S2E14 - Dr. Brian Lenzkes

Stay Off My Operating Table

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S2E14 - Dr. Brian Lenzkes

Dr. Philip Ovadia

May 03, 2022

After years of treating diabetes, Brian Lenzkes understood that the answer to the disease is not just medication. His experience with fasting and low carb prompted him to focus on nutrition to treat his diabetic patients. In the process, he has to spend more time with them to explain things. Doctors don't even have enough time to discuss nutrition in the typical 10-15 minute session, but Brian wants patients to heal, and not remain in the cycle of medication any longer. He knew he has to make changes. In this conversation, he gives us a rundown of his experience as a doctor that depends on HMO incentives. He also shared the low-carb approach to managing diabetes, and why he has now chosen to practice direct primary care.

Quick Guide:
0:26 Introduction
05:16 Jason Fung as a mentor to understand metabolic health
05:44 Brian’s medical practice
06:55 The Atkins and low-carb diet
09:59 Low carb as a now-accepted diet for diabetes
14:10 How it works with insurance companies
24:39 The role of insulin
27:44 The difference between direct primary care and the HMO model
46:40 Do what’s best for the patient than seeking incentives
49:05 Life’s best medicine
54:32 Message to the traditional doctors

Get to know our guest:
Brian Lenzkes started with standard practice as a physician, but after 18 years, he focused on direct primary care. As a direct primary care doctor, he gets to spend more time educating patients about their diseases and even discussing nutrition and low-carb diet, as needed, with them. He knows it’s more important to heal the patient than just treat the symptoms and get incentives from HMO.

“So there's definitely I mean, I learned a lot about medicine in the last few years. And you realize, like, making people healthy, doesn't, doesn't pay the bills. Right? And the insurance company has everyone has a vested interest in you getting sicker. And that's the problem.” - Kevin Lenzkes

Mentioned in this conversation
Websites:
LowCarbMD.com and LowCarbMDSanDiego.com
Life's Best Medicine
DPC Alliance (Direct Primary Care)
Twitter: @BrianLenzkes
The Biochemistry of Insulin Resistance
Prof. Timothy Nokes - The Lore of Running
Dr. Gary Fettke - orthopedic surgeon banned for giving nutrition advice

Episode Snippets:
4:37 -5:32 - What's that crazy diet that helps lose weight?
10:57 - 11:26 - Low-carb diet as a treatment for diabetes
14:37 - 16:15 - Making people healthy doesn’t pay th