Recently, I had the opportunity to speak with a journalist from The Guardian about eating carnivore and a ketogenic diet.

Just why would someone do it?

First of all, I just want to say that I don’t believe in “mocking vegans” and mentioned this during my phone interview with the journalist, despite my admiration for Dr. Shawn Baker, who I think has a vital message to share in regards to red meat and saturated fat.  I have many friends who are vegans and vegetarians, and like religion (I grew up Jehovah’s Witness; not one anymore), I respect people’s beliefs. In fact, I actually went with a vegan friend to a restaurant with an all-vegan menu a few months ago and simply fasted, sipping unsweetened iced tea, focusing on our conversation and friendship instead.

Yet at the same time, I’m also beginning to believe (along with my husband who was vegetarian for over fifteen years and now eats carnivore keto too) that a plant-based diet may not be as healthy and sustainable as we have all been led to believe. My husband, Darrell, who is now in remission from cancer (using the ketogenic diet in conjunction with chemo and radiation), is the one who suggested trying the carnivore diet after we read up on Dr. Georgia Ede’s work. We were also inspired by Danny Vega (and his Fat-Fueled Family), Amber O’Hearn, and Shawn Baker. (Darrell is constantly telling me I should read a book he believes wholeheartedly in: The Vegetarian Myth  by Lierre Keith.)

The second thing I want to mention, and also told the reporter during our phone interview, is that I’m just beginning my experiment eating carnivore, now over three months in. I’m not even certain if I want to do this for the rest of my life. It’s just a self-experiment. And I’m also making it my own, not completely following it in the way long-time zero carb and carnivore folks have been doing it (e.g., I add MCT oil to my coffee, track my fasting glucose, blood ketones and GKI  and also drink wine and whiskey from time to time.)

I also told her that I’m still learning everyday about eating this way, and pretty far away from an expert or someone with long-term lived experience like Kelly HoganAmber O’Hearn, or Charlene Andersen who have all been successfully eating carnivore for over a decade. There’s also Mikhaila Peterson who has successfully used carnivore for mental health.

But the main reason I’m choosing to eat a carnivore and keto diet is because of my mental health, for bipolar disorder. It’s funny how easy it’s been to tell people I eat keto for prediabetes, how it helped with (my husband’s) cancer — all true — but I’ve been so afraid to come out about using the ketogenic diet for bipolar. There is so much stigma attached to bipolar disorder that is unnecessary!

In my twenties, I was diagnosed with Type 2 Bipolar Disorder after I mentioned to the psychiatrist I briefly saw that my sister had been diagnosed with Type 1. The psychiatrist I had been seeing for my anxiety and depression, who had me on SSRIs, suddenly switched me to an anti-convulsant instead. Imagine my surprise when I realized my friend who has epileptic seizures took the same prescription drug I was taking: Neurontin!

In my thirties, while doing a MFA program in Fiction and Creative Writing, I almost dropped out before also being diagnosed with ADHD and Social Anxiety. (I couldn’t, for the life of me, focus on doing assignments turned in on time, and freaked out having to do literary readings in front of other people, often running into class late, and leaving as soon as the bell ended to avoid any social interactions with anybody.)

I went through a series of configuration of meds, always involving an anti-convulsant, like Neurontin or Oxcarbazapine. I was put on Adderall for my ADHD. As a new mom in grad school, I also faced post-partum depression. But the anxiety I faced was crippling, despite the meds, and I would quickly oscillate from anxiety to depression, and back. What did help some was cognitive behaviorial therapy (CBT) that used mindfulness and meditation rather than medication alone.

But then I began seeing a nutritionist who happened to be one of the parents in my son’s elementary school class in Oakland, CA. She introduced me to Sally Fallon’s book that emphasized whole foods and healthy animal fats. We began an elimination diet to take out sugar and flour. I discovered Paleo and Primal eating, falling in love with Robb Wolf, Marc Sisson, Melissa Joulwan and Michelle Tam’s books for recipes. I began to feel better and my therapist and psychiatrist  saw the positive changes. In fact, they both decided I was merely “on the spectrum of Type 2 Bipolar Disorder,” prone to hypomania but nothing debilitating enough to put my own life (or that of others) in danger.

In the article it’s mentioned that the carnivore diet helped me to come off my bipolar meds. That isn’t true. I mentioned in my interview that in 2012, I was able to ramp off all medications after simply reducing my flour and sugar intake, following a ancestral/paleo/primal way of eating. The psychiatrist I saw (not in my insurance plan, unfortunately) suggested that I eliminate flour and sugar out of my diet to see if that helped — and help it did!

I wasn’t the type of person you hear about with bipolar disorder who rushed out and had sex with strangers, abused massive drugs, gambled or was constantly suicidal. My biggest problem was saying “yes” to everyone, filling up my life constantly with people (despite having social anxiety; go figure!). Another problem was I amassed quite a bit of e-courses on my hard drive and books I never got to reading on our shelves. I was also terrible with spending money, having become bankrupt by my early twenties. And when I taught English at a community college, I was so anxious, I had to take a beta-blocker from time to time just to face my thirty or so students, always waiting to the last minute to grade essays.

In December 2014 when my husband found out he had cancer, a friend told us about the keto diet, about the possibility of starving the cancer cells from glucose, and we immediately jumped in full force. By then, my general practitioner had warned that with my blood tests were climbing to “prediabetes” levels, and told me I should eat better and move more. I immediately gravitated to eating keto when I read about the potential benefits for people with Central Nervous Disorders (CNS), such as bipolar disorder and ADHD. Recently I read that cancer researcher Dominic D’Agostino believes the keto diet is the first line of defense for people with cancer, as well as those inflicted with CNS and neurological disorders

As someone who can easily go from Spongebob to Squidward (or for you older folks: Winnie-the-Pooh to Eeyore) within the space of an hour or a day,  it’s not easy to battle day-to-day mood swings. And I know it’s not easy for my family members as well.

Everyone noticed, including my friends, when I simply switched to a regular keto diet, how less anxious and depressed I was, compared to how I used to be, back when I was eating a SAD (Standard American Diet) way life, filled with high carbs (mostly refined carbohydrates), pasta, bread, cakes, cookies, pizza. I used to think of myself as a foodie, someone who valued what some of my friends would call, “bougie” foods, searching for high-starred Yelp and Zagat reviews, chasing high-end food trucks, salivating to the Food Network Channel while binging on high-carb, high-sugar foods.

Can A Ketogenic Diet Help Bipolar Disorder?

I love Dr. Georgia Ede, a Harvard-trained psychiatrist and her work around mental health and ketogenic diets, a subject close to my heart. In this video, Irish engineer Ivor Cummins interviews Dr Ede about how a keto diet can help with bipolar disorder, seizure disorders, and Alzheimer’s disease. They discuss vegetables—how healthy are they really?

“A ketogenic diet seems to stabilize brain cell chemistry. In particular, lowers intracellular sodium…and that is also the way a lot of the mood stabilizing medications that we prescribe work for bipolar disorder. So there’s a lot of similarity between BP and seizure disorders, in terms of the underlying mechanism. The meds prescribed for BP disorder as well as seizure disorders—many of these are the same medications.”

Now I know firsthand that keto works. Not only in bringing down my prediabetes (HbA1C from 5.8% to 5.2%) and help with shrinking my husband’s tumor during his cancer, my moods began to improve even more. I ramped off ALL meds in 2012, including asthma meds (like my steroid inhaler and Prednisone for all the coughing that took forever to disappear after colds I don’t get anymore). And to this day (today, as I write this, I turned 46 years old), I have never felt better, more optimistic about our future moving from a house into a RV, about spending time with my family and loved ones–feeling younger and happier than ever!

Now keto-adapted since August 2017 (I half-assed a keto-ish, paleo-ish diet since December 2014), my husband and I decided to try this carnivore keto approach, but adding in the keto and paleo/primal elements we care about, such as MCT oil (with its anti-convulsant properties), grass-fed and pastured meat and eggs, raw cheeses (when we can find them), tracking our ketones, fasting glucose, and GKI (Glucose Ketones Index).

Most people who eat carnivore or keto tend to use it to lose weight–which is great. But Darrell and I are doing it mainly for cancer, bipolar disorder, and prediabetes. The weight loss, newfound energy to work out, better body composition, higher energy and libido, mental clarity, have all been giant bonuses–icing on the cake! I’ve really found that when you eat in a way to have better physical and mental health–and not for weight loss–the weight comes off more easily. It’s not a diet. It’s just a way of life!

Others Who Have Successfully Used Keto for Bipolar Disorder

Others With Bipolar Disorder

As I mentioned, the fear about coming out about bipolar disorder is beyond scary. I worry about all the stigmas that come with it. Yet I know deep down that I have been–and still am–a loving, responsible, whole human being. And throughout history there have been many people who are (or had been) inflicted with bipolar disorder. Here are some just off the top of my head (and many of these people are/were conventionally successful):

Before Deciding To Chuck Your Meds to Implement Keto, Read This First

People who are currently taking meds for bipolar disorder and are considering eating a keto diet, should read this important advice from Dr. Georgia Ede:

This is another great article I recently came across on general mental health and the use of low-carb diets from a trusted source:


Lily Chien-Davis

I am a writer curious about all the ways we feed bliss into our minds and bodies. With the short time we all have on this earth, how might we be our best selves with ourselves and each other? I enjoy sharing what I am still learning to be a better human.

14 Comments

Jennifer · June 2, 2018 at 12:09 pm

I enjoyed your article. I wanted to mention Mikhaila Peterson. Her site is “Don’t Eat That.” She’s fairly new to carnivory, but it cured her lifelong mental health and autoimmune nightmares. There is a 50-minute interview with her on YouTube called “Depression to Expression” that is wonderful…

There is SO MUCH anecdotal evidence out there now. I’m so glad the information is now flowing so freely in the mainstream.

Alicia · July 9, 2018 at 4:49 pm

Excellent! Thank you for this, Lilly! I am on my ketonjourney too. Very, very early in the process. I’m doing a lot of reading and testing out how my body is reacting. I’m think of getting help from Stephanie Person. Please let me take you all out to dinner when you’re in town! Love and miss you!

    lily · July 9, 2018 at 5:00 pm

    Alicia!!! So good to hear from you. 🙂 I was just looking at old pictures of the boys and us hanging out over the years. Really made me miss you guys so much. Anyhow, we are back late August and September, and may stay a bit longer since my dad may be getting surgery in October. So I’d LOVE to see you guys. Perhaps our usual Santa Cruz trip with Silema and Aisling and the rest of the kids?

    Stephanie Person is an awesome resource. She’s 50 and looks like she’s aging backwards, Benjamin-Button style. I got to meet her in person at the PaleoF(x) conference after her panel on the ketogenic diet. She looks even younger and stronger in person! I’m so glad you’re looking into keto. It’s not a panacea, but I believe is one helpful tool towards improved mental and physical health. And there are many ways (keto with a paleo approach, keto with a vegetarian approach, keto with a carnivore approach, etc.) to do it, depending on your particular body, mind, and preferences.

    Love and miss you too! Will be in touch when we’re back in the Bay Area. 🙂

JOSEFINE · March 5, 2019 at 4:39 am

Great post!! Everyone should take some time to read this one. It’s so important that we understand the truth our dietary and nutritional beliefs. Food can be our number one medicine.

    lily · December 8, 2019 at 8:28 pm

    Thank you! Yes, you’re so right. Food is one of the best medicines.

C · July 1, 2021 at 4:29 am

What is your normal carnivore diet/routine? So happy it helped you!

    lily · July 17, 2021 at 8:19 pm

    Hi Carrie – Thank you! Eating nutrient-dense food has really made a huge difference on my mental health. I now mostly eat keto/paleo, rotating carnivore in every now and then. My husband, who is now 6 years in remission is 90 % carnivore, more so than me. 🙂 Whenever I feel depressed, I will up my protein, and focus more on eating meat, eggs and fish. It helps to also up my steps too. A great resource for carnivore eating is Nutrition with Judy. I just bought her Carnivore Cure book to add as a resource to inspire me. Here’s a link to her website. https://nutritionwithjudy.com/ Also a big fan of Maria Emmerich’s Carnivore book: https://mariamindbodyhealth.com/carnivore-ebook/ Also: Diana Rogers and her recent book, Sacred Cow: https://sustainabledish.com/eat-meat-improve-your-mood/

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