I finally went into see a doctor and had some tests done. I'll find out what those tests say on the 23rd, but they called me back in to do one of those tests where you drink some orange flavored glucose containing drink because I had a high fasting blood glucose level. Then they called back to tell me I'm insulin resistant. So, I've been weight stable- about 175lb- for over two years now, I think. I lost over 100lbs. I was low carb for a lot of the weight loss, but I've tried upping the carbs in various ways since. Any sustained amount of carbs hurt, especially when I tried eating tubers with regularity, but the fruit/chocolate bar/wine/whatever extra little indulgence never seemed to be too bad, except in retrospect, maybe it is.
I'll know better when I get a blood glucose meter and start testing. I couldn't find a paleo doc anywhere near me, but luckily there was one functional medicine doc in the area. He's not talking medicine, but supplements, exercise, and more vegetables.
Have you gone through something similar? Is there anything I haven't thought of? I'm figuring I'll have to be closer to the ketogenic side of things.