The Health Pulse
🎙️ The Health Pulse – Your quick guide to better health!
In under 20 minutes, get expert insights on health and nutrition. Stay informed, and take charge of your wellness with actionable tips. Whether optimizing your health or exploring diagnostics, we keep it simple and insightful.
Listen, learn, and take control—one pulse at a time! 🔬✨
The Health Pulse
Episode 110 | Paleoketogenic Diet
Use Left/Right to seek, Home/End to jump to start or end. Hold shift to jump forward or backward.
What if some of the foods we consider “healthy” are contributing to gut dysfunction in certain people? In this episode of The Health Pulse, we take a deep dive into the Paleolithic Ketogenic Diet (PKD)—a highly restrictive therapeutic approach centered on red meat, animal fat, and organ meats while excluding dairy, grains, legumes, and nearly all plant foods.
We explore the theory driving PKD: that intestinal permeability, or "leaky gut," may play a central role in autoimmune disease, chronic inflammation, and metabolic dysfunction. We break down the science behind tight junctions, zonulin, and the gut barrier, explaining how a compromised intestinal lining may allow unwanted substances to trigger immune activation throughout the body.
We also tackle the most controversial aspects of PKD, including the dairy paradox—why even butter and cream are excluded—and the ongoing debate surrounding fiber, gut health, and the role of beta-hydroxybutyrate (BHB) during deep nutritional ketosis. Along the way, we examine an alternative explanation for some of the reported benefits: PKD may function as one of the most powerful elimination diets ever created, removing ultra-processed foods, seed oils, refined carbohydrates, and common dietary triggers all at once.
Finally, we discuss the clinical claims often associated with PKD, particularly in conditions such as Crohn's disease, autoimmune disorders, and metabolic disease, while emphasizing the difference between intriguing case reports and high-quality clinical evidence. We also cover the laboratory markers that should be monitored by anyone considering a therapeutic dietary intervention, including fasting insulin, fasting glucose, HbA1c, hs-CRP, vitamin D, B12, folate, and iron studies.
Whether you're interested in gut health, autoimmune disease, ketogenic therapies, or the evolving science of nutrition, this episode offers a balanced and evidence-based look at one of the most debated dietary approaches in modern medicine.
📞 Need lab work done from the comfort of home? QLM offers fast, reliable mobile phlebotomy services—no clinic visit required.
📅 Book your appointment or learn more at:
👉 Quick Lab Mobile
📧 Contact us: info@quicklabmobile.com
💬 Enjoyed the episode? Leave us a review and let us know what topics you'd like us to cover next! Your feedback helps us bring you the content that matters most.
Disclaimer: The information provided in this podcast is for informational purposes only and should not be considered medical advice. The content discussed is based on research, expert insights, and reputable sources, but it does not replace professional medical consultation, diagnosis, or treatment. We strive to present accurate and up-to-date information, medical research is constantly evolving. Listeners should always verify details with trusted health organizations, before making any health-related decisions. If you are experiencing a medical emergency, such as severe pain, difficulty breathing, or other urgent symptoms, call your local emergency services immediately. By listening to this podcast, you acknowledge that The Health Pulse and its creators are not responsible for any actions taken based on the content of this episode. Your health and well-being should always be guided by the advice of qualified medical professionals.
Welcome To The Health Post
NicoletteWelcome to the Health Post, your go-to source for quick, actionable insights on health, wellness, and diagnostics. Whether you're looking to optimize your well-being or stay informed about the latest in-medical testing, we've got you covered. Join us as we break down key health topics in just minutes.
RachelLet's
The Radical Rules Of PKD
Rachelimagine taking every piece of uh nutritional advice you've ever been given. You know, eat your leafy greens, get plenty of fiber, drink your milk for strong bones, and just throwing it all in the garbage.
MarkRight, just completely tossing it out.
RachelExactly. What if the very foods we universally rely on as the uh the gold standard of health are actually tearing microscopic holes in your intestines?
MarkIt is a pretty wild concept to wrap your head around.
RachelIt really is. So welcome to the deep dive. We know you are constantly bombarded with conflicting health advice, and our mission today is to kind of cut through that noise. We're examining something incredibly radical.
MarkYeah, we're looking at a highly controversial hyper-restrictive protocol. It treats the standard eat the rainbow philosophy not as a cure, but as a fundamental biological mismatch for the human body.
RachelRight. And it's called the paleochetogenic diet, or uh PKD.
MarkIt forces a complete paradigm shift in how we view chronic disease. And to guide us through this today, we're relying on a very detailed clinical breakdown published by Quick Lab Mobile.
RachelWhich is a lab testing company, right?
MarkYeah, exactly. They help patients track the objective physiological data behind intense metabolic interventions like this one.
RachelAnd just to be clear from the jump, for everyone listening, this isn't just another, you know, low-carb influencer trend on social media.
MarkNo, not at all.
RachelThis is a therapeutic protocol. It was developed by researchers in Hungary, a group called Paleomedicina, and they claim to be tackling serious chronic diseases by looking at human physiology through a strictly evolutionary lens.
MarkThat's the key part, the evolutionary framework.
RachelOkay, let's unpack this for a second. Because if you're listening and picturing a standard keto diet, you probably have a very specific image in your mind.
MarkOh, for sure. Lots of cheese, maybe some macadamia nuts.
RachelRight. Big salads drenched in olive oil. But if that standard ketogenic diet is like a trendy low-carb club with a flexible dress code, you know, you can wear sneakers as long as they're designer. The paleoketogenic diet is the most exclusive VIP room imaginable.
MarkThat is a great way to put it.
RachelYeah. I mean, even the most famous healthy foods are bounced at the door.
MarkOh, the bouncer at the door of the paleo ketogenic diet is absolutely ruthless. The protocol, which was pioneered by researchers like Sophia Clemens, relies entirely on that strict evolutionary framework.
RachelAaron Powell So what actually gets past the velvet rope?
MarkBasically, animal-based foods, specifically red meat, animal fat, organ meats, and in some cases, eggs. That is literally the entire foundation of the plate.
RachelWait, organ meats and animal fat.
MarkYeah, just meat and fat.
RachelIf you are looking at your morning oatmeal right now, that probably sounds completely alien. But what really shocks me isn't just the focus on meat, it's the aggressiveness of what gets banned.
MarkRight. It's not just the junk food.
RachelExactly. They don't just bounce the obvious offenders like processed sugars or uh refined grains and seed oils. They are bouncing dairy products and almost all fruits and vegetables.
MarkAaron Powell And that categorical exclusion is really the defining line between the pale ketogenic diet and standard keto. Because the standard approach focuses primarily on macronutrients.
RachelAaron Powell As long as you keep your carbs low enough, right?
MarkExactly. As long as you keep your carbohydrates low enough to force your body to produce ketones, you are technically doing it right on standard keto.
RachelSo you can eat dairy, you can eat a massive bowl of non-starchy vegetables. Trevor Burrus, Jr.
MarkYou can even consume highly processed, keto-friendly snack bars packed with artificial sweeteners. Trevor Burrus, Jr.
RachelWait, the classic if it fits your macros loophole. Like as long as the net carbs are low, the source doesn't really matter. Trevor Burrus, Jr.
MarkBut the Paleomedicina model fundamentally rejects that loophole. They argue that nutritional ketosis on its own is, well, it's insufficient for true healing.
RachelAaron Powell So just being in ketosis isn't enough for them.
MarkAaron Powell Nope. Their protocol demands a very specific fat-to-protein ratio. It leans heavily on animal fat and insists that human physiology only functions optimally when fueled almost exclusively by those animal-based foods.
RachelAaron Powell But wait, holding up a steak and some liver as the ultimate healing foods completely contradicts like the last 50 years of medical research.
MarkOh, absolutely it does.
RachelWe are constantly told that plant foods and fiber are the ultimate superfoods for our gut microbiome. So how do they justify starving the gut of fiber to supposedly save the intestine?
MarkAaron Powell
How Leaky Gut Supposedly Starts Disease
MarkWhat's fascinating here is the specific mechanism they blame for chronic illness. The central theory driving the paleomedicina group revolves around intestinal permeability.
RachelAaron Powell Which is what people usually call leaky gut, right?
MarkYes, exactly. In popular media, it's leaky gut. They view plant toxins, certain proteins, and fiber not as superfoods, but as chronic irritants to that gut lining.
RachelOkay, let's zoom in on that microscopic level for a second, because leaky gut can sound like a bit of a buzzword. My understanding is that the intestinal lining is basically a single layer of cells.
MarkThe enterocytes, yeah.
RachelRight, the enterocytes. And they act as a highly sophisticated security checkpoint. Like it's supposed to be a selective barrier allowing fully digested, safe nutrients into the bloodstream.
MarkWhile keeping bacteria and toxins locked safely inside the digestive tract to be excreted.
RachelThat is the biological ideal, anyway.
MarkRight. And those single layer cells are glued together by something called tight junctions. Think of those junctions like microscopic drawbridges.
RachelOkay, draw bridges. I like that visual.
MarkUnder healthy conditions, the draw bridges stay up, keeping the blood safe. But the Paleomedicina model proposes that our modern diet continuously triggers a protein called zonnulin.
RachelAnd zonnulin lowers the drawbridges.
MarkExactly. It forces those drawbridges to lower. So suddenly that strict security checkpoint is breached. Bacterial components, environmental toxins, and incompletely digested proteins just slip right through the barrier and enter the bloodstream.
RachelAnd the immune system, I imagine, does not react well to random bacterial fragments floating around in the blood.
MarkOh, it triggers an immediate alarm. The immune system flags these particles as foreign invaders and mounts an aggressive attack.
RachelWhich causes inflammation.
MarkYes. But the core issue is that if the barrier stays compromised-like, if those drawbridges never go back up, the immune response never shuts off. You end up in a state of chronic immune activation. And according to this hypothesis, that systemic low-grade inflammation is the upstream driver for a massive range of conditions.
RachelLike what kind of conditions?
MarkAutoimmune diseases, inflammatory bowel disease, metabolic disorders, and even certain neurological issues.
RachelAaron Powell So they view plant antinutrients and fiber less like a room sweeping out the gut and more like uh sandpaper rubbing against an internal wound.
MarkAaron Ross Powell Sandpaper is a highly accurate way to visualize their philosophy, actually.
RachelBecause if you have a scrape on your arm, you don't rub kale on it to heal it, you put a cast on it and leave it alone.
MarkPrecisely. Removing the foods that act as sandpaper allows the tight junctions to repair themselves. And this brings
The Dairy Paradox And No-Fiber Debate
Markus to a really surprising detail highlighted in the Quick Lab mobile source, the Dairy Paradox.
RachelThe Dairy Paradox. Because you might assume heavy cream or butter would be perfect for this protocol. They're high fat zero carb animal products.
MarkYou think so.
RachelI certainly would. I mean, butter seems like the holy grail of keto.
MarkYet they exclude it entirely.
RachelWait, really? No butter at all.
MarkNone. Researchers found that dairy proteins, specifically certain types of casein, can trigger molecular mimicry or directly stimulate that xynulin pathway in susceptible people.
RachelOh wow. So the drawbridges go down again.
MarkExactly. Meaning even if a patient is in deep nutritional ketosis with perfect blood sugar, a splash of cream in their coffee could keep those microscopic drawbridges open and continue driving systemic inflammation.
RachelThat is wild. It suggests that the metabolic state of burning fat isn't a protective shield against food sensitivities.
MarkRight. Ketosis alone won't save you if the barrier is still open.
RachelAaron Powell But wait, going back to the fiber issue, we are taught that gut bacteria ferment fiber into butyrate, right?
MarkThat's the short chain fatty acid.
RachelYeah, short chain fatty acid that physically feeds the cells of the intestinal lining. If you remove all fiber, aren't those cells just going to starve?
MarkYou're hitting on the core paradox that absolutely baffles many gastroenterologists.
RachelI bet.
MarkBut the evolutionary counterargument is that when the human body is in a deep, clean state of ketosis, the liver produces high levels of beta-hydroxybutyrate systemically.
RachelOkay, so a type of ketone.
MarkYes. And the intestinal cells can actually pull that beta-hydroxybutyrate directly from the bloodstream side.
RachelAh. So instead of relying on bacteria to create fuel from fiber inside the gut lumen, you are feeding the intestinal cells from the inside out via the bloodstream.
MarkThat is the physiological workaround. The Paleomedicina approach places this intestinal barrier function at the absolute center of chronic disease.
RachelIt's like a dual action strategy. Stop the inflammatory triggers at the surface by removing the sandpaper while simultaneously fueling the repair process from the blood.
MarkExactly.
RachelOkay, healing a microscopic drawbridge in theory is great.
Claims Of Remission For Chronic Illness
RachelBut if you tell someone with severe inflammatory bowel disease to stop eating vegetables and start eating organ meats, the burden of proof is incredibly high.
MarkExtremely high.
RachelHere's where it gets really interesting, though, because when you look at the clinical claims highlighted in this source material, they are nothing short of dramatic.
MarkThey push the boundaries of what is considered medically possible. We are looking at reports of improvements in diseases that the standard medical model views as chronic, progressive, and largely irreversible. Trevor Burrus, Jr.
RachelWithout lifelong immunosuppressant drugs, anyway.
MarkRight.
RachelThe Quick Lab Mobile Breakdown lists the specific conditions the Paleomedicina Clinic has reported treating. We are talking about inflammatory bowel disease, specifically Crohn's disease. Trevor Burrus, Jr.
MarkAnd they aren't just claiming mild symptom relief either.
RachelNo. They are reporting actual mucosal healing and clinical remission. Add to that autoimmune conditions, type 1 and type 2 diabetes, and certain neurological disorders. It's a huge spectrum. For a Crohn's patient, the idea of the intestinal lining physically repairing itself on a diet with zero plant fiber sounds like science fiction.
MarkIt directly challenges the foundation of standard medical nutrition. But this raises an important question about how we validate medical breakthroughs.
Case Reports Versus Strong Evidence
MarkRight. We have to view these dramatic claims through the lens of scientific rigor. And that means understanding the hierarchy of medical evidence.
RachelAaron Powell Because one doctor publishing a paper about, you know, three patients who got better isn't the same as a massive double-blind study.
MarkAaron Ross Powell That is the crucial distinction. The findings published by Paleo Medicina are undeniably remarkable, but they are primarily based on case reports, case series, and observational clinical experience.
RachelAaron Powell Meaning they are tracking individual patients over time rather than comparing hundreds of people against a control group in a randomized trial.
MarkAaron Powell Yes. In the scientific method, case reports are the vanguard. They help us spot anomalies, challenge existing dogmas, and generate new hypotheses.
RachelBut they don't prove anything across the board.
MarkExactly. They simply cannot establish broad causation the way large-scale randomized controlled trials do. We can look at these reports and say definitively that these specific patients experience profound improvements.
RachelOften corroborated by lower inflammatory blood markers and improved imaging, right?
MarkYes. The data for those individuals is solid.
RachelBut we can't definitively claim this diet cures Crohn's disease across the global population based on a handful of cases in Hungary.
MarkWe lack the massive population data to make those sweeping claims. And that gap in the data is really the epicenter of the controversy. I can imagine. Mainstream medicine generally acknowledges that intestinal permeability is real and likely plays a role in pathology, but they firmly reject the idea that it is the singular root cause across such a vast spectrum of illnesses.
RachelOr that an all-meat diet is the universal solution.
MarkRight. The critics must have a field day with this.
RachelOh, the criticism is fierce and honestly often justified.
MarkSkeptics rightly ask: how sustainable is an all-meat, organ-heavy diet for the next 40 years of a patient's life?
RachelRight. Compliance would be so hard.
MarkExactly. Who actually benefits the most? Is this a universal human diet or a highly specific temporary medical intervention for people with severe gut damage?
RachelAnd most importantly, are these results reproducible by independent clinics globally?
MarkIt is the ultimate tension between clinical observation and institutional science.
RachelBecause the proponents say, look at these human beings who had no hope and are now in remission. We can't ignore this.
MarkAnd the skeptics reply until you run a randomized trial with a thousand people, you're just publishing anecdotes.
RachelThe most scientifically grounded position, as suggested by the source, exists somewhere in the middle. It is a highly intriguing clinical model that warrants aggressive, rigorous investigation.
MarkAaron Powell But it requires the same deep objective scrutiny we demand of any new pharmaceutical drug.
RachelOkay, let's
Ketosis As Fuel And Gene Signal
Rachelassume for a moment that the skeptics are partially right. Let's say the whole leaky gut evolutionary framework isn't the uh grand unified theory of disease they think it is.
MarkOkay, let's look at it from that angle.
RachelAaron Ross Powell There is still a measurable, undeniable physiological shift happening in these patients. If we strip away the paleolithic philosophy, what is the actual metabolic engine driving these improvements?
MarkThat's a very good question.
RachelI keep coming back to the idea that maybe the magic of this diet isn't just about what they are eating, you know, the animal fat in the liver, but rather about what it entirely removes.
NicoletteRight.
RachelIs it possible we are just looking at the most extreme, highly effective elimination diet ever created?
MarkIf we connect this to the bigger picture of metabolic health, your alternative hypothesis holds a lot of weight. Regardless of whether tight junctions are actually healing, the systemic metabolic mechanics at play here are massive.
RachelJust from the macronutrient shift alone.
MarkFirst and foremost, by adopting this protocol, you are dropping dietary carbohydrates to near zero.
RachelWhich basically flattens the blood sugar roller coaster entirely.
MarkCompletely. And that leads to a profound reduction in glucose variability. Consequently, a massive drop in insulin exposure.
RachelWhich is huge for inflammation.
MarkYes. Lower insulin levels fundamentally change how your body signals. It reduces the biological drive for fat storage, improves baseline insulin sensitivity, and reverses conditions tied to hyperinsulinemia.
RachelLike fatty liver disease and metabolic syndrome.
MarkExactly.
RachelSo when I hear about ketones, I usually just think of them as an alternative fuel source, you know, like switching a car from gas to electric.
MarkAaron Powell That's how most people think of them.
RachelBut the source material refers to ketones as signaling molecules. Are they acting more like hormones in the body, actually telling cells what to do?
MarkThat is the big paradigm shift in ketone research right now. Beta-hydroxybutyrate, which is the primary ketone your body produces, doesn't just burn for energy, it acts as an epigenetic modulator.
RachelWait, epigenetic?
MarkYes. Specifically an HDAC inhibitor.
RachelOkay, an epigenetic modulator. Break that down for us because that sounds intense.
MarkAaron Powell Means the ketone molecule can actually enter the nucleus of your cells and influence the physical unwinding of your DNA.
RachelAaron Powell Seriously. It alters gene expression.
MarkYes. By inhibiting certain enzymes, ketones allow the expression of powerful antioxidant and anti-inflammatory genes. They literally turn the genetic volume knob down on systemic inflammation.
RachelThat is incredible.
MarkSo the mere presence of ketones in your blood is actively therapeutic.
RachelOkay, so you have insulin dropping, which removes metabolic stress, and you have ketones acting as chemical messengers telling your DNA to shut off the fire alarms. Add to that my elimination diet theory. If you follow this protocol, you are simultaneously wiping out every single ultra-processed food from your life.
MarkAnd the impact of that cannot be overstated. You are eliminating refined carbohydrates, industrial seed oils, artificial emulsifiers, and preservatives.
RachelWhich are everywhere in the standard diet.
MarkEverywhere.
RachelYeah.
MarkThat action alone, just turning off the faucet of industrial chemicals, could produce massive metabolic healing, regardless of the evolutionary theory behind it.
RachelAaron Powell That makes a lot of sense.
MarkFurthermore, individuals eating such dense amounts of fat and protein experience profound satiety.
RachelBecause fat keeps you full.
MarkRight. They naturally eat fewer calories simply because they are no longer trapped in a cycle of insulin spikes and crashes driving constant hunger.
RachelBut since you are stripping out almost every conventional source of vitamins and minerals, like no citrus or vitamin C, no greens for folate, I would imagine you can't just blindly eat steaks and hope for the best.
MarkNo, you absolutely cannot.
RachelYou could end up severely malnourished. So how does someone objectively know if this extreme metabolic engine is running safely?
MarkObjective
Lab Markers To Track Safety
Marktracking is non-negotiable. You cannot rely on how you feel when executing an intervention this radical.
RachelYou need the hard data.
MarkYou have to monitor the internal physiological reality. And this is where the specific laboratory markers outlined by Quick Lab Mobile become the roadmap for clinicians.
RachelSo if someone listening decides to look into this with their doctor, what exactly are they searching for in the blood?
MarkYou have to evaluate three critical categories: metabolic, inflammatory, and nutritional.
RachelLet's start with metabolic.
MarkOn the metabolic front, you track fasting insulin, fasting glucose, and HBA1C, which gives you a three-month average of your blood sugar.
RachelOkay. Pretty standard metabolic health markers.
MarkYou also monitor triglycerides, HDL cholesterol, and liver enzymes. This tells the clinician if the insulin resistance is actually reversing.
RachelAnd since cooling inflammation is the primary goal of fixing the gut barrier, how do you track that?
MarkYou rely on markers like HSCRP or high-sensitivity C reactive protein. If that number steadily drops, it is objective proof that systemic inflammation is cooling off.
RachelWhich is the vital metric for those autoimmune and Crohn's patients.
MarkExactly.
RachelBut the nutritional markers have to be the biggest concern for critics, right? How do you prove you aren't starving yourself of micronutrients?
MarkYou run comprehensive metabolic panels, iron studies, and track critical markers like B12, folate, and vitamin D.
RachelSo you're checking everything.
MarkYes. The objective isn't merely to achieve ketosis. The objective is to observe measurable, sustained improvements in the disease drivers while maintaining absolute nutritional adequacy on paper.
RachelAnd practically speaking, this is where a company like Quick Lab Mobile steps in. They facilitate this oversight by offering comprehensive at-home testing in the Miami area.
MarkWhich is so helpful for patients doing this.
RachelYeah, it takes this entirely theoretical internet conversation and grounds it in hard, personalized physiological data. You don't have to guess if the diet is working. You can look at the paper and see the exact reality of your blood.
MarkDietary interventions, no matter how philosophically appealing, are only as valid as the objective data used to evaluate them.
RachelVery true.
The Big Question About Modern Food
RachelSo what does this all mean for you, the listener? We started this deep dive looking at a plate of red meat and organ meats, and we journeyed down to the microscopic drawbridges in your gut barrier.
MarkAnd finally, out to the epigenetic signaling of ketones in your blood.
RachelIt is a radical, almost jarring departure from conventional nutrition.
MarkIt absolutely challenges deeply held beliefs. But we must issue a firm reminder, as explicitly stated in the source material. Everything we discuss today is strictly for educational and informational purposes.
RachelYes, very important.
MarkIt is not a substitute for professional medical advice, diagnosis, or treatment. We are exploring the science, but engaging with this deep dive does not create a doctor-patient relationship.
RachelSo please consult with a qualified healthcare professional before attempting any dramatic changes to your diet or treatment plan.
MarkWe just want to give you the biological framework to understand the edge of nutritional science.
RachelAnd it is definitely the edge.
MarkIt is. And I want to leave you with a profound question to ponder.
RachelPlay it on us.
MarkIf an extreme intervention, like the paleo ketogenic diet, can potentially reverse chronic debilitating conditions. Not by introducing a revolutionary new synthetic drug, but simply by completely stripping away almost everything found in the center aisles of a modern grocery store.
RachelYeah.
MarkWhat does that say about the invisible baseline toxicity of the environment we live in?
RachelWow. That really reframes the whole conversation. Are we discovering a brand new medical miracle or are we just finally uncovering how incredibly far our modern food environment has strayed from what human biology actually expects?
MarkIt's a heavy thought.
RachelIt is. The next time you look at that vibrant conventional rainbow on your plate, you might just see it a little differently. Thank you for joining us on this exploration, and we will see you on the next deep dive.
NicoletteFor more health insights and diagnostics, visit us online at www.quicklabmobile.com. Stay informed, stay healthy, and we'll catch you in the next episode.
Podcasts we love
Check out these other fine podcasts recommended by us, not an algorithm.