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October 10 - October 15, 2025
By the time a patient makes it to emergency surgery for an aortic aneurysm and dissection, it’s sometimes too late.
Healthcare needs to do better at promoting metabolic health!
Heart disease is the leading cause of death in the United States.
But the medical establishment just shrugs and says, “These things happen. Next patient.”
we often identify poor metabolic health with insulin resistance, because that’s the easiest measurement of it in your body.
But obesity, inflammation, and high blood pressure are all indicators as well, along with a host of unseen damage taking place below the surface that doesn’t become visible until people are on my table and it’s too late.
the metabolic health advice I had been taught—calories in, calories out—was basically useless.
improving metabolic health improves testosterone levels.
When you lose weight, you become more confident.
When you control your metabolic health, you can maintain predictable, sustained levels of energy throughout the day, with no crashing.
Understanding what is false takes you more than halfway to the truth.
explanation for the underlying cause of obesity: sugar specifically and carbohydrates generally.
The highly processed fat in margarine disrupts the mitochondria.
The “margarine is heart healthy” myth is just one of many you have to unlearn if you’re going to get (and stay) healthy.
Myth #1: “Only obese people are metabolically unhealthy.”
Our bodies have actually evolved to endure periods of food unavailability.
Myth #2: “The food pyramid is good for you.”
preventing obesity doesn’t keep people healthy.
In fact, it’s the other way around: maintaining good metabolic health prevents health issues, including obesity.
the high-carbohydrate, low-fat diet that the food pyramid recommends keeps people ...
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The food pyramid exists primarily to decrease your fat intake—at the expense of your metabolic health.
Myth #3: “The food pyramid is based on good science.”
Myth #4: “The people who produce our food want us to be healthy.”
The food industry is successful specifically because their food is unhealthy.
Myth #5: “Low-carb diets are bad for your heart.”
low-carb diets are not bad for your health. They’re bad for food industry shareholders.
studies actually show that the more carbohydrates and less saturated fat that you consume, the greater your risk is of developing heart disease?
What have the USDA guidelines and the food industry led you to believe? That dietary fats, especially saturated fats, will clog your arteries with cholesterol and cause heart disease.
there are no scientific studies to support this assertion.
Myth #6: “High cholesterol causes heart disease.”
half of people with ideal cholesterol levels still have a risk of developing heart problems.
Based on my experience, HDL and triglycerides are more predictive of heart disease than LDL.
Once you have poor metabolic health, your blood vessels become inflamed. The body then sends cholesterol as a repair mechanism to try and fix that inflammation.
Imagine repairing an old, crumbling wall with some spackle. Cholesterol is the spackle your body smears on your blood vessels to keep them intact.
And if the wall keeps getting damaged and you keep piling on the spackle, eventually you’ll start ...
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the problem isn’t the cholesterol; it’s the inflamed blood vessels and the damage being done that ...
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Cholesterol isn’t the cause of heart disease. Poor metabolic health is.
Myth #7: “Medications are the best treatment for medical issues.”
many doctors assume people aren’t willing to change their diet.
“Eat low fat and count your calories” is not sound advice to improve metabolic health.
The healthcare industry is built for business. Hospitals need patients.
pharmaceutical companies need repeat customers. So the education system teaches doctors to pile up medications to treat every symptom, then treat side effects with more meds.
there is no example I’m aware of that treating a disease is as effective as not having the disease in the first place.
Myth #8: “Diets work if you follow them.”
Myth #9: “Trying to lose weight by restricting calories always works.”
we do know is the type of calories you eat goes a long way in determining how much weight you lose.26 Not all calories are created (or consumed) equal.
The data shows you can’t out-exercise a bad diet. Metabolic health is 90 percent diet, 10 percent lifestyle, and exercise is not necessary for weight loss.
build consistent movement into your entire day.
Moving your body throughout the day is just as effective as working out for most people.
Myth #11: “You can’t improve metabolic health conditions without medication.”
