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Writer's pictureValerie Sutherland, MD

What Came First: The Excess Insulin or Adipose?

For most, the fist step in losing weight is lowering insulin levels. The crucial first step in effective weight management is to accept, internalize, and admit that body weight is not as simple as “calories in, calories out.” One of the reasons that this is true is because of hormones. (It’s always comes down to the hormones, right?!) Insulin is the main anabolic (causes growth) hormone in the body. There is a big debate out there in the world of Obesity Medicine physicians: When it comes to obesity, metabolic syndrome and Type 2 Diabetes, which comes first: the excess insulin or the excess fat? While the answer may be nebulous, understanding insulin is crucial to understanding energy regulation, and, therefore, energy regulation. So, let’s study up!

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