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Josh (06:35.634)
On this episode, we're joined by the ketogenic nutritionist. She's a registered dietician, specializing in helping women lose weight through the ketogenic lifestyle. Now she's used her knowledge to battle her own ulcerative colitis, PCOS, and other health issues. And if you're on Instagram and you're following some of the best functional and integrative medicine doctors out there, you've probably heard of her because those doctors all follow her too. So if you don't follow her already, you might just after this episode on keto, weight loss, hormones, and gut health.

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Temple Stewart. Thanks for being on the show.

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Temple Stewart, RD (07:06.106)
Yeah, I'm honored, Josh. Thanks for having me on. This will be fun.

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Josh (07:09.494)
Well, I hope so. It'll be a really awkward conversation after if it's not. So Temple, for our listeners who are just getting caught up on who you are and what is it you do, can you tell us a bit more about yourself?

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Temple Stewart, RD (07:22.082)
Yeah, you know, so I turned, I just turned 30. I feel like this is a pivotal point in my life. I turned 30. I've got two little kids. I'm a registered dietitian. I'm actually in my second year of naturopath. I'm becoming an ND. So I've been a dietitian for six years. This is my sixth year. I've been kind of in the alternative medicine space, as you would call it, basically the whole time. I did work as a clinical dietitian for about four years in a hospital, but I was still kind of

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dabbling in alternative medicine that whole time. But right now I run a full, busy, busy telemedicine practice all online. I cater to women that are trying to lose weight and may have weight loss resistance, insulin resistance, diabetes, any of the kind of metabolic syndromes that we're dealing with today. I help them. I figure out what's going on, look for root cause.

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and really come up with a functional protocol to help fit their needs. Like you said earlier, I use different therapies. I use low carbs, keto, cyclical keto, a variety of methods to just fit their lifestyle and get them feeling better.

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Josh (08:28.53)
I like that and it's super important to be tailored. And one of the things I want our listeners to understand from this today is obviously we can't give specific advice to you because everyone's so unique. I think we so often want the pill, the diet, the workout, the thing, but really it is metabolic. And so you mentioned weight loss resistance and that's a really interesting concept. I've been exploring for years. That's actually sort of how I got started doing this was weight loss resistance. I'd love to explore that more.

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Temple Stewart, RD (08:40.039)
Yeah.

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Josh (08:57.57)
For our listeners who may not be familiar with the term, can you dive into it and what might be causing it?

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Temple Stewart, RD (09:02.102)
Oh, yeah. Well, what might be causing it? Yeah. So weight loss resistance, I would just define it as like, you know, seemingly doing everything right, and you just are stuck. And you know, you don't see progress on the scale, you don't see body composition changes, even when making pretty significant changes to diet and lifestyle. And it's just, it's extremely frustrating. It's discouraging people get, I mean, even depressed and frustrated, they tend to throw in the towel. It's just

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when you try, you put an effort and it just doesn't seem to be going anywhere. Now, there are a variety of causes. I mean, because I work so heavily with women, I would say some of the, I would say the majority of the causes are typically hormonal. So a lot of times I see, you know, something going on with a thyroid, whether it's just a sluggish thyroid or full-blown hypothyroidism or Hashimoto's, a lot of time there can be some adrenal involvement, whether that's adrenal fatigue or...

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Things of that nature, insulin resistance, systemic inflammation. You know, I just had a wonderful conversation about environmental toxins with somebody. I think that that's a big conversation that not a lot of people are having. You know, exposure to phylates and BPAs and things that may be in our environment that we just aren't seeing that are kind of adding up and contributing to that body burden. And you know, we're changing all these things, but we're still being exposed to things that are causing problems. So...

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Weight loss resistance, I would say, has a number of causes, but it can be extremely detrimental long term because it takes a lot of discipline and a lot of effort to put in these changes. And when you don't see results, again, it can cause quite a bit of discouragement. So that's kind of how I would define it, Josh.

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Josh (10:44.414)
So it's just really the inability to lose weight no matter what it is you're doing, trying, eating, taking, all of it, you're stuck. And you want to explore some of those metabolic issues. And obviously being a Gut Health podcast and knowing that the gut is a center for all disease and all dysfunction, let's dive into that a little bit. So just for our listeners for context, maybe this is your first episode, your gut microbiome is this massive community of bacteria.

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of it, which is kind of hard to fathom and almost gross, but that bacteria is almost as important as your DNA. It interacts with every aspect of your body and it's commonly understood that your gut microbiome needs carbs, starches, fibers, but you advocate for a keto diet. And if we want to work on this weight loss resistance and some of these metabolic issues we're dealing with, we need to have a healthy microbiome. So what is your take on the keto diet?

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Temple Stewart, RD (11:16.007)
Yeah.

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Josh (11:39.998)
and how it interacts with the gut microbiome and some of these metabolic issues we're talking about.

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Temple Stewart, RD (11:44.786)
Yeah, so first I wanna give the big disclaimer. It totally depends on how you follow the ketogenic diet. So there's a lot of ways you can take a ketogenic diet that are not gonna be helpful for the gut. And so I wanna just preface that because I have seen people, and the same could be said about any dietary pattern, right? You can really trash your gut with...

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variety of dietary methods. And so I'm not singling out keto. I happen to be pretty biased towards it, obviously, but you know, there is there's proper ways to do a ketogenic diet that are going to be gut health supportive. And so that is the methods that I teach. And of course, it really does depend on your individual makeup to are you tolerating raw vegetables at the time? What are do you suffer from UC? Are you struggling with something at the at that moment? Do we need to do a full on elimination diet? And so

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Josh (12:13.207)
I'm sorry.

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Temple Stewart, RD (12:36.006)
I use a ketogenic diet after appropriately working someone up, doing a full nutrition assessment, looking at tolerances, intolerances, you know, and I should say this to gut and you know this and I'm sure you've talked about this so many times on your podcast, but gut health really starts, you know, before someone's even born really and continues on through their entire lifespan and so many factors can.

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you know, impact it. And so the ketogenic diet can do that as well. Essentially when you remove carbohydrates, you do and can starve off some of the bacteria that you may have been feeding with processed carbohydrates and simple sugars and flour and things that you tend to think of in those ultra processed foods. And so that can be very helpful. Some people may not.

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need to go that extreme. They may can get away with a lower carbohydrate diet. They may can get away with a strategically modified ketogenic diet, but essentially our goal there is to use the correct foods, whether it's cooked vegetables or certain animal proteins to enhance gut microbiome depending on that individual for metabolic health. And of course, when we are using a ketogenic diet, whether that's a low carb or strategic carb,

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the whole purpose of that is to lower insulin. So when we pull carbohydrates from someone's diet, ultimately our goal is to create some blood glucose regulation. Typically when I'm dealing with somebody with insulin resistance, and I'm not sure how familiar audience is with insulin resistance, but typically when someone has insulin resistance, they don't handle carbohydrates well, meaning that when they consume carbohydrates specifically in like the processed simple sugar form, they're...

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blood glucose either goes really high and then tends to dip really low and or their pancreas releases too much insulin. They tend to not be able to use that glucose properly. And so when we modify their diet, low carb and keto, it's in efforts to kind of stabilize that blood glucose level and in turn make that individual more insulin sensitive.

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Josh (14:39.074)
Hmm. Which is really interesting concept, the concept of insulin, because we use so much of it. I just, I just put a post on my Facebook the other day. If we have any listeners under 30, they probably don't know what Facebook is. But I just put a post the other day. There was a, I don't know if it was the caramel or the pumpkin coffee from Dunkin Donuts, the large with the whipped cream.

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Temple Stewart, RD (14:51.521)
Alright.

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Temple Stewart, RD (15:01.09)
Oh gosh. Yeah, I saw it, where it's like equal to however many donuts. Is that the one you're talking about?

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Josh (15:07.202)
Yeah, you saw that on my page. Yeah, 183 grams of sugar. That is the equivalent, I broke it down. The average American consumes 60 to 100 pounds of sugar. That's a child, that is a middle schooler in sugar that we eat in an entire year. And it's no wonder we need to talk about insulin because our insulin is up and down and it's connected to so many inflammatory processes and it wrecks.

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your gut, these sugars, they feed all these gnarly microbes, they contribute to weight loss resistance. And there's hidden sugar in everything. I mean, bloody salad dressing. And the UK uses sugar in their growth process and they put it in their potatoes for French fries from McDonald's. Like, there's sugar everywhere. How can people possibly navigate this?

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Temple Stewart, RD (15:40.517)
Mm-hmm.

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Temple Stewart, RD (15:50.611)
Yeah.

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Yeah, it's yeah, it's her it's really horrific. When you look and you start when your eyes get open to the amount of sugar that you consume, which I loved your statistic there because it truly is and I would even argue that some populations it's higher. When you even look at the statistics on children's consumption of sugar, it's no wonder we have so many problems with ADHD and all these other issues that we're dealing with. I'm not saying that's the only contributor because there's certainly more to it than that. But it is really horrific when you look at

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how much sugar we consume. It truly isn't everything from salad dressings. I've even seen it in like just seasonings, just regular old like chicken and beef seasonings that you would use to like grill up, you know, an animal protein. Like why are we putting sugar on an animal protein that we're gonna throw on the grill? It doesn't make any sense. And so when you start to learn how to read a label, when you look at a label, when you understand that there's like 156 different names for sugar themselves,

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it really is eye-opening and you start to really kind of be, become a detective and you start looking at labels and you start reading these things and realizing, oh goodness, even people who think that they don't consume a lot of sugar once they realize, oh man, it's in a lot of products and also understanding that starch in a lot of ways can is converted to sugar very similar in the body. So it does have a lot of the same effects on blood glucose depending on what types, et cetera. We could go on a complex conversation about that, but.

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It does depend on that. So it depends on your metabolic health, whether you're handling some of those things as well, carbohydrates in general. But yeah, it truly is everywhere from, you know, like you said, salad dressings to seasonings to everything that has hidden sugars in it. And the reason why is because sugar increases dopamine in the brain, it's addictive, people love it, it tastes good, it's easy, it's very cheap for food companies to put this in food. So.

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Temple Stewart, RD (17:45.014)
it's a very easy ingredient to slide in there to keep people coming back for more. So, and you'll see it in almost every single kid's food. I forgot the statistic, but it's somewhere around 80 to 90% of processed packaged foods in grocery stores contain some ingredient or sugar derivative. So it really is shocking once you start looking at it, it's quite scary.

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Josh (18:07.254)
It really is. You know, you mentioned people either become a detective and they really want to dive in. On the other hand, there are so many people who just give up. They don't know what to eat. And I think it's really important to go back to these roots. And before I hit that, I'll tell you a little story, an anecdote here. So a client of mine I was working with for again, Ulcerative Colitis, she was down in the state. She's a medical doctor and she went to this conference. There's 300 doctors in this room, give or take she says. And they were talking about by 2025 that

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Temple Stewart, RD (18:16.573)
Yeah.

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Josh (18:37.422)
fatty liver disease will be the number one leading cause for liver issues and the need for liver transplants above hepatitis and these others by 2025. And the leading cause is high fructose corn syrup. And what they said is, that's okay though, this new medication we're dealing with will help manage that. Nobody's talking about nutrition. Nobody's talking about the food. There's 156 different types of sugar hidden in our food creating, like people just, if I wasn't a nutritionist,

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I would give up and say like, screw this. What's the point of even trying?

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Temple Stewart, RD (19:09.954)
Yeah, you're not wrong. Not only that fatty liver disease, we're talking about PCOS being the number one infertility cause in the world. The list goes on and on. Diabetes is the number one cause of chronic kidney failure. The list, we could just keep going on. Metabolic disease is it, it's chronic disease. And we continue to do this paradigm of like, I don't know why, but we...

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you mentioned the medications and we forget about prevention, but really and truly, there's nothing better than prevention. And so, but yeah, it is quite scary. But you know, what I would say to someone who feels a little overwhelmed or may feel like, oh, that's a staggering statistic and I don't really know what to do. One, once you become aware of this, it's not so bad. Once you kind of understand what you're looking for and understand kind of how to read a label and understand that really.

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When you grocery shop, you really need to stick to the outer aisles. You need to stick to proteins and produce and really limited ingredients. And just even understanding how to look at total carb. When you're looking at a nutrition facts label, if you just look at total carbohydrates, that's going to help you understand how much of a blood glycemic impact you're going to have or blood glucose spike you're going to have. And so really just looking at products through that detective eye, once you kind of figure that out and once you switch to more whole foods and

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Start practicing and what I would say to someone too is really it's just baby steps. Don't feel like you need to change your entire life overnight. You need to really just triage. Like if you're the type that's bringing home a six pack of soda and you're drinking a whole six pack of soda, let's just start with soda. Let's start with the number one thing that's giving you the most sugar there. Or if you're, you know, bringing home dessert Twinkies or Hostess Donuts or whatever.

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Let's start with the number one thing that's giving you the most sugar and let's try to discontinue that or lower that. And then let's pick the next thing to work on. We don't necessarily need to change the whole world of your life overnight. We can pick little things and before you know it, give it a couple of weeks, your whole dietary pattern is gonna be changed and you're also gonna feel like a million bucks. You're gonna feel much better.

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Temple Stewart, RD (21:23.43)
You know, you went back to gut health, gut health is gonna be much better, you're gonna be less bloated, you're gonna have regular bowel movements. I could go on and on and on, you know, about the advantages of giving up a lot of these pro-inflammatory foods.

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Josh (21:38.73)
Well, obviously, there's a mixed bag of information out there, right? Which Bruce, we talk about which diet is best, we talk about what's good for everyone, or there's gurus and diet gurus. And you know, you mentioned that earlier, it may not be for everyone, the type of keto they might be doing is not optimal. So obviously, you're an advocate for keto. So why don't we backpedal a little bit and start there? Why keto? Why is that your choice?

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Temple Stewart, RD (21:43.791)
Okay.

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Temple Stewart, RD (21:47.366)
Yeah.

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Temple Stewart, RD (22:05.618)
Yeah, well, you know the statistic, over 90% of the population is metabolically unhealthy. And with metabolic unhealth, there's a lot of factors that come alongside that. So when I look at somebody's blood markers, I'm looking at a lot of different things. I'm looking at their lipid panel, I'm looking at their CBC, I'm looking at their fasting insulin, I'm looking at their reproductive hormones, I'm looking at a lot of different things. And I'm taking that individual and I'm looking at, okay, what do we need to change first? What's gonna make the most impact and what's gonna change the quickest?

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And so I'm an advocate for keto because I think the population in a whole eats way, way too many processed carbohydrates. I mean, and I don't, I don't think that I know that it's research driven. We know ultra processed foods are, are terrible. They don't, they don't do anything for us. When you look at what's recommended in general, when you look at kind of percentages and numbers, uh, given grams of carbohydrates, it's just too high for the average American who I shouldn't say average American, but

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population who is mostly sedentary for a lot and or doesn't have a lot of muscle mass and or who doesn't have the metabolic health to handle those bolus carbohydrates. And so when we take someone low carb or we take someone keto, it really just allows that body, their body to regulate their hormones. And so again, there's a lot of different methods of

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handling insulin resistance and I certainly don't put everyone on keto, but I do think the vast majority could at least play with it a little bit and feel much better and or at least, you know, by today's standards, Josh, in all honesty, just removing ultra processed carbs, carbs puts you in a low carb diet category. You know, it does because you're eating, you're eating vegetables and meat by the, by the, for the most part, which is relatively low carb.

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Josh (23:49.879)
Mm-hmm.

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Temple Stewart, RD (23:59.546)
Anyway, that's kind of my spiel is we're dealing with a lot of people that have severe metabolic unhealth and the quickest way to, in my opinion, reverse some of that and get results is taking away some of the food that has the highest glycemic index.

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Josh (24:14.818)
You know, it's interesting that we eat so much junk in a day to day basis. We eat so many franken foods, these artificial foods, canola oil, it's like a 40 step process to go from this rapeseed to this canola. Yeah, it's horrible. And if people really saw what how their food was made, I think they'd have a much different opinion. And, you know, the word dieting.

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Temple Stewart, RD (24:22.235)
Yeah.

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Temple Stewart, RD (24:28.326)
It's disgusting.

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Josh (24:39.442)
really has gotten to a place now where it's just not eating processed food. You're just you're eating real food that has been around since the beginning of time. The ones that the original humans ate we go oh that's quite a hard diet like that's just food man. That's how it is and we want to lose weight so we count calories but we're neglecting to count the chemicals and it makes such a vast difference. And so I'd love to dive into this a little bit more. Obviously these chemicals, these inflammatory things, what are they doing to your gut?

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Temple Stewart, RD (24:52.883)
Yeah.

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Josh (25:07.85)
What are they doing to your metabolism?

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Temple Stewart, RD (25:09.53)
I mean, what aren't they doing is a better question. Like, you know, it's just.

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Josh (25:12.011)
Mm.

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Temple Stewart, RD (25:15.134)
It's so hard and we live in such a different world than we did 150 years ago in terms of what we're exposed to on a daily basis, in terms of environmental pollutants, in terms of stress levels. I don't know anyone that I just walk up to and have an honest conversation and say, are you stressed? And they say, no, not at all. Don't have a bit of it. Now, I get given day to day there might be, but stress is a huge factor. And so-

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Yeah, it slows metabolism, it wrecks your gut, it causes systemic inflammation, it causes issues backed up in the liver, it causes sluggish thyroid, I mean, on and on and on. It just is not an optimal way to live. And when you continually consume foods that your body doesn't even register as a food, you know, you look at some of these ingredient lists and they're...

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you know, a paragraph long and a lot of them, if you broke it down as synthetic or not even a food ingredient, and it's like, well, how do you expect your body to handle that? You know, how do you expect your body to digest something like that or metabolize something like that properly? And you wanna have a normal bowel movement. You want your gut health and the microbiome or your bacteria in your gut to be able to handle that. Well, you know, it doesn't even know what it is. And so...

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It's just, again, we're seeing it played out over and over again with this chronic disease, diabetes, IBD, all of this is on a rise. Autoimmunity is another thing we haven't really brought. I mean, it's all, people are sick and quality of life gets progressively worse for people in those situations. And it's tough. It's a hard thing to navigate for sure.

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Josh (27:07.146)
Yeah, I mean, it's so deeply woven into our culture. It's so deeply woven into society that the grocery stores, I mean, I'm in Canada, we still have much better, I'd say in general food regulation than we do in the States. But going down to the US, the grocery stores, it looks like a carnival. I mean, oh, it's abysmal, the food, it's shocking.

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Temple Stewart, RD (27:21.512)
Yeah.

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Temple Stewart, RD (27:25.522)
Oh, it's horrible.

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Josh (27:30.514)
And I know it's considered normal. And most people are raised on these things. It's not their fault. It's just what they were raised on. It's what we learned. And these habits ingrained. I mean, I was, as a kid, we'd sit down and watch TV or have like a family movie night when my daddy traveled a lot for works. When he was home, we'd sit and we'd watch a movie or something and just hang out. And what was there? There were snacks. I'm 30 years old. I'm turning 31 in like a couple of days here. And I still get snacky when I sit down to watch them. I'm like, oh, where's the snack? Where's the popcorn? Where's the chips?

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Temple Stewart, RD (27:36.371)
Mm-hmm.

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Temple Stewart, RD (27:59.528)
Yep.

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Josh (28:00.234)
And that was 25 years ago. It's just, it's so ingrained, but we eat these things and it messes up our gut. We have bloat, we have indigestion, we have acid, you know, 72% of Americans complain of some kind of gut issue at least once a week. Bloat, acid reflux, right? Yeah, constipation, diarrhea, pain, cramping, something. It has almost become normal, but we very often neglect to look to our food. We look to a pill.

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Temple Stewart, RD (28:15.204)
Oh, I'm not. Yeah.

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Josh (28:26.838)
But if we think about ourselves this way, I think you'll like this. I wouldn't pee in my car. I wouldn't pee in the engine. You know what I mean? I'm not gonna pour molasses in the gas tank, but we do the same thing to our bodies. We put the proverbial version of urine in our own mouths, or it's just, we're eating this junk that our bodies cannot process. And then we're bloated or we're sick. We have skin issues. We have migraines, insomnia, anxiety, chronic illness and diseases.

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Temple Stewart, RD (28:37.022)
No.

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Josh (28:54.742)
that we just go, oh well, there's nothing I can do.

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Temple Stewart, RD (28:58.118)
Yeah, it's really it's yeah, it's awful. It's sad. And you know, back to your comment about the US like I grew up in South Mississippi. So I was raised and I'm not sure how familiar you are with like the southern culture. But like the southern culture is very, it's very rich when it comes to food. So like very heavy sugar, very high fat, like a lot of places in the south are food deserts where like you can only get food at a like a 7-Eleven or a

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convenience like a, you know, truck stop grocery store or something like that. And it is your, I loved your analogy. Yeah. About putting like a cheap version of what is fuel in there. And yet we expect to run well, and then you want to run for a long time. It just doesn't work. You don't feel well. You develop all these conditions and yeah, you're right. It's, it's brutal.

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Josh (29:51.346)
I'm not sure urine and molasses, you know, counts as like a cheap fuel source, but we're on the same page. But, you know, let's talk a bit about keto here because I'd like to do two things. Number one, I'd like to address the conventional misunderstanding of keto where it's just like bacon and fried foods and all this other junk that counts because my macros are keto versus a gut support of keto.

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Temple Stewart, RD (29:55.629)
Probably not. Yeah.

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Temple Stewart, RD (30:06.128)
Yeah.

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Temple Stewart, RD (30:09.738)
terrible.

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Temple Stewart, RD (30:13.838)
Yeah, and this is probably the biggest like thing that I have to like fight people off online because people and unfortunately, it's just kind of like It's just happened due to the popularity of keto and I almost even I hate even not hate saying the word keto, but keto has even gotten a bad reputation like the word itself because of people Yeah, it's dirty and people have who don't necessarily know what they're doing and or don't really understand how to use it have like

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Josh (30:33.902)
Kinda dirty.

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Temple Stewart, RD (30:44.59)
gotten onto its popularity and started making recipes and all this other stuff, but it's very dirty. And when I say dirty keto, I'm talking very high dairy, very high processed food, very high, like even to the extent where food corporations are now making keto products that are not keto at all, but they're being incorporated into keto lifestyles that just really aren't.

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Josh (31:01.759)
Mm.

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Temple Stewart, RD (31:08.194)
Keto at all and so dirty keto will just keep you just as sick as inflamed as you were before starting keto in a way Maybe you'll lose a little bit of weight. I do typically see maybe a little bit of weight loss Arguably some of that would probably be a little bit of water But typically the person ends up just as inflamed and or frustrated and definitely backed up for sure backed up as before so keto in itself is not

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meant to be a diet or it is a diet, but really keto is describing a metabolic process, right? So people think of keto, they think of, oh, this is just a fat diet, when in reality keto is a different way of making energy essentially. So your body naturally runs from starches, sugars, et cetera. And then we have an alternative form of energy, which we can make in our liver and make ketones. And that is essentially what ketosis is, is switching to that.

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which we used to do all the time for the record when we didn't eat 27 times a day and eat first thing when we got up and last thing before we laid down. We used to be very effective at switching between glucose metabolism and ketone metabolism. We have gotten away from that with our Western, and I shouldn't even say Western, global dietary patterns at this point. But ketosis is really just a metabolic process of burning fat for fuel, put pretty simply.

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And so ketosis in itself is very therapeutic. The brain loves ketones. Ketones can be very therapeutic for different parts of the body, taking away a lot of the inflammatory foods can be very healing in the gut itself. So yes, it can be very beneficial for those that are potentially suffering from...

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IBD, IBS, those different conditions, if done correctly. If done wrong, it can also cause problems long-term as well, just like any dietary pattern.

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Josh (33:12.49)
Yeah, no doubt about it. You know, I'm glad you mentioned the food quality in these diets. And we got a chance to kind of brush on that. My brother went vegan for a little while. And I don't personally support vegan. It's extraordinarily difficult to do. It doesn't agree with most people. I've talked to surgeons and gynecologists and who talked about the skin quality, the tissue quality. And it's just these people during birth tear during surgical recovery, they don't stitch, they don't heal. Like there's a lot of issues. But

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We had a laugh about it at the time. Thank God he's better now. He's in, you know, strike training and weightlifting, he's eating meat again. But he was a junk food vegan. Like it was vegan because it wasn't meat, but it was like chips and licorice. And like, oh yeah, they're technically vegan. But then we get these buzzwords, right? Where it's vegan or it's keto or it's carb free or it's my favorite all natural, which is just a bullshit. It's a wolf in sheep's clothing, you know? So...

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Temple Stewart, RD (33:53.322)
Oreos.

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Temple Stewart, RD (34:09.234)
Yes.

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Josh (34:09.97)
How can people differentiate these buzzwords around fake foods that look like they're good for us? Or they're wrapped in a nice craft paper so it looks all natural. Like how can we navigate that?

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Temple Stewart, RD (34:20.582)
Yeah, I just like essentially to keep it super simple, like does it come from planet earth? Like does it grow or does it walk and run or swim or fly? Like really, I mean, if you think about it pretty simply, like did it, could you go outside in some climate on some, you know, in some environment and either catch it, shoot it, I know that's probably not vegan friendly at all, but like, you know what I'm saying, hunt, fish, gather, like think back to.

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Josh (34:44.954)
I'm sorry.

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Temple Stewart, RD (34:49.35)
200 years ago before we had someone else making all of our food for us, like, would you be able to find this food on your own if you were properly equipped and trained and knew what you were doing, etc. Again, I grew up in South Mississippi, I grew up hunting, fishing, my grandfather had a garden, like it was very, that was that was a very good experience for me. And so that is how I kind of treat food as well. Like it is

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quote unquote, all natural, I agree. That is a mess of a word because it has now been manipulated in so many ways, but if your food, if you can walk outside in some way, shape or form and find that food without a corporation dropping it off at your doorstep through, you know, Amazon Prime, can you, then it's a good food to consume. And I even, you know, a lot of people try to put people who subscribe to keto and low carb in a box and say like, oh, well, you know,

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you guys don't support potatoes or starchy carbohydrates. I do in certain settings. I think those foods can be fine for appropriate people that are not insulin resistant type two diabetics. There are some situations where I think those carbohydrates are probably fine given the right scenario and metabolic health situation. And so that's all I'll say is, I think that's a good way to look at it. Is it from planet earth essentially? Did it grow on the ground or did it, can you hunt it or fish for it or shoot it out of the sky?

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Sorry, that's a little graphic, but you know what I'm saying.

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Josh (36:16.566)
Well, humans have done that for thousands and thousands of years before we were given it by Amazon Prime. So, you know, definitely, I agree with you. I think maybe it feels or sounds graphic, but there are still tribes, indigenous people living all over the world to do exactly that. They walk out, it's Sunday morning, all right, cut the goat's throat and now we have dinner. And that's just how it is. It's how it's always been. Nature is brutal. We're just sheltered from it.

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Temple Stewart, RD (36:22.855)
Yeah.

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Temple Stewart, RD (36:36.359)
Yeah.

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Temple Stewart, RD (36:41.394)
Very.

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Josh (36:44.05)
As a bit of a segue, just for some context, are you familiar with Temple Grandin?

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Temple Stewart, RD (36:47.834)
Yes, so many people ask me that, yeah, I am.

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Josh (36:50.214)
Oh, I adore that woman. She was such a delight to have. So I did an interview with her as well. And she says that she says nature is brutal. It's just it's our job if we're raising them in captivity, they need to have a good life. Right? It can be hard to separate that because we sort of anthropomorphize animals all the time, like, oh, they're smiling, or they're this or that. And yes, animals have joy, and they're happy. But some animals just make food. That's how it's always been. And the only reason cattle exist is for food.

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Temple Stewart, RD (36:58.27)
Mm-hmm.

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Josh (37:19.338)
And so I know that can be kind of a tough line to cross for people, but that's the reality. We're not here to talk about feelings, we're here to talk about science.

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Temple Stewart, RD (37:27.411)
It is. And you know, back to your comment about, it's just optimal. And I'm with you and I think we probably align very strongly on, I do believe animal proteins and amino acid sequences and all of that is just optimal for humans, including those with gut issues. And so anyway, I won't tangent on that too far, but agreed. Yeah, long and short, yeah.

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Josh (37:48.77)
Long and short, agreed. I like that. Yeah, I mean, there are lots of carnivores out there. I mean, pick your carnivore on the internet, who these doctors have used it to address autoimmunity. And obviously, that's a very keto lifestyle, right? You're carb free, you're in ketosis, it's fats and it's protein. But when we talk about the guts, I want to get into gut hormones, weight loss, how all these things are connected. But how can we make sure because obviously, your hormones are going to be a mess.

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Temple Stewart, RD (38:00.19)
Mm-hmm.

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Josh (38:17.082)
and your gut's going to be a mess, and your system is going to be a mess without healthy bacteria. So how can someone getting into keto really support their gut? And I mean, even you with ulcerative colitis, how can you support your gut bacteria and all these systems that they interact with using keto?

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Temple Stewart, RD (38:33.07)
Yeah, you know, I think one thing that's kind of helpful is one, and I don't know where you stand on all of this, but I do think like testing stool can be helpful in the beginning of all this stuff, because I do think it can be a good segue into like what foods to pick and or what supplements, probiotics, prebiotics, etc. to kind of help. I'm also a fan of some peptides, BPC-15, other things that can go alongside some of these things.

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Josh (38:42.71)
Agreed.

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Temple Stewart, RD (39:01.522)
to help heal and then also just understanding and triaging things in that individual's environment that may be causing their gut issues. Like for instance, I was helping someone that was having some severe gut problems and we had them on keto and nothing was really happening. Like they weren't seeing much improvement. And in reality, it was really not diet that was really their biggest issue, but they were in a really, really bad work environment.

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And when they decided to finally take the plunge and get out of that work environment, their gut issues cleared up. And so it's like really working with that individual and trying to figure out, okay, what in your immediate zone or an immediate control is worth fixing. Now, when it comes down to keto itself.

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when I counsel people that may or may not be having gut issues, it does come down to some degree of elimination, right? And I know you're familiar with that. Like if someone's not tolerating asparagus, I'm certainly not going to have them eat asparagus until we can figure out what's going on, build their gut health back, et cetera. And sometimes it does get very, uh, very eliminatory. I doubt that's a word, but sometimes we have to pull it, pull it back really far and get really close to maybe.

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Josh (40:09.91)
That's a good word.

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Temple Stewart, RD (40:14.906)
a carnivore style with a few vegetables, you know, and there, a lot of times there's this misnomer about fiber on keto. And I'm kind of in the boat of, it depends on the individual with fiber from just what I have seen and dealt with as a dietician is some people tend to do great. Some people, it is a absolute hot mess wreck. And so it individualized that. And so when it comes to fight keto in general, what I look for is

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high quality foods, getting rid of anything that may be outside sources of stress and or things that might be barriers, not eating as frequently. So taking away this constant need of like six times a day eating, giving the gut actual time to heal. Like we don't need to eat all day and all night and up till midnight. If possible, choosing some of the regenerative ag, grass-fed, organic.

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types of foods, if that's in that individual's possibilities, budget, etc. And then choosing high quality produce if possible. And sometimes it needs to be really well cooked. Sometimes it can be raw, etc. Again, it just all comes down to individuality. And then I'll say on fats too. A lot of times with my gut health clients, I do end up eliminating dairy for at least some degree of the time. Usually I haven't ever had a gut health client that has done.

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just fantastic with dairy right out of the gate. So that sometimes goat's milk has been helpful or like other forms of dairy in that kind of realm have been tolerated after kind of some initial healing stages on keto, but yeah, I really, and I don't know if it has come down to the foods that have helped support it or the removal of the bad foods that has helped more if that makes sense.

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Josh (42:10.574)
No, absolutely it does. I mean, it's kind of a combination effect where there's so many different parts and pieces. And you mentioned earlier about GI maps or stool samples, right, and just for our audience, and it's really interesting because there are a lot of doctors, and they're not wrong to say this, that GI maps are a useless test. And I've heard this from GI doctors, but it's the crux of what I do working in IBD. And so realistically, and this is why for our listeners, a stool test, right, a GI map,

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Temple Stewart, RD (42:20.614)
Mm-hmm.

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Josh (42:40.838)
It's the closest thing we can have in 2023 with the tech we have available to breaking down your gut bacteria, the good, the bad, the ugly, everything in between. But the reality is you have 1,000 to 2,000 species and 7,000 to 9,000 different strains, which means you've got upwards of 18 million different bacteria. We can see 50. It's a grain of sand on a beach, really. We're trying to identify that graining, okay, here's how we fix the beach. But it at least gives us insight as to what's going on.

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and we can sort of see this overarching view. Is it a perfect science? No, but it does help. And I can see, like I've got a client right now, she's got autoimmune hepatitis, she's dealing with ulcerative colitis. We got a GI map back and she's got E. coli shigella. So she got an E. coli infection and she's got Candida and she's got bacteria that are classified as autoimmune inflammatory. And this is why she has autoimmune inflammatory conditions but nobody so much as looked. So are they definitive?

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know, but are they very helpful in a greater part of a puzzle in a greater hole? I'd say absolutely. But one question I do have for you about that, about these bacteria, there's obviously this abundance and they have to eat, right? Bacteria need food. And so if we're not giving them carbs and starches, right, typically your bacteria will eat these soluble fibers, the things that for listeners that absorb water, right? The soft squishy stuff like apples or sweet potatoes, they're very soluble, break down, they hold water, they're really nice and soft.

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but then you have your scratchy fibers like cabbage and broccoli, the things that like kind of, it can't see me on the video if you're listening on audio, making little kitty cat fingers, but that's how we see our two fibers and your bacteria like the soft ones. So if you're not eating these soft ones, cause those are your carbs, those are your sugars, those are those fibers, how do you feed and keep a healthy bio then? What are your bacteria consuming?

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Temple Stewart, RD (44:32.238)
Yeah, so well, I'll say it's not always a bad thing to give it a break for a bit. So a lot of times people think that, oh, like, I'm going to completely mess up my entire GI track. If I remove soluble fibers in the beginning, it's going to just completely wreck everything. No, like you can add that back and feed those bacteria in three, six months, nine months down the road and be fine. So.

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I will say that there and a lot of these foods have combinations. Even keto non-starchy vegetables will have combinations of both soluble and insoluble. So a lot of times people think, Oh, I'm not getting any fiber, but you know, you think of avocados and like you mentioned the different non-starchy vegetables. So it's not an all or nothing kind of thing. You still need to eat. You still can and still can feed those bacteria on a low carb ketogenic diet.

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when choosing the right variety and different makeup of foods. You can also have some of the lower glycemic soluble carbohydrates like berries and other things. It all comes down to the amounts, portion sizes, and or timing. It's not black or white or all or nothing. It really comes down to like, okay, how much can this individual have? What are they dealing with metabolically? Can we add in a half a cup of this or a half a cup of this here?

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at the end of their meal so their insulin isn't affected where they're still feeding that good gut microbiome, et cetera. So I think it, yeah, it can be a mixture and then you can also look for those lower glycemic, lower blood glucose affecting foods that may be helpful.

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Josh (46:15.794)
Now that adds up and I think we often get so overwhelmed with the information. Again, this is why professionals exist. We often get out, what's a supplement I can take? What diet can I try? What thing can I do? What's the one thing? And it really is taking all these years. I've probably got 15,000 pages of textbooks sitting on my shelf and my job is to go through those and condense it down to a 30 second tip on Instagram. And it just doesn't work for everybody. It's so...

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nuanced, but obviously it's all connected. And I hope we're grabbing concepts out of this today, less so like what's the one thing I should do. And so I want to dive into gut a little bit more here in its connection. We were here to talk really keto and weight loss resistance and hormones and it's all connected. Obviously, your gut bacteria communicates with your hormones and your brain and your everything. So can you explain that connection for us a little bit more about the bacteria in the gut?

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Temple Stewart, RD (46:51.37)
Mm-hmm.

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Josh (47:12.386)
the hormones and that connection with weight loss.

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Temple Stewart, RD (47:16.194)
Oh gosh, yeah, this may, I mean, this is your realm, but yeah, it's, gut health is everything. And we know, I would say we know so much, but we also know like nothing, like almost, you know, when it comes to the microbiome, and like you were explaining, like the little sand on the beach, like we really, in terms of strains and stuff, I think there should be so much more research there and there will be and it's exciting things to come. But

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Josh (47:27.686)
Yes.

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Temple Stewart, RD (47:40.686)
Yes, gut health is involved in everything down to even like affecting your moods that could potentially lead you to binge or could potentially lead you to cravings and or potentially like cause you to want certain foods like starchy carbohydrates or fried foods or sweets, etc. And so when you consistently feed certain strains of gut microbiota or gut bacteria, etc.

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that again may lead to those cravings or whatever else. Now, when we're talking about weight loss or weight loss resistance, you think of several different hormones and one right now that everyone probably knows of is like the GLP-1s and things of that nature. But let's think, yeah, Monjaro, yeah, Wigoby, all of that. Well, a lot of those receptors start in the gut. And so a lot of those, I mean, we know that those medications do affect gastrointestinal emptying, appetite suppressing, all of that kind of stuff. And so, but...

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Josh (48:18.958)
We're talking Ozempic and like we go via.

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Temple Stewart, RD (48:34.714)
You kind of have two, you don't kind of, you have two hormones that primarily affect the way your hunger is felt. Grelin and leptin. Leptin is what makes you feel full. Grelin is what makes you feel hungry. Both can be influenced by gut microbiome. Then we have insulin, of course, and then we have inflammation. Insulin again is that hormone that I talked about earlier in the podcast about how, you know, when you eat carbohydrates, when you eat those processed foods, when you eat those starchy carbohydrates, the blood glucose elevates. Insulin has to be released to take.

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care of it. Now there's insulin receptor cells in nearly every cell of the body. So that's a very potent hormone, which is a good thing. We need it. We need it for a lot of things. We just need ourselves to be sensitive to it. And so those are kind of the gamut of hormones when we talk about weight loss, when we talk about weight loss resistance. So what we do is we want it. We want a healthy balance of all of those, right? We don't want to be having food noise. We don't want to be having that constant, you need to eat those constant cravings, that constant.

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ghrelin or which again is the one that makes you hungry being released. And then we also don't want, well, some people might want issues with leptin. So there's something called leptin resistance where you may not be able to feel leptin, which if you're not able to feel full, those are the people that, you know, will eat a meal and then feel immediately hungry. And so all of your gut microbiome and bacteria can play roles in

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to varying degrees into these different hormones. And so it really all comes down to that individual's makeup and or looking for what hormone may be misaligned, dysregulated, how can we bring that back into alignment? Comes down to protein consumption, fiber consumption, feelings of fullness and what that individual is essentially dealing with and how can we manipulate that to help them overcome whatever feeling they're.

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struggling with, I should say.

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Josh (50:31.274)
It really is one of these situations with a gut. The more we learn, the less we know. And it's almost painful. But like you said, it's a really exciting era of things to come. I had Dr. William Lee on here just a couple of weeks back, and we were talking about the five roots of disease. And one of the things we were talking about, he actually got to scrub in to do this fecal microbiota transplant, right? It's incredible stuff to actually take feces from one person.

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Temple Stewart, RD (50:44.484)
Mm-hmm.

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Temple Stewart, RD (50:54.534)
Yeah, it's amazing.

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Josh (51:00.078)
and insert it into another person. And they're found, like they've cured cancer, they've used it to cure Parkinson's, C. diff, all kinds. Yeah, autism, that one's interesting too, ADHD. And we go, well, there's nothing you can do, but we look at the bacteria, right? I've got flack recently for video I posted on YouTube about certain foods like red 40 and yellow five causing ADHD, look, it's something you're born with. I'm like, it's simply a neurochemical imbalance.

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Temple Stewart, RD (51:06.174)
C. diff, all kinds of so autism.

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Temple Stewart, RD (51:12.86)
It's amazing.

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Josh (51:29.826)
This is why women in menopause can get ADHD diagnosis because estrogen is a dopaminergic receptor, which means it helps dopamine bind to the brain. You need dopamine for reward and focus. And if they don't have estrogen, their higher stress, their body's pumping out these sex hormones from their adrenals to try to make extra hormones, causing this overstimulation. And now they can't focus for shit. And they go, well, it's ADHD, it's just been undiagnosed your whole life. And...

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Temple Stewart, RD (51:36.788)
Yup.

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Josh (51:57.886)
it all comes back to what your body is producing. It's all bacteria. And I mean, 90% of your neurotransmitters, right? We talked serotonin, it's all your gut and we need it. And it's so important to be healthy. And I mean, I could harp on this all day and we are so much on the same page. And so honestly, I don't really have many more questions that I wanna talk about because we covered such a broad spectrum, but I can almost feel.

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Temple Stewart, RD (52:00.09)
Yeah.

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Temple Stewart, RD (52:05.734)
And you're good. Yeah.

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Josh (52:25.73)
the wheels in your brain going right now. So what's on your brain? What's happening as we're talking about this?

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Temple Stewart, RD (52:30.758)
Well, you know, I think you made a really good point about like the neurotransmitters and you know, I was thinking a lot of people don't Especially those that may be struggling with IBD or and or just anything that's going on in the gut Is a lot of connections. I feel like are missed when they're dealing with these things Whether it's weight loss whether it's weight loss resistance and or it's just GI issues that are annoying and frustrating but

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If you think about what we're putting into our bodies, it's all got to go through that pathway, you know, down from the very little things like, oh, I'm just going to pop a Tylenol and think nothing of it because I have a headache. That's going to affect your gut. Inceds, antibiotics, medications, supplement, the whole nine yards. And so, yeah, as you were talking, I was just thinking of all the different things that we expect and...

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basically pressure our bodies into handling. Even just down to the air pollution that we breathe in and we expect our body and make our body handle it. I just think one, our bodies are amazing and incredibly cool and incredibly complex and even down to the cool bacteria that is super fascinating in our guts. And so I don't really know where I'm going with this. I just think that there is...

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such a cool connection that you're bringing with this podcast and helping people understand That one there's hope for anyone that may be struggling with this that there's a lot of Even though sometimes it can be frustrating in conventional medicine you feel like you've hit a dead end or you feel like the only Option is maybe a biologic or a high-powered Pharmaceutical or whatever else and there's no root causes. Oftentimes if you just do minimal digging

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there's things that you can change and then do a little bit more digging, there's things that you can change. And I think that stuff starts with nutrition and movement and de-stressing and getting rid of environmental toxins and little things like that. So I don't mean to go on a rant. I just want people to know that there's hope out there and that I hope that by us talking about that, that brings some of that.

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Josh (54:34.142)
I think it will. And I think that's really what this podcast is about. It's about education. There's a lot of stuff here where we've talked about actionable steps. Almost every episode, they're all educational, but most of them do have some kind of action you can take or something you can do. And the onus really is on us. Unfortunately, the system is sort of put together in a way where food is fake. The FDA does not give a shit about you and how good food is. They approve, they actually have a list of things called generally considered safe.

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Temple Stewart, RD (55:02.727)
Yep.

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Josh (55:02.942)
And so his food additives and chemicals. Well, what does that translate to? It means we haven't proven it's poison, so it's probably okay. Yeah, I mean sodium.

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Temple Stewart, RD (55:08.134)
don't know. Yeah, it's horrible. Even if there's like, I'm sorry for interrupting. But even if there are like, documented cases of all, like, yeah, they just, I know it's so the same thing with yeah, same thing with stuff in women's makeup and medicines. It's like, oh, well, we'll let this many things happen until we actually pull it. But anyway, sorry for interrupting. Go ahead.

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Josh (55:14.315)
No, you're good.

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Josh (55:19.454)
But it's not enough though.

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Josh (55:31.602)
You're great. We're on the same page. I know I could see your brain exploding. It really is. It's a rough way we sort of find ourselves eating these Franken foods. I mean, Lucky Charms has sodium triphosphate. That's that's rat poison. They use that in rat poison. And it's wild. So we have these foods that we're being fed that the FDA just approves because frankly, they've been paid enough to press the approve button. Then they get into our bodies, the bodies make these foods make us sick.

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Temple Stewart, RD (55:35.486)
Yeah.

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Temple Stewart, RD (55:46.1)
crazy.

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Josh (55:59.138)
We get sick with these chronic inflammatory diseases, which by the way, 14 out of 15 of the leading causes of death in the US are chronic inflammatory conditions directly linked to the gut. The 15th cause is self-harm or injury. And so everything that's killing us, we'd say natural causes is relatively unnatural. And so now we're sick, which means we need to get medicine. But in the States, it's crazy expensive. So what do we do? We get a job.

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that we hate, that sucks our soul and adds more stress, which makes us sicker, but it has good benefits. We can pay $10,000 a month to big pharma, who works with the FDA to make these shitty foods that make us sick, that make us need these jobs and these medicines. And it's wild. And I know people go, wow, you're a conspiracy theorist. I'm like, dude, I just looked at the data and it just adds up, follow the money and we're cattle. Realistically, we have to be in charge of our own health because nobody can care more than we can.

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Temple Stewart, RD (56:36.338)
Yep.

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Temple Stewart, RD (56:48.903)
Yeah.

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Temple Stewart, RD (56:52.954)
No, and ultimately, like everything you just said is why I got out of conventional medicine because I was working I was working at a hospital one, a VA hospital that serves our nation's veterans and I was, I was watching the way that we, we treat type two diabetics, and I was like, this doesn't make any sense like we're.

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we're treating type two diabetes with medications when the problem with type two diabetes is over consumption of carbohydrates and sugars. Like, why are we giving medications to cover food when we take the food away and there's no need for the medication? It just was so bizarre to me. And I was like a 21 year old dietician. And I was like, well, I can't say anything. This just doesn't feel right. And obviously diabetes is a little bit more complicated than that, but the vast majority of type two diabetes you can take.

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carbohydrates away and get most people off the vast majority of insulin. And I just got so frustrated with watching this paradigm. And I was like, this doesn't make any sense, but I, I see the profit in it. Like it, I see why people would, why they would want people on this much medication. And yeah, it, and that's not just with diabetes, it's with everything. And so.

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Yeah, I don't necessarily think you're a conspiracy theorist. I think there's a lot of data to back that all up. I think it's sad. And I think what can help people is when they understand that there's a lot of power in your own hands when you change things and you take these foods out of your diet and you eat real whole food. And I know that's such a whole, like a nuanced term, but yeah, I think that there's a lot of power to the consumer.

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Josh (58:09.426)
I'm sorry.

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Josh (58:33.47)
Yeah, there's a great quote I love. It says, never attribute to malice what can be attributed to stupidity. And so we can go, well, it's this big evil plot to make everyone sick. And maybe, maybe not. Maybe it's just corporate greed. I mean, food production, farmers just get by the big producers. The money is made in these artificial foods in processed foods, because you can dilute and manufacture and use so many chemicals that are cheaper than actually growing and raising food. And so.

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Temple Stewart, RD (58:45.524)
Maybe.

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Josh (59:01.174)
You get people who are so sick. I mean, look at hospital food. Hospitals are for-profit businesses. What do they feed patients? White bread, processed meat, Jell-O, Insure. Oh my God. I am convinced years back, there was a fellow I was working with. I was trying to work with ulcerative colitis and they were kind of humming and hawing on the program. Cause that's what I do. Like it's 90 days and at least we'll get you 50 to 90% better. And they were humming and hawing.

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Temple Stewart, RD (59:07.786)
Trash. Insure. Ha.

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Josh (59:27.566)
took some time and his liver was shutting down and he's starting to have liver failure and then was starting to cirrhose and he was getting sicker and sicker. The doctors kept giving him Insure and other things. I am convinced Temple, I am convinced that it's the hospital food that did him in. That was the final straw. That was the thing that killed him.

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Temple Stewart, RD (59:37.598)
Golly.

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Temple Stewart, RD (59:42.654)
Sure. Yeah, I mean, yeah, you look at it. And I was, you know, when I was a dietician there, I would, you would put, I go back to diabetes, but like you would put diabetics on what we called, quote unquote, carb controlled. And our lunch plate would be 45 to 60 grams of carbohydrate, which is like five to six servings of carb. I mean, that's like a banana, a slice of white bread, a piece of dessert, and then a fruit cup.

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Josh (01:00:03.169)
Yeah.

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Temple Stewart, RD (01:00:11.482)
or something like who needs yeah who needs that many servings of carbohydrate especially when you're in the hospital and most of them are in there because of either some sort of diabetic event or they're there to get a toe you know amputee whatever and it was just so bizarre and then I remember you know kind of one of the final straws for me was I floated on a oncology ward and you know these people are the sickest of sick and they're going through the worst time of their life treatment.

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Josh (01:00:12.618)
which is full of sugar.

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Temple Stewart, RD (01:00:40.742)
getting radiation and chemotherapy. And I was giving them Insure and I was looking at the ingredients. I remember the first time I looked at the ingredients on Insure and the first ingredient, I believe it's either the first or close to the top is palm oil or corn syrup solids or just something that's absolute trash. And I remember thinking, why am I giving someone who is fighting for their life against a horrific disease, cancer, and going through these treatments, this...

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Josh (01:00:55.181)
Mm.

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Temple Stewart, RD (01:01:07.914)
trash. This isn't even food. Like this is not even food. It literally and I'm thinking I was like I had such a conviction and that was like the beginning of the end for me and I realized this is not going to be my final stay because I just cannot this is not right. These people deserve better. This is our nation's veterans. Like what are we doing? You know, I just everyone deserves better than that. It just was horrible. So yeah, you know,

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Josh (01:01:11.022)
It's cancer food.

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Temple Stewart, RD (01:01:36.922)
Yeah, once you start looking and understanding how this stuff affects hormones and feeds things and messes with your gut microbiome and Yeah, it will it'll shift the way you think about what you put in your mouth and eat for sure.

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Josh (01:01:51.882)
Yeah, it's really interesting. And I want to respect your time here. I do want to wrap you up here soon, but it's really fascinating. We look at other indigenous tribes. Sure, there are medical conditions, if there are bacterial infections and things. Like modern medicine is great at emergencies and surgery. It is the worst. It is abysmal, embarrassingly bad at chronic inflammatory conditions that effectively we've created. But they don't have those there. They don't have infertility. These countries, they don't have PCOS. They don't have...

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Temple Stewart, RD (01:01:55.763)
Yeah.

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Josh (01:02:20.03)
Alzheimer's like we do the elderly, they are elders, they're not elderly. That's a very big distinction between different societies. Over here, the they're elderly. Therefore, they are a burden. They go into nursing homes, they, you know, they're burdened on the medical society, they're all sick over there. They are elders, they're wise. 80 years old, they're hunting. And most of us are starting to fall apart after 30 and 40. And it's our lifestyles, it's our food, it's our choices, it's what we're being fed to and not even educated on.

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And some of us are making these choices without even realizing it. We don't know what we don't know. And so we do have to be our own advocates. My last question for you, Temple, is there anything we haven't talked about? Anything you'd like to say, famous last words? I know it's a shit question. I love it. I throw it at everybody every episode. What would you like to say to our listeners as kind of a little nail in the coffin or a famous last words?

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Temple Stewart, RD (01:03:14.53)
Yeah, I would say famous last words, if you're struggling with weight loss, metabolic health, weight loss resistance, consider low carb therapeutic ketogenic diets done in the right proper manner. They can be extremely anti-inflammatory, can be gut bug in a good way, health promoting. And so it's a good alternative therapeutic approach and a good whole food diet to use for chronic disease metabolic health management.

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Josh (01:03:44.662)
Love that. Now, if somebody wanted to get ahold of you, wanted to learn more about keto, health, hormones, all these things, temple, where can they find you?

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Temple Stewart, RD (01:03:52.546)
Yeah, I'm on basically every platform at the dot ketogenic dot nutritionist. I'm on Instagram, TikTok, YouTube. I'm on Twitter at Temple Dietitian. But yeah, find me there and you guys reach out if you all need anything, have any questions. I try to really interact with people that, you know, hear me on podcasts and such else. So I really appreciate it too, Josh. This was fun.

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Josh (01:04:16.574)
Yeah, it's been a blast. You are clearly a very busy woman. I know what it takes to manage that many social. I've actually dropped social platforms. I can't do it. I'm gonna pick two. So, the irony is on me. I'm my own worst patient. I promise you that. Absolutely. Well, it's been a delight, Temple. Thank you so much for being here and just sharing all of your expertise. And I'm looking forward to having you back sometime in the future.

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Temple Stewart, RD (01:04:25.226)
Speaking of stress, you want to talk about stress. Ha ha ha.

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Temple Stewart, RD (01:04:32.618)
That's funny.

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Temple Stewart, RD (01:04:41.542)
Yeah, absolutely. Thanks again, Josh.