For two years he followed every instruction perfectly and his numbers still got worse. Cut the salt, cut the protein, drank the water, took every pill, never missed a single appointment. He asked me what he did wrong. Nothing. He did nothing wrong. Every one of those things was aimed at what he was putting in. None of them were aimed at what was already arriving. Most of what his body has to clear in a day never came from his plate, and the organ that decides how much of it shows up is not the one anybody was checking.