The Unscripted PharmacistBookLabInsulin

Insulin resistance is the main channel.
How many specialties does it feed?

The book

Against the Current

A pharmacist's guide to reversing what medicine calls permanent. Every condition on this map shows up in the book. The book’s references are printed in the back. The studies on each card are the research behind the map.

Kyle Rootsaert, PharmD, BC-ADM

Get the book

Paperback, Kindle and audiobook

Insulin is the current under all ten. Nothing you can buy measures it yet. Until there is an insulin sensor, insulin stays in the shadow, and your glucose is the closest picture you have. Watch your glucose response with a CGM. The Lab shows you how. The book explains why.

Every link here is an association, not proof. Each one carries its sources and the case against it.

Pick a condition

Check your own numbers

How many of the five do you have?

Metabolic syndrome is a published checklist of five. Three or more qualifies. Enter your numbers and count them. No score. No diagnosis. Taking a medicine for one of these? That one counts.

The published criteria set waist and HDL differently for men and women. Everything else is the same number.

Tape at the top of your hip bonesCounts at 35 inches or more
On your lipid panelCounts at 150 mg/dL or more
On your lipid panelCounts below 50 mg/dL
Any cuff, home or pharmacyCounts at 130 over 85 or more, either number
/
Glucose on your metabolic panelCounts at 100 mg/dL or more

Enter a number to start.

What to do about itThe book walks through each of the five, and what moves them.

The Unscripted Lab: the free CGM lab that goes with the book.Want to watch your own numbers move? Use a CGM or a ketone meter.Read the Lab safety rules first if you have type 1 diabetes, take insulin or a sulfonylurea, are pregnant or breastfeeding, or have any history of disordered eating.

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Criteria: Alberti KGMM, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome. Circulation. 2009;120(16):1640 to 5. PMID 19805654. Source. The waist figures are the set used in the United States. That consensus left waist to national and regional numbers rather than setting one for the world.