Peter Attia

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.

So if you're consuming three of those a day, that would be three grams of additional electrolytes, which based on what you're also getting in your food, a lot of people would say, gosh, that's too many electrolytes.

But you're not seeing the effect because of the lack of chloride.

Yeah.

And I think a lot of them are recommending, in my mind, erroneously, like two to three.

Okay, I want to talk about two particular applications with ketogenic diets, one of which you've spoken about a little bit, the other one we've sort of talked about kind of indirectly.

But let's say a word about what you think the future is for ketogenic diets and the treatment of cancer, and then separately for the treatment of dementia, specifically potentially Alzheimer's disease, but any form of dementia.

You're at the entry of that zone.

Let me ask a point-blank question, Dom.

Glioblastoma carries with it a mortality rate of 100%.

So it's been said that any patient who survives a glioblastoma has been misdiagnosed.