 supplement.

7.  Do more resistance training – Chris’ recommendation of kettelbells is fantastic.  Barbell work is great.  Maybe he can try something like Stronglifts 5×5.  And of course I’d be remiss if I didn’t mention brazilian jiu jitsu.  It’s a great way to learn some self defense while getting in an amazing work out.  I’m not sure where he lives in South Carolina, but here’s a start.

It’ll be really interesting to see his Ubiome results and what happens when he follows up with Chris Kelly in the next few months.  I really do hope Jimmy will be able to get to the bottom of what’s going on and I wish him the best.

39 Responses to Thoughts on Jimmy Moore’s Summer 2015 Health Test Results

  1. That’s a really neat analysis of his diet. How did you do that without exact measures?

    • BJJ Caveman says:

      I did my best to guestimate.

      For example on May 15, 2015 Jimmy ate

      3 sausage patties
      1/2 cup beef bone broth
      3 tbsp grass fed butter
      3 pastured eggs
      2 cups of leafy veggies
      1/2 cup of mozzarella cheese
      1/3 cup of tomato sauce
      Garlic salt
      Heavy cream with raw cacao powder
      1 bottle of kombucha
      1 bag of quest protein chips with cheddar cheese
      Heavy cream with raw cacao and stevia.

      All of these could be found in myfitness pal with those serving amounts, using some of the generic brands available

      The only things I estimated were the heavy cream/cacao/stevia mix because no specific amounts were provided.

      • The whole idea that this Kelly guy is going to get to the bottom of anything or get any meaningful information from those three days is absurd. Clearly Jimmy just got a shipment of free samples of Quest chips. He is also eating far differently than other menus and pictures of meals he’s shared.

        But even if it were just the cream that wasn’t quantified (note, he specifies 1/2 cup beef broth, because that’s important!) anyone who is familiar with this guy knows that can easily mean a cup or more. Given the caloric density of cream, this can make a big difference. Also the type of tomato sauce is not specified, nor is the weight of the sausage patties.

        But all this distracts from the real health issue Jimmy has been ignoring for years: his progressive kidney disease. And he’s apparently not satisfied with doing just that, he seems intent on ruining his wife’s health too. He’s been at this game chasing phantom metabolic curses for years now, since before he grudgingly went paleo a little less than 4 years ago. Cortisol mysteries there’ve been a few. Wow!!! Oooh! Let’s all hack his cortisol!!!

        But protein in the urine? Nah … let’s ignore that.

        • Trina says:

          The irony that not ONE keto fan has even bothered to address JMs BUN or anion gap.

          • Tyrker says:

            His BUN was 19 in April and 15 in May.
            The lab says the high end of normal is 25.
            I don’t see what needs to be addressed here.
            His anion gap is wide and has to be investigated. But renal failure seems unlikely with an ideal serum creatinine level and eGFR.

      • Jim says:

        After looking at the list of what he ate my first thought was to ditch the kombucha, quest protein chips and stevia. Kombucha is too sweet unless he can find or make some that has no sugar. I would also increase my veggies to 9 – cups per day and increase the oil and butter input to 30 – tablespoons per day. Last but not least I would throw in 4 – ounces of salmon and 4 – ounces of ground beef or beef liver. The increase fat intake will have to correspond with his increase in exercise that he has embarked upon. This seems to work for me and I am 54-Yrs. 5’5″ at 148-Lbs..

  2. Chupo says:

    Jimmy’s insulin is 7.90. Seems high compared to Woo’s 2.2.

  3. Ash Simmonds says:

    “The best place to get folate is from leafy green vegetables.”

    Cap’n Crunch has more folate than green things.

  4. Jim says:

    Great analysis Caveman. You have satisfied a nagging curiosity since I heard Jimmy’s podcast a couple of weeks ago.

  5. JamieG says:

    Fascinating! Thanks for posting all this info and insight. It is really interesting to see that even the pros struggle too. I hope he finds a healthy state again, and I hope he shares all the changes made to get there 🙂

  6. JoeS says:

    Maybe he should eat less. I was in a similiar situation and believe everything you have recommended, but the fact is we have to quit denying eating less helps one lose weight. My numbers were similiar and I read to much about “just getting into ketosis and the pounds will come off,” or “just eat very healthy and get your numbers right and the pounds will come off.” I agree somewhat but food INTAKE matters. It matters. Since I started tracking my calories and trying to maintain a 800-1,200 calorie deficit my weight is steadily coming off. It is ok to not eat as much, it is ok to fast, it is ok to be a little hungry – one will not die. Once the weight is off, the key is finding a lifestyle one can maintain. I think Jimmy got in the mindset “if it’s fat, it’s ok,” no matter how many calories. Stress is not going to make one gain weight that much nor fast – but perhaps (like with me) stress can lead to overeating. Finally, be aware of “cheat” days or having a high carb day once a week – I do not disagree with how this makes sense and can help somebody, but it can also lead to a dangerous road of additional cheat days. The bottom line is we have over-analyzed this to death and become compulsive and throw rocks at other camps. Try eating less, not a fancy idea that will sell books, but it works without a doubt – and you won’t die (read the book Unbroken!).

    • BJJ Caveman says:

      I think what you’ve said is completely reasonable.

      There’s a big fear of keeping calories too low causing subsequent metabolic downshifting… and I think this is a very real phenomenon. It’s just up to each individual to figure it out and see what works and where their specific range is.

      Glad to hear things are working so well for you!

      • JoeS says:

        Caveman, I appreciate your blog for it’s honesty, openness and the value you place on N=1. I think our bodies our more adaptable than we give for. I believe in eating whole food, limiting carbs, nutritional balance and moderating caloric consumption. We also have to realize, for those of us who get obsessed with nutrition and argue whether we should eat 49% or 69% carbs, or the paleo’s arguing over potatoes or dairy, that the world’s centenarians do not obsess like I/we do over nutrition – their diets vary, but they do eat whole, real foods in moderate consumption. None of them obsess with exercise either, but are all active. And they live a very stress-free and materialistic life, emphasizing community and giving. (Read the Blue Zone!) I say this because I need a reminder that we should define “healthy” in more ways than just if we believe in dairy or potatoes or if our LDL is under 183. Again, BJJ, thank you for sharing your own experiments and promoting a full, balanced view of health. Keep up the great work!

  7. Raymond says:

    I doubt Jimmy Moore’s anemia can be easily treated. Iron dysregulation is a very common feature of obesity. Also, copper is needed for iron absorption, so he may just be low in copper (moveover high serum does not mean copper overload as copper rises in the blood during inflammation).

    Obesity as an Emerging Risk Factor for Iron Deficiency

    “The interaction between copper availability and iron homeostasis represents a potential link between dietary factors and iron uptake as low copper may lead to reduced ferroxidase activity necessary for iron export from enterocytes, macrophages and hepatocytes. Abnormal parameters of iron status indicating iron deficiency or overload are frequent findings in overweight and obese subjects. Iron deficiency represents a particular clinical problem during adolescence when iron requirements are increased, and in morbid obesity during adulthood. Impaired functional iron status is mainly linked to adipose tissue inflammation and increased expression of the systemic iron regulatory protein hepcidin. Cytokines such as TNF-α, IL-1 and IL-6 along with adipokines (leptin, resistin) or hepcidin may represent signals from obese, inflamed AT facilitating changes in physiological iron homeostasis. Owing to its underlying mechanism of impaired iron absorption via the gut, treatment of iron deficiency by oral supplementation is frequently insufficient, and parenteral substitution is thus necessary, particularly in bariatric surgery patients. As both iron deficiency and overload may have detrimental effects on the course of obesity-related conditions, diligent screening and treatment of both is warranted.”

    There are also more recent studies showing that obese people have elevated iron in certain tissues, including the adipose tissue and brain. So, it’s a very complex problem that is not easily treated by just taking iron supplements.

    We live in the most iron-replete nation on Earth (iron fortification of foods + high red meat consumption), yet we have one of the highest levels of obesity. Developed countries that do not fortify with iron have much lower incidence of obesity. That’s probably not a coincidence.

  8. Havolas says:

    Since we now know that it is excessive intramyocellular lipids (fat inside the muscle cells) that is the main cause of chronically high blood sugars and type 2 diabetes, it is no wonder that Jimmy is still borderline diabetic.

    He would have much better sustained progress on a whole foods, plant-based diet using low to mid glycemic fruits or starches like sweet potatoes as the bulk of the diet as have been proven over and over by whole food vegans all over the world.

    Just look how lean Dr. Neal Barnard, Dr. John McDougall, and Dr. Caldwell Esselstyn are. They practice what they preach and the proof is in their experience and the experience of thousands of their patients.

  9. 30#AndCountingOnKeto says:

    I agree it would definitely be interesting to find out Jimmy’s fasting insulin. Sorry if this has been addressed elsewhere, but recently I’ve been hearing about ketogenic diets inducing insulin resistance and I wonder if this could be what is happening to Jimmy?

  10. Havolas says:

    By the looks of it, Jimmy is right — he is still insulin resistant. And I’m pretty sure I know why. He’s not training hard enough. His muscle cells are probably still chock full of glycogen and fat, and this alone will cause all the other problems. When the muscles are full and resistant to insulin’s effects, the carbs sit in the bloodstream. This elevates blood sugar (hyperglycemia) which causes more insulin to be pumped out, causing hyperinsulinemia. This shuttles the carbs back to the liver, which may be resistant too. Leftover carbs get made into fat. Round and round we go. He needs to get into the gym regularly and pump iron well into the anaerobic zone to clear his muscles of a good portion of all that glycogen and fat. That will make his muscle cells more insulin sensitive and the whole problem will reverse itself (except for the high cholesterol – he needs to seriously reduce the high cholesterol-laden saturated fat and stick to MUFAs and PUFAs. – Saturated fat is ANIMAL fat, and humans are ANIMALS too – we eat it, we wear it most easily). The liver (when working right) makes all the cholesterol we need. Too much is, well, TOO MUCH. The dose makes the toxin.

    • BJJ Caveman says:

      I have no doubt that resistance training would only help him. I seem to remember him saying that he did some previously… but apparently he’s stopped.

  11. Havolas says:

    This is why Jimmy has such a tough time with fasting blood sugar and insulin resistance:

  12. Havolas says:

    And THIS is why (if you read the study above –especially about how ceramides cause insulin resistance) Jimmy needs to lay off the saturated fats and displace them with PUFAs and MUFAs:

  13. Carbsanity says:

    BTW…Jimmy still owes me an apology. If I can make nice with Richard (who’s really a sweet guy beneath the gruff exterior), Jimmy can certainly bury the hatchet with me. I’ve even stopped the Jimmy Moore exposes that originally put my site on the map – and which my readers have told me they far prefer to the science-y stuff – but to no avail. Hell, I’ve even come around to admitting I was wrong all along about Gary Taubes (stay tuned for a big announcement!). 😉

  14. EatLessMoveMoore says:

    “It doesn’t make sense that his [Jimmy Moore’s] fasting sugars are creeping up”

    Say what? This EXACTLY what happens with extended low carb/keto. Jimmy is slowly but surely making himself diabetic – to say nothing of looming issues with his kidneys. What’s really sad is that no one (least of all his doctors) are telling Jimmy what is glaringly obvious to even laypeople: ditch the fat and protein and get on a plant-based diet! Jimmy’s real issue is with disordered eating; macronutrient ratios are entirely beside the point. A plant-based diet would simply allow him to eat food in the excessive proportions he clearly requires. A good therapist could doubtless help with the rest.

    • BJJ Caveman says:

      I can’t agree with the “EXACTLY what happens with extended low carb/keto” statement, because there are many people that do fine with extended keto. They’re blood sugars do well as do their lipids AND their weight. Unfortunately I’m not one of them…. and it doesn’t look like Jimmy isn’t either.

      I know plant based diets work very well for many people also… but there are those for whom it becomes a disaster as well.

      In Jimmy’s case though, it might be worth a trial, at least for a few months just to see if it will help his situation. Whatever he’s doing right now isn’t working.

  15. Horace says:

    Why doesn’t jimmy just eat a McDougall diet and lose the weight and improve his numbers?

    • BJJ Caveman says:

      I’m not familiar with the McDougall diet, but I do know that Jimmy is trying all sorts of things. I haven’t been following lately, but the most recent thing I remember is fasting.

  16. Aristotle says:

    If you google ketosis and cortisol you see a lot of articles that link those two together and also lower thyroid function. It would be nice to see another set of cortisol tests on Jimmy. I wonder if Jimmy’s use of MCTs in the form of coconut oil and heavy whipping cream is stripping all of the glycogen out of his liver which leaves him no choice but to create cortisol in order to convert muscle tissue into glycogen for the brain. Please refute this conclusion of mine?

  17. Annie says:

    Recommendations to Jimmy Moore:

    Eat some fucking plants.

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