Wendie Trubow, MD, MBA, IFMCPPresident at Five Journeys, Functional Medicine & Wellness Provider, Best Selling Author, Passionate Champion for Health

The Hidden Factors Behind Metabolic Health @DrNashaInc

8 Jul 2026 · 1 min

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1:15

Dr. Wendie Trubow explains that low blood pressure from over-medication reduces oxygen to tissues and raises cancer risk. Waist-to-hip ratio matters more than weight: visceral fat around organs is metabolically dangerous, while subcutaneous fat is less harmful. True metabolic health depends on stress response, kidney function, and arterial flexibility, not just traditional numbers.

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The other thing that standard of care qualifies as metabolic, like, metrics is just blood pressure. Now, we put a lot of, of emphasis on high blood pressure, but we also ignore low blood pressure, which in my world is just as detrimental, if not more so, because we need to get oxygen moved to those tissues, right? And if you're low oxygen, you have a much higher risk of cancer. So we often overmedicate people into even too low blood pressure. So we swing the pendulum too far. So too high or too low blood pressure is a problem. And it's often much more about your stress response or your kidney health or your arterial flexibility, your endothelial flexibility that's going on versus that it being something wrong with your heart. And so we often blame the heart where it's all these other down or upstream effects. The other one is the hip-to-waist ratio. Do you have like your belly done lapped over your belt? We want our waist smaller than our hips. Kansas girl. Those are what they would say all the time. Because the real issue is that the visceral fat is much more problematic than just that inner tube that you may have around you. But that is often a sign that there's an inner tube of fat around your organs as well.