Dr. Dominic D’Agostino (@DominicDAgosti2) is a tenured associate professor in the Department of Molecular Pharmacology and Physiology at the University of South Florida Morsani College of Medicine and a Visiting Senior Research Scientist at the Institute for Human and Machine Cognition. This episode is brought to you by: Gusto simple and easy payroll, HR, and benefits platform used by 400,000+ businesses: https://gusto.com/tim Seed's DS-01® Daily Synbiotic broad spectrum 24-strain probiotic + prebiotic: https://Seed.com/Tim David Protein Bars 28g of protein, 150 calories, and 0g of sugar: https://davidprotein.com/tim Coyote the card game, which I co-created with Exploding Kittens: https://coyotegame.com* Timestamps: [00:00:00] Who is Dominic D'Agostino? [00:04:37] Ketosis benefits: Quieting the mind, GABA elevation, metabolic psychiatry.[00:09:24] My Lyme disease story: Pseudo-dementia reversed in 3-4 days of ketosis.[00:13:50] Spirochetes are glycolytic: Starve the bug, boost the immune response.[00:19:20] Ketosis and cancer: Slowing glycolytic tumors, enhancing standard care.[00:20:50] My 18-day keto experiment: Mood stabilization, Alzheimer’s prevention hopes.[00:23:19] Metabolic memory: Carryover effects and Valter Longo’s fasting mimicking research.[00:27:11] Intermittent fasting as keto on-ramp: My 2-8 p.m. eating window.[00:29:15] Dom’s budget keto meal: Canned mackerel, MCT oil, apple cider vinegar.[00:33:28] My ketone measurement paradox: Feeling sharp at 0.2 mM readings.[00:36:56] The carburetor analogy: Ketone production vs. utilization explained.[00:38:43] Breath ketones vs. blood ketones: Better indicator in caloric deficit.[00:39:47] Gluconeogenesis fears: Fat, fiber, and salt to slow protein absorption.[00:45:25] The bunless double cheeseburger question: 80 grams of protein in one sitting.[00:49:03] Post-meal walking and GLUT4 activation: Timing your glucose disposal.[00:51:02] CGM and ketone monitor limitations: When your devices gaslight you.[00:58:05] Rabbit starvation and protein-veggie days: Why your body won’t bankroll its own ketosis.[01:05:44] Alzheimer’s prevention: Biomarkers, B12, hsCRP, and metabolic health.[01:09:40] My family history: Letrozole, metabolic dysfunction, and rapid cognitive decline.[01:13:17] Minimum effective dose: 80% of benefits from low-carb Mediterranean.[01:18:56] One week per month protocol: Aggressive calorie cut to ramp ketones.[01:23:12] GKI sweet spot: Target 1-4, aim for 1-2 during intensive weeks.[01:36:22] Exogenous ketones 101: Palatability, tolerability, pharmacokinetics, toxicity.[01:39:21] 1,3-Butanediol warnings: Liver toxicity, NAD depletion, dependency risk.[01:54:22] Intermittent fasting vs. ketogenic breakfast.[01:59:09] My accidental intoxication story.[02:03:23] Dr. Veech tribute: Student of Hans Krebs, ketone ester pioneer.[02:05:08] Fiber on keto: Wild blueberries, broccoli, apples, walnuts.[02:09:58] The tainted gummies incident: Dom’s forensic investigation underway.[02:13:08] Thanks to Dr. Boz and Medifoodz.[02:16:19] Parting thoughts. For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast. For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsors Sign up for Tim’s email newsletter (5-Bullet Friday) at tim.blog/friday. For transcripts of episodes, go to tim.blog/transcripts. Discover Tim’s books: tim.blog/books. Follow Tim: Twitter: twitter.com/tferriss Instagram: instagram.com/timferriss YouTube: youtube.com/timferriss Facebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferriss See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.