What does BMI show, and what does it not show?
BMI is a practical screening measure calculated using height and weight. However, it does not, on its own, indicate body fat distribution, visceral fat, muscle mass, or metabolic risk. Therefore, a person with a normal BMI may also have insulin resistance, hypertension, or dyslipidemia.
Why is waist circumference important?
Intra-abdominal/visceral fat is more closely associated with metabolic risk. Even if BMI is normal, the risk profile may be different if significant abdominal fat accumulation is present. Waist circumference can therefore be evaluated in addition to BMI.
Which lab tests provide insight?
Fasting glucose and HbA1c, triglycerides/HDL, liver enzymes, fasting insulin when needed, and other cardiometabolic indicators can be evaluated according to the clinical context. Additional markers such as ApoB and Lp(a) may be considered for cardiovascular risk on an individual basis.
Are “processed carbohydrates off-limits for everyone”?
This statement is overly rigid. The goal is not to declare individual foods “off-limits,” but to reduce the overall proportion of ultra-processed, low-fiber, and high-sugar foods while increasing protein, fiber, vegetables, legumes, and whole foods.
Our approach at our Bodrum clinic
We do not look at body weight alone. We evaluate the person’s actual risk profile using waist circumference, muscle strength, body composition, activity level, sleep, and metabolic lab tests.
Related guide
Weight Management and Metabolic Health
