It's just fascinating how really sick narcos can come up with complicated excuses to continue the status quo.
One of the most common arguments comes from people who have had their orexin levels tested and show no measurable levels. They claim there isn't any reason for them to restrict their diets because they won't produce more orexin anyway.
Yeah, not so much.
1, You probably do still have viable cells, and will produce more orexin if you don't suppress them via diet. Please read my post on The Finer Points of Progressive Cell Loss
2. If you truly don't produce any orexin, that really messes up your glucose and insulin regulation- and that makes you tired and fat- so you should eat clean anyway to compensate for that effect.
3. Your pathology is showing. Welcome to the club. This is a Symptom. We'll come up with any reason to keep eating carbs.