Dr. Sanjeev Balakrishnan holds a Master of Medicine in Family Medicine from the National University of Singapore and is currently a GP working in Perth, Western Australia. Dr. Balakrishnan has more than two decades of experience and is very passionate about the management of obesity, type 2 diabetes and metabolic syndrome through healthy eating. He is an advocate for the low carbohydrate-high healthy fat diet and is the creator of Low Carb WA. He is a fully credentialed Family Physician in Singapore and is a Fellow of the Royal Australian College of General Practitioners.

https://youtu.be/5LydWZKMz5Q

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Scope and baseline expectations

  • Carnivore diet definition: meat-based intake; vegetable removal alone does not meet the definition.
  • Diet compliance failures: non-meat inputs and “hidden sabotage” from drinks and add-ons.

Common hidden inputs that disrupt outcomes

  • Alcohol intake is common alongside meat intake.
  • Alcohol is energy-dense and interferes with fat breakdown.
  • “Low carb” and “low alcohol” beers still interfere with fat loss.
  • Artificial sweeteners increase hunger and cravings.
  • Diet soda intake can coexist with “only meat” food intake; insulin and blood sugar abnormalities persist with high diet soda intake.
  • Dairy intake is a frequent high-calorie add-on; cheese and cream are calorie-dense.
  • Dairy lactose and casein can trigger an insulin response and cravings.
  • Coffee intake is often high; coffee add-ins: cream or milk.

Energy intake, fat intake, and satiety mechanics

  • High-fat foods are calorie-dense; “fat is healthy” does not remove energy-balance constraints.
  • Excess fat intake can exceed need before satiety cues terminate intake.
  • Insufficient fat intake increases hunger.
  • Dietary fat avoidance can coexist with reliance on leaner cuts and reduced calories.

Meal timing and under- or over-eating patterns

  • Eating once per day can reduce total intake below requirement in some cases.
  • Chronic under-eating produces perceived starvation physiology.
  • Yo-yo restriction and refeeding patterns increase diet stress and reduce ketosis persistence.

Stress, sleep, and sex-specific factors

  • High stress and elevated cortisol conditions reduce weight-loss feasibility.
  • Late-day exercise and disrupted sleep reduce weight-loss feasibility.
  • Women have diet sensitivity tied to hormonal cycles.
  • Hormone-related phases can reduce weight-loss feasibility even with nutrient-dense intake.

Tracking, expectations, and symptom monitoring

  • Daily weighing can dominate perceived success and defeat.
  • Body recomposition and healing require time; weight alone is not a success metric.
  • Symptom tracking: energy, hunger, mood, bowel patterns.

Gastrointestinal and electrolyte-related troubleshooting

  • Constipation and diarrhea occur during carnivore transitions.
  • Some individuals require a slower transition for gut adaptation.
  • Cramping occurs and co-occurs with inadequate fat and salt intake in some cases.
  • Magnesium supplementation occurs for cramps in some cases.
  • Carbohydrate intake occurs in some cases to reduce cramps.

Practical constraints and optional foods

  • Meat prioritization is a core operating rule.
  • Optional items: dairy, nuts, fruits, sweeteners; optional status does not prevent adverse effects when intake is high.