Metabolic Mailbag: Ketone Plateaus, Sleep Issues, Fat Intake, and More
Metabolic Mind17 Nov 2025

Metabolic Mailbag: Ketone Plateaus, Sleep Issues, Fat Intake, and More

Ever wonder why your ketone levels dip after a few months on a ketogenic diet? Or how exogenous ketones compare to ketones produced naturally?

In this Metabolic Mailbag episode, Dr. Bret Scher and Dr. Georgia Ede unpack the latest round of keto questions asked by the community.

💡 You’ll learn:

  • What lower ketone levels actually mean
  • How to know if you need to raise your ketones
  • How exogenous ketones compare to ketones produced by the body
  • How to troubleshoot keto-induced insomnia
  • The difference between total and net carbs and which one you should be paying attention to
  • How much fat you should eat on a ketogenic diet

If you’re exploring ketogenic therapy for mental or metabolic health, this episode offers expert insights on the most common keto questions to help you feel confident in your journey.

🎥Still have questions about ketogenic therapy and metabolic health? Check out our previous mailbag episodes, which cover a range of commonly asked questions: https://www.youtube.com/watch?v=3m6Fm0nXaMQ

👉Do you have a question about ketogenic therapy or metabolic psychiatry? Submit your question to our team here: metabolicmind.org/questions

#MetabolicMind #KetogenicTherapy #FoodAsMedicine #QuestionAndAnswer


Expert Featured:

Dr. Bret Scher


Dr. Georgia Ede



Resources Mentioned:

Treatment Resistant Depression Series


Metabolic Psychiatry for Non-Prescribers


Keto Mojo Macronutrient Calculator



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 courses from some of the top experts in the field including Dr. Chris Palmer, Dr. Georgia Ede, Dr. Matthew Bernstein and Dr. Bret Scher with more coming soon.

Our courses have been made FREE by grants from Baszucki Group, so we can spread these powerful therapies as widely as possible. Earn CME/CNE credits:

https://www.metabolicmind.org/for-clinicians/trainings-courses/?utm_medium=organic-social&utm_source=youtube&utm_campaign=cme-yt


Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.

Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/


About us:

Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.

Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.

Episoder(185)

What the Science Really Says About Ketogenic Diets and Heart Health

What the Science Really Says About Ketogenic Diets and Heart Health

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RFK Jr. Sparks Debate: Can Keto Help Serious Mental Illness?

RFK Jr. Sparks Debate: Can Keto Help Serious Mental Illness?

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13 Feb 17min

Healing Beyond Psychiatry: A Mother’s Story of Bipolar Disorder and Recovery

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12 Feb 23min

A New Hope for Depression: The Power of Ketogenic Therapy

A New Hope for Depression: The Power of Ketogenic Therapy

Can a ketogenic diet help with depression when other options have failed? Emerging suggests the answer may be yes.In this video, Dr. Bret Scher shares the latest clinical data on ketogenic therapy for...

11 Feb 6min

Remote Keto Therapy for Depression? Results from New Clinical Evidence

Remote Keto Therapy for Depression? Results from New Clinical Evidence

The second-ever pilot trial (published in the Journal of Affective Disorders) is making waves: a virtual medically supervised ketogenic diet showed impressive improvements in people with moderate to s...

9 Feb 30min

Breaking Down the 2025 Dietary Guidelines with Dr. David Ludwig & Gary Taubes

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The 2025-2030 Dietary Guidelines for Americans have arrived, and they’re sparking serious debate. Are we finally seeing a meaningful shift toward metabolic health? What do the guidelines get right, an...

2 Feb 42min

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