Flashback Friday: What Causes Insulin Resistance and Diabetes?

“What Causes Insulin Resistance and Diabetes?” Studies dating back nearly a century
noted a striking finding. If you take young, healthy people
and split them up into two groups, half on a fat-rich diet, and the
other half on a carb rich diet, within just two days,
this is what happens. The glucose intolerance
skyrockets in the fatty diet group. In response to the same
sugar water challenge, the group that had
been shoveling in fat ended up with twice
the blood sugar. As the amount of fat in the diet goes
up, so does one’s blood sugar spikes. It would take scientists nearly seven
decades to unravel this mystery, but it would end up holding the key to
our current understanding of the cause of type 2 diabetes. When athletes carb load before a
race, they’re trying to build up the fuel supply
within their muscles. They break down the starch into
glucose in their digestive tract; it circulates as blood
glucose, blood sugar, and is taken up by our muscles
to be stored and burned for energy. Blood sugar, though,
is like a vampire. It needs an invitation
to come into our cells. And that invitation is insulin. Here’s a muscle cell. Here’s some blood sugar outside
waiting patiently to come in. Insulin is the key
that unlocks the door to let the sugar in our blood
enter the muscle cell. When insulin attaches
to the insulin receptor, it activates an enzyme, which
activates another enzyme, which activates two more enzymes,
which finally activates glucose transport, which acts as a gateway
for glucose to enter the cell. So insulin is the key that unlocks
the door into our muscle cells. What if there was
no insulin though? Well, blood sugar would be
stuck out in the bloodstream banging on the door to our
muscles and not be able to get inside, and so with nowhere to go,
sugar levels would rise and rise. That’s what happens
in type 1 diabetes. The cells in the pancreas
that make insulin get destroyed, and without insulin,
sugar in the blood can’t get out of the blood into the muscles,
and blood sugar rises. But there’s a second way we could
end up with high blood sugar. What if there’s enough insulin,
but the insulin doesn’t work? The key is there but something’s
gummed up the lock. This is called insulin resistance. Our muscle cells become
resistant to the effect of insulin. What’s gumming up the door
locks on our muscle cells preventing insulin
from letting sugar in? Fat. What’s called
intramyocellular lipid, fat inside our
muscle cells. Fat in the bloodstream can build
up inside the muscle cell, creating toxic fatty
breakdown products and free radicals that can block
the signaling pathway process. So no matter how much insulin
we have out in our blood, it’s not able to open
the glucose gates, and blood sugar levels
build up in the blood. This mechanism by which fat,
specifically saturated fat, induces insulin resistance wasn’t known until fancy MRI
techniques were developed to see what was happening
inside people’s muscles as fat was infused
into their bloodstream. That’s how they found out that
elevation of fat levels in the blood causes insulin resistance by inhibition
of glucose transport into the muscles. And this can happen
within just three hours. One hit of fat can start
causing insulin resistance, inhibiting glucose uptake
after just 160 minutes. Same thing happens
to adolescents. You infuse fat into
their bloodstream. It builds up in their muscles and
decreases their insulin sensitivity, showing that increased
fat in the blood can be an important contributor
of insulin resistance. And then you can do
the opposite experiment. Lower the level of fat
in people’s blood and the insulin resistance
comes right down. Clear the fat out of the blood, and
you clear the sugar out of the blood. So that explains
this finding. On a high fat diet, the ketogenic diet,
insulin doesn’t work as well. Our bodies are
insulin resistant. But as the amount of fat in
our diet gets lower and lower, insulin works
better and better. This is a clear demonstration
that the sugar tolerance of even healthy individuals
can be impaired by administering a
low-carb, high-fat diet. But we can decrease insulin resistance,
the cause of pre-diabetes, the cause of type 2 diabetes,
by decreasing saturated fat intake. After about age 20, we may have all
the insulin-producing beta cells we’re ever going to
have in our pancreas, and so if we lose them,
we may lose them for good. Autopsy studies show that by the
time type 2 diabetes is diagnosed we may have already killed
off half of our beta cells. You can do it right in a Petri dish. Expose human beta cells to fat, they suck it up, and
then start dying off. A chronic increase in blood
fat levels is harmful as shown by the important effects
in pancreatic beta cell lipotoxicity. Fat breakdown products can interfere
with the function of these cells and ultimately lead to their death. And not just any fat, saturated fat. The predominant fat in
olives, nuts, and avocados gives you a tiny bump
in death protein 5, but saturated fat really ramps up
this contributor to Beta cell death. Saturated fats are harmful to b-cells,
harmful to the insulin-producing cells in our pancreas. Cholesterol, too. The uptake of bad cholesterol, LDL,
can cause Beta-cell death as a result of free radical formation. So diets rich in saturated fats not only
cause obesity and insulin resistance, but the increase levels of
circulating free fats in the blood, called NEFAs, non-esterified
fatty acids, causes Beta-cell death
and may thus contribute to progressive Beta-cell
loss in type 2 diabetes. And this isn’t just based
on test tube studies. If you infuse fat into
people’s blood stream you can directly impair
pancreatic Beta-cell function, and the same when we ingest it. Type 2 diabetes is
characterized by defects in both insulin secretion
and insulin action, and saturated fat
appears to impair both. Researchers showed
saturated fat ingestion reduces insulin sensitivity
within hours, but these were non-diabetics, so their
pancreas should have just been able to boost insulin secretion to match, but insulin secretion
failed to compensate for insulin resistance in subjects
who ingested the saturated fat. And this implies the saturated fat
impaired beta cell function as well, again within just hours after
it going into our mouth. So increased consumption
of saturated fats has a powerful short- and
long-term effect on insulin action, contributing to the
dysfunction and death of pancreatic beta
cells in diabetes. And saturated fat isn’t
just toxic to the pancreas. The fats found predominantly in
meat and dairy — chicken and cheese are the two main sources
in the American diet — are almost universally toxic,
whereas the fats found in olives, nuts, and avocados are not. Saturated fat has been
found to be particularly toxic to liver cells in the formation
of fatty liver disease. You expose human liver cells
to plant fat and nothing happens. Expose liver cells to animal
fat and a third of them die. This may explain why higher intakes
of saturated fat and cholesterol are associated with
nonalcoholic fatty liver disease. By cutting down on
saturated fat consumption we may be able to help
interrupt this process. Decreasing saturated
fat intake may help bring down the need for
all that excess insulin. So either being fat or
eating saturated fat can both cause that excess
insulin in the blood. The effect of reducing dietary
saturated fat intake on insulin levels is substantial, regardless of how much
belly fat we have. And it’s not just that by eating fat we
may be more likely to store it as fat. Saturated fats, independently of
any role they have making us fat, may contribute to the development of insulin resistance and all
its clinical consequences. After controlling for weight, and alcohol, and smoking,
and exercise, and family history, diabetes incidence was
significantly associated with the proportion of
saturated fat in our blood. So what causes diabetes? The consumption of too many
calories rich in saturated fats. Now just like everyone who smokes
doesn’t develop lung cancer; everyone that eats a lot of saturated
fat doesn’t develop diabetes. There’s a genetic component, but just like smoking can
be said to cause lung cancer, high calorie diets
rich in saturated fats are currently considered
the cause of type 2 diabetes.

100 thoughts on “Flashback Friday: What Causes Insulin Resistance and Diabetes?

  1. Keto and Carnivore diets are suppported by nothing but talk and are a huge roll of the dice for those you do it. None of the longest lived studied people on the earth eat either a Keto or Carnivore Diet and those who do are counting on fantasy land theories to make them feel good about it. When you don’t like the answer to a healthy diet you go Keto or Carnivore.

  2. I'm curious how does the body know the difference between plant-based saturated fat vs an animal-based saturated fat? So would the relationship between someone with elevated cholesterol and diabetes mean that if you have higher cholesterol levels then your at even higher risk for diabetes? Genetic factors seem to be the main cause. Elevated lipids are an issue for me even while on a whole food diet. Genetics play a role here so I'm taking statins. So am i at higher risk for diabetes?

  3. It's more complex than that, a recznt study showed that different people react different to different foods. For some they have thus effect for some not

  4. I am diabetic type 2 and I already have two years with keto diet and intermitent fasting. Before I used to inject 60 units of insuline daily and my A1c was a high 13. Now I left behind all diabetic pills and insuline dosis and my A1c is a low 5.2. So I do not understand this video. It is said exactly the oposite of what I have lived during these last two years.

  5. What about dr Terry whals diet. She eats a diet of meat and vegetables. Low carb vegetables. Uses coconut oil and lot. Has reversed MS, and has no diabetes issues. Her diet consist mainly of fats. She is also running clinical trials using her diet to reverse autoimmune issues and ms. So how about that? Please check her out Dr Terry Whals. The Terry Whals protocol.So something does not make sense here. More research needed maybe?

  6. Hyenas scream about people not accepting climate science (which is indead absurd and horrendous), but in nutrition we have countless identical examples that people buy into who pride themselves on being woke on all kinds of other stuff. Somehow even smart people cannot understand what this video covers. Sugar causes diabetes is what they say. This might help, but sadly, probably not. I liked it!

  7. In my nearly 80 years of life, they reinvent names to fat and meat rich diets to continue the lie. Common knowledge has never changed: the less meat, fat, dairy and/or junk foods the better. I can attest it. The only difference is that I didn't know that it could 0% animal products until 20 years ago.

  8. Dr Greger and Dr Fung have completely different outlooks on controlling insulin resistance. Does anybody have any opinions on this? As I'm so confused at which evidence and theory to believe

  9. I truly believe that Dr. Greger's whole, plant based diet is the way to go, but there seems to be a lot of Keto people claiming that it their diet controls diabetes…is that only because they eat very low carb?

  10. So why isn't there an acute rise in type II diabetes in all the high fat keto dieters? Many of these people have been eating this way for years and swear by it.

  11. thank you very much for your work. I have only one question for you: how do you feel about the anti-vaccination movement and the vaccine in General?

  12. I'm very thankful for this video. It is exactly what I need to show my recently diagnosed diabetic father. He doesn't believe me when it comes out of my mouth but he said he'd be willing to listen to my sources for himself. So between Dr. Greger and Dr. Barnard he should be alright.

  13. Fast food restaurants MUST be wiped from the face of the Earth and humans MUST…uh…hold on…just lost my train of thought…uh…oh yeah! Humans MUST become more smarter about proper nutrition! Nailed it.

  14. I don't subscribe to the keto hype but even if a high fat and close to zero carb diet does indeed lead to increased insulin resistance of peripheral tissues, this is not a cause of hyperglycemia, hence no diabetes. The insulin resistance in this case is a physiological reaction to spare the glucose for neurons, red blood cells and whatever other cells there are that can't survive on fat (or mostly on fat I should say) and at the same time to spare the muscle tissue from effects of excessive gluconeogenesis. Certainly though if the fat intake long-term exceeds the amount the body needs as energy source, the excessive fat will be stored and the portion of it stored in muscles will lead to lasting insulin resistance (and obesity as well of course). However, as long as the blood glucose levels are maintained almost exclusively by gluconeogenesis, as it is in cases of a strict keto diet, DM cannot develop. Further on, any excess of carbohydrate intake beyond what covers body energy needs is converted into lipids which again lead to increased insulin resistance, however in this case in combination with readily available blood glucose and a result of situation typical for type 2 diabetes. Thus the conclusion again is that neither fat nor the sugars are a cause of type 2 DM but rather the excessive energy intake in any macronutrient form, aka overeating.

    Had to look it up, but there are plentiful studies describing pancreatic beta cells proliferation both in rodent and in human models, so it is not true that beta cells once lost are necessarily lost for ever.

    The studies cited in this video are indeed talking about high fat intake effects on muscle cells, but not high fat/low carb diet as such, so they cannot be used as an argument against the keto diet (which I again don't follow and think it is unhealthy for many different reasons).

  15. When ever you eat less carb , weight go down , A 1 c go down so eat good healthy fish with lots of veggies and little carb.

  16. I wish this would say how much fat in calories would cause type 2 diabetes, so people could measure how much they're getting.

  17. These studies were a revelation to me as I had no idea that fat affected insulin and blood sugar in any way. I´m interested in how intake of simple sugar interacts with high fat in increasing liver and heart disease, diabetes. I wish I hadn´t ignored the sciences during my pre and post grad years.

  18. Does anybody know if beta cells are destroyed by saturated animal fats if we strictly avoid carbs? Or is just the combinations of carbs plus fats that causes all these devastating effects? If Michael Greger is right ALL long-term keto dieters should have destroyed pancreases! Is this really the case? Probably not.

  19. Interesting. Going to continue with my progress towards a whole food plant based vegan diet. I will never be sugar, oil, or salt free though. Love my tropical fats and sea salt far too much. I just take care to obtain them sustainably and fair traded.

  20. It really sucks that I didn't know about this before, I have relatives who have lived with diabetes for years which means they probably have killed many of their beta cells by now making a complete reversal of the disease impossible. At least I can now tell them how to effectively get better and not worsen their condition.

  21. I was a prediabetic when eating a vegetarian diet; when I went vegan, I was no more a prediabetic. It's been 4 years now! And beware of coconut oil, which has the double amount of saturated fats than dairy butter!

  22. I am surprised he didn't include more recent research about beta cell dysfunction being able to be reversed in some people with a T2D diagnosis of <10 years https://care.diabetesjournals.org/content/39/11/2080

  23. i am little bit confuse, saturated fats are bad but how about other oil fats. because you said other oils are bad as well. please help, link the video can i have a oil fat ?

  24. I've been plant-based since 2001, and a recent blood test showed my blood glucose has crept up to 98 mg/dl—just one point below diabetic! Although my doctor yelled at me for that, I've been given no actual guidance on how to lower my blood sugar; however, there was a recent New York Times feature on eating less sugar, and I've been able to cut out all added sugar in the past week.

    I honestly didn't know my sugar was getting so high; my cholesterol breakdown was good. I wish I could get re-tested, just to see if I've been successful, but since my physical was through a clinic and not from a private practitioner, I guess I'll just have to be vigilant for the rest of the year.

    In the meantime, I don't know where the saturated fat is coming from, since I don't eat meat or dairy and am not knowingly going overboard with coconut and palm oils.

  25. I was a vegan for almost a year. Higher cholesterol, high blood pressure, borderline diabetic. Aches and pains all the time. Tired. I went keto….lipid panel in healthy range, blood pressure healthy, sleep better, feel better. You don’t get diabetes from healthy fats, lean meats, and low carb. It’s the other way around. My wife works in a cardiac unit at the hospital and now is working on nurse practitioner. All the diabetics are high-carb-eaters and love their sugar. It’s not eggs, chicken, avocados and cheese making these folks sick as hell.

  26. I used to listen to you in the past and was diagnosed as prediabetic. I was constantly having fatigue and tiredness etc. Then I listened to Dr. Jason Fung, Dr. Nader Ali, Dr. Bret Sher, Dr. Ken Berry, Dr. Tim Noakes etc and tried high animal fat (butter, ghee, fatty meat) diet with no starchy food and lots of vegetables.
    Contradicting your understanding of how it all works based on research papers, I am now only 67 Kg for 170cm height. It took only 2 months to shed extra 10kgs and did not gain it back again. I feel much better and stronger. My body is becoming more muscular even though I do not do any exercise (using any gym). When required, I can run half a mile without feeling tired. I feel so light now that I tend to run every now and then, just as I used to do when I was eight years old, just because it feels young (I am 42 now)!
    Recently tried a 4 days water fast while replacing my carpet with laminate flooring and did not feel weak at all.
    One key point you did not mention in this video and that is, when you eat high fat with no carbohydrate, you do not need insulin and so, the insulin receptor mechanism in the muscle cell does not matter. if you eat high natural fat diet, your body runs on Ketons and not on sugar.

    I guess, try high natural fat (from animal source) diet with low carbs (loads of vegetables with no bread or rice or potato etc) for three months and then tell the world how your health was affected.

  27. This is such a great representation of T2DM and how it manifests itself. I really could not put it better myself!

  28. What about all the people that do keto without this issue? I’ve even read about a bunch of people with type 2 diabetes that stopped needing insulin after doing keto.

  29. Its confusing. So, literally every animal product are actually unhealthy? What if someone eats in low portions or occasionally?

    My uncle turned 80 this year and he has to take like 5 to 7 pills a day because he has high blood pressure and problems with his kidneys. He drink at least one full glas of self made rum (he make himself) and like 3-5 full glasses of beer a day, parallel to his medications. He also eats mostly only fish (he take from the lake right in front of his house) and if meat then from his own animals (he has a farm), also eggs from his own chickens. He has been doing this for at least 50 years. Despite all of that, he is very fit, drive car and even motorcycle. The only thing on him is that he has a huge belly, like 9 months pregnant type of belly.

  30. Two years ago I was sitting at a dinner to honor my brothers wife passing due to lung cancer and of course the menu was all meat based so me and my wife were a sensation as we ate only bread and salad. Man sitting next to me said he got T2 and when I explained this process to him I got a blank stare as he could not beleive that the pork chop is not healthy for him. Lady doctor sitting close heard all this and also was sceptic of my explanation. They all cleaned up their plates and had another helping of grilled meats… Our habits and system are imprinted too strong, so only those who see outside the box can help themselves.

  31. This doesnt have to do with the video. But I wanted to share that I eat soo many greens my pumped breast milk was greenish yesterday. 🙂

  32. Fat in the muscles doesn't come from fat in the blood, it comes from too much sugar is in the cell, where the cells pack it away as fat.

    Eating a lot of fat WITH a high carb diet will give you all sorts of trouble. There was no mention of how much carbs the people were eating to have a BS spike when you add fat. If it is high (and most "low carb" diets are actually still too high for good health). So, if you add fat to too many carbs, Yes, there are problems. Yet, if you eat entirely carnivore, your blood fats will improve, your type 2 diabetes will disappear, you will loose weight and feel great.

    Glucose causes excess sugar and insulin in the blood and will clog up your blood vessels. Any carbohydrate will turn into glucose when you digest it, that causes excess insulin to move it out of your blood to save your blood vessels and then the cells will be overloaded with sugar that is stored as fat to protect the cells. When you eat less carbohydrates, your body doesn't have huge spikes of glucose to deal with and can rest and heal from the damage and will start to release fat from the cells and use it for fuel.

    This man has NO understanding of how fats and carbs work in the body and this is entirely backwards. Nor does he understand keto diets. The huge increase in processed carbohydrate rich food for the last 50 years is directly related to the huge increase in type 2 diabetes, obesity, heart disease and a host of inflammatory diseases.

  33. This doesn’t make sense to me. I just don’t understand how Dennis here on YouTube channel Beat Diabetes is doing great on keto. So, if fat were the issue, then how is it that he maintains his blood glucose doing keto? There has to be another explanation.

  34. The more we learn about saturated fat the more the evidence keeps stacking up against high-fat diets. Healthy whole food carbs should be our main calorie source and science is helping to prove this more and more.

  35. I think many studies have pointed out that meat has very little micro nutrients and causes a host of problems. Not to mention, it contains no fiber.

  36. Everything he said was nonsense. I have seen person after person completely reverse their diabetes on a high fat diet.
    Believing this quacks vegan agenda causes people a lot of harm to their health. Look past the 2 day studies and conclusions made up by this bias vegan and you can find the truth.
    Virta health has multiple studies that came out in the past year or two with studies that are on a larger scale and done for months and month.
    80% reversal rates of diabetes.
    Now the ada the American diabetes association is recommending a low carb high fat diet to TREAT diabetes. Again don’t be fooled by this quack.
    Time and time again diabetes is REVERSED with a low carb high fat diet. Yet here is another fake news video where he is causing more harm making up his own conclusions on small weak studies as per usual.

    Find a real job Gregor you have hurt people long enough!

  37. It's why when I make a habit of either, no-fat-added whole wheat bread doesn't raise my A1c, but whole wheat bread slathered in margarine does.
    It's. The. Fat.

  38. A pity that gurus of keto diets as Mercola and others, are now so popular in Mexico – the country with the highest diabetes index-

  39. My REAL MEDICAL doctor tried to convince me I was diabetic. They're also deploying rhetoric like "pre diabetic" or "pre diabetes" and drawing equivalencies between A1C and Type II diabetes. I just said no to drugs, said I'd come back in two months for another test. I went home, cut the sugar out of my coffee and that's it. I drink about three to four cups a day. Went back to the doctor and everything was swell just as I anticipated. Here we are telling me that I just had to cut down on fat and eat more carbs to fix it? Not buying it, sorry. I would guess intermittent fasting would be superior to whatever is being recommended here. Too little or too much of any of these macronutrients is problematic that's a reason why every dietary ideology is problematic.

  40. Awesome video! I have one that's similar on this topic by Dr. Beth Motley Morris: https://youtu.be/39y6CHHCTxM but nowhere near as cool graphics! 🙂 NF team is so awesome!

  41. All lies. Test it yourself with a glucose monitor. Eggs do nothing. Whole grains make your blood sugar skyrocket. This is vegan propaganda.

  42. Is there a relationship between Dietary Saturated Fat and IMCL? I’ve also heard that when fat is preferred by muscle cells, and insulin levels are low, they start sparing glucose (for more important organs like the brain). Which is different than outright resisting the insulin signal.

  43. Cringe, this is so wrong, insulin is what prevents the body from metabolizing the fat properly in a healthy manner in the first place so if you spike insulin though carbs and sugar you will turn off the fat burning mechanism and accumulate this problem.

    The fat build-up is a symptom, not a cause. and the fat build-up I caused by stress like cortisol, norepinephrine by our stressful lifestyles in combination with insulin and toxins in our foods.

    Not to mention most of the foods eaten today are processed and have insanely new strains of gluten proteins in modern GMO bread, high omega 6, hormone junkie food in animal meat to make them grow faster, bigger and larger. This all add more stress and toxins to the body and put it in a chronic state of inflammation that fuels virtually all of the diseases

    If you eat slow carbs you will excrete insulin over several hours as the glucose is excreted slowly into the blood in several hours after the meal. This puts the body in a perpetual state of energy storage and saving mode and will glutton up all the fat instead of burning it.

    The method talked in this video merely removes the processed so you end up eating less anti-nutrient foods in your system hence you will be better but does not address the detox part at all that is needed to reverse the damage done ho the body over the decades.

    I eliminated all that anti foods stuff and practice regular intermediate fasting 18-36 hours every other day and feeding window of 18-24 hours. It would be absolutely impossible for me to do 1000 squats around 1-hour mark and running a mile (1604 meters in 6 min). I am currently training a chain of muscles needed to do 1000 push-up within 3 hours.

    If I relied on carbs as I would need to eat 3-4 times the bigger, meals and produce more enzymes and stuff to properly absorb and break down all of that food/mass. and get the calories needed to do these endurance long exercises as the fats are energy dense and less work/ mass for the body to work it ti get what it needs as long I give it the tools and the means to do so to fully tap into it. (proper mineral intake in particular)

    The trick to do all of these insane feats is to train the body while remaining in cellular respiration mode. Here the body breaks down the fat for energy and you get 30-32 net gain in ATP (energy molecule) This means no out of breath exercises and making sure that the body is properly oxygenated throughout the whole exercise. This is also called Cardo and aerobic exercise.


    When you train above and beyond Cellular respiration/breathing the body will down-regulate this energy pathway and crank up glycolysis, this energy pathway gives mere 2 Atp energy per glucose molecule. this mode does not need oxygen to produce the energy though but the by-product is lactic acid and is the burn you feel in the muscle.


    When you do this by pushing hard you shock the muscles and stimulate muscle growth if you are on calorie surplus if not, you will lose muscle and bone. even when running beyond what your breath can keep up it is no longer biologically/metabolically cardo any more at that point.

    This is also why I cringe when personal trainers always push people who want to lose weight really hard at the treadmill and lifting weights and put them on a calorie deficit fad diets. As they turn off the energy source from fats and they deplete their sugar stores making them binge eat after and get stressed out and anxiety and all that crap after doing an intensive exercise and being themself up physically and mentally.

    When they would be so much better off cut off the carbs under 100 grams a day, increase protein and introduce health fats in 2-3 meals a day, no snack and simply walk 10 000 steps a day. while going over their diet to LCHF/keto slowly over time and cutting back the carbs. How far into LCHF/ keto they want to go for is up to the individual depending on their goals and desires when it comes to their health.

    I have cured diabetic type 2 and obese people with this knowledge by removing food that needlessly harms the body and kick start the body's own repair and detox mechanism that lies dormant in them. They no longer require any medication at all.

    The belly fat will melt off like butter in the sun and I am not even a doctor but a student who once studied natural sciences in biology and now a foot care therapist who now studies medicine.

    I recommend to read or at least watch the documentary "The big fat surprise" By Nina Theicholz to get an introduction of how we got here with the dietary recommendations and nutrition, it is a step by step history/ timeline and hows who were the people behind the dietary recommendations and what agendas they had and so on. It is really eye-opening and is the key for you to design your own health and future after your very own want needs and desires.

    Another great book is Grain Brain by David Perlmutter I got rid of my autoimmune responses and intolerances just by removing gluten from my diet, and it seems that everyone is gluten intolerant, celiac disease is just one of a huge list of potential symptoms for gluten intolerance.

  44. So how would this express itself. With an intubated patient. On a Diprovan drip.
    As when we do routine scheduled blood glucose.
    Not seeing any changes.
    What do you say is supposed to happen?

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