
The Jesse Chappus Show 690: 9 Out of 10 Americans Are Metabolically Unhealthy — Here's How to Fix It | Dr. Andrew Koutnik
Feb 3, 2026
Dr. Andrew Koutnik, an award-winning metabolic researcher and ketogenic-diet expert, explains why most adults are metabolically unhealthy. He covers how obesity and insulin dysregulation develop, who may benefit from low-carb or keto approaches, practical early warning signs to watch, and realistic steps—diet, movement, sleep—to improve metabolic resilience.
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Metabolic Unhealth Is The Norm
- Nine out of ten American adults show metabolic dysfunction across common biomarkers.
- This makes the healthy person the exception, not the rule, in modern society.
Fat Storage Drives Hidden Metabolic Damage
- Weight gain stores excess energy primarily as fat, which can expand without clear upper limits.
- Excess adipose tissue triggers rising insulin, inflammation, and progressive metabolic dysfunction under the surface.
Fat Cells Remember And Drive Rebound Hunger
- Fat cells both grow (hypertrophy) and can increase in number (hyperplasia), influencing long-term body weight regulation.
- Shrinking many fat cells triggers hormones that increase hunger and drive weight regain.

