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Research of the Week

Some modifiable risk factors for dementia.

35% of healthy, unexposed donors had evidence of T-cell reactivity to the coronavirus.

We can handle one-off feasts pretty well.

Iranian study uses OTC bromhexine with hydroxychloroquine to achieve zero mortality in COVID-19 patients.

Genetic variants that may predict severe coronavirus outcomes.

New Primal Blueprint Podcasts

Episode 436: Dr. David Roetman, DC: Host Elle Russ chats with Dr. David Roetman, who gets major results with non-surgical orthopedics and functional medicine.

Episode 437: Nathanael Morton: The Benefits of Jumping Exercises and Persevering Through Extreme Challenges: Host Brad Kearns chats with Nathanael Morton about the benefits of explosive jumping.

Primal Health Coach Radio, Episode 71: Laura and Erin chat with Christine Hassler about our true purpose.

Media, Schmedia

Top athletes who’ve gone carnivore.

22% of Millennials say they have no friends, 25% no acquaintances.

Interesting Blog Posts

Photorealistic depictions of Roman emperors.

This one weird Neanderthal gene could make you more sensitive to pain.

Social Notes

Planting rice.

Everything Else

Restaurant prices may have to go way up.

The “Forrest Gump” approach to COVID-19.

Things I’m Up to and Interested In

Interesting study: Societies that historically farmed rice have tighter social norms.

A sign of the times: Pastured egg outfit Vital Farms goes public.

Good policy: A two-line remote work policy.

Phrase I hadn’t heard before: “Educational colonialism.”

Everyone should do this: Teach college class outside.

Question I’m Asking

How would you change education?

Recipe Corner

Time Capsule

One year ago (Jul 25 – Jul 31)

Comment of the Week

“I notice the comforting way my dog smells. Yes, really.
How delicious 90 and humid feels when stepping out of too much AC.
The meditative fun of coloring.
A satisfying bubble belch after kombucha.”

-Good one by Margi, but they were all good.

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The reason you’re overeating has nothing to do with food. When it comes to overeating, there is so much more going on beneath the surface. Like drug addiction, overeating can become addictive and stem from genetics, cultural influences, and mental health. If your relationship with food is taking you down a road you don’t want […]

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low carb keto fluOver the first few days (up to two weeks) of eating low-carb, you may run into some frustration. Where is all of this energy I’m supposed to have? Why do I want to mow through that bag of chips right now? Am I coming down with a cold? For some people, the transition from burning glucose to burning fat comes with unwanted symptoms that range from slightly uncomfortable to miserable. This transition period is known as keto flu, or low-carb flu. It’s real, and it can be pretty terrible.

But, it’s temporary.

What is Low Carb Flu?

Low carb flu, or keto flu, is a set of symptoms that you may feel over the first few days of limiting carbohydrates. Low carb flu isn’t a flu or infection at all, and it’s not a medical term. It got its name because some of the symptoms of carb restriction can feel like you’re sick with the flu.

Low carb flu has dissuaded millions of people from pursuing and sticking to a healthy diet. You can laugh now that you’re fat-adapted and humming along on stored body fat, but you’ve forgotten just how terrible the transition from sugar-burning to fat-burning can be.

Symptoms of Keto Flu, or Low Carb Flu

It shows up differently for everyone. Some people, likely the ones who are metabolically flexible to a degree before even starting, won’t notice much trouble. That’s somewhat rare. More often, people new to carb restriction will experience some degree of:

  • Headaches
  • Brain fog
  • Malaise, fatigue, listlessness, and other synonyms for “exhaustion”
  • Feeling lightheaded or dizzy
  • Irritability
  • Mood changes
  • Constplation
  • Diarrhea
  • Nausea
  • Vomiting
  • Muscle aches
  • Lack of motivation
  • Feelings of anxiousness
  • Cravings

At some point, you’ll just have to accept the reality of the situation: you’re shifting from a sugar-burning metabolism to a fat-burning metabolism. You’re building the metabolic machinery necessary to burn fat. You’re updating your body’s firmware, and it’s a big update. That takes time.

How Long Does Keto Flu Last?

Generally, you can expect keto flu to last 4-7 days.

Most commonly, people who have symptoms with low-carb will experience symptoms If the results of one study are representative, it takes about five days on a low-carb, high-fat diet to increase AMPK and start building new fat-burning mitochondria.12 And sure enough, most people report that the low-carb flu lasts from four to seven days—right on target.

But that doesn’t mean we have to like it. So, what can you do to speed up the transition and reduce the pain and suffering?

Here are a few strategies to help you cross the rocky terrain of keto flu more quickly.

11 Keto Flu Remedies to Make Low Carb Easier

  1. Eat fatty fish or take fish oil
  2. Support your stress systems
  3. Don’t skimp on salt
  4. Eat enough potassium
  5. Take magnesium
  6. Stay hydrated
  7. Eat more fat
  8. Include medium-chain triglycerides (MCTs)
  9. Consider ketone supplements
  10. Move around at a slow pace
  11. Reduce carbs gradually

1. Eat fatty fish or take fish oil

One theory is that low-carb flu is caused by the release of stored arachidonic acid from adipose tissue. Since AA is the precursor to inflammatory molecules implicated in headaches,3 a sudden rush of AA into the blood—as happens in obese and overweight people during initial weight-loss—could be responsible.4 If this is true, taking extra fish oil or eating fatty fish like sardines or salmon should counter the omega-6-induced inflammatory response triggering the headaches. If this isn’t true, eating fish is still a good idea.

2. Support your stress systems

There’s a good chance you have been fueled by glucose for most of your life. So, when glucose suddenly isn’t available, your body might think you’re in danger – that you’re in a time of scarcity or famine. That triggers your stress response, and your adrenal glands release cortisol, which makes you store body fat.

An easy way to combat this is with adaptogens – supplements that act directly on your body’s stress mechanisms. Adaptogens help to modulate the stress response so that the physical effects of stress are less pronounced.

3. Don’t skimp on salt

Going low-carb increases salt requirements on multiple levels. First, when your body dumps glycogen, it doesn’t just dump the water that accompanies it. You’re also losing tons of sodium. Second, a byproduct of low insulin is reduced sodium retention,5 so you’re both losing and failing to hold on to it. Third, going on a Primal eating plan inevitably entails eating more fresh food and less unprocessed food. Unprocessed food is usually low-salt; processed food often comes with added salt. Nothing a little extra salt can’t fix.

Add salt to taste. Drink salty bone broth (Peter Attia likes bouillon dissolved in hot water, but I prefer the real stuff). Sprinkle a little salt in your water.

4. Eat enough potassium

You also lose potassium when you go low-carb and dump all that water weight.6 To replenish your stores, Use Lite-Salt (a potassium salt) along with your regular salt, and eat lots of non-starchy green vegetation, like spinach. Other great potassium sources include avocados and yogurt (if you get real yogurt, the bacteria have consumed most of the sugar).

5. Take magnesium

Notice a theme here? Electrolytes matter when you’re going keto.

Although losing water doesn’t really flush out magnesium like it does other electrolytes, we do need extra magnesium to regulate sodium and potassium levels in the body.7 Leafy greens like spinach (again) are great sources of magnesium, as are most nuts and seeds. Even though low-carb and sweeteners don’t usually mix, I’d say the huge amount of magnesium in blackstrap molasses makes a tablespoon worth adding.

You may have to dip into the supplement bin for this one. Any magnesium ending in “-ate” will do: glycinate, citrate, malate, etc. And once again, it’s one of those cases where almost everyone can probably use extra magnesium regardless of their current diet. It’s simply a good nutrient to have.

6. Stay hydrated

People tend to focus on the electrolytes you lose with water loss, but there’s also the water. If you’ve ever been dehydrated, you know the symptoms—dizziness, fatigue, mental confusion—match those of the low-carb flu. Pay attention to your thirst and get yourself a good source of mineral water with a TDS of at least 500 mg/L (or make your own using mineral drops), like Gerolsteiner, to boost your intake of minerals that may be lost to water shedding. Don’t drink healthy-sounding things like reverse osmosis water without remineralizing it.

7. Eat more fat

The study I cited earlier in which a low-carb, high-fat diet increased AMPK had another experimental group who also experienced AMPK upregulation: lean adults given a bunch of fat to eat. It turns out that both carbohydrate restriction and fat feeding can increase AMPK activity. In both instances, the amount of fat available for burning increases. By supplementing your endogenous fatty acids (the stuff coming off your body fat) with exogenous fatty acids (dietary fat, or the fat you eat), you can maximize the AMPK activation and, hopefully, get to a state of metabolic flexibility faster. You may not lose as much body fat this way, but you’ll be happier, less fatigued, and more likely to stick with the diet.

8. Include some medium chain triglycerides (MCTs) in that fat

MCTs metabolize differently than other fats. Rather than store them in the body fat or use them in cell membranes, the body sends them directly to the liver for burning or conversion into ketones. So a good percentage of the MCTs we eat become ketones, which provide some additional fuel to glucose-deprived bodies that haven’t quite adapted to a fat-based metabolism. Coconut fat is the natural source of MCTs, though only about 14-15% of the fatty acids in coconut oil are MCTs. If that’s not giving you the boost you need, MCT oil is an isolated source of the ketogenic fatty acids. You can go even further and get just caprylic acid-based MCT oil, which isolates the specific fatty acid with the most ketogenic potential.

9. Consider ketone supplements

Part of the low-carb flu comes down to poor energy availability: when you take away the energy source you’ve been relying on all your life, it takes a while to feel normal. Similar to MCTs but more so, ketone esters “force” ketone availability. And while I’m skeptical of taking large amounts of supplemental ketones on top of a high-carb diet, I can imagine them helping the newly low-carb speed up the adaptation process and overcome the low-carb flu.

10. Move around a lot at a slow pace

If you haven’t read Primal Endurance, consider grabbing a copy. It really fleshes all this out. But long story short? Hold off on the extended sugar-burning training—long CrossFit WODs, long hard endurance efforts, 30 minute interval workouts, P90X—until you’re fat-adapted. Do some intense stuff, but keep it really intense and brief. Short 2-5 rep sets of full body lifts, brief 5-10 second sprints (with plenty of rest in between), things like that. The bulk of your training should consist of easy movement keeping your heart rate in the fat-burning zone (180 minus your age) until you’re adapted and the low-carb flu has abated. Hikes, walks, light jogs, cycling, swimming are all great depending on your level of fitness, and they’ll jumpstart the creation of new fat-burning mitochondria to speed that process up.

11. Reduce carbs gradually

The vocal ones, the people who post on message boards and leave comments and submit success stories, are generally going to be more extreme. They’re going from 400 grams of carbs a day to 20 grams. They’re going all in. They’re going cold turkey (literally: they’re eating entire meals consisting entirely of cold turkey to avoid carbs). That doesn’t work for everyone.

Another option, and one that might work even better for most people, is to gradually reduce carbs. By reducing carbs more gradually you reduce the shock to your system and give your body the chance to find its sustainable sweet spot. You might do best on 150 grams a day (that’s about where I am, in fact). You might like 120, or 130, or 70. The point is going gradually allows you to take a journey through all the possible permutations of carb/fat/protein intake. It’s quite possible that 140 grams a day works best for you, but because you immediately launched into a very low-carb 20g/day diet and failed miserably, you’re turned off from the idea altogether.

You can judge your ketone sweet spot by how you feel after the first week. Or, you can measure your ketones and see what levels make you feel your best.

That’s what I’ve got, folks. Those are the tips that work best for me and mine. Those are the tips that science suggests actually work. What about you? How have you gotten over the low-carb flu?

Thanks for reading, everyone. Take care.

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Motivational goals have a goldilocks quality, whereby the targets that we aim for cannot be too easy, too hard, or take too long to achieve. The coach needs to get it just right.

Imagine this scenario: a lifter at your gym has convinced their friend—Jeff—to sign up for personal training. After getting to know Jeff a bit, you ask him what he wants from working with you, and he replies:

 

“Honestly, I’m just looking to get fitter and stronger.”   

 

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posterior chain exercisesThere is an epidemic of chronic lower back pain.1 It’s one of the leading causes of “Years Lived with Disability” (YLD), is responsible for over 7 million ER room visits each year, and costs us both time (hard to do much of anything when our lower back is hurting) and money (people with lower back pain end up spending thousands of dollars a year on average to treat it). I can’t think of anything that degrades overall quality of life more than persistent lower back pain.

And as is so often the case, our attempts to treat the condition often make it worse. What does the average person do when their back hurts?

They avoid using their back altogether. They tiptoe around and craft a cocoon of comfort for their lumbar spine. Chairs that recline. Slouching. Leaning on their arms. It’s only natural to avoid the pain, but it is also our undoing. In order to reduce low back pain, we must make our backs stronger by training it.

But that’s not how the average person trains.

They’re doing pushups and bench presses. They’re curling (sometimes in the squat rack). They’re doing leg presses and squats. They want strong chest, biceps, quads, and they have them, but they also have the rounded shoulders of the bench press addict, the “folded in hulk” look. Those are the parts that pop in the mirror. They’re the easiest to monitor and see grow before your eyes. They’re what you see when you flex.

And don’t get me wrong. Those exercises and those muscles are incredibly important for health and performance (and aesthetics). But they neglect perhaps the most vital musculoskeletal complex in the human body: the posterior chain.


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Posterior Chain Muscles

Think of your posterior chain muscles as the muscles that hold up your back, starting at your waistline. Posterior chain muscles include:

  • The butt, including the gluteus minimus, gluteus medius, gluteus maximus
  • The hamstrings
  • The lower back muscles (erector spinae)

Some sources include the calves or latissimus dorsi (aka lats, or side back muscles) in the posterior chain, but the primary ones are lower back, glutes, and hamstrings.

How Can Posterior Chain Training Reduce Lower Back Pain?

In movement, the posterior chain controls hip extension—the hip hinge we perform to lift heavy objects, jump great distances and heights, make explosive movements like throwing punches or fastballs, and run sprints. When you swing a golf club or baseball bat, most of the power comes from the hip extension performed by the posterior chain.

In everyday life, the posterior chain maintains posture. It’s the foundation upon which the torso rests, moves, and stabilizes. It provides safety and security for smaller upper body movements and power for larger lower body movements.

When we neglect the posterior chain, our lower back suffers. It bears the brunt of the work. Its primary role is to resist motion, to provide stability as the rest of the body moves, to be a lever. But when the hips aren’t moving and the posterior chain isn’t engaged, the lower back must move—for which it is ill suited.

Can’t hinge at the hips to pick up that Lego or move that bag of mulch? You’ll hinge with the lower back. Easy way to tweak it.

Can’t engage your glutes to hold up your torso? Your lower back will cover for them. Easy way to develop an overuse injury.

When you’re working at a laptop or scrolling your phone, hunched over, head jutting forward, your lower back bears the brunt of the weight. It’s not a lot of weight. You may not even feel the pain or strain in your lower back muscles. But it’s a low level chronic stress applied to your lower back that reduces its overall work capacity. So when you go from your desk job to the gym and try to deadlift, your lower back can’t tolerate as much resistance. It’s more likely to fail.

When we sit, the posterior chain is “turned off.” The glutes are inactivated, the hamstrings are slack, and the lower back muscles assume the role of posture stabilizer.

When we’re inactive, the posterior chain atrophies. If you’re not throwing balls, lifting barbells, jumping, sprinting, or heck, dancing and playing, you are not using your posterior chain.

Worse still, lower back pain often dissuades people from training the posterior chain. So many of the most effective posterior chain exercises require the lower back to resist forces acting on it that it scares people — and the medical professionals treating them. The last thing the average doctor will tell his or her patient with low back pain to do is swing a kettlebell or do Romanian deadlifts. This is understandable—you can hurt yourself and make the problem worse — but it’s also unfortunate because proper posterior chain training is one of the best allies we have in the fight against low back pain.

Do involve your doctor, though. You’ll want to rule out any small injuries that could become significant or debilitating injuries before you jump into posterior chain exercises. 

Deadlifts for Lower Pack Pain

Wait a minute, Sisson: are you saying that deadlifts can actually improve lower back pain?

Yes.

In a 2015 study, 39 men and women with chronic low back pain underwent a 16 week free weight training course.2 They did deadlifts, goblet squats, lunges, planks, and step-ups. This was a progressive program, meaning they started with lower weights and added resistance as they progressed in strength. Loads were between 6 and 10-rep max.

After 16 weeks, they were stronger, their pain had dropped by 72%, their disability score had improved by 76%, and their overall quality of life (every 4 weeks they completed a self-assessment) had skyrocketed.

Another study from the same year had similar results.3 Both the deadlifting group and the group who did more traditional back pain exercises saw major improvements in pain and functionality.

The key with the deadlift is it’s very safe and indeed beneficial for the lower back as long as you maintain proper form. In the two studies I mentioned, researchers didn’t just tell the patients to start deadlifting their 6 rep max. They coached proper technique. If a subject couldn’t maintain a flat (neutral) spine, they raised the barbell until they could.

Neutral spine is everything. You’re not bending your lower back to move the weight. It must stay flat.

Hinge at the hips. Lift with your hips (glutes and hamstrings), not your back.

Barbell deadlifts are the gold standard, but they aren’t required. You can do trap bar deadlifts, kettlebell deadlifts, Romanian deadlifts, or sumo deadlifts. What matters is that you hinge at the hips and maintain a neutral spine using proper technique.

It’s important to not max out. In fact, if you’re deadlifting to address back issues, start light. Going for a PR with back pain is not the ticket. Stick to 6-10 rep sets—enough to provide resistance and build strength gradually.

Planks for Lower Back Pain

The plank is about as simple and accessible as it gets. You don’t need any equipment but the ground. You can modify them to be as easy or as hard as you like.

Do ’em on the knees if you can’t manage the toes. Do them on your hands if the elbows are too much.

  1. Get in the pushup position, only put your forearms on the ground instead of your hands. Your elbows should line up directly underneath your shoulders. Toes on the ground.
  2. Squeeze your glutes and tighten your abdominals.
  3. Keep a neutral neck and spine.
  4. Create a straight, strong line from head to toes – a plank, if you will.
  5. Hold that position.
  6. Repeat.

Tips and cues for best results:

  1. Don’t let your hips sag down to the ground. Sagging hips makes the exercise initially easier, but it takes your posterior chain out of it and defeats the purpose of the exercise.
  2. Look down at the ground. This is a good prompt for maintaining a neutral neck and thus spine position.
  3. When your form begins to suffer, pull the plug. You’re only benefiting from the plank by actually doing the plank.

Does it work? In subjects with chronic lower back pain, 8 weeks of planks improved lower back pain and improved low back strength.4

Planks can be done just about every day. They’re a great way to start the morning or break up sedentary time.

Kettlebell Swings for Lower Back Pain

These are not to be taken lightly. Whereas planks and deadlifts are relatively linear and non-dynamic, KB swings take a lot of precision to get right, especially if you have lower back pain. A lot can go wrong with a poorly-done kettlebell swing.

This is a hip hinge and hip extension exercise. All the power should be coming from your glutes and hamstrings with your lower back a stable lever for transferring the force. If you use your arms to “swing” the kettlebell, you’re doing it wrong. Arms should be passive.

Keep the weight on your midfoot/heel. If the weight gets “in front” of you and you start going onto your toes, your lower back will bear the brunt.

At the height of the swing, maintain upright posture and a straight torso. Do not lean back—this takes the emphasis off the hips and places it on the lower back.

When the weight is coming back down, accept it by sticking your butt back and hinging your hips. Don’t “bend over”; get those hips back.

Stick with a weight you can swing for 20-30 reps at a time. You’re not going for any records here. You just want to get the blood flowing and the hips moving. One effective method is to keep a kettlebell in your office and do a minute of swings every hour.

There are other posterior chain exercises you can do to improve lower back pain, but these give the biggest bang for the buck. They should serve as the foundation for your journey back to pain-free life.

Do you have lower back pain? What worked for you? What didn’t work?

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Butter has been around for about 9000 years. A happy accident that quickly became a staple in most people’s homes. What was once a somewhat tedious job for the farmer’s wife has been industrialized by dairy producers, who have perfected the science of making creamy butter by the ton. Butter elevates both sweet and savory […]

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You don’t need a fancy facility or equipment to build strength.

My first introduction to strength training was my sophomore year of college. Every day after my last class, I would make my way to the gym and get ready to let off steam. Going to the gym became a part of my daily routine – a routine I still follow, granted there are fewer bicep curls.

 

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is bbq sauce ketoSummer is for grillin’ and smokin’ meats. Brisket, ribs, tri-tip, sausages, pork shoulder, chicken, salmon… I’m making myself hungry. What goes perfectly with grilled and smoked meats? BBQ sauce.

Whenever I mention how much I enjoy barbecue, someone says to me, “Wait, Mark, can you have BBQ sauce?” I get it. BBQ sauce is often on the list of condiments to avoid on low-carb, Primal/paleo, or keto diets. People are surprised to find out I can and do eat BBQ sauce regularly.

I’m not just being rebellious and ignoring my own rules here. Although there is some important nuance that I’ll cover in this post, it’s definitely possible to enjoy BBQ sauce even on low-carb and keto diets.


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Is BBQ Sauce Keto?

There’s nothing inherently un-keto about BBQ sauce. It’s basically tomatoes, vinegar, and spices. No problems there. I know some keto folks will say tomatoes aren’t allowed on keto, but I think that’s nonsense. No vegetable is de facto forbidden on a healthy keto diet if you ask me. “But tomatoes are fruit.” Okay, fine. You can still eat them on keto.

Some people can’t do nightshades, so they would want to avoid tomatoes, but that’s an issue of intolerance, not carbs or ketosis. Separate issue.

The biggest considerations here are how many carbs are in BBQ sauce and whether it’s a good way to way to spend your carb allotment. Already this is a nuanced question. There’s a lot of individual variation in carb tolerance and what constitutes an optimal keto diet for a given person. As a starting point, the Keto Reset recommends that most people aim for 50 grams of carbs per day without counting above-ground, non-starchy vegetables. For some people, this might be too high; for others, it’s too low.

I’ve also recommended a flexible limit of 18 grams of carbs per meal (unless you’re doing OMAD). Some brands of BBQ sauce have 18 grams of carbs in a single two-tablespoon serving. I wouldn’t necessarily recommend devoting your entire carb allowance to a small ramekin of sauce. On the other hand, Primal Kitchen Classic BBQ Sauce only has 3 grams of carbs per two tablespoons. Other brands are somewhere in the middle.

You can easily stay under your carb limit and enjoy a big plate of meat, a side of grilled zucchini, and a generous pour of a lower-carb BBQ sauce. Given that most of the carbs in a sauce like Primal Kitchen’s come from tomatoes, I see no reason to avoid it.

Aren’t Sweeteners Prohibited on Keto?

Again, this isn’t a straightforward question. On principle, most keto folks choose to abstain from sugar altogether. A small amount of sugar won’t necessarily knock you out of ketosis, but it’s certainly wise to limit consumption of sugar-sweetened BBQ sauces. There are more keto-friendly options anyway.

Some brands use “natural” sweeteners like date paste or molasses. These aren’t inherently un-keto either, in my opinion, aside perhaps from the carb load. Still, if staying in ketosis is important to you, it’s wise to invest in a blood glucose meter and test your reaction to these ingredients. If you don’t experience a massive blood glucose response, they’re fine to consume within reason. Likewise for sauces sweetened with stevia or sucralose (although I’d avoid the latter myself).

With most sweetened BBQ sauces, you’ll probably have to stick to a small serving to keep carbs reasonable. Of course, there are unsweetened options. Not to toot my own horn again, but Primal Kitchen Classic BBQ Sauce and Golden Barbecue Sauce are both unsweetened and organic.

Carb count isn’t the only reason I prefer unsweetened sauces, though. Since I’ve been eating a Primal and keto diet for so long, I find that I don’t enjoy uber-sweet BBQ sauces anymore. They mask the flavor of the meat rather than enhancing it. My palate is more attuned to prefer savory flavors now.

What About the Other Ingredients?

Beyond the sweeteners, are there other ingredients in BBQ sauce that would make it not keto-friendly?

That depends on what type of keto diet you’re following. With dirty keto or IIFYM (if it fits your macros), anything goes in terms of ingredient quality as long as you stay with your macros. For those of you with more Primal sensibilities, the answer is yes, some BBQ sauces contain ingredients you probably steer clear of—modified corn starch, caramel color, and the aforementioned sucralose, for example.

Strictly from a keto perspective, you don’t have to avoid those ingredients. Caramel color won’t knock you out of ketosis. Nevertheless, many folks believe that the whole point of keto is to support metabolic health, so food quality matters. I obviously agree. However, we should acknowledge that other people only care about carb counting.

So I AM Allowed to Eat BBQ Sauce on Keto?

Let’s reframe that question. You’re allowed to eat whatever you want, especially if you’re not trying to stay in ketosis 24/7. I’m not trying to be pedantic, though. The answer is: Yes, it’s possible to include BBQ sauce on a keto diet, maintain ketosis, and still have enough carb allowance to eat plenty of foods like vegetables.

Your best options are to buy an unsweetened variety or make your own. I have a recipe on MDA and in The Keto Reset Diet Cookbook. Secondarily, you can choose a store-bought option made with a sweetener you’re comfortable with and adjust your serving size based on how many carbs it contains.

How to Eat Keto at a BBQ Joint

You can basically guarantee that restaurant BBQ sauce options are not going to be keto-friendly by most people’s standards. If you’re lucky, they might offer a Carolina-style mustard-based BBQ sauce, but even those are often made with honey or sugar.

That doesn’t mean you can’t enjoy the heck out of some great BBQ from your favorite restaurant. Here are some tips:

  • Check the menu before you go so you know what to expect.
  • Bring your own sauce. I’ve been toting salad dressing to restaurants for years, so I have no qualms about this.
  • Ask for your meat to be served “naked.”
  • Avoid anything described as fried, battered, or sweet.
  • For sides, stick to steamed vegetables, collard greens, and salad.
  • Pass on the rolls and biscuits, corn, baked beans, and potatoes. Restaurant coleslaw is often loaded with sugar, unfortunately, not to mention dodgy oils in the mayo dressing.

Dry rubs usually contain sugar, too. Personally, this isn’t something I stress about. The amount of sugar you’ll actually get in a serving of brisket or pulled pork is probably pretty small. I don’t think you’ll ruin your keto diet by consuming a small amount of dry rub. Worst case scenario, you’re out of ketosis for a few hours before slipping back in. However, this is a personal comfort issue. If you have a zero-tolerance policy for sugar, ask your server about how everything is prepared (or better yet, call ahead).

Keto Should Be Enjoyable

I’m writing this post in the first place because as a purveyor of BBQ sauce, I’ve so often been asked if BBQ sauce is keto. This tells me that there is still a lot of dogma in the keto world. It brings to mind an image of a keto dieter sitting over a plate of meat, looking forlornly at a bottle of BBQ sauce, believing they must abstain or get kicked out of the keto club forever. Tragic.

Deciding whether to eat BBQ sauce shouldn’t be a major source of angst. As with so many other dietary decisions, you have to consider your specific context, health, and values. Don’t let other people set hard-and-fast rules for you. If you’re suffering through bland, boring meals, or your diet stresses you out, it’s not going to be sustainable. Food is meant to be enjoyed. Use your head… and watch your carbs.

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is meat good for you the planetToday we’re sharing a post by guest authors Robb Wolf, New York Times Best Selling Author and one of the early advocates of the paleo lifestyle, and Diana Rodgers, RD, Real Food Dietitian and Sustainability Advocate. Robb and Diana co-authored Sacred Cow, an eye-opening book about meat, health, and sustainability, out this month. 

The ancestral health community generally accepts the right type of meat as a health food. In fact, eating animals is the number one guiding principle of the Primal lifestyle. Still, some groups advise against meat consumption.

Two of the main arguments that you should give up meat are:

  1. It’s healthier to eat vegan
  2. You reduce your impact on the planet if you’re vegan

If your primary meat source comes predominantly from a drive-thru, then yes, these arguments probably hold true. But there’s a world of difference between mass-produced meat from large agricultural operations, and pasture-raised meat from small-scale farms. The animals’ diet and living conditions have a profound effect on what the meat does for your body and for (or against) the planet.

Here are the main reasons why eating meat the right way can benefit your health, as well as the planet’s carbon load.


Stay on track no matter where you are. Instantly download your Primal and Keto Guide to Dining Out.


Meat Is a Great Source of Protein

Protein is the most satiating macronutrient – it simply fills you up better than fat or carbs. It’s also the building block of our bodies and immune systems. Meat is a low calorie way to get the most bioavailable source of protein for humans. It contains all of the amino acids we need to grow and thrive. Unless you are eating a LOT of vegan protein powders, a “plant-based” diet sourced from industrial agriculture is a sure way to ensure you are always hungry and will consume a lot more energy to get the nutrients you need, including protein. Read more here.

Red Meat Is Nutrient Dense

Meat is not just high in protein. It is also a source of many nutrients that are simply not available in plants. Meat provides B12, highly absorbable heme iron, preformed vitamins, all the essential amino acids, zinc, EPA, DHA, vitamin D, and vitamin K2, none of which are found in plant foods. Plants provide important antioxidants, vitamin C, and fiber. We need this variety of nutrients to survive. Compared to rice and beans or other plant proteins, red meat contains more vitamins and minerals per gram of protein. In order to get 30g of protein, you could eat about 200 calories of beef or about 700 calories of beans and rice.

Meat Provides Critical Nutrients That Aren’t Available in Other Foods

Vitamin B12 is not found in plant foods and is essential for neural development. Other vitamins and minerals that are found in both meat and plants are usually in their most absorbable form when eating from animals. This includes iron, zinc, vitamin A, calcium and essential fatty acids. Even though chicken and beef are both quality sources of protein, beef simply blows chicken away in the nutrient department. It has significantly more B12, zinc, choline, iron, and potassium. Meat contains heme iron, the most absorbable type of iron. Iron-deficiency anemia is the most common mineral deficiency in the United States. In terms of micronutrients, chicken only has more B3 than beef. Recommendations that ask people to reduce beef intake and replace it with chicken or vegetables are essentially asking them to reduce the nutrient quality of their diets. Read more here.

Without Grazing Animals, Some Ecosystems Fall Out of Balance

Well-managed grazing systems mimic the way that herds of bison used to migrate through the plains, biting and trampling pasture while depositing manure, before moving to the next spot and allowing the previously grazed area to rest. If plants are not controlled, then a few varieties typically takeover and shade out other plants. To test this theory, stop mowing your front yard for six months and see what happens. Without regular harvesting – whether through grazing or mowing – ecosystems can become dormant. Grazing animals help stimulate the constant regeneration and growth of pastures and grasslands. This provides better living conditions for wildlife, encourages plant root growth, and improves soil health.

Well-managed ruminants can also help eliminate the need to use chemicals to maintain weeds and other undesirable plants. Controlled grazing encourages cattle to eat types of forage that they may not otherwise select while adding sheep and goats can specifically target weeds and invasive species of plants. The use of chemical inputs like pesticides, fungicides, and herbicides has also taken its toll. Pesticide usage has led to pollinator decline while fertilizer runoff has created a dead zone in the Gulf of Mexico the size of Connecticut, as a few examples.

Good Grazing Management Can Improve Soil Health and Sequester Carbon

In a well-managed grazing system, the rest period after grazing has another important function. The more leaf surface area that a plant has, the quicker it will be able to regrow after a grazing period. By ensuring that the cattle only take the top half of a pasture, producers can ensure that those plants will rebound during the rest period. As plants photosynthesize sunlight, they expand their root systems. Healthy root systems help those plants transmit nutrients into the soil to feed microbial life. The more abundant a root system is, the healthier the soil will be, and the more carbon will be sequestered.

Grazing Animals Can Thrive on Land That Cannot Be Cropped

Removing livestock doesn’t mean that we will free up more land for crop production. More than 60% of agricultural land globally is pasture and rangeland that is too rocky, steep, and/or arid to support cultivated agriculture. Yet this land supports cattle production and nutrient upcycling. Sheep and goats are also well-equipped to thrive in harsh conditions and on challenging types of terrain. By raising well-managed ruminants in these areas, we are able to improve the ecosystems, create better wildlife habitat, and build soil health while also generating a nutrient dense source of protein and other nutrients. Burger King, Cargill and World Wildlife Fund recently announced a new project to reseed 8,000 acres of marginal cropland throughout Montana and South Dakota to ecologically diverse grasslands with beef cattle as the primary grazers to maintain the new ecosystem.

Cattle Upcycle Agricultural Byproducts and Other Materials We Can’t Eat Into Nutritious Meat

Only 13% of global animal feed (including feed for chickens, pigs, and cattle) consists of grain crops, according to United Nations FAO research, and only 32% of overall global grain production in 2010 was used to feed livestock. A staggering 86% of global livestock feed consists of materials that we cannot digest as humans, like crop residues including stover and sugarcane tops. Pigs and chickens are also monogastrics (like humans) and cannot digest these products either. However, ruminant animals like cattle, sheep, and goats can safely consume these materials and turn them into nutrient-dense protein for humans. When looking at what only ruminants eat, the numbers are even lower for grain, at only 10% of the diet for cattle, globally. Grass and leaves makes up 57.4% of global ruminant feed ration. The rest is inedible by humans, like “crop residue” such as corn stalks.

Buying Direct From Local Farmers Boosts Farmer Income and Food Security

The Covid-19 pandemic has highlighted many of the weaknesses of our current heavily-consolidated and industrialized meat industry. Choosing meat from local farmers helps to create a new supply chain that pays farmers what they actually deserve for the hard, never-ending work of raising livestock. It can also reduce the number of miles that your food has traveled while in some cases offering high standards of welfare for the livestock. Supporting small farmers also supports the preservation of open space in or near your community while keeping money close to home. Investing your food dollars close to home helps build a more resilient local food system that can withstand crises like the current pandemic.

Grazing Animals Produce So Much More Than Meat

Many people view livestock production as providing one simple output: meat. But when you add up the many products that source ingredients from cattle alone including tallow for beauty products, cartilage for osteoarthritis medications, and gelatin for foods as a few examples, it paints a much different picture of a cow’s contribution to our society.

In most cases, synthetic leather is made from two plastic-based substances polyurethane (PU) and polyvinyl chloride (PVC). The process involves bonding a plastic coating to a fabric backing to create the look and feel of genuine leather. PVC has been identified by numerous organizations as one of the most environmentally damaging types of plastic. Many vegan leather makers also rely on plasticisers like phthalates to make the material flexible. Unfortunately, the wool industry has seen a similar turn of events. Competition from synthetic fibers has led to a reduction in the price for wool leaving many sheep producers in the lurch particularly in New Zealand and Australia.

Livestock Are a Critical Resource for Women and Children in Developing Nations

When people in a position of privilege talk about reducing global meat consumption, they overlook the negative impact that it would have on women and children in developing nations who rely on these animals for economic stability, food security, and vital nutrition. Two of the leading nutrient deficiencies worldwide are Iron and Vitamin B12. Animal products deliver these in the best form. Meat is a critical component of a child’s diet, particularly in developing nations where improved health and cognitive function is a key step to fostering a healthier, more successful nation.

According to ILRI, two-thirds of the world’s 600 million low-income livestock producers are rural women who are responsible for the day-to-day animal management, including processing, marketing, and selling animal products. The organization has found that when women control income, 90% is invested back into their household compared to only 30% to 40% when income is controlled by men. Enabling women to derive economic independence through livestock will directly improve the health, education, and food security of their households. Read more here.

To learn more about these topics and more, pick up the book Sacred Cow: The Case for Better Meat, by Diana Rodgers and Robb Wolf. They also have a companion film coming out this fall. Keep up to date at www.sacredcow.info.

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To many people, hot dogs are as quintessentially American as the stars and stripes or the Statue of Liberty. As a nation, we eat 818 hot dogs per second during the months of June, July, and August, which adds up to about 7 billion hot dogs. This convenient and affordable food is perfect for throwing […]

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