This is Dr Rader. I am doing research for an upcoming presentation I plan to make at the fall Obesity Medicine Association conference. This post is scientific but I want to share it anyway.

Specifically, I am researching new data and papers on the Triglyceride to HDL ratio (TGY/HDL). HDL is high-density lipoprotein cholesterol (good cholesterol). The medical doctors at IWL – myself, Dr Freshwater, Dr Hafer, Dr Gilman and PA-c Deb Mabbutt have been using the Triglyceride to HDL ratio for over 15 years when initial studies began to show the correlation between this number and metabolic syndrome. Our research and experience shows this to be a valuable tool as a marker for medical therapy and directing the type of nutritional advice needed for each patient. In other words this number could tell us which medicines would be best for a person and did that person need a controlled calorie, controlled fat diet or do they need a controlled calorie, controlled carbohydrate diet.

Recent papers strongly validate the importance of this TGY/HDL ratio including not just directing dietary intervention, but studies now show it as an index of heart disease mortality (1)(2). In the second article the conclusion was Insulin resistance (which Idaho Weight Loss began treating as a distinct and separate disease in 2002) as manifested by a high TGY/HDL ratio was associated with cardiovascular outcomes more than other lipid metrics, including the LDL-C, which had little concordance. Physicians and patients should not overlook the TGY/HDL ratio.

To everyone who has read this far, THIS IS THE ANSWER TO THE QUESTION I WAS OFTEN ASKED DURING MY 14 YEARS AS AN Emergency Room DOCTOR. “My loved one had a normal cholesterol level, how could they have a heart attack or stroke in their age 40’s or 50’s?” This is why I left emergency medicine and went into Obesity medicine. This is why I believe I am practicing the best medicine of my 30 plus year career as a medical doctor. I know my associates feel the same.

We are much more than just weight loss, and at a price you can afford.

1 J Investig Med 2014 Feb;62(2):345-9 TGY/HDL ratio is an index of heart disease mortality and incidence of type 2 diabetes mellitus in men

2 Perm J. 2015 Kall;19(4):4-10. Study of use of Lipid panels as a marker of insulin resistance to determine cardiovascular risk.

Other articles on TGY/HDL and waist circumference as measures of health risk:

Diabetes Metab Syndr. 2016 Mar 28 Magri CJ et. al, Prediction of insulin resistance in type 2 diabetes using routinely available clinical parameters

Endocrinol Nutr. 2016 May 25 Masson W Association between TGY/HDL ratio and carotid atherosclerosis in postmenopausal middle-aged women.

Diabetes Res Clin Pract 2014 Oct;106(1): 136-44 The TGY/HDL ratio and cardiovascular disease risk in obese patients with type 2 DM: an observational study from the Swedish National Diabetes Register