Anonymous says, "For a man on a low carb diet, adding in more carbs seems to improve strength
and energy, but it seems to worsen nocturia getting up about three times in the night
to pass quite large amounts of urine.
Can you help think of a reason why and any ideas for what might help?"
Well, I would start by looking at your blood sugar.
So I do think it's possible that that if your blood sugar...
Markus says salt.
Yeah, I do think you should look at salt.
I don't know that, that...
Okay.
So, actually, I should start by saying I have, I should put this in the show notes, I have
a video.
And if you're in the Master Pass, you have the transcript on this, on how to stop waking
up to pee.
And if you're a Masterpass member, you can go to the Chris Masterjohn Lite section and
then search, "Waking up to pee," and then episode 119, "How To Stop Waking Up To Pee."
So, in here, we have, and I think Markus was kind of getting at this, antidiuretic hormone
(ADH) is stimulated by, so first of all, it's regulated by the circadian rhythm.
So you need to have a well-entrained circadian rhythm.
Second of all, it's stimulated by salt.
So salt at night might help.
Third of all, in order to make it you need copper, vitamin C, and zinc.
And then, fourth of all, you need, going past that, I also suggest trying to get deeper
sleep.
You might want to look at the quality of your sleep.
So, I do think generally carbs help people get better sleep, but I do think that a ketogenic
diet elevates GABA.
And so I think there's a subset of people who would get better and deeper sleep on keto
because of the increased brain GABA.
And then number five in that video, I put, keep your stress levels low.
And I do think that could relate to hyperglycemia.
So, if your glucose tolerance is poor, and you would expect for your glucose tolerance
to be poor on a low carb diet, especially for a few weeks when you're transitioning.
And so that just would require time to transition.
But certainly if this is persisting after being on a higher-carb diet for a few weeks,
then higher glucose levels in the blood could cause a stress response.
So it could be elevated cortisol.
Even though generally glucose suppresses cortisol and cortisol raises glucose, I do think it's
possible for spikes in hyperglycemia to be perceived as a stress that does kick in a
stress response for some people.
And then of course, one of the things you want to do with glucose, if it's elevated
in your blood is get rid of it by peeing it out.
So if your urinary glucose is elevated, then you certainly have that.
So I would do a little testing.
Test your blood glucose at night, test your sleep quality if you have a Fitbit or an Oura
ring, and then definitely consider salt.
Consider stress regulation for deeper sleep.
And then consider those other nutrients that I mentioned, especially copper, vitamin C,
and zinc.
But in terms of the carbs, if you do are benefiting from the GABA effect of the ketogenic diet,
then probably the best thing to do if you have to increase carbs is take a GABA supplement.
Or head into the Chris Masterjohn Lite section and search for GABA.
And you'll find a bunch of videos on different aspects of getting GABA from food and making
your own GABA and increasing GABA function through other means besides supplemental data.
All right anonymous, if that helps?
Thank you for your question.