The Curbsiders Internal Medicine Podcast #412 Low Carb, Keto, Fasting: Lifestyle Interventions for Weight Management
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Oct 16, 2023 Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center, discusses lifestyle interventions for weight management including the ketogenic diet and exercise. The podcast covers lab work for low carb diets, understanding and exploring low carb and keto eating plans, and managing diet for weight management. The benefits of low carb and keto diets for weight management, as well as the challenges and key take-home points for patients, are also discussed.
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Labs to Order in Weight Management
- Order basic labs: complete metabolic panel, lipid panel, A1c, thyroid panel, and hemoglobin.
- Check fasting insulin when possible to detect insulin resistance early.
Setting Weight Loss Goals
- Set realistic, staged weight loss goals based on BMI and patient motivation.
- Aim first to reduce BMI below 40, then below 30, and stay above 25 for most patients.
Evaluating Eating Habits
- Use a detailed food recall to understand patient's eating habits before advising.
- Skipping meals isn't harmful if it doesn't lead to overeating later.