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.TIMESTAMPS00:00:18 Dr Sher’s journey to surgery00:01:03 The process of knee replacement00:03:01 Obesity and overweight greatly exacerbates knee osteoarthritis and surgical risk00:05:20 Diabetics have increased peri-operative risk00:05:54 Traditional (ineffective) approaches to weight loss prior to surgery00:07:52 Dr Sher’s encounters with low carb diets00:09:18 Low carb benefits the Sher family00:11:07 Patients are being let down by incorrect dietary advice00:13:30 MMPs and AGEs exacerbate arthritis in insulin resistant patients irrespective of weight00:15:03 On the harms of fruit and fructose consumption00:17:39 Using continuous glucose monitoring to see which foods spike blood glucose00:19:15 On the benefits fasting and time restricted eating00:21:56 Diverting patients from knee replacement surgery with diet00:24:19 Dr Sher’s recommended approach to low carb00:25:19 Keep insulin low and eat more protein00:29:20 On omega-6 polyunsaturated seed oils00:32:44 The challenges of feeding patients a high protein, low carb diet in hospital00:36:05 Thoughts on the benefits and harms of bariatric surgery00:39:44 On ethically sourcing meat and animal foods00:42:21 The challenges of low carb as vegetarian00:44:04 On the purported links between red meat and cancer00:45:00 Changing the healthcare system towards lifestyle-first care00:47:48 Empowering patients with knowledge00:48:15 Closing thoughtsDR DORONDr. Doron Sher - 'Carbs, Insulin and Fat' - https://www.youtube.com/watch?v=E16hfXmPGcADr Sher's personal website – https://www.doron.com.auDR MAXhttps://www.twitter.com/maxgulhaneMDLINKS Dr Paul Mason – https://www.youtube.com/c/DrPaulMason/videosSend us Fan Mail🧡 HARDBLOCK Australia's Longest Running Bitcoin-only (₿) ExchangeUse code REGENPOD for AUD 10 of bitcoin post account verification Support the show