Arthritis isn't just about wear and tear of the joints; it's now being seen as a metabolic disease, affecting more than just where it hurts. Treating it effectively means considering both joint health and as well as blood sugar and metabolic health. Sponsored Message: Support your Intermittent Fasting lifestyle with the Berberine Fasting Accelerator by MYOXCIENCE Save 12% OFF with code podcast at checkout.  Link to Video and Show Notes: https://bit.ly/3QixFF4 Research: Mobasheri, A. et al. The role of metabolism in the pathogenesis of osteoarthritis. Nat. Rev. Rheumatol.13, 302–311 (2017). Kong, H., Wang, X.-Q. & Zhang, X.-A. Exercise for Osteoarthritis: A Literature Review of Pathology and Mechanism. Front. Aging Neurosci. 14, 854026 (2022). Show Notes: 00:00 Osteoarthritis has metabolic origins. 00:30 Exercise and a low carb diet support joint health. 02:20 Exercise more, if you have arthritis. 03:50 Inflammation and body weight are involved in the breakdown of joints. 05:00 Leptin, released from fat tissue, triggers chronic inflammation. 07:05 Glucose and insulin parallel with leptin levels. 08:45 Compress your feeding window.