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PMDD stands for premenstrual dysphoric disorder. This is not to be confused with Premenstrual Syndrome or PMS. PMS is changes in mood during certain parts of the menstrual cycle. It affects 80% of women. The mood changes can be mild to moderate. In fact, some women will just see it as feeling a little moody the week before their menstrual cycle. PMDD is a severe form of PMS. It’s almost like turning into the werewolf when the full moon rises. For some people, it’s just that drastic. It affects 3% - 8% of women. So it’s not as common as PMS. We treat PMDD with antidepressants or hormone therapy. I show you why some women get PMDD and why the antidepressants help. I discuss the difference between intermittent and continuous dosing with antidepressants. I also discuss the two main hormone treatments. If you do not want to take any kind of medication, you can try lifestyle changes. The first are diet modifications such as eliminating caffeine, sugar, nicotine and alcohol and minimizing sodium. You would combine this with sleeping 7-9 hours a night and getting regular exercise – like 3-5 times a week. Some nutritional supplements have shown to be helpful. These would be Calcium 1200mg/day, Vitamin B6 50-100mg/day. Other supplements would be Magnesium 200 – 360mg/day, Vitamin E 400 IU/day. There are some herbal remedies that have been shown in studies to be helpful. Agnus castus fruit extract, also known as chasteberry and Gingko biloba. To download the mood diary go here: http://markspsychiatry.com/mood-diary/ Video on Brain Zaps from medication withdrawal http://www.youtube.com/watch?v=KrcUEarpx-s Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. If you don’t want to miss a video, click here to subscribe. https://goo.gl/DFfT33 References: Article about how SSRI’s increase allopregnalone Griffin LD, Mellon SH. Selective serotonin reuptake inhibitors directly alter activity of neurosteroidogenic enzymes. Proc Natl Acad Sci U S A. 1999;96(23):13512–13517. Bäckström T, Bixo M, et. al. Allopregnanolone and mood disorders. Prog Neurobiol. 2014 Feb; 113:88-94. Epub 2013 Aug 23. Schiller CE, Schmidt PJ, Rubinow DR. Allopregnanolone as a mediator of affective switching in reproductive mood disorders. Psychopharmacology (Berl). 2014;231(17):3557–3567. doi:10.1007/s00213-014-3599-x Griffin LD, Mellon SH. Selective serotonin reuptake inhibitors directly alter activity of neurosteroidogenic enzymes. Proc Natl Acad Sci U S A. 1999;96(23):13512–13517. Khine K, Rosenstein DL, Elin RJ, Niemela JE, Schmidt PJ, Rubinow DR. Magnesium (Mg) retention and mood effects after intravenous Mg infusion in premenstrual dysphoric disorder. Biol Psychiatry. 2006 Feb 15;59(4):327-33. Yonkers KA, Pearlstein TB, Gotman N. A pilot study to compare fluoxetine, calcium, and placebo in the treatment of premenstrual syndrome. J Clin Psychopharmacol. 2013 Oct; 33(5):614-20. Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.

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Understanding the Keto and Carnivore Diets

In recent years, dietary choices have become more varied, with the rise of specialized diets targeting specific health outcomes. Among these, the Keto and Carnivore diets have gained substantial attention and followings. Both diets emphasize low carbohydrate intake, but they differ significantly in their philosophies, food choices, and health implications. The popularity of these diets is not only driven by weight loss but also by claims of increased energy and improved mental clarity. However, understanding their complexities requires delving deeper into their origins, methodologies, and impacts on health.

The Keto diet, or ketogenic diet, is rooted in a philosophy that promotes a high-fat, adequate-protein, and very low-carbohydrate intake. This diet aims to shift the body’s metabolism away from glucose and towards fat and ketones, which are produced from fat breakdown. Developed in the 1920s as a treatment for epilepsy, its modern resurgence is closely linked to various health claims, including weight loss, metabolic health, and improved neurological function. The Keto diet encourages foods such as nuts, seeds, avocado, various oils, fatty fish, and low-carb vegetables while strictly limiting items like grains, legumes, fruits, and most dairy products.

In contrast, the Carnivore diet takes a more extreme approach by advocating for an all-animal product consumption. Followers of this diet consume only meat, fish, eggs, and some animal-derived products like bone marrow and certain dairy products, eschewing all plant-based foods entirely. Proponents argue that such a restrictive diet can lead to weight loss, reduced inflammation, and resolution of various health conditions. The Carnivore diet has garnered attention from those seeking to simplify their food choices but has similarly drawn criticism for its lack of variety and potential nutrient deficiencies. The varying perspectives on both diets invite exploration of their core differences.

Core Philosophy and Dietary Guidelines

The core philosophy of the Keto diet is rooted in the metabolic state of ketosis, wherein the body utilizes fat as its primary energy source. To achieve this state, proponents recommend drastically reducing carbohydrate intake, typically to about 5-10% of daily caloric intake, while increasing healthy fats to 70-80%. This results in the body burning fat stores, leading to weight loss. The inclusion of protein is also important, but excessive protein can interfere with ketosis, making it essential to find a balance. Dieters are encouraged to use ketone testing strips to monitor their ketone levels, ensuring they remain in the desired state.

<pConversely, the Carnivore diet operates under the belief that an all-animal food-based lifestyle can lead to optimal health. This diet completely excludes carbohydrates, including fruits, vegetables, grains, and legumes, which are often seen as antinutrients that could harm gut health. Advocates of the Carnivore diet argue that humans are evolved to thrive on meat, claiming that animal products provide all essential nutrients without the drawbacks of plant-based foods. There is no specific macronutrient breakdown adhered to in the Carnivore diet, as the focus is solely on animal foods, and practitioners often report increased satiety and less hunger when following this diet.

Both diets promote the idea of eliminating processed foods, which can be beneficial for overall health. However, the Keto diet allows more diversity in food choices, including low-carb vegetables and dairy products, while the Carnivore diet has a more singular focus on foods from animal sources. Such divergent philosophies point to a fundamental difference in how practitioners view human nutrition, with Keto advocating for a balance of macronutrients and Carnivore asserting a singular focus on meat as the ultimate food source.

Nutritional Composition and Health Benefits

Both the Keto and Carnivore diets offer unique nutritional profiles that can significantly affect individual health. The Keto diet emphasizes a high-fat intake, which can offer several benefits, such as improved cardiovascular health if healthy fats are prioritized, enhanced brain function, and effective weight loss mechanisms through fat oxidation. By incorporating healthy fats from sources like avocados or olive oil, adherents can nourish their bodies while maintaining a state of ketosis.

The Carnivore diet, while restrictive, emphasizes nutrient density inherent in animal products. Foods like liver, for instance, are packed with vitamins and minerals such as vitamin A, iron, and B vitamins. This focus on animal-derived nutrients appeals to some who believe that many health issues stem from plant-based antinutrients. Proponents assert that such a diet could lead to weight loss, improved inflammation markers, and even relief from autoimmune symptoms; however, comprehensive clinical research is still sparse.

When comparing the two, it is crucial to consider the long-term sustainability of each diet. Nutritionists often raise concerns regarding the Carnivore diet’s potential for nutrient deficiencies due to its exclusion of plant foods, which are rich in fiber, essential vitamins, and antioxidants. Keto practitioners often enjoy better flexibility, which may help individuals adhere to their dietary choices long-term. Ultimately, while each diet boasts health benefits, personal choice, individual health needs, and lifestyle factors must play significant roles in determining the most appropriate diet.

Potential Risks and Drawbacks

While both the Keto and Carnivore diets can offer health benefits, they are not without potential risks. The Keto diet may lead to side effects such as the “Keto flu,” characterized by fatigue, headaches, dizziness, and irritability during the initial phase as the body adapts to fat utilization. Additionally, a dramatic reduction in carbohydrates may lead to nutrient deficiencies unless carefully planned. Long-term adherence may also result in increased cholesterol levels, potentially impacting heart health for some individuals without proper monitoring.

The Carnivore diet poses its own set of risks, primarily due to its strict exclusion of all plant foods. This can lead to a lack of dietary fiber, which is essential for gut health and proper digestive function. Over time, this may result in constipation or other gastrointestinal issues. Moreover, the lack of variety can contribute to deficiencies in vitamins, minerals, and phytochemicals that are primarily sourced from plant environments. The long-term effects of such a restrictive diet remain largely unstudied, raising further concerns.

Furthermore, both diets tend to prioritize high protein and fat intake, which can be a concern for individuals with underlying health conditions such as kidney issues or heart disease. It is vital to consult with a healthcare provider or nutritionist before making drastic dietary changes. Both diets also require careful planning to avoid adverse effects and ensure that nutrient needs are still met.

Long-term Sustainability and Lifestyle Compatibility

Long-term sustainability is a crucial factor when considering adherence to any diet. The Keto diet’s flexibility allows for gradual adjustments and the potential reintroduction of carbohydrates, making it easier for dieters to adhere to the lifestyle changes over time. Additionally, its inclusion of a variety of food groups creates opportunities for meal creativity, which may help stave off boredom. Meal planning can also be adapted to accommodate various preferences, making it suitable for a range of individuals looking to lose weight or improve their health.

In stark contrast, the Carnivore diet can become monotonous and may be challenging to maintain in the long run due to its restrictive nature. While some adherents thrive on the simplicity and focus of eating exclusively animal products, this diet can limit social eating occasions and dining out, where plant-based options are prevalent. The psychological aspect of eating can also impact individuals as the lack of variety might lead to feelings of deprivation, which can be counterproductive to long-term adherence.

Ultimately, choosing between a Keto and Carnivore diet may come down to individual preference, lifestyle, and health goals. Some people may find the Keto diet aligns better with their social life and food preferences, while others may feel liberated by the simplicity of the Carnivore diet. Whichever path one chooses, understanding the practical implications and recognizing the importance of long-term sustainability will be essential for success.

Exploring Common Questions: Summary of Key Differences

When comparing the Keto and Carnivore diets, individuals often have similar questions that highlight the key differences between the two. One frequently asked question relates to the foundational principles of each diet. The Keto diet focuses on achieving ketosis through a significant reduction in carbohydrates, with a balance of fats and moderate protein intake. In contrast, the Carnivore diet promotes a complete exclusion of all plant foods, allowing only animal products. This fundamental difference sets the stage for numerous other distinctions.

Another common inquiry pertains to nutrient intake and health implications. The Keto diet permits a variety of food groups, enabling dieters to access essential vitamins, minerals, and fiber from low-carb vegetables and nuts, thus promoting gut health. In contrast, the Carnivore diet limits nutrient diversity, causing potential deficiencies over time as essential plant-based nutrients are excluded. Questions surrounding long-term health outcomes from both diets are increasingly prominent, particularly as research continues to emerge regarding their long-term sustainability and impacts on health.

Lastly, many individuals wonder about the psychological aspects and social implications of adhering to each diet. The Keto diet allows for more flexibility in food choices, making it easier to adapt to various eating occasions and preferences. By including more diverse foods, it may accommodate better social interactions. The Carnivore diet, while straightforward, can present challenges in social settings where plant-based options are prevalent. Ultimately, understanding these key differences can assist individuals in making informed dietary choices that align with their health objectives and lifestyle needs.

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