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Dr. Bronce Rice's avatar

Yes, I can hike or run outside for the same amount of time producing very different results. And I ask myself and the people who come to see me, does your exercise give back to you in terms of how you want to feel or does it more so cut down on the level of stress and anxiety you are already carrying?

Same exact motion/behavior - but very different results and Tom you hit upon much of what makes the difference between what we experience during and after the exercise.

And I get worried for the individuals who look at me and say, who has time to exercise.

Tom Kane's avatar

Bronce, that question - "does it give back or just cut down the debt?" - is the perfect diagnostic.

If exercise is purely a transaction to burn off the stress chemicals from the day, it is effectively just maintenance on a leaking pipe. It keeps the house from flooding, but it doesn't upgrade the plumbing. But when exercise is generative, when it actually builds capacity and resilience for tomorrow, that is when it shifts from a chore to a strategy.

Tom Kane's avatar

This marks the end of Month 1: The Diagnostics Phase.

We have stripped away the myths of Glucose, A1c, Weight, and now Exercise.

If you take one thing from today's post, let it be the 'Intervention Hierarchy.' Don't skip steps. You can't build the roof (HIIT) before you pour the foundation (Sleep)

Tom Kane's avatar

The Liver Problem:

Exercise is great for muscles. But Hepatic (Liver) Insulin Resistance is stubborn.

It doesn't care how fast you run. It cares about Energy Balance, Sleep Architecture, and Cortisol.

You cannot squat your way out of a fatty liver.

Tom Kane's avatar

I see this constantly on the squash court. Guys who can play 5 sets at high intensity, but they carry a hard, distended belly (visceral fat).

They think they are healthy because they are winning games.

But their triglycerides are 250 and their liver enzymes are elevated.

Performance is not a blood test. Don't confuse the two.