The current state of affairs in nutri-Twitter

Rant.

1) It's almost as if you're either:

a red meat-eating 110% keto-advocate

or

you think red meat and a ketogenic diet is harmful.

If you don't say the diet is magical, the zealots will try to trick you into, or outright accuse you of saying it's harmful.

Further,

Cutting carbs helps some people lose weight. Cutting fat helps some people lose weight.
don't @ me
— Bill Lagakos  (@CaloriesProper) November 5, 2018

2. And the protein/kidney debate re-surfaced again recently. To be clear: no studies have shown direct harmful effects of protein on kidney function. The studies cited by KDOQI are observational and on end-stage renal disease. Not mild kidney disease or slightly impaired renal function. If I had ESRD, I'd rather play it safe and not enroll in one of Jose Antonio's high protein diet studies (~4.4 g/kg lol).

I'm pro-LC and HP but not anti-LF. Humans have thrived on a wide variety of diets over time regardless of macronutrient composition. Food quality seems more important in this context.

3. If ketones are muscle-sparing, then if you kept protein intake the same, you would gain muscle. And similarly, if protein intake decreased on a ketogenic diet, you could maintain muscle. And similarly, if protein intake increased, you'd be jacked.

THIS. DOESN'T. HAPPEN.

The "muscle-sparing" effect is specific to prolonged starvation, not nutritional ketosis. It happens so you die a little bit later during starvation; not to biohack optimize your body and mind.

In most keto studies, protein intake must increase to maintain lean mass. Remember that study on elite ketogenic gymnasts? Protein intake more than doubled and lean mass didn't budge. In this context, it almost appears as if the opposite is true: carbs support lean mass; no carbs may lead to a loss of lean mass unless protein is increased or you're exercising or something. Ketones clearly aren't muscle-sparing in this context. Am I taking crazy pills?

That's all for now!

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