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3

Intramyocellular lipid accumulation

There's been a clear point made that intramyocellular lipid accumulation and insulin resistance are closely linked, but what is causing the intramyocellular lipid accumulation in the first place? How do we prevent it?

7

OGTT with CGM

Do you ever use the CGM data to determine the OGTT results? Is it comparable to blood values?

2

Vaccine long term

Dear Peter, I know you said that you and your wife have received the vaccine. What are your thoughts on the unknown long term possible problems. My wife (69) and I (72) are getting our first shot soon, but I am very skeptical—not much trust in the government handling of this problem— Thanks

2

ApoB/ApoA ratio

Hi Peter, I’m 50 with RA, very fit, lean and mostly healthy! A1c 4.8 serum insulin 2.5 hS CRP <0.1 Homocysteine 7. Trigs 70 HDL 40 ldl usually 100-115. But my Apo 105 Apo1 124 high? Since I’m obsessed with my health what’s your thoughts please?

4

Can Fasted Zone 2 performance be used as a gauge?

Hi Dr. Attia, I've been working on my zone 2 performance for about 2 months now, testing myself with the method described by Dr. Maffetone in your podcast. I've noticed that while my performance is improving, when I tested myself fasted on the second day the distance covered in 20 mins decreased significantly (12% decrease; I don't have data from the third day). Is it fair to say I am not as well adapted or is this a result of stress coming from the fast? In general, would this be a good gauge for MAF? / Would testing oneself fasted be a good way to see if it's time to take training to the next step? Would a well fat-adapted person see much difference in their performance in similar situations?