Bret Scher, MD Profile Banner
Bret Scher, MD Profile
Bret Scher, MD

@bschermd

46,082
Followers
721
Following
359
Media
4,316
Statuses

Director of Metabolic Mind. Connecting metabolic health and mental health. Also, Low Carb Cardiologist, promoting cardiovascular and metabolic health.

San Diego, CA
Joined August 2011
Don't wanna be here? Send us removal request.
Pinned Tweet
@bschermd
Bret Scher, MD
1 year
Why do so many people believe a keto diet causes heart disease when there’s actually no evidence for that? I explore that in my latest Metabolic Mind video!
@Metabolic_Mind
Metabolic Mind
1 year
There is NO evidence that a keto diet increases the risk of heart disease. What there IS emerging evidence for is the potential metabolic & mental health benefits of #TherapeuticNutritionalKetosis . These alone merit future studies on its use as a medical treatment.
16
84
288
41
54
233
@bschermd
Bret Scher, MD
5 years
If we’ve learned one thing from the past 50 years of nutrition, I think it’s safe to say we shouldn’t rely on the government to help make us healthy
@prageru
PragerU
5 years
How is it that ever since the government began telling us what to eat, we have gotten fatter & sicker? After a Presidential heart attack in the '50s, heart health became a national obsession. And it was all based on bad science. Cardiologist @bschermd explains how it happened.
39
291
599
31
253
796
@bschermd
Bret Scher, MD
3 years
Two new studies show no increased risk of heart disease, cancer, or early death from red #meat or animal trans fats. Is it time to finally stop shaming red meat?
26
251
695
@bschermd
Bret Scher, MD
6 years
Here we go again. Low carb is a killer. Never mind that at baseline the low carb group was fatter, smoked more, higher % diabetics, and didn't exercise. That doesn't matter. It has to all be the diet. Observational "science" strikes again
27
196
663
@bschermd
Bret Scher, MD
4 years
And yet the cows remain the same. Maybe it's time to focus on what really causes environmental changes rather than blame the ruminants? Just sayin....
@WSJ
The Wall Street Journal
4 years
Los Angeles smog has lifted, water in Venice’s canals has cleared and China’s factory emissions have fallen so dramatically the change can be seen from space
50
299
761
15
166
622
@bschermd
Bret Scher, MD
4 years
A new publication in a major mainstream cardiology journal shows science doesn't support the supposed dangers of #saturatedfat Read here to learn more:
18
215
611
@bschermd
Bret Scher, MD
5 years
Large observational study sheds even more doubt on the removal of whole milk from our public schools. Whole-fat milk drinkers are 40% less likely to be obese. More evidence to rethink the guidelines #fullfatdairy
14
139
434
@bschermd
Bret Scher, MD
5 years
Happy to announce I am now a diplomat of clinical lipidology. Safe to say I’m probably the only one to have celebrated with a ribeye and cheesy cauliflower rice cooked in butter. hoping to bridge the gap between #LDL and #LCHF @DaveKeto @DrNadolsky
Tweet media one
31
24
437
@bschermd
Bret Scher, MD
5 years
New American Heart Association report acknowledges lack of scientific grounding for concerns about dietary cholesterol, yet endorses a low-cholesterol diet. No explanation is provided for the disconnect. #confusing
32
138
415
@bschermd
Bret Scher, MD
2 years
Swapping animal meat for plant based meat doesn't improve inflammation markers. Authors conclude "The results were contrary to our hypothesis, since we expected relative improvements in biomarkers of inflammation from the plant-based meats."
19
118
410
@bschermd
Bret Scher, MD
6 years
It turns out if we just eat low carb, we don’t need expensive weight loss programs. 🤔
12
84
372
@bschermd
Bret Scher, MD
4 years
A new study shows that a ketogenic diet, not a generic high-fat diet, reduces gut bacteria that produce potentially harmful inflammatory cells. While microbiome research still has a long way to go, this is an encouraging step forward #keto
15
84
358
@bschermd
Bret Scher, MD
2 years
We've heard time and time again that eating saturated fat increases the risk of #diabetes . The problem is that it simply isn't true. A new study helps us see that the premise is false.
7
105
369
@bschermd
Bret Scher, MD
5 years
Why is #insulin so important for us to control and why does a #ketogenic diet help so many people? Professor Ben Bikman has been studying these questions at BYU for years. He is also one of the nicest people on the planet. Enjoy this interview!
18
80
341
@bschermd
Bret Scher, MD
4 years
News reports claim not eating meat causes depression, and at the same time the WHO declares nobody should eat saturated fat. These are prime examples of misreporting of science to fit our cognitive biases. We can do better.
12
89
341
@bschermd
Bret Scher, MD
5 years
I was out walking my dog today and my next-door neighbor stopped me to say he Just happened to watch Fat the documentary and saw my face pop up on the screen. He was pretty surprised! But he said it was a great film and definitely worth watching. Good job @VinnieTortorich !
9
21
335
@bschermd
Bret Scher, MD
6 years
New junk article from Harvard. Claims “the brain needs sugar from healthy carbohydrates to function” whaaaatt??? And that’s just the beginning. Awful unsubstantiated article. I’d say I’m surprised they would publish it, but history repeats ?
55
96
331
@bschermd
Bret Scher, MD
3 years
Full-fat dairy doesn't cause diabetes! In fact, it may be helpful :-) We now have even more evidence that we need to abandon our fear of fat as a cause of diabetes.
15
70
314
@bschermd
Bret Scher, MD
4 years
A new study shows that elevated blood sugar, even without a diagnosis of type 2 diabetes, severely increases the risk of death from #COVID19 . Even more reason to control our blood glucose!
17
120
291
@bschermd
Bret Scher, MD
3 years
A new study shows sugar-sweetened beverages increase liver fat and small dense LDL — even without weight gain and caloric excess. Everything is OK in moderation? I don't think so.
10
105
300
@bschermd
Bret Scher, MD
3 years
A new study in elderly Italians reports an association between eating more animal protein and a lower risk of dying. This is counter to the common belief of animal protein and the risk of cancer, heart disease, and death. Why the difference?
16
64
288
@bschermd
Bret Scher, MD
4 years
Two recent studies rely on unreliable and poor quality data to suggest #meat is dangerous. But the data don’t support the conclusions.
10
84
268
@bschermd
Bret Scher, MD
5 years
Prominent Harvard nutrition professor @davidludwigmd speaks out about the failure of low-fat diets and the potential of keto for fighting obesity, diabetes and metabolic syndrome. He calls for better keto studies, and more of them. We should all listen!
6
61
270
@bschermd
Bret Scher, MD
5 years
It's been a bad week for metformin. Looks like we better find another way to live forever🤔
32
68
271
@bschermd
Bret Scher, MD
5 years
Is intermittent fasting ready to become the new norm? A new review in the NEJM shows the growing body of science supporting intermittent fasting, While there is still much to learn, it’s hard to argue with the growing success. @ETSshow @DietDoctor
13
75
267
@bschermd
Bret Scher, MD
5 years
Check out our new CME course! This free course has what clinicians need to safely & effectively help patients improve metabolic health with carbohydrate restriction, plus lots of extra resources for making low carb easy: @AmDiabetesAssn @AADEdiabetes
20
78
266
@bschermd
Bret Scher, MD
4 years
Concerned about higher #protein intake and #bloodsugar control? Don't be! New scientific study shows eating a lower-carb, higher-protein diet improves glucose control. Read here to learn more
6
77
267
@bschermd
Bret Scher, MD
4 years
This one is for all my favorite #Carnivore folks out there 😂
7
43
267
@bschermd
Bret Scher, MD
4 years
A new review suggests #ketogenic diets may help symptoms of Alzheimer’s disease. Given the lack of other therapies, this is excellent news for a devastating disease.
7
62
264
@bschermd
Bret Scher, MD
2 years
A new study suggests that saturated fat doesn't cause diabetes, at least not for four traditional cultures that transitioned to a modern diet. Rather carbs and sugar are the likely culprits.
14
65
250
@bschermd
Bret Scher, MD
3 years
Oh my, this is disturbing. It is supposed to be an "objective" food rating system to educate us all about healthy and unhealthy foods and protect us from food industry marketing. Could it be further from that? I will have to do a video analysis of this very soon.
@TyRBeal
Ty Beal
3 years
Lucky charms, cheerios, sweet potato fries, grape juice & watermelon all score at least twice as high as eggs, cheese & beef in a new healthfulness metric. Do we really want this for front-of-package labelling, warning labels, taxation and company ratings?
Tweet media one
399
468
2K
36
54
247
@bschermd
Bret Scher, MD
3 years
A new study from @davidludwigmd reports that higher carb diets increase blood flow to brain reward and addiction centers. This may explain the role of carbs in overeating for many people.
9
71
247
@bschermd
Bret Scher, MD
3 years
A new study from @davidludwigmd reinforces that saturated fat is not harmful in the context of a low-carb diet. In fact, a low-carb diet with 21% of calories from saturated fat can reduce cardiovascular risk.
10
67
232
@bschermd
Bret Scher, MD
2 years
A new study from @GeorgiaEdeMD @drericwestman reports a keto diet significantly improved mental health disorders. Evidence continues to accumulate showing the potential use of #keto diets in various mental health conditions. Time to take this seriously!
9
82
239
@bschermd
Bret Scher, MD
4 years
Important new paper! Harvard researcher @davidludwigmd ’s new analysis shows that low-carb diets help people burn more calories, but only beginning 2.5 weeks after starting #lowcarb or #keto . This brings new light to the important debate
9
52
230
@bschermd
Bret Scher, MD
4 years
A new study shows that #lowcarb diets are beneficial for reducing uric acid levels as well as improving other cardiometabolic measurements. Is it time to retire the protein-uric acid myth?
10
51
219
@bschermd
Bret Scher, MD
3 years
A new study reports #lowcarb diets are more effective than a higher carb "healthy" diet for improving blood sugar & body comp without increasing cv risk in people with type 2 DM. Low carb should be a standard consideration for everyone with T2DM.
3
46
213
@bschermd
Bret Scher, MD
3 years
It's time for all medical providers to start thinking about type 2 #diabetes remission, not management. Thanks to @lowcarbGP @CampbellMurdoch and others for their recent paper. Together we can change how medicine treats type 2 diabetes!
14
53
210
@bschermd
Bret Scher, MD
3 years
We are eating more of the wrong things! A new study shows we are eating MORE ultra-processed foods. Could our nutrition wars about vegan, keto, meat, or no meat be distracting us from the real work needed to improve world health???
11
51
204
@bschermd
Bret Scher, MD
5 years
Looking to lose weight? Do what these doctors do! A new study shows that female doctors choose intermittent fasting and ketogenic diets as their strategies of choice. Should you do the same?
4
69
198
@bschermd
Bret Scher, MD
4 years
A new, unpublished study by #NIH nutrition researcher @KevinH_PhD has been getting lots of attention based on the claim that it disproves the carbohydrate-insulin model of #obesity . Our interpretation leads to different conclusions. @davidludwigmd
15
56
199
@bschermd
Bret Scher, MD
5 years
Are keto and other low-carb diets the worst diets in the world? That's what U.S. News & World Report claims for yet another year in their flawed annual rankings of best diets for 2020. Here's why we disagree. @DietDoctor
21
74
193
@bschermd
Bret Scher, MD
3 years
Once again, a study reports no association between saturated fat intake and heart disease risk. It is becoming very clear that individual foods mean much less than the overall dietary "matrix" when it comes to our health.
5
54
198
@bschermd
Bret Scher, MD
3 years
A new study shows saturated fat intake isn't associated with risk of CAD or premature death in Australian women. When will we have enough evidence to stop focusing on "saturated fat" and instead focus on food and whole dietary patterns?
5
50
204
@bschermd
Bret Scher, MD
3 years
Ketogenic diets may be the most effective lifestyle therapy for mental health disorders. International expert @ChrisPalmerMD and I discuss the state of the field and how keto diets fit into mental health treatment programs.
8
61
197
@bschermd
Bret Scher, MD
5 years
A recent JAMA article acknowledges the benefits of keto but cautions it may be harmful long term. The reason? Too few antioxidants from fruits and vegetables. But is there any evidence for this?
22
43
194
@bschermd
Bret Scher, MD
3 years
#Carbohydrates are not an essential nutrient. That is true, no matter what you may have read recently in Medical News Today. But the bigger question is, are carbs good or are they bad?
11
42
193
@bschermd
Bret Scher, MD
5 years
This is such an important point from @bigfatsurprise Somehow the Mediterranean diet has been equated with a low fat plant based diet. Yet that’s not accurate at all.
@bigfatsurprise
Nina Teicholz, PhD
5 years
Also, any Med diet study cannot be used to defend a "Plant-predominant" diet bc Med diet includes plenty of animal foods. Famed PREDIMED study in Spain, in fact, has 2.7x the red meat than is recommended by the US Dietary Guidelines. So Med diet is not low-animal-foods by any std
5
43
206
7
41
185
@bschermd
Bret Scher, MD
5 years
#Eggs are back in favor. In reality, they never left. A new observational study confirms that eggs are unlikely to be harmful to our health (again!).
2
37
187
@bschermd
Bret Scher, MD
2 years
Bipolar disorder- a potentially devastating mental health condition affects up to 5% aged 18-29. Lifestyle therapies & a keto diet can be a powerful yet underused treatment modality. Matt Baszucki, @IainCampbellPhD & @ChrisPalmerMD want to change that.
12
72
190
@bschermd
Bret Scher, MD
4 years
Do #keto diets help some patients with #depression ? A new paper explains possible mechanisms for keto’s effects on the brain.
15
63
185
@bschermd
Bret Scher, MD
2 years
Advice to avoid #salt is misguided & unhelpful for most people. A new study highlights this futility & shows that getting enough potassium is likely more important than reducing sodium. Here are the take-home messages for you.
7
47
190
@bschermd
Bret Scher, MD
2 years
Ugh. More false/misleading headlines trying to scare people away from nutritional ketosis. Don’t buy the hype!
@Metabolic_Mind
Metabolic Mind
2 years
New headlines claim a #ketodiet causes heart attacks. The only problem is that the headlines refer to an unpublished study that didn't actually use a keto diet. So, before we get too concerned, let's review what we know (and don't know).
8
38
141
10
32
187
@bschermd
Bret Scher, MD
2 years
Apparently everyone’s interested in this book! Big congrats to ⁦ @ChrisPalmerMD ⁩ I can’t wait to read through it and watch the ripple effect throughout the mental health community-It’s time to recognize the connection between metabolic health & mental health
Tweet media one
10
18
184
@bschermd
Bret Scher, MD
2 years
A new study reports exogenous #ketones improve heart function for critically ill patients with heart failure. Although it's a small study, it could have a profound impact on how we treat heart failure, both with supplements and with diet.
15
48
184
@bschermd
Bret Scher, MD
6 years
@Af_donnerwetter @tednaiman @SBakerMD @DoctorTro @DietDoctor1 @BrianLenzkes @lowcarbGP @ProfTimNoakes @FructoseNo @ChristianAssad I’m very sorry but I have a huge conflict of interest to report that I have not divulged before. It’s all selfish. I take tremendous joy and self satisfaction out of seeing my patients get better. So it’s really all about me. Please don’t judge 😉
10
17
179
@bschermd
Bret Scher, MD
2 years
A new study reports a ketogenic diet improves cognitive performance after being awake for 36 hrs straight. This may have important implications for our daily lives, and is more data to suggest ketones have a powerful impact on our brains.
11
39
181
@bschermd
Bret Scher, MD
4 years
Turning his personal low carb experience into a path to helping his patients and thousands others with his podcast, @BrianLenzkes is a shining example of a humble healer using his skills to transform healthcare
7
28
171
@bschermd
Bret Scher, MD
2 years
We’ve heard eating a vegan diet is more ethical, healthier & better for the environment. But this doesn't hold up to closer scrutiny. Plus, what are the ethics of forcing a population to eat a certain way? @VinnieTortorich & @theproof join me to discuss
9
42
174
@bschermd
Bret Scher, MD
5 years
The ADA once again endorses low-carb nutrition for managing diabetes. But what will it take to quell concerns about sustainability and make it first line therapy?
5
47
170
@bschermd
Bret Scher, MD
4 years
Calling all Gary Taubes fans: Diet Doctor has an exclusive excerpt from his new book, The Case for Keto. And don't miss our discussion with the renowned low-carb advocate on the Diet Doctor Podcast. @garytaubes #keto
8
37
173
@bschermd
Bret Scher, MD
3 years
It's not a surprise that resistance training can improve muscle mass. A new study suggests resistance training can also reduce fat mass and visceral fat. That's a powerful combination for improving your health!
4
37
177
@bschermd
Bret Scher, MD
1 year
I can't say this often enough. Red meat does NOT cause insulin resistance or type 2 diabetes. We need to start looking at overall dietary makeup, as well as evidence quality, before jumping to conclusions.
@Metabolic_Mind
Metabolic Mind
1 year
1/3 Have you heard that red meat & saturated fat cause insulin resistance and type 2 diabetes? That is an unfortunate & misleading belief in nutrition. Watch our video about a new meta-analysis that reports no link between red meat and insulin resistance.
8
14
60
9
37
175
@bschermd
Bret Scher, MD
4 years
A new paper suggests that, rather than being harmful, consuming full-fat dairy is associated with a lower risk of type 2 diabetes and metabolic syndrome #Type2Diabetes #MetabolicSyndrome
4
54
165
@bschermd
Bret Scher, MD
2 years
We can't outrun a bad diet. So should we ignore exercise? No!! A new study reports that resistance training is the most important factor for improving lean mass, and combined with diet may be the best for losing fat mass. That's a win for body composition.
9
39
169
@bschermd
Bret Scher, MD
2 years
Will a keto diet help you lose weight only to cause a heart attack and kill you faster? Many clinicians falsely believe this. In this video, we examine why this is likely wrong including studies by @virtahealth and @DoctorTro
4
38
168
@bschermd
Bret Scher, MD
3 years
A new study suggests vegetables have no benefit for reducing heart disease. This study says a lot about nutritional science and the superficial nature of labeling foods as "healthy" or "harmful." Dietary context likely matters more than individual foods!
7
35
167
@bschermd
Bret Scher, MD
7 months
I still get chills, listening to the story and realizing the impact ketogenic therapy had on this one family, and the impact it can have for millions more. Thanks to the @TODAYshow show for covering it.
@janellison
Jan Ellison Baszucki
7 months
Eight years ago, our son was hospitalized for mania with psychosis. Matt struggled with symptoms for 5 years & was given a diagnosis of treatment resistant #bipolar disorder. Now he's sharing his story on the @TODAYshow of how @ChrisPalmerMD & #keto helped him get his life back.
45
116
482
2
28
171
@bschermd
Bret Scher, MD
4 years
Why does #sugar seem so #addictive ? @RobertLustigMD explains the physiology and psychology behind pleasure, happiness, dopamine, serotonin, and what this may mean for sugar and what it may mean for you.
4
75
162
@bschermd
Bret Scher, MD
6 years
It gave me chills watching the trailer for Fat: A Documentary by @VinnieTortorich I am thrilled to be involved with this important and exciting project. Check it out!
8
44
161
@bschermd
Bret Scher, MD
5 years
I loved this interview with @FructoseNo Few people have endured more than he has standing up for a low-carb nutrition. We owe to ourselves, to our patients, and to Dr Fettke to spread the word as much as possible so we can help as many people as possible #LCHF
7
35
162
@bschermd
Bret Scher, MD
5 years
Red #meat in the news again? Yes. A new @JAMAInternalMed study shows very weak associations between more red meat and higher rates of heart disease and death. But the tiny risk ratios and healthy user bias make the results meaningless.
10
43
153
@bschermd
Bret Scher, MD
3 years
Can a "normal" blood sugar be dangerous? A new study reports an A1c in the normal range is still associated with increased vascular disease. Maybe it's time to redefine "normal!"
11
31
154
@bschermd
Bret Scher, MD
2 years
Dietary Guidelines for Americans influence the food we eat but aren’t based on high-quality science. Cinnamon rolls, chocolate milk & pizza are “approved” foods! @bigfatsurprise Nina Teicholz and I discuss how we can improve the dietary guidelines
13
52
158
@bschermd
Bret Scher, MD
4 years
I can't recommend this documentary highly enough. Anyone interested in our #health , our #environment , and our #food future should invest the time to watch and understand this film by @SustainableDish and @robbwolf
7
39
153
@bschermd
Bret Scher, MD
3 years
Things that make you say Hmmmm... New study shows of those with CAC 0 and #LDL above 190 (avg age 61) over half still have CAC 0 and low CV event rate 10 years later. More evidence that elevated LDL may need a more nuanced approach than guidelines suggest
8
38
154
@bschermd
Bret Scher, MD
8 months
Here we go! Amazing people and incredible learning opportunities at #MHS2024
Tweet media one
7
6
155
@bschermd
Bret Scher, MD
2 years
A new meta-analysis shows that eating more than 1.6g/kg/d of protein helps build lean mass. There may also be a small strength improvement. It's clear that more than the RDA of 0.8g/kg/d is key for body composition. Is more protein right for you?
7
43
155
@bschermd
Bret Scher, MD
5 years
Very clear message in this article from ⁦ @DrAseemMalhotra ⁩ It’s about transparency in discussing the risks and benefits of statins. Hard to argue with that sentiment!
7
41
148
@bschermd
Bret Scher, MD
4 years
Intermittent fasting — #IF and #TRE — work for #weightloss . But how much fasting is "ideal?" A new study in @Cell_Metabolism shows 18-hour and 20-hour daily fasts led to equal weight loss and improvements in insulin resistance markers.
6
32
149
@bschermd
Bret Scher, MD
3 years
Have you seen the new review article claiming a #keto diet is dangerous? Have you seen the headlines that "researchers" warn it is a "disease-promoting disaster?" If you want a more balanced review and an analysis of the science, here is our video
7
37
152
@bschermd
Bret Scher, MD
2 years
A new study, plus one from 2019, report that very low carb diets help relieve arthritis pain. Part of the effect could be due to weight loss, but is there something more with an anti-inflammatory effect of keto diets? Let's look at the studies to decide.
14
40
147
@bschermd
Bret Scher, MD
4 years
Have you struggled to understand whether you should be eating red #meat ? A recent meta-analysis could help to answer your questions, and help you understand the importance of higher quality evidence
7
52
149
@bschermd
Bret Scher, MD
5 years
Brand new study says #eggs are harmful again. But it's the same song and dance where the quality of the evidence is so incredibly poor that we can't make any meaningful conclusions. Here is my article on DietDoctor
17
43
150