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I spent more than a decade caring for patients in the hospital. Many arrived with what looked like a sudden health crisis: a heart problem, uncontrolled blood sugar, severe fatigue, a fall, or a condition that had finally become impossible to ignore. But the crisis was often only the moment the problem became visible. The biology behind it had usually been changing for years. That experience changed how I think about prevention. Good preventive care is not about ordering ev

Most people with insulin resistance have no idea. Their glucose is normal. Their A1C is fine. But silently, their metabolism is failing — and standard medicine keeps missing it. Dr. Milien explains what to look for and what to do about it.