@reillyg1013 Only recent couple of years I realized quality and quantity of protein matters for muscle and bone health especially when we get older and older, which I didn't pay too much attention to. In a recent discussion with my endo, she didn't object my plan of increasing quality protein intake. Another strong takeaway from that conversation was I shouldn't be in a catabolic state, ie, losing weight. During pandemic, I had a period of time when I was adjusting diet and lifestyle to combat my borderline diabetes and high cholesterol. During that time I did shed some pounds to get back to my "usual weight". BUT I probably lost some muscle mass and possibly some bone mass 🙁

Do you monitor your blood glucose? I found its very useful in terms of figuring out what type of carbs and amount of which you could consume safely. Most insurance covers the glucometer and test strips if you are in pre-diabetic range, copay is generally $0. I was able to get my hba1c from ~5.7/5.8 to 5.3-5.5. One of my relative wears a CGM with diet modification, which helped him bring hba1c from 6.5 to ~5.4. From what I read, high blood glucose level increases oxidative state in our body. I'm yet to do some reading to see if it has anything to do with op.

Best wishes