6. Low Carb from an Orthopaedic Surgeon's Perspective with Dr Doron Sher

In this conversation Dr Doron and Dr Max discuss weight loss, preventing surgery with low carb eating, insulin, the hormonal model of obesity, risks of bariatric surgery, ethical sourcing of meat, eating the animal nose-to-tail, and much more.

Dr. Doron Sher is an Orthopaedic Surgeon from Sydney, Australia. He was an early pioneer in using low carbohydrate and ketogenic diets in patients with osteoarthritis needing knee replacement surgery. He currently practices in Sydney at Randwick and Concord.

TIMESTAMPS

00:00:18 Dr Sher’s journey to surgery 00:01:03 The process of knee replacement 00:03:01 Obesity and overweight greatly exacerbates knee osteoarthritis and surgical risk 00:05:20 Diabetics have increased peri-operative risk 00:05:54 Traditional (ineffective) approaches to weight loss prior to surgery 00:07:52 Dr Sher’s encounters with low carb diets 00:09:18 Low carb benefits the Sher family 00:11:07 Patients are being let down by incorrect dietary advice 00:13:30 MMPs and AGEs exacerbate arthritis in insulin resistant patients irrespective of weight 00:15:03 On the harms of fruit and fructose consumption 00:17:39 Using continuous glucose monitoring to see which foods spike blood glucose 00:19:15 On the benefits fasting and time restricted eating 00:21:56 Diverting patients from knee replacement surgery with diet 00:24:19 Dr Sher’s recommended approach to low carb 00:25:19 Keep insulin low and eat more protein 00:29:20 On omega-6 polyunsaturated seed oils 00:32:44 The challenges of feeding patients a high protein, low carb diet in hospital 00:36:05 Thoughts on the benefits and harms of bariatric surgery 00:39:44 On ethically sourcing meat and animal foods 00:42:21 The challenges of low carb as vegetarian 00:44:04 On the purported links between red meat and cancer 00:45:00 Changing the healthcare system towards lifestyle-first care 00:47:48 Empowering patients with knowledge 00:48:15 Closing thoughts

DR DORON

Dr. Doron Sher - 'Carbs, Insulin and Fat' - https://www.youtube.com/watch?v=E16hfXmPGcA

Dr Sher's personal website – https://www.doron.com.au

DR MAX

https://www.twitter.com/maxgulhaneMD

LINKS Dr Paul Mason – https://www.youtube.com/c/DrPaulMason/videos

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