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"So if you're putting outsized effort into making sure that you're metabolically healthy, you're not only reducing your risk of diabetes and fatty liver disease and all these other things, but you're also reducing your risk of cardiovascular disease, cancer, and dementia." To assess this, Attia suggests tests, like a CPET, which shows how your heart and lungs respond to exercise and measures metabolic flexibility

This means reduced fatigue during your workouts and increased endurance for those extra reps

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