Bob

So clearly this might take some more testing/digging. Remember, that genetic hypertriglyceridemia is also a possibility, but given that yours were within the normal range before, this is not likely in your case. Some see an initial rise, and then it tapers off later. Dr. Ben Bikman explains this in this short video... Mine was basically the long version, lol. Since trigs are basically energy (fat) needing to either be stored as belly fat or for your cells to open the door and let them in to use as fuel, maybe play around with your macros. If you're not fully fat adapted (which can take years per Dr. Cywes) then you may still have gluconeogenesis going on (converting protein to glucose) and your cells still favor it. That's 1:1 gram for gram, which is 30/70 protein to fat (4 calories protein to 9 calories fat, or 4/13 protein and 9/13 fat). Together that's 2580 calories per day. How tall are you? What is your weight? You could hit the same caloric target with 130g of protein and 230g of fat, and this would give you a 20/80 ratio. I know some of the latest "research" says you cannot overeat protein, and that overeating protein doesn't trigger gluconeogenesis, although this was the common thinking in the past. I'm still not so sure. If I eat a couple pounds of lean chicken breast, I will gain weight, vs if I eat a couple pounds of fatty red meat, I won't. You could also try exercising/running to burn off the extra trigs.

Yes, I think you can do resistance training even with CKD stage 3 and still be healthy. The resistance training will do nothing to your kidneys. Here is what WILL happen though.... As you lift heavy weights, you will increase the amount of muscle protein that breaks down. This is how body-building works. You lift heavy weights, which tears your muscles a bit. Then those muscles heal and grow stronger and bigger. The waste product from muscle breakdown is creatinine. Creatinine is also created as a waste product from the protein you eat. Because you have impaired kidney function, it cannot remove the creatinine from your blood through your urine as fast as it used to, so it will build up a bit, and you will see your creatinine numbers rise, which in turn will lower your estimated GFR (eGFR). This might give your doctor the FALSE idea that your kidney function is getting worse, but in reality, they could be just fine - stable, maybe even improving. Because you eat a lot of meat and because you lift a lot of weights, your creatinine levels will be inflated. For people who eat a carnivore diet or do resistance training and have impaired kidney function, another test, call a Cystatin C, is a better way to calculate eGFR, because that's a waste product that is NOT influenced by what you eat or the amount of exercise you do. I've been stage 4 since at least January 2020, and I have been carnivore since May 2023 (1.5 years now).

I had a couple small sirloins last night, about 20oz worth. I've been making them solely on the stovetop in my new cast-iron pan, cooked medium (typical for me). I recently bought some Maldon's salt flakes, the kind Dr. Baker uses, and have been using pretty much just that instead of my usual seasonings and I must say, I am a fan. We downgraded to top sirloin this week because the wife is tired of cutting around the fat on the NY Strips, lol.

I was on LowCarbFriends sometime in the 2000's. I was mostly a lurker, occasional poster. I would mostly hit up the site for recipes. One standout was Cleochatra who made all sorts of recipes and was the one who came up with "Oopsie Rolls". A large number of former LowCarbFriends members went on to create Low Carb Neighborhood, which still exists to this day... https://lcneighborhood.com/forum It's slow going over there, but if you're looking for old friends, you might find some still there. I had created a page to memorialize LowCarbFriends because I was sad to hear it got taken down. Only afterwards did I learn where remnants of that community were hanging out.

Have you been actively losing weight? Your body fat is literally solidified triglyceride. LDL is also stored in the adipose tissue. When you lose weight, all that gets released into your bloodstream. Therefore, as a general rule, it's pointless to look at your lipid profile until about 6 months after weight stabilization, as the numbers will be all over the place. My triglycerides skyrocketed due to Chronic Kidney Disease. It can also skyrocket due to liver and thyroid issues, medications, and genetic hypertriglyceridemia. My most recent video was on my personal struggle with high triglycerides.

Either carnivore made me biphasic, or it was getting a new puppy, lol. But yes, I doze off in my recliner about 11pm or midnight, then I wake up at 3am, let the dog out, maybe shower, and then go to my actual bed and sleep some more from 4am-7:30am. It's every single night. I just kinda accept it as my new normal now, a year and half into it.

I would agree. Instead of a "sugar rush" you get a rush when consuming an abundance of fat. This is hard to answer because a tablespoon is a unit of volume whereas a gram is a unit of weight. But, using an online calculator, 15 tablespoons of LARD would be 203 grams by weight, or 1827 calories from fat. As far as the 80oz of protein, that is 5 POUNDS of meat (2267 grams). That's a heck of a lot of meat for one person to consume in a day. Not that it can't be done, but that is more than the average person for sure. That would equal 9068 calories. Together with the fat that would be 10,895 calories. You might eat that if you were a body builder training everyday for a competition in which you had every intention on breaking all the world records, lol 😄 Yes. I know several people who do carnivore with kidney disease. I am one of them. I have stage 4, and I talk about it here...

The most common way I make them is to just crack them open over a skillet. I usually cook them a little longer so they're "over medium". I had to go back up and look at the poll results to remember what I had voted on. I should probably remove my vote for hard boiled. I'm just tired of hard boiled eggs at this point, lol.

196 is not considered high LDL in the keto-carnivore community. It's also the general advice of keto-carnivore doctors to get your CAC score and if it's zero, then you shouldn't worry about a thing. I have a meeting to attend but I will try to remember to come back and cite some references later.

I don't go out of my way to get grass fed beef. Sam's sells some grass fed burger in one pound packages, and I get those but mostly because they are individually wrapped and I don't have to buy a 5 lbs log, divvy it up, and freeze it. It has a slightly better nutrional profile, but not enough to make a real difference for you.

Those results are awesome. Let's get back on track and bring those results back! He can do it. You can do it! 🙂

Yesterday was my staples. Eggs and sausage in the morning. NY Strips at dinner time. I did snack on some pork rinds after work while waiting for the wife to get home.

Yes, that was sad. He managed to keep it going as long as he did though with his diet. I was rooting for him.

If you're not interested in weight loss, you don't need to be as zero carb as possible, and therefore some raw milk is still an animal product, and you could enjoy it. I found a local connection for some near me, but I haven't approached him yet because I am still in the 'would like to lose some weight' phase of my life, with just another 10 pounds to go, lol. After that, I will probably incorprorate some raw milk into my diet on occasion. I was never much of a milk person to begin with.

Made this for dinner the last night.... My name is Bob, and I approve this message 😄

I was the same way with Diet Coke. I had to go out and buy some and have it in the fridge, even if I didn't open any and drink them, they HAD to be there. I couldn't go a night knowing they weren't there, lol. I no longer stock diet coke. I only get once in awhile when I'm out. But the reason for this was my kidney disease. My phosphorous numbers would run high, so I started drinking other soda's and bubbly drinks that don't contain phosphoric acid.

It might, until the sugar in the honey is metabolizes and then you will be back in ketosis. As far as how strict... as strict as you want it to be, or as strict as you need it to be. So if you have no weight to lose and no health issues, you could be a little more relaxed. I would look into Dr. Berry's "Proper Human Diet" which allows UP TO 100 carbs/day of whole, single ingredient vegetables. Or, look into Paul Saladino's "Animal Based" diet, which eliminates vegetables but allows for some fruit and honey. OR, combine the two philosophy's together, and eat any single ingredient whole food whether it's fruit or vegetable but stay under that 100g of carbs (or 50, or 20, or 10, depending on how low carb or keto you want to go). BUT, you say you want to heal your skin issues. With that said, I would go strict carnivore - beef, butter, bacon, eggs, chicken, shellfish, seafood, butter, ghee, tallow, and cheese if you can tolerate it, for at least 90 days. Some people, like Mikaila Peterson, had to go strict beef, water, salt, and nothing else, in order to heal her issues. Even Paul Saladino was a carnivore for a couple years to heal his eczema before attempting to add back other foods. By slowly adding back certain foods, he was able to determine which foods triggered flare ups, and avoid them. That's basically the same pattern you want to imitate. The occasional sweet treat might actually contain something that irritates your skin. It's going to take an elimination diet and some time to try and narrow down your personal culprit.

<-- Still an occasional diet soda drinker. It's the acesulfame potassium in it that might trigger an insulin response. Saccharin and Sucralose also raise insulin. Believe it or not, Apartame does not, but then again it has been shown to alter gut bacteria.

Hot sauce makes everything good, lol 😄

It's the same with the LDL - which is stored in your adipose tissue and gets released into the blood stream as you lose weight. This is in addition to the saturated fat you are now eating but weren't eating before. LDL goes up dramatically. But after remaining weight stable for about 6 months, it should return to baseline (which may even be your "new normal", now that your dietary habits have changed).

Awesome Steve! Welcome aboard. Keep doing what you're doing. You know this works when you stick to it. You proved it all those years ago, and you are proving it again right now 🙂

My point was that in proportion to how long a single animal could keep you fed, the organs are small in comparison. After eating the heart and liver, there's a lot of muscle meat still to go.

Awesome for your hubby. Typical for the doctor, lol.

To me this would make sense, since they are incorporating more animal products, even if a little, into their diet.

Last night it was burger, eggs, and shredded cheese all mixed together with some seasonings and salt. Simple, but delicious.