Ruba Khoury was an avid outdoor runner for a decade, participating in one marathon and one half-marathon every year. But in January, she realized she wasnâ??t reaching her fitness goals anymore; her muscle mass didnâ??t match her cardio fitness level, and sheâ??d reached a plateau. On top of that, she has a family history of Type 2 diabetes â?? so she knew she had to make a change.