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Steve Provonsha MD MPH
 
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We have the machinery within us to be insulin resistant – In fact, it’s extensive and fundamental to our physiology: ,[object Object]
We have the machinery within us to be insulin resistant – In fact, it’s extensive and fundamental to our physiology: ,[object Object],[object Object]
We have the machinery within us to be insulin resistant – In fact, it’s extensive and fundamental to our physiology: ,[object Object],[object Object],[object Object]
We have the machinery within us to be insulin resistant – In fact, it’s extensive and fundamental to our physiology: ,[object Object],[object Object],[object Object],[object Object]
We have the machinery within us to be insulin resistant – In fact, it’s extensive and fundamental to our physiology: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Rule ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Lactation ,[object Object]
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The Reason for Insulin Resistance ,[object Object],  Resistance Calories Lean Body Mass The Bloodstream Trauma Growth plates Nursing newborn Fetus Elevated Peripheral Insulin level
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[object Object],[object Object],[object Object],[object Object],[object Object],Any disease condition that inappropriately activates insulin resistance when it is not needed, always has weight gain as one of its symptoms.
Because of resistance, the calories we can’t assimilate, must be disposed of as body fat.  Fat cells are the most sensitive cells to insulin.  It has to be this way, our bodies have no choice.   Resistance Calories Lean Body Mass The Bloodstream   Body Fat This is abundantly clear in Cushing’s disease where the cortisol effect is strong enough to cause lean body mass changes like osteoporosis and loss of muscle mass (Cushing’s patients are notoriously weak – cannot do protein synthesis). Yet the cortisol levels are not so much high, as they are elevated to night time (diurnal) levels during the day  when the subject eats .
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pg/ml Glucagon response Richard Gray, Peter Butler, Thomas Beers, Journal of Clinical Endocrinology and Metabolism 81:1508-1511, 1996
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IGF-1 IGF-1  BP IGF-1 IGF-1  BP Must use protein as fuel.  Less for growth. Uses carbs as fuel – more protein for getting bigger. Insulin Insulin
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Insulin Insulin Insulin EAA’s EAA’s Unrefined Carbs Refined Carbs Amino acids still activate insulin
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Petersen et al. Pain Stops Exercise Liver Inflammatory Chemistry Lactic Acid Provides Fuel For Sugar Injury Provides Fuel For Shuts Down
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A Significant Place / A Pivotal Amino Acid 64 base pair combinations for 21 amino acids - duplication Ala A GCU, GCC, GCA, GCG Leu L UUA, UUG, CUU, CUC, CUA, CUG Arg R CGU, CGC, CGA, CGG, AGA, AGG Lys K  AAA, AAG Asn N AAU, AAC Met M AUG (start) Asp D GAU, GAC Phe F UUU, UUC Cys C UGU, UGC Pro P CCU, CCC, CCA, CCG Gln Q CAA, CAG Ser S UCU, UCC, UCA, UCG, AGU, AGC Glu E GAA, GAG Thr T ACU, ACC, ACA, ACG Gly G GGU, GGC, GGA, GGG Trp W UGG His H CAU, CAC Tyr Y UAU, UAC Ile I AUU, AUC, AUA Val V GUU, GUC, GUA, GUG Start AUG for Methionine Stop UAG, UGA, UAA
Essential Amino Acids
Essential Amino Acids
Essential Amino Acids
Essential Amino Acids
Nonfat Milk Human Milk Wheat Soybeans Brazil Nuts Cheddar cheese Almonds Pistachios Pinto Black Salmon Pork Turkey Chicken Beef Egg Cashews Garbanzos Broccoli Tomato Zucchini Whole  Milk Don’t forget Methionine and its relationship to Homocysteine
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Insulin resistance and pcos

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  • 21. Because of resistance, the calories we can’t assimilate, must be disposed of as body fat. Fat cells are the most sensitive cells to insulin. It has to be this way, our bodies have no choice. Resistance Calories Lean Body Mass The Bloodstream Body Fat This is abundantly clear in Cushing’s disease where the cortisol effect is strong enough to cause lean body mass changes like osteoporosis and loss of muscle mass (Cushing’s patients are notoriously weak – cannot do protein synthesis). Yet the cortisol levels are not so much high, as they are elevated to night time (diurnal) levels during the day when the subject eats .
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  • 34. pg/ml Glucagon response Richard Gray, Peter Butler, Thomas Beers, Journal of Clinical Endocrinology and Metabolism 81:1508-1511, 1996
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  • 36. IGF-1 IGF-1 BP IGF-1 IGF-1 BP Must use protein as fuel. Less for growth. Uses carbs as fuel – more protein for getting bigger. Insulin Insulin
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  • 38. Insulin Insulin Insulin EAA’s EAA’s Unrefined Carbs Refined Carbs Amino acids still activate insulin
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  • 45. Petersen et al. Pain Stops Exercise Liver Inflammatory Chemistry Lactic Acid Provides Fuel For Sugar Injury Provides Fuel For Shuts Down
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  • 54. A Significant Place / A Pivotal Amino Acid 64 base pair combinations for 21 amino acids - duplication Ala A GCU, GCC, GCA, GCG Leu L UUA, UUG, CUU, CUC, CUA, CUG Arg R CGU, CGC, CGA, CGG, AGA, AGG Lys K AAA, AAG Asn N AAU, AAC Met M AUG (start) Asp D GAU, GAC Phe F UUU, UUC Cys C UGU, UGC Pro P CCU, CCC, CCA, CCG Gln Q CAA, CAG Ser S UCU, UCC, UCA, UCG, AGU, AGC Glu E GAA, GAG Thr T ACU, ACC, ACA, ACG Gly G GGU, GGC, GGA, GGG Trp W UGG His H CAU, CAC Tyr Y UAU, UAC Ile I AUU, AUC, AUA Val V GUU, GUC, GUA, GUG Start AUG for Methionine Stop UAG, UGA, UAA
  • 59. Nonfat Milk Human Milk Wheat Soybeans Brazil Nuts Cheddar cheese Almonds Pistachios Pinto Black Salmon Pork Turkey Chicken Beef Egg Cashews Garbanzos Broccoli Tomato Zucchini Whole Milk Don’t forget Methionine and its relationship to Homocysteine
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Editor's Notes

  1. Give a brief overview of the presentation. Describe the major focus of the presentation and why it is important. Introduce each of the major topics. To provide a road map for the audience, you can repeat this Overview slide throughout the presentation, highlighting the particular topic you will discuss next.
  2. This is another option for an Overview slides using transitions.