Your body is a constant chemical balancing act. For example, lithium. An absolutely required compound for healthy brain chemistry, a change as small as a few micrograms in the brain can cause seizures and comas, or mania and insomnia.
If we were to medically increase someone’s metabolism, it would basically be like running a car too fast on the highway. Yes, you’re getting better performance by pushing your car harder, but all of the parts wear out faster, and it’s generally more dangerous.
Changing your metabolism slowly allows the rest of your body to adapt to those changes, whereas a sudden spike in metabolism can do really bad things to the body.
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