The Metabolic Classroom with Dr. Ben Bikman

The Unexpected Link Between Salt Regulating Hormones and Metabolic Health

Dec 19, 2024
Discover the surprising connections between salt-regulating hormones and metabolic health. Dr. Bikman examines how hormones like angiotensin II and aldosterone influence insulin sensitivity and fat cell dynamics. He reveals that salt restriction, often recommended for hypertension, can ironically worsen insulin resistance. This fascinating discussion challenges conventional wisdom around diet and highlights the delicate balance of hormones in managing metabolic issues.
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INSIGHT

Hormones and Metabolic Health

  • Salt- and water-regulating hormones like angiotensin II, aldosterone, and ADH significantly impact insulin sensitivity and fat cell dynamics.
  • These hormones play a critical role in metabolic health issues like obesity and diabetes, in addition to regulating blood pressure.
INSIGHT

Angiotensin II and Insulin Resistance

  • Angiotensin II promotes insulin resistance by increasing ceramide production, which blocks insulin signaling.
  • It also enlarges fat cells and inhibits their breakdown, further contributing to metabolic issues.
INSIGHT

Angiotensin II and Fat Cells

  • Angiotensin II promotes fat cell hypertrophy (size increase) but inhibits hyperplasia (number increase).
  • This can lead to larger, less insulin-sensitive fat cells, exacerbating metabolic problems.
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