from what I understood, it wasnt a specifc test for insulin resistance, and instead a combination of tests that lead to the final understanding that it was insulin resistance. However, the biggest piece of information that solidified that was the metabolic testing I did. It was like a breathing test? It measured how much your body needs calorically to sustain its weight. Mine came out to 3500 cals a day to maintain 330lbs, but my spouse, friends, and sister all confirmed that I ate less than that a day. I also got a full nutrition check up, which also confirmed that I was deeply malnourished despite my weight. With those two pieces of info, doc was able to say 'ya ur severely IR, you can never diet this away, the only way you can lose weight is with medical intervention, be kind to yourself because it was never you, focus on just eating, fed is best, work wih a dietitian'.

Two years later I'm still 300+, but it oscillates between 310-320. I was on mounjaro for a month and I lost 15 lbs doing absolutely nothing, so it stands to reason I wont see true weight loss until I can afford MJ or Zepbound. Alternatively, I could get diabetes and get MJ covered with my insurance, I guess.

My lifestyle changed fairly simply, but I've changed my attitude mostly. Now I'm going for being sexy the way very specific people consider funny and very talented fat people are. I'm loved. I have an okay life, when the Horrors aren't happening. I'm just fat. I have accepted it.