@ucheonyex: Your triglyceride to HDL ratio is one of the most underused numbers in your labs. Take your triglycerides. Divide by your HDL. Above 2.0 is a sign that insulin has been elevated long enough to affect how your liver manages fat. Insulin drives triglycerides up. It drives HDL down. Same root. Two outputs. There are other reasons this ratio climbs – thyroid dysfunction, diet, genetics, and certain medications among them. This is not a diagnosis. It is a conversation starter with your doctor. If insulin resistance is part of the picture, muscle is where the work begins. More muscle means less insulin needed. Less insulin means both numbers move in the right direction. #healthcoach