EPISODE · Mar 19, 2026 · 1H 6M
BV #25: Carb Confusion: Blood Sugar Spikes, Fat Gain, and the True Cause of Alzheimer’s
from The Energy Balance Podcast · host Jay Feldman Wellness
In this episode we discuss: -The calories in calories out model of obesity -Dr Boz’s take on fruit and blood glucose spikes -Richard Smith on aging and the NAD+ to NADH ratio Free Energy Balance Food Guide: https://jayfeldmanwellness.com/guide The Nutrition Blueprint: https://mikefave.com/the-nutrition-blueprint/ Theresa's Instagram: https://www.instagram.com/livingrootswellness/ Timestamps: 0:00 – intro 1:17 – Is fruit evil or is Dr Boz insulin resistant? 5:00 – whether high blood glucose levels drive Alzheimer’s and dementia 7:39 – does glucose automatically get converted to fructose and fat? 10:58 – Dr Boz & Glucose Goddess’s fearmongering about fruit and glucose spikes 14:12 – Dr Boz parrots Robert Lustig: they’re both wrong about fructose 15:43 – concerns with blood sugar spikes when reintroducing carbs and whether using a CGM is worth it 17:32 – less, not more, glucose uptake in the brain creates the conditions for Alzheimer’s disease 20:15 – poor glucose utilization as a driver of Alzheimer’s and dementia 22:48 – reducing carbohydrate intake causes insulin resistance and less metabolic flexibility 26:27 – possible reasons for Dr Boz’s high blood sugar and our advice for Dr Boz 30:31 – our experiences with “keto snacks” and how keto caused intense cravings and binging 33:53 – Richard Smith on keto, NAD+ and aging 35:23 – what Richard Smith misses about glucose and the NAD+ to NADH ratio 41:00 – glucose metabolism leads to a higher NAD+ to NADH ratio than ketone metabolism 44:15 – how low-carb diets can restore the NAD+ to NADH ratio through stress pathways 47:02 – whether ketones are beneficial 49:57 – fats vs carbs: which is the better fuel for the NAD+ to NADH ratio? 55:17 – how to support healthy aging and NAD+ levels (hint: not low-carb) 1:00:31 – what the NAD+/NADH ratio actually indicates 1:05:02 – lower blood sugar with a bioenergetic approach
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BV #25: Carb Confusion: Blood Sugar Spikes, Fat Gain, and the True Cause of Alzheimer’s
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