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how should someone with an extremely high VO2max train?

I recently took a lab VO2max test and clocked 94.5 ml/kg/min. Assuming this data is correct, would I still stand to benefit from Aerobic/zone 2 training?

How long does it take to reverse insulin resistance?

Suppose you put a patient on your full exercise program and make them eat healthy consistently. After how much time should they expect a noticeable improvement in insulin resistance?

Health consequences of antidepressants

I was put on antidepressants (Sertraline) for postpartum depression 10 years ago when my first child was born and I have struggled to manage my anxiety without them. My doctors seem to think it’s no big deal to be on them long term but I really question conventional medical approaches overall. Any insights into the long term health consequences of being on antidepressants?

What don’t antidepressants do?

Antidepressants seem to be the go-to to treat anxiety.... but what do they miss in terms of their effectiveness? Why might I still struggle with anxiety / sleep on them? How do I figure out a healthier alternative?

How do I find more effective medical support given our broken healthcare system?

I’m at a loss. Doctors I go to all seem the same: rushed, superficial, robotic. I have tried changing doctors but it’s all the same. The system seems broken but I can’t find an alternative ... I would love to see you for care but I’m not in California. How do we as patients find better?