In the book The Schwarzbein Principle II, Diane described four cases: a) insulin-sensitive, healthy adrenals, b) insulin-sensitive, burned-out adrenals, c) insulin-resistant, healthy adrenals, and d) insulin-resistant, burned out adrenals. IIRC, those with burned out adrenals are expected to get fat first, and when you heal, you'll lose fat. I believed she went through all these four conditions herself while self-navigating.