Peter Attia· MD
I do tend to focus on hyperinsulinemia because I really when I talk to patients about the endocrine system I usually walk them through four of them they say broadly speaking let's look at this through the level of your thyroid system and so again we talk about what's happening between the hypothalamus the pituitary the thyroid and the periphery let's call that one system and I say let's now have the same discussion about the adrenal system again same sort of connection and then let's have a similar discussion about your sex hormones and then the fourth system I talked about is this system of fuel partitioning which of course has to do with how does the energy you consume get stored and how do you access energy and usually they get the first three but then it's that fourth one that's sort of like what do you mean by fuel partitioning and I say well first of all blood can only give us part of the answers here I mean you have to do some other metabolic testing to get the others but I said if we don't have a hard time talking about hypothyroidism and hyperthyroidism so we can simplify this fuel partitioning problem by at least looking at one element of it which is hyperinsulinemia