Metabolic Health • Science

Why your markers matter — and what they're actually telling you.

Three reads on the science behind the Radar. Start with the quick take. Go deeper if you want. Written for athletes and anyone who wants to understand what's happening inside.

  • Start with the quick take
  • Expand into the full article
  • References included

HbA1c & why you should care about glycation

Quick take

  • A1c is a 90‑day "surface" average — the deeper story is long‑term glycation in slow‑turnover tissues.
  • Performance losses can show up before "disease" thresholds do.
  • Treat rising A1c as an early warning signal you can act on with nutrition + consistency.
Coach lens

If soreness lingers, recovery stalls, and output fades early, don't assume it's "workout programming." It may be metabolic strain showing up first on the floor.

Relevance to coaching

Performance + recovery
Nutrition leverage
Long-term health
Programming decisions
What to do (simple)

Reduce added sugar / liquid sugar exposure, tighten meal consistency, then re-test under the same conditions. Your job is repeatability and trend, not one-off numbers.

Read full article +

The iceberg beneath "normal" blood sugar numbers

You're in your doctor's office, looking over your latest bloodwork. Your HbA1c (A1c) comes back at 5.7, and the doctor smiles—"You're fine for now, but let's keep an eye on it." Still, something about it sticks with you. What does that number actually mean? What if it's not fine at all—what if it's just the tip of something bigger?

The surface may look calm, but below it, an iceberg of metabolic damage is quietly taking shape. Your A1c result is just the visible tip of that iceberg—a snapshot of sugar in the bloodstream. Beneath the surface lies the older ice of glycation—neurons, vascular walls, and structural proteins slowly accumulating damage over time. As the iceberg sinks deeper, it traps rocks, sediment, and pockets of ancient gas—just as glycation traps waste products, inflammation, and oxidative stress in slow-turnover tissues. What we see in the blood reflects the last few months of sugar exposure—it's relatively recent and reversible. What lies below represents years of slow, cumulative injury in deeper tissues—older damage that's far harder to move.

Glycation happens when sugar binds to proteins, lipids, or DNA—warping their shape and function, often permanently. Once a molecule is glycated, there's no undoing it. The only fix comes through turnover: breaking down damaged cells and rebuilding new ones. Fast-renewing tissues like skin and liver can recover quickly, while slow-turnover systems—cartilage, nerve tissue, vascular endothelium—carry that burden for years. Less sugar means slower glycation, giving your body's renewal cycles a chance to keep pace. That's the essence of glycation: chemistry that quietly determines your future resilience or your decline.

A1c is the fingerprint of that chemistry. It's the share of your red blood cells' hemoglobin bonded with glucose—a 90-day snapshot of how sugary your blood has been. Clinically, anything below 5.7 % is considered normal. In practice, we often see athletes closer to 5.1–5.3 %, which may reflect better fuel regulation and nutritional tolerance.

A1c captures only what's visible above the surface. It shows what's happening in your blood, but not what's occurred in your brain, joints, or nerves. Beneath the surface, glycation from glucose and fructose is already corroding performance, recovery, and long-term health.

Each blood sugar spike—every processed carb or sweet treat—adds another microscopic layer of glycation your body has to repair. These reactions occur both in the bloodstream and along vessel walls and connective tissue, where glycation creates crosslinks that stiffen and weaken those structures over time. This process contributes to the vascular stiffness and metabolic wear that mark early chronic disease.

That's what your A1c captures—a 90-day record of sugar exposure, reflecting the average lifespan of a red blood cell. It tells the story of how consistently your blood has carried glucose, rather than moment-to-moment spikes. But it only shows part of the chemistry. Glucose bonds directly to hemoglobin, forming measurable glycated blood (A1c), while fructose reacts even faster with proteins in other tissues—muscles, joints, and neurons—where the damage can't be easily tracked. Both sugars drive the same end result: advanced glycation end-products (AGEs) that stiffen tissues, inflame vessels, and slow recovery.

At 5.7, medicine calls it prediabetes. At 6.4, diabetes. But glycation begins long before those lines get drawn. By the time A1c hits 6.0, the chemistry is already cooking—and that test still says nothing about fructose damage. High-fructose foods—soda, juice, sauces—elevate methylglyoxal, a highly reactive byproduct of sugar metabolism that rapidly binds to proteins and fats, forming crosslinks in slow-turnover tissues like collagen and neurons. Fructose acts less like food and more like a chronic toxin, elevating uric acid (a known driver of gout), compounding mitochondrial stress and fat storage, adding yet another layer beneath the iceberg. That's damage you won't catch in a lab—but you'll feel it in your joints, your sleep, and your recovery.

Early metabolic decline shows up before the lab results—as soreness that lingers, recovery that stalls, and output that fades early. The solution isn't always tweaks in the workouts; it's adjustments in the nutrition. Just as we teach the neutral spine for movement integrity, we also teach A1c for metabolic integrity. A coach who understands glycation can see what medicine misses: performance loss as the earliest biomarker of chronic disease.

In medicine, A1c helps diagnose diabetes. For us, it's an early warning of a looming disaster. When A1c rises, the iceberg is growing—and the danger is rising with it. Glycation is already hardening what lies below the surface, long before symptoms appear.

The iceberg isn't inevitable—it builds with poor choices. But it can melt with better ones. For trainers, that's the opportunity: to see A1c not as a lab number but as a coaching metric—a signal of how well the athlete's metabolism is responding to nutritional inputs. The sooner we act, the smaller the iceberg gets.

Health outcomes aren't random. They're dependent on two variables: what you ate and how you trained. The path out is straightforward: Little fruit. No sugar. Off the carbs, off the couch—Less glycation. A coach who understands this can intervene sooner and restore capacity before medicine even gets involved.

References +
  • WHO 2011 — Use of Glycated Haemoglobin (HbA1c): link
  • Singh 2014 — Advanced Glycation End Products: link
  • Uribarri J, et al. Dietary AGEs: link
  • Nowotny K, et al. AGEs and oxidative stress: link
  • Taubes — "Sugar stands accused." link
  • Gugliucci 2025 — Fructose-Methylglyoxal-AMPK: link
  • Allaman 2015 — Methylglyoxal: link
  • Lustig 2023 — "Alcohol without the buzz": link
  • Johnson 2013 — Sugar, uric acid, diabetes/obesity: link
  • Seyfried 2015 — Cancer as mitochondrial metabolic disease: link

Why you should care about ROS

Quick take

  • ROS are "exhaust" — unavoidable — and dose determines whether they signal adaptation or cause damage.
  • Think: cellular intensity. Too little → no change. Too much, too long → breakdown.
  • You can't "lab test ROS" like glucose, but you can see the fingerprints in outcomes and recovery.
Core framing: ROS aren't only damage; they're also a signal. The question is control.

Relevance to coaching

Training dose / scaling
Recovery management
Fuel quality
Long-term health
What to do (simple)

Coach intensity like a dosage. If the athlete is chronically wrecked, you're likely living in "distress." Adjust load, sleep, fuel quality, and re-test performance.

Read full article +

The link between oxidative stress, adaptation, and performance

Cambridge, MA, 2025

At the end of day one at the MetFix Training Development Conference, I found myself at dinner with Bob Kaplan, Tomás Duraj, and Derek Lee. Thomás and Derek work for Dr. Thomas Seyfried's world renowned cancer research lab at Boston College. Bob is Head of Research at MetFix. Earlier, Tomás and Derek had presented on mitochondrial dysfunction in cancer, connecting the dots between reactive oxygen species (ROS), mitochondrial damage, and cancer progression. It was heavy science—but what stayed with me wasn't just the lecture. It was the conversation over dinner that really caught my attention.

Bob had said something earlier in the day that I needed clarified. He'd suggested ROS could be beneficial, even necessary. I asked him to explain. Bob described ROS as part of fuel signaling and insulin sensitivity. Thomás and Derek jumped in: moderate ROS is essential—it signals adaptation. Too much, too long, and it's destructive. We were all aligned: ROS wasn't just about damage. It was about balance.

Somewhere in that conversation, I had a realization: ROS might be the cellular version of intensity. Just like in the gym, there's a red line. Push too little, nothing changes. Push too hard, you break. Find the edge? That's where adaptation lives.

Reactive oxygen species are small, unstable molecules your body makes every day—superoxide, hydrogen peroxide, hydroxyl radicals. They're the exhaust from your metabolic engine. They appear when you burn fuel, contract muscles, or fight infection. At controlled levels, they're signals: telling cells to grow stronger, mitochondria to multiply, immune systems to sharpen. At uncontrolled levels, they're wrecking balls: oxidizing LDL, tearing DNA, inflaming neurons, damaging cells. This dual nature of oxidative stress actually caused the person who coined the term to divide it into two separate terms: (1) oxidative eustress (physiological and essential) and (2) oxidative distress (excessive and toxic).

Sporadic ROS elevation (like from exercise or fasting) is helpful. Chronic elevation is harmful. Suppressing all ROS can be just as disruptive as having too much.

Unchecked ROS drives disease through direct molecular damage. In heart disease, ROS tip the redox balance toward dysfunction. They damage the endothelium, disrupt normal signaling, and accelerate the processes that harden and clog arteries. Over time, this oxidative stress becomes a driver of atherosclerosis and vascular disease. In Alzheimer's disease, glucose metabolism is dramatically decreased, due in part to oxidative damage to enzymes involved in energy production. In cancer, elevated ROS levels are linked to various proliferative processes while even higher levels are mutagenic and can damage lipids, proteins, and nucleic acids. Radiation and most chemotherapies kill cancer cells through increasing ROS levels.

There's another side to this equation. Moderate, controlled ROS is the signal of adaptation. In humans, exercise raises oxidative markers, sparks antioxidant defenses, and induces adaptive responses. Fasting shows the same pattern. Endurance exercise and prolonged fasting share a reliance on fat for fuel produced in the mitochondria. Fueling with fat intrinsically generates more ROS in the mitochondria, and this serves as a signal for mitochondrial biogenesis—more mitochondria, more capacity. Want to stick a wrench in this process? Supplement training with antioxidants.

Reactive Oxygen Species are a natural byproduct of normal cellular metabolism.

As Bob Kaplan discussed, emerging research suggests that stress alone doesn't explain the whole picture—fuel quality influences signaling and satiety. Seed oils disrupt the natural ROS signal that tells the brain we've eaten enough, leading to overconsumption and metabolic miscommunication. When it comes to exercise, the ROS signal is a direct response to intensity.

You can't walk into a diagnostic lab and get a neat ROS readout like you can with blood sugar. They're too reactive, too fleeting. But you can see their shadow in the outcomes: improved work capacity, blood pressure improves, triglycerides drop, A1C normalizes, bones grow stronger, recovery speeds up.

Relative intensity is not a new idea. We coach mechanics to protect clients and deliver a dose of training that drives adaptation without undue injury. Scaling isn't just about protecting joints or egos. It's protecting the cell. It's keeping ROS in the adaptive zone.

What clicked for me in Cambridge is this: intensity has a fingerprint. ROS are that fingerprint. They whisper, or scream, from the mitochondria, dictate adaptation or breakdown, and sit at the crossroads of performance, resilience, and chronic disease.

ROS is the exhaust signal of human performance—the unseen byproduct that hints at whether the levers of food and training were pulled correctly. A coach who understands ROS can read the signs of fatigue, aches, or bonks and know whether the dose of nutrition, scaling, and intensity is right.

Author note

Hollis Molloy is a career coach and Certified CrossFit Level 4 Trainer who served on the CrossFit HQ Seminar Staff from 2007 to 2025 and has owned CrossFit Santa Cruz since 2008. He continues his work at CrossFit Santa Cruz while expanding into MetFix Santa Cruz and serves as a member of the MetFix Academy Staff, teaching and developing education for coaches on metabolic health and performance.

References +
  • Butterfield & Halliwell (2019): link
  • Seyfried & Shelton (2010): link
  • Powers et al. (2011): link
  • Brazaitis et al. (2025): link
  • Wilhelmi de Toledo et al. (2020): link
  • Madamanchi & Runge (2013): link
  • Gomez‑Cabrera et al. (2008): link
  • Ristow et al. (2009): link
  • Sies et al. (2017): link
  • Yang et al. (2018): link
  • Zheng et al. (2023): link
  • Zhu et al. (2018): link

Why you should care about mitochondria

Quick take

  • Mitochondria are the engine that turns fuel into ATP—what you see as "fitness" is mitochondrial function expressed on the floor.
  • Metabolic flexibility is the ability to burn the right fuel at the right time; limited mitochondria = early overheating and faster collapse.
  • Performance is often the first stress test of metabolic health—coaches see engine problems before labs look "bad."
Coach lens

The athlete who keeps mechanics crisp under fatigue likely has more oxidative capacity. The athlete who "redlines" early may be living on the wrong fuel (or has too little engine).

Relevance to coaching

Work capacity
Recovery between bouts
Nutrition strategy
Health risk spotting
What to do (simple)

Match training dose + recovery to the athlete. Build consistent aerobic base and avoid chronic "redline" living. Then re-test outputs (and labs) to verify the engine is improving.

Read full article +

The engine behind human performance

I've seen it, and so have you. We coach the same workout all day. Some athletes thrive on the challenge, and others don't look as good. We second-guess ourselves: "Did I scale them right?" "Was that the right workout today?" But sometimes the answer is simpler. It's not the workout that needs a closer look, it's the athlete who is struggling. This is where mitochondria enter the conversation.

That is why at MetFix we claim, "We are the only commercial entity concerned with the care and feeding of mitochondria."

Capacity lives or dies inside the mitochondria. What we call fitness is really mitochondrial function expressed on the floor.

Nearly every cell in your body is built around these engines. Mature red blood cells are the exception. They carry oxygen, but they do not have mitochondria. Most tissues do, and those mitochondria are where training turns into capacity.

Each mitochondrion fires like a cylinder, turning the fuel you eat into ATP, the cell's universal energy currency. Nutrition sets the fuel mix, and training controls how hard the engine has to work.

Everything (fat, carbohydrate, and protein) gets broken down into acetyl-CoA, the molecule they burn to produce ATP. In metabolic terms, fat is the long, clean burn; carbohydrate is the fast, hot flame.

Metabolic flexibility is the capacity to burn the right fuel at the right time. When mitochondria are efficient, fat supports the easy gears and glucose is reserved for speed. When they're limited, the engine runs too hot, too soon.

What we see as poor performance is often early metabolic disease. Long before fasting insulin climbs above 5 µIU/mL or the triglyceride-to-HDL ratio rises past 2.0, coaches can see the engine struggling on the gym floor.

Adaptation is a fuel problem long before it's a fitness problem. This is the care and feeding of mitochondria. They're trainable. Give them a consistent signal and they expand. Remove the signal and they retract.

Coach the mitochondria, and you coach both performance and health.

References +
  • ATP — Encyclopaedia Britannica: link
  • Coyle (1995) fat metabolism during exercise (PDF): link
  • San‑Millán & Brooks (2018): link
  • Seyfried (Cancer as a metabolic disease): link
Note: This page is coaching and education only. It is not medical diagnosis or treatment. Use it to guide repeatable testing, better conversations, and better training and nutrition decisions.