Even the last factor, family history at 9%, is related to insulin resistance.
Yet many people report that when they ask their doctor for a fasting insulin level, the reply is "I wouldn't even know what to do with that."
Instead, doctors are obsessed with LDL cholesterol and prescribing statins.
Is it an exaggeration to say that mainstream medicine does not know what causes heart attacks?
You keep insulin resistance low (high insulin sensitivity) by having good body composition, i.e. a relatively low amount of body fat and high muscle mass.
You get this by eating real whole foods, not Big Food garbage.
And doing strength training.
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The risk of mortality, MI, and stroke was high at low HDL-C levels in the Korean population, but extremely high HDL-C levels were not associated with an increased risk of mortality, MI, and stroke.