If the ketogenic diet can help people who struggled with metabolic and mental illnesses, how come it was never taught in medical school? Dr. Bret Scher, a trained cardiologist, completed a combined preventive and general cardiology fellowship. As a certified cardiologist, he was hesitant when a health coach advised they try keto diets with their patients. Fat is bad. But after conducting extensive research on ketosis, he became an advocate for nutritional ketosis. Despite the evidence contradicting commonly held beliefs regarding saturated fat, cholesterol, and carbohydrates, there are still those who remain resistant to the idea. In this episode, Dr. Scher explains how doctors' attitudes have changed towards therapeutic nutritional ketosis, its association with mental health, and why he emphasizes the need for the supervision of a trained clinician if one uses ketogenic diet as a health intervention.Quick Guide00:52 Introduction04:49 Ketosis changed his diet and his cardiology practice13:30 The different studies and evidence about ketogenic diet23:50 Relationship of mental health and dietary ketosis26:41 What is therapeutic nutritional ketosis?31:11 The goal of Metabolic Minds34:36 The effects of dietary changes on mental health38:52 Nutritional ketosis for non-mental health issues42:28 The mismatch between the strength of the recommendation and the strength of the evidenceGet to know our guestDr. Bret Scher is a board-certified cardiologist who specializes in preventative and integrative cardiology. At present, he is the director of Metabolic Minds.“But that is a completely different story than if we're talking about eating a diet that is low-carb, and the fat is coming from natural animal sources, not ultra-processed, it's not hypercaloric, it’s within a setting that's improving your metabolic health, that is a completely different scenario. But that takes longer to say, that takes longer to think about, that's a nuance that is not easy to understand when you haven't seen it, you haven't considered it. But I think that’s the first step, is to say, look, what are the studies that we're basing our recommendations on? How strong is the evidence?” - Dr. Bret ScherConnect with him:Twitter: @Metabolic_MindWebsite: metabolicmind.orgEpisode snippets02:57 - 04:14 - An eye-opener for a cardiologist08:11 - 09:31 - To change the practice of medicine and to really help people14:56 - 15:38 - Low carb that comes from natural animal sources19:13 - 20:48 - Doctors don’t have time to check every piece of evidence33:51 - 34:35 - The information and research standpoint43:57 - 45:01 - The mismatched recommendations and evidence Contact Stay Off My Operating TableTweet with us: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Get Dr. Ovadia's book Stay Off My Operating Table on Amazon. Take Dr. Ovadia's metabolic health quiz: iFixHearts visit Dr. Ovadia's website: Ovadia Heart Health visit Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro Recordings