
The Metabolic Link Fat: Why it Matters and What to Do About It with Ben Bikman, PhD | The Metabolic Link Ep. 35
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Feb 26, 2024 In this insightful discussion, Dr. Ben Bikman, a professor and expert in metabolic health, explores the intricate relationship between fat and metabolic diseases. He delves into concepts like the personal fat threshold and its role in insulin resistance. Bikman highlights how hypertrophic fat cells can lead to metabolic harm while paradoxically, hyperplasia may improve insulin sensitivity. He also explains how hormonal signals, including insulin, regulate fat storage, and discusses exercise’s unique impact on fat cell behavior. A must-listen for anyone interested in metabolic health!
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Why Oversized Fat Cells Resist Insulin
- Hypertrophic fat cells become insulin resistant as a survival response when they run out of room.
- This resistance prevents further growth but causes metabolic leakage and systemic harm.
Hypoxia Links Fat Growth To Inflammation
- Hypertrophic fat cells become hypoxic and release pro-inflammatory cytokines to stimulate new blood vessels.
- Those inflammatory signals correct hypoxia but drive systemic metabolic dysfunction.
Personal Fat Threshold Explained
- Personal fat threshold varies between individuals and dictates when fat mass causes insulin resistance.
- Increasing adipocyte number (hyperplasia) can raise that threshold and restore insulin sensitivity.




