Long Term Vlc / Ketogenic Diet And Glucose Deficiency / Mucus Issues?
I've heard Paul Jaminet write about glucose deficiency and stomach cancer when following a very low carbohydrate diet:
He writes that H. pylori promotes stomach cancer because it lowers mucus in the stomach, and that very low carb dieters experience a similar mucin issue and this might have some correlation with stomach cancers seen in VLC dieters. To avoid this, he recommends at least 600 kcal of protein+starch per day, which is probably enough glucose to prevent ketones from rising much higher than 0.5mmol.
Dave Asprey has also written about his issues with mucus production following a very low carb diet without refeeds:
Yet, there are other guys (like Dr. Ron Rosedale) who recommend low protein + low starch ketogenic diets long-term. Rosedale writes "The worst diet to be on is high fat along with moderate and sometimes even â€œlowâ€ (as opposed to very low) carb. If you are going to eat fat, you have to be able to burn it, and as little as 100 gm non-fiber carb/day can prevent one from adequately burning fat."
I've read that high salt intakes also increase the risk of stomach cancer, and that potassium chloride (often supplemented for ketogenic diets) irritates the stomach mucosa.
Is a long-term ketogenic diet which requires high intakes of salt + supplemental potassium chloride (eg. lo-salt) a recipe for glucose deficiency / stomach cancer? Does 1 high-glycemic "carb nite" per week help to prevent against this, or does this set the stage for high blood sugar / glycation issues by consuming high amounts of high glycemic carbohydrates (with little fat / protein to blunt the blood sugar spike) within the context of a physiologically insulin resistant state at the time of the day when insulin sensitivity is lowest? I would imagine that blood glucose could hit upwards of 180 mg/dL and take a while to come back down.