
The Genius Life 124: Why We Get Fat, How to Fix Insulin Resistance, IGF-1 and Cancer | Benjamin Bikman, PhD
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Aug 19, 2020 Benjamin Bikman, PhD, discusses the relationship between fat cells and insulin resistance, the consequences of insulin resistance in chronic diseases, the link between IGF-1, insulin, and cancer, and optimizing protein consumption for growth.
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How A Paper Changed His Career
- Benjamin Bikman found a pivotal study showing fat cells release pro-inflammatory hormones, which changed his research focus.
- That discovery led him to study how fat-driven inflammation promotes insulin resistance and chronic disease.
Fat Cells Start The Insulin-Resistance Cascade
- Fat tissue often drives whole-body insulin resistance because hypertrophic fat cells become inflamed and leak fatty acids.
- Those leaked fats form ceramides that spread insulin resistance to liver, muscle, and brain.
Two Very Different Ways Fat Tissue Grows
- Fat tissue can grow by hypertrophy (bigger cells) or hyperplasia (more cells), producing different metabolic outcomes.
- Hyperplastic growth often preserves insulin sensitivity while hypertrophy drives inflammation and metabolic disease.

