What is included in the pre-order?

At purchase: Foreword, Introduction, and Chapters 1–3 as PDF, plus Foreword, Introduction, and Chapter 1 as audiobook (~30 min, English narration). Lab-Value Lexicon and 10 Questions for Your Physician are included. At launch: the book — Special Edition, delivered before 21 June 2026.

Off the pen — or on it for the rest of your life?

Name: Within Normal Limits
Price: 995 SEK
Availability: PreOrder
Author: Michel Tagliati

What you already pay

25 000–60 000 SEK a year —
to solve the wrong problem

GLP-1 medications like Ozempic, Wegovy and Mounjaro. Supplements. Training plans. Nutrition coaching. Weight clubs and diets. Attempts to eat differently. Per year: 25 000–60 000 SEK. Often more than your private pension costs.

GLP-1 — what it actually costs

Drug	Starting dose SEK/month	Target dose SEK/month	12 mo SEK	24 mo SEK	36 mo SEK
Wegovy semaglutide	~1 600	~2 700	19 000–32 000	38 000–65 000	58 000–97 000
Mounjaro tirzepatide	~1 990	3 770–4 820	42 000–51 000	88 000–109 000	133 000–166 000
Saxenda liraglutide	~3 000	~3 000	~36 000	~72 000	~108 000

Mounjaro, 36 months: up to 166 000 SEK
This book: 995 SEK

166 times less. 10 days of reading — instead of lifelong medication.

Verified Swedish pharmacy list prices from FASS.se (February 2026), cross-referenced with Viktenheten, Fitfika and Pris-Sverige. Prescription and consultation fees added (1 000–2 000 SEK per 3–6 months). GLP-1 for obesity is not covered by Swedish high-cost protection — full out-of-pocket. On discontinuation, weight returns within 6–12 months according to STEP-1 (NEJM 2022) — meaning lifelong treatment for sustained effect.

When my daughter Emilia was five, she nearly died from diabetic ketoacidosis. That day I decided to never accept “within normal limits” again. Eleven years later — this book, Within Normal Limits, is the result.
Michel Tagliati, MD

The book costs 995 SEK — once.

It explains why none of the above is working for you — and what you actually need to do instead.

Reserve your Early Bird copy — 995 SEK →

A book that could not have been written three months ago.

chapters

400

years of research

1 bn

tokens of AI research

Epistemology is the study of how knowledge is built — from the Greek episteme. By studying the research, the people behind the experiments, and the era they lived in, you gain insights into science and clinical practice you can apply immediately, within the same chapter, to your own health.

We have used over one billion tokens of AI capacity to research, synthesise, and audit the key discoveries underlying what we know and use in metabolic health today. With AI as a research instrument, for the first time it has become possible to do this in a single book — and show you how to put it to use tomorrow.

Read it this summer — before autumn

200 pages · 20 pages a day · 10 days

You will not see the world the same way after.

The Body Does Not LieYour CRP was 0.8 three years ago. Now it's 3.4. No one said anything. The chapter teaches you why your body always warns — and why the system rarely listens.

Where Does the Fat Go?Fat is not only stored under the skin — it accumulates around your organs. You'll learn to distinguish subcutaneous from visceral fat and understand what your body does with the surplus.

What Your Lab Value Actually MeasuresYour HbA1c at 42 mmol/mol is within reference. But it was 36 five years ago. The chapter shows you why direction matters more than thresholds.

Why You Cannot Trust Your Own BrainYou ignored the symptoms because the test was normal. The chapter maps the cognitive traps that let you rationalise away what your body is telling you.

What the Numbers Actually SayYour fasting insulin is 14 mIU/L. Normal, says the lab. Dangerous, says the research. Here you learn to read your labs as a clinician, not as a patient.

Why Your Body Wants to StoreYour insulin has not rested in 15 years. The chapter explains the mechanism behind insulin resistance — and why your body reads every meal as a signal to save.

Why You Don't Decide What You EatGhrelin rose at 22:14. You ate. It wasn't willpower that broke — it was chemistry. The chapter shows how hormones drive your food choices before you've finished thinking.

The Body's Chemical LanguageYour pancreas sends insulin, your adipose tissue answers with leptin, your liver adjusts glucose. The chapter maps the signalling pathways between your organs.

Your PancreasYour beta cells produce 40–50 units of insulin per day. The question is whether they'll still manage in five years. The chapter tests whether your pancreas is keeping pace.

Your KidneysYour kidneys filter 180 litres of blood per day. Your creatinine and GFR tell you whether they still can. The chapter decodes the labs that warn early.

Your LiverYour ALT was 48. Your physician called it marginal. The chapter shows what ALT, AST, and GGT actually say about your liver — and what happens if you wait.

Your MusclesYour skeletal muscle consumes 80% of your glucose after a meal. The chapter explains why muscle mass governs your insulin sensitivity — and what happens when it declines.

Your Adipose TissueYour adipose tissue produces over 50 signalling molecules. It is not storage — it is an endocrine organ. The chapter shows how it governs your inflammation, your hunger, and your metabolism.

Your HeartYour ApoB was 1.2 g/L. No one reacted. The chapter shows why cardiovascular risk begins with insulin and inflammation — decades before your first chest pain.

Your BrainYour brain is insulin-sensitive. Researchers have called Alzheimer's type 3 diabetes since 2005. The chapter links your metabolic health to your cognitive future.

Your Nervous SystemYour cortisol rises at 06:00. It should fall by 22:00. If it doesn't, your blood glucose rises, which raises your insulin. The chapter breaks the cycle.

Your TimelineFrom your first insulin spikes to diagnosis can take 15–20 years. The chapter draws the entire trajectory — and shows where on the line you stand now.

Green, Yellow, RedYour fasting glucose at 5.9 is green at the lab. It's yellow in reality. The chapter gives you a traffic-light system based on clinical risk, not reference range.

Prevention Without Health AnxietyMeasuring more should give you control, not anxiety. The chapter draws the line between deliberate health monitoring and compulsive worry — and teaches you to tell them apart.

The SystemYour primary care has 7 minutes per visit. The chapter examines why modern medicine is built for acute conditions — and why chronic disease is detected 10 years too late.

How You Get OutIf you're already in the risk zone, there is a way back. The chapter gives you the steps — through lifestyle, measurement, and follow-up. No shortcuts.

Your EngineYour basal metabolic rate determines what you burn at rest. The chapter shows what actually affects it — and what is myth.

Your Fire AlarmYour CRP measures low-grade inflammation. If it never falls, it destroys the tissue it should protect. The chapter explains CRP, IL-6, and TNF-alpha in your blood.

Your CalculationsHOMA-IR, TyG-index, VAI — three calculations that never appear on your lab report. The chapter shows you how to compute them yourself and what they reveal about your insulin resistance.

Before They Become a DiagnosisEvery chronic disease has a silent phase. The chapter identifies the markers in your blood that appear 10–20 years before you receive a diagnosis code in your record.

Your ThyroidYour TSH was 3.8. Your physician said normal. Your free T3 was never tested. The chapter decodes the thyroid panels that are most often misread — or never ordered.

Your MessengersCytokines and adipokines connect your adipose tissue to your liver, your brain, and your immune system. The chapter makes the invisible network in your body visible.

Your TestosteroneYour total testosterone was 12 nmol/L. Normal, said the lab. But your free testosterone was never tested. The chapter clarifies what is normal — in both sexes.

Your EstrogenYour estrogen protects your heart, your skeleton, and your brain. At menopause your entire metabolic profile changes. The chapter explains why — and what you can do.

Special Edition only

AI Act I — Your AI AssistantYou paste in your lab result. The AI identifies the pattern. The chapter gives you prompt strategies for interpreting your values and asking your physician the right questions.

AI Act II — Your Monitoring SystemYour CGM, your InBody, and your blood work — in a system that learns your patterns. The chapter builds your personal health monitoring step by step.

AI Act III — Your Agentic HealthAI agents that act on your data, identify deviations, and communicate with your care team. The chapter shows the future of preventive health — which begins now.

This is not a book about diabetes.
This is not a medical textbook.
It is not a diet book.

It is an epistemological work on how humanity has accumulated the knowledge we rely on today — and how that knowledge came to be.

The book builds insight and knowledge in the reader without pages of biochemical reactions. Meet the people behind the great discoveries — and learn how we actually came to know what we know.

Frequently asked questions

The book is about how to read your labs before they become a diagnosis. It is one clinician's account of questioning the system, and a guide to insulin, insulin resistance, and why the body responds the way it does. It is not a diet book — it is a book about understanding the signals before it is too late.

No. It is a book about metabolic health, insulin, and how to read lab values. It contains no "eat this, avoid that" instructions. It is about understanding what actually happens in the body and how to work with your physician to move through the problem before it becomes a diagnosis.

Pre-order customers receive it first. Delivery before 21 June 2026. You will be notified when it ships.

You enter your details and choose a payment method (card or Klarna where available). You receive immediate confirmation and an email with all details. The first chapter is delivered digitally immediately after purchase.

We accept all major credit cards (Visa, Mastercard, American Express) and Klarna where available. Select your preferred method at checkout.

At purchase: Foreword + introduction + Chapter 1 as PDF, plus the same as audio (English narration).
At launch: The book — Special Edition, delivered before 21 June 2026, with the Lab-Value Lexicon and 10 Questions for Your Physician.

We specialise in this

Three steps from the weekly pen to freedom

Research shows 50–70 % regain the weight after cessation without structured support (STEP-1, NEJM 2022). It's not willpower. It's metabolic biology. Our method addresses the biology directly.

Step 1 · 995 SEK

The book — understand your metabolism

A 10-day guide to fasting insulin, HOMA-IR, OGTT interpretation. You learn to read your own labs — so you know what drives your weight and what will happen during tapering.

Step 2 · 45,000 SEK

Investigation — clinical baseline

A 4-week metabolic workup. Dynamic OGTT, hormone panel, body composition. We measure what the weekly pen has done — and what remains when you stop. Written report + follow-up clinic visit.

Step 3 · Clinician-guided

Guided taper

Continuous clinic contact during the taper. We follow your biomarkers and adjust pace individually. This is what no other Swedish clinic offers.

Verified FASS prices (February 2026)

Calculated from official Swedish FASS pharmacy prices — not estimates. Sources below.

Drug	Start dose /mo	Maintenance /mo	Max dose /mo
Mounjaro (tirzepatide)	≈ 1,990 SEK 2.5 mg	≈ 2,700–3,770 SEK 5–10 mg	≈ 4,820 SEK 12.5–15 mg
Wegovy (semaglutide)	≈ 1,600 SEK 0.25 mg	≈ 2,500–3,200 SEK 1.7–2.4 mg	≈ 3,200 SEK 2.4 mg
Ozempic (semaglutide)	≈ 1,049 SEK 0.25 mg	≈ 1,049 SEK 0.5–1 mg	≈ 1,049 SEK 1 mg

Sources: FASS.se (February 2026), Viktenheten, Fitfika, Pris-Sverige. Current as of February 2026, without high-cost protection. Ozempic may be subsidized for approved diabetes indication (TLV); Wegovy is not subsidized. Off-label weight-loss use is not covered by high-cost protection.

At Mounjaro 10 mg maintenance (≈ 3,770 SEK/mo × 10 years) = about 452,000 SEK over 10 years.
Book + investigation, one-time: 45,995 SEK.
Break-even: about 12 months at Mounjaro 10 mg.

Off the pen — or on it
for the rest of your life?

The Book

25 000–60 000 SEK a year —
to solve the wrong problem

Within normal limits —
the most dangerous sentence in modern medicine

A book that could not have been written three months ago.

Read it this summer — before autumn

Something is wrong with your body.
No one has given you the answer. Until now.

About Michel Tagliati, MD

Frequently asked questions

Three steps from the weekly pen to freedom

The book — understand your metabolism

Investigation — clinical baseline

Guided taper

Clinical method, not motivation.

Michel Tagliati, MD — clinical practice since 2006

We treat the cause, not the symptom

Data-driven taper, not guesswork

Limited capacity — 100 patients per year

Start with the book or apply for the investigation?

The book — 995 SEK

Investigation — 45,000 SEK

Off the weekly pen — or on it for the rest of your life?

Off the pen — or on itfor the rest of your life?

The Book

25 000–60 000 SEK a year —to solve the wrong problem

Within normal limits — the most dangerous sentence in modern medicine

A book that could not have been written three months ago.

Read it this summer — before autumn

Something is wrong with your body.No one has given you the answer. Until now.

What patients say

About Michel Tagliati, MD

Frequently asked questions

Three steps from the weekly pen to freedom

The book — understand your metabolism

Investigation — clinical baseline

Guided taper

Clinical method, not motivation.

Michel Tagliati, MD — clinical practice since 2006

We treat the cause, not the symptom

Data-driven taper, not guesswork

Limited capacity — 100 patients per year

Start with the book or apply for the investigation?

The book — 995 SEK

Investigation — 45,000 SEK

Off the weekly pen — or on it for the rest of your life?

Off the pen — or on it
for the rest of your life?

25 000–60 000 SEK a year —
to solve the wrong problem

Within normal limits —
the most dangerous sentence in modern medicine

Something is wrong with your body.
No one has given you the answer. Until now.