Analyzing Testosterone Levels and Fasting Insulin Concerns

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Testosterone levels and fasting insulin

Kevin writes:

Hey Robb and Nikki, I am 65 1/2 years young. The last couple of years my sex drive has not been like it had been (it comes and goes, but mostly goes). I did a self referred testosterone level test thinking my levels were low ( also was feeling sluggish and just not feeling quite like myself, but I was thinking that was from my age). To my surprise, my level came back at 1150! I have been taking a prostate supplement the last 6 months called Prostagenix. Before that I was taking flow-max for about 5 years and it just seemed to not be helping my symptoms (taking a lot longer to empty bladder and when I had the urge to go, I had to go, if you know what I mean!) so I switched to this natural supplement. It has a sterol blend on the supplement so I am thinking that maybe that is causing my elevated levels? I also googled it and seen that adrenal gland problems can also cause the high level. I had never had a testosterone level done before so I have nothing to compare this high level with. What are your thoughts on that?

Also I did a self referred fasting insulin test and it came back at 5.2. My last 2 fasting glucose test were at 112 and 117. I did a fasting A1C and it was 5.1. Just want to know if 5.2 is high and will lead to insulin resistance or am I there already? The test shows I am in the “normal” range between 2.4 and 26 something! I don’t trust what they think normal is.

I have been listening to you guys for a while now. I first heard of you when you were in the Tom Woods show and been following you since then! Keep up the great work!

Neu5 GC

Teresa writes:

Hi Robb and Niki I love your show and listen to it all of the time. I recently listened to Dr. Gundry speaking on Gabby Reese‘s podcast about Neu5 GC, which we get when we consume red meat. He says it causes inflammation and cancer, and that we should only eat it sparingly or only naturally fermented. Not exactly what I want to hear and I find it kind of hard to believe. I have cut out high fodmap vegetables, nightshades,high oxalate vegetables and I’ve adopted a higher protein diet, 1 g of protein per pound of desired body weight. Chicken is not my favorite and I find it hard to digest. Can you shed light on how much truth there is to this claim .

Thank you!

Am I Eating Too Much or Not Enough?

Jessica writes,

Hi Robb and Nicki,

Been listening to the podcast for a few years, and appreciate the content! Also love the way you interact with each other--the love and respect in your relationship comes through--it's encouraging!

My question is: Am I eating too much, or not enough?

For context, I'm 43 years old, 5'7, 211lbs, and while I am feeling better than I have in probably the last 5 years, I cannot get the scale to budge. My goal would be about 155 (I felt my best at this weight about 8 years ago)

I've spent the last 2 years working with a functional medicine practitioner who has helped me clear up some gut infections, mold, and sort out some other digestive concerns (constipation)

I've had all the tests: Dutch, GI Map, HTMA, OAT, full thyroid panel (not just TSH), and bloodwork. I'll mention that I'm MTHFR heterozygous, and FNP says based on HTMA, also a "slow oxidizer". Not sure how relevant those two things are to the question.

We redid the Dutch recently, and I do seem to be on the low side of progesterone, so she's having me supplement on days 14-28 of my cycle (I'll note my cycle has always been very regular).

I sleep 8+ hours a night (actual sleep according to tracker) average 9300 steps/day according to my garmin watch, and lift heavy 30 to 45 minutes 3x/week. I do have a desk job, but I have a walking pad I use daily at the office.

I've been working with a nutrition coach at my gym since about August of last year, and while we are seeing some slight body comp changes based on pics and measurements...I'm still carrying more body fat than I would like, and it absolutely seems like it's NOT going anywhere.

We started at 1880 calories. (160 grams protein, 175 grams carbs, 60 grams fats), and have adjusted all of those levers to a degree over these 6 months (sometimes up, sometimes down). I'm still basically exactly where I started with my weight. My gym has an InBody Machine, and according to that, my skeletal muscle mass is 76.5 lbs, with a 35.6% body fat.

I hear you guys recommend the keto gains calculator, and when I've input my data there, I get the following recommendation: 1489 cals (143 P, 20 C, 93 F) for rest days, and 1679 cals (168 P, 20 C, 103 F).

The overall calories seem low, and I do tend to have issues with fat digestion.

I hear and read so many things that say women shouldn't be eating less than 2000 calories because of stress on the body, etc....but then some other macro calculators I use put me anywhere between 1800 and 2500 calories. I lost 25 pounds in 3 months about 4 years ago, but didn't keep it off. At that time I was eating 1400 cals, lifting heavy (oly) 3x a week, and training for a 10k 3x a week. It was unsustainable, and I also think may have contributed to some of my other issues.

Would really appreciate your all's input as to whether my current macros really are "too much", or if it's not enough.

Thanks so much.

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