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Episode Description:

Today\u2019s episode of The Drive is a rebroadcast of the conversation with\xa0Sarah\xa0Hallberg\xa0(released on May 17th, 2021). It's with great sadness that we report that\xa0Sarah\xa0recently lost her battle with lung cancer, and as such we've decided to republish her episode to honor her amazing work in challenging the status quo in the treatment of metabolic disease.

Sarah\xa0Hallberg\xa0was the Medical Director at Virta Health and a physician who spent nearly two decades treating patients with obesity and type 2 diabetes. In the first half of this episode,\xa0Sarah\xa0discusses how she became a huge believer in the efficacy of carbohydrate restriction for the treatment of type 2 diabetes through her research and clinical experience.\xa0Sarah\xa0challenges the common beliefs about the role of dietary fat and carbohydrate on the plasma makeup of fatty acids and triglycerides. She also expresses the importance of understanding early predictors of metabolic illness\u2014highlighting one particular fatty acid as the most important early predictor\u2014before finishing with a discussion about how doctors might be able to personalize patients\u2019 metabolic management in the future. In the second half of this episode,\xa0Sarah\xa0tells the personal story of her own lung cancer diagnosis. She talks about dealing with her grief, deciding to continue her work while prioritizing her family, and how she devised a plan to extend her survival as long as possible.\xa0

We discuss:

• How\xa0Sarah\xa0discovered the profound impact of carbohydrate restriction for reversing obesity and type 2 diabetes [2:00];
• Prediabetes and metabolic syndrome: prevalence, early signs, and the importance of treating early [14:45];
• Overview of fatty acids, how they are metabolized, and understanding what you see in a standard blood panel [28:00];
• The relationship between diet composition and metabolic markers [34:00];
• Why palmitoleic acid is such an important biomarker [47:00];
• The best early indicators of metabolic disease [58:45];
• Personalized management of metabolic illness [1:05:45];
• Sarah\u2019s cancer diagnosis and the beginning of her journey [1:14:00];
• The emotional impact of a devastating diagnosis [1:26:00];
• Sarah\u2019s plan to extend survival [1:35:30];
• Sarah\u2019s aggressive treatment plan [1:46:15];
• Life-threatening complications and the return of her cancer [1:57:45];
• Sarah\u2019s reflections on her approach to life with chronic cancer and balancing her time [2:09:45]; and
• More.

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