In this crucial episode of Rev Up Health, Dr. Mark and Tandi Hechler tackle a pervasive health challenge gaining significant attention: metabolism and midlife, with a sharp focus on insulin resistance. They reveal that while routine lab tests like fasting glucose and A1C might appear "normal," a deeper look often uncovers hidden insulin resistance, a silent driver behind many chronic health issues. Listeners will learn to identify the subtle signs and symptoms of insulin resistance, from persistent belly fat and post-meal fatigue to sugar cravings and skin tags, and understand its profound connection to conditions like Type 2 Diabetes, heart disease, PCOS, and even Alzheimer's (often called Type 3 Diabetes).

The hosts demystify complex concepts with relatable analogies, explaining insulin as a "key" and cells as "rusty locks," and illustrating how modern lifestyles often create a "sugar traffic jam" in the body. They illuminate why midlife is a particularly vulnerable period for metabolic inflexibility, attributing it to hormonal shifts (like perimenopause in women and declining testosterone in men), age-related muscle loss, and the cumulative impact of lifestyle choices such as sedentary habits, processed food consumption, poor sleep, and chronic stress. This episode empowers listeners with knowledge of specific lab markers, including fasting insulin and Homa-IR scores, that offer a more accurate picture of their metabolic health beyond standard screenings.

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