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Jun 24, 2017

I first interviewed Dr. Michael Ruscio in the podcast episode "Why Healthy People Get Broken Guts, And What You Can Do About It. In that discussion, we delve into: -Dr. Ruscio’s personal diet, and what his typical day looks like (including his meal of choice at Whole Foods)… -The surprising things that happen to your gut when you combine calories and high levels of physical activity… -Whether athletes should fast, and what happens when an exercise enthusiast “stops the flow of calories” and fasts… -How an “elemental diet” works to reduce stress on the gut… -When you actually should consider starving the bacteria in your gut… -Whether you can combat “overstressing” the gut with food by simply using things like digestive enzymes… -The biggest mistake most people make with cleanses, enemas and detoxing… -How you can heal damage to the valves passing through your gut… -If you could test anything and everything going in your gut, what you should test… -And much more!

Dr. Michael Ruscio is a functional medicine practitioner, researcher, and author. His specialties include autoimmune, thyroid, and digestive disorders. He consults clients locally in the Bay Area and remotely across the country. His clinical research is focused on digestive disorders. Dr. Ruscio has been a featured speaker at numerous conferences including the SIBO Symposium, PaleoFX, Ancestral Health Symposium, and an international symposium in London. He’s also spoken for several online health summits, including Sean Croxton’s Digestion Sessions. Dr. Ruscio has collaborated with many authorities in the health and wellness industry, including Robb Wolf and Melissa Hartwig. He has been interviewed on several popular podcasts such as Sean Croxton, Robb Wolf, Ben Greenfield, and Jimmie Moore, and he’s provided clinical training for Designs for Health and the SIBO Symposium. Dr. Ruscio also conducts a very highly rated functional medicine podcast. You can visit his website and podcast here.

Today, Dr. Ruscio is back with the latest research on carbohydrates and the gut, and during Part 2 of our discussion, we dive into:

-Michael's take on the statement that "all carbs get converted to glucose so there is no such thing as bad carbs" and whether there is a consensus regarding the role of all carbs, good carbs, bad carbs, high carbs and low carbs...[8:11]

-Why Michael doesn't like food allergy tests or use them much in his practice...[13:10]

-The role of carbohydrates or carbohydrate avoidance when it comes to a digestive condition like IBS (gas, bloating, abdominal pain, constipation, lose stools)...[19:40, 21:45 & 32:10]

-How the microbiota influences this and whether people with digestive conditions need to feed their healthy bacteria in order to feel better, and if so, how do they do that if they're eating low carb...[20:20 & 23:45]

-Whether a low carb diet really damages your thyroid...[40:40]

-The impact of artificial sweeteners on a low-carb diet and the truth about stevia...[56:15]

-Whether you really  need to run like the plague when a supplement or bar has, say, 10g or 20g of carbohydrates...[52:30]

-The impact of a low-carbohydrate diet on testosterone levels...[64:30]

-And much more!

Resources from this episode: -My podcast episode with Robb Wolf -My podcast episode on stevia and Zevia -Article: Low carb diets decrease thyroid autoimmunity -A clinical trial comparing a low carb diet to a more traditional low fat diet found low carb worked better for treating type II diabetes. -Another clinical trial comparing low fat versus low carb for type II diabetes found they both work, but low carb worked better  -A paleo diet has also been shown to work better than a conventional lower fat/higher grain diet for type 2 diabetes -There are many studies showing traditional low fat/high carb diets that increase fiber, fruit, vegetable and whole grain intake all help with heart disease and obesity, including: -A recent trial found that a paleo diet improves cholesterol levels to a greater extent than traditional heart-healthy (low fat) dietary recommendations. -Another study found consuming a paleo-type diet for only two weeks was able to improve several cardiovascular risk factors compared to a healthy reference diet (traditional low fat diet) in subjects with metabolic syndrome. -A paleo diet caused better improvements to blood sugar control and several cardiovascular risk factors compared to a diabetes diet (traditional lower fat/higher carb) in patients with type 2 diabetes.  -A systematic review with meta-analysis shows the paleo diet is more effective for metabolic syndrome than standard nutritional recommendation diets which are typically lower fat and higher carb/fiber. -What about the best diet for weight loss? A systematic review with meta-analysis of 53 studies found that low carb diets are better for weight loss than low fat diets. -Low carb diets may improve thyroid autoimmunity issues -Hunter gatherer lifestyle (paleo diet) improves metabolism, but t3 decreased -Article: Low Carb(-ing) Reduces Fat & Fast Food (10-20%) Cravings Plus 60% Less Hunger After Meals in Obese Men/Women

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Do you have questions, comments or feedback and good carbs and bad carbs? Leave your thoughts at and either Dr. Ruscio or I will reply, and click here if you want access to a consult with Dr. Ruscio!