Paul Saladino· MD
in the podcast I did with Dom D'Agostino he talked about glucose metabolism in some people predisposing to higher levels of oxidative stress through superoxide dismutase in the mitochondrial electron transport chain and higher production of hydrogen peroxide that isn't actually able to be transformed into or higher production of excuse me the peroxide radical or the hydroxyl radical that can't be transformed into the other intermediates and so it is also clear that inflammation in the body whether it's responding to an infection or an oxidative stress can trigger insulin resistance as I talked about with Dave and Siobhan that's probably an evolutionary mechanism by which we shown tree sources yeah and we trigger the immune system to be more active and I think it's getting activated you know inappropriately today because we're exposed to more oxidative stress it's not an inflammatory issue per se in the sense that it's not an infectious issue yeah but the body has a system in place whereby it responds to infectious issues with inflammation and insulin resistance yeah okay that is awesome I think hopefully that'll be a good discussion I don't think we can ever talk about insulin resistance too much so and but one thing that that really bothers me and in the insulin resistance space is that so like Tim Noakes has recently gone a lot of like good publicity because he's been he's been writing blogs for the CrossFit website talking about like why a cardiovascular diseases the insulin resistance and like yes that's true but what is it that causes in services like you don't just get you know aegis it's not contagious you don't just get it spontaneously so yes insulin resistance may be the causative or like the the thing that that binds all these problems together but what is it that causes insulin resistance and it's that this eeveelution mismatch the the lack of these factors that you know in terms of good nutrition sleep movement maybe even social connection which act you know if you're socially isolated that inadvertently or inappropriately activates the immune system so all of this stuff is why against the resistance so when people talk about while I'm instant resistant therefore I reduce my carbohydrate intake yes you can't do that but it doesn't really make any sense to me because I'm fixed what caused the insulin resistance in the first place it wasn't just eating too many carbohydrates like because there are plenty of there are plenty of populations around the world who do all the things that