Metabolism Genes and Biomarkers Summary Table Gene / Biomarker Suboptimal / Limiting Factor Free Actions Non-free Actions GENES MTHFRC677T polymorphismLeafy greens, B9 & B12 foodsMethylation panel, methylfolate FTOA allele — obesity riskDaily exercise, whole foodsGenetic test, satiety panel PPARGPro12Ala — insulin resistanceLow-fat diet, aerobic activityMetabolic panel, PPAR testing APOEε4 allele — dyslipidemiaMediterranean diet, no sat fatLipid panel, APOE genotyping TCF7L2T allele — T2D riskLow-GI diet, daily walksHbA1c test, glucose monitor ADRB2Gln27Glu — reduced fat burnAerobic exercise, low-carbVO2 max test, beta-agonist eval ADIPOQLow adiponectin expressionWeight loss, anti-inflam dietAdiponectin assay, coaching BIOMARKERS Fasting Glucose>5.6 mmol/LLow-GI diet, fasting, exerciseCGM device, physician consult HbA1c>5.7%Cut refined carbs, daily walksLab test, medication review Triglycerides>1.7 mmol/LCut sugar & alcohol, fish oilFibrate therapy, lipid panel HDL Cholesterol<1.0 mmol/LExercise, olive oil, nutsNiacin therapy, full lipid test LDL Cholesterol>3.4 mmol/LSoluble fiber, plant sterolsStatin therapy, ApoB test hsCRP>1.0 mg/LAnti-inflam diet, sleep hygieneCRP test, omega-3 supplement Insulin / HOMA-IRHOMA-IR >2.0Intermittent fasting, exerciseInsulin resistance test