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The Fourth Pillar: Why I Spent 30 Years as a Cardiologist Without Hearing About the Most Important Risk Factor of All
Visceral fat sits silently behind heart disease, dementia, prediabetes, joint pain and aggressive prostate cancer risk
May 10


Your Genes and Fat: Why Some People’s Cholesterol Rises More Than Others
Reducing saturated fat intake is known to lower “bad” cholesterol (LDL-C) and reduce heart disease risk, but responses vary widely between individuals. Research shows that genetics strongly influence how much LDL rises when people eat foods like butter, cheese, or fatty meats compared with unsaturated fats such as olive oil, nuts, and oily fish. Even on the same diet, LDL responses can differ by up to 1 mmol/L, reflecting genetic differences in intestinal cholesterol absorpti
Dec 30, 2025


Epigenetics and Metabolic Health: How Lifestyle Rewrites Your Genes
Epigenetics is the molecular bridge between lifestyle and disease. It explains why two people eating the same meal can have very different glucose spikes, and why decades of stress or sleep loss can push one individual towards metabolic syndrome while another remains resilient.
Dec 12, 2025


MASLD/MASH -metabolic dysfunction -associated steatotic liver disease: What You Need to Know
MASLD is a silent but important marker of metabolic health and another consequence of raised Visceral Adipose Tissue (VAT). Although often discovered by chance, it carries significant implications for both liver and cardiovascular wellbeing. Through caloric restriction, physical activity, improved nutrition, and early intervention, MASLD can usualy be stabilised or reversed — protecting not just the liver, but the heart as well.
Nov 3, 2025


Does Losing Visceral Fat Improve Joint Pain via Reducing Inflammation?
Adipose tissue—particularly visceral adipose tissue (VAT)—is not merely a passive energy store. It is metabolically active and pro-inflammatory, secreting cytokines and adipokines that drive systemic inflammation. It is therefore plausible that reducing VAT may alleviate joint pain by lowering inflammatory signalling, not just mechanical stress.
Sep 13, 2025


Why the Mediterranean Diet Works: It’s More Than Just What You Eat
For years, the Mediterranean diet has been praised as one of the healthiest ways to eat. Rich in vegetables, olive oil, fish, nuts, and whole grains, it’s been linked to lower rates of heart disease, diabetes, and obesity. But why does it work so well?
Aug 30, 2025


The Expanding Waistline in Men: Spare Tyre, Killer Visceral Fat, or Just Flabby Abdominal muscles?
Most men over 30 will recognise the slow but steady expansion of the waistline. Whether you call it a spare tyre, a dad bod, or just a bit of extra padding, not all belly fat is created equal — and not all of it is harmless.
Some types of abdominal fat are mostly cosmetic. Others are dangerous, inflammatory, and metabolically active — the kind of fat that silently drives heart attacks, strokes, dementia, and even advanced cancers.
Let’s break down the three main culprits behi
Aug 3, 2025
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