Q&A: Carnivore Protein Levels, Key Nutrients, and Keto After Menopause

Does perimenopause make ketosis harder? Can a carnivore diet provide too much protein? And which nutrient deficiencies matter most for mental health?

In this episode of Metabolic Mailbag, Dr. Bret Scher and psychiatrist Dr. Georgia Ede answer listener questions about ketogenic therapy, menopause, carnivore diets, protein intake, and nutrition for mental health.

They discuss how hormonal changes during perimenopause and menopause can affect insulin sensitivity and ketone levels, and why some women may need to adjust their carbohydrate intake, exercise, or other aspects of their routine to maintain the same metabolic response.

They also cover:

Why perimenopause and menopause can make ketosis more difficultHow changing estrogen levels may affect insulin resistance and mental healthHistamine intolerance and gut changes during perimenopauseWhether carnivore diets can become too high in proteinHow to think about protein intake when therapeutic ketosis is the goalWhy adding fat may help adjust the protein-to-fat ratio on carnivoreCommon nutrient deficiencies that can affect mental healthThe roles of B12, choline, folate, iron, iodine, and omega-3 fatty acidsWhy correcting a deficiency does not always resolve psychiatric symptomsThe difference between folic acid and methylfolate

Dr. Ede also shares why appetite and satiety can feel very different on a well-formulated ketogenic or carnivore diet, and why individual needs often change over time.

🔎 Have questions about how to apply metabolic therapies effectively? Submit them at metabolicmind.org/questions to be featured in a future Metabolic Mailbag episode.

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Expert Featured:

Dr. Georgia Ede, MD- Author, Change Your Diet, Change Your Mind

https://www.linkedin.com/in/georgiaedemd/https://x.com/GeorgiaEdeMDhttps://www.instagram.com/georgiaedemd/

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