12/11/2021
If you’re starting to “feel your 40s,” then we have some work to do.
The top 3 conditions on my radar for men in their 40s:
1. Diabetes
2. Adrenal dysfunction
3. Fatty Liver disease
See below for your To-Dos👇
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Diabetes - The average age of onset of Type 2 Diabetes is 45 years old. Keep in mind, this is based on the VERY outdated standard of diabetes diagnosis (HbA1c and fasting blood sugar). This tells me diabetes doesn’t occur in your 40s, it just get’s diagnosed then.
To do: Test FASTING INSULIN. This is the most sensitive marker for predicting diabetes.
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HPA Axis Dysfunction - Formerly known as “Adrenal Fatigue,” HPA Axis Dysfunction is not a formal diagnosis but a functional presentation of men who are overworked, under-slept, and Mal-nourished. Men in their 40s are now starting to feel the perils of the stressors of their 20s and 30s, but their lack of sleep, exercise, meditation have made it hard to handle the stress. End result - Chronic fatigue, high cortisol, weight gain, hormonal imbalance.
To do: Get a DUTCH test and see a physician who can help identify and manage these symptoms. Serum cortisol levels do not count.
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Fatty Liver and Liver Disease - Your 40s is when your liver starts yelling back at you. Fatty liver disease is usually caused by high fructose (fruit juice, soda, sports drinks), alcohol, processed foods, some medications and some viruses. Most men think their liver will just regenerate on it’s own, and yes while the liver is very resistant DO NOT PUSH the limits. Fatty liver is reversible but Cirrhosis is not.
To do: Monitor ALT, AST, and GGT. Most labs say anything less than 40 U/L is “normal,” but if you look at ALT and AST levels from 50 years ago,