Peter Attia

But some of the things you've talked about might have piqued their curiosity with respect to performance.

Let's just start with cognitive performance.

Can you get all the same benefits of a person who slaves their way through what I used to do and you do and to varying degrees do?

You're on this very, very strict diet.

Can they get virtually all of those benefits through judicious use of ketone supplements?

Is it part of the mechanism that you just described earlier where, look, you ingest enough ketones, you're going to drive insulin enough, that's going to drive down glucose, which, by the way, would not be the most desirable way to lower glucose?

Define high in that setting.

And that occurs once you get above 2 or 3 millimole?

And presumably it's happening slowly enough that the redox reaction to balance your pH is happening.

You're going to blow off enough CO2, I assume, in that situation.

If you're nutritionally at three or four millimole, I don't remember what my blood gas looked like,

Yeah.

So do you think there's any meaningful application for a BHB monoester these days?

What is the application for that?

But I thought you said they didn't work well in epilepsy.

Yeah, I'm talking about the original molecule from NIH that was a monoester of BHB.

When you think about the advantages of lactate for alternative brain fuel and ketone as alternative brain fuel, I had George Brooks on the podcast a while ago and he talked about how you could probably rescue concussion patients if you administered lactate quickly following a concussion.

Would you say the same is likely true for ketones?

Do you still use MCTs for anything?

And if you're taking the currently formulated ketone salt that you brought, you do not have to worry about the electrolyte load.