The Metabolic Letter
Dr Bilal IftikharGlucose, weight, lipids, and GLP-1s — explained by a physician, twice a week, free.
| Platform |  | Pricing | Only free issues | Publishes | Daily |
|---|---|---|---|---|---|
| Issues | 16 | Founded | 2 months ago | Last Issue | 6 days ago |
| Active | |||||
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drbilaliftikhar.substack.comLatest Issues
Carbohydrates have been on trial for years. The charge is too vague.
By Bilal · The Metabolic Letter
Rice, lentils, orange juice, potatoes, cake and an apple all end up in the same online argument. Someone calls them all “carbs”, and that’s supposed to settle it.
Carbohydrate is a real category. The conclu...
Tomorrow’s food decisions may begin tonight.
By Bilal · The Metabolic Letter
The alarm goes off. Your bag isn’t packed, you haven’t decided on breakfast, and some unfinished job is already sitting on your phone. By the time you get out of the door, the day feels behind.
It’s easy to...
Fatty liver can be quiet. That does not make a cleanse the answer.
By Bilal · The Metabolic Letter
The words ‘fatty liver’ often turn up almost in passing. They’re on a scan report, or mentioned near the end of an appointment, and then they follow you home with very little explanation.
Then the ads start...
The blood test you trust is an average. Here is what it leaves out.
By Bilal · The Metabolic Letter
Your A1c result shows up in an app with one number highlighted. You google it. One camp says the test tells you everything. Another says you can’t trust it at all.
A1c is a good test. It has a specific job,...
The GLP-1 Visit Question Checklist
From The Metabolic Letter, Dr Bilal Iftikhar, MBBS
This is general education, not medical advice. It doesn’t tell you whether to start, stop or change any medicine, or what dose to take. Use it to have a better conversation with the clinic...
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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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