Rich Collins
32.3K posts



People keep saying "just cut sugar" without understanding what 350g per day is actually doing to the tissue of your face. When you eat that much sugar, your pancreas is releasing massive amounts of insulin all day long. That insulin signals your kidneys to reabsorb sodium. And sodium holds water. So your face is carrying this layer of subcutaneous fluid that blurs your jawline, puffs your cheeks, swells the tissue around your eyes. You stop the sugar, the insulin drops, the sodium flushes, and within 3 to 5 days the water comes off your face. That alone changes how you look dramatically. But there's a second thing happening that takes longer. Sugar molecules are literally bonding to the collagen and elastin in your skin through a process called glycation. These bonded structures, called AGEs, crosslink your collagen fibers so they become stiff and can't repair. Your skin loses its ability to snap back. Four months of controlled blood sugar reduces glycated collagen by 25%. And then the Mediterranean piece. People hear "Mediterranean" and think olive oil and wine. What actually matters is the systemic inflammation drop. You go from a high-glycemic processed diet to whole foods, omega-3s from fish, walking 8,000 steps because that's just how you get around, sleeping better because your blood sugar isn't crashing at 2am. Every one of those independently lowers your inflammatory markers. TNF-alpha, IL-6, C-reactive protein. All of them come down. And your face is one of the most vascularized, inflammation-sensitive surfaces on your body. So you're looking at this photo thinking one thing changed. Three completely separate biological systems all reversed at the same time, on the same square inches of skin.

@ethanjweiss @StephenORahilly wrt fasting insulin, what actionable steps do you take based on the result If it's high: "You need to lose weight NOW" if it's low: "you can keep living like crap for a few years" ← you'd never say that & you probably already know who needs to lose weight w/o fasting insulin


Clavicular reveals how he can eat McDonald’s and still stay lean “It’s just about the total macros. If you’re in a caloric deficit, it doesn’t matter what you eat. They’ve done studies where people only eat Rice Krispies Treats or Twinkies and lose weight the same as eating beef. 2,000 calories in Twinkies or 2,000 calories in sweet potatoes is going to be the same for weight loss”








New CCTA plaque analysis with @Heartflow 4 Years Carnivore ApoB => 1.7x Total Plaque => 0.4x ApoB (mg/dL): 96 => 160 Total Plaque (mm3): 141 => 60



After all that ridiculous accusations of me farming or baiting, I’m too scared to ask you anything anymore. But I’m going to ask anyway, because I don’t give a shit and I know what I do and don’t do on X. What’s your favourite dungeon crawler? Maybe I’ll stumble across another gem I’d never heard of?




This made my mouth water just as much as any steak ever has. It’s a pound of ground beef, sautéed onions, 3 eggs, 3 slices Sargento American cheese and bacon crumbles.





