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#19 - Rethinking Hemoglobin A1C and Are You Truly Prediabetic?

The Meta Health Podcast

Release Date: 03/22/2022

#32 - New Directions show art #32 - New Directions

The Meta Health Podcast

I'm feeling an urge to shift my content in a new direction. I'm not giving up on discussing metabolism since that's a topic that is still very close to my heart, but at the age of 52 and after digging deep into insulin resistance for well over a decade, I'm sensing a different pull.  In this episode I discuss my internal transformation and how you too might have a different voice inside that is longing for a new direction. 

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#31 - 3 Fundamental Root Causes of Insulin Resistance show art #31 - 3 Fundamental Root Causes of Insulin Resistance

The Meta Health Podcast

This episode takes a fresh look at the 3 fundamental molecular root causes of insulin resistance using some familiar storylines from prior episodes combined with some new story hooks to help you understand the science of insulin resistance. We cover the following: Quick review of insulin mechanism of action Summarizing the 3 root causes or what I call "-emias" of insulin resistance The inflammation-insulin resistance link explained using a busy ER analogy Using lifestyle changes to manage the 3 root causes

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#30 - Protein, Fasting, Ketosis, and Insulin Resistance show art #30 - Protein, Fasting, Ketosis, and Insulin Resistance

The Meta Health Podcast

This episode digs deep into protein and more specifically amino acids (protein building blocks) and their role in metabolism, weight control, insulin resistance, and overall health. We cover some of the following: Quick overview of mitochondrial metabolism Introducing protein and amino acids The role of amino acids in energy production Fasting and ketosis Can excess protein intake lead to fat/weight gain? The link between amino acids and insulin resistance  

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#29 - Acetyl CoA, Citrate, and the Metabolic Merry-Go-Round show art #29 - Acetyl CoA, Citrate, and the Metabolic Merry-Go-Round

The Meta Health Podcast

I've selected 2 key metabolic ingredients, Acetyl CoA and Citrate, to explain nutrition metabolism in further detail. I've also selected a different storyline, the mitochondrial amusement park and the Kreb's merry-go-round, to help you visualize some of the most fundamental steps of metabolism. In this episode we cover: Acetyl CoA's role as a key metabolic conductor The metabolic merry-go-round used to explain Kreb's cycle The importance of the Citrate sensor in switching between anabolism and catabolism How these concepts are tied to the root cause for weight gain and insulin resistance A...

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#28 - Mental and Metabolic Effects of Work from Home show art #28 - Mental and Metabolic Effects of Work from Home

The Meta Health Podcast

The mental and metabolic impact of human beings predominantly or exclusively working from home has been profound. I've noticed significant increases in insulin resistant conditions including premature heart disease and a deterioration in mental health. All of these risks existed pre-pandemic, reflecting our modern digital lifestyles, but post-pandemic these risks have intensified to an even worse public health crisis. In this episode I cover some of the following: Overall impact of WFH (work from home) on metabolic and emotional health Evidence-based guidelines for MED (minimum effective...

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#27 - Targeting Visceral and Subcutaneous Fat Loss show art #27 - Targeting Visceral and Subcutaneous Fat Loss

The Meta Health Podcast

I see lots of patients in my clinic who aim to lose body fat and have become well versed in the different types of body fat, specifically subcutaneous adipose tissue (aka SAT) and visceral adipose tissue (aka VAT). Although VAT and SAT are both fat, they represent different health risks and there are some differences in terms of which strategies are more effective for VAT vs SAT loss. This episode is a good follow-up to Episode 16 (Getting Your Body to Burn Fat), which provides the scientific foundation for fat loss (aka lipolysis) along with providing practical suggestions as well. In...

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#26 - The Science of GLP-1 Drugs and Natural Weight Loss show art #26 - The Science of GLP-1 Drugs and Natural Weight Loss

The Meta Health Podcast

GLP-1 drugs have been all over the headlines and the global demand for using these drugs for weight loss has been significant. GLP-1 belongs to a family of gut-based hormones called incretins. In this episode I'll teach you about the fascinating incretin system and how you can influence it naturally to promote weight loss. I cover the following: Understanding the incretin system and how the gut communicates with the brain How the incretins affect the pancreas and other major organs Benefits and risks of GLP-1 agonist drugs My thoughts on using GLP-1 for what I call "cosmetic" weight loss...

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#25 - The Critical Pentose Phosphate Pathway and Erythritol show art #25 - The Critical Pentose Phosphate Pathway and Erythritol

The Meta Health Podcast

The pentose phosphate pathway, which I refer to as P3, is one of my favorite metabolic pathways and one that gets far less attention than glycolysis, gluconeogenesis, and Krebs, yet plays such a key role in our body. In this episode we go over the following: Brief refresher on glycolysis and coenzymes using James Bond storytelling Deeper dive into oxidation, reduction, and free radicals (aka reactive oxygen species or ROS) Understanding and remembering the key functions of P3 How P3 is tied to obesity, insulin resistance, heart disease, and cancer How erythritol is tied to P3 and the fallacy...

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#24 - Metabyte #1: Insulin Lock and Key show art #24 - Metabyte #1: Insulin Lock and Key

The Meta Health Podcast

In this Metabyte (shorter episode), I review the interaction of the insulin hormone and its receptor on the surface of the muscle cells using a slice of chocolate cake, a lock and key, and a reference to Indiana Jones. 

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#23 - Holistic Hypocrisy and Supplement Scams show art #23 - Holistic Hypocrisy and Supplement Scams

The Meta Health Podcast

Call it holistic, functional, metabolic, integrative, longevity, or whatever, but this episode expresses some of my concerns about the direction of what I refer to as the rising "alt health" movement. Interestingly, I'm part of both alt health and mainstream medicine, so I'll share my take from both sides. I'll discuss: The story of "Dr.Bob," a fictional alt health practitioner whose practice is rife with hypocrisy and questionable practices The story of "Diane," a fictional patient anecdote based on patient and audience feedback, who is going bankrupt purchasing alt health services. ...

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More Episodes

The hemoglobin A1C is a useful, yet imperfect glycemic marker which we'll explore further in this episode where we discuss:

  • The origins of the glycohemoglobin test (aka A1C)
  • The flaws of A1C testing and why you may not be prediabetic
  • Insulin resistant markers that should accompany A1C testing
  • The impact of ethnicity on A1C testing
  • An exciting new metric that may be superior to the A1C test