Jami Dulaney MD Wellness Podcast

Welcome!

And thanks for listening.

In this solo episode, I wanted to share some of the fascinating research and insights I brought back from the recent Ketogenic Foundation conference. From the potential benefits of ketones for heart health and brain function to the latest research on ketogenic diets and chronic kidney disease, there is some exciting work happening in the field of metabolic health. How ketones may improve cardiac function in people with heart failure, how the brain uses ketones as an alternative fuel source as we age, and what long-term studies are showing about...

Welcome!

And thanks for listening.

In this episode, I have the opportunity to sit down with my cousin Natalie Holmes, who has been following a carnivore diet for the past three and a half years. Despite our shared family history of cardiovascular disease and diabetes, we took very different approaches to nutrition. After years of struggling with trigeminal neuralgia, debilitating nerve pain, and the side effects of medication, Natalie began exploring the carnivore diet in search of a different path forward. What started as a one-month experiment turned into a major change in how she...

Welcome!

And thanks for listening.

In this episode, I sit down with Scott Hoover, also known as No Carb Runner, an ultrarunner and race director of Ultra Ultras. Scott shares his journey from struggling with anxiety, depression, panic attacks, and weight gain to discovering keto and eventually a carnivore diet. We discuss how he went from barely running half a mile to completing ultramarathons, including 100-mile and 200-mile efforts, while experimenting with zero-carb endurance running.

We also explore traditional carbohydrate fueling, hitting the wall, recovery, and Scott’s experiments with ketones and continuous gl...

Welcome!

And thanks for listening.

In this solo episode, I wanted to give you an update on my own health, nutrition, and endurance journey over the past several months. After more than 20 years of being plant based, I've made a major shift toward a very low-carbohydrate, animal-based diet and have been closely tracking my glucose and ketones along the way. I've also continued running ultras, which feel better than ever on this new diet. We talk about what I've learned from making this transition, why I've changed the way I think about insulin resistance and...

Welcome!

And thanks for listening.

In this episode, I have the incredible opportunity to sit down with one of my lifelong mentors in both medicine and endurance running, Dr. Tim Noakes. I first discovered his work when I started running marathons in 1999, and his books completely shaped the way I thought about endurance training, hydration, and fueling. But Dr. Noakes' story is also a story of changing your mind when the evidence and your own experience tell you that something isn't working. We talk about his evolution from promoting high-carbohydrate fueling to questioning that approach...

Welcome!

And thank you for listening.

In this episode, I take a deeper look at some of the conventional ideas we’ve been taught about nutrition, carbohydrates, vegetables, meat, and metabolic health. We discuss what happens when we begin questioning the standard advice around what a healthy diet should look like, including the role of carbohydrates and insulin, the potential impact of constantly elevated glucose and insulin, and the debate surrounding plant-based versus animal-based nutrition. We also explore the importance of nutrient absorption, gut health, and metabolic health, and why sometimes the biggest changes in ou...

Welcome!

And thank you for listening.

In this episode, I sit down with cardiothoracic surgeon Dr. Philip Ovadia to challenge some of the conventional thinking around heart disease, cholesterol, nutrition, and metabolic health. After becoming morbidly obese and pre-diabetic himself despite being a heart surgeon, Dr. Ovadia began questioning the advice he had been giving patients and ultimately transformed his own health through a low-carbohydrate, ketogenic approach. We discuss why insulin resistance may be a much bigger factor in heart disease than cholesterol alone, the role of inflammation and metabolic health, and why Dr. Ovadia...

Welcome!

And thank you for listening.

In this episode, I sit down with Dr. Bret Scher. He is a board-certified cardiologist, lipidologist, and leading expert in therapeutic uses of metabolic therapies, including ketogenic diets. We discuss Dr. Scher’s journey from conventional cardiology to ketogenic medicine, the connection between insulin resistance and cardiovascular health, and why looking only at LDL cholesterol may not tell the whole story. We explore triglyceride-to-HDL ratios, fasting insulin, blood sugar, calcium scores, CT angiography, and the complex relationship between ketogenic diets and rising LDL. Finally, we discuss ketogenic the...

Welcome!

And thank you for listening.

In this episode, I discuss the importance of recognizing potentially serious heart symptoms in runners and endurance athletes, using the story of a young runner who died unexpectedly after experiencing repeated episodes of severe palpitations. We talk about why symptoms like sudden palpitations, chest pain, and unusually high heart rates should not simply be dismissed as dehydration or anxiety, why it's important to rule out serious cardiac conditions first, and how athletes can pay closer attention to their heart rate and warning signs during exercise.

I also...

Welcome!

And thank you for listening.

In this episode, I’m breaking down my experience completing the Badger 100, a 100-mile ultramarathon through Wisconsin, and spoiler alert: I made it! There were many difficulties like running through the rain, dealing with blisters and back pain, figuring out how to fuel myself while keeping carbs low, and what my continuous glucose monitor showed along the way. I’ll share some of the lessons I learned about endurance, recovery, metabolic health, and what works for me after more than 33 hours on the course.

I hope you enjo...

Welcome!

And thank you for listening.

In this episode, I sit down with Dr. Tro Kalayjian, a physician who has dedicated his career to helping people understand obesity, food addiction, and metabolic health. Dr. Tro shares his own journey with obesity, including losing more than 150 pounds after years of struggling with weight and following conventional approaches to nutrition. We discuss insulin resistance, low carbohydrate nutrition, intermittent fasting, food addiction, binge eating, and the ways shame and guilt can make weight loss even more difficult. We also explore the complex relationship between ketogenic diets, cholesterol, and...

Welcome! And thank you for listening.

Diabetes has shaped my life long before I became a cardiologist. After watching multiple family members suffer from its complications, I was determined to avoid the same fate. Despite years of endurance training and following a whole food plant-based diet, I began noticing the signs of insulin resistance in my own body. In this episode, I share why I made the decision to transition to a low carbohydrate, high saturated fat approach and the lessons I've learned along the way.

This is just the beginning of my journey, and...

Welcome! And thank you for listening.

One of the biggest barriers to lasting change is that every dietary pattern asks us to give something up. Whether it is processed carbohydrates, sweets, or other comfort foods, we have to replace the pleasure they once provided with something that better aligns with our long-term goals. Understanding your "why" is essential to creating lasting change. For me, that means improving insulin resistance, lowering inflammation, and helping people regain metabolic flexibility so their bodies can efficiently use stored fat for energy.

In this episode, I discuss how dopamine influences...

Welcome! and Thank you for listening.  

I have been to Alaska fishing! I am back with fresh salmon and halibut.  I am also back to training for my ultras and promoting a low carbohydrate high fat approach for improving metabolic health? 

How could I have been so wrong?  Is a plant based diet good for anyone? Is it carbohydrates or sugar.  Is being lean the same thing as being metabolically healthy?   I have come to believe it is not.  I would like to share a few success stories on how a low carb, high fat diet has...

Welcome! and Thank you for listening.  

When it comes to health information, it is really hard to find someone that isn't biased.  One way is to be cautious of those making a living selling their own cause.  

My mission is to help people live longer and healthier.  It is my job to continue learning and educating people on the best information I can find.  Even if it does not agree with my once held beliefs.  Dr Gregor suggested that eggs are bad because of their cholesterol.  When you read the sources, it certainly shows that cholest...

Welcome! and Thank you for listening.

I practice medicine in a private practice clinical setting.  I develop lasting relationships with patients for years.  I see their health stats and their struggles over years.  I observe their family interactions.  This allows me to have a unique view of specific health trends.  My practice has been a Plant based wellness practice for 10 years with classes and cooking demonstrations teaching plant based nutrition.  We also have weekly and monthly exercise and mobility sessions.  Today I would like to share with you what has been happening to folks following or trying to foll...

Welcome! and thank you for listening.  

There has been some great feedback on a low carbohydrate/high fat diet.  Patients are noting weight loss, improved sleep, improved mobility with less joint stiffness and better glucose control to name a few.  Things I never thought I would see especially so quickly.  

However, a there have been some people very disappointed in my direction shift.  Many of them had relied on me to convince their spouses that eating plant based was the way to go and now I have pivoted.  Others are very uncomfortable facing their friends and an...

Welcome! and Thank you for listening.  It has been a week of growth and discussion for sure

There has been some early positive results with nutrition shifts to a low carbohydrate high fat diet for many people.  There has been improved sleep quality, weight loss, better energy, better glucose control early in their journeys.  Some have struggle with low energy levels that have been corrected by changing the types of foods they are consuming.

However, there have been anger issues and stones have been thrown.  People have felt excluded and lead astray thinking they signed up f...

Welcome! And thank you for listening.

Today I sit down with Dr. Andrew Koutnik, an award-winning scientist committed to producing and translating cutting-edge research into real world solutions for health, disease management, and performance optimization. Specializing in type 1 diabetes and metabolic health, Andrew has worked with renowned institutions such as Harvard, Johns Hopkins, NASA, and the Department of Defense to develop actionable, evidence-based strategies for overcoming complex health challenges.

In this episode we dig into the four-week metabolic adaptation window and why most research misses it, how elevated insulin quietly tanks your energy and recovery eve...

Welcome! and Thank you for listening.  

Dr. Richard Feynman, the Nobel Laureate Physicist said, "You must not fool yourself, and you are the easiest to fool"

Well then let's get down to business.  The Badwater virtual 267mile race is almost completed and I feel great running an average of 16.7 miles a day on a mere 4 grams of carbohydrate.  I would never of guessed, but I am quite happy about it.

Today I will review in a much different view, The China Study.  It was first published in 2006 and I have read and referenced it s...

Welcome! and Thank you for listening.  Thank you for all of the email questions.  Some of which I will address today.

What are you eating?

Are you eating eggs, animal products?

Dr E and Ann are doing fine.  Why change?

Does a high fat diet cause muscle wasting?

Is this way of eating sustainable for everyone?

I will also talk a little about fueling for endurance activities and how my BadwaterV267 race is going.

Thank you for listening.  Keep the questions comin

g to j...

Welcome! and Thank you for listening.  Today's episode embarks on a new journey for me as I adopt a high fat, low carbohydrate diet.  Before you call 911 take a listen and follow my journey.  

I have not changed my desired to improve the health span for all of the people I encounter. It is now taking an exciting shift.  Diabetes, glucose intolerance, or insulin resistance is the leading cause of vascular mortality and morbidity.  It is my goal to have this not happen.  Please enjoy the episode.  Thank you for listening

Email me at jami@doctord...

Welcome! and Thank you for listening.  

This episode is about early data of my personal continous glucose monitor.  These sensors can be purchased without a prescription and are used to monitor the glucose in the interstitial fluid. Translated there is a mild delay from the blood to the cell fluids where the glucose is monitored and then uploaded to an App on your smartphone.  

Diabetes and glucose intolerance are the biggest risk factors for cardiovascular disease.  Often, people assume that their if glucose is normal fasting, then they are ok.  The problem is that insulin resis...

Welcome! and Thank you for listening.  

This episode will highlight my latest ultra at Croom's Fool run where I completed 35 miles/50K.  The original goal was 50 miles but the day went a little different.  Nevertheless, I finished feeling well and continue to learn about low carbohydrate fueling and ultra distance events.  I will also share a story of doubt that I observed.  The story we tell ourselves can seem benign and even humble, but it is sometimes setting us up for failure.  We have 70,000 thoughts per day and about 80% are negative according to research.  95% are repetitive.  That means we...

Welcome! and Thank you for listening. 

Today's episode is my story of making a quit for my granddaughter , and how it was not in my comfort zone.  I learned to quilt from watching my grandmother.  Unfortunately, that was 50 plus years ago.  She made quilts for her family by hand with fabric from old clothes.  She allowed me to quilt with her using black thread so it could be easily seen and removed when I went home at night.  I remember the care and hard work that went into making the quilts and how they warm and cozy they f...

Welcome! and Thank you for listening.  Cardiovascular risk factors include hypertension, weight, hyperlipidemia, smoking and a sedentary lifestyle.  These are things you can change without a calcium score or genetic testing.  They benefit everyone at every age.  The problem is that they often require change and insight. 

That change requires vision and belief over current circumstances, excuses or position.  It is March and anything is possible if you believe and have vision.  Let me help you focus on your vision of health instead of your current position.  Email me at [email protected]

Thank you for list...

Welcome! and Thank you for listening.  Don't fall off your exercise ball but we are going to talk low carb and keto!

Last week I completed the Long Play 33 with 35 miles- bonus miles as Andy, the race director, would say.  Based on a recently published study on nutrition during endurance events, I decided to decrease my glucose intake and add Ketone IQ shots to the mix.  

I have a history of bonking in the later parts of a race.  Sometimes, it is more like the early part.  My stomach no longer accepts gels, I feel slugg...

Welcome! and Thank you for listening.  It is with sorrow that I pay tribute to Jeff Galloway with a replay of a 2020 episode that we did together.  Jeff passed away this week from complication of a hemorrhagic stroke.  

Some people may say that running didn't prolong Jeff Galloway's life or even that running may have made him die earlier.  I would say that Jeff had a wonderful lifespan lifting others up both spiritually and health-wise through his lessons on the run-walk method of distance running.  A life well lived and shared.  I believe the longevity and medical commun...

Welcome! and Thank your for listening.  Today I am honored to have Dr. Tonya Olson a doctor of physical therapy to educate us on fixing our feet.  Can you move your toes independently? Can you make your arch contract? How about standing on one foot? Do you get callouses or blisters and just blame the shoes? Do you suffer from bunions or other toe or feet issues? Are you interested in movement? 

You are in luck because we talk feet today and how we can ambulate healthy into our older years or even run ultramarathons without foot inj...

Welcome! and Thank you for listening. 

Lp(a) is a genetic marker associated with increased cardiovascular events.  A positive family history is also associated with increase risk.  But how much risk and over what time period.  Families share the same cultures, living environment and often food choices but not always.  Genes don't act alone.  They need the right stimulus or environment to become activated.  

There is no one that knows your story better than you.  Yet, one cannot predict their own future with any degree of certainty.  The story always unfolds a little different.  To think a phy...

Welcome! and Thank you for listening. 

Do this, no, do that.  Coffee is bad.  Coffee is good.  Do these three things.  Take these medications or else.  It is no wonder that people just turn a blind ear and do nothing.  When you finally have hypertension, cardiovascular disease, diabetes, cancer, or dementia, the treatments are aimed only at the symptoms instead of the root cause.  When it comes to pain, people may think that is not such a bad thing because we do have pain medications that work well for short periods of time then cause havoc with side eff...

Welcome! and Thank you for listening.   Long Haul Ultra marathon is a 100 mile race at Colt Creek State Park in Florida.  It consists of 6 loops of 16.8 miles.  The runner comes back to the start at each of the loop were there is an open aid station or individual crew access.  Out on the course, there are 3 other times where there are aid stations for snacks and fluids.   The first loop went well but things deteriorated. 

What happens when the best laid plans fail? This is the story of Long Haul.  Why do we have to learn the same less...

Welcome! and Thank you for listening.  Happy, Healthy New Year.  

How much does it cost to live forever.  There are people out there claiming they can do it for $4 a day all the way to 2 million dollars per year.  But the cost could be way more than dollars.  Some of these folks limit their human interaction to the point of isolation.  Just being plant based is a ticket to the outliers club and can be quite limiting.  Perhaps there is a compromise.

I believe that compromise is health span.  What can you do to stay out of th...

Welcome! and Thank you for listening.  

Lessons that I have learned this year.  

Lessons from coaches, my patients, and my practice.  

You do not know your full potential until you try.  The beauty is that we get to right our own story.  Our health is much the same.  We get to write that story. It is not a lab marker or a gene.  It is a multitude of factors many of which we control.  

How will I apply these lessons:

I have some unfinished racing to do.  I have changed some...

Welcome! and Thank you for listening.

The Daytona 50 mile race is in the books.  It was my first road ultramarathon, and I continue to learn a little something at each race.  I believe the learning points can be applied to any new task or long term goal.  

1. Break a goal down into small parts.  This seems obvious but the trick is staying in the small part and not looking into the daunting future. 

2. Have a strategy for each segment before the segment begins and follow the plan.  Variables come up, there is always the unk...

Welcome! and Thank you for listening.  Move it or loose it for sure but how should be move and how often.  I made some observations at this year's Turkey trot that I think you might find helpful. 

Vitamin D is not just about bones but your immune system, your heart, and many other things.  The sun is the best source because there are so many other mechanisms in the body fueled by the sun's photons.  However, getting adequate vitamin D is a must. 

What about DHA.  Can we just rely on alpha linolenic acid from plants...

Welcome! and Thank you for listening.  I am joined by my favorite little people today to talk all things Thanksgiving.  I give you a little recap of my latest learning experience during the Colt 45k this past weekend.

I am grateful for all of you who continue to tune into the podcast after all these years.  It has been a pleasure to learn and share information with those interested in being as healthy as possible.  It is easy to loose sight of the simple gifts around us.  It was a very special moment to have my grandchildren on my...

Welcome! and Thank you for listening.  There is shocking news with this podcast that I hope will allow all of us to become healthier. 

This episode I will discuss coaching and being coached.  We are all  always learning.  During our time in formal education situations, it is assumed that the teacher knows best.  Do as they say, get a good grade, and proceed in achieving your goals.  We trust that they will provide accurate information to the best of their abilities.  It is expected that one completes the assignments to the best of their abilities.  Grades are assigned...

Welcome and thank you for listening.

When life throws unimaginable challenges, how do we find resilience and true wellness? In this episode, we meet endurance athlete Dean Hall, who faced dual cancer diagnoses and chose a path of self-directed healing rooted in movement, purpose, and connection to nature. From grueling long-distance swims to mindful forest immersion, we explore how intentional lifestyle choices—nutrition, exercise, and mother nature—can support the body’s capacity to heal. This conversation is a testament to perseverance, curiosity, and the power of listening to both your body and the natural world.

As a...

Welcome and Thank you for listening. 

This podcast is mainly about the Coldwater Creek 50k/ 33.2 mile trail race in Anniston Alabama.  

Good news: I finished

Better news: I finished with a bang and before the cutoff.   It was close.

If you have never stopped by Anniston Alabama, you should.  The people are wonderful and it is a beautiful little town with lots of trails for mountain biking, running and hiking.  There are also lots of rocks.

I have been plant based nearly 25 years.  I eat fruits and vegetable as close...