The modern world has some strange and deadly incentive structures.
FANG pays million dollar salaries to hire people whose MAIN JOB is to hack your attention. To make you spend more time on their apps wasting time. To sell you more products.
Finance pays million dollar salaries to people to make more money using money.
Similarly, Big Food has spent DECADES paying scientists to perfect snacks that maximally impact addiction in the human body. The foods you buy today have been A/B tested to provide the biggest insulin spikes, to build cravings, to not satisfy you, to block leptin, etc.
This is UNBELIEVABLE. Seriously.
Don’t get TRICKED by Big Food. Don’t get sucked in by restaurants. Don’t let them win.
Your body is IMPORTANT. Protect it from these VULTURES.
Lose the first 25–30 lb through food control. This is probably the biggest multi-system lever: weight, insulin resistance/A1c, BP, triglycerides, and liver.
Strength 2–3×/week + moderate cardio/walking. Strength for muscle/body composition; cardio because your triglycerides and metabolic markers clearly respond to it.
Fix the iron deficiency
Make sleep/recovery a real intervention. Better sleep should help appetite control, glucose regulation, BP, recovery, and your ability to execute everything else.
Weight: diet structure >>> cardio A1c/insulin: adiposity + food quality + activity, currently obscured by iron deficiency Triglycerides: very responsive to activity/diet LDL/ApoB: persistent baseline tendency + meaningful diet/activity modulation Iron: vulnerable when intake falls / endurance rises Liver: surprisingly responsive even without major weight loss
Number 1 – the body does move. The markers will move if given the right impulses. My body is not broken in any deep way. It definitely responds under the hood to the right pressures.
I think the biggest question has been to craft the RIGHT pressure for MY body.
1. Your weight seems much more diet-responsive than exercise-responsive food structure → large weight effect cardio → surprisingly modest weight effect
In your own data, fasting did not compensate for diet quality.
2. Your triglycerides are probably your fastest lifestyle-response biomarker
Look at this sequence:
Your TG appear very responsive to the overall combination of activity, carbohydrate quality, alcohol/food intake and metabolic fitness.
The 2024 marathon period gave you a TG/HDL ratio as low as 1.0. That’s a huge contrast with 3.8 in the bad-diet/IF period.
3. LDL behaves differently—and this is important
Your LDL history is remarkably persistent:
You spent years changing weight, keto, fasting, exercise and diet, and LDL frequently lived around
That suggests there is probably a fairly strong baseline component to your LDL phenotype that lifestyle modifies rather than completely determines. I wouldn’t call that proven genetic hypercholesterolemia from these numbers alone, but it’s unlikely that LDL is simply a reflection of whether you exercised last month.
So I would treat LDL/ApoB as its own project, rather than assuming weight loss or A1c improvement automatically fixes it.
4. Your glucose story is subtler than “you’re getting more diabetic”
fasting glucose has generally been pretty unimpressive
But there’s now a giant confounder: iron deficiency.
5. The iron timeline is probably the most clinically important experiment
6. Your liver may actually be the most encouraging result
Your current AST ALT are excellent liver-enzyme values.
Thing to do
Why / what your history suggests
Subsystems likely affected
Maintain a consistent calorie deficit
Diet has moved your weight much more than large increases in cardio. Weight loss should also improve several downstream markers.
Weight, A1c/insulin, BP, liver
Moderately low-carb diet
You seem to do well metabolically with carbohydrate restriction, but there’s no obvious need for extreme keto. Helps appetite control and triglycerides.
Weight, A1c/insulin, triglycerides
High protein (~170–200 g/day)
Improves satiety and helps preserve muscle during substantial weight loss.
Weight, muscle/body composition, glucose
Strength train 2–3×/week
Preserves/increases lean mass while dieting and improves glucose disposal without requiring huge exercise volume.
Weight/body composition, A1c/insulin, longevity
Moderate cardio 2–3×/week
Your 2024 high-cardio period produced your best TG/HDL phenotype. Cardio seems metabolically valuable even when it doesn’t reduce your weight.