So I know a lot of people watching this right now from my channel who use anabolics are freaking out because they hear you say low HDL and high LDL equals like metabolic dysfunction in general.

And they're like, oh my God, like I'm fucked.

And in general, like it seems like what we see in, uh, anabolic steroid users is they have like the androgen exposure

causes an increase in what was this?

I think it was, but there's the hepatic triglyceride lipase and they end up with very low

HDL levels.

Like it's very rare to see somebody even on exogenous TRT that has a HDL over 50.

So these individuals who can have heightened LDL and low HDLs concurrently,

presumably these other biomarkers become the more accurate way, accurate way to assess like metabolic health and

overall propensity to plaque build up, presumably.

Because it's like, it's like HDL, like, it's weird because HDL, I understand the importance

it has at like a mechanism role, but at the same time, even when you use things

that increase HDL, like niacin and this and that, and you have like certain medications that

they see like no difference in mortality or cardiovascular disease. So it seems like the main kind

of like foundational thing you need to concern yourself with is the metabolic

flexibility at the end of the day as opposed to the transient like on paper lipid parameters.

I would agree with that.

I would be careful with the verbiage and say metabolic health rather than metabolic flexibility.

I think you're talking about different different things there because when somebody's

metabolically flexible,

I think of the ability to burn fat.

Get in that out of Keno or something?

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