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The Metabolic Letter

Dr Bilal Iftikhar

Glucose, weight, lipids, and GLP-1s — explained by a physician, twice a week, free.

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PricingOnly free issuesPublishesDaily
Issues9Foundeda month agoLast Issue7 days ago
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Latest Issues

The first GLP-1 mistake can happen before the first dose.

By Bilal · The Metabolic Letter

A prescription can arrive with a remarkably simple public story: start treatment, feel less hungry, lose weight.

Real life asks more questions. What happens when eating becomes difficult? Who answers a conc...

7 days ago
1

Your healthy lunch may be the reason you are hunting for food at four.

By Dr Bilal The Metabolic Letter

It is four in the afternoon. Lunch was a salad. A respectable salad: leaves, cucumber, a few tomatoes, perhaps a small amount of chicken. You even skipped the bread.

Now you are opening the cupboard again,...

10 days ago

Retatrutide just hit 20.8% weight loss in people with diabetes. Here’s what I see as a physician.

The full Phase 3 TRIUMPH-2 results are out, and the headline is obvious: 20.8% average weight loss with the highest dose of retatrutide.

That is a major result. But if all we talk about is the 20.8%, we are going to miss the more interesti...

13 days ago
4
8

I cannot diagnose insulin resistance across the room. Neither can anyone else.

By Bilal · The Metabolic Letter

Picture two people waiting for a blood test. One is lean. The other has a larger waist. Before either result arrives, a social-media post has already decided which one has insulin resistance.

That is a conf...

14 days ago
1

Start here

Hi. Dr Bilal Iftikhar here.

If you just found The Metabolic Letter, start here — not with the whole archive.

Who this is for

People who want metabolic clarity between clinic visits: glucose and insulin resistance, weight and appetite, li...

21 days ago
2
2

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  • Dr Bilal Iftikhar

    Dr Bilal Iftikhar, MBBS. The metabolic answers your 15-minute appointment never has time for. I write The Metabolic Letter: one real metabolic question, twice a week, free. No hype. No supplement pushing.

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