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BV #25: Carb Confusion: Blood Sugar Spikes, Fat Gain, and the True Cause of Alzheimer’s
Episode 173

BV #25: Carb Confusion: Blood Sugar Spikes, Fat Gain, and the True Cause of Alzheimer’s

The Energy Balance Podcast

March 19, 20261h 6m

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Show Notes

In this episode we discuss:



-The calories in calories out model of obesity 
-Dr Boz’s take on fruit and blood glucose spikes
-Richard Smith on aging and the NAD+ to NADH ratio
 

Free Energy Balance Food Guide: https://jayfeldmanwellness.com/guide

The Nutrition Blueprint: https://mikefave.com/the-nutrition-blueprint/

Theresa's Instagram: https://www.instagram.com/livingrootswellness/
 

Timestamps:
0:00 – intro 

1:17 – Is fruit evil or is Dr Boz insulin resistant? 

5:00 – whether high blood glucose levels drive Alzheimer’s and dementia 

7:39 – does glucose automatically get converted to fructose and fat? 

10:58 – Dr Boz & Glucose Goddess’s fearmongering about fruit and glucose spikes  

14:12 – Dr Boz parrots Robert Lustig: they’re both wrong about fructose 

15:43 – concerns with blood sugar spikes when reintroducing carbs and whether using a CGM is worth it 

17:32 – less, not more, glucose uptake in the brain creates the conditions for Alzheimer’s disease 

20:15 – poor glucose utilization as a driver of Alzheimer’s and dementia 

22:48 – reducing carbohydrate intake causes insulin resistance and less metabolic flexibility 

26:27 – possible reasons for Dr Boz’s high blood sugar and our advice for Dr Boz 

30:31 – our experiences with “keto snacks” and how keto caused intense cravings and binging 

33:53 – Richard Smith on keto, NAD+ and aging 

35:23 – what Richard Smith misses about glucose and the NAD+ to NADH ratio 

41:00 – glucose metabolism leads to a higher NAD+ to NADH ratio than ketone metabolism 

44:15 – how low-carb diets can restore the NAD+ to NADH ratio through stress pathways 

47:02 – whether ketones are beneficial 

49:57 – fats vs carbs: which is the better fuel for the NAD+ to NADH ratio? 

55:17 – how to support healthy aging and NAD+ levels (hint: not low-carb) 

1:00:31 – what the NAD+/NADH ratio actually indicates 

1:05:02 – lower blood sugar with a bioenergetic approach