# Episode 134: Where the standard health markers fall short with Nick Tognietti Page: https://stenobird.com/podcast/the-chad-franco-podcast-6696958/episode-134-where-the-standard-health-markers-fall-short-with-nick-tognietti Text version: https://stenobird.com/podcast/the-chad-franco-podcast-6696958/episode-134-where-the-standard-health-markers-fall-short-with-nick-tognietti.md Podcast: [The Chad Franco Podcast](https://stenobird.com/podcast/the-chad-franco-podcast-6696958) Published: 2026-07-14T12:00:00+00:00 Episode link: https://podcasters.spotify.com/pod/show/chad-franco/episodes/Episode-134-Where-the-standard-health-markers-fall-short-with-Nick-Tognietti-e3ltruo Audio file: https://anchor.fm/s/e3e5ff2c/podcast/play/122662296/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-6-10%2F3d8c0e38-84c4-e969-26ab-47d589c60c93.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-chad-franco-podcast-6696958/episodes/episode-134-where-the-standard-health-markers-fall-short-with-nick-tognietti Duration seconds: 3233 ## Resource Why "normal" bloodwork doesn't mean you're healthy — and what the labs are actually missing. Join me with Nick Tognietti, The Founder Of Lifestyle of Eden and the 7 Pillars of disease reversal, prevention, and longevity. Most standard lab panels are built to catch disease, not to define what optimal health looks like. In this episode, we sit down with a leading functional health coach to break down the gap between "normal" and "optimal" — and why the number of Americans who are truly metabolically healthy is likely far lower than the headline statistics suggest. Why "normal" ≠ healthy — the difference between disease-detection thresholds and true optimal ranges Blood sugar isn't the full story — why fasting glucose alone can hide insulin resistance Fasting insulin — the test almost no one gets, and why it's one of the earliest warning signs of metabolic dysfunction HOMA-IR — a simple calculation that can reveal insulin resistance even when glucose and insulin look "fine" individually Triglycerides and the TG:HDL ratio — an underused but powerful predictor of metabolic and cardiovascular risk The cholesterol myth — why two people with identical LDL can have very different actual risk, and where ApoB fits in The markers standard panels skip entirely — hs-CRP (inflammation), uric acid, and vitamin D Hormones beyond TSH — why thyroid, sex hormone, and cortisol testing is often incomplete The real number — what percentage of Americans are actually metabolically healthy once you apply a true functional standard "The system isn't measuring health — it's measuring the absence of a diagnosis." Vitality Score assessment - Get yours by clicking here Nick Tognietti - Contact Nick by clicking here ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-chad-franco-podcast-6696958/episodes/episode-134-where-the-standard-health-markers-fall-short-with-nick-tognietti/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-chad-franco-podcast-6696958/episode-134-where-the-standard-health-markers-fall-short-with-nick-tognietti.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.