Slim ≠ Healthy

Hey gang,

Just a short drive-by while I am working on the next exciting installment of my WTF is wrong with me? Series”With any luck that’ll  be ready tomorrow.

I couldn’t wait to share this little bit of insight though.  It’s something that has always secretly irked me because I couldn’t fully get behind it.  I wanted to, and I kinda knew it to be true, but there was always this annoying little voice in the back of my head whispering, “Really?  Is that really true or is that something we make up to make us feel better about ourselves when we are chunkier than we would like to be?”

And then yesterday happened and I had evidence that made it clear.  I do like a bit of evidence.  And by evidence I mean real, live, actual stuff.


3 months ago my blood looked like this:

Hemoglobin A1c: 5.8 %  *** this is pre-diabetic ***

Cholesterol LDL: 208 mg/dL

Cholesterol: 290 mg/dL

Cholesterol/HDL Ratio: 5.47

Cholesterol HDL: 53 mg/dL

Triglyceride: 146 mg/dL


Now my blood looks like this:

Hemoglobin A1c: 4.6 %  ***this is lower end of normal***

Cholesterol LDL: 181 mg/dL

Cholesterol: 249 mg/dL

Cholesterol/HDL Ratio: 4.37

Cholesterol HDL: 57 mg/dL

Triglyceride: 57 mg/dL

Notes from my Doc:  “A1c (three-month glucose average) looks MUCH better! Was 5.8% which is ‘Pre-diabetic’, now 4.6 which is EXCELLENT!! Lipid panel looks much better! Cholesterol/HDL ratio lower (average is 4.5, lower is better and yours is 4.37).  Triglyceride/HDL ratio is ***EXCELLENT*** at exactly 1.0 — this is phenomenal!!!!”


Now, regardless of what I did that caused such a dramatic positive change – the point of this little postette was to say – there was no visible change in my body composition after the 3 months.  My weight was EXACTLY to the pound the same on both days that I had blood drawn.

I am no fatter and no slimmer than when the first draw was taken but my health markers are significantly better now.

And that’s how it’s true that slim ≠ healthy.



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  • DavidFW1960 - You should read Malcolm Kendricks’ excellent book ‘Doctoring Data’ – in it he cites studies that prove that the people who live longest are actually overweight (not obese but classed as overweight and you’d never know it from the title of the paper)ReplyCancel

  • Dr Mike Keen - People from the Indian subcontinent are notoriously slim on the outside but ‘fat’ on the inside. They carry pathological amounts of visceral fat and suffer much higher rates of Coronary Heart Disease and T2DM than similar white populations!!ReplyCancel

  • Helen - Congrats on the blood results – that’s amazing. I am with you completely on this. I have MS, and so health to me means being as symptom free as I can get. Body composition isn’t a factor for me.

    Keep up the good work!ReplyCancel

  • Susan - Impressive! I can’t wait to hear the rest of the story.ReplyCancel

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