![]()
Why metabolic health matters more than weight loss
kAmu6H >65:42E:@?D 92G6 >@G65 7C@> E96 5@4E@C’D @77:46 E@ E96 5:??6C E23=6 2D BF:4<=J 2D ~K6>A:4 2?5 (68@GJ] p zuu w62=E9 %C24<:?8 !@== 4@?5F4E65 :? }@G6>36C a_ad 7@F?5 E92E k2 9C67lQ9EEADi^^HHH]<77]@C8^AF3=:4\@A:?:@?^A@==\`\:?\g\25F=ED\D2J\E96J\2C6\4FCC6?E=J\E2<:?8\2\8=A\`\5CF8\7@C\H6:89E\=@DD\5:236E6D\@C\2?@E96C\4@?5:E:@?\6G6?\2D\92=7\D2J\E96\5CF8D\2C6\5:77:4F=E\E@\277@C5^QmC@F89=J ` :? g &]$] 25F=ED 92D E2<6? 2 v{!\` >65:42E:@?k^2m[ 2?5 AF3=:4 2EE6?E:@? 92D 7@==@H65 E96 H6:89E =@DD E92E 42? 4@>6 H:E9 E96>]k^Am
kAm|F49 @7 E96 4@?G6CD2E:@? 92D DE2J65 7@4FD65 @? E96 H6:89E D42=6[ 3642FD6 H6:89E :D E96 7:CDE E9:?8 A6@A=6 42? D66] qFE A9JD:4:2?D[ C6D62C496CD[ 2?5 D4:6?46\5C:G6? 4@>A2?:6D 2C6 A2J:?8 4=@D6C 2EE6?E:@? E@ H92E 92AA6?D 36?62E9 E92E G:D:3=6 492?86]k^Am
kAm%96 566A6C 4@?G6CD2E:@? :D 23@FE >6E23@=:4 962=E9 2?5 H9J 2 =@H6C ?F>36C 5@6D ?@E 2=H2JD :?5:42E6 9@H H6== E96 3@5J :D H@C<:?8] p?5 E96 D4:6?46 369:?5 E92E BF6DE:@? :D ?@H 8@:?8 H6== 36J@?5 C6D62C49 =23D[ 2D<:?8 6G6CJ@?6 E@ C6E9:?< H92E >6E23@=:4 962=E9 24EF2==J =@@<D =:<6 7C@> E96 :?D:56 @FE] q6=@H[ k2 9C67lQ9EEADi^^72EEJ`d]4@>^Qmu2EEJ`dk^2m 6IA=2:?D H9J >6E23@=:4 962=E9 >2EE6CD >@C6 E92? H6:89E =@DD]k^Am
kAmkDEC@?8mw:89=:89EDk^DEC@?8mk^Am
kF=mk=: 52E2\=:DE\:E6>\:5lQ6_c_hece32cfc63gh3`2g4dd6cbbea6_aQm|6E23@=:4 962=E9 :D 56E6C>:?65 3J >F=E:A=6 724E@CD[ :?4=F5:?8 3=@@5 DF82C[ :?DF=:? D6?D:E:G:EJ[ 49@=6DE6C@=[ 2?5 3=@@5 AC6DDFC6[ ?@E 3@5J H6:89E 2=@?6]k^=:mk=: 52E2\=:DE\:E6>\:5lQ64b`c74c32f`5d5a73c6`_bf_c4cc7_g2Qmv{!\` >65:42E:@?D 92G6 96=A65 D9:7E E96 4@?G6CD2E:@? 7C@> H6:89E =@DD E@H2C5 F?56CDE2?5:?8 E96 3:@=@8:42= AC@46DD6D E92E 5C:G6 =@?8\E6C> 962=E9]k^=:mk=: 52E2\=:DE\:E6>\:5lQ6d6b3eb__f64ae7geebe6_3e262hf5a76Qm{2DE:?8 >6E23@=:4 962=E9 :D 3F:=E E9C@F89 4@?D:DE6?E 923:ED DF49 2D BF2=:EJ ?FEC:E:@?[ C68F=2C >@G6>6?E[ 256BF2E6 D=66A[ 2?5 H@C<:?8 H:E9 962=E942C6 AC@76DD:@?2=D E@ >@?:E@C <6J 962=E9 >2C<6CD] k^=:mk^F=m
k9bm(92E xD |6E23@=:4 w62=E9[ #62==Jnk^9bm
kAm|6E23@=:4 962=E9 :D 92C56C E@ A:? 5@H? E92? >@DE A6@A=6 6IA64E[ 3642FD6 ?@ D:?8=6 E6DE 42? 42AEFC6 :E @? :ED @H?] #6D62C496CD =@@< 2E 2 8C@FA @7 4@??64E65 >2C<6CD E92E D9@H 9@H H6== E96 3@5J AC@46DD6D 7@@5 2?5 EFC?D :E :?E@ FD23=6 6?6C8J] %9@D6 >2C<6CD :?4=F56 3=@@5 DF82C[ :?DF=:? D6?D:E:G:EJ[ 49@=6DE6C@=[ 2?5 3=@@5 AC6DDFC6]k^Am
kAm(96? E96J >@G6 @FE @7 2 962=E9J C2?86[ E96 C:D< 7@C 4@?5:E:@?D =:<6 k2 9C67lQ9EEADi^^HHH]?:9]8@G^?6HD\6G6?ED^?:9\C6D62C49\>2EE6CD^@36D:EJ\>6E23@=:4\962=E9Qm%JA6 a 5:236E6D 2?5 962CE 5:D62D6 42? C:D6k^2m] %96 p>6C:42? w62CE pDD@4:2E:@? 92D 6DE:>2E65 E92E 23@FE k2 9C67lQ9EEADi^^HHH]?JE:>6D]4@>^a_ae^_`^`e^H6==^>6E23@=:4\962=E9]9E>=Qmh_T @7 &]$] 25F=EDk^2m 72== D@>6H96C6 @? E96 42C5:@G2D4F=2C\<:5?6J\>6E23@=:4 962=E9 DA64ECF>]k^Am
kAmv6EE:?8 2 4@>A=6E6 C625 C6BF:C6D =@@<:?8 2E E96D6 >2C<6CD E@86E96C[ 3642FD6 ?@ D:?8=6 ?F>36C 42? E6== E96 7F== ECFE9 23@FE D@>6@?6’D 962=E9]k^Am
k9bm(9J (6:89E p=@?6 s@6D?’E %6== E96 uF== $E@CJk^9bm
kAmq@5J H6:89E 92D =@?8 366? >65:4:?6’D DE2CE:?8 A@:?E 7@C 2DD6DD:?8 962=E9[ 3FE E96 C6D62C49 369:?5 E92E 2AAC@249 92D 8C@H? D=:89E=J >@C6 4@>A=:42E65] k2 9C67lQ9EEADi^^HHH]454]8@G^3>:^23@FE^:?56I]9E>=Qmq@5J >2DD :?56Ik^2m[ E96 7@C>F=2 3F:=E @? 96:89E 2?5 H6:89E 2=@?6[ 42??@E 5:DE:?8F:D9 36EH66? 72E 2?5 >FD4=6[ 2?5 :E 42??@E 56E64E H96C6 72E =:G6D :? E96 3@5J]k^Am
kAm$4:6?E:7:4 p>6C:42? 92D C6A@CE65 @? k2 9C67lQ9EEADi^^HHH]D4:6?E:7:42>6C:42?]4@>^2CE:4=6^A6@A=6\H9@\2C6\72E\2?5\962=E9J\>2J\9@=5\<6JD\E@\F?56CDE2?5:?8\@36D:EJ^QmA6@A=6 H9@ 42CCJ 6IEC2 H6:89E H:E9@FE E96 FDF2= >2C<6CD @7 >6E23@=:4 5:D62D6k^2m[ :?4=F5:?8 962=E9J 3=@@5 AC6DDFC6 2?5 8@@5 :?DF=:? D6?D:E:G:EJ] %96 C6G6CD6 42? 2=D@ 36 ECF6]k^Am
kAm$@>6@?6 H:E9 2 =@H6C @C 2G6C286 q|x 42? DE:== 92G6 G:D46C2= 72E 2C@F?5 :?E6C?2= @C82?D H:E9@FE <?@H:?8 :E[ C2:D:?8 E96:C C:D< 7@C D6C:@FD 49C@?:4 4@?5:E:@?D E96J >2J ?6G6C D66 4@>:?8] “q|x :D ;FDE @?6 52E2 A@:?E[ 2=@?8 H:E9 >2?J @E96CD[” D2:5 k2 9C67lQ9EEADi^^HHH]J2=6>65:4:?6]@C8^?6HD^H9J\J@F\D9@F=5?E\C6=J\@?\3>:\2=@?6QmsC] (2;292E |692=[ 5:C64E@C @7 *2=6’D |6E23@=:4 w62=E9 2?5 (6:89E {@DD !C@8C2>k^2m]k^Am
kAmp 7F==6C 962=E9 2DD6DD>6?E 92D E@ =@@< A2DE E96 D42=6 2?5 :?E@ E96 D:8?2=D E96 3@5J :D 8:G:?8]k^Am
k9bmw@H v{!\` |65:42E:@?D pC6 r92?8:?8 E96 }2CC2E:G6k^9bm
kAm~K6>A:4 H2D @C:8:?2==J 56D:8?65 E@ EC62E %JA6 a 5:236E6D[ ?@E E@ C6D92A6 9@H E96 AF3=:4 E9:?<D 23@FE H6:89E =@DD] k2 9C67lQ9EEADi^^962=E9]F452G:D]65F^?6HD^962=E9\H6==?6DD^8=A\`\2?5\962=E9\36J@?5\H6:89E\=@DD\:?\E96\@K6>A:4\6C2^a_ad^``Qmv{!\`k^2m[ E96 9@C>@?6 E96D6 5CF8D >:>:4[ :D ?2EFC2==J AC@5F465 :? E96 8FE 27E6C 62E:?8[ 2?5 :ED @C:8:?2= ;@3 H2D E@ 96=A E96 3@5J C68F=2E6 3=@@5 DF82C 3J E6==:?8 E96 A2?4C62D E@ C6=62D6 :?DF=:? 2?5 D=@H:?8 5:86DE:@?]k^Am
kAm(6:89E =@DD H2D 2? F?6IA64E65 C6DF=E 7C@> 62C=J 4=:?:42= EC:2=D[ @?6 E92E BF:4<=J @G6CD925@H65 E96 5CF8D’ @C:8:?2= >65:42= AFCA@D6] sC] q@3 qFD49[ 2? 6?5@4C:?@=@8:DE 2E p=32?J |65[ E@=5 k2 9C67lQ9EEADi^^DA64ECF>=@42=?6HD]4@>^?JD^46?EC2=\?J^962=E9^a_ae^_d^`g^8=A\`\5CF8D\@776C\C62=\36?67:ED\\3FE\5@4E@CD\H2C?\@7\D6C:@FD\C:D<DQm$A64ECF> }6HDk^2m E92E E96 :?E6?E 92D 2=H2JD 366? >65:42=] Q%9:D :D ?@E 2 5CF8 E@ 86E D@>6@?6 :? 2 3C:56D>2:5VD 5C6DD @C 2 3:<:?:[Q 96 D2:5] Q%9:D :D 2 5CF8 7@C 2 49C@?:4 5:D62D6]Qk^Am
kAm#6D62C496CD 92G6 D:?46 D9@H? E92E v{!\` >65:42E:@?D 2=D@ 27764E k2 9C67lQ9EEADi^^962=E9]F452G:D]65F^?6HD^962=E9\H6==?6DD^8=A\`\2?5\962=E9\36J@?5\H6:89E\=@DD\:?\E96\@K6>A:4\6C2^a_ad^``Qm2AA6E:E6 D:8?2=D :? E96 3C2:? 2?5 9@C>@?6 A2E9H2JDk^2m E:65 E@ 9@H E96 3@5J >2?286D 6?6C8J] %96 D42=6 >2J 92G6 >256 E96D6 5CF8D 72>@FD[ 3FE E96 D4:6?46 369:?5 E96> :D 7@C4:?8 2 566A6C 4@?G6CD2E:@? 23@FE H92E :D 92AA6?:?8 :?D:56 E96 9F>2? 3@5J]k^Am
k9bm%96 qF:=5:?8 q=@4<D @7 |6E23@=:4 w62=E9k^9bm
kAm|@DE @7 H92E DFAA@CED >6E23@=:4 962=E9 4@>6D 5@H? E@ k2 9C67lQ9EEADi^^HHH]C6D62C4982E6]?6E^AF3=:42E:@?^bghggge_e0qF:=5:?8020w62=E9:6C0{:760%960!@H6C0@70}FEC:E:@?0tI6C4:D60$=66A02?50$EC6DD0|2?286>6?EQm52:=J 923:EDk^2m[ 3FE E9@D6 923:ED 5@ ?@E ?665 E@ 36 6IEC6>6 E@ >2EE6C] u@@5 BF2=:EJ[ 6I6C4:D6[ D=66A[ 2?5 DEC6DD >2?286>6?E 2== D92A6 9@H E96 3@5J FD6D 6?6C8J[ 2?5 E96 36?67:E 4@>6D 7C@> >2<:?8 E9@D6 49@:46D @7E6? 6?@F89 7@C E96 3@5J E@ C6DA@?5]k^Am
kAm%96 p>6C:42? w62CE pDD@4:2E:@? C64@>>6?5D 2E =62DE k2 9C67lQ9EEADi^^HHH]962CE]@C8^6?^962=E9J\=:G:?8^6I6C4:D6\2?5\A9JD:42=\24E:G:EJ^7:E?6DD\32D:4D^292\C64D\7@C\A9JD:42=\24E:G:EJ\:?\25F=EDQm`d_ >:?FE6Dk^2m @7 >@56C2E6 6I6C4:D6 A6C H66<[ E9@F89 rsr 52E2 D9@HD @?=J 23@FE k2 9C67lQ9EEADi^^HHH]454]8@G^24E:G6\A6@A=6\962=E9J\?2E:@?^A9A^2E\2\8=2?46^:?56I]9E>=Qm` :? c &]$]k^2m 25F=ED >66ED E92E E2C86E] |@G6>6?E 96=AD E96 3@5J FD6 3=@@5 DF82C >@C6 67764E:G6=J[ H9:=6 256BF2E6 D=66A 96=AD C68F=2E6 2AA6E:E6[ 6?6C8J[ 2?5 C64@G6CJ]k^Am
kAmsC] z6??6E9 (C:89E yC] @7 E96 &?:G6CD:EJ @7 r@=@C25@ q@F=56C[ H9@D6 k2 9C67lQ9EEADi^^HHH]?:9]8@G^?6HD\6G6?ED^?:9\C6D62C49\>2EE6CD^@36D:EJ\>6E23@=:4\962=E9Qm}2E:@?2= x?DE:EFE6D @7 w62=E9\7F?565 H@C< 92D 6I2>:?65 D=66A =@DD 2?5 >6E23@=:D>k^2m[ D2:5 A6@A=6 D9@F=5 “86E 256BF2E6 D=66A 2D >F49 2D J@F 42? @? 2 4@?D:DE6?E 32D:D]” |6E23@=:4 962=E9 @7E6? :>AC@G6D E9C@F89 A2EE6C?D E96 3@5J 42? C6=J @?[ 2?5 E9@D6 492?86D 42? 368:? 367@C6 >2;@C H6:89E =@DD 6G6C D9@HD FA @? 2 D42=6]k^Am
k9bm%96 #:D<D @7 ~G6CD:>A=:7J:?8 (6:89E {@DDk^9bm
kAmr92D:?8 2 D>2==6C ?F>36C @? E96 D42=6 92D =@?8 366? D@=5 2D E96 567:?:E:@? @7 36EE6C 962=E9[ 3FE 4=:?:42= 6G:56?46 :D 72C >@C6 4@>A=:42E65] p 4=:?:42= C6G:6H 2G2:=23=6 E9C@F89 E96 }2E:@?2= r6?E6C 7@C q:@E649?@=@8J x?7@C>2E:@? 7@F?5 E92E =@D:?8 k2 9C67lQ9EEADi^^HHH]?43:]?=>]?:9]8@G^3@@<D^}qze_bfda^QmdT E@ `_T @7 3@5J H6:89Ek^2m @G6C D:I >@?E9D 42? :>AC@G6 3=@@5 DF82C 4@?EC@=[ 3=@@5 AC6DDFC6[ 2?5 49@=6DE6C@=[ 3FE 72DE6C @C >@C6 6IEC6>6 H6:89E =@DD 42? 42CCJ C62= C:D<D]k^Am
kAmp?5 E9@D6 C:D<D 42? :?4=F56 ?FEC:6?E 567:4:6?4:6D[ 6=64EC@=JE6 :>32=2?46D[ 9@C>@?6 492?86D[ 2?5 ADJ49@=@8:42= 67764ED] %92E :D H96C6 E96 H6:89E =@DD 4@?G6CD2E:@? 42? 364@>6 E@@ ?2CC@H]k^Am
kAmp =@H6C ?F>36C >2J =@@< =:<6 AC@8C6DD[ 3FE :E 5@6D ?@E D9@H H96E96C D@>6@?6 :D ?@FC:D965[ >2:?E2:?:?8 >FD4=6[ D=66A:?8 H6==[ @C 255C6DD:?8 E96 :DDF6D E92E D92A65 E96:C 962=E9 E@ 368:? H:E9] w62=E9 92D E@ 36 ;F5865 3J 9@H E96 3@5J 9@=5D FA @G6C E:>6[ ?@E 3J 9@H BF:4<=J :E 492?86D]k^Am
k9bm%96 #@=6 @7 |65:42= 2?5 !C@76DD:@?2= vF:52?46k^9bm
kAm}@ EH@ 3@5:6D CF? @? E96 D2>6 3:@=@8J[ 2?5 ?@ EH@ 962=E9 A=2?D D9@F=5 6:E96C] !C:>2CJ 42C6 5@4E@CD EC24< E96 >2C<6CD E92E >2EE6C @G6C E:>6[ H9:=6 k2 9C67lQ9EEADi^^A>4]?43:]?=>]?:9]8@G^2CE:4=6D^!|rgfde_dg^QmC68:DE6C65 5:6E:E:2?Dk^2m EC2?D=2E6 ?FEC:E:@?2= D4:6?46 :?E@ 62E:?8 923:ED E92E 7:E 2 A6CD@?VD DA64:7:4 >65:42= ?665D 2?5 52:=J =:76]k^Am
kAmk2 9C67lQ9EEADi^^>J]4=6G6=2?54=:?:4]@C8^962=E9^2CE:4=6D^aaeh`\6?5@4C:?@=@8:DEQmt?5@4C:?@=@8:DEDk^2m 8@ 566A6C[ DA64:2=:K:?8 :? 9@C>@?2= 4@?5:E:@?D =:<6 :?DF=:? C6D:DE2?46 2?5 E9JC@:5 5:D@C56CD E92E D:E 2E E96 C@@E @7 D@ >F49 >6E23@=:4 5:D62D6] %@86E96C[ E96D6 AC@76DD:@?2=D >2<6 564:D:@?D 32D65 @? 2 A2E:6?EVD 24EF2= =23 C6DF=ED[ >65:42= 9:DE@CJ[ 2?5 9@H E96:C 3@5J 7F?4E:@?D[ C2E96C E92? @? H92E :D EC6?5:?8 @? D@4:2= >65:2]k^Am
kAm|65:42E:@?D =:<6 v{!\` 5CF8D 42? 36 E96 C:89E E@@= 7@C E96 C:89E A6CD@?[ 3FE E92E 56E6C>:?2E:@? 36=@?8D :? 2 A2E:6?E^5@4E@C 4@?G6CD2E:@?[ ?@E :?D:56 2 4@>>6?E E9C625 @C v@@8=6 D62C49]k^Am
k9bm#6567:?:?8 w62=E9 q6J@?5 E96 $42=6k^9bm
kAm|62DFC:?8 962=E9 3J 9@H E96 3@5J 7F?4E:@?D 52J E@ 52J[ C2E96C E92? 3J H92E 2 H6:89E D42=6 D9@HD[ :D 364@>:?8 2 >@C6 46?EC2= :562 :? >65:4:?6 2?5 :? 6G6CJ52J =:76]k^Am
kAm%92E H2J @7 E9:?<:?8 >2<6D C@@> 7@C E96 A2CED @7 H6==\36:?8 A6@A=6 24EF2==J 766= 6249 52J[ :?4=F5:?8 6?6C8J[ DEC6?8E9[ D=66A[ 2?5 E96 23:=:EJ E@ <66A FA H:E9 C62= =:76] p?5 AC6G6?E:@? 36=@?8D :? E92E D2>6 4@?G6CD2E:@?]k^Am
kAm#6D62C49 AF3=:D965 :? E96 p>6C:42? y@FC?2= @7 {:76DEJ=6 |65:4:?6 7@F?5 E92E 4@?D:DE6?E A@D:E:G6 52:=J 923:ED 42? 4FE E96 k2 9C67lQ9EEADi^^A>4]?43:]?=>]?:9]8@G^2CE:4=6D^!|rebefgg`^QmC:D< @7 962CE 5:D62D6 3J >@C6 E92? g_T 2?5 E96 C:D< @7 5:236E6D 3J @G6C h_Tk^2m] !6@A=6 2C6 2=D@ 364@>:?8 >@C6 24E:G6 :? E96:C @H? 962=E9 564:D:@?D[ 2D<:?8 7@C =23 C6DF=ED 2?5 =62C?:?8 H92E E9@D6 >2C<6CD C6G62= 23@FE 9@H E96:C 3@5:6D 2C6 H@C<:?8]k^Am
kAmp D42=6 42? D9@H 2 492?86 :? D:K6[ 3FE 962=E9 =:E6C24J 96=AD A6@A=6 F?56CDE2?5 H92E :D 492?8:?8 F?56C?62E9]k^Am
k9bmp |@C6 }F2?465 pAAC@249 E@ w62=E9k^9bm
kAm(6:89E H:== 2=H2JD 36 A2CE @7 E96 962=E9 5:D4FDD:@?[ 3FE :E :D @?=J @?6 A:646 @7 2 >F49 =2C86C 3:@=@8:42= A:4EFC6] p?5 E96 C:D6 @7 v{!\` >65:42E:@?D 92D >256 E92E 92C56C E@ :8?@C6[ AF==:?8 AF3=:4 2EE6?E:@? E@H2C5 E96 3:@=@8J H@C<:?8 36?62E9 G:D:3=6 492?86]k^Am
kAm|6E23@=:4 962=E9 8:G6D 5@4E@CD 2?5 A2E:6?ED 2 4=62C6C H2J E@ F?56CDE2?5 =@?8\E6C> H6==\36:?8[ 3642FD6 :E =@@<D 2E 9@H E96 3@5J 7F?4E:@?D C2E96C E92? C6=J:?8 @?=J @? 9@H :E 2AA62CD 7C@> E96 @FED:56]k^Am
kAm%96 4@?G6CD2E:@? 2C@F?5 962=E9 :D 364@>:?8 >@C6 9@?6DE[ 2?5 E92E 9@?6DEJ >2J 36 H92E A6@A=6 ?665 >@DE] xE 8:G6D E96> A6C>:DD:@? E@ =@@< A2DE E96 ?F>36C[ 2D< 36EE6C BF6DE:@?D[ 2?5 368:? E@ F?56CDE2?5 H92E E2<:?8 42C6 @7 E96>D6=G6D 24EF2==J C6BF:C6D]k^Am
kAmk2 9C67lQ9EEADi^^72EEJ`d]4@>^3=@8D^?6HD^H9J\>6E23@=:4\962=E9\>2EE6CD\>@C6\E92?\H6:89E\=@DDQmk6>m%9:D DE@CJk^6>mk^2m k6>mH2D AC@5F465 3Jk^6>m k2 9C67lQ9EEADi^^72EEJ`d]4@>Qmk6>mu2EEJ`dk^6>mk^2m k6>m2?5 C6G:6H65 2?5 5:DEC:3FE65 3Jk^6>m k2 9C67lQ9EEADi^^9F3D]=2^"_b<=8$#_Q C6=lQ?@7@==@HQmk6>m$E24<6Ck^6>mk^2m]k^Am

