Megan Ramos comes back to the Keto Kamp Podcast to discuss all things insulin resistance & diabetes. Keto Challenge Recordings: https://kka.mykajabi.com/offers/UxThDWSJ/checkout About Megan Ramos Megan Ramos is the CEO and co-founder of the Intensive Dietary Management (IDM) Program, clinical educator, and researcher, Megan Ramos. Megan’s major role in the IDM Program is to facilitate the patient’s education on the IDM dietary principles and counsel them on their fasting regimens.  Megan, along with her colleague Dr. Jason Fung, believe that both what you eat and when you eat matter. The IDM Program utilizes therapeutic fasting and time restricted eating protocols with their patients to help them reverse their type 2 diabetes and achieve sustainable weight-loss. They encourage their patients to eat real foods and adopt a low-carb lifestyle in addition to the fasting. You Can Be Metabolically Unhealthy But Look Skinny There are two different types of fat: subcutaneous fat and visceral fat. Subcutaneous fat is the fat that we are self-conscious of at the beach. It sits between our abdominal wall and our abdominal cavity. This type of fat doesn't exactly go into our organs or infiltrate our organs; it's unsightly, and if we accumulate more of it, it puts us at risk for disease. The secondary type of fat, visceral fat, is a real sneaky bugger. It sits under the abdominal cavity. Plus, this type of fat wraps around your organs and infiltrates into your organs. You can have a lot of visceral fat and still be skinny. The scale doesn't tell us what our body is made up of. Is Insulin Bad For You? Too much of anything good for you is bad for you. Not having enough insulin, that's a problem, or having too much insulin too, is also a problem. Sadly, mainstream medicine doesn't understand the definition of too much insulin. Megan says that there is a time and a place for insulin injections for certain people. However, most people are eating a diet that's highly processed and full of refined sugars and fats. Plus, we're eating all of the time; so, we're making our body produce lots of insulin over time. For North Americans, our constant state is to produce insulin all the time. Our cells will develop resistance. Remember, absence makes the heart grow stronger. Why Megan Loves a Low Carb Approach You don't want to keep adding fuel to the fire; dietary choices are essential. When you're eating low carbs, you're not adding more fuel to the fire, and you're giving your body a chance to burn off some of that fire. When someone already has insulin resistance, insulin resistance causes the body to produce insulin. If you are constantly eating all day long, then insulin is being leaked into the body all day long. Intermittent fasting will help break the cycle of insulin resistance because you will be suffocating the fire. Overall, the body is impressive, and you have to remove the interferences. The Reason You Want Variation For Fasting  You don't want to slip into this one meal-a-day pattern consistently because the body will adapt. You want to keep confusing the body and changing it up; that way, the body won't adapt. It's great to mix things up! Our primary hunger hormone is ghrelin, and when men and women both start fasting, we see a drop in ghrelin. Then men's ghrelin tends just to go up and down, and it stays relatively consistent. However, women will see an initial drop; it will continue to decline more than their male counterparts. Many women feel like they're constantly putting out this enormous fire when doing alternate daily fasting. They would instead rather get into a fast and stay there. If you want to stay in a fast, you can! However, you need to cut out the snacks and reduce problematic foods. What We Talked About: [15:20] About Megan Ramos [18:25] You can be metabolically unhealthy but look skinny [31:30] Is insulin bad for you? [40:20] Why Megan loves a low carb diet   [43:35] The reason you want variation for fasting   [52:40] Ch