dr roth ⓀⒸ Profile picture
Sep 20, 2020 88 tweets 24 min read Read on X
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This is keto
This is low-carb
This is real
This is sustainable

I'm going to add as many before/after posts as I can. If you are trapped in hunger, medications, and ill health, you too can get out. #LCHF #keto #lowcarb
Exhibit #19 The unsustainable, dangerous, keto … 🤨

Massive weight loss
Chronic conditions resolved
Best decision ever to try keto

Exhibit #21 What a transformation! Congratulations.

Exhibit #22 T2D is not a chronic, progressing, irreversible condition. If your RD/doctor tells you it is, get a different one.

Exhibit #24 I thought I had this one already, apologies for my tardiness!

Exhibit #25 Catching up on some older before/after (and during) posts, and happy to share.

Exhibit #26: Virta Health doing such great work!

Exhibit #27: Congratulations Andrew! Fantastic!

Exhibit #28: Courage. Follow-through. Great to see.

Exhibit #29: T2D doesn't have to be chronic and progressive. Oatmeal just isn't *that* good!

Exhibit #31: Teamwork at its best. A keto twofer.

Exhibit #32: India getting in on the action. Great to see!

Exhibit #34: Doctors find success too. Congratulations Andrew!

Exhibit #35: Success can be "contagious" Watch Out!! 😆

👻🎃🧙🏼‍♀️

#Exhibit #36: Fantastic Mike. Keto is most certainly sustainable!

Exhibit #38: Many ways to succeed. Congratulations Jenni!

Exhibit #39: From crutches to long walks with the dog.

Exhibit #41: 13 lbs in just two months, but look at those labs!

Exhibit #43: Anyone who suggests #keto isn't sustainable is itching for a fight.

Exhibit #44: Recovery via a long but successful journey.

Exhibit #45: I am particularly fond of T1D success on a lower carb diet.

Exhibit #46: I thought I'd added Dr. Gray before now. What a turn-around. Enjoyed hearing your story on LCMD podcast.

Exhibit #48: Congratulations Barbara!

Exhibit #49: Congratulations! Two years going on 50.

Exhibit #50: Congratulations Mark. 100lb+ loss. Looks pretty sustainable to me.

Exhibit #51: Congratulations Vic! Ho ho ho.

Moderation Santa vs Keto Santa 🔥That is lit! 🔥

Exhibit #52: Dr. Tro's journey and results are a beacon to us all, guiding anyone who wants help toward success.

No one is beyond help. No one is beyond hope.

Exhibit #53: Congratulations! 8 stone is 112 pounds. This time, Pioppi diet by @DrAseemMalhotra did the trick.

Sustainable? Heck yeah: 2.5 years so far.

Exhibit #54: Congratulations Gina! I am especially fond of the T1D success stories. That's doing things the hard way, IMHO.

Exhibit #55: Congratulations Jess! Success with carnivore.

Exhibit #56: Keto for the win. Focus on better HEALTH.

Exhibit #57: Keto IF Results | What and when you eat matters as much if not more than how much.

Exhibit #58: This is an UPDATE to an earlier exhibit (before I was numbering them). Way to go Eranda! Lowcarb Fasting

Exhibit #59: Congratulations Lou Lou! Keto + IF strikes again.

Exhibit #60: Congratulations Ben! Keto/Low-carb + fasting wins again. Great list of helpers too.

Exhibit #61: Congratulations Prajyot, after just three weeks? Wow! Can't wait to see your 90-day follow up.

Exhibit #62: Congratulations Christine! Low-carb + Fasting = 100+ lbs lost. Fantastic!

Exhibit #63: Congratulations Gina! T1D controlled with keto/low-carb. T1D deserve normal BG levels. Institutional A1c "targets" are way too high, but must be to protect those consuming tons of carbs from hypos.

Exhibit #63, Karen from Facebook. Down 200 lbs on low-carb diet. Underscores the diet's essence is ↓carb, not ↑fat.

h/t @lchfRD

Exhibit #64: Congratulations Chris!

Keto for the win. Again.🥱

Exhibit #65: Congratulations Maria. Such a difference after only 30 days. T2D resolved.

Why is ADA A1c T2D target still at <7.0?

h/t @DietHeartNews

Exhibit #66: Congratulations Cory. Systemic improvement like yours is the best kind.

Exhibit #67: Congratulations Lou! The weight loss is great. But the best part?

"reversed chronic disease"

Exhibit #68: Well done Elizabeth! Down SEVEN dress sizes. Boom! 🔥

Exhibit #69: Congratulations Andrew. I am especially fond of T1D success!

Exhibit #70: A double header in the 100#+ LOSER club, and well deserved. Congratulations Doc! Well Done!

Exhibit #70 (cont'd): 🥳🎉🪅🍾

Exhibit 71: The dreaded "keto clothes" effect, wherein all your close become way too large and need replacing. Well done Helen!

Exhibit 71 (cont'd): The health improvements are numerous and symptoms can return if we slack off …

Exhibit #72: KetoCloset strikes again … Congratulations Dan! Feeling good feels so good.

Exhibit #72: High carb low fat "healthy" diet fails … AGAIN.

Congratulations Ruth on your transformation.

And kudos to @lowcarbGP and @jen_unwin for their guidance and support. There is a special place in heaven for the healers.

Exhibit #73: Well done Scott. You made you mom happy too, so that's a big plus.

Exhibit #74: #NSNG and fasting. Well done Suzy! Any friend of cows is a friend of mine ♥️

Exhibit #75: Keto/Carnivore success. Unsustainable for 8 years now, well done Lorraine!

Some of these quote tweets have disappeared. That's too bad.

In celebration of 75 success stories (there must be 100s or 1000s more out there), here's a threadreader unroll to memorialize these wonderful achievements.

threadreaderapp.com/thread/1307605…
Exhibit #76: Keto success strikes again! Great results Eric! Looking better and feeling better is its own reward.

Exhibit #77: John finds Atkins, and gets his health back. Great line: "Regular food tastes better, a missed meal is hardly noticed, and junk food loses its luster." Well done.

Exhibit #78: Go against medical advice, loose 168 pounds. Way to go Em!

Exhibit #79: Four years and counting, marathoner PhoneBoy:

Exhibit #80: Down 115lbs. Better every day.

Exhibit #81: Four years and counting, going AMA (against medical advice)!

Exhibit #82: Well done Patrick! Amazing recovery.

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More from @mrc314

Jul 22
So my lady friend eats a quite varied diet. Mostly whole foods, but some processed. Lots of veggies, some fruit, a little red meat, often fish, eggs, cheese, poultry, yogurt. She has bacon for breakfast two or so days a week, and I'm talking 4-6 rashers. 1/n
She has bread nearly every meal, enjoys pasta, rice, quinoa, beans, potatoes, nuts, seeds, and occasionally ice cream, fudgsicles, and milk (yuck) chocolate. She has juice for breakfast (no more than 8oz). 2/n
She eats what she wants, when she wants. She doesn't count anything. She's 75 and still has an hourglass figure. Her weight has been steady since she was 20 (save for her pregnancies). She's strong and very active, full of energy. 3/n
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Jun 25
I am fully aware of the discussion on lowering LDL-C, and avoiding statins, PCSK9i, and all cholesterol-lowering drugs. I'm also aware that sky-high LDL-C on a carnivore or VLCD can be mitigated by adding a few high-quality whole food carbs into the diet. No need to rehash
that in this thread.

Here's my n=1 results from adding more carbs into my diet, and taking only 10mg ezetimibe daily. Please recall I suffered a stress-related stroke in late January, have intracranial arterial stenosis, and am having trouble controlling my BP, which I also
attribute mostly to stress. I'm awaiting a colonoscopy biopsy to determine if I have microscopic colitis (presumably also stress-related). The procedure was postponed because anesthesiology won't approve going forward until I am 6 months post stroke. I can't get to the bottom
Read 9 tweets
Mar 3
Ten years ago this week, I quit heavily drinking alcohol cold turkey and quit eating carbs. I weighed 256lb (I'm ~5'11'"), waist:hip was 1.16, and waist:height was 0.7, trigs were 393. I had gout, depression, hypertension, anxiety, asthma, zero energy, metabolic syndrome, 1/n
and couldn't walk from my garage to my shed and back. I was on 7 prescription drugs and several OTC. I was miserable and was planning on not making it to age 56. After decades of ADA/AHA/DGA-approved low-fat, five-a-day, healthy whole grain, limit saturated fat, eat the 2/n
rainbow, moderation required, seven meals a day, your body needs sugar, willpower-driven, breakfast is the most important meal of the day eating I was totally wrecked. 3/n
Read 16 tweets
Nov 22, 2023
Looking … Image
Looking … Image
Still looking … Image
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May 19, 2023
Many times over the decades (since 1974), I've been right where I am today: At a low, nearly optimal weight after a fairly profound weight loss. Before 2014, I reduced weight via calorie restriction and willpower. It's a miserable process rife with hunger and (unknown to me Image
at the time, negative metabolic and physical changes). After 2014, when I went lower carb, I could still restrict calories, but with a higher protein, higher fat, lower carb diet, there was much less hunger. But my weight still yo-yoed because when I wasn't consciously
restricting calories to lose weight, I still didn't really understand how to eat. The difference between today and all the prior instances is that I finally know how to eat: when to eat and when not to, what to eat, and why. I look forward to meals (strange, I know, for
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