FUNCTIONAL HEALTH -- METABOLIC HEALTH AND INSULIN RESISTANCE

Why Weight Is a Late Marker

Weight gain is often the last visible sign of metabolic dysfunction.

Earlier changes include:

  • insulin resistance

  • altered energy utilization

  • chronic inflammation


Early Metabolic Red Flags

  • difficulty losing weight

  • increased hunger

  • low energy

  • abdominal fat gain

  • abnormal triglycerides


Functional Health Focus

Metabolic health influences:

  • cancer risk

  • arthritis progression

  • cognitive aging

  • lifespan itself

This is where longevity medicine has outsized impact.


What to Evaluate

  • body composition (not just scale weight)

  • feeding patterns

  • carbohydrate load

  • activity type


Effective Interventions

First-line

  • dietary composition changes

  • meal timing

  • movement quality

Advanced (when appropriate)

  • insulin-sensitizing strategies

  • prescription longevity medications


When to Escalate

If:

  • weight loss stalls

  • labs show metabolic stress

  • multiple systems are affected

A consult prevents trial-and-error.