Podcast › #62

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#62 ・ 2026-01-22 ・ 61 min ・ Interview

Can't lose weight? Obesity, metabolism and insulin resistance (with Dr. Sisi)

總是瘦不下來?解析肥胖、代謝與胰島素阻抗的真相|ft. 思思醫師

Body

About this episode

Do you have this problem too: you don't eat much and you exercise, yet your weight is stuck and you just can't lose it? Many people think it's a lack of self-discipline or willpower, but the real problem is often that your metabolism is out of balance.

In this episode, my guest is Dr. Lee Szu-Hsien (Dr. Sisi), who draws on his clinical experience as a family doctor to help us rethink: • Why "not losing weight" doesn't necessarily mean eating too much • The links between obesity, blood sugar and insulin resistance • What "thin outside, fat inside" (TOFI) is, and its health risks • How insulin resistance affects weight, metabolism and chronic disease • Practical diet and lifestyle principles ordinary people can apply day to day

Finally, Dr. Sisi talks frankly about one key reality: insulin resistance is "reversible in most cases," but once you cross that metabolic red line, your body may never go back.

If you: • can't lose weight however hard you try • eat less and move more, yet feel more and more tired • want to prevent diabetes and chronic disease, not deal with them after you're ill then this episode could be a turning point in how you understand health.

The episode is in Mandarin Chinese. These notes are translated from my original show notes.