Paul Saladino· MD
In the setting of insulin resistance, carbohydrates fan the flames of metabolic dysfunction, but they didn't cause the blaze.
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The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
In the setting of insulin resistance, carbohydrates fan the flames of metabolic dysfunction, but they didn't cause the blaze.
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We also know that severely limiting carbohydrates will cause physiological insulin resistance perhaps on top of baseline metabolic dysfunction.
listen carbohydrates denovo do not cause insulin resistance or metabolic dysfunction in the setting of insulin resistance and metabolic dysfunction.
in the setting of metabolic dysfunction carbohydrates fan the flames we become carbohydrate intolerant this is why we observe limitation of carbohydrates being beneficial for many people who have insulin resistance which we are visualizing as fasting insulin elevated pre-diabetes diabetes etc
the muscles become insulin resistant the liver becomes somewhat insulin resistant physiologically when you don't include carbohydrates in your diet or if you limit your carbohydrates significantly