Now, just because someone looks thin doesn't mean they're healthy.

In fact, I see patients all the time who are lean, but are struggling with fatigue, poor metabolic

health, and even pre-diabetes and leaky gut.

Some say that visceral fat is the culprit,

the kind you can't see in the mirror. But in my practice, I see the problem being a fatty liver

and insulin resistance. Now, before we go on, quick reminder, if you find this helpful,

be sure to subscribe and leave a review.

So what is skinny fat? So skinny fat refers to people who appear lean, but actually carry

dangerous fat inside their bodies. And as I've written about in gut check, fascinatingly,

50% of normal weight individuals have insulin resistance

and metabolic inflexibility. Whoa, 50%. So this fat collects around the organs in your liver,

in your pancreas, along your intestines,

and even on the fat on the surface of your heart.

Just to entertain you, there are very good studies in cardiac disease showing that the more

fat that you have on the surface of your heart around your blood vessels,

the more coronary artery disease and inflammation you have in those blood vessels.

In fact, many times as a surgeon, we would see skinny patients who were operating on

for heart disease, for blockages in their coronary arteries, where they have so much inflammation

in the fat on their coronary arteries that we literally peel off scar tissue off the top of

their coronary arteries to get to their arteries, all from that fat. And it doesn't show up on the

surface. These people are not fat, but the fat is inside.

Real quick, before we dive in, if you've gotten value from this show, I'd love for you to take 15 seconds and leave a five-star review on Apple Podcasts or Spotify.

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