3min chapter

LEVELS – A Whole New Level cover image

#209 - What is insulin resistance and why does it matter? | Dr. Rob Lustig & Dr. Dominic D’Agostino

LEVELS – A Whole New Level

CHAPTER

The Effects of Subcutaneous Fat on Insulin Resistance

Subcutaneous fat can lead to insulin resistance, but only at a very high level. And so that's one of the reasons why we have metabolically healthy obese people because they haven't gotten to the point where those membranes have ruptured. The second way to get insulin resistance is from stress, having nothing to do with energy and having nothing toDo with food. Patients with endogenous clinical depression who are not eating, I mean, they are anhedonic, they are suicidal. You stick them in a scanner and they're losing weight, they're losing subcutaneous fat. But they're gaining visceral fat. And in fact, they have insulin resistance too. They have it because of

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