Hair Loss on Keto Diet

There’s been a lot of discussion on hair loss on Keto and we are diving deep to figure out exactly why this happens to some people and doesn’t happen to others. I have personally experienced hair loss in 3 different times during my keto journey and I wanted to know exactly why. I have brought on Dr. Boz to help explain the science behind why some of us lose hair on the keto diet.

There are two different products mentioned in this video that will help you with hair loss and understanding your own body and how it reacts to the keto diet.

Keto Hair Loss Supplements

The first product Dr. Boz recommends is PerfectKeto Collagen. It’s the product that actually has the microparticle snippets she mentions in the video. She actually called the manufacturer to make sure the ingredients were helpful for keto and hair loss. PerfectKeto gives our readers a special discount for anything you choose to order on their website. Simply use Promo Code: ISAVEA2Z to get the extra discount.

I have personally tried the PerfectKeto chocolate collagen. I drink it warm. It’s tastes like hot cocoa! There are a few other flavors such as vanilla and salted caramel too. I plan to order the unflavored PerfectKeto collagen next time I place an order. This way I can add this to my coffee in the morning as part of my daily routine.

If you do plan to add it to your morning coffee, be sure to purchase a milk frother on Amazon. It’s the easiest way to blend these ingredients together quickly.

Hair Care I Use and Products I Recommend

Hair products seem to be a dime a dozen here lately and they are getting more and more expensive by the minute! I’ve tried everything under the sun from expensive hair salon products to over the counter products that promise results. When your hair is changing, you need a real product that actually works to help you.

I’ve lost hair twice while doing the keto diet.

Once because of the diet change itself and the other because of menopause.

Both reasons passed pretty quickly but I’m glad to learn about a product that helped repair my hair quickly.

Take the hair quiz here to see what type of hair support system you need!

There’s only one brand that I absolutely love. It’s Monat. I’ve tried the Volumizing system that includes the Revitalizing Shampoo, Revive Conditioner and the Reshape Root Lifter! WOW! I was so impressed with these products that I signed up just to get the discounts when I order. If you have your diet down, the next tool to help with healthy hair is a Monat System! You can read about their money back guarantee too. It seems to be pretty pricey when you first look at it. This is what I thought anyway. But, I quickly learned a few things after using it. You use a very small amount so this bottle will last a long time. You will wash your hair less than what you normally do! I tend to have greasy hair and this shocked me because I usually wash my hair every day! Then, you will use less product when styling your hair. No more bad hair days for me!!

You can see all the Monat Hair Care Products here.

How to Test your Ketone and Glucose Readings

The other product mentioned in the video is a glucose monitor that also has the capability to test Ketones. There are two different monitors that I’ve tested and have!

Keto Mojo Blood Ketone Monitor

Fora6 Blood Ketone Monitor (use promo code: lowcarbinspirations to get an extra discount)

I find both machines to be very accurate and worthy of purchase. I have personally tested both machines. I have one for myself and one for my husband. There were so many questions about the difference that I decided to test them both to help you decide which is best for you. Both are equally great! Both test ketones and glucose. The Keto Mojo monitor is slightly bigger than the Fora6 but that really didn’t matter to me at all. It might boil down to the cost of the strips. Prices tend to change so I would look closely at that when ordering.

How to Figure out your Dr. Boz Ratio

If you are at a point where you are monitoring your ketone and glucose ratios, you will want to understand where you are at with your readings. Dr. Boz suggests monitoring your ketone and glucose readings to understand what is happening in your own body. She has formulated a ratio to help determine exactly where you are.

Dr. Boz Ratio Formula:

Glucose Reading divided by Ketone Reading equals a Ratio

Dr. Boz Ratio Chart:

80% or under equals weight loss zone

40% of under equals immune boosting zone

20% or under is cancer-fighting zone

Dr. Boz Ratio Example: If I have a glucose reading of 90 and a ketone reading of 1.5, I would take 90 and divide by 1.5 which gives me a total of 60. I would be at 60%! Anything under 80% is considered weight loss zone.

90/1.5 = 60

glucose/ketone = ratio

If you have been doing the keto diet for a while and you are fat adapted and your glucose numbers are too high or your ketone numbers are too low, I would highly suggest you start intermittent fasting. This would be the best way to improve your numbers. You can watch all of the Dr. Boz and Jennifer Marie replay videos on Intermittent Fasting for Weight Loss on the Keto Diet here.

You can also join the Low Carb Inspirations plus Keto Friendly Recipes Facebook Group to get support and talk to others who have done this process too. It can be extremely helpful to talk to others who are doing this exact same process to improve their health.

Here’s the Hair Loss on Keto Video Replay. It’s an hour long but totally worth watching the whole video!

You can also read the transcribed version of this video is you are not at a place where you can watch the Keto Hair Loss video replay.

Jennifer Marie: Hey guys, it’s Jennifer and Dr. Boz. How is everybody doing this Sunday evening? We are both in Texas, as you can probably tell by how we’re dressed, it is hot, it is in the 80s. Dr. Boz, what’s the temperature where you’re at?

Dr. Boz: I have no idea, but we have heaters in South Dakota, I don’t think you guys need them here.

Jennifer Marie: No, no, I hardly use my heater, actually.

Dr. Boz: Yeah, well, I don’t think mine’s off yet for the year. We just were scooping snow less than seven days ago.

Jennifer Marie: Hi Angela, hi Kathy-Jerry, hey Carol, got a lot of people tuning in immediately, I love that. Hey Nikki. So tonight we have a topic that seems to always be talked about, and for different reasons, right? Let’s talk about hair loss. Let’s talk about the ketogenic diet and hair loss, because doesn’t it just seem to happen, no matter what we do? The biotin we take, or whatever we do, hair loss happens. And it’s almost like we start screaming, “What do we take? Are we getting enough protein? What’s the best biotin?” Whatever, hair loss is real, and I’ve experienced it three times for different reasons, too. Two for one reason, one for another reason. So we’re going to dive in to hair loss.

Dr. Boz: So, I’m going to start with some questions that I think help the whole audience when it comes to hair loss, but I’m going to ask your story in a longer version. So if you go back to the time where you lost a lot of weight, but then you gained it back, and it’s in that chapter where you lost a lot of weight, how old were you when you went through that first severe weight loss? I think it was 70, 80 pounds, you lost a lot of weight.

Jennifer Marie: It was, I was probably 30-something.

Dr. Boz: Okay, so 20s or 30s, right?

Jennifer Marie: Yeah, yep.

Dr. Boz: Do you remember hair loss then?

Jennifer Marie: Yes. Yes, absolutely yes. Like a lot.

Dr. Boz: So, one of the hardest parts for people to appreciate is that when you, when a patient comes in and says, “Doc, I’m losing hair,” there’s some easy things the doctor can do. If your metabolism has dramatically shifted because there’s a chemistry shift, from your thyroid or because your body has lost its ability to connect the proteins in a way that your hair is made, those are super rare, thyroid’s not so rare but some of the other ones are. You’re either going to be born with that, or you’re going to have to get severely malnourished to have some of those things happen.

Dr. Boz: But when you look at a body that loses hair, that’s not due to thyroid, that’s not due to one of the easy ways, if I can check a lab, here’s the cause, everything’s going to live happily ever after with all the hairiness you want, yeah, that’s so rare. It’s almost always a response to their stress. It’s a-

Jennifer Marie: Oh?

Dr. Boz: Yeah. So when the stress hits their body, we say, okay, your body has some things that are easily dispensable, you don’t need them to live. You need brain fuel to live, you need a pulse to live, you need oxygen. You do not need hair to live. You do not need hair to live.

Jennifer Marie: But why can’t it go off of my legs instead of my head?

Dr. Boz: There other thing I tell patients when I’m looking at places for hair growth I’ll look at their big toe, especially if they’re diabetic. And they’ll say, “You know what, doc? I’ve been overweight for 60 years, it’s no big deal.” I’m like, it really is, it really does impact your system. And so I’ll look at the hair on their toe and they’ll say, “Yeah, I don’t have any hair on my toe, or the lower part of my ankle, or halfway up my shin, it’s from my socks.” I’m like-

Jennifer Marie: So wait a minute, what does it mean if … Now everybody’s looking at their dang toes, let me see. I don’t have any hair on my toes.

Dr. Boz: But do you have it on your foot? If you look really carefully you probably have hair on your toes.

Jennifer Marie: Oh, I have really, really blond hair, so … I can’t see very well, I need glasses.

Dr. Boz: So when a patient comes in and they have no hair on their lower part of their ankle and that first sock ring, and then I specifically will look at their feet. You know, the big toe’s always got a few big hairy hairs, right? So you look at them and say, “Yep, if all those are gone we’re really in trouble.” “What do you mean, doc? What’s that have to do with anything?” I’m like, yeah, hair is one of the first things that your body says, “We don’t have any resources to put into that.”

Dr. Boz: And when people have had micro-vascular disease, that means when they’ve had high blood pressure, they’ve had high blood sugar, they’ve had hardening of the arteries, they’ve had the tiniest little blood vessels that start pinching off, and the part most distal, the furthest away from your heart is where that begins. Nobody tells you, you’re like, I don’t know, who looks at the hair on their toes? I’m like, “Your internal medicine doctor should, and the primary care doctor.”

Dr. Boz: And what we’re looking at is, if the resources on your foot have said bye bye to the hair growth, it’s another little marker of how bad are things on the inside of this body? And it says be careful, if your blood vessels say, “We don’t spend resources on hair on this section of the body, we just can’t afford to, there’s not enough nutrients in that part of the system,” and they stop making hair.

Jennifer Marie: I really, really want to bend over and look very closely at my big toe right now. And I know that you probably have everybody watching this live looking at their toes.

Dr. Boz: So, you know how when you grow up, my dad thought of me as the hog farmer’s daughter that did the chores, and then I said I’m going to go to school long enough that I never have to do these again, and one day I come back and I’m a doctor, and I tell him about this hairy toe thing. He’s just like, “You’re full of it, you’re full of it.” Well he had lost the weight that I asked him to lose, and he’s like yeah, and I got a few hairs back on my toes,” and I’m like, “Yeah dad, you do! Because you’ve got some resources there at your big toe who says, ‘I can put some energy towards making these hairy toes again.'”

Jennifer Marie: Oh my gosh. So I never-

Dr. Boz: Yeah, cheap way to look at your micro-vascular … But it’s only going to show up when it’s extreme. My dad waited way too long to do that, but that’s true.

Jennifer Marie: All right, so you want hair on your big toe.

Dr. Boz: You want hair, yeah. Okay, so but when you look at those women who come in and say, “Doc, I’ve got a drain full of hair.” And then I carefully look at what’s the stress in their situation? So let’s go back to the first time you lost weight. Wasn’t it 80 or a 100 pounds?

Jennifer Marie: It was over 100, yeah. It was 105 pounds, yeah.

Dr. Boz: Wow, so that’s incredible. And you did it in a way that wasn’t high in fat, right?

Jennifer Marie: No.

Dr. Boz: Right. Okay, so that’s the biggest warning that I give patients. That you have these fat-based molecules, like vitamin E, like vitamin D. Vitamin E, vitamin A and vitamin K, all really important at how your body delegates resources. But when you lose weight on a low-fat diet, you are going to have significant hair loss, that I don’t care how much Rogaine I massage into your head, it’s not going to come back. You have to have some of those nutrients.

Jennifer Marie: But-

Dr. Boz: Go ahead.

Jennifer Marie: Well we’re also finding it on [Kyo 00:07:37]. Because I know specifically through my own journey, I did really good the first 20, 30 pounds, lost some hair, it seems to die out. It seems like you start losing weight, your metabolic whatever starts shifting or levels out and then it’s fine, and then it grows back really, really thick and nice. And then for me, I mean everybody knows my journey, I’m kind of stalled out there for a while, and then everything just stalled, but then when I started back, strict fasting, everything, then it started to fall out again.

Dr. Boz: Yeah, so lets [inaudible] you’ve got great, you have every teachable moment that I could want, if I was going to have a course on hair loss, so thank you. So first time you lost weight was with a low fat diet, and you lost 100 pounds, and your body went, eh, stress. It was very stressful. I would love to have biopsied your skin, which it would’ve taken the depth of your skin, like how thick is someone’s skin is really how well will they resist that aging look, will they get wrinkles. So thin skin will wrinkle easier, thick skin is just more resilient, more stretchable, it’s going to expand and relax like it’s supposed to do.

Dr. Boz: Now you go through other stresses in your body, and you could measure them at like how many hairs per square centimeter does she actually have? And you have dermatologists where the nurse will count out per square centimeter how many hairs they have. It’s amazing, and there’s some times they have less than 100 hairs in a square centimeter.

Jennifer Marie: Wow.

Dr. Boz: That’s a lot of hair loss, okay? So, once that follicle doesn’t make hair anymore, to get it to have hair growth again, you’ve got to trick the system. And we’ll get to that at the end, but for right now we’re going to say, okay, you lost that hair at the beginning, then you you put the weight back on. And during that time you put the weight back on you grew hair, but if I got to measure the square centimeter, it probably wasn’t as dense of hair in your regrowth, because you were still pretty low fat during that time where you [crosstalk 00:09:49]-

Jennifer Marie: Oh yeah. For sure.

Dr. Boz: Yeah. That would’ve been a high insulin state, that inflammatory markers of hair, when the insulin is high the hair just doesn’t surrender those follicles to kind of wake up from where they were sleeping. So now you come 15 years later, whenever you come across keto. And then the first 10 pounds of keto is probably mostly water. Now it’s water that doesn’t belong there, so good job for losing that. And then even that first 10 pounds is in the stage where they might not notice the hair loss, those first few pounds. Because when you put a stress on somebody, like if I stress them with chemo or radiation, now they’re having rapid cell turnover, and that’s why we’re stopping every cell that’s rapidly turning over, we’re frying with chemo, with radiation. Not chemo, but with radiation.

Dr. Boz: And you say, “Well I had chemo yesterday, why isn’t my hair falling out?” I’m like, just give it about two weeks. Yeah. And that’s when it hits. Okay? So, if you look at that cycle of how long does it take the body to respond to that stress, it’s not immediately, it’s going to be a delay. So when you first had that ketogenic journey, and you said, “Yeah, I lost some hair,” and then your body kind of said, “Okay, let me figure out how to make some good hair,” and that’s because the chemicals to make good hair are all fat based.

Dr. Boz: But if you start taking the chemicals for good hair today, you’re going to say, “Doc, it’s not working. It’s two weeks out, and I don’t see a thing.” And I would say, “Hold the course,” in about 90 days you’re going to see little hairs, if the nurse would do that little count, you’d see the little hairs in about three months.

Jennifer Marie: Got it.

Dr. Boz: That’s a long time for people to wait when it’s hair loss in women, the drain’s still full of a whole bunch of hair.

Jennifer Marie: Yeah. Yeah, you’re sitting there blow drying it and it’s going everywhere, and you’re like freaking out.

Dr. Boz: Yeah, you remember when you were pregnant, what happened to your hair?

Jennifer Marie: You know, I don’t.

Dr. Boz: So put that out, question to the people. For the women out there, what do they recall when they got pregnant, what happened with their hair?

Jennifer Marie: Yeah, I want to say it’s probably thicker, probably because of all the vitamins we were taking.

Dr. Boz: Yeah, vitamins are really important, yes, we’ll take vitamins for our unborn baby, but for ourselves we’re like, ah, forget it.

Jennifer Marie: I want to say it was thicker, I think it was anyway.

Dr. Boz: And your body makes incredible amounts of estrogen and progesterone during that time, so these responses of a nice, thick, hearty hair are hormone-driven.

Jennifer Marie: Got it.

Dr. Boz: Yeah, and they-

Jennifer Marie: So let me ask everybody real quick, I want to take a poll from everybody who’s on here real quick, just tell me: have you experienced hair loss, or have you not? Because there are some people who don’t experience hair loss. So I’m just so curious, I gotta see comments. Jo says hers is definitely thicker. Mimi says hair broke, Selma says, “I’ve got hair everywhere.” Oh girl! Yeah, keto is mainly made for diabetes, I’m not sure what that … Betsy says yes, Jo says yes.

Dr. Boz: Yep. Thicker, Jo Valentin says definitely thicker, yes. That what happens when you’re pregnant. Be like, mm-hmm (affirmative), your hair gets thicker when you’re pregnant. And there’s a couple of great things. Your hormone state is enhanced. It’s the most it’s going to be as a woman is when you’re carrying a baby. Now what happened to their hair when they have the baby. Not just right after, it’s the next three months.

Jennifer Marie: Doesn’t it get brittle. I think it gets brittle and it’s almost like all the nutrients have been sucked out of you.

Dr. Boz: I remember it falling out. I had this ponytail holder that would just, I was in residency when I was pregnant at first and it was just this really thick ponytail holder, like I could barely get the rubber band around twice, and I remember six months, my son is six months old at the time and I’m thinking I could almost get it around three times now. I’m thinking, where did all my beautiful hair go. Because it is, it’s the sign of health is to reproduce a baby right. That woman with glowing skin and they always say, “Oh you look pregnant because your skin is beautiful and the hair is shiny and thick.”

Dr. Boz: You’re like, that is the marker that every woman, especially as you approach 50, says, “Yeah girl, you just wait, I was there once.” My hair used to … You’re like, how can I keep it. What’s the trick, how can I keep it. When you look at the people in a keto diet, they say, “But Doc, I lost so much hair, this can’t be good.”

Dr. Boz: So, there’s several things that go into why that happens. First of all, what was the metabolic state of the patient before they went keto? If they had a lot of high insulin, I mean, I think everybody has high insulin, especially if you get that weight loss, if you’re looking for weight loss, you just have high insulin, but if you’re particularity insulin resistant, you’ve held onto that extra weight for the better of a decade.

Dr. Boz: Now we start to say, we can do the blood tests, we can say what’s your insulin, what’s your [inaudible] all those things to predict how much insulin resistance do they have, and the amount of hair loss is going to be correlated to when you stop telling those hair follicles to produce, because it’s stressed. It’s going to have very little forgiveness for your hair follicles if you’ve been under stress for the last 10 years.

Dr. Boz: So, if you’ve been, I’ve had the extra 10, 15 pounds, maybe 20 pounds, and then they’re doing a keto diet for that reason, when I look at a metabolic profile of how much hair loss do I think this patients going to have, it completely matches with how stressed is the inflammatory soup in their body. Go ahead.

Jennifer Marie: So, here’s a couple of things, Debbie says, “My keto low carb journey for 10 months now, and my hair dresser finally said my hair loss is starting to lessen and new growth and less hair in the drain, thank God.” That’s what she says. Now Joyce says, “Yes, almost completely gray, but it seems like there’s more color now.”

Dr. Boz: I’ve sene that before too. The color has been something that grandma Rose, she’s not colored her hair in years and when she was keto she’s like, “Do you think my hair has color?” I’m like, “I thought you got it from the beauty parlor.” She’s like, “No.”

Jennifer Marie: That’s awesome. That’s awesome. So, with the hair loss, are you suggesting collagen, biotin, what do we take?

Dr. Boz: Okay, so here’s the first step is that again, there’s lots of little bio hacks that we can do and I can help make sure that there’s little tricks. But you first have to say, is the enemy gone. So, especially when you look at your journey, you get on that ketogenic diet, you get the hair loss, then you’re doing pretty well, and then you got stalled and we said, “All right, let’s get some numbers.” Let’s cross the threshold and have you poke you finger, tell me what your numbers are.

Dr. Boz: Then we got a better understanding of what your metabolism really was doing. Honestly, it was doing, you had really good numbers. Until Christmas, which is when we thought the hot flashes were from an infection, and maybe they were, but maybe they were always from the stress your system was going through saying goodbye to estrogen. You want to see hair loss, dang, that menopause gets you. That if you spend six months with low estrogen, now we can pretty much say you’re going to lose hair during that time.

Jennifer Marie: So, just to update the audience, I’m sure there’s new people on here, my own journey I’ve been doing this weight loss battle for years. I feel like I’m an expert at failing at diets, except for with keto. So, I lost weight, gained weight, lost weight, gained weight, but now keto, I’ve been keto more than two years, and in the first part of my journey I did lose hair, but I lost a lot of weight, it came back really strong, really thick, and I have pretty thin hair. Very thin hair, but a lot of it.

Jennifer Marie: Then I stalled out, started to lose weight again, hair loss again. Leveled out, and then now what Dr. Boz is talking about, I hit menopause right in the middle of my journey. So, I am taking hormone replacement therapy, which is going very well, by the way.

Dr. Boz: You’re doing okay with hot flashes, huh?

Jennifer Marie: Yeah. I’m totally fine. Yeah. The birth control is perfect. It’s great, I don’t know what I would do without it. Honestly. But, the hair loss, it’s starting to lessen a bit, but it was pretty scary there for a while. I still have a lot of hair, but it’s super thin and I know I lost a lot.

Dr. Boz: Well, I don’t even think we’re at three months of that hormone replacement are we? So at three months that’s when the hair follicles are like, oh this is the plan now. So, just think of it as that three month delay that if you see it slow down, that’s a really good sign. I’ve seen women spend four or five years not wanting any hormones and saying, okay, it’s okay, I get why you’re scared, but if you want some of these other things to be improved, hormone replacement therapy will do that and it’s a balance and you got to talk through it, but you should see their hair. They 70 and you’re like, that’s beautiful hair.

Jennifer Marie: Wow. Nice. Well that’s good to know that there is an end in sight. It is a temporary thing. When you say stress your system, because you know fasting is a stress, diet change is a stress, these are all stresses, so keto can be a stress when you’re switching over to it then, right?

Dr. Boz: So, if you look at a keto journey and say, all right, if the first thing I say when somebody has a hair loss ketogenic diet, what are your numbers? How well does your Dr. Boz ratio. How well can you search ketones, how low are your glucose? Again-

Jennifer Marie: Let me just tell them just, because we have new people coming on also, the Dr. Boz ratio what she’s talking about is she wants you to take your ketone and glucose reading and I use a little glucose monitor. And what she’s talking about is you take your glucose reading, you divide it by your ketone number and you get a percentage. That ratio anything under 80% is considered weight loss zone, anything under 40% you’re really boosting that immune system and anything under 20%, you’re cancer-fighting. That’s like mega power.

Jennifer Marie: So, just to clear up and tell everybody what that is again.

Dr. Boz: That’s awesome. I keep using it as if the whole world knows because I feel like I’ve explained it a million times, so thank you.

Jennifer Marie: Yeah.

Dr. Boz: But what really, my brain is doing when I look at those Dr. Boz ratios, is I want to know what is the insulin circulating in your system. And when you look in the moment, how much insulin are they producing. You can’t have a Dr. Boz ratio of 80 or less, with buckets of insulin. Just you can’t. When you get the ratio even lower, that’s a lower amount of insulin. When the insulin is high, it’s that inflammatory state, and that’s really hard on most hair follicles to wake up and do their job.

Dr. Boz: So, when I say we’re going to work on hair growth, the first step is I can show you all these other hacks that we can talk about in a minute, but one of the key things is you can’t have a hair awakening with a soup of insulin. That’s where checking your numbers is super important. Then it’s not like, oh how did I do today. I might’ve grown some hair follicles today. No, we’re looking for a three month predictable pattern, and really if you look at skin and hair, they have so many of the similar rules.

Dr. Boz: There are these same kind of system [inaudible] of a hair and skin, and they really do respond strangely to that inflammatory stuff. Have you ever heard of anybody on a keto diet saying my moles all fell off?

Jennifer Marie: Yes. It happened to me. Yes. Yeah.

Dr. Boz: And you think, I’m afraid to tell anybody this, it sounds like it’s crazy. How can it do that. It’s because insulin is a growth hormone. It makes things grow. Yes, it insulates your body, it stores fat, but it makes skin grow in a strange way, and it does goofy things to the inside lining of where the hair comes out. So, it almost plugs the hair follicle but it’s not quite, it just kind of squeezes it because it grows funny.

Dr. Boz: So, once that insulin isn’t there anymore, now three months later, that whole obstruction is lesser.

Jennifer Marie: You know what, and let me just say also, for those who are just starting keto, you don’t have to really worry about doing these glucose meters and checking your blood and checking your ketones, this is definitely more advanced. If you’re just starting keto, the first thing I tell people is, just focus on removing the bad carbs and the sugar. That’s your main goal. But, for those who are advanced and maybe experiencing the hair loss, you’re at this advanced stage and nothing is more powerful than taking your number and figuring out what is happening internally.

Jennifer Marie: Because there are certain products that maybe called keto or some things that you might be doing that you don’t even realize are effecting your numbers and everybody is different, so it’s so nice to grab and just know what’s happening within your own body. So, I used to take my numbers four or five times a day just to see what’s happening. I don’t do it anymore because I kind of know. I know exactly what’s going on. I know when my numbers are not going to be good. Or when they’re going to be really good.

Dr. Boz: But, that discovery, I think of it as freedom for the patient. You can understand you way more then I … I care about my patients, but there’s no way that your physician is going to care as much about your journey as you do. That means you got to check. You just got to look if you’re stuck.

Dr. Boz: So I think it’s empowering.

Jennifer Marie: For those that are asking, we just put the link to the blood meter that I use. But let me also tell you Debra, let me scroll down, Debra Brown says, “My hair turned white early, but remained very thick. After my car accident and being on several medications, my hair thinned. Keto did thin it at first, with that being said, off meds, and the hair is growing back thick and my hair color is returning.” That is so amazing.

Dr. Boz: That’s awesome. So, I’m trying to scroll to keep up with the comments. [inaudible] I try to keep up with the latest couple. That is amazing though, because when you look at the response your body has to stress, hair is a great little measuring tool. When patients say, can you program the stress you’re going to cause when you give me chemo or radiation, that it comes back curly. Have you ever heard of people having [crosstalk] come back curly. You’re like, yeah, there’s a kink in the way your hair is making hair cells now and it’s causing a spiral. Congratulations, that’s curly hair.

Jennifer Marie: It’s safe to say that not everybody will lose their hair. So, is the science then saying that it depends on how metabolically flexible or how metabolically healthy you were before versus how you are now as to the stress that your system is enduring from that big of a change.

Dr. Boz: Right, so, I look at mine, I had probably at the highest, 50 pounds I’ve lost from the worst of my journey. In that whole time, I really only lost hair when I got really heavy. When the insulin was high. But it also is when you’re asking patients to say, I always think the way that commercials are a great way for me to say, why would somebody think that this potion rubbing on their head is going to help the problem [inaudible 00:26:33].

Jennifer Marie: Yeah, when it’s not the root of the problem, right?

Dr. Boz: Right. So you always know the complexity of a problem in medicine, by the multitude of how many answers there are out there. So when you say, you can get hair growth because [inaudible] the list is long, long, long. Yeah, that’s because there are a lot of different ’causes about where, what’s the bottom root cause of why most people lose weight, and it is a stress on their system somewhere. Is the stress that your thyroid stopped working. Is the stress that you completely cut your calories to such a low level. Is the stress cancer treatment. Is the stress, cancer, all-

Jennifer Marie: Did they have a baby?

Dr. Boz: Exactly.

Jennifer Marie: Let me answer this really quick, because I have multiple people asking for that ratio again. So, it’s the glucose number divided by your ketone number and then it gives you a ratio. Anything under 80%, you’re in weight loss zone. Anything under 40%, immune boosting. Anything under 20%, you’re like super human. Kind of sort of.

Jennifer Marie: I very rarely am in 20%. I have to be fasting probably for three days, honestly. It’s really hard. To Dr. Annette Bosworth’s story, she had to get her own mother to that 20% ratio to fight cancer and this is … Yeah, I was just bringing that up. Her book, Anyway You Can, explains the whole story of how she taught her mom how to do a very strict keto journey to help fight cancer.

Jennifer Marie: But that’s not the main part, I mean that is the main part of the story, but through each bit of every chapter, it’s a learning of how the keto diet works. So I don’t know if you know this, Dr. Boz, but I have gifted and bought that book for so many people because I tell them, if you really want to understand the science between every part of keto, the book is thick, there’s a lot of it. Sometimes people may just jump to the fasting section, or the section that gets to them, but you know what, it’s a wonderful learning tool.

Jennifer Marie: So, I don’t know if Ms. Chris put the link in there. Ms. Chris if you’re watching, can you put the link to Dr. Bosworth’s book in there. Oh, she just did. Yeah. So we put the link in there. If you haven’t gotten it, do yourself a favor, get it. It’s really inexpensive on Kindle. Or you can get it on paperback. But I guarantee you, once you buy it once, and you get through it … It’s the one book, my husband doesn’t like to read, unless it’s something he has to do for a test, it is the one book he has read from cover to cover and he’s like wow, and then he’ll go back and be like, I needed to listen to that again.

Dr. Boz: Wow, that’s such a compliment.

Jennifer Marie: Yeah. Yeah. It’s just a really good book. But yeah, that’s the ratio. So, sorry I just wanted to, we had multiple people asking about the ratio.

Dr. Boz: So, speaking of books, you’ve got what, T minus four days?

Jennifer Marie: Oh my gosh. The book! Yes! So, my book, Keto Friendly Recipes: Easy Keto For Busy People. People are going to get it on Tuesday. They’re already getting shipping notices. Yes. I got my shipping notice too. So, but yeah, they’re already getting the shipping notices. And you know what, look, I got to show you this, loaded cauliflower. Look at that. But you know what, my kids, I know, my kids said, “Mom, you didn’t tell them about the best recipe.” And I’m like, “Wait, what’s the best one?” Because there’s so many good ones and they said, “You didn’t tell them about the cheese sauce.” I’m like, “Oh my gosh, the cheese sauce.”

Jennifer Marie: So, everytime I make it, I put cheese sauce in a jar in the fridge and they put it on every veggie, everything. Hamburgers, hot dogs, everything. So, they’re like, “You’ve not once said anything about the cheese sauce.” And it’s like our favorite thing, I’m like, “I didn’t know.”

Dr. Boz: The hidden review of kids. Just unpack that a little bit further. So you make the cheese sauce and then what’s their favorite way to use it, on vegetables-

Jennifer Marie: So, yeah, I make a big jar, because I know they love it and I know they love to put it on everything. So, like right now what we’ll do, if we have a busy week, we’ll barbecue meats, we’ll barbecue hot dogs, hamburgers, brisket, and we’ll keep meats in the fridge and one of their favorite things to do is to heat up a hamburger, but it’s kind of boring just by itself with lettuce or tomato or whatever, so they’ll totally, any vegetable, any meat, they’ll put the cheese sauce on it. But it’s really good.

Dr. Boz: I can’t wait because when it launches then we all get to see the rank numbers on Amazon and just what a fun week for you. That’s super exciting.

Jennifer Marie: Charlotte says, “Don’t do that, I’m fasting.” You know what Charlotte, I am too. I stopped eating earlier today and I plan on not eating tomorrow either. No cheese sauce tomorrow, sorry guys.

Dr. Boz: But the reel, for when you talk about food, that’s what should happen right now.

Jennifer Marie: Yes. Yes. Yes. So, do we have any questions on hair loss? Did we go through what’s the best thing to have?

Dr. Boz: Here’s what I do for the antidote. So, that’s usually where this comes from is that they just want to ask me about hair loss without saying well what do you do about it. Okay. Once you’ve figured out the root cause, which most people it’s this inflammatory state, whether that’s what stage you’re at, now that you’re keto and hair loss, the next thing I ask patients to do is, I want to make sure they’ve got a good Dr. Boz ratio, they’ve got all their chemistry that’s working well, and then we want to wake up fibroblasts.

Dr. Boz: Have you heard me talk about this before?

Jennifer Marie: No.

Dr. Boz: So, fibroblasts, the fibroblasts of these goofy little cells inside your body that make types of collagen. One specific type of collagen is your hair. Okay. So the cell that makes it is very unique, and you’re born with a crop of them, and then during puberty, you make more. But then from that point on in life, they trickle down.

Dr. Boz: So, once a fibroblast is done with its life, it will go dormant into a sleeping fibroblast if you would. So the cell that makes the skin and makes your connective tissue, your tendons, and your hair, are all the same class of cells. Once they say, okay, I think life for my chapter is over, it goes dormant for a very long time.

Dr. Boz: It does that in hopes that it could wake up and repair if it needs to. So, lets say you have a bit cut on your arm and you’re [inaudible 00:33:44], in order to weave that cut back together, you need to make some skin cells. If all of those skin cells had disintegrated, you couldn’t repair the skin, you wouldn’t live. So, our body keeps these other little cells around but they’re sleeping. The way you wake up sleeping cells that make collagen is there’s something called snippets, of collagen that floats around our system.

Dr. Boz: So, let’s go back to the scenario where you cut your arm. You cur your arm and inside your circulation, your body says, “Hey, we can feed if there’s a break in the system”, and that’s what wakes up these sleeping cells that make collagen. So, we have, actually, there are supplements out there called, let me think of it, micro something. Essentially it’s collagen that’s been, snippets, there we go. It is micro snippets, of collagen. So, the different types of collagen have been pulverized if you would, but really what they did is they cut them into tiny pieces.

Dr. Boz: You take the supplement, and they have studies where they check their blood about 20 minutes after taking the supplement, and there’s all these little micro, they’re like particles, microparticles, that’s what I was looking for. Microparticles, which are snippets of collagen. So, the collagen gets into your circulation, and the longer your body is exposed to these micro, what did I just say? Microparticles.

Jennifer Marie: Micro snippets, or micro particles.

Dr. Boz: Microparticles. Also called snippets. The more fibroblasts that wake up. So there are dermatology studies that say, okay, if you want the best rejuvenation of collagen, which is skin and hair, you need to wake up these cells that make it. So, they put the supplements into these patients, and then they biopsy their scalp and their places where these fibroblasts live, and the wake up of their cells was proportional to how long they’ve been taking that supplement.

Jennifer Marie: So, is there micro snippets in the collagen and biotin and stuff like that?

Dr. Boz: Well, so you have to look carefully at labels. I tried looking at several of these and some of them are good, some of them are not. There’s a collagen that does have the micro snippets in it. I honesty, I had to call the manufacturers to say, “Do you actually have these.” Because the studies on them are amazing. I had no idea the studies existed until I went in to look at, if you’re looking for improvement in collagen, yes you can have somebody inject collagen into your lips, but it’s going to last you so long and then your body’s going to break it down.

Dr. Boz: If you want to wake up the cells that make your own collagen, there are actual medical studies done by dermatologists, done on humans, not animal studies, the real deal, and it is related to these microparticles of collagen circulating in their system. So they take these supplements and I’ll tell you, 90 days after they take the supplement, you’re like, what have you been doing. And their hair growth is back, and they have the little, the studies were how many hair follicles were in that little centimeter and then what’s the depth of their skin, the depth of skin took a couple years to produce, but you could count the fibroblasts that were awake producing the skin cells. The collagen particles. It’s incredible.

Dr. Boz: I have a tiny little chapter about this or section about this in my book, but you can just see a little bit, but I didn’t feel like going into the science of it as much, just wasn’t the right audience.

Jennifer Marie: Do you remember the brand name of the collagen?

Dr. Boz: I actually, keto perfect.

Jennifer Marie: Oh, Perfect Keto! Okay. Yeah. Luckily we have a special promo code for them. I’ll go ahead and link it in there, later after the show. (Perfect Keto order here and use promo code: ISAVEA2Z to get an extra discount)

Dr. Boz: Yes.

Jennifer Marie: I do their collagen, they have, oh their collagen, their chocolate collagen is actually really good.

Dr. Boz: It is good, I know, and I’m like, oh. It’s one of those things wherever it runs out I think “Oh, no big deal”, then I come across somebody who says, “Oh, your skin looks so nice.” I’m like oh I got to order that again. I got to order the collagen again. It really does link to the improvement in how the cells that are supposed to age over time, and disappear, trick them into waking up.

Dr. Boz: [inaudible] to my son, I said, your skin thinks there’s a problem when a whole bunch of broken collagen is floating around. Like, uh-oh, something just got destroyed. It’s that signal of the broken collagen, that says, “Hey, wake up the sleepy head that makes the collagen.” Even thought it takes a few weeks to get every, to get one of those cells up and pumping, it is an evidence based, how do you really rejuvenate those cells. I think that’s pretty cool. You don’t need a doctor’s prescription.

Jennifer Marie: Yeah, that is pretty cool and now that I think about it, I was drinking that chocolate collagen almost daily over the winter, because it tastes like hot chocolate.

Dr. Boz: Yeah.

Jennifer Marie: But I don’t think I’ve had any lately. Now I need to have some.

Dr. Boz: It’s one of those things where I like it, but it has this sweetness in it and I know that when I start adding the sweetness then I want it more. So I have to kind of decide what’s better for me.

Jennifer Marie: Yeah. So, if we did want to find another product that was maybe in a pill form, we’re looking for micro snippets, but how do we see that on the label?

Dr. Boz: Yeah, I think even their label had it but, micro collagen particles. It’s the micro particles. Micro collagen particles. Then again, it did take a phone call for me to say is this the same thing that I’m trying to say and then I pull up the study and I’m talking to [inaudible] kind of speak in a different language.

Jennifer Marie: You know what, Robert and Melissa [Steptoe] said, “Is collagen in meat bones, bone broth, cartilage, eating.” So, that gelatinous broth would be perfect.

Dr. Boz: Again, one of those things about a bone broth is you’ve really, how do they get these micro particles, they pulverize it with heat and it breaks it into this certain sizes and it really is impressive how quickly that works. But, they’ll tell you that the natural place to get this is a stew or a bone broth that’s been exposed to heat for either that pressure heat or heat for a long period of time.

Dr. Boz: But I’ll tell you, the amount of bone broth you would have to eat to get enough snippets in your blood circulation, this is definitely one of those places where I’m like, personally, I’d bio hack it. I’d have to eat bone broth all day long in order to get enough snippets to wake up my collagen cells.

Jennifer Marie: Got it. That’s good to know. Good to know. Well, I think I’m going to add collagen back into my plan because I think, when it gets hot here in Texas you don’t think of drinking hot liquids. I don’t think I’ve tried it cold.

Dr. Boz: I don’t know, yeah. I bet you could put it with some cream.

Jennifer Marie: Of course, you can put everything with cream.

Dr. Boz: I like that. I just keep thinking you’re going to take the supplements of some BHB and some collagen and then you’re going to make it into a great fat bomb, and then you’re going to teach us how to make that.

Jennifer Marie: You know what, I try a lot of different recipes, and the amount of BHB you need in one dose, has too much salt for it to freeze. So, the fat bomb would not work.

Dr. Boz: Well, you only have to taste about five of the supplements to know they all have the same problem. Salt based, it is a salt based, tastes terrible.

Jennifer Marie: Yeah, they’re gross. They are nasty.

Dr. Boz: I have to put it with cream and ice and sip on it and then decide it’s just what I’m going to do. I just have to tell myself that.

Jennifer Marie: So, Debbie is asking, Debbie from Dallas, “Is collagen good for osteoporosis?”

Dr. Boz: So, again, one of those micro particles, one of those collagen types is what bones do to help regulate the cells that, those are osteoblasts, which is a form of fibroblast. Now I actually don’t recall in those studies, I know they were looking at skin fibroblasts and hair fibroblasts, which that was what the biopsies were that can say yes, look at the number per high power field that were awake.

Dr. Boz: I don’t have bone biopsies in my head to say what that did. Now, just intuitively, when I think of things that help bones, I think of the vitamin D and I think your [inaudible] stuff that’s really important.

Jennifer Marie: I bought some too. Speaking of which.

Dr. Boz: Good job.

Jennifer Marie: It’s hard to find. It’s really hard to find. Yeah.

Dr. Boz: It is the goofiest thing to try and explain to somebody. Like, you got to have a few minutes if you’re going to explain K2, you got to pay attention.

Jennifer Marie: I have an update from last week. We were talking about vitamin D. If you guys didn’t see that video, you need to go back and watch it. It was really informative about vitamin D and how to boost that and how important it is in your system. I was explaining how my youngest has pretty low vitamin D. We had suggested the tanning bed. Well, interestingly enough, you’re in Texas, that is illegal. To take a … Yes. They looked at me like I was the worst parent on the planet. I’m like, I’m just trying to get my kid some UVB rays, just four minutes. They’re like, it’s illegal.

Jennifer Marie: And-

Dr. Boz: What is illegal? Explain what’s illegal.

Jennifer Marie: You cannot have a child under 18 go to a tanning bed. It doesn’t matter if it’s for medical reason. It doesn’t matter even if there’s parental consent because the law before this one, allowed for parental consent. I’m like, this is insane, our kids are in school from eight to two when UVB rays are out, so-

Dr. Boz: I’ll tell you, when I first addressed this, again, little town of 800 people from my dad gets his UVB, I will tell you I had so many people saying, there’s rules, and a tanning bed owner came and said, you want one, I’m like, no, there are so many rules against tanning beds and how they use them. I don’t want to have anything to do with it. I just know that UVB rays increase your vitamin D.

Dr. Boz: The fact that there’s a law against, here you have this kid, who if you did the four minutes, and the again, the surface area is what matters. They go into a tanning bed, they get four minutes of UVB rays, they raise that vitamin D faster than I can do a supplement.

Dr. Boz: All right, you’re going to have to get her out a school for 15 minutes, stand there naked in the street with and put her back in school.

Jennifer Marie: Yeah, seriously. I’m going to have to for 15 minutes every day. Luckily summer’s here. And lucki;ly we will be spending lots of time at the lake. I just thought you would find that super interesting.

Dr. Boz: I do know that you can buy UVB bulbs on the internet. Somebody else reached out and said if you need a lamp, there’s UVB lamps. But again-

Jennifer Marie: I do have a Happy Lamp. I don’t know if it’s UVB, I’m going to have to look at that because I just don’t think it’s as powerful as the sun.

Dr. Boz: Suns the best and if you can get them out of … 10 to two we got to have the hours from 10 to two, that’s where the most UVB rays are. So, short shadows.

Jennifer Marie: Oh here, I’ve got Gerard just put an interesting comment. He goes, “I don’t believe keto causes hair loss, as keto is full of protein. I personally believe in an excuse for a large group of middle aged people to point the finger instead of accept the fact that we’re getting old.”

Jennifer Marie: Well, let’s see, that’s a gentleman speaking so, he probably, let’s talk about hair loss when you’ve had the baby. Yeah, stressing out your system. I think it might be, is it different for men and women then?

Dr. Boz: Well, so first of all he should send us a picture of the top of his head. And again, that’s testosterone based, so that’s a different story. But yeah, when people say blame keto or blame this, what I hope people listening to the whole video saw was, oh there’s a lot of reason for the body to stop making hair. It is a response to stress. When you change the system, when you fast, all of these are different forms of stress.

Dr. Boz: If the pulse of hormone production under the keto diet is steady, meaning they’re fully keto adapted, they’re choosing good foods, they’re well nourished, you’re going to see the peak and valley of those hormones come and go like they’re supposed to. Instead of the kind of murmuring of hormones that can happen when we’re in a high insulin state, or we’re overweight, or we’re not quite in sync. We don’t have that a pulse and valley of hormones.

Dr. Boz: Hair loss is in a murmuring state. So, when you eat keto, you change that rhythm and the first part of that is the stress.

Jennifer Marie: He responded, and he says, “I wear a hat for a reason, ladies.” So, we just want the message to be very clear. We are very supportive of the keto way of life. Both of us, we live this life. We encourage our families, we encourage friends, we encourage anybody that will listen to go keto, because we know the benefits. We know the changing of the life that it’s done for me, for Dr. Boz.

Jennifer Marie: We’re not against keto, we’re just saying, “Hey, lets talk about what’s really happening. Let’s talk about hair loss.” We don’t want people to stop just because there’s hair loss. We want to explain what’s happening. So that people really understand what’s going on and not be scared of it. The worst thing that you can do is stop this way of life because you think something is bad for you. So, that’s the whole purpose of us doing a show like this.

Dr. Boz: Yeah, no, and it’s amazing how long the conversation of hair loss can get spiraled into wrong direction. And he’s right, they start blaming, it must be this, it must be this, bio hack yourself, take a look at those numbers. It doesn’t take long for you to say, “Yup, this is fixable.” If you’re paying attention to the right things.

Jennifer Marie: For sure. So, let’s talk about hair loss and menopause now. So, is there any protocol for the stage, there’s so many different reasons you can lose hair and now let’s talk about menopause. [crosstalk 00:48:23].

Dr. Boz: Again, what is normal, when you look at why that pregnant person had such beautiful thick hair, it’s because it’s the highest production of hormones she’ll ever have. And she didn’t do it for a week. You got forty weeks of being pregnant. So you have this great, steady, predictable, high hormone phase, and you get the ponytail holder that just can barely slip around it twice.

Jennifer Marie: Yeah, so what do you think about fasting. Since fasting and getting to that state of autophagy, and knowing that that regenerates a lot of those cells, don’t you think that would really, really boost it too?

Dr. Boz: If you look at one of my favorite chapter in the book that I wrote, has to do with growth hormones. I talk about, how can you make HGH, human growth hormone, where they shoot it up in their muscles, and they become big muscle and they play baseball games and get thrown out of baseball and out of biking races, all these things.

Dr. Boz: HGH is a hormone that really promotes the growth of muscles, but it also is highly related to some of these other health factors in your body. So, there’s the production of growth hormone that happens when your body hits a certain level of autophagy. We can measure that with that Dr. Boz ratio, that’s what I use. That’s why I go to Dr. Boz ratio 40, is I in my mind say, if i can stimulate autophagy a little bit, at the same time put a healthy stress on my system once a week, to reach that demand, to reach that kind of upper [estulong] of stress, without pushing to the point where I lose muscle mass or I have a deficit of using my muscles to stay alive.

Dr. Boz: I still have plenty of fat cells that need to be emptied, and when you’re watching your numbers like that. I’m pushing to say I want my hormones to be healthy and hearty and lasting, hopefully I can not go through menopause till I’m in my 60s. But the only way that happens is a low inflammatory state, we have to have that good surge of hormones happening every week and that’s why I check. That’s why I do it every week.

Jennifer Marie: So, are you saying you get to the 40%, the immune boosting that is your number that says, okay, I’m igniting autophagy at this point.

Dr. Boz: Yup. That’s the same place where it’s the best evidence of what chemistry is needed to boost growth hormone. The natural way, and that’s where skin cells, that’s where fibroblast go. Even if you never take a snippet, if you pulse that growth hormone, it wakes up fibroblasts, it’s a different message, but it’s the same single. Hey, we need help. [crosstalk 00:51:12].

Jennifer Marie: And they said that there’s really no way to measure autophagy, but by your 40%, first of all it’s the 36 hour mark, you know that by you really getting that insulin down at the 36 hour mark, like I hit 40% before 36 hours. I think okay, I’m over, it’s done, lets eat.

Dr. Boz: [inaudible] but then I realized I wasn’t losing weight anymore and I could just tell my brain wasn’t as healthy. So I kind of reset my rules and said, “Okay, I really want this every week so what does it take for me.” It used to take me 72 hours to get to a Dr. Boz ratio 40. I was having more bone broth than. I would sometimes have a little cream in my coffee so it wasn’t as strict of a fast.

Dr. Boz: Once I got to saying, “Okay this is what it takes,” then the measurement of getting the Dr. Boz ratio well enough, and again, we can’t take a microscope and say, did it exactly happen at this moment. What that ratio does is it gives me confidence. I know that if it gets to 80, I get a little bit of a confidence that it’s autopogy. I have really good conficene that it’s a weight loss zone.

Dr. Boz: If I get the Dr. Boz ratio down to 40, I have pretty solid confidence that you’re going to have autophagy stimulated and that growth hormone is probably going to surge. When you get down to 20, then I know you have autophagy. You can’t not have autophagy by that point. And I’m not trying for that right now.

Jennifer Marie: So, how much collagen does one need?

Dr. Boz: Well, when you look at the amount-

Jennifer Marie: Because the pills and the powder are very different.

Dr. Boz: Yeah. They had it measured in micro grams in the studies but it’s been too long ago I can’t remember. I remember when I was dosing it for myself though, it was a pretty good full scoop, even a rounded scoop for me to get what I needed in one of those, in the-

Jennifer Marie: In the powder.

Dr. Boz: Yeah.

Jennifer Marie: Wow, so it’s a lot. Can you overdose on collagen? Probably not.

Dr. Boz: What I’ve learned is you have to take it enough to keep it around. So it’s kind of like BHB that it’s got to be in circulation. So, when you dose it, you just want to kind of put it in throughout the day and if you have a coffee that you’re sipping on all day long, that works. So, yeah, it’s how long does it stay in circulation is the key.

Jennifer Marie: Got it. Very interesting. So did you experience any hair loss?

Dr. Boz: I had it when I was really heavy. That was my worst time. Then, I think what I like to see happen is I had already cut down a lot on the carbohydrates before I went keto and really didn’t have a lot of sugars. I just think of, did I have a really strong stress that would correlate to hair loss and I probably didn’t.

Dr. Boz: But, I will say that my hair is definitely thicker than it was two years ago, three years, yeah I’ve been at this three years. Definitely thicker than it was.

Jennifer Marie: Yeah. I just went to go get my hair cut yesterday and my hair dresser was like, yeah you’ve lost some hair, but you still got a lot. Thank goodness.

Dr. Boz: [Lacklan] is a hair dresser and she will talk about, it’s this little thing you just try not to talk about if they’re having trouble. Then you give them all the best evidence you can but, boy, if you need any evidence of what three months of keto does to skin and hair, go look at Lacklan. Yeah. So, another patient that’s just been online saying, here’s how you improve things and 90 days has crossed and she looks beautiful.

Dr. Boz: So, be sure to give it the 90 days guys, when you make a change, try to put on the calendar, put that in your calendar 90 days from now, saying how is it doing now. It will remind you that it does really take that long to see those changes. You can’t change it for a week and expect that to be [inaudible 00:55:10].

Jennifer Marie: And you don’t lose it right away, either. It was probably three months in before I started losing it, and so I knew the minute I started losing hair, it was from something that I’d done a couple of months ago.

Dr. Boz: Yeah.

Jennifer Marie: Now Cheryl asked an interesting question, I think we covered this maybe in the last one, but she said, “Can you do intermittent fasting during keto?” Intermittent fasting, I would never suggest for somebody to start off fasting until they’ve really become fat adaptive and if you try and fast and you haven’t been keto for a while, it’s like fasting when you’re a carb loader. I used to eat every two hours because I couldn’t stand to be without food. But once you get that energy and once you realize you become fat adapted, you almost forget, oh I didn’t each lunch and I’m not really that hungry.

Jennifer Marie: That’s when you know you can fast, but I wouldn’t suggest doing it ahead of time and that’s definitely a more advanced portion of keto that I would wait to do.

Dr. Boz: Right, the other thing as a physician, when I look at patients who stay the journey, the ones who have been keto for two years, they start out with this steady … I really, and I talk about this in the book, I talk about this in your case where I said, “Do not push too many changes at once.” You are going to change the chemistry on the inside of your circulation. We are going to hold you steady for several weeks before we add the next thing.

Dr. Boz: When you look at human dynamics of change, changing your diet is such a big trigger for emotional and the social things in your family. Just focus on the chemistry change, when you start giving up meals, or skipping meals, doing intermittent fasting, it’s another layer of change. If you do one change, and then within about two weeks you start another change, they’re off the wagon in two months. They stop checking things, it was too many shifts at once.

Dr. Boz: It is the rare patient that can change in about a month, they’re a month into keto and they’re like, I think I’m ready to go to, it’s usually around the six weeks when I see a crop of people say, “I feel like I don’t need to eat”, I’m like, “Boom, that’s what I’ve been waiting for you to say.” Now your hormones have kind of resurrected from the dead. They no longer are sputtering, they’re bursting and falling.

Jennifer Marie: Yeah, and just to give my own journey, being hypoglycemic and used to eating every two hours because you were afraid of a sugar drop, it took me, I started off not eating two hours before bed, that was a deal, right. Then, it was four hours before bed. Then it was seven hour before bed. And then next thing you know I was finishing dinner at 3:30 in the afternoon before my family even came home and I didn’t eat dinner even when they were eating.

Jennifer Marie: Now, it took that long, first just to get rid of the food, first just to switch over the food, that’s a whole mindset in itself. You have, it’s so overwhelming, and then the time restricted eating and now I’m at the point where it’s kind of a struggle to do 36 hour fasts. I’m not as good as some people. It’s tough. But, it’s definitely worth it and it’s worth it to keep moving forward, and I definitely see the benefits when I do it.

Jennifer Marie: Funny thing is is I say that it wasn’t so bad when it’s over, it’s just getting through it and keeping busy.

Dr. Boz: Right. Get your head to bed on that … Like tomorrow night will be the hardest part for me. I’ll be fine, I’ve been busy, these lives kind of take my attention and then I kind of do my Sunday night routine, but Monday nights where I have to say, “Okay, if I don’t have a plan, I end up breaking my fast.”

Jennifer Marie: Yeah.

Dr. Boz: Have that kind of forgiveness if that’s what happens, but the answers are in … I had to learn what’s going to trigger me. What’s going to be my fall off the wagon. It’s if I don’t have a good outline of here’s how I address my stress, my irritability, when I get crabby, have I told my kids, “Hey, find anything to do on Monday night, because I’m going to work late and then I’m going to come home and go to bed.”

Jennifer Marie: Yeah.

Dr. Boz: They’re at the stage where I can do that.

Jennifer Marie: Nice. Well we are at the top of the hour, I love our chats. I love our teachable moments where we can ge on here and talk about our journey’s, talk about the science behind it-

Dr. Boz: [inaudible]

Jennifer Marie: What’s that?

Dr. Boz: Give a bald guy a bad time.

Jennifer Marie: Yeah. He’s cute though. He did have a hat on in his profile. Hopefully he tunes in next time. You know that HGH, before we go, that HGH, you have a section in your book on HGH and I think that’s the one that most men are interested in. So, let me just give you that little piece of advice if you’re on the fence about getting the book.

Jennifer Marie: And, when I look at Amazon, the two books that are most sold together are Anyway You Can, and Keto Friendly Recipes. It’s just the perfect combo. The knowledge, and the food. There you go. Well we are here to help you guys. We’re happy to have these chats. But we will see you again next Sunday. Have a good evening everybody.

Keto Friendly Recipes Cookbook by Jennifer Marie Garza

Anyway You Can by Dr. Annette Bosworth