# Q&A: Insulin Resistance, Reaching Ketosis, Bone Density, and Rating Popular Keto Products Page: https://stenobird.com/podcast/metabolic-mind-6253550/q-a-insulin-resistance-reaching-ketosis-bone-density-and-rating-popular-keto-products Text version: https://stenobird.com/podcast/metabolic-mind-6253550/q-a-insulin-resistance-reaching-ketosis-bone-density-and-rating-popular-keto-products.md Podcast: [Metabolic Mind](https://stenobird.com/podcast/metabolic-mind-6253550) Published: 2026-08-11T12:00:00+00:00 Episode link: https://metabolicmind.org/ Audio file: https://episodes.captivate.fm/episode/cf9df3ed-8d0e-4dcd-a14e-843ffdfa263d.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/metabolic-mind-6253550/episodes/q-a-insulin-resistance-reaching-ketosis-bone-density-and-rating-popular-keto-products Duration seconds: 1421 ## Resource The questions around ketogenic therapy keep getting more layered, and your latest submissions reflect that. In this Metabolic Mailbag episode, Dr. Bret Scher and producer Erica Gerard tackle some of the most common questions about insulin resistance, ketosis, bone health, and a fun rapid-fire round on popular ketogenic products and practices. In this discussion, you'll learn: The difference between pathologic and physiologic insulin resistance and why insulin levels matter most Why someone in deep ketosis may fail a glucose tolerance test and how to interpret it How metabolic health affects how strict your ketogenic approach needs to be Why some people can stay in ketosis at 75 grams of carbs while others need under 25 Why claims about ketogenic diets causing bone loss don't hold up under scrutiny The role of protein intake, resistance training, and walking in supporting bone density A rapid-fire round covering MCT oil, electrolytes, caffeine, diet sodas, keto bread, creatine, exogenous ketones, intermittent fasting, and artificial sweeteners This conversation captures the nuance that ketogenic therapy and metabolic health really call for, while keeping the practical realities of everyday life in view. šŸ”Ž Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode. #KetogenicTherapy #MetabolicMind #MetabolicPsychiatry Expert Featured: Dr. Bret Scher Baszucki Group Medical Director https://x.com/bschermd Resources Mentioned https://www.youtube.com/watch?v=3m6Fm0nXaMQ&t=2s Free CME Clinician Trainings: Are you a clinician who would like to learn more about the science behind these therapies and how to implement them in practice? Earn CME with our growing library of cā€¦ ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/metabolic-mind-6253550/episodes/q-a-insulin-resistance-reaching-ketosis-bone-density-and-rating-popular-keto-products/transcription-requests` ā€” Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/metabolic-mind-6253550/q-a-insulin-resistance-reaching-ketosis-bone-density-and-rating-popular-keto-products.md` ā€” Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.