Between a Carbohydrate and a Fat Place

For the vast majority of human history, survival has been a desperate effort with a mixture of luck and lot of vigor. Energy sources have been scarce, and consequently, traits that optimized energy storage and conservation have gained prominence. In response to this history, we have utilized technology to create an environment where energy sources… Continue reading Between a Carbohydrate and a Fat Place

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Over-Pharmaceuticalized

I recently read an interesting book titled, Overdiagnosed: Making People Sick in Pursuit of Health. In the book, Dr. Welch talks about the dangers of over-diagnosis and how it is “biggest problem posed by modern medicine.” Over-diagnosis is defined as the diagnoses that will never cause symptoms or death and generally occurs because doctors seek… Continue reading Over-Pharmaceuticalized

Fat Outside, Fit Inside

In a recent study in JAMA, nearly 75% of men and 65% of women between the ages of 25-54 were classified as overweight (BMI>25) or obese (BMI>30). These numbers have dramatically increased in the last 40 years. In response to this rising epidemic, a multibillion dollar weight loss industry ranging from diet companies and supplement… Continue reading Fat Outside, Fit Inside

Metabolic Ghetto

The staggering increase in the prevalence and incidence of metabolic syndrome and its various components is especially alarming amongst minority populations worldwide and within the United States. For example, the prevalence of Type 2 diabetes has doubled in India in the last 30 years, obesity rates have increased 3 fold or more since 1980 in… Continue reading Metabolic Ghetto

Know thy (evolutionary) history

Human evolutionary history has unfolded over millions of years and has transformed us from one generation to the next to its current state. In fact, the process of evolution continues to occur today and humans will be different in many aspects generations from now. If you look at human beings through the lens of evolution, it… Continue reading Know thy (evolutionary) history

My Journey with Metabolic Syndrome

In January 2013, I had blood work drawn and to my shock and dismay I was diagnosed with metabolic syndrome. My fasting blood sugar was elevated and I had atherogenic dyslipidemia. In hindsight, the results of the lab should not have been a surprise as I not only had a strong family history of metabolic… Continue reading My Journey with Metabolic Syndrome

I eat, therefore I am

            Meta-analyses of health outcomes studies show that medical care affects long-term health outcomes by about 10%, genetics determine about 20%, and the other 70% is a combination of social determinants – environment and behavior. Despite these percentages, the focus of the health care industry and policy makers in the… Continue reading I eat, therefore I am