Рет қаралды 474
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presents episode 1883 | DR CHRISTY KESSLERING w/ Jesse Chappus
Observational study: why is obesity apparently
protective in younger women breast cancer vs harmful
in postmenopausal women?
When younger, ups and downs in insulin, but fat cells
still take up fat easily--don't need excess levels of insulin;
fat cells still insulin sensitive, so insulin
drops down as usual
After decades, cells are IR: so insulin
must rise constantly
Typical cancer physicians do not understand the
metabolic implications…
'Fat is good, then it is bad?’
No: excess insulin is the wrong path from the beginning
-tend to be more IR as we age
-today: this starts earlier and earlier
For many: breast cancer from IR is
mid-life disease
Question: how often to get blood work test?
-once a year, fasting labs
Check insulin & glucose; and the interactions between
-fasting TG levels: if both TG & glucose high: big problem
TG/HDL ratio to check for IR [if less than 1.5 okay]
If any of these 3 are abnormal according
to my range, then we know: some IR
If all three, insulin, glucose, TG are normal, but
patient has between meal challenges, hangry, depression,
or if they really cannot skip a meal--that is a sign of
significant IR
-in that case, insulin is still ON and pushing down glucose
Some young patients have fasting labs
that look okay...but, check on
-brain fog, fatigue…
probably something hiding between
the fasting numbers
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