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Q&A: Dr. Ede on Sweetener Studies, Oxalate Dumping, Exercise & Bone Health
Description
Can stevia fit into a ketogenic diet? What does the evidence say about oxalates? And how might a ketogenic diet affect bone health?
In this episode of Metabolic Mailbag, Dr. Bret Scher and psychiatrist Dr. Georgia Ede answer listener questions about sweeteners, exercise, ketone levels, continuous ketone monitoring, and more.
They discuss:
- Why stevia can still be considered a keto-friendly sweetener, and why individual response matters
- What the evidence does and does not show about “oxalate dumping”
- Why oxalate intake and symptoms can vary so much from person to person
- What research says about ketogenic diets and bone health in children versus adults
- Why protein, resistance training, vitamin D, calcium, vitamin K2, estrogen, and cortisol all matter for preserving bone mass
- Why some people see lower ketone readings in the morning and higher readings later
- How food intake, exercise, sleep, and circadian rhythm can affect ketone levels
- What continuous ketone monitors may teach us about daily ketone patterns
- How exercise can both help you enter ketosis and temporarily lower blood ketone levels
- Why even short bouts of movement can support metabolic and mental health
Dr. Ede also explains why context matters with ketogenic therapy. A ketone reading or food choice can mean different things depending on the person and their health goals.
🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.
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Expert Featured:
Dr. Georgia Ede, MD- Author, Change Your Diet, Change Your Mind
- https://www.linkedin.com/in/georgiaedemd/
- https://x.com/GeorgiaEdeMD
- https://www.instagram.com/georgiaedemd/
Resources Mentioned:
Papers
- Effects of the Daily Consumption of Stevia on Glucose Homeostasis, Body Weight, and Energy Intake
- https://pubmed.ncbi.nlm.nih.gov/14681845/
- https://pubmed.ncbi.nlm.nih.gov/24606099/
- https://www.researchgate.net/publication/346560858_Hypercalcemia_in_Children_Using_the_Ketogenic_Diet_A_Multicenter_Study
- https://pmc.ncbi.nlm.nih.gov/articles/PMC9932495/
Free CME Clinician Trainings:
Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein, Dr. Mariela Glandt, Dr. Deanna Kelly, Dr. Julie Milder, Dr. Zoltan Sarnyai, and Dr. Bret Scher with more coming soon.
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