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06 Apr 2025
Thought leadership
Read time: 3 Min
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The Metabolic Truth Your Doctor Never Mentioned

By Marc Bates

A staggering 93% of Americans have poor metabolic health. This statistic rarely emerges in routine doctor visits, where conversations typically center around cholesterol numbers while ignoring more predictive markers of disease. The truth remains hidden in plain sight: fasting insulin levels better predict heart disease, diabetes, and early death than any cholesterol measurement ever could.

Conventional Medicine's Metabolic Blind Spot

Most physicians receive approximately 2.5 hours of nutrition education during medical school. This educational void creates a systemic blind spot regarding the fundamental relationship between diet and disease. Instead of addressing root causes, conventional medicine defaults to symptom management through prescription medications.

Patients find themselves trapped in a cycle of increasing medication dosages and additional prescriptions as their underlying metabolic dysfunction worsens. Blood pressure medications, statins, and diabetes drugs mask symptoms while the metabolic fire continues burning beneath the surface.

The medical system's fixation on LDL cholesterol persists despite mounting evidence challenging its primacy in disease prediction. Meanwhile, fasting insulin—the most revealing biomarker of metabolic dysfunction—remains untested in most patients.

The Root of Chronic Disease

Insulin resistance and chronic inflammation drive most modern diseases. These conditions stem primarily from our dietary environment dominated by processed carbohydrates and industrial seed oils. The resulting metabolic dysfunction manifests across multiple systems:

When cells become resistant to insulin's effects, the pancreas compensates by producing more insulin. This hyperinsulinemia drives fat storage, raises blood pressure, promotes inflammation, and creates the perfect conditions for diabetes, heart disease, obesity, non-alcoholic fatty liver disease, and potentially even Alzheimer's disease.

The conventional approach treats each condition as a separate entity requiring different medications. The metabolic approach recognizes these conditions as varied expressions of the same underlying dysfunction.

Nutritional Approaches That Target Root Causes

Ketogenic and carnivore dietary approaches directly address insulin resistance and inflammation by eliminating their primary triggers: refined carbohydrates, sugars, and industrial seed oils.

The ketogenic approach dramatically reduces carbohydrate intake while emphasizing healthy fats and moderate protein. This dietary shift fundamentally alters metabolism, lowering insulin levels and enabling fat burning rather than fat storage. Blood sugar stabilizes, inflammation decreases, and the entire metabolic environment improves.

The carnivore approach takes this intervention further by eliminating all plant compounds, focusing exclusively on animal-based foods. This approach removes potential dietary irritants and anti-nutrients while providing highly bioavailable protein and essential nutrients. For individuals with severe insulin resistance or inflammatory conditions, this intervention often produces remarkable improvements.

The Markers That Actually Matter

True metabolic health assessment requires looking beyond standard lipid panels. The most revealing markers include:

Fasting insulin levels (optimal: under 5 μIU/mL) provide the earliest indication of developing insulin resistance, often appearing abnormal years before glucose becomes elevated.

Fasting glucose (optimal: under 90 mg/dL) and HbA1c (optimal: under 5.3%) reflect blood sugar regulation.

Triglycerides (optimal: under 100 mg/dL) and HDL cholesterol (optimal: over 50 mg/dL for women, over 40 mg/dL for men) reflect metabolic health more accurately than LDL.

The triglyceride-to-HDL ratio (optimal: under 2.0) provides a simple yet powerful assessment of metabolic health and insulin sensitivity.

Waist circumference and blood pressure complete the metabolic picture, with elevated measurements indicating underlying dysfunction.

From Theory to Reality

These approaches produce real-world results. One particularly striking case involved a 57-year-old with type 2 diabetes for over a decade. After adopting a carnivore diet, this individual normalized blood glucose within weeks, lost 42 pounds over six months, and eventually discontinued all ten prescription medications with physician supervision.

Such transformations occur not because these individuals possess extraordinary willpower, but because they address the actual cause of their conditions rather than merely suppressing symptoms.

The underlying mechanism is straightforward. Carbohydrates trigger insulin release. Chronically elevated insulin drives fat storage and inflammation. Removing the trigger allows the system to reset. The body begins healing when no longer continuously bombarded by the foods causing dysfunction.

Taking Control of Your Metabolic Health

The standard medical system may not prioritize metabolic health, but individuals can take matters into their own hands:

Request fasting insulin testing at your next physical examination. If met with resistance, understand that patient advocacy sometimes requires persistence.

Track basic metabolic markers, particularly triglycerides, HDL, fasting glucose, and blood pressure. Their improvement serves as confirmation of enhanced metabolic function.

Consider a controlled carbohydrate restriction trial. Many experience significant improvements within 30 days of eliminating sugar, grains, and seed oils.

The human body demonstrates remarkable resilience when provided the proper nutritional environment. Most metabolic conditions considered "progressive" and "chronic" by conventional medicine prove reversible when their root causes are addressed.

Metabolic healing doesn't require special medications or medical procedures—just the courage to question conventional wisdom and the commitment to provide your body with the nutrition it evolved to process. The path to metabolic health begins with recognizing that food functions as information, not merely fuel, and that the right nutritional signals can transform health outcomes once considered inevitable.

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Email for questions

marc@optimalhumandiet.com

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