Orgain Webinar Measuring Improving Metabolic Health Q A
Webinar Q&A by Dr. Tom Rifai (Sept 25, 2023) addressing clinical questions about assessing and managing metabolic health — including fasting insulin/glucose testing and billing, ferritin/iron and insulin resistance, lipid heredity (Lp(a), ApoB), soy & thyroid interactions, remdesivir kidney concerns, and treatment approaches for normal-weight prediabetes (DEXA, resistance training, metformin). Answers are concise clinical opinions, not formal medical advice.
Questions this document answers
Fasting insulin of no more than 5 MIU/L.
Fasting glucose less than 100 mg/dL, and ideally less than 80 mg/dL.
Approximately 8 hours.
Aim for ferritin around 75–150 (ng/mL/µg/L units used interchangeably).
Hyperferritinemia: >200 µg/L in females; >300 µg/L in males (with normal iron saturation).