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18/02/2026

Dr. Myhill () explains why she left the NHS.
It wasn’t burnout. It wasn’t dissatisfaction.
It was the loss of clinical freedom.

When prescribing budgets determine performance… When algorithms replace thinking… When symptoms are managed without asking why they exist…

Root-cause medicine disappears.

Her position is simple:
If you want real health outcomes, you must ask better questions. Why the arthritis? Why the IBS? Why the fatigue?

And in most cases, the starting point is diet.
This conversation was recorded inside the private Low Carb School community.

🔗 Join the private community: https://www.skool.com/low-carb

17/02/2026

Sugar isn’t just “sweet.” It’s neurochemical.
It triggers dopamine and serotonin — the same reward pathways wired into human survival.

We are biologically programmed to chase those signals.
But here’s the difference:
In a clean, animal-based state, those same neurotransmitters are built from amino acids like tryptophan, tyrosine, and phenylalanine — derived from quality protein and natural fats.

That’s regulation. That’s stability. That’s control.

Sugar hijacks the pathway. Real food builds it.

One is a spike. The other is physiology.

16/02/2026

You can call it “carnivore” and still stall.
Two people can both say they eat carnivore — and be eating completely different diets.

If fat loss has stopped, it’s rarely about 70/30 vs 80/20.
It’s about food selection.
Heavy dairy. Large amounts of eggs.
Energy-dense add-ons that don’t regulate appetite well.
Carnivore built around ruminant meat behaves very differently metabolically than carnivore built around cream and cheese.
Before adjusting macros again:

• Remove dairy
• Consider pulling eggs temporarily
• Simplify to meat and water
• Then assess

Plateaus are usually a context issue — not a macro ratio issue.

Full Live with Doctor Abs: https://www.youtube.com/live/zgTJZ4EBKpo

If you want structured guidance: https://calendly.com/richard-smith-nutrition/60min-consultation

15/02/2026

This was the turning point.
I was depressed, obese, and addicted to sugar. When I removed it, the cravings were so intense I thought I might die — and I didn’t care.
That’s how strong it was.
I went to bed. I woke up. The switch had flipped.
That was sugar’s last attempt to pull me back in.
Here’s the truth:

Don’t listen to your body when addiction is talking. The “monster” will always negotiate.
The danger isn’t the big relapse.

It’s the small exception that becomes the rule.

14/02/2026

After seven years of trying and multiple unsuccessful IVF attempts, they conceived within six months of moving to a ketogenic, carnivore-based lifestyle.

Now they have a healthy baby girl.

That shift wasn’t about chasing a miracle. It was about improving metabolic health, lowering inflammation, and giving the body the raw materials it needs to function properly.
Hormones stabilise. Blood sugar becomes predictable. Nutrient density increases. Reproductive signalling improves.

The story didn’t stop there.

Post-birth, there were issues with milk supply. Formula feeding led to skin reactions in the baby. When they switched to goat’s milk, the skin cleared.
Fertility, immunity, skin health, and metabolism are not separate systems. They are interconnected.

When you reduce metabolic stress, the body often does what it was designed to do.

13/02/2026

One Meal A Day — usually in the evening — isn’t discipline.
It’s compatibility.
Many low-carb, ketogenic, and carnivore clients naturally drift toward one large evening meal because:
• It’s deeply satisfying • It eliminates grazing • Blood glucose stays stable overnight • Hunger hormones calm down
It’s not magic. It’s not superior. It just suits certain physiologies.
Some people thrive on early time-restricted feeding. Others perform and recover better eating later.
Context matters.
If you want the full breakdown on why evening OMAD works for many — and when it doesn’t.
Full episode: https://www.youtube.com/watch?v=kkzV-EOeru8

12/02/2026

“I didn’t think what Rich was saying could be good for you.”
That’s how it started.
Mikey came to one of my talks skeptical. Open-minded — but doubtful.
Up until that point:
No podium finishes
No major breakthroughs
Just grinding through races
After shifting to a low-carb, keto, carnivore approach?
Everything changed.
Started placing
Hit consistent PBs
Podiumed regularly
Health improved alongside performance
It wasn’t instant hype. It was steady, measurable progression.
Same athlete.
Different metabolic strategy.
Different results.
Sometimes the biggest shifts begin with skepticism — not belief.

If you're serious about performance and metabolic health — and you want to apply this properly, not guess your way through it —
📅 Book a 1:1 consultation:
https://calendly.com/richard-smith-nutrition/60min-consultation

This isn’t motivation. It’s strategy.

11/02/2026

It’s incredibly easy to hit the required nutrient density through organ meats — especially liver and kidney.
These foods naturally support the folate cycle and methylation pathways in a way isolated supplements can’t replicate. That’s why I always come back to food first.
Supplementation can be useful, but it should never replace a truly ancestral, nutrient-dense diet. When the foundations are right, most of the biochemical boxes take care of themselves.
This is why organ meats remain a cornerstone in my recommendations.

👉 Book a consultation:
https://calendly.com/richard-smith-nutrition/60min-consultation

10/02/2026

In this conversation with , we’re not talking about testosterone levels — we’re talking about conversion and context.
Low numbers on a lab report don’t automatically mean dysfunction.
What often matters more:
Inflammatory inputs (seed oils, ultra-processed foods)
Endocrine disruptors (plastics, environmental toxins)
Detox capacity and metabolic health
Heat stress, hormesis, and overall lifestyle context
This applies to men and women.
TRT isn’t inherently “good” or “bad.” For some people, it’s genuinely life-changing. For others, the issue isn’t testosterone production at all — it’s how hormones are being used, converted, and signalled.
It’s also common for people who’ve been low-carb, keto, or carnivore long-term to show lower total testosterone without symptoms — because body fat, demand, and metabolic state have changed.

Hormones don’t operate in isolation.
Numbers without context don’t tell the truth.

09/02/2026

Polyphenols aren’t “superfoods.”
They’re plant defense compounds — secondary metabolites plants use to protect themselves.

Yes, they can reduce oxidative stress markers.
But often that’s because they trigger a stress response, not because they fix what caused the stress in the first place.
If someone is already metabolically unwell, that response can look helpful.
But the real question is always the same:

Why was the system under stress to begin with?

That’s the conversation most people never get to.

🔗 Join the private community for deeper discussions like this:
👉 https://www.skool.com/low-carb

08/02/2026

Liver isn’t mandatory — but for some people, it fills a real gap.

Many struggle with slow methylation due to genetic variants affecting the folate and methionine cycles. In those cases, simply “adding folate” isn’t the solution.
Nutrient-dense foods like liver provide cofactors — including vitamin B2 — that support the entire pathway, not just one step.
This isn’t about dogma. It’s about understanding why the same diet produces different results in different people.

👉 Book a nutrition consultation: calendly.com/richard-smith-nutrition/60min-consultation

07/02/2026

Most people aren’t struggling with willpower — they’re struggling with how their bodies produce energy.

In this conversation with Coach Al Reeves, we unpack what’s usually overlooked: when your mitochondria aren’t being fueled properly, everything downstream suffers — energy, digestion, recovery, mental clarity.
Training the body to run primarily on fat isn’t a trend or a hack.
It’s correcting a fundamental mismatch.
For many people, that single shift resolves issues they’ve treated as unrelated for years — acid reflux, chronic fatigue, persistent inflammation.

Same body.
Different fuel.
Different outcome.

🎙️ A grounded conversation. No gimmicks. No quick fixes. Just physiology.

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