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I was pre-diabetic for 2 blood tests, despite a nutritionist's help and starting some mild drugs. Went keto with plenty of green veg in it, and within 3 months I had my fasting glucose at the low end of normal and lost 40 lbs in about 6 months, to get to mid-normal BMI.
I might have actually made my doctor change his mind about carbs, because there was a distinctly different conversation after the blood tests came back clean the third time. LDL and triglycerides were all in normal ranges and he was convinced they were going to go apeshit, and coronary artery calcium (that's a leading indicator of heart attack risk) dropped in half.
It all sounded like bullshit when I had a friend go keto and fix his issues, and I resisted for about 5 years and kept getting fatter and mild chest pain. I finally caved when the blood tests were showing me heading for insulin, and I'm glad I did.
I'm not sure why we're sitting here with health pyramids, nutritionists, doctors and organizations like the ADA still promoting grains and starches, but they're fucking terrible for you and it's obvious as hell. Diabetes is an epidemic and it's because carbs have become the vast majority of people's diets.
Oh, and acid reflux is a thing of the past. I'd wake up in the middle of night with the taste of vomit and coughing it out of my lungs. Done.
Avoiding carbs is fucking impossible when you can't digest red meat and absolutely hate seafood :/