The Low Carb Doctors

03/08/2026

“It is completely safe for women to be eating a ketogenic diet in pregnancy. Women in ancient times were almost certainly ketotic during pregnancy,” says Dr. Michael Fox, fertility specialist at the Advanced Reproductive Specialists /Jacksonville Center for Reproductive Medicine, who has not only been recommending a low-carb ketogenic diet for over 20 years to his infertile patients but also to all his patients who become pregnant.

When Carolina Cartier discovered she was pregnant with twins this past March, she never questioned whether she would continue eating a ketogenic diet. The 31-year-old Seattle area woman had been plagued by metabolic issues literally all her life: precocious puberty at age 3; polycystic ovarian syndr...

03/05/2026

Mediterranean Diet Associated With 23% Reduced Risk Of All-Cause Mortality Among Women, Study Finds

The Hill (5/31, Suter ) reported,
"The Mediterranean diet often consists of higher consumption of foods and ingredients like olive oil, fruits, fish, nuts, and vegetables, and lower consumption of red meat and sweets." Women who maintain this diet "live significantly longer, according to a new study" published in JAMA Network Open. In the study, researchers wrote, “In this cohort study of women followed up for 25 years, higher adherence to the Mediterranean diet was associated with a 23 percent reduced risk of all-cause mortality.”

If this approach lowers mortality by 23%, then the keto approach will lower it by over 100%! If there had been a category for the keto nutrition approach and enough women available for data collection, we would see this result. This is based on our assessments of patient improvements, looking at parameters of weight loss and improvements in blood sugar levels, cholesterol, and high blood pressure between the two approaches. Mortality is related to insulin exposure over a lifetime (as seen in insulin-requiring diabetes), and the Mediterranean diet, while somewhat better, does not lower insulin levels as much as the keto nutrition approach. Therefore, we would expect multiple times better success with the keto approach compared to the Mediterranean approach. Remember also that the Europeans who were initially studied for the Mediterranean diet walk everywhere and are not engaged in the exercise revolution behavior that women in America are engaged with. All these factors are important to overall health.

Michael D. Fox, MD
Advanced Reproductive Specialists �Jacksonville Center For�Reproductive Medicine�jcrm.org


https://thehill.com/policy/healthcare/4697185-women-mediterranean-diet-live-longer/

Women who are on a Mediterranean diet live significantly longer, according to a new study. The Mediterranean diet often consists of higher consumption of food and ingredients like olive oil, fruits…

03/04/2026

🥓🧀 These Loaded Brussels Sprouts are cheesy, crispy, and full of flavor—a low-carb side that’s always a hit.
Say 𝗬𝗨𝗠 👇 and I’ll send it over!

03/04/2026

Everyone’s talking about that viral ‘melting cabbage’ recipe… but nobody’s telling you how to turn it into a full high‑protein keto dinner your family will actually eat.”

Garlic Parmesan Melting Cabbage is my new obsession: thick cabbage steaks browned in a skillet, baked in creamy garlic-Parmesan sauce, then topped with juicy chicken so it’s a complete low‑carb meal in one pan. Think cozy, cheesy comfort food that just happens to be keto-friendly.

If you’re bored with the same three keto dinners on repeat, you need to try this one.

👉 Tap here to get the full recipe and printable instructions: https://lowcarbinspirations.com/easy-keto-melting-cabbage-with-garlic-parmesan-chicken/

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03/04/2026

Endometriosis is TREATABLE!

Endometriosis is one of the most misunderstood (and mistreated) diseases in Gynecology and maybe medicine in general. The following discussion aims to explain our professional experience with this disease over the last 20 years where we took a special interest in the disease and its management. Our perspective is very different than what is conventionally believed.

Our surgical treatment method is complete excision that still, even today, is very unusual. There are few gynecologists in the US that do extensive excision surgery for endometriosis. The reasons for this relates very much to history and the advent of laparoscopic technology. From 1900 – 1975, all surgery for endometriosis was through an open incision like that for a hysterectomy. The treatment technique, though, was excision. There are numerous studies during that time period that showed 80+ % long term success for pain relief. This is compared to many laparoscopic cautery studies where long term relief is much less than 50%. There were also many studies that demonstrated an increase in fertility after excision treatment.

Recurrence: In contrast to what patients read on the internet, or told by physicians, endometriosis is most likely NOT a recurrent disease. We have re-operated on many patients in 18 years for other reasons with rare findings of recurrent disease. Most, >99% of gynecologists in the US, use destructive methods at surgery (cautery and laser) in an attempt to “destroy” visible lesions. In most cases, there are numerous lesions present, making this spot treatment very difficult. Microscopic lesions can be missed, and the tissue changes color with cautery and it is impossible to know if the entire lesion has been destroyed, especially for deeper lesions. With excision, the entire area including all the lesions extending out to normal peritoneum is removed. If lesions are deep, we recognize it as we undermine the peritoneum and can completely remove it. We believe a person gets all the endometriosis they are going to have by the mid teens and from there lesions go through their life-cycle and if removed are gone forever. No new disease is forming. What has been observed though by other physicians over time is recurrent pain in patients with endometriosis and when re-operated after a prior cautery procedure, lesions are seen. We see this also in nearly all patients after cautery and laser procedures and there is disease present but it is obvious that some of the disease has been treated before, just not completely. The appropriate word therefore is persistence not recurrence. We therefore feel that excision is curative for endometriosis. Pain could recur but endometriosis would be an unlikely cause of the problem. Hence pain does not equal endometriosis.

Adenomyosis: Endometrial cells located in the muscle wall of the uterus. All patients with endometriosis probably have some degree of adenomyosis. The pain with endometriosis is probably most often characterized as pain with periods in the teen years. As the lesions begin to burn out in the 20’s, many patients report cycles becoming less painful. By the mid 30’s, many patients are again having increased pain with periods. This however, is most likely due to the slowly progressive problem of adenomyosis. Therefore, after excision of endometriosis, if pain with periods recurs it is likely adenomyosis. Adenomyosis is not visible at or treated by surgery except through hysterectomy. It is most commonly suspected when the uterus is enlarged on ultrasound. Continuous birth control suppression can slow the progression of this process.

Call our office to schedule a consultation.

Advanced Reproductive Specialists
Jacksonville Center for Reproductive Medicine

12/30/2025

Antipasta Salad
1 green bell pepper
1 red bell pepper
Cherry tomatoes
Banana pepper rings
1/2 red onion
1/2 can black olives
4 leaves fresh basil, finely chopped
1/4 lb mozzarella cheese, cubed
1/4 pound salami, cubed
1/2 stick pepperoni, cubed
Dressing is Garlic Expressions, 1/4 cup
Great side dish or lunch!

12/30/2025

Some tasty Keto Mexican-inspired Taco recipes, perfect for Taco Tuesday!

11/26/2025

Easy Keto Thanksgiving Cream Cheese Green Beans - These keto cream cheese green beans are topped with bacon and pork rinds.

11/26/2025

🥔✨ Silky, buttery, low carb magic. This cauliflower mash tastes just like classic potatoes and is a must for Thanksgiving dinner 🍂😍

11/26/2025

Some of my favorite sides to serve for Thanksgiving!

11/26/2025

Low carb doesn't have to be difficult! These sheet pan meals make it so easy!
⬇️ RECIPES BELOW!

11/20/2025