There are distinct phenotypes of adiposity: one driven by pure excess energy intake where the body does not self-correct intake, and another, the hyperinsulinemic phenotype, which responds well to carbohydrate restriction and intermittent fasting.

“the second phenotype these are the people that really respond well to carbohydrate restriction they are generally the hyperinsulinemic phenotype so you take someone who has adiposity coupled with hyperinsulinemia even though by the way I think a follow-up study by Christopher Gardner did not find this though his first study date is East that he did find this I could offer reasons or critiques of why I think the follow-up study did not find this clinically I still see it hyperinsulinemic people respond very well to true intermittent fasting which is real periods of fasting and carbohydrate restriction they respond really well”