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We'll uncover the science behind this metabolic condition and discuss how it can lead to continued obesity and inflammation. We'll also challenge the traditional diet culture narrative, examining why it often leads to a cycle of yo-yo dieting. We'll explore the role of hormones, particularly GLP-1, in regulating appetite and blood sugar levels, and how GLP-1 therapies can be a valuable tool in managing insulin resistance. We chat about menopause and perimenopause and the evolution of hormone replacement therapy. We also explore the limitations of BMI, and introduce the Body Roundness Index as a more accurate measure of body composition. 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