When In-Laws Are More Dangerous Than Chocolate Cake (w/Dr. Ron Sinha)

[@ZDoggMD]

Dr. Ronesh Sinha's site: www.culturalhealthsolutions.com/ Follow him on Instagram: instagram.com/roneshsinhamd/ Check out his Meta Health podcast: podcasts.apple.com/us/podcast... All our prior episodes with Ron: zdoggmd.com/tag/ronesh-sinha/

[@alexi2460]

ZD,MD you interrupt Dr Ron too much and change the thread too quickly since doctor NASA lot of info. Anyhow thank you for having Dr.Ron on and stay waking up, it's a journey, my generation wrote the book

[@davidlittle6621]

The 4 pillars of health are: nutrition, exercise, stress management, and sleep.

[@aolsonx1]

I add 2 more--sunlight and relationships.

[@fugguhber4699]

Hey; a Good sex life is super up there on the list ! (Which comes from the BIG 4)

[@jannz1942]

Awesome discussion .... please have Dr Sinha on again... and just more discussions like this. Great information that every [American] family could seriously benefit from.

[@sinharon1]

thx for your kind words

[@dr.daninthelionsden5010]

I appreciate that Zdogg and Dr Sinha recognize what a burden the ABIM recertification exam is. It definitely adds unneeded stress to our lives as physicians. Also I agree that the tests do not confer any benefit to patient care.

[@ellenstuart7160]

Thanks!

[@marie6508]

I never knew most of this!!!! And I am a PCOS and intermittent faster and avid proponent of low carb!!! I am not diabetic but definitely feel am metabolic syndrome. I am so getting one of these continuous glucose monitors! Thank you so much for posting! This I am hoping will better help me understand my body. ❤️

[@sinharon1]

Awesome. thanks for your kind words.

[@monykalynf3604]

I am a REgistered Dietitian and my hubs tells me things he's "discovered" about food or nutrition all the time and I'm like-I told you about that 5 years ago lol

[@MNP208]

Yep, RDs are legit frustrated. You can't go to a patient's home and clean out their refrigerator.

[@Unsensitive]

Vegetable oils will be the next "smoking" as far as health goes, due to excess Linoleic Acid. Recommend digging into the literature, mechanisms, on that one if you haven't. (I have a playlist to help start) Is one of the primary causes of cardiovascular disease, Macular degeneration, type 2 diabetes, Alzheimer's, and possibly even cancer(see research of Thomas Seyfried and others). LA by itself is not harmful, but it or it's metabolites oxidize, it produces many toxic and inflammatory compounds such as 9 and 13 HODE or 4-HNE. In the mitochondria, it gets incorporated into the mitochondrial membrane, as well as cardiolipin. When oxidized wmthis causes a conformational change in the membrane, making it leaky, and the mitochondria dysfunctional. The mechanisms of harm are well understood at this point, and have plenty of evidence as well, despite poor quality and bias muddying many studies. We evolved with about 2-4% LA in our bodies, in fat stores and cell membranes, but modern diets have pushed that up to 20%. With a half life of 1-2 years, you can expect reductions to normal range to take 2-3 half lifes, or 2-6 years. Some think there may be a threshold dose for many harms, around 8%, making study design very important, though this needs more data.

[@Unsensitive]

A bit closer to your original topic.. I tell my wife similar all the time, but there's so much cultural and social "knowledge" about, it much of it seems to get lost.

[@entercreativename]

This makes so much sense. I developed DM from an autoimmune disorder, and despite doing IF, glucose free, and low carb, I still struggle with a lot of anxiety, stress from elderly family members, and I see it every day reflected in my blood sugar. For awhile it was doing better, as the stress had been reduced, but once I had a change in treatment modality a month ago, my sugars went back up again, despite still eating well and following those three diets. Even my BPs also have suddenly been higher in the last month, going as well up to systolic BPs in the low 200s as well.

[@sinharon1]

Sorry to hear about that. The physiological impact of stress can be profound. pls do follow up with your medical provider. I'm concerned about your blood pressure.

[@johnnafarrell3336]

It’s the IF that is causing all your issues. It screws up your kidneys and thyroid... once I stopped doing it, I became better over time. BP is now 120/ 70. I don’t take Electrolytes, they are cheaply made and loaded with chloride, I take 8 grams of salt, which I use to salt my meat or an avocado. I’m super happy to have my energy back. Plus all my bloodwork is on point now.

[@entercreativename]

@@johnnafarrell3336 Sadly I already had the autoimmune problem a couple decades before I tried IF, and my nephro was okay with me doing it as it was helping me.

[@briananderson8428]

"An indirect cortisol sensor," says Dr. Sinha. Very intriguing. Thank you both so much for this quite information-packed discussion. 🙂

[@carolbiagioni4744]

This talk TOTALLY brought me around to start over. EXCELLENT

[@georgeshepherd3381]

Was talking with a nurse friend about the checklist mentality involved in western medicine-how it ultimately hurts patients.

[@sarasamson5922]

Permanent work from home employee (pre-pandemic), managed to maintain my weight and glucose levels throughout the pandemic by walking outside regularly (even errands) and inside regularly. I never realized I'd been doing that calf exercise all along, I thought I was just fidgeting! So thanks for that, and the permission not to fast.

[@ellencastillo1000]

This was a Majorly helpful podcast. I got more info out of this then my last 10 visits with my endocrinologist…

[@sinharon1]

thank you Ellen.

[@melissa6789]

Great talk!! I won't rehash all the highlights - all of the show is one big highlight! Thank you both.

[@Cohiba2]

as someone still in the first year of wearing a sensor and type 2 diabetes, i've learned more from this video then from my dr or the classes they sent me to, its helped explain somethings that now that i'm considered controlled why i have these weird drops in the afternoon or evening, that well i have a spike but still under the level of what is considered high. But that it might help if i go more to avoid the spike at all where i know certain meals and such as they described are a small hump and i go back to my 80-90 normal, and also how my sleep might be affecting some of those weird spikes my monitor sees at night.

[@sinharon1]

so glad our discussion helped

[@dinaarmeni2674]

Love Dr Sinah. Great info. Night shift RN here. Trying to do better with my health.

[@lisamurphy51]

Thank you for calling out the BS of the ridiculous nature of these Board exams (for other healthcare professionals as well)- so much time wasted on non-representative of clinical work CEU’s, exams, etc. we all know it’s BS but are forced to do it- a shakedown, as Z says.

[@MNP208]

Nursing CEUs are a joke. How about we teach people how to collaborate and get along? Now that would be useful!

[@dr.daninthelionsden5010]

A shakedown - I couldn’t agree more

[@andrearcurtis]

Agreed, I pay a bunch to ascp for my laboratory technician credits. Expensive and doesn't translate to hands on skills. Half the stuff I take CEUs isn't even relevant to me.

[@Claire.L]

Hopefully the cost of CGMs will come down and be more accessible. My Dexcom helped me lower my A1C from 10.5 to 5.0!

[@bestany5517]

CGM’s are definitely game changers for people with diabetes. I’m a little triggered by non-diabetics wearing them 😝. I can certainly see people at risk of type 2 benefitting, or those with pre-diabetes. But fit, healthy people just to see the in-range ups and downs? Ehhh.

[@bestany5517]

Also, awesome job with your A1C!

[@sinharon1]

amazing job Claire! the cost is not trivial but has come down substantially. $37 for a 2 wk sensor and Abbott offers a free 2 wk sensor for commercially insured patients trying it for the first time

[@MNP208]

@@bestany5517 I am very healthy, a normal weight, no comorbitities and a runner. My fasting BG at 100 mg/dl puts me in the prediabetes range. You would be surprised! The goal is to catch it BEFORE developing diabetes. My father developed T2D so I have the family history.

[@yubable]

my favorite health related conversation in like a year

[@radaztraci1830]

Dr. Sinha I love as much as Dr.ZD. I wasn't going to listen to this episode because I have researched so much about fasting but absolutely learned new information

[@SequoiaSeaborn]

Beautiful, beautiful inspiring interview. Thank you

[@alainacarroll1234]

Dang Z it's been too long! Welcome back to KZbin!

[@thecuttinggardener361]

I'm a CT surgery NP, and I've noticed a big increase in the number of patients in their 30's and 40's that we're doing CABG on.

[@MNP208]

Within the past three years, I can recall 4 men who have collapsed from cardiac arrest. They were all in their 50's and all were stand out athletes in their high school days.

[@sinharon1]

@@MNP208 yes, this is a frightening trend.

[@iam1smiley1]

@@MNP208 do you think past injuries were a factor in your past high school athletes having heart issues in their 50's? I know I'm 50 and always worked very physical jobs along with athletics but finding years of chronic tendinitis and beginning arthritis has made it really difficult to keep up the activity level I used too. I really worry about my future!

[@MNP208]

@@iam1smiley1 Most of them had become sedentary and were overweight. Lifestyle change, mainly diet, is key. A PT can recommend appropriate exercise if you have injuries. A dietitian can help with food choices.

[@kgrfirdjy]

I saw similar needs for those surgeries 12 years ago in 30-49 year olds while working as a cardiothoracic surgical pcu registered nurse. I had a birth defect called Dunbar syndrome that required bypass surgery to replace my celiac artery and know it is rough. Having hypoglycemic seizures from being type 1 diabetic has made my continual glucose monitoring system on my insulin pump as a lifesaving device.

[@cindybee9270]

Ahhh it's my favorite doc. Good to hear from your Dr Z.

[@deniseb2571]

Thank you Doctors for this information!

[@TheGibby13]

Was waiting for this!!

[@em945]

Sooo much interesting and helpful stuff in the episode. Thank You, Guys!

[@eileenchambers9263]

That was fun to listen to!

[@alexwyoungmusic]

Love this does the streets raise it permanently or temporarily?

[@lilrods33]

Loved this video - one of the most valuable I've watched on your show! Would soleus push-ups help reduce the physiological responses from a fight or flight episode? I've tried hacking my system with yoga, deep breathing, positive self-talk/rational thinking, bilateral stimulation, and long walks... none of these work when I'm at my worst so looking for more hacks before turning to meds.

[@scrapadoo11]

How did you get your insurance to cover the CGM, in the absence of a diabetes dx? My endocrinologist and a pharmacist said it wouldn’t be covered. I also reached out to the company which makes the Libra 3 and they said I don’t qualify for their patient assistance program since I don’t have diabetes. I’m having to wait to see if my doctor can get me some samples but I would love to be able to make use of my insurance.

[@georgeshepherd3381]

Thanks. Love this!!!!!

[@cindihunter9119]

I've been a carnivore for 5 years now. I'm a type 1 diabetic though so this might not be suitable for other people, as I am not able to metabolize food that raises my glucose levels quickly. Protein will raise glucose meat protein specifically. It just does it at a slower rate so I take less insulin because of this. I also eat about twice a day I don't eat vegetables or fruit because of the high carbs inside of them. Most people are shocked by this yet meat is the most nutrient dense food known to man. As a nutritionist and a researcher I've studied this out. Thanks for the podcast, informative information!

[@galejohnson8086]

I worked with many surgeons from India, and your “accent” makes me smile…..seems so familiar!

[@mariastingray9155]

Fabulous episode ❤

[@Ariasimaginationstation]

Where do you recommend getting cgi monitor.

[@Jferriera5894]

Most interesting episode ever!

[@joannesantanello6167]

Fabulous info

[@jahmd8377]

I had the libre 2 cgm to check it out. I had to take it off after a couple of days. My glucose levels were fine, but would dip into the low 50’s in the middle of the night. I had no ill effects and otherwise healthy (fasting insulin 3.7, glucose usually in the high 80’s). The thing is, when glucose drops below 54, it sets off an alert that you can’t disable. It kept waking me and my wife up in the middle of the night.

[@sinharon1]

The low glucose ranges can be less accurate and for most not important during the night. I shut my phone off completely and keep it in another room.

[@anna7276]

One of the best chats ever! I learnt so much from you lovely fellas! Thanks so much Z and Dr Ron! Loved this!!!

[@sinharon1]

thank you!

[@janegold8575]

Thank you so much for this eye opening information and your awesome presentation! Quick question: in terms of “shivering” and brown fat, what are your thoughts on the vibration plate for a 15 min workout? Is it beneficial in terms of emulating “shivering”?Thank you

[@metabolic_jam]

22:30 : UltaLabs ftw! Not as cheap as getting complete blood work done back home but def. a steal especially if you know what you need to order. Listening to Peter Attia : Fasting insulin and Fasting glucose to get the HOMA-IR score is an absolute must know. Personally: I also check VitD, Uric Acid, Homacyistine, hs-CRP, ApoB. This is beyond the basic metabolic panel in the yearly Physical. Also, it's necessary to know the optimal ranges as the "normal" ranges are out of whack.

[@kathy8045]

My PCP doesn't understand how to write a prescription for it. She says that I do not have diabetes and insurance won't pay. Any advice on how to talk to her?

[@sallyfellows8281]

Gre Awesome video! Great amount of helpful information! Thank you!!

[@Maggie8108]

Such an informative conversation! This was so validating to my experience and health. Thank you so much- I can use this this information and I hope others will as well. Good medicine gentlemen! Thank you!!!

[@sinharon1]

thank you kindly

[@KellieBell]

Super inspiring and informative. Can't get cgm right now. But really helpful info all the same. I'm almost at that age where most of the women in my family end up diabetic, but not there yet. Im normal weight, but poor muscle mass, very slow recovery from a bad lower body injury, high anxiety, forget to eat sometimes. And its like, my family we only look at diabetes in kind of depressing self laothing ways. As if your self worth is tied to your weight and carb intake. And failure is defined as taking meds. Activity is a total afterthought. Muscle mass isn't even a consideration. And anxiety level is somehow tied to a feeling of trying your hardest. This whole activity and muscle mass thing as an important factor in diabetes is like mind blowing for me.

[@sunilshah6845]

I like the idea of making longitudinal measurements with wearables and using it to improve health. However, some caution is due in interpreting measurements. Having used FreeStyle CGMs for monitoring my glucose over a long period (several months), correlating measurements to capillary (blood prick) measurements and to clinical venous blood tests, I have concluded that the labeled MARD (Mean Absolute Relative Deviations) reported in clinical trials show much lower errors than in-use errors in healthy individuals. Dynamic differences between interstitial and capillary measurements is only part of the story. FDA approval for CGMs is only for diabetics who have much higher glucose fluctuations. Physiological, healthy variations in blood glucose, consistent with natural pulsatile and oscillatory endocrine system behavior in response to exercise, nutrition and other metabolic demands when combined with large errors in individual sensor readings make causal connections tenuous. Large sensor to sensor gain and bias differences confound even slow changes after averaging over a sensor session. Just a plea for caution.

[@avicenna1977]

This was terrific. It now increasingly feels like we've lost all sense of nuance in medicine that takes into account sex, age, physiology when it comes to recommendations. Part of this seems to be driven by the bizarre development of pretending sex, genetics, and lifestyle choices are not critical determinants of health due to this decent into feigned ambivalence. Sex is open to interpretation rather being grounded in biology. "Body diversity" and anger against "body shaming" makes it intimidating to talk frankly about metabolic diseases. How can we make reality real again?

[@MNP208]

Thank you for bringing back Dr. Sinha for a great conversation (I'm tired of hearing about Covid)! I worked in Endocrinology for a while and applied hundreds of Libre sensors (I loved them). I never had a chance to try one myself. I can't wait for Supersapiens to become available in the USA. Athletes are using them in Europe. I use a glucometer on myself once in a while - out of curiosity. You didn't emphasize that the Libre sensors are not readily available for the general, healthy population. You need a pre-diabetes/diabetes diagnosis. Placing the orders and getting patients authorized was so time consuming - depending on their insurance. Primary Care just doesn't have the time.

[@sinharon1]

you actually don't need that diagnosis. a 2 wk sensor costs $37 for most which is far better than what it used to be. agree primary care doesn't have time to address. Levels metabolic health is a company that offers a good service if your health care system can't help you, but I'm not sure what their cost is...assuming comparable to Supersapiens

[@MNP208]

@@sinharon1 Looks like $199/yr for an annual membership, then $199/month for the sensors. They are charging $99/sensor. Hopefully, more competition will lower the future cost.

[@roryfaherty4375]

Very refreshing hearing primary care Docs talking about preventative strategies for health since most of their training is in diagnosis and treating illness. There was such a neglect of such information during the Covid unfortunately and only the one solution for the pandemic?. Since the majority of people in the ICU during the pandemic were primarily chronic metabolic syndrome individuals( Diabetics,over weight,hypertensives.heart disease) it needed a lifestyle intervention based on behavioral changes. I guess those modes of addressing health don't make money and are not profitable for pharma.

[@sinharon1]

i hear you. the incentives do need to change along with our current approach to training. most frontline doctors do want to help in this area but lack resources and time since they are overwhelmed.

[@MNP208]

There also needs to be collaboration between doctor and patient. We do have diabetic educators and registered dieticians who are great at educating about food choices. Patients either cancel their appointments or choose to continue their unhealthy diets (We also have weight management departments). Personal trainers and PTs are great at developing an exercise plan for the appropriate fitness level. If you can't afford this, getting up off the couch and walking is the BEST thing you can do. Motivation is a problem for so many people.

[@t.c.s.7724]

You should both check out Dr. Doug McGuff. He brings excellent analysis of anabolic muscle factors,, glucose disposal, etc. McGuff has been involved in resistance training and emergency medicine for many years. 20 plus. He is a priceless source of information. Dr. Gabrielle Lyon has a muscle centric medical practice and is another great resource.

[@nneichan9353]

I have a different in laws story. I stopped going to holiday dinners years ago. At the time I was using Regular insulin, and I counted on the times I was given for dinner so I could take my insulin. After several years of dinner being HOURS late every time I just stopped going. I even tried to talk to my in laws about how important it was for me to have a reasonable estimation of when dinner would be so I could take meds, I just gave up.

[@sinharon1]

makes complete sense. your health comes first.

[@tdobsevage7732]

Doing funny walks like the ministry of Funny Walks uses a lot more energy than regular walking

[@adelepartridge9484]

I am having a lot of trouble getting weight off. I find it hard to fast. Mostly, I am terrified of the effect of fasting on my neurotransmitters. I don't want to deplete serratonin, GABA etc. Maybe a talk about eating for weight loss but how one can maintain mood/good chemical balance. So how to avoid diabetes, but how to eat for brain health. How to balance it all. I am curious if fasting brings down mood. Perhaps it is an individual experience.

[@Snapkrackpop]

Thanks for introducing me to this guy. The two of you are rare finds in the American Desi community. I’m 45 so I’m assuming we are from the same generation 🤔🤓. In general, you don’t find desi doctors from our generation that actually like medicine and want to do extra to help their patients because they typically only practiced medicine because their parents forced them into it. While I agree with a lot of what was said today, I don’t agree with the plant based nutritional approach. I have pan ulcerative colitis, ehlers danlos syndrome, and pan hypo pituitarism. The last thing I want in my diet is fiber. I am thriving on beef and animal fat. And 5 years off of opioids for chronic pain. Plant based is not for everyone…. I am actually wearing a freestyle libre 2 currently. My chronic pain tends to keep my A1C elevated in the low to mid 5s. My fasted insulin ranges from 2-5 based on how bad my pain may be the day of testing. I essentially eat zero carb. Chronic pain at night also reduces the quality of my sleep. Their are things I can control and things that I just cannot. Ie- the level is chronic pain I am left with in spite of all the lifestyle changes I have made. So I pick my battles. I have noticed though the power of good sleep on blood glucose in those rare nights that I do get through the night without pain. Keep spreading this info. It’s so important. If at 19 I knew what I know now, I would have never gotten on opioids for pain management and instead changed my diet and lifestyle. Would have saved myself the brain damage that I live with today.

[@DennyBob521]

Related to diet, stress, and in my case type 2 diabetes, I would love to hear you cover the Mounjaro frenzy, which appears to be providing a lot of benefits for diabetics, as well as being used off label as a weight loss drug.

[@PedroTeixeira]

I wonder if the challenges with increasing strength could have anything to do with the difference in bioavailability and the match of the amino acid profile of plant-based vs. animal-based foods? There can be a very large difference between the two sources especially since protein is listed on products as the raw amount and not the digestible amount as per something like DIAAS or PDCAAS.

[@tiffanybooth1563]

yep i paid $75 after insurance which is great!!! freestyle libre 2. my friend had the libre 3. it is much smaller and she loves it.

[@stevebaker4728]

Love my CGM, no instruction.. my only issue is failure rate of 10+% of the sensors. I have dropped A1C from ~9 to 6.2. cost w my ins is 50 for 84 day supply.

[@MNP208]

Yes, when you are diabetic, insurance will cover!

[@dcb32159]

How can I get a CGM? My A1C is 4.9 so definitely not pre-diabetic? How do I talk my PCP into ordering one?

[@smileypete4625]

How about a video on EXCESS DEATHS???

[@janellwoodward1548]

I have T2 and asked my primary said no initially. Once I told him my insurance covers it, he finally ordered it.

[@MNP208]

Ordering and managing these sensors adds a lot to the workload. They really need dedicated nursing staff who ONLY assist with insulin pumps and CGMs. During this era of short staffing, it's becoming more of a challenge. We are doing it all... rooming patients, medication refills, phone triage, insulin teaching, prior authorizations, care coordination to nuclear medicine, IV therapy and surgery, cultivating relationships with multiple pharmaceutical and medical device reps, and the list goes on and on. There is a finite amount of time in the day.

[@MsACC2011]

Anyone who has read my comments (probably no one) knows I am all over this episode. Also, I have lean PCOS and go to a lot of talks/conferences on the subject, and those docs do tell you to get a new doc if they don't give you a fasting insulin or OGTT.

[@sinharon1]

that frustrates me. they need to collaborate with medical teams rather than dismiss them with these comments.

[@cindihunter9119]

Interesting as the healthcare System has become a business! There is nothing that the healthcare does in my opinion that connects with the patient in any regard! Drugs are being pushed at the maximum! Patients are also blamed for their diets when many don't even know what they're supposed to eat! I'm sure you know but carbs are not needed they're not essential in our diets as humans. And so much sugar... And I can see big bird thinking big food! For the generosity and care that they don't give to the people that they sell to. Big food big pharma they're in bed with each other! Profits,profits, profits! I'm a researcher and I'm sickened by what has been going on for a number of years there's a mafia behind these two big companies and big tech is right there in with them.

[@americaneclectic]

I have a 1 lead EKG. I can call my cardiologist when the results show unclassified rhythm. Motivates me to live in a way to maintain sinus rhythm.

[@sinharon1]

nice to have that accountability in place

[@johndavidkromkowski816]

17:28 re: not getting colonoscopies. Um hasn't there been a fantastic study on this?

[@kiutpi]

I just wish Levels would have options with people whonalreadybhave diabetes and have a CGM prescribed to them. 😔

[@Ronniezim]

You should talk to Gabor mate about his latest book

[@Diorella_scent]

Amazing interview , but you guys almost drove me insane with your optional and even your casual use of a Libre. You have the choice to wear a CGM and check your none diabetic BGL levels. I am a Type 1 diabetic for over 40 years now. My CGM is a Dexcom G6 that Bluetooths to my insulin pump, .my iPhone and my iWatch. I don’t have the choice of using CGM and an insulin pump as I rely on it to stay alive, keep my eyesight and all of my limbs and not end up ‘dead in bed’ syndrome..The pressure of the Time In Range is really stressful. I can’t go to sleep right now as I have IOB (insulin on board) dicing with death every day. I wish that you would do something like this video on the real TYPE1 diabetics and how we have to pre-bolus for 20 minutes before eating anything. I’m in diabetic burnout right now, and I’m just so tired of how regimented my life revolves numbers, so many numbers.

[@ianbrown8292]

You should ask Dilullo to wear a CGM. It would be interesting to see if the way his body/mind interprets high stress environments differs from people who haven’t awakened / deepened awakening to the level he has

[@JCDadalus]

I have sleep apnea :(. It really really sucks.

[@caroldean2596]

LOL I was totally sneaking out to my car daily during that retreat to eat salmon jerky and drink a protein shake.

[@sinharon1]

ha! gotta get that protein in.

[@rafaelcardenas7027]

Gosh 😭 Doc Vader has to come back 😭😭😭

[@bullfrog6926]

I do IF but take Adderall. I've heard at all can cause hyperglycemia. Am I wasting my time intermittent fasting while on this medication?

[@kiutpi]

Get a CGM to find out. If you don't have diabetes then go to a company like Levels.

[@lindawolfe2885]

Interesting discussion. Somewhat outdated information about protein requirements and the critical differences between those from animal and plant sources. Missing any discussion of the negative effect on the liver, and therefore serum glucose level, of eating high carbohydrate foods and high fat foods (which includes all animal protein foods) together. You’d may be interested in the extremely well researched nutrition information in “Mastering Diabetes,” and the all the work of Anthony William/Medical Medium.

[@sinharon1]

Thanks Linda. So much to cover in this episode. Agree liver is key and the central organ for IR. The protein guidelines are the latest science, not outdated. Take a listen to my Meta Health podcast episode #10 which focuses on the liver directly and episode #15 on muscle and protein. I'll check out the info you shared...thanks.

[@tonyw.3210]

My monitor will show up from 105 to +300 down to -60 within the course of 60 min, following food,crazy

[@MsACC2011]

I'm wondering if you just do a 12 hour fast overnight and consume adequate protein if muscle loss is still a problem. Anyone?

[@kjm4530]

Zoe uses cgm in designing a lifestyle of heath

[@nowaiting2072]

Dr Ron! Too long, Z Dogg!

[@kennorthunder2428]

2 minutes in and nobody is making the connection.

[@mlcarey1000]

Bwahaha, penetration party! Hilarious 😂

[@cherylshort5005]

Cool in our family Everyone's on the vaccine page, every generation!

[@bestany5517]

Not a waste of money at a $75 copay 😏. But insurance is paying a huge chunk of money for your cool health tech-which isn’t medically necessary for someone who isn’t diabetic or pre-diabetic. This will contribute to the overall cost increase for everyone’s insurance. If people want to use these to maximize diet and exercise for optimal weight management, good for them. But it’s messed up to have insurance pay because until five minutes ago these were for diabetes management. Ya know, for people who would, oh, die, without monitoring blood glucose in order to properly bolus insulin, or are at risk of organ and nerve damage if they don’t keep BG in range. Insurance doesn’t pay for any other diet aides for healthy people.

[@sinharon1]

totally get your point, but our health care system is paying a much bigger cost from the burden of obesity and insulin resistance, even in individuals without prediabetes/diabetes. A large percent of heart disease is driven just by waist circumference and lipids, despite glucose being normal. I use the sensors to prevent that. insulin resistance manifests in so many ways other than blood glucose.

[@cshepherd9803]

As a type 1 diabetic, blood sugar is so much easier to control when I eat very few carbohydrates, yet dietitians/doctors keep telling me I need to eat more carbohydrates to avoid lows. I rarely have lows because I use very little insulin. Why do they insist on pushing the low fat higher carb diet as being healthy when my Dexcom and lab work indicate otherwise?

[@MNP208]

Pre-diabetes starts at a fasting blood glucose of 100 mg/dL. You'd be surprised at how many people are walking around this way.

[@galejohnson8086]

I think anyone half-educated knows what is on those 3 days for life style. Whew!

[@AmandaBuxbaum]

Of course, you don’t sleep well at night, and sleep better when you’ve had a little bit more food, because clearly, you are starving yourself on a regular basis.

[@geetakhanwilkar4019]

The South Asian population also gets shots to get thru the green card process that the population in India does not get.

[@loadedpineapple3226]

The Nazi’s will get you doctor remember the Reich of Berlin🤡

[@linnaeadominguez9898]

Oh, Dr. Z please don’t go down the plant based path! Look up Stephanie Person. She is amazing and very knowledgeable about all this shiz. It would be awesome if you had her on your show! She puts all the health and wellness gurus to shame!

[@Richard-uj6dt]

Keep making great videos. Do not miss out - *promo sm* !!