Dominic D'Agostino

And if you have an expanding mass of like metastatic cancer, it just correlates very nicely and lactates and onco metabolite that should be measured.

Yeah, taking a step back.

So I view, unlike many people out there, I view a ketogenic diet as a prescription metabolic therapy.

So that's the world that I come from.

There's clinical keto and then there's internet keto.

And which a lot of people are following a low-carb diet, which has a plethora of metabolic benefits.

Just have to be up on your blood work and you have to be very vigilant with tracking your biomarkers.

But a clinical ketogenic diet is typically done with consulting or advice or even following the framework.

For example, a lot of books out there by Eric Kossoff.

If you have cancer, Miriam Kalamian has a guide, Ketogenic Diet for Cancer.

books that are out there that tell you step by step on how to do it.

And from a practical or logistical point of view, we had a small study we ran with Dr. Allison Hall that looked at people that were just, they didn't have any overt pathology, but they were just take normal people, put them on a low carb ketogenic diet.

And the practitioners tell me that if you transition a person over four to six weeks, they adhere to it better.

And you actually get

more favorable health responses.

You don't have a lot of funky blood work that come back.

It could be the electrolytes.

With people that have certain mutations with fatty acid oxidation disorders, even ApoE4 carriers, you'll see their LDL go up and you'll see things like HDL go down.

And you'll see they start to die and their triglycerides go up.

I've seen that a lot in quite a few people.