Why We Need a Coalition for Metabolic Health

We face a mounting health crisis: despite decades of public health campaigns and dedication from medical institutions and government agencies, rates of metabolic disease keep rising, fast. The time has come for a bold, new approach—driven not by entrenched paradigms, but by focusing on real people and real results.

A Failing Status Quo

Recent data from the CDC shows that more than two-thirds of Americans are overweight or obese: 73% of U.S. adults fall into this category, with 40% having obesity.

And type 2 diabetes has followed a parallel escalation. CDC data shows over 38 million Americans—about 1 in 10—have diabetes, and 90–95% of these cases are type 2, amounting to roughly 34–35 million Americans living with type 2 diabetes.  

Those numbers are staggering. 

All this has unfolded despite the pledges of medical associations and government agencies to prevent these very outcomes. Nutrition guidelines have largely favored the same low-fat, high-carbohydrate model for decades, yet Americans’ metabolic health has only worsened.

Clearly, the strategy isn’t working.

Einstein Wasn’t Wrong

As Albert Einstein famously put it, doing the same thing over and over and expecting different results is a form of insanity. Yet that is precisely the situation we find ourselves in—a medical paradigm that has failed to stem the tide of obesity, diabetes, and related illnesses.

This begs the question: why haven’t we paused and asked ourselves if a different approach is needed? Ample evidence and clinical experience point to excess carbohydrate consumption—common in low-fat dietary recommendations— leading to overeating, weight gain, and rising rates of insulin resistance.

As we’ve seen, the answer is: we need something better.

Time for a New Coalition

To truly reverse these alarming trends, we need a new coalition: one that brings together medical and scientific experts outside the current establishment. A coalition willing to expand upon conventional wisdom, focus intently on outcomes, work across disciplines to explore multiple pathways to metabolic health.

Key principles of this coalition include:

• Putting the patient outcome first, free from industry influence or one-size-fits-all prescriptions.
  
• Rebuilding from the goal: improving metabolic health, as measured by insulin sensitivity, blood pressure, triglycerides, HDL, body composition, and other means. These metrics need to take priority over dietary dogma.
  
• Embracing multiple pathways: recognizing that healthy outcomes may be achieved through varied approaches—low-carb, ketogenic, time-restricted feeding, whole-food diets, and more—depending on individual needs.
  
• Measuring success by actionable outcomes, prioritizing fasting insulin, HbA1c, body composition, and other metrics rather than adherence to a specific diet.
  

Why Now—and Why Different Experts?

The unequivocal rise in metabolic disease despite decades of traditional guidance shows that insider consensus alone isn’t enough. We need fresh perspectives—nutrition scientists, behavioral researchers, endocrinologists, public policy experts, and patient advocates—who are willing to rethink assumptions, test new frameworks, and hold rigorously to patient outcomes.

Together we will:

• Support patient-centered research on diverse dietary and lifestyle interventions.
  
• Advocate for policy changes realigning dietary guidelines with effective metabolic outcomes.
  
• Promote education and empowerment, so patients know there’s no single “right” diet, just the one that works best for their body and life.

Looking Ahead: Hope, Not Despair

Yes, the numbers are sobering. Two-thirds of American adults are overweight or obese; tens of millions have type 2 diabetes; hundreds of thousands of children are impacted; and public health strategies have repeatedly fallen short.

But that’s exactly why we need a coalition that’s willing to challenge the status quo and focus on solutions – not old dogma.. The same failing methods won’t get us out of this crisis. Bold, evidence-driven alternatives can.

Together we can—and will—do better. Not by chance, but by choice. Join us!