Paul Saladino· MD
with the lower t3 it's actually muscle sparing and we know that ketogenic can Carnivora tend to be muscle sparing when we look at you know a physiologic level
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The headline is broadly defensible, but the qualifications matter. Effect sizes vary by population, the strongest claims rest on shorter trials, and credible voices push back on how it's typically framed.
with the lower t3 it's actually muscle sparing and we know that ketogenic can Carnivora tend to be muscle sparing when we look at you know a physiologic level
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from a ketogenic perspective generally what we may see and what people get up in arms about is the fact that for some people doing ketogenic diets they see a little bit lower t3 or there t3 my truck but the TSH often stays in range is that what you see
so the the theory especially with ketogenic essentially is that just like repairing insulin you know sensitivity that this could be a new level of thyroid sensitivity and so maybe this is just the you know homeostasis of ketogenic physiology
one of the things people see with thyroid conditions I'll just add this briefly on ketogenic diets is some people get a slightly lower free T3 but what's interesting about this is that it doesn't seem to be correlated with a change in metabolic rates so I don't think that it's necess really a bad thing
people on ketogenic diets may see a lowering of their free t3 but generally as I talked about in my podcast with Ken berry and the youtubes I did with dr. Jamie seaman who's an ob/gyn in Nebraska check her out she's doctor fit and fab on Instagram what we talked about was the idea that on ketogenic diets we seem to develop increased tissue sensitivity to t3 and the slight decrease in free t3 which is perhaps only a 10% decrease on ketogenic diets is probably not a big deal from a medical perspective
if you have a ketogenic diet your free t3 is going to go in the toilet your free t4 might grow in the toilet but your tsh is not always going to bump
I have very rarely seen optimal levels especially of total T3 and free T3 in people doing long-term ketogenic diets which I think is a real clear signal that our bodies Thrive with carbohydrates and see carbohydrates as a signal of abundance