#015 Dr Sarah Myhill - Expert Insights on Chronic Fatigue Syndrome

Rob: 00:00:00

Good morning, Dr. Myhill.

Rob: 00:00:01

Thank you for joining us today.

Rob: 00:00:03

This conversation is something I've been looking forward to.

Rob: 00:00:05

Before we begin, would you mind providing us with a short bio, just who you are,

Rob: 00:00:09

what you do and all that good stuff?

Dr Myhill: 00:00:12

I qualified in medicine in 1981 and I worked for 20 years

Dr Myhill: 00:00:17

as a National Health Service GP.

Dr Myhill: 00:00:20

Now, during that time, I increasingly became aware that medicine is

Dr Myhill: 00:00:24

not asking the question, why?

Dr Myhill: 00:00:27

It's not looking for root causes of diseases.

Dr Myhill: 00:00:30

In fact, medicine has just devolved into symptom suppression, suppressing

Dr Myhill: 00:00:35

algorithms where you have a blood pressure, you have blood pressure

Dr Myhill: 00:00:38

drugs, you have asthma, you have asthma drugs, you have high statins.

Dr Myhill: 00:00:43

It's not asking the question, why?

Dr Myhill: 00:00:45

It's just suppressing the symptom.

Dr Myhill: 00:00:47

That is not proper medicine, and it's not good medicine either.

Dr Myhill: 00:00:51

So increasingly, I found my patients asking me the question, why?

Dr Myhill: 00:00:54

You know, why do I have arthritis?

Dr Myhill: 00:00:56

Why do I have migraine?

Dr Myhill: 00:00:57

And in 2000, I left the NHS so that I could work as an independent medical

Dr Myhill: 00:01:02

practitioner, in order that I would have the clinical freedoms to be

Dr Myhill: 00:01:07

able to develop these ideas further.

Dr Myhill: 00:01:10

And in fact, in the 1990s, I got my wrists metaphorically slapped.

Dr Myhill: 00:01:14

because my prescribing budget was so low and because my prescribing

Dr Myhill: 00:01:19

budget was so low that meant I was obviously a bad doctor because I

Dr Myhill: 00:01:22

wasn't dishing enough out enough drugs.

Dr Myhill: 00:01:24

So that just illustrates the point, you know, drugs are

Dr Myhill: 00:01:27

not the answer to the disease.

Dr Myhill: 00:01:29

We have to ask the question why?

Dr Myhill: 00:01:31

and look for root causes.

Dr Myhill: 00:01:32

And I've been developing those ideas since 2000.

Dr Myhill: 00:01:35

So I now work as a naturopathic physician.

Dr Myhill: 00:01:39

And what that means is I'm looking for disease causation and sorting

Dr Myhill: 00:01:42

that out through diet, nutritional supplements, toxic stress, identifying

Dr Myhill: 00:01:47

chronic infections, or whatever.

Rob: 00:01:51

Perfect.

Rob: 00:01:51

That's an amazing, that's an amazing story.

Rob: 00:01:53

And I think something we'll probably come back to later on.

Rob: 00:01:57

I know today's conversation might get a little technical.

Rob: 00:01:59

So to start off with, I'd love to get some baseline terms established if that's okay.

Rob: 00:02:04

Uh, now in my view, chronic disease is best characterized by.

Rob: 00:02:08

by disease or dysfunction in the body that is ongoing, that is to say it's

Rob: 00:02:12

either, it's either an acute condition that is, may become less severe, but

Rob: 00:02:17

it still has lingering symptoms, or is, uh, the development of those symptoms in

Rob: 00:02:23

some way or another that disrupt, uh, the daily functioning and quality of life.

Rob: 00:02:27

Um, I know it's a very broad term, um, but, and potentially fairly open ended,

Rob: 00:02:32

but in your view, fundamentally, what is driving chronic disease as we know it?

Dr Myhill: 00:02:38

Well, what you described there are clinical pictures, um, uh, and

Dr Myhill: 00:02:42

the clinical pics are very interesting because that's a starting point.

Dr Myhill: 00:02:45

So I see lots of people with chronic fatigue syndrome, uh,

Dr Myhill: 00:02:48

with cancer, with dementia, with, but those are not diagnoses.

Dr Myhill: 00:02:52

They're simply clinical pictures.

Dr Myhill: 00:02:54

We have to ask the question, why?

Dr Myhill: 00:02:57

We have to ask what are the mechanisms that are driving those clinical pictures.

Dr Myhill: 00:03:01

And there are two main thrusts here.

Dr Myhill: 00:03:04

The first is energy delivery mechanisms.

Dr Myhill: 00:03:07

You know, energy is the difference between being alive and being dead.

Dr Myhill: 00:03:10

And so I always start off with energy delivery mechanisms.

Dr Myhill: 00:03:14

You know, why does somebody not have the energy for their heart to work powerfully,

Dr Myhill: 00:03:17

for their brain to function efficiently, for their immune system to work well

Dr Myhill: 00:03:21

and therefore keep cancer at bay?

Dr Myhill: 00:03:23

And then the other aspect is we have to look at inflammation.

Dr Myhill: 00:03:26

And inflammation occurs when the immune system is busy.

Dr Myhill: 00:03:30

Now, of course, inflammation is a very important part of fighting

Dr Myhill: 00:03:33

acute and chronic infection.

Dr Myhill: 00:03:35

And if we didn't have an inflammatory response, then we would succumb and die

Dr Myhill: 00:03:38

to every cough and cold that came along.

Dr Myhill: 00:03:40

So that's very important.

Dr Myhill: 00:03:42

But the problem with the modern world is it's very pro inflammatory.

Dr Myhill: 00:03:47

There are so many things that tend to switch on inflammation, and that

Dr Myhill: 00:03:50

results in allergy and autoimmunity.

Dr Myhill: 00:03:54

And those two issues are now extremely common in Westerners.

Dr Myhill: 00:03:59

Almost any pathology is associated with inflammation, as say, which can

Dr Myhill: 00:04:03

be driven by allergy or autoimmunity.

Dr Myhill: 00:04:06

So, um, we have to look at that aspect as well.

Dr Myhill: 00:04:09

So, those are the two main prongs.

Dr Myhill: 00:04:11

Energy delivery mechanisms and inflammation.

Dr Myhill: 00:04:14

And that's where I always start with all my patients.

Rob: 00:04:17

Fair enough.

Rob: 00:04:18

That sounds like a very roots cause, uh, protocol, which is amazing.

Rob: 00:04:22

And do you think sort of at a high level that, um, it's mainly toxic

Rob: 00:04:27

exposures that are driving this sort of dysfunction, uh, mechanistically,

Rob: 00:04:31

or is it sort of food intake?

Rob: 00:04:33

What is driving it?

Dr Myhill: 00:04:35

The single biggest issue that's driving poor energy delivery mechanisms

Dr Myhill: 00:04:39

and inflammation is sugar, ultra processed food, refined carbohydrates generally.

Dr Myhill: 00:04:45

Um, sugar is extremely pro inflammatory, um, it drives inflammation.

Dr Myhill: 00:04:51

In the short term, with respect to energy delivery, it's rocket fuel,

Dr Myhill: 00:04:56

but in the long term, it damages energy delivery mechanisms, and

Dr Myhill: 00:05:00

so people end up with fatigue.

Dr Myhill: 00:05:02

So the single biggest problem is sugar, ultra processed foods,

Dr Myhill: 00:05:06

and, say, refined carbohydrates.

Dr Myhill: 00:05:07

And the reason they are such a problem is because people get addicted to them.

Dr Myhill: 00:05:12

We eat them in an addictive way.

Dr Myhill: 00:05:14

In the short term, they give you a little addictive hit because

Dr Myhill: 00:05:17

they satisfy the taste buds, but they're disastrous for the body.

Dr Myhill: 00:05:20

So you get a little upper and then a downer.

Dr Myhill: 00:05:23

And of course, what do addicts do when they have a downer?

Dr Myhill: 00:05:25

They go for their addiction.

Dr Myhill: 00:05:27

And if we think of sugar and processed foods in terms of them

Dr Myhill: 00:05:32

being addictive, we can then begin to understand why we consume so much of

Dr Myhill: 00:05:37

them and people are so drawn to them.

Dr Myhill: 00:05:39

Because they're cheap, they're convenient, and they give you a quick hit.

Rob: 00:05:43

Yeah, just constantly rushing off that next source of dopamine.

Rob: 00:05:46

Um, just to press the issue slightly.

Rob: 00:05:48

Do you not think that there is an aspect where a high toxic load does,

Rob: 00:05:53

uh, sort of cause an issue, or is it?

Dr Myhill: 00:05:56

Of course, of course.

Dr Myhill: 00:05:57

It's just not the top of my list.

Dr Myhill: 00:05:59

Um, but it comes very high up in the list.

Dr Myhill: 00:06:02

And the main source of toxicity again emanates from sugar.

Dr Myhill: 00:06:06

Why?

Dr Myhill: 00:06:07

Because sugars and carbohydrates, if you overwhelm the ability of the gut

Dr Myhill: 00:06:12

to deal with sugars and carbohydrates, then you turn the upper gut, i. e.

Dr Myhill: 00:06:16

the stomach, the duodenum, the small intestine, which should be sterile, you

Dr Myhill: 00:06:22

turn the upper gut into a fermenting gut.

Dr Myhill: 00:06:25

And those sugars get fermented to produce all sorts of toxins,

Dr Myhill: 00:06:28

like alcohol, for example.

Dr Myhill: 00:06:30

So if you eat, if I settled down and ate a pound of grapes, I would be consuming

Dr Myhill: 00:06:35

a combination of sugar and yeast, because there's yeast on the skin of the grapes.

Dr Myhill: 00:06:39

And they would ferment in my stomach to produce alcohol.

Dr Myhill: 00:06:43

And guess what?

Dr Myhill: 00:06:44

They can produce quite a lot of alcohol.

Dr Myhill: 00:06:46

So if, you know, if I sat down and had a glass of wine for breakfast,

Dr Myhill: 00:06:49

nothing would get done that day.

Dr Myhill: 00:06:52

I would be fatigued by that.

Dr Myhill: 00:06:54

So, but it's not just alcohol that can produce, not just ethyl alcohol, we can

Dr Myhill: 00:06:58

produce propyl alcohol, butyl alcohol, Um, um, um, uh, various aldehydes, um,

Dr Myhill: 00:07:04

hydrogen sulfide, ammoniacal compounds, all these toxins can be produced by the

Dr Myhill: 00:07:10

fermentation of sugar in the upper gut.

Dr Myhill: 00:07:12

So that's why it's such bad news.

Dr Myhill: 00:07:14

And in addition to that, if you are feeding the upper gut, with sugar,

Dr Myhill: 00:07:19

then you will encourage the growth of bacteria and of yeast, and all those

Dr Myhill: 00:07:24

microbes, they produce their own toxins, they produce bacterial endotoxin,

Dr Myhill: 00:07:29

they produce fungal mycotoxins, and they're all poisons for, to us.

Dr Myhill: 00:07:33

Now, thankfully, we have a wonderful liver, which is very

Dr Myhill: 00:07:36

good at detoxifying those nasties, but that takes a lot of energy.

Dr Myhill: 00:07:41

So you're using up energy just in the process of detoxification, it's

Dr Myhill: 00:07:45

an essential business, but that's energy that I'd much rather spend,

Dr Myhill: 00:07:48

you know, out in my garden having fun or walking my dog or whatever.

Dr Myhill: 00:07:53

So you know, that, as I call it, it kicks an energetic hole, um,

Dr Myhill: 00:07:57

you know, in the energy bucket.

Dr Myhill: 00:07:58

Of course, there are lots of other toxins, heavy metals, um,

Dr Myhill: 00:08:02

uh, volatile organic compounds, which also have to be dealt with.

Dr Myhill: 00:08:04

But I suspect the biggest single one is sugar producing toxins in the gut.

Rob: 00:08:10

Fair enough.

Rob: 00:08:11

Well, that's a perfect segue into the meat of today's conversation, really,

Rob: 00:08:15

which is the ketogenic diet and how it can potentially be utilized as a

Rob: 00:08:20

powerful therapeutic tool in all of this.

Rob: 00:08:23

Um, I know it's a diet that tends to go in and out of fashion.

Rob: 00:08:27

Uh, and recently it's, it's popularity has definitely paled

Rob: 00:08:30

off and in favor of GLP 1 agonists.

Rob: 00:08:32

such as semaglutide, uh, which have definitely become all the rage, definitely

Rob: 00:08:37

conversation for another day, but I think they have some interesting off target

Rob: 00:08:41

effects, but that's definitely, yeah.

Dr Myhill: 00:08:45

The problem with those drugs is in the short term they

Dr Myhill: 00:08:49

work, but the body is clever.

Dr Myhill: 00:08:51

It will adjust.

Dr Myhill: 00:08:52

It gets used to those drugs.

Dr Myhill: 00:08:54

This is called tachyphylaxis.

Dr Myhill: 00:08:56

Yeah, so they stop working after a few months and you will then end up with

Dr Myhill: 00:09:00

none of the effects and all of the Nasty toxic side effects and believe you me

Dr Myhill: 00:09:04

the list of nasty toxic side effects is legion Now you can achieve all the

Dr Myhill: 00:09:09

benefits of those nasty drugs By getting into ketosis because that then stimulates

Dr Myhill: 00:09:14

the correct hormones that, that, that moderate our appetite and get us away from

Dr Myhill: 00:09:20

the addictive sugars and carbohydrates.

Dr Myhill: 00:09:22

So those drugs really are, um, short term gain and serious long term pain.

Dr Myhill: 00:09:28

It's not the way forward.

Rob: 00:09:30

Yeah, I'll send you a few papers just out of interest and it's definitely,

Rob: 00:09:33

uh, that's a tangent we won't go down now, but they seem to have some

Rob: 00:09:36

immune modulatory effects, especially, uh, in the brain and obviously,

Rob: 00:09:41

um, in the immune system itself.

Rob: 00:09:43

But no, I agree.

Rob: 00:09:44

Uh, if, Well, how do you put it?

Rob: 00:09:47

If you can create the same results by utilizing a natural process, why not?

Rob: 00:09:51

I know there are some people who don't always seem to get the appetite satiating

Rob: 00:09:55

effects of ketosis and maybe when they enter into ketosis and maybe that's

Rob: 00:09:58

something we can chat about in a minute.

Rob: 00:10:01

Um, but yeah, before we can sort of continue, uh, into the specifics of how

Rob: 00:10:07

the keto diet can help, would you mind just giving us a sort of a brief overview?

Rob: 00:10:11

Of what a ketogenic diet actually is because when I think the average man

Rob: 00:10:16

or woman on the street hears about the ketogenic diet, they sort of hear about

Rob: 00:10:20

just eating either a load of fat or a load of protein or something in the middle,

Rob: 00:10:26

there's, there's definitely a lot of sort of confusion around the diet and this is

Rob: 00:10:30

something having read a lot of your books and gone through a lot of your Literature,

Rob: 00:10:35

I feel you really have hit the nail on the head on, so, on, so would you just mind

Rob: 00:10:39

giving us a quick breakdown of what, yeah.

Dr Myhill: 00:10:42

The, the, you know, the ketone diet, yes, you can lose weight on it, but

Dr Myhill: 00:10:45

it's not primarily a weight losing diet.

Dr Myhill: 00:10:48

The idea is to fuel our body with, with ketones, not with sugars and starches.

Dr Myhill: 00:10:52

And those ketones, they come from fiber, and they come from fat.

Dr Myhill: 00:10:57

Um, and so, it's a normal protein diet, so you don't eat any

Dr Myhill: 00:11:01

more protein than you should.

Dr Myhill: 00:11:02

It's a normal protein diet, but we should aim to get our, uh, say, fuel

Dr Myhill: 00:11:06

our bodies from fiber and from fat.

Dr Myhill: 00:11:07

So a typical day for me is, well, these days I do time restricted

Dr Myhill: 00:11:11

eating, which is the next step on.

Dr Myhill: 00:11:13

So I eat all my food within a six hour window.

Dr Myhill: 00:11:16

So lunch would usually be my keto bread, which, um, there's a very good recipe for

Dr Myhill: 00:11:21

making that, which is based on linseed.

Dr Myhill: 00:11:23

And I can make a, um, I do make flatbreads these days.

Dr Myhill: 00:11:26

I can make a loaf of keto bread in less than 10 minutes.

Dr Myhill: 00:11:29

It's a very quick, easy, simple recipe.

Dr Myhill: 00:11:32

I designed the recipe for people who don't have the time, the energy or the

Dr Myhill: 00:11:35

inclination, and that is satisfying.

Dr Myhill: 00:11:38

And it only contains 2 percent carbohydrate.

Dr Myhill: 00:11:41

Very high in fiber.

Dr Myhill: 00:11:42

So the keto bread is a super start and on that you'll put a great wadge of butter

Dr Myhill: 00:11:47

Because butter is an excellent fat Now some people can be allergic to dairy But

Dr Myhill: 00:11:52

if you're not allergic to dairy products, then butter is the perfect fat and then

Dr Myhill: 00:11:56

on that will go sardines, maybe tin sardines if I'm if I'm in a rush or let

Dr Myhill: 00:12:02

last night's leftovers or vegan cheese, maybe Because I'm I am dairy allergic

Dr Myhill: 00:12:09

so Lunch is usually a snack like that.

Dr Myhill: 00:12:12

If I've got time, yes, of course, a salad or last night's leftover vegetables.

Dr Myhill: 00:12:16

But usually I have one main meal a day And I'll have a starter and a main

Dr Myhill: 00:12:20

course and a pudding and my start will be something avocados with french dressing

Dr Myhill: 00:12:24

or olive oil Um main course will be meat and vegetables, but not too heavy

Dr Myhill: 00:12:29

on the potatoes and the root vegetables And then pudding will be berries.

Dr Myhill: 00:12:32

I'm lucky, I'm a keen gardener.

Dr Myhill: 00:12:34

Berries are low in carbohydrate.

Dr Myhill: 00:12:36

And then a generous dollop of coconut cream.

Dr Myhill: 00:12:39

Um, which is 2%, again, 2 percent carb, rich in fat.

Dr Myhill: 00:12:43

Maybe dark chocolate afterwards, so I eat well in the evening, and in the daytime,

Dr Myhill: 00:12:48

um, I generally fast or, or eat minimally.

Dr Myhill: 00:12:51

And what people, what you will find is, yes, it takes a little

Dr Myhill: 00:12:54

while to get used to that diet.

Dr Myhill: 00:12:56

But once you're used to it, you don't run out of fuel.

Dr Myhill: 00:13:00

Now, I'll give you a lovely example of this.

Dr Myhill: 00:13:02

A very dear friend of mine, uh, who is a neighbour until recently, um, um,

Dr Myhill: 00:13:07

uh, she did the keto diet throughout pregnancy and throughout child rearing.

Dr Myhill: 00:13:12

And both her girls are keto adapted.

Dr Myhill: 00:13:15

They've, they've, they've had obviously a few carbohydrates

Dr Myhill: 00:13:18

in their life, but very few.

Dr Myhill: 00:13:19

They eat a paleo ketogenic diet.

Dr Myhill: 00:13:21

And as a result of that, um, from a few days of life, They slept well.

Dr Myhill: 00:13:28

So, Michelle, even when the babies were a few days, a few weeks of age,

Dr Myhill: 00:13:32

um, she would put them to bed at 7.

Dr Myhill: 00:13:34

30 at night, and they slept solidly through until 8 o'clock the next morning.

Dr Myhill: 00:13:38

In fact, she used to have to go through and wake them up.

Dr Myhill: 00:13:40

Why did they sleep well?

Dr Myhill: 00:13:42

Because the babies are in ketosis.

Dr Myhill: 00:13:44

Babies should be in ketosis.

Dr Myhill: 00:13:45

They should be in fat burning mode, because that's essential

Dr Myhill: 00:13:48

for brain development.

Dr Myhill: 00:13:49

But the point is, they don't run out of fuel.

Dr Myhill: 00:13:52

We know all babies are chubby, aren't they?

Dr Myhill: 00:13:53

They all look like Winston Churchill when they're born.

Dr Myhill: 00:13:55

They've got lots of fat, and that fat sustains them through the night.

Dr Myhill: 00:14:00

They don't get hungry in the night.

Dr Myhill: 00:14:01

And if they don't get hungry in the night, then they don't wake up.

Dr Myhill: 00:14:05

So, being in ketosis is very good for the quality of our

Dr Myhill: 00:14:08

sleep, as well as much more.

Dr Myhill: 00:14:11

Obviously, you know, I say I time restrict eating, I have lunch and supper.

Dr Myhill: 00:14:14

At the moment, I'm doing my, one of my three day fasts.

Dr Myhill: 00:14:17

I like to do a three day fast two or three times a year.

Dr Myhill: 00:14:20

I'm now on day three, so I haven't had anything to eat since breakfast on Sunday.

Dr Myhill: 00:14:23

But guess what?

Dr Myhill: 00:14:23

The brain's working perfectly well.

Dr Myhill: 00:14:25

The body's working perfectly well.

Dr Myhill: 00:14:27

Why?

Dr Myhill: 00:14:28

Because I'm in ketosis.

Dr Myhill: 00:14:30

I don't feel hungry.

Dr Myhill: 00:14:31

I might get the occasional rumble, but you tell yourself, nope, you're doing

Dr Myhill: 00:14:34

your fast, ignore it, and guess what?

Dr Myhill: 00:14:36

It goes away.

Dr Myhill: 00:14:38

So the joy of being in ketosis is your physical energy is better, your mental

Dr Myhill: 00:14:43

energy is better, your sleep quality of sleep is better, and um, guess what?

Dr Myhill: 00:14:48

On fasting days I don't have to shop.

Dr Myhill: 00:14:50

I don't have to cook.

Dr Myhill: 00:14:50

I don't have to wash up.

Dr Myhill: 00:14:51

Yeah, that's a bonus as well.

Dr Myhill: 00:14:54

So, the Keto diet is, really is absolutely the starting point to

Dr Myhill: 00:14:58

treat absolutely everything, because it impacts on both energy delivery

Dr Myhill: 00:15:02

mechanisms, it's the preferred fuel for mitochondria, and on inflammation,

Dr Myhill: 00:15:06

because the most pro inflammatory thing you can do to the body is eat sugar and

Dr Myhill: 00:15:10

carbs, and the most anti inflammatory thing you can do is run on ketones.

Rob: 00:15:17

I couldn't have asked for a better explanation.

Rob: 00:15:19

That's amazing.

Rob: 00:15:19

Thank you.

Rob: 00:15:20

Um, mechanistically, would you mind sort of just running us through what happens

Rob: 00:15:24

when you start to restrict carbohydrates?

Rob: 00:15:26

Obviously, you only have so much, uh, carbohydrate that the muscles

Rob: 00:15:30

and the liver can actually store.

Rob: 00:15:32

And then the process by which the body starts to develop the,

Rob: 00:15:35

these ketone bodies, the acetate, the butyrhydroxybutyrate, etc.

Dr Myhill: 00:15:39

Okay, well, this is an entirely normal process.

Dr Myhill: 00:15:42

Um, um, you see, the reason that we have this facility to burn on two

Dr Myhill: 00:15:47

fuels all has to do with evolution.

Dr Myhill: 00:15:50

Because when humans moved away from the equator, they moved north to

Dr Myhill: 00:15:55

the Mediterranean and then further north again, they had to deal with

Dr Myhill: 00:15:58

that nasty thing called winter.

Dr Myhill: 00:16:01

It's winter now, it's cold and it's miserable and there's no food out there.

Dr Myhill: 00:16:05

And what allowed them to do that is the autumn harvest of, um, free food.

Dr Myhill: 00:16:11

Because in autumn we have a windfall of fruit, of nuts, of seeds, of berries, of

Dr Myhill: 00:16:16

grains, of pulses, of root vegetables.

Dr Myhill: 00:16:19

You know, I don't say it's food for free, but, you know, it's,

Dr Myhill: 00:16:22

it's suddenly there in abundance.

Dr Myhill: 00:16:24

And our best evolutionary ploy to survive the winter is to eat

Dr Myhill: 00:16:29

as much as we can and get fat.

Dr Myhill: 00:16:32

So that's what we do.

Dr Myhill: 00:16:33

We, so we, it switches on the carbohydrate addiction gene.

Dr Myhill: 00:16:37

It makes us crave carbohydrates.

Dr Myhill: 00:16:39

We eat fruit, we eat all those foods in abundance, and we get fat.

Dr Myhill: 00:16:43

Now, of course, what happened over the millions of years of human evolution

Dr Myhill: 00:16:46

is You know those foods they ran out at the end of autumn and when winter came

Dr Myhill: 00:16:51

those foods are no longer available And we survived winter on our fat stores and

Dr Myhill: 00:16:56

whatever meats that we could possibly hunt You'd have the occasional windfall

Dr Myhill: 00:17:00

where you you'd kill a deer or uh, or whatever and you'd have extra food

Dr Myhill: 00:17:04

But largely speaking you would survive winter on fat now those people who didn't

Dr Myhill: 00:17:09

have that carbohydrate addiction gene, who didn't get fat in the autumn with

Dr Myhill: 00:17:13

all those carbohydrates, they died.

Dr Myhill: 00:17:16

So we are hardwired, genetically programmed, to eat carbohydrates

Dr Myhill: 00:17:21

addictively when they become available.

Dr Myhill: 00:17:24

Now the problem with modern life is there are these carbohydrates

Dr Myhill: 00:17:27

available all year round.

Dr Myhill: 00:17:29

That addiction gene never gets switched off because we're eating them

Dr Myhill: 00:17:32

all the time, you know, in winter.

Dr Myhill: 00:17:33

I can have strawberries in winter if I want to.

Dr Myhill: 00:17:36

Um, I don't say that it's a very good food to eat because they're full

Dr Myhill: 00:17:38

of pesticides But you know, we can eat all these foods all year round.

Dr Myhill: 00:17:43

So that's what people do.

Dr Myhill: 00:17:44

We do it because we can.

Dr Myhill: 00:17:47

But it's not evolutionally correct.

Dr Myhill: 00:17:48

So it's not that carbohydrates are bad at any time.

Dr Myhill: 00:17:51

The occasional feast is absolutely fine.

Dr Myhill: 00:17:54

The body can cope with that absolutely fine.

Dr Myhill: 00:17:56

But as a general day to day business, you know, we need to

Dr Myhill: 00:17:59

be in ketosis on a regular basis.

Dr Myhill: 00:18:02

Now I forgot what your question was.

Rob: 00:18:04

No, of course not.

Rob: 00:18:05

Just how ketosis actually operates in the body.

Rob: 00:18:08

Yeah.

Dr Myhill: 00:18:09

So the point is, as soon as the body runs out of,

Dr Myhill: 00:18:12

um, sugars and carbohydrates as a fuel, it switches into fat burning.

Dr Myhill: 00:18:16

Now there's a key point here.

Dr Myhill: 00:18:18

The body doesn't like fat burning.

Dr Myhill: 00:18:21

It likes to, it's, I always think of fat burning and carbohydrates as,

Dr Myhill: 00:18:24

as the difference between a current account and your deposit account.

Dr Myhill: 00:18:27

You know, the deposit account is what we need for a rainy day.

Dr Myhill: 00:18:29

So there's a certain resistance within the body to to, to burn

Dr Myhill: 00:18:33

all those carbohydrates and get rid of your glycogen stores first

Dr Myhill: 00:18:37

before switching into fat burning.

Dr Myhill: 00:18:39

And that Adaptation takes maybe a week or two weeks, and it's called keto flu.

Dr Myhill: 00:18:45

Um, the body, say, has to learn to, the metabolic flexibility of fat burning.

Dr Myhill: 00:18:50

And there's another issue here, because we know carbohydrates are addictive,

Dr Myhill: 00:18:55

we know with all addictions, when you stop them, you get withdrawal symptoms.

Dr Myhill: 00:18:58

So there's an element of withdrawal symptoms, which we call keto flu.

Dr Myhill: 00:19:02

But there's another very important issue here.

Dr Myhill: 00:19:05

In order to be able to fat burn, we need thyroid hormones.

Dr Myhill: 00:19:10

If the body doesn't have the thyroid hormones to fat burn with, then it will

Dr Myhill: 00:19:13

fat burn with adrenaline, and adrenaline leaves you feeling wired but tired.

Dr Myhill: 00:19:19

So those people who struggle with getting keto adaptive and into fat burning

Dr Myhill: 00:19:24

mode, I always check their thyroid.

Dr Myhill: 00:19:26

And I could talk all day about how we diagnose the underactive thyroid,

Dr Myhill: 00:19:29

but believe you me, It's common.

Dr Myhill: 00:19:32

The underactive thyroid is a very common problem, and it's massively misdiagnosed.

Dr Myhill: 00:19:37

I've actually written a book about this.

Dr Myhill: 00:19:39

Um, I've been very naughty.

Dr Myhill: 00:19:40

I've called it The Underactive Thyroid.

Dr Myhill: 00:19:42

Do it yourself because your doctor won't.

Dr Myhill: 00:19:45

I have to say, I expected to have another complaint from the General

Dr Myhill: 00:19:48

Medical Council come rolling in as a result of the title of that book.

Dr Myhill: 00:19:51

But the point is, the most important thing that anybody can do for their

Dr Myhill: 00:19:54

health is take control of it themselves.

Dr Myhill: 00:19:58

Ask the questions, you know, read the right books, watch the YouTube videos,

Dr Myhill: 00:20:02

listen to podcasts like this, um, and work out for yourself what is right for you.

Dr Myhill: 00:20:07

Because there's nobody who's going to be better motivated, better empowered,

Dr Myhill: 00:20:11

um, you know, better able to monitor the responses to treatment, work out what's

Dr Myhill: 00:20:15

causing them, and drive it through.

Dr Myhill: 00:20:18

So, um, yeah, so, so getting into ketosis can be a bit tricky in the early days.

Dr Myhill: 00:20:24

And, you know, of course, The fact of the matter is, when people come

Dr Myhill: 00:20:28

and see me, they all go away and they do the keto diet, you know.

Dr Myhill: 00:20:31

Well, and then after three or four weeks, I think, oh, I'll just have

Dr Myhill: 00:20:34

a bit of this, I'll just have a bit of that, and it slips, and they

Dr Myhill: 00:20:37

get back to their wicked ways, and then they get back on course again.

Dr Myhill: 00:20:40

So I think of it a bit like an earthquake with after tremors, and you know, and

Dr Myhill: 00:20:44

even I have the after tremors, you know, I've just been away on holiday

Dr Myhill: 00:20:47

to Morocco, and I couldn't resist the Moroccan dates, which are absolutely

Dr Myhill: 00:20:50

delicious, and then, so I then had to get back on, um, on track again.

Dr Myhill: 00:20:53

So that's why I'm doing a three day fast now.

Dr Myhill: 00:20:56

So we're all tempted.

Dr Myhill: 00:20:58

But if you recognize that they're temptations, if you recognize that

Dr Myhill: 00:21:02

sugars are addictive and you do something about it, then that's really not going

Dr Myhill: 00:21:06

to be a problem in the long term.

Rob: 00:21:08

Of course.

Rob: 00:21:09

You just raised an interesting point about, um, well, you, you mentioned

Rob: 00:21:13

genetics a few times and then you just mentioned Morocco and dates.

Rob: 00:21:17

Now, um, do you think that there is a scope for different, well, obviously, uh,

Rob: 00:21:23

people of different genetic backgrounds to maybe follow different types of diets.

Rob: 00:21:28

Obviously.

Dr Myhill: 00:21:29

Absolutely.

Dr Myhill: 00:21:30

And what's so fascinating is, well, of course, my, the, the,

Dr Myhill: 00:21:33

the engines of our body, what generates energy and mitochondria.

Dr Myhill: 00:21:38

And, um, of course what controlled populations and wellbeing in

Dr Myhill: 00:21:42

the past is food availability.

Dr Myhill: 00:21:45

So, um, um, so mitochondria always.

Dr Myhill: 00:21:49

Um, are managed in such a way to optimize so that, so they don't spend more energy

Dr Myhill: 00:21:54

than is absolutely necessary, let's say.

Dr Myhill: 00:21:56

Now, of course, in hot climates like Morocco, it's hot.

Dr Myhill: 00:22:00

You don't need to generate so much energy for mitochondria to keep warm because

Dr Myhill: 00:22:03

the environment does that for you.

Dr Myhill: 00:22:06

So, in general speaking, people living in hot climates, their mitochondria

Dr Myhill: 00:22:09

run fairly slow, relatively slowly.

Dr Myhill: 00:22:12

In colder climates, like here, they run at medium speed.

Dr Myhill: 00:22:16

In freezing cold climates, like the Inuit Indians, they run much faster.

Dr Myhill: 00:22:20

They, if they didn't run much faster, they wouldn't be able to keep warm.

Dr Myhill: 00:22:23

And the Inuit Indians, in the cold winter, will burn maybe five or six

Dr Myhill: 00:22:27

thousand calories a day in order to survive and they achieve that because

Dr Myhill: 00:22:32

they have a very high fat diet.

Dr Myhill: 00:22:34

They're eating a lot of, um, fat from seal meat, from, uh, from fish, from,

Dr Myhill: 00:22:38

um, uh, shellfish, um, or whatever.

Dr Myhill: 00:22:43

So, yes, there is certainly an element of that and I think that explains why when,

Dr Myhill: 00:22:47

um, Uh, Africans, you know, particularly, um, moved to this country, they eat the

Dr Myhill: 00:22:53

same amount of food, but because their mitochondria aren't going faster because

Dr Myhill: 00:22:57

they're genetically programmed to go slow, they have a tendency to put on weight.

Dr Myhill: 00:23:01

So it's very, it's much more difficult for Africans to maintain their weight in

Dr Myhill: 00:23:05

this country because their mitochondria are running slower than, uh, indigenous

Dr Myhill: 00:23:09

white people, indigenous Caucasians.

Rob: 00:23:12

Yeah, I suppose that's that, again, that comes back,

Rob: 00:23:15

uh, round to what you were saying potentially about thyroid again.

Rob: 00:23:19

It's just a point of clarification I'd like to, uh, maybe, well, ask for.

Rob: 00:23:25

Oftentimes, people go into a state of ketosis and then will

Rob: 00:23:28

struggle with thyroid problems.

Rob: 00:23:30

Do you not think that that might indicate, playing devil's advocate,

Rob: 00:23:33

of course, that a ketogenic diet might be driving the thyroid dysfunction?

Rob: 00:23:38

Obviously, a certain amount of insulin signaling is required for T4 to T3

Rob: 00:23:42

conversion, at least peripherally.

Rob: 00:23:44

Uh, do you think that there's an issue there?

Rob: 00:23:47

Or is it more just a case of there constantly being a

Rob: 00:23:50

thyroid problem to begin with?

Dr Myhill: 00:23:51

Yeah, I think the latter is much more likely.

Dr Myhill: 00:23:53

Again, whenever there's a difficult question, I always go back to the

Dr Myhill: 00:23:57

principles of evolutionary biology.

Dr Myhill: 00:24:00

What happened in our distant past?

Dr Myhill: 00:24:01

And obviously we've had thyroid glands and livers and we've been

Dr Myhill: 00:24:04

running runny on a keystone for hundreds of thousands of years.

Dr Myhill: 00:24:08

So the thought that being on a ketogenic diet could knock out your thyroid somehow,

Dr Myhill: 00:24:13

I'm afraid to say I just don't buy that.

Dr Myhill: 00:24:16

I think that the thyroid gland is particularly susceptible to toxic stress,

Dr Myhill: 00:24:21

um, is particularly susceptible to viral stress, um, and, um, and it's, you know,

Dr Myhill: 00:24:26

uh, and I think it just gets knocked out by, um, the problems in the modern world.

Dr Myhill: 00:24:31

So, for example, Uh, Iodine deficiency is pretty much pandemic

Dr Myhill: 00:24:35

and Iodine we all know is essential for normal thyroid function.

Dr Myhill: 00:24:39

Everybody's being poisoned by fluoride and bromide.

Dr Myhill: 00:24:41

Fluoride that's in water and dental proof.

Dr Myhill: 00:24:43

Bromides from polybrominated biphenyls that are in, um, used as thyroid targants.

Dr Myhill: 00:24:48

That will knock out any halides, any iodine that you may have

Dr Myhill: 00:24:51

in the, in the thyroid gland.

Dr Myhill: 00:24:53

Heavy metals we know are damaging to the thyroid gland,

Dr Myhill: 00:24:56

particularly lead and mercury.

Dr Myhill: 00:24:58

Um, other micronutrient deficiencies, zinc and selenium are again, deficiency

Dr Myhill: 00:25:02

is pandemic, but they are essential for the creation of thyroid hormones.

Dr Myhill: 00:25:06

Um, and then, um, the, the thyroid seems to be particularly

Dr Myhill: 00:25:09

susceptible to viral infection.

Dr Myhill: 00:25:11

Uh, and this explains why we see, you know, more cases of thyroiditis and

Dr Myhill: 00:25:14

things, you know, in the summer and the autumn when the viruses are around.

Dr Myhill: 00:25:17

So, um, I, no, I don't think the ketogenic diet causes a thyroid problem,

Dr Myhill: 00:25:23

but what it does is it unmasks one.

Dr Myhill: 00:25:25

Because as I say, we need thyroid hormones to fat burn.

Dr Myhill: 00:25:28

And, um, without those thyroid hormones, um, people feel best

Dr Myhill: 00:25:32

running on sugars and carbohydrates.

Rob: 00:25:34

Yeah, that's a topic close to my heart as well and something we will stray

Rob: 00:25:38

into very quickly if, uh, we, if we do.

Rob: 00:25:40

So, um, what I'll do is I'll just bring us back to, uh, Centra.

Rob: 00:25:46

The ketogenic diet again, how do you think is it helping to address

Rob: 00:25:49

these, uh, cellular targets in terms of mitochondrial inflammation?

Rob: 00:25:54

Um, obviously it's going to help lower glycation and by extension

Rob: 00:25:58

your advanced glycation end products.

Rob: 00:26:00

Et cetera.

Rob: 00:26:01

Um, but in your view, I suppose at a, at a, at a high level, how is it

Rob: 00:26:05

helping to regulate inflammation?

Rob: 00:26:07

And, um, improve the function of mitochondria.

Rob: 00:26:11

Are there any sort of key molecular pathways that you could sort of elucidate

Rob: 00:26:16

upon, um, maybe the increase in PTC1 alpha expression or something like that?

Rob: 00:26:21

Uh, by which

Dr Myhill: 00:26:22

I keep my medicine very simple.

Dr Myhill: 00:26:26

I don't, because, because I lose people if I start talking biochemistry, but

Dr Myhill: 00:26:30

I think there are two main mechanisms by which ketones are reduced, improve

Dr Myhill: 00:26:35

energy and, and reduce inflammation.

Dr Myhill: 00:26:37

Now, when a mitochondria metabolizes ketones, it does so in a very

Dr Myhill: 00:26:43

frictionless way with minimal production of free radicals.

Dr Myhill: 00:26:47

And we know that free radicals drive inflammation.

Dr Myhill: 00:26:50

So I think it is as simple as that.

Dr Myhill: 00:26:52

Um, whereas if you burn sugar in mitochondria, you produce

Dr Myhill: 00:26:55

a lot of free radicals.

Dr Myhill: 00:26:56

which a, are directly damaging to mitochondria, and b, they

Dr Myhill: 00:27:00

also drive inflammation.

Dr Myhill: 00:27:02

So that's the first mechanism.

Dr Myhill: 00:27:04

The second mechanism we have to look at is all about exclusion zone

Dr Myhill: 00:27:07

water, which, or gel water, which I'm sure you're familiar with.

Dr Myhill: 00:27:10

And we know that one of the most, the ways you can destroy gel water is with sugar.

Dr Myhill: 00:27:16

Now, I'll just give you an example of this.

Dr Myhill: 00:27:18

It's exclusion zone water, which um, makes, which stops red cells, white cells

Dr Myhill: 00:27:23

and platelets from sticking to each other.

Dr Myhill: 00:27:26

It keeps them apart, um, so that blood can flow effortlessly through

Dr Myhill: 00:27:30

blood vessels and also capillaries.

Dr Myhill: 00:27:34

Ketones.

Dr Myhill: 00:27:34

By contrast, they improve the quality of exclusion zone water.

Dr Myhill: 00:27:37

So they make these things less sticky.

Dr Myhill: 00:27:40

Now, that's reflected in a test called an ESR Erythrocyte Sedimentation Rate.

Dr Myhill: 00:27:45

It's the standard biochemical test that doctors often employ, interestingly,

Dr Myhill: 00:27:50

as a measure of inflammation.

Dr Myhill: 00:27:52

So the way this test works is if you have, you, you, you have a column

Dr Myhill: 00:27:56

of of blood and, um, you, you see how long it takes to settle down.

Dr Myhill: 00:28:01

The result should be one or two millimeters per hour.

Dr Myhill: 00:28:04

i.

Dr Myhill: 00:28:05

e.

Dr Myhill: 00:28:05

that blood shouldn't settle at all, it should stay well separated.

Dr Myhill: 00:28:09

But if you lose exclusion zone water, if you lose that negative charge

Dr Myhill: 00:28:13

around cells, it settles very quickly.

Dr Myhill: 00:28:15

And they say that is a symptom of inflammation.

Dr Myhill: 00:28:17

So somebody who has an inflammatory condition like temporal arteritis

Dr Myhill: 00:28:19

or polymyalgia rheumatica, they will have a high ESR.

Dr Myhill: 00:28:24

Their blood cells will settle at the rate of, you know, 30,

Dr Myhill: 00:28:27

40, 50, 60 millimeters an hour.

Dr Myhill: 00:28:28

And that is clearly abnormal.

Dr Myhill: 00:28:30

It illustrates how inflammation destroys exclusion zone water.

Dr Myhill: 00:28:34

So, so, so the mechanism, um, and again, this is reflected in tests because, you

Dr Myhill: 00:28:40

know, when I was at medical school in the 1970s, a normal range for an ESR

Dr Myhill: 00:28:45

was considered to be between 0 and 5.

Dr Myhill: 00:28:48

Some labs, between 0 and 30, is now considered normal.

Dr Myhill: 00:28:53

And the reason for that is the way normal ranges are established is they

Dr Myhill: 00:28:56

take 30 people to come to hospital, they think they're all normal, um,

Dr Myhill: 00:29:00

they measure their, um, um, uh, ESR.

Dr Myhill: 00:29:02

Ooh, some are up at 30.

Dr Myhill: 00:29:03

Well, that must be normal, mustn't it?

Dr Myhill: 00:29:05

No.

Dr Myhill: 00:29:06

This Compilation

Rob: 00:29:07

bias.

Dr Myhill: 00:29:08

This illustrates that, you know, inflammation

Dr Myhill: 00:29:10

has now become the new norm.

Dr Myhill: 00:29:12

It seems acceptable and normal to have an ESR 20.

Dr Myhill: 00:29:16

Oh, you'll be told by your doctor.

Dr Myhill: 00:29:17

Oh, that's fine.

Dr Myhill: 00:29:18

There's no inflammation in your body.

Dr Myhill: 00:29:20

Rubbish.

Dr Myhill: 00:29:22

The inflammation is there, but it's a low grade level and that is driving

Dr Myhill: 00:29:25

sticky blood, um, um, dementia, cancer, heart disease, and much more.

Dr Myhill: 00:29:31

And that reflects the fact that everybody is living on sugars and carbohydrates.

Dr Myhill: 00:29:35

I read a statistic the other day, um, which suggests that, um, 60 percent of

Dr Myhill: 00:29:40

the population get their, I beg your pardon, 60 percent of all the calories.

Dr Myhill: 00:29:45

of, um, modern, uh, of, of people living in this country

Dr Myhill: 00:29:48

come from ultra processed foods.

Dr Myhill: 00:29:50

And that is a disaster because ultra processed foods are full of sugars and

Dr Myhill: 00:29:54

refined carbohydrates that drive all these, you know, nasty pathologies.

Dr Myhill: 00:29:58

So there has never been a more important time, you know, to get off

Dr Myhill: 00:30:02

those, get off those foods and get onto a proper paleo ketogenic diet.

Rob: 00:30:07

Definitely.

Rob: 00:30:08

And I know there's a tendency for some people, for a lot of people to

Rob: 00:30:11

initially struggle with the ketogenic diet or sort of the adaptation process.

Rob: 00:30:15

Um, oftentimes people who are in this high state of inflammation, uh, have

Rob: 00:30:20

high levels of blood sugar, etc. Um, when you're working with somebody,

Rob: 00:30:24

how do you help them to Maybe get into a state of ketosis and I suppose the

Rob: 00:30:29

first question is, are you sort of objectively measuring any, uh, markers

Rob: 00:30:34

of ketosis to begin with to sort of help them to enter into that state?

Dr Myhill: 00:30:38

Of course.

Dr Myhill: 00:30:39

Of course.

Dr Myhill: 00:30:40

Um, tests are very helpful.

Dr Myhill: 00:30:41

And, um, uh, you can either use urine tests or blood tests or breath tests

Dr Myhill: 00:30:47

to measure to see if you're in ketosis.

Dr Myhill: 00:30:49

And that is always very helpful.

Dr Myhill: 00:30:50

It's lovely to get some positive feedback so people know they're doing the

Dr Myhill: 00:30:54

sufficiently well to make a difference.

Dr Myhill: 00:30:56

The best, of course, are the blood tests but the problem with blood

Dr Myhill: 00:30:58

tests is they're rather expensive.

Dr Myhill: 00:31:00

The strips cost a pound each and I'm a wimp.

Dr Myhill: 00:31:03

I don't like, you know, pricking my finger to, um, to get a sample of blood.

Dr Myhill: 00:31:06

Um, urine sticks are very good and, you know, I'm doing a full, I'm, I've been

Dr Myhill: 00:31:10

fasting for a couple of days now, so I'm in, if I pee on a urine, uh, keto

Dr Myhill: 00:31:14

sticks, that will go to deep purple.

Dr Myhill: 00:31:16

So, you know, I can tell that I'm in ketosis there.

Dr Myhill: 00:31:19

But once people get well into ketosis, uh, once they've been keto adaptive for some

Dr Myhill: 00:31:24

time, um, that test loses its sensitivity.

Dr Myhill: 00:31:27

You can often get false negatives.

Dr Myhill: 00:31:30

So the tests I like to do are breath tests, um, and, um, I use a meter

Dr Myhill: 00:31:35

called, um, ACU Track, always ACU Trace.

Dr Myhill: 00:31:39

Can't remember, but, um, uh, that measures, um, acetone in the breath.

Dr Myhill: 00:31:44

And, and that's a very accurate test.

Dr Myhill: 00:31:46

And of course it's very quick and easy to do these days.

Dr Myhill: 00:31:48

I rarely, um, uh, uh, that that's a very quick and simple test and it

Dr Myhill: 00:31:52

tells you when you're in ketosis.

Dr Myhill: 00:31:54

Now, if I've got.

Dr Myhill: 00:31:55

Um, if I've got, uh, cancer patients, for example, now, I don't treat

Dr Myhill: 00:31:59

cancer because for me to treat cancer means I could be thrown in

Dr Myhill: 00:32:03

prison under the 1939 Cancer Act.

Dr Myhill: 00:32:06

So I don't treat cancer, but I treat people who have cancer.

Dr Myhill: 00:32:10

I treat their immune system.

Dr Myhill: 00:32:12

And, of course, cancer can be reversed by a ketogenic diet.

Dr Myhill: 00:32:16

Um, because the reason for that is cancer cells can only run on sugars.

Dr Myhill: 00:32:22

So it's really important for them to do, um, a strict diet.

Dr Myhill: 00:32:25

And for those people, I recommend two, at least two weeks of

Dr Myhill: 00:32:28

continuous blood sugar monitoring.

Dr Myhill: 00:32:30

And measuring ketones as well to make sure the blood sugar is well

Dr Myhill: 00:32:34

controlled down at, you know, 4 to 4, 5.

Dr Myhill: 00:32:36

5. Maybe I like to keep it low and, uh, and their ketone readings

Dr Myhill: 00:32:40

are at, are at a high level.

Dr Myhill: 00:32:42

So with cancer patients, we have to be even tougher with this.

Dr Myhill: 00:32:45

Um, but for most people, just blowing ketones will be sufficient

Dr Myhill: 00:32:49

to know that they're doing the WAC diet sufficiently well.

Rob: 00:32:52

Fair enough.

Rob: 00:32:53

And we'll come back to the cancer conversation in a little while, I know.

Rob: 00:32:56

Um, and helping to people, do you find, helping, excuse me, helping people to

Rob: 00:33:01

troubleshoot the diet, do you find that people are sometimes maybe deficient

Rob: 00:33:06

in key micronutrients or that would potentially impair them from going,

Rob: 00:33:12

entering into a state of ketosis, things like B2 or carnitine, um,

Dr Myhill: 00:33:18

Everybody is deficient in micronutrients for a very simple reason.

Dr Myhill: 00:33:24

Our soils are becoming deficient in minerals.

Dr Myhill: 00:33:27

A study in 1916, minerals in the soil, about 500 parts per million.

Dr Myhill: 00:33:32

That study repeats 100 years later, now less than 50 parts per million.

Dr Myhill: 00:33:37

So all our soils are mineral deficient.

Dr Myhill: 00:33:39

And that means the plants are mineral deficient and therefore they cannot

Dr Myhill: 00:33:42

make the vitamins and of course that all gets fed into the human food chain.

Dr Myhill: 00:33:46

So our foods are all deficient.

Dr Myhill: 00:33:48

So my view is we should all take a basic package of nutritional supplements

Dr Myhill: 00:33:53

just to get us on the starting line.

Dr Myhill: 00:33:55

Just to, you know, um, get us going.

Dr Myhill: 00:33:58

And that basic package would be a good multivitamin.

Dr Myhill: 00:34:01

which obviously will contain some B2.

Dr Myhill: 00:34:03

Um, a good multi mineral and I make up a preparation called Sunshine Salt and

Dr Myhill: 00:34:08

I, I had it made up because I couldn't find a mineral preparation on the market

Dr Myhill: 00:34:12

that had got all the minerals that we needed in decent, uh, amounts in the

Dr Myhill: 00:34:17

correct proportions And in a form that's soluble and therefore could be absorbed.

Dr Myhill: 00:34:22

So I recommend all my patients have their sunshine salt.

Dr Myhill: 00:34:24

Fish oils, uh, or eat oily fish, um, at least three times a week.

Dr Myhill: 00:34:29

And to remember which fish, remember the acronym SMASH.

Dr Myhill: 00:34:32

You smash it.

Dr Myhill: 00:34:33

Salmon, mackerel, anchovies, sardines, and herrings.

Dr Myhill: 00:34:37

Vitamin D, because we are all deficient and we just don't get enough sunshine.

Dr Myhill: 00:34:41

There's a little bit creeping through this morning, but not much more.

Dr Myhill: 00:34:43

Um, and of course coming through glass will be useless.

Dr Myhill: 00:34:46

So we should all take 10, 000 IU of vitamin D a day.

Dr Myhill: 00:34:50

We should all be taking extra vitamin C because humans, it's

Dr Myhill: 00:34:53

humans, fruit bats and guinea pigs.

Dr Myhill: 00:34:54

that cannot make their own vitamin C.

Dr Myhill: 00:34:56

So the reason that my Nancy, you know, doesn't get scurvy from eating a raw

Dr Myhill: 00:35:00

meat diet is she can make her own vitamin C. You know, so can the, the, the, um,

Dr Myhill: 00:35:05

the sheep out there and the cattle and the horses, they can all make their

Dr Myhill: 00:35:08

own vitamin C. And that is five, grams of vitamin C. So that's a teaspoon of

Dr Myhill: 00:35:13

ascorbic acid powder in the morning.

Dr Myhill: 00:35:15

And again, as we touched upon before, we are all deficient in iodine.

Dr Myhill: 00:35:20

And we should all take, um, a couple of drops of 15%, two or

Dr Myhill: 00:35:26

three drops, depending on your body weight, lasting at night.

Dr Myhill: 00:35:29

So that's just the basic package we should all do just to, um, get on

Dr Myhill: 00:35:35

the starting blocks, as I call it.

Dr Myhill: 00:35:36

And, uh, and those supplements, yes, will be very helpful with

Dr Myhill: 00:35:40

respect to keto adaptation.

Dr Myhill: 00:35:42

The three micronutrients that come up time and time again, which are

Dr Myhill: 00:35:45

essential to help us fat burn, are, as you point out, acetyl L carnitine.

Dr Myhill: 00:35:49

Now that's rich in meat.

Dr Myhill: 00:35:50

So it's going to be the vegetarians and the vegans who will, um, will

Dr Myhill: 00:35:53

struggle to a keto adapt because they're just not eating meat, which is,

Dr Myhill: 00:35:56

say, the richest source of carnitine.

Dr Myhill: 00:35:58

Chromium, now that chromium 500 micrograms may be for a couple of months.

Dr Myhill: 00:36:03

We've got a good dose of chromium in the sunshine salt.

Dr Myhill: 00:36:06

Um, and, um, as you say, riboflavin, vitamin B2, a good multivitamin should

Dr Myhill: 00:36:11

have 25 milligrams of riboflavin.

Dr Myhill: 00:36:13

So that covers most bases.

Rob: 00:36:16

Fair enough.

Rob: 00:36:17

And do you ever find that patients struggle potentially with methylation

Rob: 00:36:21

issues when taking sort of high dose, uh, multi Multivitamins and things like that.

Rob: 00:36:26

Do they, and would you sort of suggest that they then find sort of

Rob: 00:36:30

either non methylated forms of those vitamins or, uh, just maybe find them

Rob: 00:36:35

in natural foods again, like liver?

Rob: 00:36:37

Well,

Dr Myhill: 00:36:37

the fact of the matter is that methylation issues are

Dr Myhill: 00:36:40

extremely common and very important.

Dr Myhill: 00:36:43

And this is an area where we should all measure our own homocysteine.

Dr Myhill: 00:36:48

Homocysteine is a very good marker of the methylation cycle.

Dr Myhill: 00:36:52

Now there's a wonderful website that's been set up by Patrick Holford.

Dr Myhill: 00:36:55

called Food for the Brain.

Dr Myhill: 00:36:57

I'm sure you're aware of this.

Dr Myhill: 00:36:58

He is conducting the large, the single biggest, um, um, controlled study

Dr Myhill: 00:37:05

into the prevention of dementia.

Dr Myhill: 00:37:07

He has now recruited over half a million people.

Dr Myhill: 00:37:10

So you should, everybody should, should go to the Food for the Brain website

Dr Myhill: 00:37:14

and do his cognitive function test.

Dr Myhill: 00:37:16

This is all free, by the way.

Dr Myhill: 00:37:17

In order to gather the data necessary to prevent dementia.

Dr Myhill: 00:37:21

And we now know there are three vital things that have to be done,

Dr Myhill: 00:37:24

and they all have to be done.

Dr Myhill: 00:37:26

In isolation, they don't work.

Dr Myhill: 00:37:27

They have to be done together.

Dr Myhill: 00:37:28

One, of course, is the ketogenic diet.

Dr Myhill: 00:37:30

Dementia is now being called type 3 diabetes.

Dr Myhill: 00:37:33

Number two is take fish oils.

Dr Myhill: 00:37:35

Now we touched on that.

Dr Myhill: 00:37:37

Smash it, as he says, um, uh, eat oily fish at least three times, uh, a

Dr Myhill: 00:37:41

portion at least three times a week.

Dr Myhill: 00:37:43

And the third thing is measure homocysteine.

Dr Myhill: 00:37:46

Now, homocysteine is A, a marker for the methylation cycle, as you described,

Dr Myhill: 00:37:51

and B, it's toxic in its own right.

Dr Myhill: 00:37:53

It's toxic to the brain.

Dr Myhill: 00:37:55

It's toxic to arteries.

Dr Myhill: 00:37:56

It's a risk factor for cancer.

Dr Myhill: 00:37:58

We should all know it and on his website you can get a do it yourself kit, which

Dr Myhill: 00:38:02

is we know it's accurate We know it works.

Dr Myhill: 00:38:04

It costs 49 pounds 50 pence.

Dr Myhill: 00:38:07

That's very doable So you can do this test at home and measure your homocysteine.

Dr Myhill: 00:38:11

It should lie between five It can be too low and ten and um, so get that measured

Dr Myhill: 00:38:17

if it lies between the two Fantastic.

Dr Myhill: 00:38:19

You've done it.

Dr Myhill: 00:38:20

If it's higher than that, any higher than that, then yes, you need the methylated

Dr Myhill: 00:38:25

B vitamins in order to normalize it.

Dr Myhill: 00:38:27

You need methyl B12, and I suggest three milligrams a day.

Dr Myhill: 00:38:30

Methylfolic acid in the form of tetrahydramethylfolate, 800 micrograms.

Dr Myhill: 00:38:35

And then, um, methyl, uh, B6, which is pyridoxal 5 phosphate,

Dr Myhill: 00:38:39

maybe 25 or 50 milligrams.

Dr Myhill: 00:38:42

Um, maybe some glutathione, 250 milligrams as well.

Dr Myhill: 00:38:45

And then after three months of that, recheck to make sure it's done the job.

Dr Myhill: 00:38:49

Make sure the homocysteine has normalized.

Dr Myhill: 00:38:51

If it hasn't, some people need, uh, vitamin B12 by injection, possibly

Dr Myhill: 00:38:57

as in the form of methyl B12.

Dr Myhill: 00:38:58

Because people who are on a carbohydrate based diet, they've got

Dr Myhill: 00:39:02

enough of fermenting gut, They will malabsorb vitamin B12, and vitamin

Dr Myhill: 00:39:06

B12 deficiency is extremely common.

Dr Myhill: 00:39:10

And again, as we discussed earlier about normal ranges, we talked about

Dr Myhill: 00:39:13

the normal range for an ESR should be between 0 and 5, not between 0 and 50.

Dr Myhill: 00:39:19

The normal range for a B12 has been set ridiculously low.

Dr Myhill: 00:39:23

People are told, if you've got a B12 above 200, you're normal.

Dr Myhill: 00:39:26

In Japan Uh, uh, anybody below 500 is considered deficient.

Dr Myhill: 00:39:33

But that aside, some people don't feel well until their B12 is way above 2000.

Dr Myhill: 00:39:39

So, it illustrates the point we are all very different.

Dr Myhill: 00:39:42

And we should use clinical criteria as well as biochemical criteria.

Dr Myhill: 00:39:47

Um, uh, in order to get the best out of our systems in order

Dr Myhill: 00:39:51

to function to our optimum.

Dr Myhill: 00:39:53

So say, be careful of reference ranges.

Dr Myhill: 00:39:55

But yes, homocysteine is vital.

Dr Myhill: 00:39:57

Please measure it.

Dr Myhill: 00:39:59

We should all know what our homocysteine is.

Dr Myhill: 00:40:02

It's a major risk factor for all those nasty pathologies and also

Dr Myhill: 00:40:06

chronic fatigue syndrome, which is my special area of interest.

Rob: 00:40:11

Last one on the list with regarding to troubleshooting,

Rob: 00:40:13

uh, ketosis is caffeine.

Rob: 00:40:16

Do you think Is what?

Rob: 00:40:17

And this is Caffeine.

Dr Myhill: 00:40:19

Oh, yeah, yeah, yeah.

Rob: 00:40:21

Do you think, and this is hard for me to admit, that caffeine

Rob: 00:40:24

could potentially be a trigger for people trying to end ketosis just

Rob: 00:40:28

because it's driving a lot of, uh, glucose displacement from the liver?

Rob: 00:40:33

Um, or is it not necessarily an issue?

Dr Myhill: 00:40:35

Caffeine is lovely stuff.

Dr Myhill: 00:40:37

It's another addiction.

Rob: 00:40:39

Yeah,

Dr Myhill: 00:40:39

and as we all know addictions are good servants, but bad masters So,

Dr Myhill: 00:40:44

you know when I go to a party guess what?

Dr Myhill: 00:40:46

I can have a vodka and fizzy water with some lemon juice in it Why because my

Dr Myhill: 00:40:50

jokes are much funnier when i've had a couple of glasses of vodka Um or whatever,

Dr Myhill: 00:40:55

um, but don't have them all the time.

Dr Myhill: 00:40:57

So yes, you know, I love caffeine too But if you have it all the time That

Dr Myhill: 00:41:01

nasty thing, tachyphylaxis, creeps in.

Dr Myhill: 00:41:04

It stops doing its job.

Dr Myhill: 00:41:05

The body just adapts to it.

Dr Myhill: 00:41:08

So the way to use caffeine is as an occasional treat, to really fire you

Dr Myhill: 00:41:12

up if you've got to get something done.

Dr Myhill: 00:41:14

So yes, I used to be a caffeine addict.

Dr Myhill: 00:41:16

I used to be, you know, uh, when I was being done by the GMC, I

Dr Myhill: 00:41:19

had to have a couple of glasses of wine at night to chill out a bit.

Dr Myhill: 00:41:23

So, you know, I'd say addiction is a very good servant, but a bad master.

Dr Myhill: 00:41:27

These days, I don't drink caffeine regularly.

Dr Myhill: 00:41:29

I just have the occasional bit.

Dr Myhill: 00:41:30

Occasionally and that's the way to do it.

Dr Myhill: 00:41:33

But yes, it does all those nasty things that you've explained It's basically it's

Dr Myhill: 00:41:36

an adrenaline like drug And this will be a particular problem for somebody who

Dr Myhill: 00:41:41

has an underactive thyroid because if they have an underactive thyroid they

Dr Myhill: 00:41:45

will fat burn with adrenaline and then if you add caffeine to that as well

Dr Myhill: 00:41:49

You can cause really nasty symptoms of anxiety and tachycardias and shaking and

Dr Myhill: 00:41:54

tremulousness and so on and so forth.

Dr Myhill: 00:41:56

So, yeah, be careful with caffeine.

Rob: 00:41:59

Yeah, it's just adding on to the body burden at the end of the day.

Dr Myhill: 00:42:03

Correct.

Rob: 00:42:05

This will probably, I suppose, this is a good time to sort of talk

Rob: 00:42:08

about C dolls, which is something that is again, very Up in there at the

Rob: 00:42:13

moment, I have my thoughts on seed oils.

Rob: 00:42:15

I feel that they're probably not an issue as long as they're not oxidized.

Rob: 00:42:20

But what are your thoughts on seed oils?

Rob: 00:42:23

Because they can, uh, form part of a healthy ketogenic diet, uh, according

Rob: 00:42:28

to some people and conversely, according to others, they, they will

Rob: 00:42:31

kill you the moment you sniff them.

Rob: 00:42:33

But what are your thoughts there?

Rob: 00:42:36

Do you think they're an issue generally?

Dr Myhill: 00:42:38

Well, again, you know, when we have a difficult question, we

Dr Myhill: 00:42:40

always go back to evolutionary biology.

Dr Myhill: 00:42:43

What did primitive man and primitive woman consume?

Dr Myhill: 00:42:45

And guess what?

Dr Myhill: 00:42:46

They never ate seed oils, but they had lots of seeds, and they

Dr Myhill: 00:42:49

had lots of nuts, and guess what?

Dr Myhill: 00:42:51

Those seeds and nuts would be eaten absolutely fresh, and

Dr Myhill: 00:42:54

raw and completely organic.

Dr Myhill: 00:42:56

So, you know, seed oils in that form are totally desirable and totally safe.

Dr Myhill: 00:43:01

But the problem with seed oils is there's an awful lot of stuff in them.

Dr Myhill: 00:43:05

You know, it's concentrated.

Dr Myhill: 00:43:07

I mean, my goodness, those, I, I, I know from olive oil, for example,

Dr Myhill: 00:43:10

um, to make a litre of olive oil, you have to crush 10 kilograms of olives.

Dr Myhill: 00:43:16

Well, it'd be, you know, it'd be Uh, difficult to eat 10 grams of olives,

Dr Myhill: 00:43:20

but you know, you could drink a litre of olive oil, you know, in a few days.

Dr Myhill: 00:43:23

So it's a question of amount.

Dr Myhill: 00:43:25

So that's the first point.

Dr Myhill: 00:43:27

And the second point is it's a question of the form of them.

Dr Myhill: 00:43:31

Um, in nature, all oils, um, uh, oils come in two forms.

Dr Myhill: 00:43:37

They come in saturated fats.

Dr Myhill: 00:43:38

And they come as unsaturated fats now saturated fats are Basically, they

Dr Myhill: 00:43:44

have a carbon backbone and they are completely saturated with hydrogen ions

Dr Myhill: 00:43:49

So they're stiff and they are stable and when you cook with them, they

Dr Myhill: 00:43:53

retain their shape now Then we have the oils and the oils are unsaturated.

Dr Myhill: 00:43:59

So we have olive oil which is a mono unsaturated fat.

Dr Myhill: 00:44:02

And what that means is it's missing one hydrogen.

Dr Myhill: 00:44:06

And if it's missing one hydrogen, then instead of being a nice

Dr Myhill: 00:44:08

straight molecule, it's got a kink.

Dr Myhill: 00:44:10

It's got a kink at omega 3.

Dr Myhill: 00:44:13

And if you've got a poly unsaturated one, it's got a kink at number six.

Dr Myhill: 00:44:16

It's got a kink at maybe number six, and maybe nine as well.

Dr Myhill: 00:44:19

i.

Dr Myhill: 00:44:19

e.

Dr Myhill: 00:44:19

they're all curvaceous.

Dr Myhill: 00:44:21

They're all boomerang shaped in nature.

Dr Myhill: 00:44:23

And in nature, they're all left handed.

Dr Myhill: 00:44:26

They're all left handed oils.

Dr Myhill: 00:44:28

Now, if you hydrogenate, and that's called a cis fat.

Dr Myhill: 00:44:31

Now, if you hydrogenate them, bubble hydrogen through to make margarine,

Dr Myhill: 00:44:35

or you cook with them, some of them will flip into a trans fat.

Dr Myhill: 00:44:40

So, it's got exactly the same chemical formula, but it's a mirror image.

Dr Myhill: 00:44:45

And that doesn't fit into biochemical systems.

Dr Myhill: 00:44:48

It gets in the way, it clogs things up.

Dr Myhill: 00:44:51

So, the answer with seed oils is never eat margarine, never cook with them.

Dr Myhill: 00:44:57

Get your seed oils by eating whole, ideally organic if you can

Dr Myhill: 00:45:00

afford them, raw nuts and seeds.

Dr Myhill: 00:45:04

Um, um, and um, and when you cook, always cook with saturated fat.

Dr Myhill: 00:45:09

So butter, lard, coconut oil.

Dr Myhill: 00:45:13

Um, again, ideally organic, if you can stretch to that, um, and

Dr Myhill: 00:45:17

those are the rules of the game.

Dr Myhill: 00:45:18

And then you get round all the problems of seed oils and don't

Dr Myhill: 00:45:21

use margarines, always use butter.

Dr Myhill: 00:45:22

Much, you know, because it's a nice saturated fat and is a

Dr Myhill: 00:45:26

perfect fuel for mitochondria.

Rob: 00:45:29

Of course.

Rob: 00:45:29

So I, so in that respect, I assume that you are definitely a fan of

Rob: 00:45:35

having a higher saturated fat intake, uh, opposed to, yeah, a lower one.

Dr Myhill: 00:45:41

It's the perfect fuel for mitochondria.

Dr Myhill: 00:45:43

You know, mitochondria, um, uh, that's how you, um, make ketones

Dr Myhill: 00:45:48

and, uh, so yes, absolutely.

Dr Myhill: 00:45:50

You can make ketones from cedars, but, but, but, you know, cedars are

Dr Myhill: 00:45:54

not primarily a fuel for the body.

Dr Myhill: 00:45:56

They're primarily there for structure.

Dr Myhill: 00:45:58

They're there for membrane structure.

Dr Myhill: 00:45:59

And of course, you know, we are comprised of, of, of square

Dr Myhill: 00:46:02

kilometers of membranes in our body.

Rob: 00:46:06

Perfect.

Rob: 00:46:07

I'd like to sort of segue in back into the conversation about cancer.

Rob: 00:46:11

Uh, I know that we've spoken all fair about this and it's again,

Rob: 00:46:14

something you mentioned earlier.

Rob: 00:46:15

And I just, again, want to make it quite clear to anyone who's listening

Rob: 00:46:18

that we're not suggesting that the ketogenic diet can, uh, treat cancer.

Rob: 00:46:23

Um, and that's definitely not a cure.

Rob: 00:46:25

All we're discussing is that it can be used as a tool for people

Rob: 00:46:29

who are suffering with cancer.

Rob: 00:46:31

Um, in any respect, um, I feel, yeah, any conversation that is talking

Rob: 00:46:38

about the ketogenic diet should at least touch on this subject as it

Rob: 00:46:40

obviously affects millions of people.

Rob: 00:46:43

Um, And what I'd like to sort of, again, have a conversation about is how

Rob: 00:46:49

the ketogenic diet is officially, is effectively, well, is working as, again,

Rob: 00:46:54

as a tool to help maybe not mitigate the symptoms, but control, the, the

Rob: 00:47:01

progression of the disease potentially.

Rob: 00:47:03

Uh,

Dr Myhill: 00:47:04

we have to, we have to understand a few basic

Dr Myhill: 00:47:06

principles about cancer first.

Dr Myhill: 00:47:08

Now, the first point is that we are all producing cancers every second of the day.

Dr Myhill: 00:47:15

Throughout life, back, just background radiation alone will generate about 10,

Dr Myhill: 00:47:20

000, um, DNA mutations every second.

Dr Myhill: 00:47:25

What we also know about cancer is it's not a disease of the nucleus of

Dr Myhill: 00:47:30

cells, it's a problem of mitochondria.

Dr Myhill: 00:47:33

And when we talk about DNA damage, we talk about DNA damage to mitochondria.

Dr Myhill: 00:47:38

There's a classic, um, experiment that was done taking two lines of cells,

Dr Myhill: 00:47:42

one normal cells and one cancer cells.

Dr Myhill: 00:47:45

When they took the nucleus of the cancer cells and they put it into the

Dr Myhill: 00:47:48

normal cells, the cells remained normal.

Dr Myhill: 00:47:51

When you took the nucleus of the normal cells and you put it in the cancer

Dr Myhill: 00:47:54

cells, the cells remained cancerous.

Dr Myhill: 00:47:56

So what that tells us is the mechanism of cancer is not in the

Dr Myhill: 00:48:00

nucleus, it's in the cell itself.

Dr Myhill: 00:48:02

And we now know that's a mitochondrial issue.

Dr Myhill: 00:48:05

Now, the difference between cancer cells and normal cells, and this was known in

Dr Myhill: 00:48:10

the 1930s, thanks to the work of a, um, um, physiologist called Otto Warburg.

Dr Myhill: 00:48:17

What he demonstrated there is that cancer cells can only run on sugar.

Dr Myhill: 00:48:22

They cannot run on ketones, and so the starting point to prevent all

Dr Myhill: 00:48:27

cancers is to stop feeding them sugars.

Dr Myhill: 00:48:30

Because as I say, we're generating them all the time as a result of

Dr Myhill: 00:48:32

just from background radiation.

Dr Myhill: 00:48:34

And the immune system is going around nipping these off, saying, Oh,

Dr Myhill: 00:48:37

that's a nasty cell, we'll kill that.

Dr Myhill: 00:48:38

Oh, that's a nasty cell, we'll kill that.

Dr Myhill: 00:48:40

And the immune system's very good at that.

Dr Myhill: 00:48:43

If you're feeding those cells with sugar all the time, then they

Dr Myhill: 00:48:46

simply grow too quick for the immune system to stay ahead of the game.

Dr Myhill: 00:48:51

So the starting point, um, to prevent cancer is obviously cut out the sugars and

Dr Myhill: 00:48:55

the carbohydrates, eat a ketogenic diet.

Dr Myhill: 00:48:57

But of course, nobody's ever come to me saying, you know, I don't

Dr Myhill: 00:49:00

want to get cancer, what shall I do?

Dr Myhill: 00:49:02

No, they come to me because they've already got cancer.

Dr Myhill: 00:49:05

And when they've already got cancer, um, you know, I don't say it's too late, but

Dr Myhill: 00:49:09

they kind of, they're losing the battle.

Dr Myhill: 00:49:11

And so for somebody who's got an early cancer, yes, of course, we

Dr Myhill: 00:49:15

have to reduce the tumor load.

Dr Myhill: 00:49:16

You have to reduce the tumor load.

Dr Myhill: 00:49:18

with surgery, with, with, um, uh, with radiation and maybe chemotherapy

Dr Myhill: 00:49:23

or whatever, just to get the bulk of that tumor down because the immune

Dr Myhill: 00:49:27

system has lost that battle already.

Dr Myhill: 00:49:29

So once you get the bulk of the tumor down, of course, what kills

Dr Myhill: 00:49:33

people is rarely the primary tumor, it's nearly always the spread.

Dr Myhill: 00:49:37

And the essence of me treating cancer patients is to do that in parallel with

Dr Myhill: 00:49:42

what conventional docs are doing, but I'm there to stop the spread of that cancer.

Dr Myhill: 00:49:47

And the key thing there is.

Dr Myhill: 00:49:49

the ketogenic diet.

Dr Myhill: 00:49:50

Don't feed the cancer cells.

Dr Myhill: 00:49:53

And in parallel with that, there are many naturopathic interventions

Dr Myhill: 00:49:56

we can do, which we know kill cancer cells, like vitamin C.

Dr Myhill: 00:50:00

Now, obviously, it'd be lovely if everybody have intravenous vitamin C, but

Dr Myhill: 00:50:03

it's not available and it's too expensive.

Dr Myhill: 00:50:05

We can do it ourselves by eating it.

Dr Myhill: 00:50:07

So you take vitamin C to bowel tolerance.

Dr Myhill: 00:50:10

And vitamin C kills cancer cells in a multiplicity of ways.

Dr Myhill: 00:50:13

I think one mechanism by which it kills cancer cells is because.

Dr Myhill: 00:50:19

Vitamin C looks very much like sugar.

Dr Myhill: 00:50:22

It's a very similar shape.

Dr Myhill: 00:50:23

In fact, animals can make vitamin C from sugar.

Dr Myhill: 00:50:26

It's a four enzyme step to make it happen, but you know, it's not a big step between

Dr Myhill: 00:50:30

cancer and, uh, between sugar and vitamin C. So if you starve that cancer cell

Dr Myhill: 00:50:35

of sugar, it then says, oh, where's, I need something, I need some more sugar,

Dr Myhill: 00:50:39

and it'll grab something that looks like sugar, and that lookalike is vitamin C.

Dr Myhill: 00:50:43

So it preferentially takes up the vitamin C, and of course, vitamin C is not a fuel.

Dr Myhill: 00:50:48

Um, that gets into the cancer cell and then it kills it for

Dr Myhill: 00:50:51

a, for a variety of reasons.

Dr Myhill: 00:50:53

So vitamin C is really important.

Dr Myhill: 00:50:55

Guess what?

Dr Myhill: 00:50:56

Iodine is very important.

Dr Myhill: 00:50:57

We know iodine kills cancer cells as well, but you need a decent dose of it.

Dr Myhill: 00:51:01

And my cancer, cell cancer patients, I'll recommend they take up to maybe 10

Dr Myhill: 00:51:04

drops of l iodine, 15% lasting at night.

Dr Myhill: 00:51:09

Again, with all these interventions, start low, build up slowly.

Dr Myhill: 00:51:12

Don't dive in with the full dose.

Dr Myhill: 00:51:14

Otherwise you can cause, uh, other reactions.

Dr Myhill: 00:51:16

So that would be a very simple starting point and the other key thing that should

Dr Myhill: 00:51:21

always be done is measure cancer markers.

Dr Myhill: 00:51:25

Nearly all cancers have a marker of some sort.

Dr Myhill: 00:51:28

So for example, if you have a prostate cancer, we all know PSA is a marker

Dr Myhill: 00:51:32

of how well you're doing, whether it's going up or whether it's going down.

Dr Myhill: 00:51:35

But all cancer cells have markers.

Dr Myhill: 00:51:37

And, um, um, and they're very useful to measure because that tells us if

Dr Myhill: 00:51:42

you're winning or losing the battle.

Dr Myhill: 00:51:44

And most of these markers can be done from a simple blood test,

Dr Myhill: 00:51:47

some can be done with a urine test.

Dr Myhill: 00:51:48

So for urinary cancer, a simple urine test, um, can tell us if

Dr Myhill: 00:51:51

we're winning or losing the battle.

Dr Myhill: 00:51:53

And if the cancer markers are creeping up Then we have to put in more interventions.

Dr Myhill: 00:51:57

We have to work harder at it.

Dr Myhill: 00:51:59

If the cancer markets are coming down and staying stable, then

Dr Myhill: 00:52:01

we know we've done enough, um, um, to maintain the status quo.

Dr Myhill: 00:52:06

As I say, the starting point is always the ketogenic diet.

Dr Myhill: 00:52:09

Don't feed cancer with sugar.

Dr Myhill: 00:52:11

Um, it's just a complete disaster.

Rob: 00:52:14

Yeah.

Rob: 00:52:14

And are you sort of looking to target specifically sort of fungal

Rob: 00:52:18

and mold infections as well?

Rob: 00:52:19

As I know they obviously play a huge role in the development

Rob: 00:52:22

and progression of cancer.

Dr Myhill: 00:52:23

That's what is so interesting about cancers.

Dr Myhill: 00:52:26

Nearly all of them have an infectious driver.

Dr Myhill: 00:52:29

So the leukemias myelomas, usually that's, um, uh, viral driven, um, uh, often human

Dr Myhill: 00:52:36

endogenous retroviruses, and they flare up because the immune system is suppressed.

Dr Myhill: 00:52:40

for some reason or other.

Dr Myhill: 00:52:41

But most of the solid tumors, um, and especially the surface

Dr Myhill: 00:52:44

tumors, have a fungal driver.

Dr Myhill: 00:52:47

And, um, uh, and, and that's why repurposed drugs for treating

Dr Myhill: 00:52:51

cancers are often antifungals, or have antifungal activity.

Dr Myhill: 00:52:55

Uh, some of the antiwormers, interestingly, probably have antifungal

Dr Myhill: 00:52:58

activity, and that's the mechanism by which they, uh, they target cancer.

Dr Myhill: 00:53:02

But yeah, antifungal drugs are often very helpful.

Dr Myhill: 00:53:04

And again, this ties in with sugars and carbohydrates.

Dr Myhill: 00:53:08

Because what do fungi love?

Dr Myhill: 00:53:09

They love sugar.

Dr Myhill: 00:53:11

And the shameful thing is, fungal infections have just become the new norm.

Dr Myhill: 00:53:15

I mean, when babies are born, you know, um, it's just become expected that they're

Dr Myhill: 00:53:19

going to get thrush in their mouth, that they're going to get nappy rash, which

Dr Myhill: 00:53:22

is a fungal infection of the skin, that they're going to get, um, cradle cap,

Dr Myhill: 00:53:25

which is a fungal infection of the scalp.

Dr Myhill: 00:53:27

You know, uh, this illustrates how fungi have become the new norm.

Dr Myhill: 00:53:31

And one of the commonest fermenters of the upper fermenting gut is yeast and fungi.

Dr Myhill: 00:53:36

Um, and, uh, Biolab used to do a wonderful test to demonstrate that where you'd

Dr Myhill: 00:53:40

measure alcohol levels and sugar levels in the blood before and after a sugar load.

Dr Myhill: 00:53:46

And what you would see is not only the blood sugars coming up, but

Dr Myhill: 00:53:49

the blood alcohol levels coming up.

Dr Myhill: 00:53:51

I think the highest result detector was 19 milligrams.

Dr Myhill: 00:53:55

Which is, you know, you're well on the way to drunk driving at that level.

Dr Myhill: 00:53:59

So, you know, this illustrates the point that, you know, this is a very real

Dr Myhill: 00:54:02

and very, you know, potent phenomenon.

Dr Myhill: 00:54:03

But yes, fungi become the new norm.

Dr Myhill: 00:54:05

You know, most people have got fungal toenails.

Dr Myhill: 00:54:08

Again, why?

Dr Myhill: 00:54:09

Because they're eating sugars and carbohydrates.

Dr Myhill: 00:54:11

So, fungi are major drivers of, and all these interventions we're talking

Dr Myhill: 00:54:16

about, the iodine, the vitamin C, The ketogenic diet, these all help

Dr Myhill: 00:54:20

to get rid of fungal infections, you know, whatever they may be.

Dr Myhill: 00:54:22

And guess what?

Dr Myhill: 00:54:23

There are lots of wonderful herbal preparations, like garlic, like

Dr Myhill: 00:54:26

berberine, which have got good, you know, um, uh, anti fungal,

Dr Myhill: 00:54:30

curcumin, anti fungal properties.

Dr Myhill: 00:54:32

But on their own, they won't work.

Dr Myhill: 00:54:35

You know, as I call this, you know, life is not a battle, it's a war.

Dr Myhill: 00:54:40

It's a war we know we're going to lose, but if I lose it when

Dr Myhill: 00:54:42

I'm 102, I'll settle for that.

Dr Myhill: 00:54:44

Um, Um, Um, and, uh, it's a war that we have to fight harder as we age.

Dr Myhill: 00:54:49

So we have to toughen up with our diets, we have to be more disciplined

Dr Myhill: 00:54:52

about our sleep and our exercise, we have to remember to take the

Dr Myhill: 00:54:55

nutritional supplements and so on.

Dr Myhill: 00:54:57

And if you get all that right, then you can live to, uh,

Dr Myhill: 00:55:01

a good and healthy old age.

Dr Myhill: 00:55:02

And just to illustrate that point, I use the age 102 for very good reasons,

Dr Myhill: 00:55:07

I have a granny flat in my house And I had an old boy who moved in there

Dr Myhill: 00:55:11

when he was 95, uh, and by doing the ketogenic diet supplements, um,

Dr Myhill: 00:55:16

keeping him nice and warm, keeping him busy and physically active.

Dr Myhill: 00:55:20

Uh, he died in October, aged 102.

Dr Myhill: 00:55:23

Um, so, uh, and he just, he just went to sleep.

Dr Myhill: 00:55:26

He just died a very natural, very comfortable, very

Dr Myhill: 00:55:29

dignified death here at home.

Dr Myhill: 00:55:31

So these regimes do work really well.

Rob: 00:55:35

Yeah.

Rob: 00:55:35

Well, that's incredible.

Rob: 00:55:36

And I think it just highlights the fact at the end of the day.

Rob: 00:55:39

That ultimately what we've, what we've and what individuals have got to do is

Rob: 00:55:43

they've got to sort of remove the source of the toxicity before they can heal.

Rob: 00:55:46

And this evidently appears, at least in part, to be, uh, a large amount of sugar.

Rob: 00:55:52

Um, Dr. Myhill, I'd like, uh, I know we're potentially running on time,

Rob: 00:55:57

but I'd just like to ask you a few rapid fire questions if that's okay.

Rob: 00:56:01

Um, sort of, you can answer them any way you see, uh, You see fit, um,

Rob: 00:56:06

but there's sort of maybe burning questions that are just nice to have.

Rob: 00:56:10

So to start off with, what are your thoughts on the ketogenic, um,

Rob: 00:56:14

excuse me, on the carnivore diet?

Dr Myhill: 00:56:17

Oh, it's a very good diet, perfectly healthy.

Dr Myhill: 00:56:19

And for some people, it's the starting point that really turns

Dr Myhill: 00:56:22

things around and makes them well.

Dr Myhill: 00:56:23

I have a dear friend of mine, um, uh, who is a consultant

Dr Myhill: 00:56:26

psychiatrist in Edinburgh, Dr.

Dr Myhill: 00:56:28

Rachel Brown.

Dr Myhill: 00:56:29

And for her, the starting point to treat any psychiatric

Dr Myhill: 00:56:33

condition is a carnivore diet.

Dr Myhill: 00:56:35

Nothing unhealthy about that.

Dr Myhill: 00:56:37

Some tribes live permanently on carnivore diets.

Dr Myhill: 00:56:39

So I'm a great fan of the carnivore diet.

Rob: 00:56:41

Interesting.

Rob: 00:56:42

And do you think taking into account everything we've discussed that

Rob: 00:56:45

there's any potential limit, uh, issue with people running into vitamin C

Rob: 00:56:49

deficiencies in a carnivore diet?

Dr Myhill: 00:56:52

Yes, I would accompany a carnivore diet, as I would

Dr Myhill: 00:56:55

accompany all diets, with a basic package of supplements.

Dr Myhill: 00:56:59

So, and that would include vitamin C, vitamin D, and iodine.

Dr Myhill: 00:57:03

So yes, and I call these regimes Groundhog regimes, because like the film Groundhog

Dr Myhill: 00:57:08

Day, which is a time loop, I keep coming back to them over and over and over again.

Dr Myhill: 00:57:13

So when I treat people, I'm not just giving this or that or the other.

Dr Myhill: 00:57:17

I'm giving them packages of treatment.

Dr Myhill: 00:57:20

And that package would include detox regime, um, package of

Dr Myhill: 00:57:25

supplements, obviously the keto diet, discipline about sleep, and so on.

Dr Myhill: 00:57:29

And so yes, um, anybody in a carnivore diet has to do the

Dr Myhill: 00:57:33

rest of the package as well.

Rob: 00:57:35

Of course.

Rob: 00:57:36

Next one.

Rob: 00:57:36

What do you think about the use of sauna for detoxification?

Dr Myhill: 00:57:40

It's a fantastic way to detox.

Dr Myhill: 00:57:42

Now, broadly speaking, there are three mechanisms by which we detox.

Dr Myhill: 00:57:46

The first is obviously the liver, and we've touched on that.

Dr Myhill: 00:57:48

And for the liver to detoxify, the water soluble nutrients that come

Dr Myhill: 00:57:52

through from the gut, like products of the fermenting gut, um, um, it

Dr Myhill: 00:57:56

needs B vitamins and minerals and so on, and we've kind of covered that.

Dr Myhill: 00:58:00

Saundering is a very good way to get rid of the fat soluble toxins,

Dr Myhill: 00:58:04

which don't get to the liver.

Dr Myhill: 00:58:05

They get stuck in fat.

Dr Myhill: 00:58:06

They get stuck in the brain.

Dr Myhill: 00:58:07

They get stuck in their subcutaneous fat.

Dr Myhill: 00:58:10

And saundering is a very good way of literally heating up the skin, as I call

Dr Myhill: 00:58:14

it, boiling off those toxins onto the lipid layer on the surface of the skin.

Dr Myhill: 00:58:19

from whence they're washed off.

Dr Myhill: 00:58:20

So saundering is an excellent way to do that, but bear in mind it's got

Dr Myhill: 00:58:24

to be followed by a shower to wash the toxins off the lipid layer on

Dr Myhill: 00:58:27

the surface of the skin, otherwise they just get reabsorbed again.

Dr Myhill: 00:58:31

And again, if you're sweating a lot, then you have to rehydrate, because

Dr Myhill: 00:58:34

when you sweat, you don't just lose a few electrolytes, you lose All of them.

Dr Myhill: 00:58:39

You lose, you know, you lose Calcium, Magnesium, Potassium,

Dr Myhill: 00:58:42

Zinc, Chromium, Copper, Selenium, Molybdenum, the whole shooting match.

Dr Myhill: 00:58:45

So, I, that's why I put together my Sunshine Salt, so

Dr Myhill: 00:58:48

we rehydrate with Sunshine Salt.

Dr Myhill: 00:58:50

But it's not just saunering that works, any heating regime will do.

Dr Myhill: 00:58:54

And for my very sick patients or who, for people who can't afford a sauna or don't

Dr Myhill: 00:58:58

tolerate the heat, Epsom Salt Bath works.

Dr Myhill: 00:59:01

Just as well.

Dr Myhill: 00:59:02

And Epsom salts you can get very cheaply from Epsom salts co uk.

Dr Myhill: 00:59:06

You can get 25 kilograms for about 35 quids.

Dr Myhill: 00:59:09

So Bath of Epsom salt costs less than a pound.

Dr Myhill: 00:59:13

So the recipe is a pound of epsom salts or half a kilogram per bath, a good soak

Dr Myhill: 00:59:17

in that over 20 minutes, and A, that pulls the toxins out, and B gives you

Dr Myhill: 00:59:22

a nice dose of magnesium and sulfur.

Dr Myhill: 00:59:25

And what we are left with is the heavy metals.

Dr Myhill: 00:59:28

Now the body doesn't have a mechanism for getting rid of heavy metals.

Dr Myhill: 00:59:32

Well, not a good mechanism.

Dr Myhill: 00:59:34

And so if I have somebody who's got a heavy metal problem and I diagnose

Dr Myhill: 00:59:37

that with a urine test following a collating agent, then we need a

Dr Myhill: 00:59:40

collating agent to get rid of that.

Dr Myhill: 00:59:43

And the one I like to use is called DMSA, um, uh, dimethyl sic acid.

Dr Myhill: 00:59:48

It's developed by the Russians.

Dr Myhill: 00:59:49

It's very safe, it's very benign.

Dr Myhill: 00:59:51

It pulls out the heavy metals reliably.

Dr Myhill: 00:59:53

Well.

Dr Myhill: 00:59:53

So think about those three.

Dr Myhill: 00:59:55

I mean, you can get metal heavy metals for a certain extent with.

Dr Myhill: 00:59:58

Good dose of minerals and glutathione maybe, but if I've got somebody with

Dr Myhill: 01:00:02

a real toxic load, I would use DMSA.

Dr Myhill: 01:00:04

So those are the three mechanisms of detox that we should think about for everybody.

Rob: 01:00:09

That's amazing.

Rob: 01:00:10

Thank you.

Rob: 01:00:11

Next one on the list, low carb or ketogenic diets for athletes.

Rob: 01:00:15

Do you think it can be done?

Rob: 01:00:16

Do you think people can, athletes can perform at a high

Rob: 01:00:19

level without carbohydrates?

Dr Myhill: 01:00:21

Absolutely.

Dr Myhill: 01:00:21

And there's a wonderful video that all athletes must watch by Dr.

Dr Myhill: 01:00:25

Kieran Clark of Oxford University.

Dr Myhill: 01:00:29

After the Gulf War in 1991, many, um, troops were killed by friendly fire.

Dr Myhill: 01:00:35

And the reason for this is the troops were told, um, you're going

Dr Myhill: 01:00:39

to be in the desert for five days.

Dr Myhill: 01:00:41

Don't expect to be restocked.

Dr Myhill: 01:00:43

You've got to carry everything that you need to survive for five days.

Dr Myhill: 01:00:47

Now, if you're a soldier in enemy territory, what you don't want

Dr Myhill: 01:00:50

to run out of is ammunition.

Dr Myhill: 01:00:51

So these soldiers loaded up with ammunition at the expense of food.

Dr Myhill: 01:00:56

And of course, as you know, the army marches on its stomach.

Dr Myhill: 01:00:58

And by days three, four, and five, they were hungry.

Dr Myhill: 01:01:01

They were hypoglycemic.

Dr Myhill: 01:01:02

And that's when the deaths from Friendly Fire occurred.

Dr Myhill: 01:01:06

So Dr. Clark was commissioned by the United States Army to develop

Dr Myhill: 01:01:10

the most efficient food, the most efficient fuel that would be the

Dr Myhill: 01:01:14

lightest weight that would generate the most energy for these soldiers.

Dr Myhill: 01:01:17

And to cut a very long story short, she came up with beta

Dr Myhill: 01:01:19

hydroxybutyric acid, which, as you know, is the main ketone body.

Dr Myhill: 01:01:24

It's the main fuel that the body makes for itself from fat.

Dr Myhill: 01:01:28

And she decided to test this on elite athletes.

Dr Myhill: 01:01:32

So she took, you know, Olympic, you know, uh, gold medalists, you know,

Dr Myhill: 01:01:36

world record holders in cycling, in running, in rowing, you know, um, uh, in

Dr Myhill: 01:01:41

triathlon, you know, the, the top athletes who, of course, are very motivated.

Dr Myhill: 01:01:45

And she added in 80 mils of, um, he beat hydroxybutyrate hackies three times a day.

Dr Myhill: 01:01:51

during their training.

Dr Myhill: 01:01:52

Many of those athletes improved their performances between 7 and 15%.

Dr Myhill: 01:01:57

Many achieved personal bests that they hadn't done previously.

Dr Myhill: 01:02:01

Instead, even her husband, who was an amateur scientist, found, you know, he

Dr Myhill: 01:02:04

massively improved his personal bests.

Dr Myhill: 01:02:06

So, key to, and again, another little story, um, um, Mike Morton, who holds the

Dr Myhill: 01:02:11

world record for the furthest distance run in 24 hours, is a key to adapted athlete.

Dr Myhill: 01:02:17

He ran 172 miles in 24 hours.

Dr Myhill: 01:02:21

And he didn't need to eat, he just needed electrolytes.

Dr Myhill: 01:02:24

So, for the point here, for the endurance runners, then

Dr Myhill: 01:02:28

ketones are the perfect fuel.

Dr Myhill: 01:02:29

For the power runners, for the sprinters, for the weightlifters, you

Dr Myhill: 01:02:34

know, for those of the fast twitch fibers, they work best on sugar.

Dr Myhill: 01:02:38

So, I remember I had one athlete who came to see me, who was an England

Dr Myhill: 01:02:41

footballer, who did incredibly well on the ketogenic diet.

Dr Myhill: 01:02:45

But he said, I can't get through a first division match.

Dr Myhill: 01:02:48

So he did a deal.

Dr Myhill: 01:02:49

He has half a Mars bar before the first half.

Dr Myhill: 01:02:52

He eats the second half of the Mars bar before the second half, and he

Dr Myhill: 01:02:55

can now function at a very high level.

Dr Myhill: 01:02:57

So for the sprinters and the powers, I would, I would train them all on

Dr Myhill: 01:03:01

ketones, but for the performance I would give the sprinters, I would sugar load

Dr Myhill: 01:03:05

them to get their peak performance.

Rob: 01:03:08

Yeah, I think the old adage there is train low, compete high in terms

Rob: 01:03:11

of carbohydrates and, and, and fats.

Rob: 01:03:14

Um, I suppose that's a perfect sort of segue into one of my final

Rob: 01:03:18

questions, which is your thoughts on exogenous ketones, um, specifically

Rob: 01:03:22

things like BHB salts and esters.

Dr Myhill: 01:03:27

Well, there's no doubt they, they, they improve performance,

Dr Myhill: 01:03:29

you know, over and above all else.

Dr Myhill: 01:03:31

But they're expensive.

Dr Myhill: 01:03:33

And guess what?

Dr Myhill: 01:03:33

You know, my patients are not wealthy.

Dr Myhill: 01:03:35

I'm, you know, I mainly see people with chronic fatigue

Dr Myhill: 01:03:38

syndrome who they can't work.

Dr Myhill: 01:03:40

Um, they, they have, you know, very low incomes.

Dr Myhill: 01:03:42

We, they have to get by on, on the bare minimum.

Dr Myhill: 01:03:44

And for those exogenous ketones are simply unaffordable, but yes, they are helpful.

Dr Myhill: 01:03:49

You know, MCT oil, for example, can often improve performance over and above

Dr Myhill: 01:03:53

all else, but don't start with that.

Dr Myhill: 01:03:56

You see, the addicts are always looking up.

Dr Myhill: 01:03:58

for ways to shortcut the system to allow them to maintain their addiction.

Dr Myhill: 01:04:03

You really have to grasp the nettle and say, let's go ketosis

Dr Myhill: 01:04:06

and all else falls into place.

Rob: 01:04:08

Perfect.

Rob: 01:04:09

And finally, uh, Dr. Myhill, if we were to summarize this, I suppose, this last hour,

Rob: 01:04:15

what five tips would you give someone potentially with chronic fatigue syndrome

Rob: 01:04:19

or with any other sort of lingering chronic infection or health condition?

Rob: 01:04:24

What five tips would you give them to improve their health overall?

Dr Myhill: 01:04:27

Well, first of all, take control of your illness.

Dr Myhill: 01:04:30

Do your own thinking.

Dr Myhill: 01:04:31

Work things out for yourself from first principles.

Dr Myhill: 01:04:35

The second thing is the paleo ketogenic diet is, uh, absolute essential.

Dr Myhill: 01:04:39

If you're not prepared to do that, you can forget the rest.

Dr Myhill: 01:04:42

And I say that because the next thing on the list would be to

Dr Myhill: 01:04:45

take some nutritional supplements.

Dr Myhill: 01:04:46

But if you've got enough of fermenting gut, because you haven't

Dr Myhill: 01:04:49

done the paleo ketogenic diet, You just feed the fermenters.

Dr Myhill: 01:04:53

You just feed those hungry bacteria and those hungry yeast

Dr Myhill: 01:04:55

that are in your upper gut.

Dr Myhill: 01:04:57

So all that money you spend on expensive supplements, you know, you

Dr Myhill: 01:05:00

don't get the benefit of many of them.

Dr Myhill: 01:05:02

So, and again, sleep is really important.

Dr Myhill: 01:05:05

Pay attention to sleep.

Dr Myhill: 01:05:06

Be disciplined about sleep.

Dr Myhill: 01:05:08

And if you do, and again, exercise, oh gosh, I could never stop.

Dr Myhill: 01:05:12

Uh, but exercise, it's all about the right amount of exercise.

Dr Myhill: 01:05:15

And, you know, we all have a certain bucket of energy to spend in a day.

Dr Myhill: 01:05:19

If you, if you spend so much energy so that you pay for it the next day with

Dr Myhill: 01:05:24

delayed fatigue, with um, post exertional malaise, then you've overdone things.

Dr Myhill: 01:05:30

So just like Steve Redgrave, after he won his fourth gold medal, you

Dr Myhill: 01:05:33

know, he'd have put in an Olympic medal winning performance, he wouldn't

Dr Myhill: 01:05:36

have been able to repeat it the next day because he'd have had so much

Dr Myhill: 01:05:39

muscle damage and so, you know, from that Olympic winning performance.

Dr Myhill: 01:05:42

So pacing activity.

Dr Myhill: 01:05:44

is also very important.

Dr Myhill: 01:05:46

Now, obviously, if you're trying to build muscle and get strong, there's

Dr Myhill: 01:05:48

a certain amount of hormesis to here.

Dr Myhill: 01:05:49

A little bit of muscle damage stimulates more, um, uh, but not so

Dr Myhill: 01:05:54

much that you pay for it the next day.

Rob: 01:05:57

That's amazing.

Rob: 01:05:58

Thank you so much for all of that.

Rob: 01:06:00

Uh, Dr. Myhill, uh, where are the best, where's the best place people can

Rob: 01:06:03

find you if they would like to connect and find out more about your work?

Dr Myhill: 01:06:07

All my information is that dr myhill.co.uk?

Dr Myhill: 01:06:10

It's on my website.

Dr Myhill: 01:06:11

It's freely available to everybody.

Dr Myhill: 01:06:13

Have, I can't put my, put my books on that website 'cause

Dr Myhill: 01:06:16

my publisher would have a fit.

Dr Myhill: 01:06:17

Um, but obviously there are, there are several books that I've written.

Dr Myhill: 01:06:20

I also do online Zoom workshops where anybody can join for the

Dr Myhill: 01:06:24

princely summer 40 pounds a day.

Dr Myhill: 01:06:26

And I talk all day and we max out at 20 so I can deal with all the questions.

Dr Myhill: 01:06:30

And then I also run, uh, weekend workshops here at my home.

Dr Myhill: 01:06:34

So people come on Thursday night and I talk all day.

Dr Myhill: 01:06:36

Friday, Saturday and Sunday, we eat a paleo ketogenic diet and I cover the

Dr Myhill: 01:06:40

whole of medicine during that time.

Dr Myhill: 01:06:42

And they're good fun weekends.

Dr Myhill: 01:06:44

I max out at 12 there, but that creates a good atmosphere

Dr Myhill: 01:06:47

and they're good fun as well.

Dr Myhill: 01:06:49

So I do those in the summer months.

Dr Myhill: 01:06:50

Um, and I've got an eco pool here and of course a sauna and a hot

Dr Myhill: 01:06:54

tub, so we do have a lot of fun.

Rob: 01:06:56

That's amazing.

Rob: 01:06:57

We'll be sure to link to all of that in the show notes as well.

Rob: 01:07:00

Dr.

Rob: 01:07:00

Myhill, thank you so much for your time.

Rob: 01:07:02

I really appreciate this and this has been an incredible conversation.

Rob: 01:07:05

Thank you.

Dr Myhill: 01:07:07

My pleasure.

Dr Myhill: 01:07:07

Nice to, you've been a very good, it's very easy to talk when you've

Dr Myhill: 01:07:11

got a good person doing the interview.

Dr Myhill: 01:07:12

So thank you very much.