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Diet vs. Lifestyle vs. Medication - Peter Attia's Approach To Determining The Best Strategy To Address Elevated apoB

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Nov 29, 2024
Dive into the intricate world of lipid metabolism and discover how to tackle elevated apoB through personalized strategies. The discussion highlights the critical role of biomarkers, such as triglycerides and cholesterol, in guiding treatment choices. Plus, explore the fascinating link between insulin resistance and dietary habits, emphasizing the importance of better food choices to improve metabolic health. Learn why monitoring fasting insulin and glucose can transform your understanding of nutrition and overall wellness.
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ADVICE

ApoB Management Strategy

  • For elevated ApoB, assess triglycerides, metabolic health markers, cholesterol synthesis/absorption markers, and saturated fat intake.
  • This helps determine the right approach: dietary changes, addressing insulin resistance, or medication.
INSIGHT

Triglycerides and Insulin Resistance

  • Triglycerides alone are not a reliable indicator of insulin resistance.
  • Certain ethnic groups, like African Americans, may not exhibit elevated triglycerides even with insulin resistance.
ADVICE

Optimal Fasting Insulin and Glucose

  • Aim for fasting insulin below 6 and fasting glucose below 90.
  • Continuous glucose monitoring (CGM) offers a more comprehensive view of glycemic control, including postprandial responses.
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