“I don’t get it,” she’d say. “I’m doing everything right.” A consult with whom I met was making these common remarks. Add to them a list which we all know well: I’m active, eating healthy, exercising, etc. Whenever I ask for precision, “what’s your thyroid free T3 levels?”, people will shrug. What’s your estrogen balance lab reading? What’s your vitamin D level EXACTLY? What’s your macro intake? What’s your verified personal zones and the time you spend in each? These questions are finite and precise. They have precise answers. With precision, we can predict exactly what will happen with composition. Without them... nobody knows. “I feel I eat a good amount of protein,” sounds like a reasonable sentiment; except, when you’re troubleshooting, you must leave no stone unturned. You must consider every possible variable, and with PRECISION. A lab value isn’t “good” or “healthy” or “normal”. Those aren’t scientific terms. If you want to understand what the heck is going on when things don’t seem to make sense, then sweeping imprecise terms aren’t going to help. The very items which someone is loathe to analyze are likely among the top offenders producing the stagnancy you lament. If you’re unwilling to explore the precision, then don’t cast the blame anywhere but in the unwillingness to be precise. Part of the aversion I understand. No one wants to count every piece of food. And you don’t have to. Really. During troubleshooting, it is A way to discover. Others are to pull real blood work. If you neglect to, then don’t fall back into the calorie myths and other malarkey which has been incapable of helping you before. Test. Quantify. Be precise. Or... we don’t know.
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