A Journey on the Metabolic Highway – Conversations with Dr Stephen Stahl
This interview is the fourth as part of a series of brief interviews where Dr Sanil Rege talks to Dr Stephen Stahl about key issues that face psychiatry and our patients. Dr Stahl, MD, is a practising Psychiatrist in Carlsbad, USA, and author of the best-selling textbook, Essential Psychopharmacology. Dr Stahl has held faculty positions at Stanford University, the University of California at Los Angeles, the Institute of Psychiatry London, the Institute of Neurology London, and, currently, at the University of California at San Diego.
There are two on-ramps to the Metabolic Highway:
This highway first goes from having insulin resistance to then having your pancreas angry, fatigued, losing it’s beta cells, hanging on by the last beta cells until finally you end up getting pre-diabetes and then diabetes. Diabetes leads to cardiovascular changes, inflammatory changes, and the sad part of it is patients with schizophrenia will have premature death; 10, 15, even 20 years earlier, because they have heart attacks.