Jimmy Moore in the Diabetes Summit - "Doctor" Mowll Nods Along As He Gets Free Fatty Acids All Wrong
Here's your link: Jimmy Moore Low Carb Controversy (available until 10am EST Friday 3/27/15)
Paraphrased Highlights & Commentary
Mowll: Jimmy Moore what are your thoughts on eggs
Say what? What does he know Brian?
Jimmy: An egg has 0.7g carb, what's to raise blood sugar? ... Not insulinogenic at all ... Won't raise blood sugar eating it ... it's the toast and margarine that's what's wrong with these studies ... eat eggs in butter and cheese an they won't raise your glucose ... meat gets bad rap too ... how could red meat be linked to diabetes unless you're eating the leanest cuts and getting a gluconogenetic effect ... at the end of the day it comes down to the glycemic impact.
Please shut up Jimmy. Don't look now, but the previously non-diabetic Jimmy Moore has been complaining of pre-diabetic blood glucose readings and issues with regulating his glucose for YEARS now despite his "healthy" diet and a transient loss of ~ 80 lbs in the interim, and the use of metformin-like-acting berberine for a significant time.
Jimmy: Before I shut up about eggs, let me namedrop Chris Masterjohn who said in my book Cholesterol Clarity, that pregnant woman would poison themselves with avidin eating 5% calories in egg whites.
Who knows if this is true, pretty sure if you cook them any concerns re: avidin are nullified, but at least they won't be killed by a sugar spike!
Mowll: Let's talk cholesterol
Jimmy: I have low inflammation ... I say measure CRP, fasting blood sugar and insulin and if these are low who cares what your cholesterol is.
Mowll: Testing for cholesterol is outdated and we realize it's not a very accurate way to test for CV risk
Jimmy: Unless you test for the TOTALLY irrelevant fluffy LDL particles ... doctor will only look at LDL-C ... trigs need to be under 100, optimally under 70 ... Jimmy's is 54.
Mowll: What do you advise if you have some disease?
WHY ARE YOU ASKING HIM!
Jimmy: CT heart scan score ... Jimmy's is zero ... CIMT
Mowll: Controversy of free fatty acids ... elevated FFA seem to cause problems in diabetes ... there's a disconnect between what causes the free fatty acids ... there's an assumption that high FFA are due to a high fat diet and high sat fats ... elevated FFA not from diet
This is ridiculous. Anyone who doesn't know what causes the FFA (or NEFA is my prefered acronym) to be elevated in diabetes and the role of NEFA, or the relationship of NEFA and the various lipoproteins is ignorant and unqualified to discuss diabetes. If this is not discussed in your medical training and certification as a "diabetes educator", any cursory perusal of the peer review diabetes literature should quickly inform you. But do go on and discuss this with someone more ignorant of human physiology than you apparently are! There may be some unknowns as to how exactly these elevated NEFA are involved mechanistically, but this isn't a "controversy"
Jimmy: The Volek Study!!! OMGosh this is the biggest study that's come out in years ... [I can't even ...] that carbohydrate is what's being converted into the free flowing fatty acids in the body
Just shut up. That study, blogged about here, (post contains links to other posts), did not even look at NEFA. It looked at the fatty acid composition of fasting triglycerides and other things, but NOT the fatty acid profile of the free fatty acids. It is just beyond dishonest at this point to claim that de novo lipogenesis is responsible for high triglycerides and CVD risk. Especially palmitoleic acid which is a MUFA where there is considerable evidence that its production (via desaturation) in adipose tissue is associated with and perhaps directly mechanistically related to better glucose homeostasis. But Jimmy is wrong and there's a pre-prepared slide, and Mowll nods along. "Free flowing fatty acids" do NOT come from de novo lipogenesis of carbohydrates.
Jimmy: Fat us used for fuel by the body, and this new thinking scientists are just catching on to ... too bad it will take a while for the message to reach the public.
I can't even. Human metabolism and use of substrates for fuel goes back to the 1800s.
Jimmy: 2014 was a banner year for high fat diets! Teicholz Big Fat (Phony) Surprise ...
At this point the slide shown is below: salmon and veggies. How out of mainstream thinking, eh? How much like a meal for Jimmy Moore!
Jimmy: Existing low fat based on epidemiological studies not RCTs. It's my goal to show people which studies are good and which are not so good.
Again, just shut up. You couldn't even accurately describe what the Volek study looked at, and Mowll is too ignorant to counter your bad "science".
Mowll: What about adrenal fatigue?
Jimmy: It's those paleo bitches bitching about this again, I wish they would shut up. It's like a bad zit that just keeps coming back after you pop it.
OK ... Jimmy didn't really say that part about the female dogs, I'm just having a little fun (and I'm not calling them that word either, lighten up). For those who are unaware, there is an epidemic of adrenal fatigue spreading through the paleo female community, Paleo Parent-mom, Paleo Mom, Paleo Princess Di, and not-so-much-Paleo-anymore Di herself. These women think eating a half of a sweet potato after a work out constitutes a carb load and they are suffering for it. Stress, lack of sleep, and all of a sudden you've got candida and Hashi's and whatnot. It's a real MTHFR!
Jimmy: Those folks are predisposed to being extremely insulin resistant ... myself included ...
Actually, Jimmy had perfectly normal glucose metabolism for several years following his initial weight loss on a normal -- no gobs of butter to up the fat -- Atkins diet along with regular (30-45 min daily) evil cardio. One can only blame his past history with Little Debbie and Coke for his current metabolic failz, it sure can't be his magic carb-free diet!
Jimmy: Diabetics should moderate protein to moderate gluconeogenesis ... chicken breast is like vanilla wafers.
This is absurd. LoBAG Jimmy. Oh yeah, and he didn't say the vanilla wafer thing either, just having fun spoofing off of his absurd nonsense that beef is the new chocolate cake from a couple of years ago now.
Jimmy: I think the cortisol response is due to eating a hypocaloric diet. Look at me! I eat enough calories so I'm not cortisolic.
Oh my. Yes. Look at him. He has clearly regained most if not all of the 80 lbs he lost on his NuttyK, and remains on the same diet if we are to believe him. Much of this has been over the past year, so the HYPERcaloric surplus has been substantial. Then WHY is Jimmy Moore "Wired and Tired"????
According to this quiz by the very same "expert" they are discussing in the interview?
There are 39 questions, Jimmy's score was 38. If we can presume he doesn't have all of these, this means that some of these things are experienced daily or worse, and some of these symptoms are worrying to say the least. Please tell me again about your healthy diet Jimmy?!
Jimmy: The adrenal stuff is scare mongering. If you're not hypocaloric, you're good to go.
I present the above evidence from Jimmy Moore himself. Liar.
Mowll: Why would the body produce excess glucose if it is adapted to ketones ... keto is the only approach that really works in his practice. They're not adapted!
This guy is not a medical doctor. Sad that the law allows chiropractors to open diabetes treatment centers. Now ... mind you that Mowll can SEE Jimmy as he launches into the next part. He calls him a "good friend" in the introduction. No excuses for Doctor-not-MD Mowll.
Mowll: What about stalls and calories ... I've seen some patients overeat on LCHF. Have a 400 lb patient eating over 4000 cals/day when weight loss stopped. Made changes and he started losing again. Many see LCHF as a license to overeat fat.
Jimmy: You're problem is that you're probably eating a lot of nuts or a lot of cheese. Dr. Eades says these are a problem. So limit nuts and cheese. Atkins only allowed 4 oz a day ... it's not a free for all as you said. Yeah but Sam Feltham ate 3000 calories of nuts a day and didn't gain much weight. It's not the calories ... at the end of the day calories might come into play just a little.
Jimmy Moore does not need to call a plumber. He needs to get with what the science says about calorie balance and realize that a stick of butter is not a meal. But this is pathetic. He is clearly around 300 pounds. That's not fat shaming or making fun of him dear foamy-mouthed critics. That's a fact. HOW did this happen on his magic diet? Once again? He blames stress. Umm ... see Wired & Tired above. This man is a menace to the health community. If he wants to destroy his own health (and his wife's) apparently nobody is going to be able to talk enough sense into him to stop that. But stop giving this guy a platform to encourage others down this path (... and stop going on his platform).
Jimmy: It's hard for me to get in more than a couple of thousand calories eating this way [keto] because I'm so satiated ... If you get hungry within 4-6 hours of your last meal, you didn't eat enough fat.
Please do explain to everyone why you are not still around the 230 lbs you were after a year on your NuttyK experiment? Just admit it. Calories count and you are eating too many of them. Unless you're lying about your carbs Jimmy, it's not carbs that are fattening for you these days. It's NOT working for you. You're not fooling anyone, though some seem happy to look the other way "for the cause".
Jimmy: LC doesn't mess with your thyroid.OK.