I can accept that visceral fat does not cause metabolic illness directly, but that does not make it harmless. From what I have read, it has been clearly established that the cytokines released by visceral fat trigger systemic inflammation. I certainly would not call that "harmless"
Not to mention the crowding around the organs, I sure as hell felt a lot better after losing over a third of my visceral fat and being able to breath properly again when doing simple tasks like tying my shoes. Also looking much better with my gut no longer sticking out further than my chest.
Yes. Simply the fact that visceral fat is consumed, not by our regular cells (only) but white blood cells, which require inflammation for best operation, tells me that it is causal for inflammation, and harmful in other ways too (why else would white blood cells attack it). Then there is the mechanical resistance that it causes: we have evidence fatty muscles are weaker than lean muscle, even without additional training. (edit: and what about fatty tongue blocking airways?)
I just had my aha moment. Thank you so much for explaining this! I have an appointment with my endocrinologist tomorrow fortunately and I am going to talk to her about this! I am definitively the high testosterone woman type. Pcos since 1994 blessed with 3 children still butnow diabetic type 2 and lots of deep visceral fat. I put myself on carnivore/lion diet now 5.5 months and hba1c down from 12/13 to 6.1! I am going to tell her what I did and give her the info. She didn't want me to eat to much protein was goingto be bad for my kidneys but all my blood work was excellent this week! Curious at how she is going to react. Oh BTW I went down from 235.4 lbs to 195.8! Going for 160 lbs! It's a struggle I don't lose weight easy or fast but I keep on going. I WILL GET THERE SOMEDAY, thank you.
That is fantastic. I think people that hear about this type of eating change picture huge amounts of meat but what has happened to me is that I get full eating close to the same amount of protean as I ate before. I ordered a big steak last night and only ate half of it. No surprise I get full much easier now and plan on making another meal with the leftovers. I will gladly trade carbs for my health. great job, keep up the good work.
I would love to watch a debate between you and Dr. Sean O'Mara. His entire platform is based on the dangers of visceral fat. He's been on every carnivore influencer's channel discussing these dangers and pushing his medical practice.
You beat me to the most obvious debate needed for the low carb community. I'd bet the bank, O'Meara would do it and Cywes would not. The carb addiction doctor drinks wine everyday and is overweight. The other doctor does HIIT sprints and is in great shape for any age. I wonder which one I should listen to and follow? The fluffy fat doctor or the one with muscles?
The only thing that can be considered "good" in fact acceptable is to have a little (keyword being "little") visceral fat to protect the internal organs from high/low temperatures shock and from mechanical shocks. But more than that will just impede the internal organ to perform his functions well (e.g. a fatty heart will pump harder blood in arteries, a fatty liver will have a harder time producing bile or coagulation factors). Subcutaneous fat is much more benign than visceral fat.
I see some people referencing Dr. Sean O'Mara, but I don't think he and Dr Cywes actually disagree. Dr. Sean's platform is built on the fact that visceral fat is the EARLIEST KNOWN MARKER of chronic disease. He has also clearly stated that liposuction to remove visceral fat DOES NOT HELP. I'd guess he and Dr. Cywes actually agree on 90-99% of things.
It might of been deep subcutaneous fat, actually. Love handles getting taken off by plastic surgeons. Either way, if you asked him "would surgically removing viscerally fat improve health," I'm almost certain he would say "no."@@mehranhassan3297
I think both Dr. Cywes and Dr. Sean O'Mara are both saying that visceral fat doesn't CAUSE disease, but it is another SYMPTOM of things going wrong in your body. I think Dr. O'Mara believes that part of fixing what's wrong is adding exercise, such as sprinting, which is ancestrally appropriate.
Thank you for separating causation in this space from correlation. This is the best explanation of visceral fat versus hormonal dysregulation I have ever heard. You are really telling it like it is.
That was an ah ha moment. Thank you so much for this information. It's truly making sense now. I have been studying visceral fat, cholesterol, and a host of other things, for several months. Even as I just now googled how to spell "visceral" it came up as "TOXIC FAT". So much misinformation out there, but this video pulled it all together for me. Makes absolutely SO much sense! Thank you!!!!
Thank-you for your wisdom Dr. Cywes! In my eyes you are what a true doctor should be like. I am so happy I found you and anyone thinking about a consult I 1000% recommend it. I have been struggling for over a decade with type 2 D and Dr Cywes has got me back on the right track with his wisdom and understanding. Thankyou Dr Cywes for being a compassionate doctor.
I remember a couple years ago (I started my nutrition education beginning in 2020) when I first started watching you I said "congrats on 20k subs" now look where you are. Information is power and people are seeking real info way more these days than before.
Thankyou for the pathway to visceral fat explanation, I had to rewind to allow my self to comprehend the information… I fall into the final group you described… I understand now it is all about the chronicity of being out of homeostasis & now I have to get back to homeostasis, in doing so the “abnormalities” will eventually be no more… I believe what I have started doing is already helping, having listened to your information I appreciate the “awareness” of “why” I am today what I am… “To be forewarned is to be forearmed”… thankyou again.
High testosterone, must be inherited as from my grandmother on down we have experienced PCOS (all of us had surgery - my mother - cancer), unusual hair growth, and fighting weight. Thank you for putting this into perspective.
Thanks for putting this aspect of my thoughts into perspective. Hormonal triggers through diet, responses (magnitude of harm) vary from individual to individual. I did lose sight of just how powerful the endocrine system really is. I really benefited from this reset in thinking. Thanks
Having an adrenalectomy I was able to experience a hormonal metabolic dyscrasia first hand. I experienced lichen plantus like symptoms involving lips, mouth, tongue, nails, genitalia and other connective tissues. Doctors were baffled. Anyway I tried to explain that my Non-clinical Cushing’s Syndrome was reversing itself. I could feel the visceral fat melting away. I’m now also baffled because they are still baffled. I’m metabolically normal now. I now realize these professionals don’t see metabolically. All they see is chronic disease. No wonder their ideations lead towards negative outcomes.
@@martinlang9615 I had the operation because my adrenal was producing without governance. A hormonal cause of my dyscrasia independent of diet. They tried to initially treat my high blood sugar as insulin resistance. Through fasting I removed the weight but couldn’t get the blood sugar down to normal. That’s when they found the muscle invasive bladder cancer and the wink, wink, incidental tumor on my adrenal. It took a bladder and a prostate to convince them to remove the head of the snake. Now post chemotherapy, multiple surgeries and of course on a super natural diet with a 6 hour eating window I’m living my best life. Identify the metabolic dyscrasia and correct it was my approach.
Thank you so much for this information. I didn’t realize I’d stumble across Lipedema explanation here so it was a pleasant surprise as it’s such a concern for me, already I know I am on the right path. Thank you🙌🏼🌈
I wish you would relocate to Australia. Great weather here on the Gold Coast. I don’t even bother to inform any doctor I now deal with about being on Carnivore. I’ve been on Keto and IF, now I’m Carnivore and after reaching my set point I’m forcing the issue and fasting. You give such good info, thank you
Nothing like a philosophical insight from Dr. Cywes on January 1st morning. Health is but a spectrum that fluctuates depending on the environmental conditions. There is nothing such as good or bad. There is knowledge and then we have one's ability to use it properly to achieve a desired outcome. Happy and prosperous 2024.
I had to watch this twice to understand how beautifully well you've unpacked this highly nuanced subject matter. I believe your explanation. Very correct! No wonder we have the thin-on-the-outside-fat-on-the-inside persons. Thank you Dr. Cywes for such indepth explanation.
I think this may be a correlation vs causation discussion. Dr. O'Malley isnt claiming that high levels of visceral fat are the cause of the disease, but rather that there is correlation between high levels of visceral fat and high levels of inflimation and therefore a good predictor of a disease connected to insulin resistance. At least that how i understood it.
@@sentralorigin I cant post a link here... so search for "Fructose-induced inflammation and increased cortisol: A new mechanism for how sugar induces visceral adiposity S0033062017301627"
@@sentralorigin The problem with statistics is that it purports to be a substitute for causation. It is a cheapskate’s and lazy man’s way of attempting to predict what would happen if you actually ran an experiment got a result and then replicated the experiment and the result over and over to where on can say definitively causation has been proven. What irritates me is when doctors run an experiment over and over by giving a drug and getting the same results and then statisticians claim the results can’t be trusted. Math is not science. It is math.
@@sentralorigin We have a replication crisis because statistics had failed to predict replication. Maybe that is just bad statistics. Maybe if the p value was less than .01 statistics would have a better record. But the replication crisis is very real.
It makes sense. I for one would not ever under any circumstances want lipedema. My mother in law had it and was always embarrassed and made fun of. It was horrible!!
Yes, hyperinsulinemia is indeed a significant factor in the accumulation of visceral fat, and I agree with your emphasis on its pivotal role. However, consider a hypothetical scenario where someone with high visceral fat levels reduces their insulin to near zero. Even in such a case, the existing visceral fat would still pose health risks such as pro-inflammatory cytokines and direct harmful physical impacts on internal organs and muscles. I agree with everything you've said, except for the notion that visceral fat is not directly harmful. You are so close to a comprehensive understanding. The key point to consider is that visceral fat can be both a symptom of underlying metabolic issues, such as hyperinsulinemia, and an active contributor to health problems. This dual role of visceral fat means that while managing insulin levels is crucial, we also need to address the direct effects of accumulated visceral fat. Recognizing this will allow for a more holistic approach to treating and preventing the health issues associated with metabolic imbalances and obesity.
This makes so much sense! I have some weight to loose but my bloodwork and over health has always been good. I'm looking at my sisters very different though lol
I think of visceral fat as an indicator of serious health issues that need to be addressed and the trick is to find out what your issues are and reverse them with diet/exercise....
Very interesting and informational video! I am a new subscriber. What are your thoughts on older men with low testosterone levels, having testosterone injections under a doctor's supervision?
want to hear the answer to these snips from some articles Researchers suspect that visceral fat makes more of certain proteins that inflame your body’s tissues and organs and narrow your blood vessels. That can make your blood pressure go up and cause other problems. Visceral fat is dangerous because it is related to the release of proteins and hormones that can cause inflammation. This inflammation can damage your arteries, enter your liver, and negatively affect how your body breaks down sugars and fats. The proximity of the visceral fat to your liver is important as it can boost the production of bad cholesterol. As time goes by, plaque becomes inflamed which in turn narrows your arteries due to swelling. These narrow passageways increase your blood pressure, strain the heart, and increase your risk of blood clots.
Yes, I can't vouch for all you write as i don't know, but no-one else is commenting on the evidence that visceral fat is secreting harmful things which suggests it does cause problems, not just associated with them
@@markmacdonald1849 thanks and YES ! I am not alone :) great quick thoughts on what those articles said and like you I have heard that and seems to be ignored here :)
I agree completely. I'm keeping carbs and sugar under 200. Milk is 100 of that! Won't give it up! Started in Jan '24. A lot if my issues vanished quickly and I'm at my HS weight at age 66! Now i wish you would have covered the male side as much as you covered the female side of the coin and covered the low T side of things for us guys. My other issues were getting more serious but really want the T side back! If no use well, why bother. My choice, I know.
So we know oxidized fat is bad and beef tallow can be stored on a shelf for up to a year before it turns rancid. What happens to our stored fat that becomes inaccessible for years due to high insulin? Is anyone say cancer researchers looking at that?
I'm not sure I've heard many say that visceral fat is the cause of health issue but I have heard several make the statement that visceral fat is one symptom of larger health problems. Most diet excercise programs designed to "target visceral fat" are their to alleviate the cause of visceral fat which coincidentally gets rid of the visceral fat.
I think what he is saying is that there are stages of visceral fat deposition. In the earlier stages, it is not unhealthy by itself but is an indication of a problem about to happen. NAFLD is the end of the road where the organs are self destructing. Think most people associate big bellies with visceral fat and he is pointing out that there are a class of people with big bellies but the fat is stored under the skin. This is not as unhealthy but it is harder to identify as being fat stored under the skin or in the organ space. Primary point being that people with visceral fat should not panic when it happens but realize there is still time to become healthy. The body has an immense ability to fix itself given a chance and the right inputs.
@@mariomenezes1153 Well said. Like in my situation only 5.5 months ago. I had very bad NAFLD, the hospital function test results showed I was on the point of permanent liver function damage (cirrhosis of the liver). I went meat only carnivore and lost 97lb (44kg). I’m a 53 yo 6ft male. So, in premodern times this could be used as a fuel source, hence it had a natural bodily function which is not harmful. I was on the precipice of harm at that point. Now, my hormones are better regulated, testosterone returned. Mentally much improved. Flat stomach again after many years .
g9615 Amazing recovery. I wish more people would see stories like yours and realize there was hope. Too many people condemn themselves to a life of taking medicines that not only allow them to suffer the poor mental health and side effect but don't really solve the problem and only prolong life marginally 😢
Visceral fat is certainly bad if you are a runner or any type of cyclist trying to ride in hilly terrain... I have to disagree that carbohydrates are not the problem. So many things go right when I limit them to less than 50 grams per day...lower weight, better skin health, lower A1C, better clarity of thought, reduced edema, and reduced inflammation. This happens every time for me, I cycle in and out of SAD and ketosis, SAD is easier but unhealthy. We do not live in a nutrition desert, we must be careful. Visceral fat is a symptom of a bad diet.
Dr Cywes am I correct in understanding that hyperinsulinemia in women produces more testosterone fat and in men hyperinsulinemia causes estrogen fat? Thanks!
Good news for me!! WOO-HOO! I've done paleo low carb 2 plus ➕ years, lost 25 lbs, been at 210 and 30% body fat ever since. I'm a pear shape and an adipose beer belly. My annual VA metabolic #s. 👍. I'll worry about my next gym workout, what's for my OMAD dinner. 🤔 I do believe stress and anxiety are killers. Thanx Dr. 💪🙏
Potatoes - PAtatoes , Tomatoes - TAmatoes. Visceral fat is an anti organ that was produced from eating garbage food, it is still bad. For me is best just to eliminate excessive visceral fat through carnivore without carbs for the simplicity factor. Not to give myself permission to change my way of eating because it may or not be okay to do and never go back to cravings. No reason for me to store fat, got 6 months of meat in my freezer at all times. I am not visceral or fluffy fat. I am 68 6 foot 155 pounds and pretty much ripped. .
Ok Doctor are you saying as our Testosterone goes up it is a marker of metabolic problems? If I change my life style to low carb intermittent fasting and heavy resistance training and my testosterone went up 30%, that is a bad sign?
So if you have a high degree of visceral fat and normal hs-crp and homocysteine blood tests, does this mean the cytokines released by visceral fat are not causing systemic inflammation and therefore not contributing to further insulin resistance?
This was very informative, but a little overwhelming. My husband and I would be described as skinny/fat with big bellies. I’ve always had hormonal imbalance with low testosterone. Nothing I’ve tried budges this fat. Should I try keto?
Doctor Cywes please have a pod cast or debate with Dr. Sean O'Mara. As @Wing_nut below said his entire platform is based on the dangers of visceral fat. He's been on every carnivore influencer's channel discussing these dangers and pushing his medical practice.
What does it mean if you're 76 year old woman and low on estrogen, testosterone, and progesterone and fasting insulin is 22.2? Also big belly and 50 lbs overweight?
I had hoped that this was true in my case. I am 73 years old, I eat no sugar, under 20 carbs a day, no seed oils, no alcohol, I do eat fatty meat, and I have done so for at least 5 years and the only excess fat I have very gradually accumulated is adipose fat. I had hoped it was not harmful since I gained it slowly on a dirty carnivore diet, where I eat more than I need to.
So is Doctor Cywes saying that I should NOT be concerned about my NAFLD ( Non-Alcoholic Fatty Liver Disease)??? Robert Cywes MD and Sean O'Mara MD are two of the people I trust the most. Others are Paul Mason MD, Zoe Harcombe PhD, Ben Bikman PhD, Georgia Ede MD, Chris Palmer MD, and Eric Westman MD, and Timothy Noakes MD. Would be interest to know if and how long it would take for my ketogenic diet to get rid of the fat in my liver. I am NOT asking for personal medical advice but for what Dr. Cywes thinks generally and what he may have seen with his patients??
This segment is all about a paradox if I understand well. The visceral fat by itself is not causing harm, but it can ONLY accumulate through metabolic syndrome that inevitably causes harm. Since there are ways to de accumulate it that doesn’t correct the metabolic syndrome process, ridding of visceral fat does not necessarily lead to improved metabolic health. The marker (presence of visceral fat) shows presence of harm but one can “erase” the marker without correcting the harm it accompanied.
How do you get rid of visceral fat when u suffer from chronic high insulin. I don't think u can. I exercised fasted etc but still got. It didn't go away til I stopped eating what triggers insulin
Hey Dr. are you saying that the visceral fat itself does not put out bad inflammation cytokines? I am getting conflicting information from you on this video and Dr. Ben Bikman PhD metabolic scientist. And others even mainstream.
Fine but if you see visceral fat and overdo it on Carbs- yes, that is a problem. Eat better and work out. Most important- watch your Blood Sugar at home and test resting Insulin. No- carbs are not a good thing. We can make our own sugar from protein. Gluconeogenesis.
Doc, Dr Sean O’mara has said that visceral fat acts like a furnace excreting inflammatory molecules like cytokines, 24/7 which leads to inflammation. Are you saying that visceral fat is benign and does not leak inflammatory molecules like Dr O’mara claims?
So, visceral fat is not a cause but an effect of ill metabolic health. This question is totally academic and irrelevant from the patients point of view. Six month ago I had a huge gut, could not aim for the toilet... This gut is gone today and I will make sure it does not come back. Yes, visceral fat DOES cause harm, at a minimum it causes emotional harm. Get rid of it and make sure it does not come back. I do understand Dr Cywes argument, but I do not care.
I agree with you! Who needs it and I love my ketovore lifestyle. 🥩🥓🍳🧈 At 68 I’ve maintained my high school weight now for two years effortlessly. Good enough for me. I can see my toes and squat to the floor. Thank you Dr Ken Berry
It’s a sign that you are metabolically unwell. It is a sign your insulin is chronically high because your cells are insulin resistant. It’s also a pointer that you likely have fat on your organs, impairing their function. Try listening before commenting based on a clickbait title.
Ok my vutamin d is really low and has been for over 30 years since removal of my gallbladder ......im type 2 diabetic also recentky found out at age 60 i have excessive ly thick endometrium lining in my uterus been having bleeding blood clots fixibg to have a procedure called dnc curretage and hysterascopy
I have seen Bart K videos too. Prof Bart's supplements are all made from Veg...so....kinda hypocritical. Plus, Dr Cywes is also a PHD in Liver function (I think) and a MD and a surgeon....and he follows 1000's of patients in the space....Bart does not. SO....I would not take Bart over MDs like Berry or Cywes or Dr Omara...
I'm not going to pretend I've seen any videos of Bart debunking dr Cywes, but I will say this: I saw so many videos on different topics, especially nutrition where the "debunkers" are wrong because they either cherry-pick what they like and misinterpret/hide the rest (e.g. Ancel Keys 7 countries studies), or just don't have in depth knowledge on the basis of the topic (if you "debunk" videos on nutrition while not having solid knowledge of cellular and molecular biology, physiology, genetics and biochemistry - then just quoting "studies" is pointless). I could point to studies financed by Coca Cola to "prove" that sugar doesn't cause CVD or anything, really🤣. Mic the vegan debunks a lot of facts by quoting poorly conducted and irrelevant studies while himself has 0 knowledge on those required subjects (biochem, physiology, genetics etc). These are learned at med school, not on Google.
I stopped after he said that carbohydrates aren't the cause of disease. "Chronic consumption of excessive carbohydrates can put the body in an imbalanced nutritional state and that's what elicits... it's not only cancer, it's type 2 diabetes, it's Alzheimers disease, it's cardiovascular disease - essentially it's all of major chronic diseases that we are currently suffering from is the result of excessive amounts of carbohydrates in the diet. We as a species did not evolve to eat large amounts of carbohydrates" - professor Thomas Seyfried, who is one of the world's foremost experts in cancer, cancer biology and research.
There is interesting scientific review - Role of a critical visceral adipose tissue threshold (CVATT) in metabolic syndrome: implications for controlling dietary carbohydrates: a review by Eric S Freedland
Does visceral fat cause harm? Yes - he even says it. Listen carefully. Yes it is a marker of an underlying condition but it itself is bad. Its the same as saying drugs aren't bad on the body - the reason why people take drugs is the real cause of why drugs hurt you. Yes there is an underlying cause of taking drugs but also drugs themselves are bad. So its not a myth that visceral itself is harmful. What he's trying to communicate is treat the underlying cause and then you wont get it all. Prevention rather than correction.
I haven't lost any weight for 3 weeks now! I was 110 kilos. After 5 weeks 100 kilos. But I haven't lost any weight for 3 weeks now?! My normal weight should be 87 kilos. Man 180cm tall 54years. I don't eat during the day. Then I'm usually not hungry. From 5 p.m. I eat beef and chicken fried in butter. Approximately 1.5 pounds. In the evening 3 slices of cheese or liver. I drink 5 times blackcoffee and water 5 times. The meat with Himalayan salt and black pepper. Why am I not losing weight anymore? Am I eating too little? Should I eat more fat? Should I eat eggs? Who has an advice? Greetings Bert from the Netherlands 54years
Looks like most of these posts are 3 months old so I doubt anyone will respond but I don't really see the point in belaboring this. I haven't followed Dr. Cywes but his point is fat is fat and does not cause the disease, hormonal disregulation does. Dr. Omara says visceral fat is a biomarker for disease but doesn't go into the hormonal disregulation being the underlying cause of the visceral fat deposition. Aren't they both advocating the same solution. Again, I haven't followed Dr. Cywes but with his hashtag CarbAddictionDoc, I assume he is proposing the same solution which is Go low carb to avoid the disease state. Aren't they both proposing a strategy to lose the visceral fat. So Dr. Cywes is proposing this strategy to get into hormonal balance. but since the hormonal imbalance caused the visceral fat, how can that be a good thing? I hope that adopting these and other strategies I do also bring my body into hormonal balance, but I like others don't know if I by the benigness of visceral fat. It is an interesting explanation of why people deposit fat in different ways but ultimately I want health optimization and in some respects age reversal.
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I can accept that visceral fat does not cause metabolic illness directly, but that does not make it harmless. From what I have read, it has been clearly established that the cytokines released by visceral fat trigger systemic inflammation. I certainly would not call that "harmless"
Not to mention the crowding around the organs, I sure as hell felt a lot better after losing over a third of my visceral fat and being able to breath properly again when doing simple tasks like tying my shoes. Also looking much better with my gut no longer sticking out further than my chest.
Yes. Simply the fact that visceral fat is consumed, not by our regular cells (only) but white blood cells, which require inflammation for best operation, tells me that it is causal for inflammation, and harmful in other ways too (why else would white blood cells attack it). Then there is the mechanical resistance that it causes: we have evidence fatty muscles are weaker than lean muscle, even without additional training. (edit: and what about fatty tongue blocking airways?)
@@defeqel6537indeed
weaker and less elastic, fat in general reduces flexibility.@@defeqel6537
@@zerrodefexmy colon agrees
I just had my aha moment. Thank you so much for explaining this! I have an appointment with my endocrinologist tomorrow fortunately and I am going to talk to her about this! I am definitively the high testosterone woman type. Pcos since 1994 blessed with 3 children still butnow diabetic type 2 and lots of deep visceral fat. I put myself on carnivore/lion diet now 5.5 months and hba1c down from 12/13 to 6.1! I am going to tell her what I did and give her the info. She didn't want me to eat to much protein was goingto be bad for my kidneys but all my blood work was excellent this week! Curious at how she is going to react. Oh BTW I went down from 235.4 lbs to 195.8! Going for 160 lbs! It's a struggle I don't lose weight easy or fast but I keep on going. I WILL GET THERE SOMEDAY, thank you.
Good job👍
That’s great! Very encouraging to hear.
👏🏼🙌🏼🥳
That is fantastic. I think people that hear about this type of eating change picture huge amounts of meat but what has happened to me is that I get full eating close to the same amount of protean as I ate before. I ordered a big steak last night and only ate half of it. No surprise I get full much easier now and plan on making another meal with the leftovers. I will gladly trade carbs for my health. great job, keep up the good work.
Excellent evidence!!!
I would love to watch a debate between you and Dr. Sean O'Mara. His entire platform is based on the dangers of visceral fat. He's been on every carnivore influencer's channel discussing these dangers and pushing his medical practice.
You beat me to the most obvious debate needed for the low carb community. I'd bet the bank, O'Meara would do it and Cywes would not. The carb addiction doctor drinks wine everyday and is overweight. The other doctor does HIIT sprints and is in great shape for any age. I wonder which one I should listen to and follow? The fluffy fat doctor or the one with muscles?
@chilechilelli6319 Either way, my visceral fat is
Yup. Physiology is about biological pathways. Epidemiology is about associations. Physiology conflicts w his observational Epidemiology
The only thing that can be considered "good" in fact acceptable is to have a little (keyword being "little") visceral fat to protect the internal organs from high/low temperatures shock and from mechanical shocks. But more than that will just impede the internal organ to perform his functions well (e.g. a fatty heart will pump harder blood in arteries, a fatty liver will have a harder time producing bile or coagulation factors). Subcutaneous fat is much more benign than visceral fat.
@@chilechilelli6319 sean o'meara
everytime.
I see some people referencing Dr. Sean O'Mara, but I don't think he and Dr Cywes actually disagree. Dr. Sean's platform is built on the fact that visceral fat is the EARLIEST KNOWN MARKER of chronic disease. He has also clearly stated that liposuction to remove visceral fat DOES NOT HELP. I'd guess he and Dr. Cywes actually agree on 90-99% of things.
Liposuction does not remove viceral fat
It might of been deep subcutaneous fat, actually. Love handles getting taken off by plastic surgeons. Either way, if you asked him "would surgically removing viscerally fat improve health," I'm almost certain he would say "no."@@mehranhassan3297
I think both Dr. Cywes and Dr. Sean O'Mara are both saying that visceral fat doesn't CAUSE disease, but it is another SYMPTOM of things going wrong in your body. I think Dr. O'Mara believes that part of fixing what's wrong is adding exercise, such as sprinting, which is ancestrally appropriate.
Exactly. We know each other and are very supportive of each other.
@@brendaraymond8657it's not ancestral. It works.
Thank you for separating causation in this space from correlation. This is the best explanation of visceral fat versus hormonal dysregulation I have ever heard. You are really telling it like it is.
No he is not. Don't let this unfit doctor misguide you. He is dumb. He is also pro-vax for his kid. That should tell you everything you need to know.
That was an ah ha moment. Thank you so much for this information. It's truly making sense now. I have been studying visceral fat, cholesterol, and a host of other things, for several months. Even as I just now googled how to spell "visceral" it came up as "TOXIC FAT". So much misinformation out there, but this video pulled it all together for me. Makes absolutely SO much sense! Thank you!!!!
Excellent discussion Dr. Cywes! Thank you for always giving us such great information!
Thanks for the information!! We appreciate you and your work!!
Thank-you for your wisdom Dr. Cywes! In my eyes you are what a true doctor should be like. I am so happy I found you and anyone thinking about a consult I 1000% recommend it. I have been struggling for over a decade with type 2 D and Dr Cywes has got me back on the right track with his wisdom and understanding. Thankyou Dr Cywes for being a compassionate doctor.
Wow what a great video! A lot of helpful information! Thank you so much for sharing!
Well done. The biggest strength of Dr Cywes is his ability to understand and EXPLAIN nuance. (similar to Dr Nadir Ali). This was excellent!
This title is gonna get some "knee-jerk" pushback 😄
Especially as it's wrong. Visceral fat still has harmful side-effects like any excess fat. His choice going for a clickbaity title.
😂 Boy did it every! Especially by those who didn't listen to what he said!
It's great to see this explained in such detail! ❤❤
I remember a couple years ago (I started my nutrition education beginning in 2020) when I first started watching you I said "congrats on 20k subs" now look where you are. Information is power and people are seeking real info way more these days than before.
Love the information keep up the good work
Thankyou for the pathway to visceral fat explanation, I had to rewind to allow my self to comprehend the information… I fall into the final group you described… I understand now it is all about the chronicity of being out of homeostasis & now I have to get back to homeostasis, in doing so the “abnormalities” will eventually be no more… I believe what I have started doing is already helping, having listened to your information I appreciate the “awareness” of “why” I am today what I am… “To be forewarned is to be forearmed”… thankyou again.
Transformative presentation,once again,much appreciated!
High testosterone, must be inherited as from my grandmother on down we have experienced PCOS (all of us had surgery - my mother - cancer), unusual hair growth, and fighting weight. Thank you for putting this into perspective.
I don't always agree but I always appreciate the thoughtfulness he puts in his presentation. It's why I believe he is a standout in this space💪🏿💪🏿👍🏿
So interesting. Thank you!
So educational. Thank you for explaining it in a way that makes sense for the average person.
Plenty of average people in the comments who it didn't make sense for (lol).
@@zed5129 🙂
Thanks for putting this aspect of my thoughts into perspective.
Hormonal triggers through diet, responses (magnitude of harm) vary from individual to individual.
I did lose sight of just how powerful the endocrine system really is. I really benefited from this reset in thinking.
Thanks
Bring in the environmental epigenetic influences & you’ll be golden stair stepping your way towards the platinum level of cohesive correlation.
Having an adrenalectomy I was able to experience a hormonal metabolic dyscrasia first hand. I experienced lichen plantus like symptoms involving lips, mouth, tongue, nails, genitalia and other connective tissues. Doctors were baffled. Anyway I tried to explain that my Non-clinical Cushing’s Syndrome was reversing itself. I could feel the visceral fat melting away. I’m now also baffled because they are still baffled. I’m metabolically normal now. I now realize these professionals don’t see metabolically. All they see is chronic disease. No wonder their ideations lead towards negative outcomes.
@@deflo56that’s so interesting…
Through adversity you gained some freedom. That IS rare
@@martinlang9615 I had the operation because my adrenal was producing without governance. A hormonal cause of my dyscrasia independent of diet. They tried to initially treat my high blood sugar as insulin resistance. Through fasting I removed the weight but couldn’t get the blood sugar down to normal. That’s when they found the muscle invasive bladder cancer and the wink, wink, incidental tumor on my adrenal. It took a bladder and a prostate to convince them to remove the head of the snake. Now post chemotherapy, multiple surgeries and of course on a super natural diet with a 6 hour eating window I’m living my best life. Identify the metabolic dyscrasia and correct it was my approach.
Thank you so much, this is extremely helpful information!
very good! thanks doc
So beneficial to have information broken down in step by step to help it to be corrected. ❤😊
Thank you so much for this information. I didn’t realize I’d stumble across Lipedema explanation here so it was a pleasant surprise as it’s such a concern for me, already I know I am on the right path. Thank you🙌🏼🌈
I wish you would relocate to Australia. Great weather here on the Gold Coast. I don’t even bother to inform any doctor I now deal with about being on Carnivore. I’ve been on Keto and IF, now I’m Carnivore and after reaching my set point I’m forcing the issue and fasting. You give such good info, thank you
Well done
I like your videos Dr Rob . I’ve been on keto for 3 years now . Feeling awesome . Bottom line , it works
Hey, how much carbs do you have? If you ever counted them.
so much great information, thanks!
Nothing like a philosophical insight from Dr. Cywes on January 1st morning. Health is but a spectrum that fluctuates depending on the environmental conditions. There is nothing such as good or bad. There is knowledge and then we have one's ability to use it properly to achieve a desired outcome. Happy and prosperous 2024.
Thank you Doctor, very illuminating talk. Sally UK
I had to watch this twice to understand how beautifully well you've unpacked this highly nuanced subject matter. I believe your explanation. Very correct!
No wonder we have the thin-on-the-outside-fat-on-the-inside persons. Thank you Dr. Cywes for such indepth explanation.
What about heart disease caused by visceral fat surrounding the heart? And fatty liver disease?
I think this may be a correlation vs causation discussion. Dr. O'Malley isnt claiming that high levels of visceral fat are the cause of the disease, but rather that there is correlation between high levels of visceral fat and high levels of inflimation and therefore a good predictor of a disease connected to insulin resistance. At least that how i understood it.
Finally someone i agree with
@@sentralorigin I cant post a link here... so search for "Fructose-induced inflammation and increased cortisol: A new mechanism for how sugar induces visceral adiposity S0033062017301627"
@@sentralorigin The problem with statistics is that it purports to be a substitute for causation. It is a cheapskate’s and lazy man’s way of attempting to predict what would happen if you actually ran an experiment got a result and then replicated the experiment and the result over and over to where on can say definitively causation has been proven.
What irritates me is when doctors run an experiment over and over by giving a drug and getting the same results and then statisticians claim the results can’t be trusted.
Math is not science. It is math.
@@sentralorigin We have a replication crisis because statistics had failed to predict replication. Maybe that is just bad statistics. Maybe if the p value was less than .01 statistics would have a better record. But the replication crisis is very real.
@@davidgmillsatty1900 mathematics is a science, but I think you’re confusing science with the scientific method.
Very interesting.
It makes sense. I for one would not ever under any circumstances want lipedema. My mother in law had it and was always embarrassed and made fun of. It was horrible!!
Yes, hyperinsulinemia is indeed a significant factor in the accumulation of visceral fat, and I agree with your emphasis on its pivotal role. However, consider a hypothetical scenario where someone with high visceral fat levels reduces their insulin to near zero. Even in such a case, the existing visceral fat would still pose health risks such as pro-inflammatory cytokines and direct harmful physical impacts on internal organs and muscles.
I agree with everything you've said, except for the notion that visceral fat is not directly harmful. You are so close to a comprehensive understanding. The key point to consider is that visceral fat can be both a symptom of underlying metabolic issues, such as hyperinsulinemia, and an active contributor to health problems. This dual role of visceral fat means that while managing insulin levels is crucial, we also need to address the direct effects of accumulated visceral fat. Recognizing this will allow for a more holistic approach to treating and preventing the health issues associated with metabolic imbalances and obesity.
This was way above my understanding.
This makes so much sense! I have some weight to loose but my bloodwork and over health has always been good. I'm looking at my sisters very different though lol
That is what Dr. Omara says. You must stop the carbs.
Thank you for this information I need to lose 145 lbs i just started keto
The second picture of the male belly reminded me of my father. Passed away kidney failure
Would love to see you discuss this with Dr Sean O'Mara soon..
Hopefully you are on the same page.
I think of visceral fat as an indicator of serious health issues that need to be addressed and the trick is to find out what your issues are and reverse them with diet/exercise....
Thank you. It’s getting to the cause, not the result.
Very interesting and informational video! I am a new subscriber. What are your thoughts on older men with low testosterone levels, having testosterone injections under a doctor's supervision?
Hmm interesting
You’re lucky with that CAC score! 🎉
You and Dr Sean OMara should have a joint podcast on this subject
want to hear the answer to these snips from some articles
Researchers suspect that visceral fat makes more of certain proteins that inflame your body’s tissues and organs and narrow your blood vessels. That can make your blood pressure go up and cause other problems.
Visceral fat is dangerous because it is related to the release of proteins and hormones that can cause inflammation. This inflammation can damage your arteries, enter your liver, and negatively affect how your body breaks down sugars and fats. The proximity of the visceral fat to your liver is important as it can boost the production of bad cholesterol. As time goes by, plaque becomes inflamed which in turn narrows your arteries due to swelling. These narrow passageways increase your blood pressure, strain the heart, and increase your risk of blood clots.
Yes, I can't vouch for all you write as i don't know, but no-one else is commenting on the evidence that visceral fat is secreting harmful things which suggests it does cause problems, not just associated with them
@@markmacdonald1849 thanks and YES ! I am not alone :)
great quick thoughts on what those articles said and like you I have heard that and seems to be ignored here :)
👌
I agree completely. I'm keeping carbs and sugar under 200. Milk is 100 of that! Won't give it up! Started in Jan '24. A lot if my issues vanished quickly and I'm at my HS weight at age 66! Now i wish you would have covered the male side as much as you covered the female side of the coin and covered the low T side of things for us guys. My other issues were getting more serious but really want the T side back! If no use well, why bother. My choice, I know.
Turns out that bullets are also completely harmless. It's their speed that kills.
Handle with care. 😊
So we know oxidized fat is bad and beef tallow can be stored on a shelf for up to a year before it turns rancid. What happens to our stored fat that becomes inaccessible for years due to high insulin? Is anyone say cancer researchers looking at that?
I'm not sure I've heard many say that visceral fat is the cause of health issue but I have heard several make the statement that visceral fat is one symptom of larger health problems. Most diet excercise programs designed to "target visceral fat" are their to alleviate the cause of visceral fat which coincidentally gets rid of the visceral fat.
Say What?? Visceral Fat itself is OK?? Doesn't Visceral Fat include Fatty Liver (from Fructose/Sugar Overconsumption = NAFLD)? NAFLD results in Hepatic Scarring (i.e. Cirrhosis).
The "excessive" organ fat is more of a symptom than a problem.
I think what he is saying is that there are stages of visceral fat deposition. In the earlier stages, it is not unhealthy by itself but is an indication of a problem about to happen. NAFLD is the end of the road where the organs are self destructing. Think most people associate big bellies with visceral fat and he is pointing out that there are a class of people with big bellies but the fat is stored under the skin. This is not as unhealthy but it is harder to identify as being fat stored under the skin or in the organ space. Primary point being that people with visceral fat should not panic when it happens but realize there is still time to become healthy. The body has an immense ability to fix itself given a chance and the right inputs.
@@mariomenezes1153
Well said.
Like in my situation only 5.5 months ago.
I had very bad NAFLD, the hospital function test results showed I was on the point of permanent liver function damage (cirrhosis of the liver).
I went meat only carnivore and lost 97lb (44kg). I’m a 53 yo 6ft male.
So, in premodern times this could be used as a fuel source, hence it had a natural bodily function which is not harmful. I was on the precipice of harm at that point.
Now, my hormones are better regulated, testosterone returned. Mentally much improved.
Flat stomach again after many years .
g9615 Amazing recovery. I wish more people would see stories like yours and realize there was hope. Too many people condemn themselves to a life of taking medicines that not only allow them to suffer the poor mental health and side effect but don't really solve the problem and only prolong life marginally 😢
For the Algo 🥩🧈🥓🍳👍✌️ Thx Doc!
Visceral fat is certainly bad if you are a runner or any type of cyclist trying to ride in hilly terrain... I have to disagree that carbohydrates are not the problem. So many things go right when I limit them to less than 50 grams per day...lower weight, better skin health, lower A1C, better clarity of thought, reduced edema, and reduced inflammation. This happens every time for me, I cycle in and out of SAD and ketosis, SAD is easier but unhealthy. We do not live in a nutrition desert, we must be careful. Visceral fat is a symptom of a bad diet.
Dr Cywes am I correct in understanding that hyperinsulinemia in women produces more testosterone fat and in men hyperinsulinemia causes estrogen fat?
Thanks!
Good news for me!! WOO-HOO! I've done paleo low carb 2 plus ➕ years, lost 25 lbs, been at 210 and 30% body fat ever since. I'm a pear shape and an adipose beer belly. My annual VA metabolic #s. 👍. I'll worry about my next gym workout, what's for my OMAD dinner. 🤔
I do believe stress and anxiety are killers. Thanx Dr. 💪🙏
Potatoes - PAtatoes , Tomatoes - TAmatoes. Visceral fat is an anti organ that was produced from eating garbage food, it is still bad. For me is best just to eliminate excessive visceral fat through carnivore without carbs for the simplicity factor. Not to give myself permission to change my way of eating because it may or not be okay to do and never go back to cravings. No reason for me to store fat, got 6 months of meat in my freezer at all times. I am not visceral or fluffy fat. I am 68 6 foot 155 pounds and pretty much ripped. .
Waist size over extended periods of time is an indicator of metabolic health whether the fat is visceral or subcutaneous.
I wish you were in New Zealand
this is a very more than ah ah ha moment.
Ok Doctor are you saying as our Testosterone goes up it is a marker of metabolic problems? If I change my life style to low carb intermittent fasting and heavy resistance training and my testosterone went up 30%, that is a bad sign?
I believe Sean O'mara
So if you have a high degree of visceral fat and normal hs-crp and homocysteine blood tests, does this mean the cytokines released by visceral fat are not causing systemic inflammation and therefore not contributing to further insulin resistance?
Hey Doc. Are you in the US and do you do Telehealth?
This was very informative, but a little overwhelming. My husband and I would be described as skinny/fat with big bellies. I’ve always had hormonal imbalance with low testosterone. Nothing I’ve tried budges this fat. Should I try keto?
Fasting does wonders for viceral fat.
Doctor Cywes please have a pod cast or debate with Dr. Sean O'Mara. As @Wing_nut below said his entire platform is based on the dangers of visceral fat. He's been on every carnivore influencer's channel discussing these dangers and pushing his medical practice.
That's a shame, I was hoping my friend would start to lose weight if she thought it was doing her harm.
That's the wrong way around, isn't it? Fear isn't a good motivator. Fear will always drive you towards shortcuts.
What does it mean if you're 76 year old woman and low on estrogen, testosterone, and progesterone and fasting insulin is 22.2? Also big belly and 50 lbs overweight?
I had hoped that this was true in my case. I am 73 years old, I eat no sugar, under 20 carbs a day, no seed oils, no alcohol, I do eat fatty meat, and I have done so for at least 5 years and the only excess fat I have very gradually accumulated is adipose fat. I had hoped it was not harmful since I gained it slowly on a dirty carnivore diet, where I eat more than I need to.
So is Doctor Cywes saying that I should NOT be concerned about my NAFLD ( Non-Alcoholic Fatty Liver Disease)??? Robert Cywes MD and Sean O'Mara MD are two of the people I trust the most. Others are Paul Mason MD, Zoe Harcombe PhD, Ben Bikman PhD, Georgia Ede MD, Chris Palmer MD, and Eric Westman MD, and Timothy Noakes MD. Would be interest to know if and how long it would take for my ketogenic diet to get rid of the fat in my liver. I am NOT asking for personal medical advice but for what Dr. Cywes thinks generally and what he may have seen with his patients??
Does it matter how long? You have a problem and can absolutely fix it in under 1 year of very strict keto. No BS cheat days.
am glad that I have little visceral fat
This segment is all about a paradox if I understand well. The visceral fat by itself is not causing harm, but it can ONLY accumulate through metabolic syndrome that inevitably causes harm. Since there are ways to de accumulate it that doesn’t correct the metabolic syndrome process, ridding of visceral fat does not necessarily lead to improved metabolic health.
The marker (presence of visceral fat) shows presence of harm but one can “erase” the marker without correcting the harm it accompanied.
How do you get rid of visceral fat when u suffer from chronic high insulin. I don't think u can. I exercised fasted etc but still got. It didn't go away til I stopped eating what triggers insulin
Hey Dr. are you saying that the visceral fat itself does not put out bad inflammation cytokines? I am getting conflicting information from you on this video and Dr. Ben Bikman PhD metabolic scientist. And others even mainstream.
Fine but if you see visceral fat and overdo it on Carbs- yes, that is a problem. Eat better and work out. Most important- watch your Blood Sugar at home and test resting Insulin. No- carbs are not a good thing. We can make our own sugar from protein. Gluconeogenesis.
I wonder…If engaging the glucogenesis aspect actually enhances our metabolism whereas the fast-&-easy sugar-sleazy carbs do not?
Doc,
Dr Sean O’mara has said that visceral fat acts like a furnace excreting inflammatory molecules like cytokines, 24/7 which leads to inflammation. Are you saying that visceral fat is benign and does not leak inflammatory molecules like Dr O’mara claims?
So, visceral fat is not a cause but an effect of ill metabolic health.
This question is totally academic and irrelevant from the patients point of view. Six month ago I had a huge gut, could not aim for the toilet... This gut is gone today and I will make sure it does not come back. Yes, visceral fat DOES cause harm, at a minimum it causes emotional harm. Get rid of it and make sure it does not come back.
I do understand Dr Cywes argument, but I do not care.
I agree with you! Who needs it and I love my ketovore lifestyle. 🥩🥓🍳🧈
At 68 I’ve maintained my high school weight now for two years effortlessly. Good enough for me. I can see my toes and squat to the floor. Thank you Dr Ken Berry
Agreed, it's still harmful in it's many side-effects.
We've been told that belly fat is bad.
Did you listen to video?
It’s a sign that you are metabolically unwell. It is a sign your insulin is chronically high because your cells are insulin resistant. It’s also a pointer that you likely have fat on your organs, impairing their function. Try listening before commenting based on a clickbait title.
Ok my vutamin d is really low and has been for over 30 years since removal of my gallbladder ......im type 2 diabetic also recentky found out at age 60 i have excessive ly thick endometrium lining in my uterus been having bleeding blood clots fixibg to have a procedure called dnc curretage and hysterascopy
After I seen videos of Bart debunking Dr Cywes, I take his info with a pinch of salt.
I have seen Bart K videos too. Prof Bart's supplements are all made from Veg...so....kinda hypocritical. Plus, Dr Cywes is also a PHD in Liver function (I think) and a MD and a surgeon....and he follows 1000's of patients in the space....Bart does not. SO....I would not take Bart over MDs like Berry or Cywes or Dr Omara...
I'm not going to pretend I've seen any videos of Bart debunking dr Cywes, but I will say this: I saw so many videos on different topics, especially nutrition where the "debunkers" are wrong because they either cherry-pick what they like and misinterpret/hide the rest (e.g. Ancel Keys 7 countries studies), or just don't have in depth knowledge on the basis of the topic (if you "debunk" videos on nutrition while not having solid knowledge of cellular and molecular biology, physiology, genetics and biochemistry - then just quoting "studies" is pointless). I could point to studies financed by Coca Cola to "prove" that sugar doesn't cause CVD or anything, really🤣.
Mic the vegan debunks a lot of facts by quoting poorly conducted and irrelevant studies while himself has 0 knowledge on those required subjects (biochem, physiology, genetics etc). These are learned at med school, not on Google.
Which bart video was that?
So do i need to ask my dr if i can have a testosterone level im female
Theres no way half the people listened to this video judging by these comments. Or theyre misunderstanding what youre saying.
I stopped after he said that carbohydrates aren't the cause of disease.
"Chronic consumption of excessive carbohydrates can put the body in an imbalanced nutritional state and that's what elicits... it's not only cancer, it's type 2 diabetes, it's Alzheimers disease, it's cardiovascular disease - essentially it's all of major chronic diseases that we are currently suffering from is the result of excessive amounts of carbohydrates in the diet. We as a species did not evolve to eat large amounts of carbohydrates" - professor Thomas Seyfried, who is one of the world's foremost experts in cancer, cancer biology and research.
That's the risk with clickbait titles.
Many people today have comprehension issues, it has magnified in the past few years. Look into why that may be.
Your series have made me want to leave CS and go study medical
There is interesting scientific review - Role of a critical visceral adipose tissue threshold (CVATT) in metabolic syndrome: implications for controlling dietary carbohydrates: a review
by Eric S Freedland
Does visceral fat cause harm? Yes - he even says it. Listen carefully. Yes it is a marker of an underlying condition but it itself is bad. Its the same as saying drugs aren't bad on the body - the reason why people take drugs is the real cause of why drugs hurt you. Yes there is an underlying cause of taking drugs but also drugs themselves are bad. So its not a myth that visceral itself is harmful. What he's trying to communicate is treat the underlying cause and then you wont get it all. Prevention rather than correction.
That's what he does well, happy you untangled the truth
Great vid! I'm fluffy fat
the question is do i want to have dr cywes or dr omara,s body? gee thats a tough one😁
I haven't lost any weight for 3 weeks now!
I was 110 kilos.
After 5 weeks 100 kilos.
But I haven't lost any weight for 3 weeks now?!
My normal weight should be 87 kilos. Man 180cm tall 54years.
I don't eat during the day. Then I'm usually not hungry.
From 5 p.m. I eat beef and chicken fried in butter.
Approximately 1.5 pounds.
In the evening 3 slices of cheese or liver.
I drink 5 times blackcoffee and water 5 times.
The meat with Himalayan salt and black pepper.
Why am I not losing weight anymore?
Am I eating too little? Should I eat more fat? Should I eat eggs?
Who has an advice? Greetings Bert from the Netherlands 54years
Looks like most of these posts are 3 months old so I doubt anyone will respond but I don't really see the point in belaboring this. I haven't followed Dr. Cywes but his point is fat is fat and does not cause the disease, hormonal disregulation does. Dr. Omara says visceral fat is a biomarker for disease but doesn't go into the hormonal disregulation being the underlying cause of the visceral fat deposition. Aren't they both advocating the same solution. Again, I haven't followed Dr. Cywes but with his hashtag CarbAddictionDoc, I assume he is proposing the same solution which is Go low carb to avoid the disease state. Aren't they both proposing a strategy to lose the visceral fat. So Dr. Cywes is proposing this strategy to get into hormonal balance. but since the hormonal imbalance caused the visceral fat, how can that be a good thing? I hope that adopting these and other strategies I do also bring my body into hormonal balance, but I like others don't know if I by the benigness of visceral fat. It is an interesting explanation of why people deposit fat in different ways but ultimately I want health optimization and in some respects age reversal.
Some visuals please.
I have lipedema and PCOS 😅
How to solve hyper insulinemia
Look at the difference between them, hello😮
To summarize: "the tail doesn't wag the dog".
Except the media does that all day long.
Click Bait
Why then does estrodial make you insulin sensitive?