Sam Miller Science
Sam Miller Science
Sam Miller
S 926: The 5 Pillars of Metabolism and How to Assess Metabolic Health
23 minutes Posted Jul 30, 2026 at 5:00 am.
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Show notes

Inside today's featured replay interview, I walk through how to assess metabolic health from both the subjective side of energy, sleep, and appetite regulation and the quantitative side of lab work, and why coaches are best thought of as adaptation managers rather than diet prescribers. I cover the five pillars I use for managing metabolism including managing appetite, maximizing adherence, maximizing absorption, minding micronutrient status, and mitigating metabolic adaptation, and why building these into a framework matters more than following any specific diet or influencer's plan.


Topics discussed:

- The Two Metabolic Health Avatars

- Qualitative vs Quantitative Metabolic Health

- Coaches as Adaptation Managers

- The 5 Pillars for Managing Metabolism

- What, How Much, and When You Eat

- When Meal Timing Matters Most

- Why TDEE Calculators Miss the Mark

- The Food Log and Labs Audit Approach


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