In gesprek met Dr. Benjamin Bikman over insulineresistentie
Jasper Maalderink
KetoBalans
In gesprek met Dr. Benjamin Bikman over insulineresistentie
Oké, dat ging niet helemaal goed.
Okay, that didn’t go quite right.
Ja, ik ga vragen. Jongens, hebben jullie Dr. Bikman nog kunnen horen?
Yes, I have questions. Guys, have you been able to hear Dr. Bikman?
Ik zag dat je verloor, maar ik denk dat ze nog steeds commenten maakten, dus ik heb dat idee van carbo-hydraten gewoon afgekomen.
I saw that you lost, but I think they were still making comments, so I just got rid of that idea of carbohydrates.
Ja, oké, laten we gaan.
Yes, okay, let's go.
Oké, maar ik wil niet dat iemand me verantwoordelijk maakt, want terwijl ik het vigorloos zeg en ik het verantwoordelijk maak,
Okay, but I don't want anyone to hold me accountable, because while I say it without vigor and I make it responsible,
zijn de mensen, de mensen die het verantwoordelijk maken, de mensen die het verantwoordelijk maken,
the people, the people who make it responsible, the people who make it responsible,
de mensen die het verantwoordelijk maken, de mensen die het verantwoordelijk maken,
the people who hold it responsible, the people who hold it responsible,
Some diseases are arising because of the insulin resistance itself, where the cell isn't responding very well to insulin.
Some diseases are arising because of the insulin resistance itself, where the cell isn't responding very well to insulin.
Other diseases are happening because the body is swimming in a sea of insulin.
Other diseases are occurring because the body is swimming in a sea of insulin.
And that is hurting those cells that are still responsive to insulin.
And that is hurting those cells that are still responsive to insulin.
Because some of the cells are still responsive and sensitive to insulin like they always were.
Omdat sommige van de cellen nog steeds responsief en gevoelig voor insuline zijn, zoals ze altijd waren.
But now there's just so much insulin that they're told to do too much.
Maar nu is er gewoon zoveel insuline dat ze te veel voorgeschreven krijgen.
And it works against the body.
And it works against the body.
Yeah, so then you also get stuff like high blood pressure.
Yeah, so then you also get things like high blood pressure.
That's also basically insulin resistance in the veins.
Dat is in wezen ook insulineresistentie in de aderen.
Am I correct?
Am I correct?
Yeah.
Yeah.
So the cells change the lock.
So the cells change the lock.
Sugar is no longer welcome.
Sugar is no longer welcome.
It stays in the body.
It stays in the body.
It glycates.
It glycates.
Is that correct?
Is dat correct?
Yeah.
Yeah.
And that will make the body just chronically inflamed.
And that will cause the body to be chronically inflamed.
Am I saying this right?
Am I saying this right?
That's true.
Dat klopt.
Yeah.
Yeah.
So inflammation is a...
So inflammation is a...
Is a very unique kind of player in this movie that we're talking about with insulin resistance and health.
Is a very unique kind of player in this movie that we're talking about with insulin resistance and health.
Where inflammation can be a result of chronically elevated glucose.
Where inflammation can be a result of chronically elevated glucose.
When you are glycating amino acids in the blood, that starts to stimulate inflammation in the body.
When you glycate amino acids in the blood, it begins to stimulate inflammation in the body.
And in turn, inflammation is one of the key drivers of insulin resistance.
And in turn, inflammation is one of the key drivers of insulin resistance.
So if the body is experiencing higher levels of inflammation, that is a key drive or key component.
So if the body is experiencing higher levels of inflammation, that is a key driver or key component.
Because of insulin resistance.
Wegens insuline-resistentie.
Yeah.
Yeah.
And you also talk about waist circumference.
And you also talk about waist circumference.
You know, if you have a bigger waist, that's also a very big indicator that you're insulin resistant.
You know, if you have a bigger waist, that's also a very big indicator that you're insulin resistant.
So now the people are taking action.
So now the people are taking action.
They're dropping their carbs.
Ze laten hun koolhydraten vallen.
What is the role of ketones, which are basically not used when you're insulin resistant?
What is the role of ketones, which are basically not used when you're insulin resistant?
Only glucose.
Only glucose.
What's happening with the ketones?
What's happening with the ketones?
Once you drop the carbs and then you go, you know, you lower the inflammation.
Once you drop the carbs and then you go, you know, you lower the inflammation.
And then the ketones come up and they are used as energy.
And then the ketones rise and they are used as energy.
Yes, you said it all very well.
Yes, you said it all very well.
So ketones have an actual caloric value comparable to glucose.
So ketones have an actual caloric value comparable to glucose.
They have almost the exact same number of calories as glucose does.
They have almost the exact same number of calories as glucose.
So it's a very viable energy source.
So it's a very viable energy source.
The cells of the body are very hungrily using ketones.
The cells of the body are using ketones very eagerly.
Especially the brain.
Bijzonder de hersenen.
The moment ketones start going up in the blood.
The moment ketones start to rise in the blood.
The brain.
The brain.
The brain starts using more ketones in place of glucose.
The brain starts using more ketones instead of glucose.
So in the normal individual who's eating lots of carbs all the time and they have high insulin.
So in the normal individual who's eating lots of carbs all the time and they have high insulin.
The brain is using all glucose for energy and no ketones because if there's lots of insulin, there's no ketones.
The brain is using all glucose for energy and no ketones because if there's a lot of insulin, there are no ketones.
But the moment ketones start to go up, the brain will start using less glucose and start using more ketones.
But the moment ketones start to rise, the brain will begin to use less glucose and will start using more ketones.
So the brain perhaps prefers ketones as a fuel.
So the brain perhaps prefers ketones as fuel.
And that might be why people with migraine headaches and epilepsy and and Alzheimer's disease.
And that might be why people with migraine headaches, epilepsy, and Alzheimer's disease.
They start to feel better and think better when their ketones are higher.
They start to feel better and think better when their ketones are higher.
It could be because you're fueling the brain a little better now.
It could be because you're fueling the brain a little better now.
But then to back up a ketone is essentially a piece of fat, a piece of burned fat.
But then to back up a ketone is essentially a piece of fat, a piece of burned fat.
And by that I mean when when insulin is low, the body really starts increasing its fat burning.
And by that I mean when insulin is low, the body really starts increasing its fat burning.
So the body has two primary fuels that are that are fueling most of our energy demands glucose and ketone.
So the body has two primary fuels that are fueling most of our energy demands: glucose and ketones.
In fact, glucose and fat.
In feite, glucose en vet.
And when insulin is high, the body is burning glucose and very little fat burning.
And when insulin is high, the body is burning glucose and very little fat.
When insulin is low, it shifts.
When insulin is low, it shifts.
The body is burning very little glucose and very much, very high amounts of fat.
The body is burning very little glucose and a lot, very high amounts of fat.
And when insulin is low for an extended period of time, maybe about 20 hours or so, there's so much fat burning that the body is burning more fat than it needs to burn.
And when insulin is low for an extended period of time, maybe about 20 hours or so, there's so much fat burning that the body is burning more fat than it needs to burn.
And that that extra fat burning is what starts to turn into ketones.
And that extra fat burning is what starts to turn into ketones.
All right.
All right.
So moving.
Zo ontroerend.
Yeah.
Yeah.
So if I'm right, it's also an energy problem with the brain, because when you're insulin resistant, the brain has the glucose, but it can't utilize it.
So if I'm right, it's also an energy problem with the brain, because when you're insulin resistant, the brain has the glucose, but it can't utilize it.
So it can't use it.
So it can't use it.
And that's basically the foundation of diabetes.
En dat is eigenlijk de basis van diabetes.
Is that correct?
Is dat correct?
Is that like the foundation of it?
Is that like the foundation of it?
Yeah.
Yeah.
Well, yes, very likely.
Well, yes, very likely.
Yes.
Yes.
The foundation of diabetes is that you can't you can't basically.
The foundation of diabetes is that you can't, you can't basically.
Well, there's lots of ways to maybe describe a foundation.
Well, there are many ways to perhaps describe a foundation.
But one of the problems is they they can't shift fuels anymore and they're constantly stuck trying to burn glucose.
Maar een van de problemen is dat ze de brandstoffen niet meer kunnen verschuiven en dat ze voortdurend vastzitten met het proberen glucose te verbranden.
But because the muscles have become insulin resistant and muscle is the main consumer of glucose and most of that.
Maar omdat de spieren insulineresistent zijn geworden en spieren de belangrijkste verbruiker van glucose zijn, en de meeste daarvan.
So muscle eats most of our glucose.
So muscle uses most of our glucose.
Eighty percent of the glucose we eat is going right into the muscle.
Eighty percent of the glucose we eat is going right into the muscle.
And so and then the rest of that is mostly going into fat, about 15 percent into fat cells.
And so then the rest of that is mostly going into fat, about 15 percent into fat cells.
But it needs insulin to open those glucose.
Maar het heeft insuline nodig om die glucose te openen.
Doors to the muscle cells.
Doors to the muscle cells.
And so the muscles becoming insulin resistant.
And so the muscles become insulin resistant.
Now, insulin is coming to the cells, the muscle cells and knocking on the door saying, hey, let the glucose in.
Now, insulin is coming to the cells, the muscle cells, and knocking on the door saying, hey, let the glucose in.
But the muscle doesn't open the door.
But the muscle doesn't open the door.
And so now the blood glucose levels climb.
And so now the blood glucose levels rise.
That's the foundation of type two diabetes.
Dat is de basis van type twee diabetes.
It's when the insulin resistance in the body has started to really affect the muscle.
Het is wanneer de insulineresistentie in het lichaam de spieren echt begint te beïnvloeden.
Now, glucose levels just skyrocket.
Now, glucose levels just soar.
Yeah.
Yeah.
So and a lot of I heard you talk about a lot of.
So and a lot of I heard you talk about a lot of.
Some typical cancers are sensitive to glucose, like the breasts, the prostate and.
Some typical cancers are sensitive to glucose, such as those of the breast, the prostate, and.
There's another one.
Er is er nog een.
You have to help me.
You have to help me.
Yes.
Yes.
So breast and prostate cancers are the two that I always emphasize because they're the most common.
So breast and prostate cancers are the two that I always emphasize because they're the most common.
And both of those cancers are very often.
And both of those cancers are very common.
If you if you analyze the tumor cells, they have an overexpression of insulin receptors where they will have several times five.
If you analyze the tumor cells, they have an overexpression of insulin receptors where they will have several times five.
Or ten times the number of little doors for insulin to come and knock on.
Or ten times the number of little doors for insulin to come and knock on.
And so you have these two most common cancers.
And so you have these two most common cancers.
What's happening in the average person or the person who's insulin resistant is that they have a high amount of insulin in the blood.
What's happening in the average person or the person who's insulin resistant is that they have a high amount of insulin in the blood.
And so that is stimulating the success of growth of these cancer cells because cancer cells, insulin tells cells to grow.
And so that is stimulating the success of growth of these cancer cells because cancer cells, insulin tells cells to grow.
And the fact that the cancer cells have five to ten times more insulin.
And the fact that the cancer cells have five to ten times more insulin.
Receptors means that there's five to ten times more responsive to this insulin signal.
Receptors means that there are five to ten times more responsive to this insulin signal.
So you have high insulin telling the cancer cells to grow rapidly.
So you have high insulin telling the cancer cells to grow rapidly.
And you have high glucose, which is the fuel for cancer cells.
And you have high glucose, which is the fuel for cancer cells.
Cancer cells use glucose for fuel.
Cancer cells gebruiken glucose als brandstof.
They don't use ketones.
They don't use ketones.
They don't use fatty acids.
They don't use fatty acids.
They use glucose.
They use glucose.
And so we have this perfect storm.
And so we have this perfect storm.
High insulin fueling the telling or signaling the growth of the cancer cell.
High insulin fuels the telling or signaling of cancer cell growth.
High glucose fueling the growth of the cancer cell.
High glucose fueling the growth of the cancer cell.
And now the cancer cells are just having a party, growing as rapidly as they want.
And now the cancer cells are just having a party, growing as rapidly as they want.
Wow.
Wow.
Is that typical for every cancer?
Is that typical for every cancer?
Are these specific?
Are these specific?
Yeah, I can't say.
Yeah, I can't say.
That's a wonderful question.
Dat is een prachtige vraag.
There are more cancers than just breast and prostate.
There are more cancers than just breast and prostate.
But undoubtedly there are cancers that don't have an overexpression of insulin receptors.
Maar ongetwijfeld zijn er kankers die geen overexpressie van insuline-receptoren hebben.
But they still use glucose.
Maar ze gebruiken nog steeds glucose.
Jasper, I know of no exception to this.
Jasper, ik ken geen uitzondering op dit.
Every tumor in the body uses glucose as its fuel.
Every tumor in the body uses glucose as its fuel.
In fact, tumors love glucose so much.
In fact, tumors love glucose so much.
And they use glucose, I think, 20 times or 200 times.
And they use glucose, I think, 20 times or 200 times.
200 times more than any normal cell.
200 keer meer dan elke normale cel.
That when we actually want to see where tumors are in the body,
That when we actually want to see where tumors are in the body,
we will infuse what's called a radio-labeled glucose.
We zullen wat ze een radio-gelabelde glucose noemen toedienen.
It's basically a glucose molecule that has a very subtle radiation to it.
Het is in wezen een glucosedeeltje dat een zeer subtiele uitstraling heeft.
Not enough to hurt the body at all.
Not enough to hurt the body at all.
But it's enough.
Maar het is genoeg.
It's enough to detect with something called a PET scan.
Het is voldoende om te detecteren met iets dat een PET-scan wordt genoemd.
It's kind of like an MRI almost.
It's kind of like an MRI almost.
So we infuse the person with this radio-labeled glucose.
So we infuse the person with this radio-labeled glucose.
And then we measure their body.
And then we measure their body.
And we can see where the glucose goes.
And we can see where the glucose goes.
And these cancer cells, like if someone has a thyroid tumor,
And these cancer cells, as if someone has a thyroid tumor,
it pulls it in so fast that you see this thyroid that's just like glowing through the screen.
It pulls it in so fast that you see this thyroid that's just like glowing through the screen.
Because cancer cells use glucose as fuel.
Because cancer cells use glucose as fuel.
Wow, Ben.
Wow, Ben.
It actually makes me a little mad.
It actually makes me a little mad.
Because why aren't we screaming this in hospitals?
Waarom schreeuwen we dit niet in ziekenhuizen?
And why aren't we advocating this to big groups of people?
And why aren't we advocating this to large groups of people?
You know, I've been shot because of famous Instagram people in the Netherlands.
You know, I've been shot because of famous Instagram people in the Netherlands.
Because I tell these kind of things.
Omdat ik dit soort dingen vertel.
And they're like, that's crazy.
And they're like, that's crazy.
You know, that's crazy.
You know, that's crazy.
No, in fact, this is legitimate science.
No, in feite is dit legitieme wetenschap.
I am not saying a ketogenic diet should replace all chemotherapies and other cancer drugs.
I am not saying a ketogenic diet should replace all chemotherapies and other cancer drugs.
No one is saying that.
Nobody is saying that.
But there is...
Maar er is...
There is work of a professor at Boston University.
There is work by a professor at Boston University.
He's a pioneer in this area.
He's a pioneer in this area.
His name is Thomas Seyfried.
His name is Thomas Seyfried.
S-E-Y-F-R-I-E-D, I think.
S-E-Y-F-R-I-E-D, denk ik.
I'm kind of glancing up at his book.
Ik kijk een beetje naar zijn boek.
I have it here somewhere.
I have it here somewhere.
Anyway, Thomas Seyfried at Boston University.
Anyway, Thomas Seyfried at Boston University.
He finds that there are certain inoperable brain tumors, like a glioblastoma.
He finds that there are certain inoperable brain tumors, such as a glioblastoma.
This is a tumor that you cannot remove because you would just damage the brain and the person would die.
This is a tumor that you cannot remove because you would just damage the brain and the person would die.
And putting people into ketogenic diets...
And putting people on ketogenic diets...
Totally solves the problem.
Totaal oplost het probleem.
It's exceptional.
It's exceptional.
So, I'm not saying a ketogenic diet or a low-carbohydrate diet should replace all other cancer therapies.
So, I'm not saying that a ketogenic diet or a low-carbohydrate diet should replace all other cancer therapies.
Not at all.
Not at all.
But, why not include it?
Maar, waarom het niet opnemen?
Because there is evidence to suggest a benefit.
Omdat er aanwijzingen zijn die een voordeel suggereren.
And my thought is, if I get cancer...
And my thought is, if I get cancer...
And I think about cancer.
And I think about cancer.
My mom...
My mom...
My mother died from breast cancer when we were...
My mother died from breast cancer when we were...
My family, we were all quite young.
My family, we were all quite young.
So, it's something I think about a fair amount.
So, it's something I think about quite a bit.
And I'm worried about it for my own sake.
And I'm worried about it for my own sake.
And that's one of the reasons I generally adhere to a ketogenic diet.
And that's one of the reasons I generally adhere to a ketogenic diet.
Because I'm so afraid of cancer.
Omdat ik zo bang ben voor kanker.
Now, cancer is such a confusing, unknown origin.
Now, cancer is such a confusing, unknown origin.
So, I don't see a curing cancer in the very near future.
So, I don't see a cure for cancer in the very near future.
But even if the ketogenic diet can help me a little, then I'm going to go all in.
But even if the ketogenic diet can help me a little, then I'm going to go all in.
And so, my advice to anyone is, yes, listen to your doctor.
And so, my advice to anyone is, yes, listen to your doctor.
Explore the best available therapies.
Explore de beste beschikbare therapieën.
But I would definitely...
Maar ik zou zeker...
If I were talking to a loved one, I would say, it's time to go ketogenic all the way.
If I were talking to a loved one, I would say, it's time to go ketogenic all the way.
Yeah.
Yeah.
My mother actually had breast cancer last year.
My mother actually had breast cancer last year.
So, she went on a ketogenic diet and lost a fair amount of weight.
So, she went on a ketogenic diet and lost a fair amount of weight.
So, I'm really happy about that.
So, I'm really happy about that.
And I'm also scared...
And I'm also scared...
And she's doing well now?
And she's doing well now?
Yeah.
Yeah.
Her medication...
Her medication...
Actually, my next question is, her medication...
Actually, my next question is, her medication...
They took away two medications.
They took away two medications.
And a medication is basically like insulin, right?
And a medication is basically like insulin, right?
Because they bump up the insulin.
Omdat ze de insuline verhogen.
Insulin is higher when you're diabetic with the medicine.
Insulin is higher when you're diabetic with the medicine.
I saw that in your video and I was shocked.
I saw that in your video and I was shocked.
And I couldn't sleep anymore.
And I couldn't sleep anymore.
Like, is this real life?
Like, is this real life?
What is this?
What is this?
It's crazy.
It's crazy.
And Jasper, we know, we have data that when you treat...
And Jasper, we know, we have data that when you treat...
So, this is...
So, this is...
I don't mean to get off on too much of a tangent.
I don't mean to go off on too much of a tangent.
But in type 2 diabetes, insulin is high.
Maar bij type 2 diabetes is insuline hoog.
It's just that it's not working well.
It's just that it's not working well.
But the traditional view is, well, we have high insulin.
But the traditional view is, well, we have high insulin.
But we also have high glucose.
Maar we hebben ook hoge glucose.
So, let's just push the insulin up even higher by giving them injections.
So, let's just push the insulin up even higher by giving them injections.
And now that will lower the glucose.
And now that will lower the glucose.
It does lower the glucose.
It does lower the glucose.
But they are two times more likely to die from cancer when you do that.
But they are two times more likely to die from cancer when you do that.
If you give a diabetic insulin, you double their risk of dying from cancer.
If you give a diabetic insulin, you double their risk of dying from cancer.
And you triple their risk of dying from heart disease.
And you triple their risk of dying from heart disease.
So, when we give a type 2 diabetic insulin, not type 1, but type 2,
So, when we give insulin to a type 2 diabetic, not type 1, but type 2,
we make them fatter and we kill them faster.
we make them fatter and we kill them faster.
But it's a wonderful way to sell more insulin.
Maar het is een geweldige manier om meer insuline te verkopen.
But why are they using it?
Maar waarom gebruiken ze het?
What's the reason behind this medicine?
What's the reason behind this medicine?
What's the reason?
What's the reason?
I honestly think it's because maybe two reasons.
I honestly think it's because of maybe two reasons.
One, they don't understand how dangerous high insulin is.
One, they don't understand how dangerous high insulin is.
That might be a true ignorance on their part.
Dat zou een ware onwetendheid van hun kant kunnen zijn.
And then cynically, number two, it might just be that they want to make a lot of money.
And then cynically, number two, it might just be that they want to make a lot of money.
And I don't like to speak evil of drug companies in general.
And I don't like to speak ill of drug companies in general.
Because I think it is a miracle of science that we have the drugs that we do.
Omdat ik het een wonder van de wetenschap vind dat we de medicijnen hebben die we hebben.
But in the case of insulin in type 2 diabetes, I think that is just a way to make a lot of money.
Maar in het geval van insuline bij type 2 diabetes, denk ik dat het gewoon een manier is om veel geld te verdienen.
That insulin should be for type 1 diabetes.
That insulin should be for type 1 diabetes.
In type 2, you just, you know, I won't say you never need it, but it would be very, very rare.
In type 2, you just, you know, I won't say you never need it, but it would be very, very rare.
Wow, this is, it's basically shocking to hear this live.
Wow, this is, it's basically shocking to hear this live.
You know, I've seen the videos, but to hear it again and to know that basically the insulin medication is making diabetes,
You know, I've seen the videos, but to hear it again and to know that basically the insulin medication is causing diabetes,
people with diabetes,
people with diabetes,
more sick and die faster, that's crazy.
more sick and die faster, that's crazy.
You just want to scream to people, you know, stop eating sugar and it's going to be better.
You just want to scream at people, you know, stop eating sugar and it will get better.
Because is it, can you completely heal diabetes?
Because is it possible to completely heal diabetes?
Can you completely get rid of it?
Can you completely get rid of it?
Yeah, so in type 2 diabetes, yes, yes.
Yeah, so in type 2 diabetes, yes, yes.
Now Jasper, even that is kind of clever, the way people will talk about it.
Now Jasper, even that is kind of clever, the way people will talk about it.
Because conventional thinking, like in a clinic, they will say type 2 diabetes is irreversible.
Because conventional thinking, like in a clinic, will say that type 2 diabetes is irreversible.
It is incurable.
It is incurable.
Because if you follow their advice, it is incurable.
Want als je hun advies opvolgt, is het ongeneeslijk.
So imagine someone who comes to the clinic, they just get diagnosed with type 2 diabetes.
So imagine someone who comes to the clinic, they just got diagnosed with type 2 diabetes.
And the physician or the nurse is saying, okay, here is your prescription for some medications.
And the physician or the nurse is saying, okay, here is your prescription for some medications.
Rip it off and go take this to the pharmacy.
Tear it off and go take this to the pharmacy.
If they try to treat their type 2 diabetes with medications, it will never go away.
If they try to treat their type 2 diabetes with medications, it will never go away.
They will always need to take medications.
They will always need to take medications.
It will never cure the problem.
It will never cure the problem.
And so that's why they will say that.
And so that's why they will say that.
Because if you follow their typical strategy, which is taking drugs, then it will never get better.
Because if you follow their typical strategy, which is taking drugs, then it will never get better.
Because diabetes, type 2 diabetes is not a disease that is caused because you aren't taking drugs.
Because diabetes, type 2 diabetes is not a disease that is caused by not taking medication.
It's a disease of your diet.
It's a disease of your diet.
And so if that conversation in the clinic goes, rather than, okay, here is your prescription for a drug.
And so if that conversation in the clinic goes, rather than, okay, here is your prescription for a drug.
If they say, here is your prescription to change your diet.
If they say, here is your prescription to change your diet.
Go meet with this dietician.
Go meet with this dietitian.
And the dietician knows that this is a disease of too much glucose and too much insulin.
And the dietician knows that this is a disease of too much glucose and too much insulin.
And so let's just lower your glucose.
And so let's just lower your glucose.
Let's lower your insulin.
Laten we je insuline verlagen.
And now the disease starts to get better.
And now the disease starts to get better.
Because that is the truth.
Omdat dat de waarheid is.
Type 2 diabetes is a dietary disease.
Type 2 diabetes is a dietary disease.
And only when we change the diet do we actually improve the disease.
And only when we change the diet do we actually improve the disease.
But this sounds crazy to some people.
Maar dit klinkt gek voor sommige mensen.
Other people, they say, that makes all sense.
Other people, they say, that makes complete sense.
all the sense in the world. That is perfectly
all the sense in the world. That is perfectly
rational. I even like
rational. I even like
to end that thought by mentioning
to conclude that thought by mentioning
some diabetes drugs. So there are
some diabetes drugs. So there are
some of the popular diabetes
some of the popular diabetes
drugs are called
drugs are called
SGLT inhibitors.
SGLT inhibitors.
SGLT
SGLT
inhibitors, they're two different types.
Inhibitors, there are two different types.
They will try to
They will try to
block the digestion of glucose from our
block the digestion of glucose from our
diet. So we eat a bagel and
diet. So we eat a bagel and
you take an SGLT inhibitor and
you take an SGLT inhibitor and
you just don't move that glucose into
you just don't move that glucose into
your blood and it stays in your guts.
your blood and it stays in your guts.
And it gives you terrible diarrhea
And it gives you terrible diarrhea.
unfortunately. But there's
Unfortunately. But there's
another type which you take this
een ander type dat je dit neemt
drug and then it basically starts pushing
drug en dan begint het in wezen te duwen
all your glucose from your blood
all your glucose from your blood
into your urine so that you urinate
into your urine so that you urinate
it out. Then you have a much, much higher amount
it out. Then you have a much, much higher amount
of urine. But in that case
of urine. But in that case
you're putting so much glucose in your urinary
you're putting so much glucose in your urine
tract that they're much more likely to
tract that they're much more likely to
have infections because there's always
have infections because there's always
bacteria in the urinary tract
bacteria in the urinary tract
and bacteria like cancer cells
and bacteria like cancer cells
use glucose as their fuel.
use glucose as their fuel.
So we basically are just giving the bacteria
So we basically are just giving the bacteria.
all the sugar they want to grow and so they grow
all the sugar they want to grow and so they grow
very rapidly. But what's so crazy
very rapidly. But what's so crazy
about this, we're giving a person
about this, we're giving a person
a drug to block their glucose
a drug to block their glucose
digestion in their guts
digestion in their guts
or we're giving them a drug to push the
or we're giving them a drug to push the
glucose out into their urine
glucose out into their urine
and then I'm just standing on the side
and then I'm just standing on the side
whispering, why not just eat
whispering, why not just eat
less glucose? Let's just eat
less glucose? Let's just eat
less glucose. If that's what you're trying to push
less glucose. If that's what you're trying to push
out of the body, then just put less in the body
out of the body, then just put less in the body
in the first place. And that's
in the first place. And that’s
why a low carbohydrate diet
why a low carbohydrate diet
can in fact,
can in fact,
cure type 2 diabetes. You can put
cure type 2 diabetes. You can put
someone with type 2 diabetes on a low
someone with type 2 diabetes on a low
carbohydrate diet, they can get off
carbohydrate diet, they can get off
every single medication and have
every single medication and have
no clinical
no clinical
signs of the disease anymore.
signs of the disease anymore.
Wow, this is amazing.
Wow, dit is geweldig.
This is really good for the people in
This is really good for the people in
Europe and Holland and Belgium
Europe and the Netherlands and Belgium
and also some people from
en ook sommige mensen van
the United States here. So Ben, I'm looking
the United States here. So Ben, I'm looking
at the time. Can I ask one more question?
at the time. Can I ask one more question?
Just a final question about
Just a final question about
the ketogenic diet. It's
the ketogenic diet. It's
a very important
a very important
debate we had with
debate we had with
a lot of people from Instagram that are
a lot of people from Instagram that are
promoting this high carb, low fat diet
promoting this high carb, low fat diet
and counting
en tellen
calories. That's
calories. That's
really something, if you could elaborate
Really something, if you could elaborate.
on counting calories is not an
Counting calories is not a
efficient way to lose weight and get healthy,
efficient way to lose weight and get healthy,
that would be amazing.
That would be amazing.
Y'all are happy to.
Jullie zijn er blij mee.
So I think counting calories is
So I think counting calories is
a short term way
a short-term way
to lose weight,
to lose weight,
but it's not viable long term.
maar het is op lange termijn niet levensvatbaar.
And there's a lot of reasons
And there are a lot of reasons.
for this, but maybe I'll take a step
for this, but maybe I'll take a step back
back and present my big view.
back and present my big view.
My view on
My view on
obesity and fat
obesitas en vet
cells and the growing and shrinking of the
cells and the growing and shrinking of the
fat cells is that you can
Fat cells is that you can
shrink fat cells
shrink fat cells
through two different mechanisms.
door twee verschillende mechanismen.
One is controlling
One is controlling.
the energy. In other words, low calorie.
the energy. In other words, low calorie.
You just start robbing the
You just start robbing the
body or depriving it of energy.
body or depriving it of energy.
Yes, it's going to start using
Yes, it's going to start using
more of its own energy and then
more of its own energy and then
body weight will go down, body fat will go down.
Body weight will decrease, body fat will decrease.
Also, there's
Also, there's
low insulin.
low insulin.
The low insulin strategy
The low insulin strategy
acknowledges that insulin
acknowledges that insulin
totally controls the growing
totally controls the growing
and the shrinking of a fat cell.
and the shrinking of a fat cell.
That is 100% truth.
That is 100% true.
There's no getting around that fact.
Daarom is er geen ontkomen aan die waarheid.
You literally, as we
You literally, as we
grow fat cells in my own lab,
grow fat cells in my own lab,
right across the hallway, you cannot
recht tegenover de gang, kun je niet
make a fat cell grow unless
make a fat cell grow unless
insulin is high. In contrast,
insulin is high. In contrast,
you cannot make a fat cell
you cannot create a fat cell
shrink unless insulin is
shrink unless insulin is
low. It is impossible.
laag. Het is onmogelijk.
Now, I'm not saying
Now, I'm not saying
energy doesn't matter.
Energy doesn't matter.
I'm not saying calorie number doesn't matter.
I'm not saying the calorie number doesn't matter.
But, there's something really clever
Maar, er is iets echt slim.
that the body can do when insulin
what the body can do when insulin
changes. When insulin goes down,
veranderingen. Wanneer insuline daalt,
metabolic rate
metabolic rate
goes up, and
goes up, and
ketone production goes up. And I'll mention
ketone production goes up. And I'll mention
that point in a moment, but when
dat moment, maar wanneer
people are trying to go into
people are trying to go into
perfect thermodynamic balance
perfect thermodynamic balance
with calories in, calories out,
with calories in, calories out,
you can never know.
you can never know.
Exactly how much calorie you're putting
Exactly how many calories you're putting in.
in. You can never,
in. You can never,
ever know exactly how much
ever weten precies hoeveel
calorie is going out.
Calorie is being burned.
It's impossible. That's part of the problem
It's impossible. That's part of the problem.
with the calorie in, calorie out. You cannot
with the calorie in, calorie out. You cannot
know the truth.
know the truth.
The true
The true
fidelity or accuracy
fidelity or accuracy
of trying to count calories. But,
or trying to count calories. But,
when insulin is low,
when insulin is low,
we are burning about 300
we are burning about 300
calories more per day
calories more per day
than when insulin is high. That's a lot
than when insulin is high. That's a lot
of excess calorie burning.
of excess calorie burning.
And, if you're making ketones,
En, als je ketonen aanmaakt,
remember, a ketone is a piece
Remember, a ketone is a piece.
of fat. And this is,
of fat. And this is,
and when you have higher ketones,
and when you have higher ketones,
you are breathing them out,
you are breathing them out,
and you are urinating them out.
and you are urinating them out.
That is actual caloric energy
That is actual caloric energy.
that we didn't have to store,
that we didn't have to store,
that we didn't have to work hard
that we didn't have to work hard
and work out to burn. We just wasted
and work out to burn. We just wasted
it from the body. So, we have
it uit het lichaam. Dus, we hebben
this kind of third way of
this kind of third way of
accounting for calories
accounting for calories
that no one ever actually accounts
that no one ever actually accounts
for. And so, my view on
for. And so, my view on
obesity is, yes, calories matter.
Obesity is, yes, calories matter.
But, if we overlook what
Maar als we over het hoofd zien wat
those calories do to insulin,
those calories do to insulin,
then we're missing what I consider
then we're missing what I consider
the most important piece of the puzzle.
the most important piece of the puzzle.
Because, if insulin is high, metabolic
Because, if insulin is high, metabolic
rate will slow down, and the body wants to
the rate will slow down, and the body wants to
store energy more. If insulin is
store more energy. If insulin is
up, sorry, if insulin is low,
up, sorry, if insulin is low,
then metabolic rate goes up, and fat cells
then metabolic rate goes up, and fat cells
are breaking down fat, and the body is
are breaking down fat, and the body is
using energy, and metabolic rate, of course,
using energy, and metabolic rate, of course,
is high. Now,
is high. Now,
having said all of this, one
Having said all of this, one
last comment. My
last comment. My
frustration with the low-calorie approach
frustratie met de caloriearme benadering
is that it is based on hunger.
is that it is based on hunger.
And hunger
And hunger
always wins. This
always wins. This
is why I say there's a short-term
is why I say there's a short-term
benefit, but hunger
voordeel, maar honger
always wins, which is why if you're
altijd wint, daarom als je bent
calorie counting, you almost always will lose,
calorie counting, you will almost always lose,
and you'll go right off it and gain all
and you'll go straight for it and gain everything.
your weight back. But, if you start
je gewicht terug. Maar als je begint
your weight loss journey
your weight loss journey
with a low-insulin approach,
with a low-insulin approach,
that isn't based on eating less.
that isn't based on eating less.
The low-insulin approach just
The low-insulin approach just
says control your carbohydrates,
says control your carbohydrates,
you know, focus more on fruits and vegetables,
You know, focus more on fruits and vegetables.
very little grains, very, very
very little grains, very, very
little sugar, and then
little sugar, and then
focus more on protein and fat.
focus more on protein and fat.
And you can eat when you're hungry,
And you can eat when you're hungry,
and when you're not hungry, don't eat.
and when you're not hungry, don't eat.
That's really the key, so you don't have to
Dat is echt de sleutel, zodat je het niet hoeft te.
be hungry. And that's
be hungry. And that's
the low-insulin approach. So my idea,
the low-insulin approach. So my idea,
your journey is, start with the low-insulin
Your journey is to start with the low-insulin.
approach. Control carbohydrates,
approach. Control carbohydrates,
prioritize protein, don't fear fat.
prioritize protein, don't fear fat.
And then, you will
En dan, zul je
lose weight, and then you'll get to
lose weight, and then you'll get to
a plateau, usually.
a plateau, usually.
And if you get to where you stop
En als je bij de plek komt waar je stopt
losing weight, but you want to lose more,
losing weight, but you want to lose more,
now focus on a
now focus on a
lower-energy approach. Now
lower-energy approach. Now
maybe start fasting more
maybe start fasting more
often. You know, before you were
often. You know, before you were
fasting just because you weren't hungry,
fasting just because you weren't hungry,
now we say, fast
now we say, fast
because you're planning it. You have
omdat je het plant. Je hebt
a structured fast, and now you're
a structured fast, and now you're
lowering your energy coming in, and
lowering your energy coming in, and
now the low-insulin and the low-energy
now the low-insulin and the low-energy
means you'll go from that first weight-loss
means you'll go from that first weight loss
plateau to the next weight-loss plateau,
plateau to the next weight-loss plateau,
and now you've done it best. So,
and now you've done it best. So,
we insulin advocates,
we insulin advocates,
me and you, we're not
me and you, we're not
saying calories don't matter.
saying calories don't matter.
We're not that foolish, and we're not that ignorant.
We’re not that foolish, and we’re not that ignorant.
We're just saying
We zeggen het gewoon.
hormones also matter, and maybe
hormones also matter, and maybe
they matter more in a long-term
ze tellen meer op de lange termijn
view. And maybe one last thought,
view. And maybe one last thought,
Jasper, the more someone goes on
Jasper, the more someone goes on
a low-fat diet, the more they're
a low-fat diet, the more they're
eating foods that they actually don't
eating foods that they actually don't
need. Because we don't need
need. Because we don't need
carbohydrates in our diet, we
carbohydrates in our diet, we
need fat, and we need protein.
We need fat, and we need protein.
Literally, those are
Literally, those are
necessary for human survival.
necessary for human survival.
That's what we should be focusing on.
Daar zouden we ons op moeten richten.
Wow, Benjamin.
Wow, Benjamin.
It's like a mic drop right now.
Het is nu als een mic drop.
You know, you said it all. And it's also
You know, you said it all. And it's also
to end with that, a little bit
to finish with that, a little bit
of the satiety hormones.
of the satiety hormones.
You know, the ketones
You know, the ketones.
make sure we are not
make sure we are not
as hungry as when insulin is
as hungry as when insulin is
high. So, am I correct? Right.
High. So, am I correct? Right.
That's correct, right? Yeah.
Dat klopt, toch? Ja.
So, we should focus on
So, we should focus on
that. It's, wow.
dat. Het is, wauw.
It's mind-boggling, and I'm
It's mind-boggling, and I'm
a little bit scared,
a little bit scared,
you know, because of the
you know, because of the
doctors basically not helping
doctors basically not helping
us in the right direction. They should
us in the right direction. They should
basically say, no medicine, let's try,
basically say, no medicine, let's try,
let's first try a low
let's first try a low
carbohydrate or ketogenic diet
carbohydrate or ketogenic diet
and then look if maybe medicine
and then see if maybe medicine
is justifiable, but
is gerechtvaardigd, maar
that's down the road.
dat is verderop de weg.
Yeah, no, and Jasper, one,
Yeah, no, and Jasper, one,
and this is my compliment to you,
and this is my compliment to you,
we need more people like you.
We need more people like you.
Because
Because
if the person can't get this in the clinic,
if the person can't get this in the clinic,
and you and I aren't speaking evil
and you and I aren't speaking evil
of all doctors, we aren't, because
of all doctors, we aren't, because
you only know what you've been taught.
You only know what you've been taught.
And this just isn't something that is
En dit is gewoon niet iets dat is
taught in medical schools. And so
taught in medical schools. And so
there are those of us that have
there are those of us that have
kind of looked through the data, and that's
I kind of looked through the data, and that's
my job as a scientist, literally,
my job as a scientist, literally,
and seen, wait a minute,
and seen, wait a minute,
we were a little wrong on some of these things, and there's
We were a little wrong about some of these things, and there's
another view that might be better
een ander uitzicht dat misschien beter is
and more accurate.
en nauwkeuriger.
If we can't convey that to a patient
If we can't convey that to a patient
in a clinic, all the more reason to
in a clinic, all the more reason to
convey that on something like social media
convey that on something like social media
directly to the person, with the
directly to the person, with the
hopes that this person
hopes that this person
can make the changes because
can make the changes because
of their own studies,
of their own studies,
their own research. And they don't have to wait
their own research. And they don't have to wait.
for a clinical visit to be told
for a clinical visit to be told
what to do.
what to do.
Yeah, that's amazing. And I will keep going
Yeah, dat is geweldig. En ik zal doorgaan.
and tell the message in the Netherlands,
and tell the message in the Netherlands,
Europe, Belgium, all
Europe, Belgium, all
the people that are willing to listen
the people that are willing to listen
to me, and
to me, and
I will tell them, buy the book,
I will tell them, buy the book.
read the book, it's life
read the book, it's life
changing. It changed my life,
changing. It changed my life,
and also my mother's life
en ook het leven van mijn moeder
who had breast cancer,
who had breast cancer,
she's now on a low carbohydrate
she's now on a low carbohydrate diet
diet, and she's doing great.
dieet, en het gaat geweldig met haar.
So it's a life,
So it's a life,
really it's a life-saving book. So Ben,
really it's a life-saving book. So Ben,
you made my day. I was a bit nervous,
you made my day. I was a bit nervous,
but I want to thank you,
but I want to thank you,
I want to thank you so much for this conversation.
I want to thank you so much for this conversation.
I'm really happy
Ik ben echt gelukkig.
how it all went, and I just want
how it all went, and I just want
to thank you. Thank you so much.
to thank you. Thank you so much.
My pleasure, my pleasure. Let's keep in touch.
My pleasure, my pleasure. Let's keep in touch.
Happy to be a resource, and
Blij om een bron te zijn, en
truly grateful to be
truly grateful to be
kind of on the front lines with you, or part of the same
kind of on the front lines with you, or part of the same
army, fighting the same battle,
army, fighting the same battle,
to just give knowledge to
to simply provide knowledge to
people, and then let them, with all of the
people, and then let them, with all of the
knowledge, hiding nothing, let them make
knowledge, hiding nothing, let them make
their own decisions. Great.
hun eigen beslissingen. Geweldig.
Thank you, Ben. I want to wish you a great
Thank you, Ben. I want to wish you a great
day, and I will talk to
day, and I will talk to
you maybe sometime later.
maybe you sometime later.
Thank you. Thanks, Jaster.
Thank you. Thanks, Jaster.
Bye, everyone. Bye-bye.
Bye, everyone. Bye-bye.
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