Uploaded June 2024 | Updated September 2026, 23 minutes ago
Dr. Ben Bikman, a specialist in bioenergetics and insulin's role in metabolic disorders, presents a comprehensive talk on insulin resistance. He highlights the rising prevalence of insulin resistance and its impact on various chronic diseases. Bikman stresses the importance of precise terminology and understanding of insulin resistance, differentiating between its pathological and physiological forms. Pathological insulin resistance, often linked to chronic diseases, is caused by factors like chronic stress, inflammation, and hyperinsulinemia. Physiological insulin resistance occurs naturally during periods of growth, such as puberty and pregnancy. Bikman also discusses misconceptions about carbohydrate-restricted diets, explaining that while such diets do not cause insulin resistance, they can affect glucose tolerance tests. He emphasizes the need for proper insulin measurement in clinical settings and the role of metabolic flexibility in health.
0:00 - Introduction to Dr. Ben Bikman
0:14 - Opening Remarks and Gratitude
1:13 - Importance of Democratizing Science
2:01 - Common Myths and Misconceptions about Insulin Resistance
2:35 - Prevalence of Metabolic Unhealthiness in Adults
3:19 - Historical Contributions to Metabolism Understanding
4:02 - Pathological Insulin Resistance and Chronic Diseases
5:13 - Pathological vs. Physiological Insulin Resistance
6:13 - Defining Insulin Resistance
7:59 - Insulin's Role and Impact on Glucose
9:51 - The Vicious Cycle of Insulin Resistance
11:01 - Insulin Resistance without Hyperinsulinemia
12:00 - Causes of Insulin Resistance
14:26 - Fat Cells and Insulin Resistance
16:10 - Stress Hormones and Insulin Resistance
18:24 - Inflammation and Insulin Resistance
20:47 - Hyperinsulinemia and Insulin Resistance
22:10 - Physiological Insulin Resistance and Growth
24:19 - Puberty and Insulin Resistance
27:19 - Pregnancy and Insulin Resistance
29:04 - Hormones from the Placenta
30:17 - Carbohydrate-Restricted Diets and Insulin Resistance
32:02 - Insulin Production Changes and Glucose Tolerance Tests
36:02 - Metabolic Flexibility
38:13 - Reverse Metabolic Flexibility
40:18 - Managing Glucose Tolerance Tests on Low Carb Diets
42:37 - Randle Cycle and Metabolic Inflexibility
45:00 - Questions and Answers Session
Dr. Ben Bikman, a specialist in bioenergetics and insulin's role in metabolic disorders, presents a comprehensive talk on insulin resistance. He highlights the rising prevalence of insulin resistance and its impact on various chronic diseases. Bikman stresses the importance of precise terminology and understanding of insulin resistance, differentiating between its pathological and physiological forms. Pathological insulin resistance, often linked to chronic diseases, is caused by factors like chronic stress, inflammation, and hyperinsulinemia. Physiological insulin resistance occurs naturally during periods of growth, such as puberty and pregnancy. Bikman also discusses misconceptions about carbohydrate-restricted diets, explaining that while such diets do not cause insulin resistance, they can affect glucose tolerance tests. He emphasizes the need for proper insulin measurement in clinical settings and the role of metabolic flexibility in health.
0:00 - Introduction to Dr. Ben Bikman
0:14 - Opening Remarks and Gratitude
1:13 - Importance of Democratizing Science
2:01 - Common Myths and Misconceptions about Insulin Resistance
2:35 - Prevalence of Metabolic Unhealthiness in Adults
3:19 - Historical Contributions to Metabolism Understanding
4:02 - Pathological Insulin Resistance and Chronic Diseases
5:13 - Pathological vs. Physiological Insulin Resistance
6:13 - Defining Insulin Resistance
7:59 - Insulin's Role and Impact on Glucose
9:51 - The Vicious Cycle of Insulin Resistance
11:01 - Insulin Resistance without Hyperinsulinemia
12:00 - Causes of Insulin Resistance
14:26 - Fat Cells and Insulin Resistance
16:10 - Stress Hormones and Insulin Resistance
18:24 - Inflammation and Insulin Resistance
20:47 - Hyperinsulinemia and Insulin Resistance
22:10 - Physiological Insulin Resistance and Growth
24:19 - Puberty and Insulin Resistance
27:19 - Pregnancy and Insulin Resistance
29:04 - Hormones from the Placenta
30:17 - Carbohydrate-Restricted Diets and Insulin Resistance
32:02 - Insulin Production Changes and Glucose Tolerance Tests
36:02 - Metabolic Flexibility
38:13 - Reverse Metabolic Flexibility
40:18 - Managing Glucose Tolerance Tests on Low Carb Diets
42:37 - Randle Cycle and Metabolic Inflexibility
45:00 - Questions and Answers Session









![BREAKING – New Analysis of Heart Scan Data (CCTA) for Extremely high LDL vs Average LDL Cholesterol
BREAKING: Dr Matt Budoff has now presented the matched analysis for:
KETO (#LMHRstudy) vs Control (#MiHeart)
METHODS – 80 Participants of #LMHRstudy fell within #MiHeart age range and were then matched 1:1 for age, gender, race, diabetes mellitus, hyperlipidemia, hypertension, and past smoking to asymptomatic subjects from the #MiHeart cohort.
PRIMARY ANALYSIS – High resolution heart scans (#CCTA) allowing for primary analysis of Total Plaque Score (TPS), Total Stenosis Score (TSS) and Segment Involvement Score (SIS)
RESULTS
The matched mean age was 55.5 years, with mean #LDL cholesterol of 272 mg/dL (max LDL-C 591) mg/dl and mean 4.7 years duration on a ketogenic diet.
🚨 There was no significant difference in coronary plaque burden of #LMHRstudy (mean LDL-C 272) cohort as compared to #MiHeart controls (mean LDL 123 mg/dl); nb: pre-KETO LDL-C in KETO group was 122 mg/dl
🚨 There was no significant difference in CAC (median and IQR) [0 (0,56)] versus [1 (0, 49)], p = 0.520
🚨 No relationship of LDL-C elevations and plaque
⚠️ is still ongoing for second CCTA completion in our cohort by February of 2024. And as always, please continue to work with your doctor.
- I will have my own video reaction and thoughts in the coming hours.
🙏🙏🙏 to everyone and I mean everyone who helped us get to this pivotal milestone. 🙏🙏🙏 BREAKING – New Analysis of Heart Scan Data (CCTA) for Extremely high LDL vs Average LDL Cholesterol](https://i.ytimg.com/vi/ny2JqAgoORo/mqdefault.jpg)
