Lecture-style presentation discussing insulin resistance and the health impact of 'hidden' fat (unseen/visceral adiposity). Includes case comparisons where obese patients have unexpectedly low fasting insulin and HOMA scores and altered lipid profiles, arguing that visible fat does not fully predict metabolic health.
Chapters
If you're fat, your insulin is high, right? You have insulin resistance. And here are their relatives, all with insulin resistance. They have low insulins, they're obese, but they have low insulins and there's their hormones. So how do you explain that? How do you explain that they're fat but healthier than their relatives because it's not the fat you can see that counts. So if you take a look now, so here's their percent fat, here's the control 41, here's the patient 48. Here, here's their fasting insulin. The relative 14, the patient 4. But the patient is fat, so the patient should have high insulin. The patient has one third the level of insulin, same for the homa. And when you look at the lipids, here's their ldl. Notice their LDL is higher. Now the LDL should give them heart disease and the reason is because their triglyceride is lower. 158, 100.