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The longest high-fat, low-carb study ever conducted is finally finished with Dr Koutnik. Dr. Andrew Koutnik is a metabolic scientist who has completed a study on a high-fat ketogenic diet over a 10-year period in a high-risk patient population (type 1 diabetes). This patient population has a 10x higher cardiovascular risk compared to non-diabetics. The question proposed in this 10-year-long high-fat, low-carb study was to assess end markers, including glycemic control and advanced cardiovascular markers, while keeping other variables consistent. The results were surprising, showing notable outcomes in both glycemic control and LDL cholesterol. Takeaways The ketogenic diet can significantly improve glycemic control in diabetes. Insulin resistance is a complex issue influenced by various factors. Long-term adherence to a ketogenic diet can lead to improved metabolic health. Saturated fat intake can elevate LDL cholesterol, but its impact on heart disease risk is nuanced. Physiological insulin resistance may occur on a ketogenic diet but is not necessarily harmful. A well-rounded ketogenic diet includes a variety of nutrient-dense foods. Understanding the hierarchy of health risks is crucial for managing diabetes. Dietary changes can have profound effects on mental health and metabolic disorders. The ketogenic diet has historical roots in treating diabetes and obesity. Making low-carb versions of favorite foods can help maintain a ketogenic lifestyle. 10 Year High Fat Study: https://pmc.ncbi.nlm.nih.gov/articles... Primal Resources GoCarnivore App: https://www.gocarnivore.com/ The Primal Tallow Balms: https://shop.theprimal.com/ 4-Week Fat Loss Course: https://academy.theprimal.com/carnivo... The Primal Podcast Website: https://www.theprimal.com/ Instagram: / theprimal.podcast Twitter: https://x.com/ThePrimal_Pod About Rina - The Primal Podcast Rina Ahluwalia breaks down the truth about getting healthy and losing weight— based on science. On her health podcast, she interviews top doctors and experts about the power of low-carb and ketogenic diets, the carnivore diet, and intermittent fasting. As the founder of GoCarnivore.com, Rina is a recognized leader in the health space, helping people take control of their weight and well-being through real, nutrient-dense food. Want to jumpstart your health? Join the free 90-day challenge at GoCarnivore.com or visit ThePrimal.com for more! Timestamps: 00:00 Intro 01:52 Understanding Metabolic Dysfunction & Disease 12:01 Insulin & Glucose vs. LDL Cholesterol as Risk Factors 15:13 HbA1c vs. Blood Glucose Explained 18:28 Prioritizing Cardiovascular Risk Factors (LDL Cholesterol) 22:04 The Ketogenic Diet as a Therapeutic Intervention 31:27 Calorie Counting & Ketogenic Diet 33:43 Long-Term Effects of Ketogenic Diet: A 10-Year Study 48:33 LDL Cholesterol & Saturated Fat in Ketogenic Diet 01:03:48 Importance of Prioritizing Modifiable Risk Factors 01:11:19 Best Foods on a High-fat Ketogenic Diet