In this episode of The Feldman Protocol, we ask: What happens when clinical guidelines collides with messy real-world outcomes? Guest Bret Scher, MD, makes the case for rethinking metabolic health, evidence hierarchies, clinical incentives, LDL interpretation, ketogenic therapies, guideline rigidity, psychiatric applications of metabolic interventions, and his own evolution from cardiologist to medical director in the metabolic-health space.🔥 This episode is sponsored by us -- Own Your Labs http://ownyourlabs.com -- private blood testing services.🩸Over 300 blood tests💰Extremely affordable❤️ We love our customers(Yes, we are literally funding the entire podcast from our own company -- so if you want to show your support, keep getting your private blood testing through our service. Thank you! 🙏)🔗 CONNECT WITH DAVE FELDMAN:Main Channel: https://youtube.com/@realDaveFeldmanX/Twitter: https://x.com/realDaveFeldmanInstagram: https://instagram.com/realDaveFeldmanWebsite: https://thefeldmanprotocol.com⏱ Chapters3:00 – How clinicians lose objectivity13:57 – When lifestyle advice keeps failing24:55 – The social cost of challenging LDL norms35:52 – Epidemiology’s limits in nutrition46:50 – Why “healthy user bias” distorts data57:47 – The Diet Doctor era and its impact1:08:45 – Red meat, risk, and uncertain evidence1:19:42 – Predicting outcomes vs. assuming causality1:30:40 – The guidelines problem inside medicine1:41:37 – Why patients succeed outside the system1:52:35 – Multiple dietary paths, not one dogma2:03:32 – How personality shapes dietary fit2:14:30 – From keto diet to medical therapy2:25:27 – The mindset shift toward low carb2:36:25 – How podcasting changed Bret’s trajectory2:47:22 – The origin story of Metabolic Mind2:58:20 – Metabolic psychiatry’s scientific emergence3:09:17 – Coalition for Metabolic Health vision#FeldmanProtocol #DaveFeldman #BretScher #MetabolicHealth #Keto #LowCarb #Cardiology #EvidenceBased #NutritionScience #LDL #Epidemiology #CriticalThinking #MetabolicPsychiatry #HealthPolicy #MedicalGuidelines #Wellness #MetabolicMind #Podcast #ScienceDiscussion