Transform Your Health! Uncover The Truth About Visceral Fat | Ep 132

welcome to the plant free MD podcast with Dr Anthony chafee where we discuss diet and nutrition and how this affects health and chronic disease and show you how you can use this to optimize your health and happiness both mentally and physically hello everyone thank you for joining me again today uh for another episode of the plant free MD and today I have another return guest Dr Sean O'Mara had an excellent podcast together the other day look talking about visceral fat and how this can seriously negatively affect your health and how actually curing it of your body can actually reverse a lot of these diseases Dr Amara thank you so much for coming back on yeah well great to be with you Dr Chaffee I really appreciate the opportunity to return and hopefully get to get some better uh imagery that we were technically challenged in by our first podcast and and I'll take responsibility for that but uh I I'm not as technically verse um as I am clinically my my passion is clearly lie within the realm of uh medical biology and Science and and not uh uh technical capabilities on on uh on screen sharing and Camera rotation so I'm sorry to get the audience that that uh that we didn't get it right the first time but this is another opportunity get together and discuss the same content and go through those uh slides that weren't uh we weren't able to share last time yeah well no it's great and you know I think I think that it would be great to come in and just sort of go through it again because you know even even seeing the same sort of thing again and hearing it again in a different format uh can really nail things home for people so I think that's very very beneficial and obviously you know add add new things to that as well so I think that would be pretty great I appreciate your your time coming back on absolutely great great to be back Perfect all right great well um I'll leave it to you uh take it away you can share your screen you can get going yeah hey guys just want to take a second to thank our sponsor at carnivore bar I don't promote many products because honestly all you need to be healthy is to just eat meat for those times that you're out hiking road tripping or stuck at work and you want nutritious snack that is just meat fat and salt if you want it the carnival bar is a great option so I like this product not because it's just pure meat but also because I want the carnivore Market to thrive as well and the more we support meat only products the more meat only products that will be available in the mainstream so if this sounds like something you'd like to get behind check it out using my discount code Anthony to get 10 off which also applies to subscriptions giving you 25 off total all right thanks guys okay so great I uh I am excited to be able to show these slides and uh for the sake of the audience um I have learned about an interesting um uh tool using MRI to to track biomarkers inside the body and that the history behind this is that we purpose for a National Science Foundation Grant to try to revert chronic disease and my research partner uh Dr Zhang who first introduced me to what I think is the most powerful biomarker right now that I have found to improve and optimize the health of humans and and eliminate chronic disease is visceral fat and I learned about it back in 2013 and uh doctor saying um at that time actually invited me to be to have my own visceral fats scanned and so um we uh started collaborating working together and invited me into his research practice and uh we we worked together for seven years studying visceral fat and then uh subsequently learned a number of other biomarkers both inside the body and outside the body so for the sake of uh you know the audience I thought I'd I'd make a quick introduction how I got started on utilizing MRIs to track this interesting biomarker and what we did and what I continued to do today now outside of my research practice that we had to close because of covid I will scan clients who are interested in working with me to optimize their health uh their abdomens and I typically you know look at several areas within the abdomen but what's interesting about visceral fat is it tends to be fairly symmetric at all levels so regardless of the level you look at you get a good indication of how much visceral fat is present in other words you don't get a disproportionate amount in a certain area and so it's fairly symmetric and and so reliable you can just take a look at any particular area but in this graphic we show a transverse plane here in axial cuts through the abdomen and it gives a representation and the image below of what an unaltered view of a MRI scan through abdomen looks at looks like and the dark structures at the bottom of the picture um are the back muscles and the white um in the center of the image in the bottom is visceral fat and the white around the sides uh is subcutaneous pattern the image above we change the colors uh to help people understand uh more quickly and easily visceral fat is the red in the center and subcutaneous fat is on the outside now what's important for people to understand appreciate is that not all fat is the same so increasingly and I'm very grateful to hear and see that this is happening visceral fat is coming into Vogue and you're hearing more and more about it because of its Association and connection with if not uh causality of chronic disease so it has a a very different characteristic uh you know I call it you know say it's bricks and clouds compared to subcutane continuous fat subcutaneous fat really if it's large at least just benign in most cases you could probably you certainly could have too much subcutaneous fat where it could be um really problematic and have too much but though those individuals aside I think a certain amount of subcutaneous found in exactly how much is uh is ideal it's not really known at this point I think we have to do studies but it does in fact uh appear to have um benefit and a protective um uh characteristic for organisms that have it so you certainly want some degree of subcutaneous fat but visceral fat you you want to eliminate because of its metabolically active state where it's secreting cytokines and inflammatory molecules uh and for the sake of the layperson bad stuff comes from visceral fat and is proximity to organs you know within the abdominal cavity and uh and the circulatory cavity um the portal vein allows it to have uh influence throughout the entire body so visceral fat has this uh amazing capacity for detrimentally influence influencing the body of the hose all over so it doesn't just go after a few areas it goes after what appears to be um every cell in the body has some sort of exposure and vulnerability to the the harmful nature of visceral fat so that that being an introduction of visceral fat let me uh let me slide to another uh example that I think is important to understand so what I'd really like to share with the audience is Anthony the ability to understand what a good amount of visceral you know abdominal skin looks like and what a bad adenal skin looks like so um can you still see those images having rotate the next one does that show up yeah yeah no that's perfect okay so on the images in the top you see um is a abdominal MRI of a friend of an Army National Guard Gabe uh Gabe has a uh an enormous amount of muscles so if you look at the dark structures and those are um uh muscles to show up as on an MRI as dark and fat shows up as white so Gabe is predominantly uh muscle um and he has a positive or a very small amount of visceral fat which is the white some of the white streaks that you see um kind of in the top top middle portion of the abdomen the ones that are kind of almost um like lightning bolts or something like slightly towards the bottom the bottom maybe bottom a half or bottom third is is actually retroperitoneal fat and not not particular not not metabolically uh active it's it's not visceral fat it's it's outside peritonealining and the the dark structures two kind of circular structures uh to the left and right kind of in the center area of that those are his psoas muscles so I like to point those out because um they're they're referred to as your core so a lot of people do core workouts in the abdomen and now you can stop wondering what the heck your core is and what it looks like you I've just shown up to you they're those two dark structures um and in Gabe's case they're enormous gave is a physically fit Soldier officer and uh works out uh like a like a theme he is really and eats super healthy and has MRI depicts it now contrasting that to the image below um is another friend who's got uh that I met um who incidentally did a lot of uh it comes from Bangladesh and wants to return to Bangladesh to help out uh poor children where I know I know you've spent some time in Bangladesh so he unfortunately has acquired some disease since he came here to the United States and uh now Austin has a huge amount of fat so you can see uh predominating in the image below is white and it's because he has a large amount of subcutaneous fat but even larger amount of visceral fat in the center part of the image so Gabe contrasting to also Gabe and uh image above us have has a very small amount of muscle so if you look at his muscles they're very tiny um and and the dark sharks are sure are small some of the other darker structures in the uh what I would describe as an ocean of visceral fat inside of Assaf or his his colon and his intestinal tract so his GI system uh but the uh the really dark structures are his muscles so there is an unfortunate condition called sarcopenic obesity which is um the degradation and loss of muscle mass and performance um combined with the accumulation of an obese state and it's really an unfortunate state of humanity notsef is is only 34 years old too so first for somebody to be suffering um sarcopenic obesity at such a young age is really unfortunate but his MRI was sadly read as normal so uh it's really unfortunate this degree of pathology and glaring looming problem in his life is largely ignored by the medical profession because we're just not taught um visceral fat in medical school no medical school includes it in their curriculum and that's part of my passion is to try to influence you know curriculum change in medical schools so that we become aware teach doctors what is good and bad so right now the audience uh knowledge about visceral fat and reading MRIs now exceeds virtually every single physician in not only in the United States but the world so you now if you just saw and listened to this podcast watching this have more knowledge than the average than than Physicians across the United States Australia and uh in the world with with regard to visceral fat and what that looks like so uh congratulations that's that's you know slide number two showing you what is good and bad and let's take a look at an important clinical Insight what gets you good and what gets you back so here is a series of um sticks MRI scans that were taken over a course of uh 35 weeks and uh in the top left corner is scan number one at what we call week zero at the beginning of this um this series of scans this was done funded by the National Science Foundation and our quest to reverse chronic disease so we were studying visceral fat as a marker biomarker to help eliminate and eradicate chronic disease so we were looking at a number of interventions to influence uh visceral fat and what causes to increase what causes decrease and it was both uh fascinating and uh and a lot of fun to to do those studies and uh this series points out uh I think very effectively um one thing that is a major contribution of visceral fat and that is processed foods so I will set this this uh this scan up by saying I think this this slide uh needs to be in every single health class Across America and in grade schools uh junior high schools and high schools and colleges and every single Physician's office to help patients um uh be enlightened to the contribution the significant contribution processed foods placed within visceral fat so between image one in the top left and image two which is an immediate right of it um is a period of two weeks and you can see even though if the audience has never gone to medical school that the visceral fat has been reduced in two weeks and what happened to reduce that visceral fat is this 68 year old gentleman who is a high net worth individual very wealthy um just cut out processed foods from his diet so he wasn't eating any processed foods and he he goes from the the second image to the third which is the top right corner and slightly increased because uh he he was so impressed with having lost all that visceral fat in such a short period of time that he thought he he had this down really good and he could return to eating a little bit of processed foods but he was very impressed with how much visceral fat the this the amount of processed foods that he introduced between those two images caused him and as a result he became influenced by that Enlightenment and seeing that in that MRI scan that third scan and he purposed to never eat any more processed foods and you can see in the subsequent images from the bottom left corner across over the course of the remaining uh 35 weeks that he eliminated the majority of his visceral fat and his abdomen actually took on a completely different shape so um the 68 year old Barrel bellied um uh dad bod type of uh physique that he had in the top left corner is replaced with an oval shape kind of resembling what Gabe had as a good example of a healthy abdomen there and uh he uh he has reduced a lot of his visceral fat but also if unfortunately I I don't have the ability to view a pointer here but in the top left image if you look at the sides of his muscles uh kind of very close to the subcutaneous path where there a bleach star you can see a little bit of a pink streak in the the muscles and that is a fatty infiltration of the muscles the technical term for that if anybody will look it up on Google is myos dietosis myo-m-y-o steatosis s-t-e-a-t-o-s-i-s so this is um for the sake of uh those listening don't have medical training it's the equivalent of human marbling so steak a steak you can buy it has marbling in it that's evident on on examination we can see this marbling of muscles human muscles on MRIs and we'll get into some better examples of it down the road but I'll sum up this Slide by saying this powerfully illustrates just how much improvement in visceral fat you will have if you simply cut out processed foods and the second point I'll make about this is uh that this amount of visceral fat was eliminated without any other interventions so this guy only cut out processed foods he did not exercise a single minute in 35 weeks he refused to exercise and as a researcher that bothered me because we were trying to investigate the role of both exercise and processed foods elimination but um even though it was in perfect science it resulted in better science because his refusal and the non-compliance of this particular patient uh in in the study resulted in a really an important discovery of just how much significance processed foods plays in visceral fats so for the audience the take-home point is uh it it is uh incredibly important for you to eliminate processed foods it really does cause visceral fat and eliminating from your diet we saw in 6 000 people that we studied the resolution and elimination of visceral fat when processed foods was eliminated but this this image was is used I shared a lot because it's the only example I have of somebody who did it without any other potential confounding Factor such as uh exercise so nothing else is responsible that we could identify for the elimination of visceral fat and these and this person other than his elimination of processed foods from his diet all right in this image I'll pick this up so we don't take too much time to go through this but this is a uh a marathoner and he for uh His Image shows what we call a toffee so he's thin on the outside which is the yellow portion there's not much subcutaneous fat but he's fat on the inside thin outside fat inside so all the red inside is visceral fat and this is an individual who ran eight to ten marathons a year very competitive so body was very healthy but would carve out and exercise and he would buy all outward appearance look like he was fit and trim he was thin but inside he was harboring all this inflammatory dangerous visceral fat inside of them this was five years ago I just bumped into him just uh three days ago he is no longer running he gave up running and he is only a sprinter now so it's been five years and to get somebody to turn on a dime to give up uh distance running serious Marathon or 10 10 marathons a year to become a sprinter take some considerable degree in influence and it was his MRI scan that did that so um I'm sharing that for the sake of the audience and you you too can have a significant insights into your body and what's going on if you get the samurai scan and for the benefit of any Physicians or providers out there watching this that that degree event influence is potentially available to your patients if they get an MRI scan so I highly suggest MRI scanning to help patients draw insight and correct their lifestyle if they're filled with visceral fat now on that point about spreading the distance running this these two images nicely represent the change that happens uh to somebody who goes from distance running to sprinting so in this case it's a 58 year old uh CEO of a company who on the image on the left has a lot of visceral fat in the image on the right he's eliminated that visceral fat and the only thing he did in this two months period of time was he stopped running um 10 miles a day that he did every day five days a week of any simply sprinted so he substituted in distance sprinting for distance running he no longer was just he no longer was doing any distance running and sprinting became his uh his methodology for cardiovascular health and he didn't have any dietary changes nothing nothing else changed in his life he simply stopped running and started sprinting and he developed a six-pack and his muscles became enlarged so so much so that the MRI Tech Team very excited back into my scanner and said this guy's now jacked and I had to be concerned that he was taking steroids in that in fact after this 58 year old if he started using performance in enhancing drugs because this is back in 2017 and I yet wasn't familiar you know I hadn't seen enough scans to see how much sprinting improves the musculature of a human being and eliminates visceral fat but we've seen this time and time again when sprinting is added into uh individuals that it improves eliminating their visceral fat and gross muscle so it's now one of my uh planks and chief strategies for my clients that work with me to biologically optimize is that I get them all sprinting and work uh very hard to do so so that's a good example and the same thing would happen to you if you're listening and you're a distance Runner if you start sprinting you'll eliminate your visceral fat better there's something about Anthony visceral fat and screening that or rather a distance running it I don't think it causes visceral fats but it appears to make it refractory um to elimination so it just it's more static it sticks around the body more and it may have something to do with the fact that when you do distance running evolutionary uh evolutionarily we would draw on our fat reserves to do distance running so when we eat it just tends to maintain that supply of visceral fat for the purpose of helping serious Runners so I've yet to see a distance Runner that didn't have a large amount of visceral fat inside of them so I'm always open to the exception I I didn't get a huge amount of distance Runners but those that I didn't scan had large amounts of visceral fat and every Sprinter I found had very little amounts of visceral fat so we'll take a look at that example now the image in the bottom left corner is a sprinter and fee in fact as an Olympic sprinter so first of all the audience should note that mostly he's Stark uh that is all the dark structures are muscles that you can see uh his gastrointestinal tract is between those two big circles in the middle and the two oblong uh kind of egg-like shape things on the top of his image with a with a little crevice there v-shaped dark crevice that's this belly button uh on the top part of his abdomen and uh he's laying yeah and he's laying on his on his back so uh if you look at his muscles there's no white streaks in them so he's just pure muscle there's no fatty deposition within those muscles of marbling uh radiographically um he he's his image is singularly the the most healthy admin I have ever seen in my medical career uh you can follow this guy he's an Olympic a sprinter to the state at matati m-a-t-a-d-i at matati m-a-t-a-d-i Instagram shout out to him so um fantastic uh uh eternally grateful for this guy coming in and getting scanned so that we could see this uh enormously healthy individual now we scan through his legs at the same time and what we noticed was um he had very pure muscles in his legs they're very uh he had although the image does not show it he had very large legs um they're just not proportioned compared to the image on the tops who's the guy at the top his legs are actually smaller and uh uh and and if you look all the white streaks and the image at the top are it's human marbling so um for those listening if you're wondering what your legs would look like you probably would have human marbling in there if you've been consuming a diet of carbohydrates at any point in your life uh these streets tend to persist for some time and so even people that are carnivore for a period of time still have these albeit they are starting to grow wet go away um the deposition of uh myostheatosis or fatty infiltrates within the muscles is a very slow and enduring process so its resolution is equally slow and so people are oftentimes disappointed at how hard it is to get out but the the cheap plank for that again is I get my clients eating carnivore and sprinting and actually I had to have them doing 47 things to expedite the resolution of visceral fat and that image in the top left of the abdomen shows enormous amount of visceral fat and uh the purpose of this scan is actually to compare the amount of visceral fat present in a McDonald's scan with the amount of fat myosteatosis within a MRI skin of the legs so excuse me within the uh images you can see um that fat is a dangerous fat is pretty consistent throughout the body and you can look for uh Fingerprints of disease if you look appropriately um particularly in the connection of fatty infiltrates of the leg muscles with visceral fat in the abdomen so I put that word normal up there because all these scans for red is normal and so what I want to suggest to your audience Anthony and to you as well that we need to change the discussion about training Physicians and the curriculum medical schools to not call these normal because this is like bricks and clouds these two guys are completely different uh one guy's on the verge of a potentially having a heart attack any moment because the amount of visceral fat uh evident there is likely influence his arteries to such an extent he's probably Rife with atherosclerto cardiovascular disease and the individual below of the Sprinter couldn't be further from that disease process and chronic disease in general so it's a crime in my opinion that this isn't being taught in medical school and that these scans are being done all day long millions of them around the globe and nobody reads this everybody reads them as normal instead of having a conversation with the guy at the top saying dude if you don't turn this around your quality of life is going to continue to suck and you're going to deteriorate the quality of your life incrementally and increasingly for the remainder of your life which appears to be not long unless you turn things around and then the conversation the guy in the bottom says help me to be more like you tell me how you live because this is how I want to look uh Pat the guy in the back shake his hands and congratulate them and these images need to be taught in medical school and they should be shown in in health school I think health class as well so so even on a fundamental level uh kids are exposed to what what health looks like inside the body and we have conversations where people get educated about these kind of things instead of keeping it within the realm the esoteric realm of Physicians who have to interpret this stuff it's not that hard and I think the audience has got a good idea just in these short scans that we've gone through all right let's pick this up this is this this is the Sprinter that's how good he looks um he developed all these muscles without lifting weights too Anthony he he didn't lift weights at the time of this Photograph and the scan he wasn't lifting weights didn't do push-ups and pull-ups he was a one-trick pony he simply was a sprinter so two points on this if you don't have a lot of visceral fat and you sprint you put on muscle like crazy it you know visceral fat impairs your capacity for muscle gains and having and I'll get into that a few other slides but um the other other point is um uh he he because he wasn't lifting allows us to see the influence of uh sprinting on the human body without the potential confounding effects of lifting weights and doing other things so you would never get a build like this uh simply doing distance running and if you the audience now uh reflect on what a chronic let me see a senior Marathon or person who does a lot of marathons um would look like say after doing 30 years of marathons they won't look like this so um I I try to throw some some caution uh if not overt uh warning about distance running because of of its inclination to build uh slow twitch muscles and uh atrophy fast twitch muscles and uh resulting in sarcopenia so I for one am a six-year-old 60 year old guy who who's completely eliminated distance running and they're not only spring all right so the image at the top uh uh of those abdominal scans were so bad with a lot of visceral fat um the image on the left there is a picture of that belly at the time that MRI scan was done so this is a client uh he's got a typical dad bod uh he's 63 years old and then five months later he's after doing the strategies that we developed uh for the this National Science Foundation to eliminate visceral fat he he lost a large portion of that Dad bot and in fact he fathered a a a baby with his wife um his wife was Sharon he was um they they end up having a a baby which was great he increased his fertility that much um now here's a couple images of states that cost me 56 dollars to put this slide together costing a lot of money uh the sake on the left I ate the stake on the right I throw away um they're I think they're rib eyes and they show um various degrees of uh marbling the mistake on the left has no marbling because it's a hundred percent grass-fed grass finish uh and has a very you know minimal amount of myocytosis or fatty infiltrates of the skeletal muscle there the image on the right is fed a lot of carbohydrates and although it's it's marketed as a tasty wonderful desirable steak I would I would uh I don't have my clients eating this kind of steak because it's in my opinion diseased animal um that's not a qualified opinion I'm not a veterinarian but I I do have a veterinarian client now who agrees with me that that is disease in a cow and I assured him that his disease within a human being it's not restain the fact that um all positions seemingly in America don't understand that or I should say the vast majority of them but interesting uh Anthony just in the past three weeks four weeks uh artificial intelligence discovered that and there's a study now on it that this myocchiatosis within human skeletal muscle doubles the mortality risk from cardiovascular disease so you really um we really should be um and as a profession warning people about the increased risk of these fatty infiltrates that are completely ignored and my best friend is an orthopedic surgeon and uh I I just was shocked to find out that orthopedic surgeons look at CT scans and MRIs that equal to show the these fatty infiltrates within the muscles and they just ignore them and it's you know it's linear it's relationship to disease so the more these fatty infiltrates the more disease subsequently people end up acquiring and uh the fewer um amount of fat until treating the muscles the less amount of disease you get so MRI should be done in my opinion routinely to look at skeletal muscle and visceral fat for the purposes of eradicating disease all right now in this image we see the the lung Fields okay so this is a chest in between the right and left lungs which are those dark oblong structures is another mass and that's your heart so your heart lies between your your lungs and then the white um uh area kind of a uh uh clam shaped thing around the uh the heart there is fat surrounding the heart cardio fat so um cardio fat is inflammatory fat like visceral fat it has its influence interestingly uh directly on the coronary arteries which are on the outside of the heart and where a coronary artery Dives down into the heart muscle and therefore is not approximated up against cardio fat it's spared um atherosclerto cardiovascular disease in that particular segment so the rest of the artery will have some you know amount of atherosclerto cardiovascular disease varying amounts but where it dies down in the muscle and doesn't have uh exposure to that chunk of fat around it uh it uh it doesn't have disease so we in our my practice I look work to eliminate visceral fat fatty muscle infiltrates and fat heart fat cardio fat and all the strategies work together equally interesting so the in this time period it's just 13 weeks and you see that streak of fat uh chunk of fat around the heart has been revert in 13 weeks and this is the 68 year old guy that just cut out processed foods and went and exercised one minute so again cutting out processed foods what we saw time and time again in thousands of people uh reduced This Heart fat um visceral fat and uh it should be something that the audience I hope is now really getting an interest in these scans and why you want to cut out processed foods especially now this is my favorite scan of all it shows arteries in the brain so uh the dark areas are good where there's good blood flow and uh if you look at the Circle um and the image on the left where there's a circle you'll see there's no darkness in there and what it is um MRI has the ability to differentiate blood from Brand brain parenchyma um just because of its its different density in Mac magnetic fields or what are responsible for the image production here but in that Circle region I circle circle it because of the absence of blood flow there so that is an athletic cardiovascular plaque so a large amount of disease in that particular segment of that particular artery which is the middle cerebral artery on the right there is a big black and if you look on the the NCAA the Middle Street we're already in the left side it gets kind of hazy towards the distal portion of the further out part of that artery and that's because there's another plaque there that's kind of obstructing the blood but not as much as it is in the circled region now in the image on the right uh where I've circled again it's been restored and the take-home point is one this restoration is possible using the same principles that we developed for the National Science Foundation which I've also pinned in my Instagram account if you go to my Instagram page pin to the top or these strategies and uh at doing them open up this this lesion in uh in just nine months so uh what's really interesting is that uh we we just aren't taught this in medical school and we we are taught that to open up these lesions you gotta stand or do angioplasty and you as a neurosurgeon know the risk of trying to stent and angioplast doing angioplasty and and the circle was of middle cerebral artery is is fraught with a lot of complication because that would require you to jump in a real hurry to try to go through it and that would be a romance to try to access all that so we don't even stand balloon open these things we just the Physicians who treat these just give them statins and as your audience might wonder how effective that is it's not it it does not open up these lesions um at all but if you simply live right appropriately like eat meat uh eat uh some uh fermented foods and and and uh and exercised intensely like sprinting and cold showers and saunas and the like and the other things I haven't pinned in my Instagram account you cannot that open up those kind of lesions but it doesn't just open up one single lesion those strategies improve your entire body so lesions all over your body to include your capillary bed so if you've got a big quack like that in your artery you're going to have those kind of lesions in your capillaries where all the magic happens how your your cells are fed and get oxygenated all that occurs at the level of capillaries and you'll have disease there so um it is not an improvement it's not in isolation that tends to be how we operate in conventional health care we go out for one particular thing and treat it but when it comes to changing your life you change your body so as you change your lifestyle you improve your entire all your cells all your tissues and so uh what we would routinely see in these people is as as their arterial system opens up from limiting athoscardicarbash disease is the arteries start um behaving more in a healthy Manner and we saw the onset of a very interesting manifestation that I call Arctic visible pulses so your pulses become visible so you don't take a pulse by feeling it you just look at it you can see it you know visibly pulsating in front of you and the degree to which it is uh uh physically apparent and how much it's it's it's pulsating in front of you the magnitude of it is uh in direct proportion to how healthy you are so a very small uh pulsing artery means some improvement some level of Health but a massive flash of improvement of the of the artery suggests a a more optimal state of arterial um how health and perfusion so when that blood flow improves look at the the enormous change that happens to the tissues so the image on the left is my face as I period at the age of 48 um I weighed 165 pounds and I was filled with visceral fat I don't have a scan to show it at that time but that's how bad I look I look like the average American but then look at the image on the right which shows the elimination of visceral fat and the dramatic impact that that had on my face and it's really all over my body but I just have that picture in my face and uh that is me 10 years later and I actually weigh more in that image on the right so a lot of people think well it's just maybe a fat guy on the on the left but no uh the truth is I was a disease guy but a lot of visceral fat and that's what happens when you improve blood flow you change your appearance all over your body and I like to say that our faces express our health so we we have we reveal how healthy we are by the appearance of our face so if you're seeing this you're kind of shocked at those differences of those photos I would suggest that you break out your old photographs and start looking at how you looked 5 10 15 20 years ago and see um how your image has changed uh during that time and one other interesting one that I'll talk about will be uh noses but um another uh image is this uh admin how it's sticking out I want to explain uh what what goes on there and how visceral fat has a role in that so uh this guy is a typical American Dad bod that sticks out like this and people are becoming increasingly used to and sadly tolerant of and even worse some people are oddly attracted to that uh and and I have interesting theories why that might be the case but this is a friend of mine who's got a bit of a dad bought he deployed with me to uh to the Middle East and the Army and uh he's got a protuber an abdomen that is an impending dad bod I like to say and that that might be your case if you're looking today but let's take a look at these images here that are of me that I accidentally took the one um me standing up on the left uh and it's not attractive if you're looking at that's you some of you might be saying oh God I hope I never look like that and you would be correct in saying that because that is not a healthy look my abdomen is protruding there if you look in that image with the shorter pants um sticking out um anteriorly and Ford a small dad bought developing there but if you look at my frame my skeleton um I look like the graphic to the left you know with a kind of funny s-shaped uh spine you see these people walking around a lot usually they're older um and almost always when they do have that kind of figure they'll have a tummy on them at protruding belly sticking out um evidencing visceral fat the influence I would like to say more correctly the influence of visceral fat on their on their tissues and it causes that gradual decline and atrophy of the muscles uh in particular directly spiny muscles to help you erect stay erect and so as I eliminated my visceral fat look at my image on the right and largely what happened here is I went carnivore so between the two images um a predominant for the predominant change responsible there is I went carnivore reduced my visceral fat even more but my uh my visceral fat actually in the image in the left was already really uh low uh I don't know I don't have that particular scan available but I don't really have any visceral fat in that image I just tap the influence of visceral fats so visceral fat degrades muscles causes the muscles and the fascia ligaments everything to weaken and so I just can't hold my guts in anymore so if you got a dad bod uh where your your your belly is sticking out like that is because the muscles in your abdomen are so weak they can't hold your guts in anymore so if I take a 17 year old I have a 17 year old son and I take all the amount of visceral fat that this guy has in in his admin put in my 17 year old son's abdomen his abdomen will be nice and straight what it's it's the exposure over time to those inflammatory molecules that this guy is carried around in the form of visceral fat for a long time that's degraded those muscles and is fascia and allows that belly to stick out so if you're listening today and you have a flat abdomen you um it's because you haven't yet succumbed to the influence of visceral fat but if you're young and you're eating carbohydrates and processed foods um and you are maybe stressed out you're drinking alcohol you're not sleeping uh you're doing distance exercise then you run the risk of getting an abdomen like this and this isn't this should be called the the dad bod it should be called the weak bod because this guy's weak all over from the influence of visceral fat and Alex here is starting to get some weakness with his belly and Sean had some weaknesses his belly and then looked Sean directed by getting rid of my visceral fat and then doing these strategies allowed to Improvement so my my uh my my posture is improved I stand up straight the shape of my head improves the appearance I became look at the veins on my hands from the vascular changes Improvement and my vascularity uh from um those strategies and visceral fats lack of influence uh has this systemic improvement over the entire body so that's my face improves so did my my body so here's here's a very interesting point now look at this uh these faces um we talked about this uh last time Anthony these three faces fascinating photograph the time period If you're looking at it for the first time you don't know I I want you to think about how long is the time period between these two photographs and most people guess somewhere between um three months and uh six months to to change the face that much but the truth is uh the time difference between these photographs is only three days and so what happened is this is a 40 year old client of mine named Daniel uh who um who fasted went on an extended fast for the first time in his in his life 72 hours so he had this significant change in his face so um I had to ask as a researcher how could he add that much change to his face in just three days if you took a 60 year old average male or female and fasted them a week or even two weeks they wouldn't have this much change in their face and the reason is in my opinion we need to do studies more on that is the absence of visceral fats and this uh uh fasting exercise allowed Daniel to get this profound benefit so visceral fat acts as a governor an impedance um uh obstructing The Beneficial stimulus that happens to a human body that we get exposed to through a hormesis so some kind of a stressful uh stimulus like lifting weights is a hermetic stimulus that it damages an organism from which the organism responds with recovery and uh Improvement through hypertrophy so damaged Daniel damaged his body by fasting he recovered and he had this Improvement and it happened in just a three days period of time because Daniel didn't have as much visceral fast so the take-home point is if you don't have as much visceral fat you get much more benefit when you get exposed to hormetic stimulus or medic responses so cold showers uh saunus fasting exercising sprinting lifting weights it all gives you more benefit if you have less visceral fat now those same things that doesn't mean well I'm not going to get any benefit if I no those those hermetic practices all work to get rid of that visceral fat so what I tell my clients and we've noticed this time and time again their best results happen um down the road as that visceral fact goes they get a lot more demonstrable change in them than what they get initially my clinic my my clients are ecstatic working with me you know the first month they're jumping up and down how much benefit they have but you know the real change happens years down the road so um here's an example of that so the fountain uh the Fountain of Health really is just understanding that that the health of the organ is organism defines uh the benefit and and exercise and everything you get exposed to so we've long known this particular um uh strategy for putting on muscle in the bodybuilding uh community that its stimulus affecting the organism causing the response which is hypertrophene muscle but what is not paid attention and not well known within the weightlifting community and the physician Community is the health of the organism defines the level of response so here's the interesting thing you take a uh a uh a 60 year old guy and you um you you have them do the same work at as my 17 year old son you need to do that for six months exact same way it's exact same sets exact same uh repetitions uh uh the 60 year old guy will hardly put on any muscle if at all my 17 year old son will put a lot on and that's because my 17 year old son is not younger he's healthier he has less visceral fat the six-year-old guy is going to have a lot of visceral fat um most likely unless there's somebody like me so there I am age 56 and there I am today age 59. um that that was about six four months ago so I took that photograph but you can see the the muscle growth that I've had and uh now I will share I don't have photographs of it but I'm gonna this will be the first podcast uh that I will talk about this um this interesting point and and uh and that is a new biomarker that I've just really uh identified and called just just in the past week and I share with you Anthony you were on the first doctors I called up and shared this with and I call it the post-workout muscle pump now truth be told the image on the right is um after a workout um so um it it uh in young guys they get this big muscle pump but if you're 60 and 70 years old um and you you go and work out you just don't get a post muscle um post-workout muscle pump like you did when you're in your 20s and if you're really honest and you're you're some kind of a gym rat and you're 50 years old and you're crossfitter and you think you're really tough you if you're really honest to yourself you don't get the same degree of muscle pump that you did when you're 18. you just can't remember because that was 32 freaking years ago so how do you know here's what I'm going to tell you take photographs I want you if you're listening today when you work out take a photograph of your body before you work out take a photograph of your body after you've busted your butt working out and follow how much your muscles have grown that's your post workout muscle pump and I think that's an important biometric because here's what I'll submit I believe and I'd like to see studies of course to verify this that the degree to which you get a muscle workout is the degree to which you're healthy and the degree to which you can put on muscle and optimize your response to the stimulus you get exposed to so I would suggest that the listening audience that the posts workout muscle pump and that I call here is a far better more important biomarker along with visceral fat that people should be following rather than cholesterol and all I'm just going to come out and call it nonsense that the conventional Health Care system is misleading people and I yeah I used hyperbole with regard to cholesterol I do look at it a little bit but the truth is we'd be far better off if we never mention the word cholesterol and we simply talked about visceral fat fatty infiltrates and muscles uh your muscle pump after your workout these things will be far better Guides of our health and tools for evaluating human health than looking at some numeric representation uh in a lipid panel of which changes all the time is is incredibly Dynamic and every doctor has a different opinion about so um I think I think there's just too much discussion about importance attached to cholesterol and it's distracting us from better things that we should be looking at um and feel free Anthony if you have any if you have any questions jump in here anytime yeah no no no no no no no it's great yeah it's very interesting so this is an image of another client um uh who came to me and His Image is on the left and he's got a dad bought and uh uh his belly is sticking out and this is him three months later how much he changed um doing the uh strategies that that I developed in the National Science Foundation and and then I've added to uh numerous numerous times since then uh a a considerable reduction so um both Daniel uh Daniel is a I.T guy uh really smart as heck 40 year old and uh he's he's fascinated by the photographs too so Daniel is has joined uh Daniel and other clients that come to me and we're now forming a company we're a startup so I'm no longer a a doctor practice or a startup we're a cool really cool startup and we're looking to do what Sean O'Meara has been trying to do in his medical in his medical practice which is optimize humans uh we want to form a a business entity that uh purpose is to commercialize the optimization of humans for the purposes of propagating across the country I say commercialize it because it's going nowhere if it's a charity uh if it's a non-profit the wheels of Commerce uh are driven by profit and um so if we want this to get quickly out into available grounds we're going to do it in in as a business so the startup is is purposing to do that in both Alvaro and Daniel are involved in that and uh they both want to be involved because they had such great results and uh and and these photographs show that so here's uh Alvarez um uh MRI scan so you can see his visceral fat and the image in the bottom left corner is considerable he is more visceral fat than he is anything else and then you can see um in this last image on the the right uh he substantially reduces visceral fat and the time period again it's just three months and commensurate with this reduction of that Dad bod is the reduction in that visceral fat and the images on the top are his heart images showing cardio fat or heart fat and how much his heart fat also uh significantly reduced during that period of time so these images I hope your audience is tracking how important they are for the purposes of helping to sit um humans and and patients uh individuals eliminate what is a real threat in their health and what to track rather than silly cholesterol and I like that to ask the question to of people who's ever had an experience with a single person and and their life that got control or improved their cholesterol and it and changed their whole life it just doesn't happen I mean we do not have testimonies we got another person who's lowered their cholesterol and look how great they are look how great the look they're talking talking like crazy how much they've proved your life nonsense why are we talking about it you know but these things talk to people that eliminate visceral fat now that is life-changing and so avro's picture there shows how much he's changed his face and that wasn't even three months and then here are my faces the top image in the left is me 30 years old nice dark hair and then the image in the in the Middle top is me 40 48 the image before and then after that image 48 where I'm um in the top right I learn about visceral fat and I start eliminating it so you can see the shape of my face this is what happens so I want to make this point about these images here uh you heard the expression you need to get get in shape well you need to get your face in shape and what happens when you get your face in shape your body gets in shape at the same time and so you can see the shape of my face goes from what I describe in the top right corner as the quintessential inflamed look you know quintessentially inflamed face uh to the image in the bottom left being less inflamed it's more leaner um and then the image in the middle um of the bottom row shows even a a better shape a leaner face and then finally a recent image of me today with a a more even still more leaning face so um if your audience is listening today and they're looking at their photographs what they should be looking at for is inflammation a puffy inflamed um uh face where you lose your definition and you can just walk around shopping malls and chirpies and public congregation areas and see this look in people's faith is where they just are inflamed and uh certain individuals rarely on occasion you'll see them and typically who's got these uh in shape you know lean faces 16 17 year old girls and guys you know 18 year old guys that are lean haven't yet accumulated a lot of visceral fat don't have a disruptive microbiome and so the shape of their faces are are leaner so my face in the bottom right corner will never be mistaken as a 16 year old but the shape of my face is closer to a teenager or a 20 year old um and uh it's uh blind that is all my gray hair and my my organ the largest organ in your body your skin um I show evidence of being older but at least uh get rid of the the chronic disease of a visceral fat accumulation and so I have a leaner face so get out your old photographs that's way better than following your cholesterol uh see what's going on and if in most cases your face has gotten worse as you aged and the evidence of that is LinkedIn profile your social media profile if you got an Instagram or Yahoo or YouTube or whatever you got your face up there or on LinkedIn if your business uh woman or guy then you tend to use your photographs from the the the long past well you think I'm gonna use mod vote my old photographs no way wouldn't you like to be somebody if you're listening today to be able to say I want my most current photograph in there because I look back and the way you'll look better is you start living better so quit fooling around you're reading processed foods that is super bad stuff it causes super bad stuff inside your visceral fat it screws up your face it screws up your body it screws up your arteries and is really responsible everything going wrong in your body and I you know stand for the proposition and trying to bring awareness about visceral fat and the contribution and role that processed foods play in it and I think I think we're starting you know we're just starting to introduce it and I'm super excited for you Anthony that you're you're interested in it so another interesting phenomena is as you get rid of visceral fat and blood flow improves it appears to provide better blood flow to the follicles and in particular stem cells around follicles get better nutrients and they come back to life and you increase hair growth so whether it's tab is the top of the head I don't know but on the legs it was easier to follow because you can see the image on my leg on the left shows tremendous hair growth on my leg on the right as that visceral fat lift and and these photographs you can see uh I I really haven't lost here if you you go to a Mall of America or shopping mall or church or some most guys in their 60s uh have thinning hair but I've been scared because you know age 48 when my hair I think was starting to thin I just got rid of my visceral fat and it preserved my hair and I've got new hair growth on my leg so I'm going to guess I probably have some hair growth for my on my scalp I've talked to a hair transplant surgeon MD and you can get an instrument called dysometer if anybody wants to buy me one they're about four thousand dollars I don't got that kind of money to buy a hair measuring instrument called the summer so I don't have nice cool photographs and numbers to tell you about hair growth on the scalp but if you're somebody here that is singing your hair what the heck do you have to lose uh but your visceral fat uh if you want to try to preserve your hair so I would be cutting out for sure processed foods uh eczema my leg there terrible eczema and fat gross leg there uh and now much leaner healthier leg uh and then this image here um is shows a tele injectation so the last slide here I'll cover them you can chat a little bit these tele injectasias are known by your audience probably by the term spider veins so spider veins um are the Nemesis of a lot of women soccer moms of America hate uh spider veins all over their their thighs and they go to Vein Clinics all across the country in America to get them injected with hypertonics saline or get them stripped surgically removed and all you have to do is start living appropriately healthy go on the carnivore diet to the strategies up in you know cold shower saunas uh Sunshine um and uh uh you you will eliminate these spider veins so you can see interestingly oftentimes in thin skins so the eyelids is a nice Source uh to look at them the inside uh medial aspect of your ankles the inside aspect of your ankles uh you can see spider veins often and uh women get them on their thighs and for a gentlemen listening you get them on your foreskin and uh they they are gross uh anywhere in the body they show disease and they all reverse if you start living appropriately and healthy and uh I think it's in large part as that visceral fat is eliminated you get less fatty infiltration of skeletal muscle but your arteries your veins and your capillaries the largest part of them are is actually the muscle of the vasculature so capillaries arteries and veins arterials and venules they all have smooth muscle and the smooth muscle again um I will say we need to do studies take a look at this it's my opinion the smooth muscle is vulnerable to fatty infiltration just like uh skeletal muscle is and in proportion to visceral fat so as you eliminate that visceral fat I think that's what is uh is responsible biochemically um uh to the changes that we see in in basket chirp uh with uh resolution of uh spider veins being eliminated and the Advent and onset of visible pulses and arteries all over the body as as uh the the fatty infiltrates are removed from the musculature those those arteries they now behave better so anyway I think that's a pretty good point to stop right there um and I think we did a better job I've shown these images this time to your audience and hopefully your audience will agree that uh that they could see this time better and uh um uh I I hope if uh if we share this we can we can do another live and answer questions maybe of people as they they have have them too yeah absolutely well that was excellent thank you so much for that um because we can try and uh unshare your screen and then uh yeah yeah perfect great well thank you so much for that that was excellent um and so for people that didn't see last time and didn't glean off the uh the the SlideShare what would be your main tips for getting rid of visceral fat and improving health yeah so the first and foremost is to eliminate processed foods so starting there and uh you know I I really do Advocate completely emanating there's certain people they could play around a little bit uh but the more you eat the more trouble you're gonna get and there are some people probably through the realm the microbiome that they eat just a little bit and uh it's the uh uh the inch all the introduction they need to start circling the drain they just spiral out of control and sometimes a single nibble on a candy bar they descend into a Darkness some people that they never recover from and that's it they just are on a binge for the rest of their life and that they're gone so um I advocate just completely eliminating it I don't miss those things my quality of life is outstanding uh not having a bit of processed foods and I'm happy to say as far as I'm aware that I I'm the only person I know of that has never had ever cheated one time since I purposed to do this in 13 years are you that way too oh yeah I've never cheated never no dude yeah you and I knew I really liked you dude dad yeah I love that about you so um that's awesome so now forever I'm going to be and uh uh acknowledging you Anthony wow that's so exciting that on this podcast we discovered that so um yeah so that's my first strategy is eliminating uh processed foods uh the second thing is um uh eating the carnivore diet eating a a meat based diet um I I think that um the plants do you have a problematic role in our digestive process and uh I do eat some plants I I eat it and and Advocate my clients to do so uh only uh when they're fermented to eliminate the threats and by studies and their variable um how much of these plant toxins are eliminated but the longer the degree of fermentation the more affected the permutation the less contribution you you um you see of these uh lectins and saponins and phthalates and oxalates and the problems that we see with these plants so uh some fermented foods and they probably should be thought of as not as as Foods as much as thinking of them as um really just uh garnishes and that is you're only eating them for microbial benefits so um I I advocate eating meat with some microbes and chewing them together so that they're mixed together so that you're mixing in beneficial microbes as you're chewing that meat instead of chewing in and mixing pathogenic microbes that you might have in your mouth and your teeth and your gums you and I know as Physicians uh that human bites are severely pathogenic oftentimes the fight bite you know person that thinks he's Victorious and not gonna guys teeth out the other guy's teeth out it's the guy the guy that gets the fight bites it's in the operating room because he's got the the rip roaring infection in his hand you know from that pathogenic microbes from the quote loser in the face so uh I I advocate of you know eating some you know fermented foods to include for the purists within the uh carnivore Community um maybe animal based fermented foods such as kefir yogurt uh sour cream um and uh fermented raw milk cheese like blue cheese and Old World cheeses definitely not American craft signals okay that's not not fermented cheese that's processed like crap so you want to get real old world cheese the third point I would uh get into besides eating I advocate fascinating fasting is a very interesting uh process of inducing beneficial autophagy to help produce chaperone protein so for those listening today Google extended fasting comma autophagy comma chaperone proteins comma heat shock proteins comma cold shock proteins and read about the round of uh improved protein synthesis as you you fast so I recommend fasting and and then I I recommend uh exercise exercising only in a fasted State that's the only time I recommend my clients exercises when they're fasting when they're feeding the mission is feeding and uh reproduction so yeah you just eat uh and you you you you you don't exercise you you can you you can re reproduce uh sexual relations but you know no no exercise uh and I don't even fast when I exercise all my blood flow is going to my gut I'm not diverting dividing missions to uh to to go to my uh gastro uh gastro to my muscles all that blood is going to my gut and then similarly when I am fasting there's no blood diverting to my gut it's all available for performance and my muscles so it's a different way of looking at but when you're a health and performance optimizing physician researcher like I am I study every nook and cranny to to try to extract the most amount of improvement and so I and my clients now get their personal best records uh when they're fasting not in a Fed state so it's a feast-fasting model where we do a huge amount of uh of uh feasting and then an extended amount of fasting and I think that mimics more ancestrally how we lived and then when it comes to exercise it's maximum intensity exercise so we looked at in the National Science Foundation study the absence of chronic disease in animals and we noted that they first eat very clean they're not eating processed foods and they're not um uh they're not exercising like us going to a gym for uh 45 minutes or an hour and a half and there were guys that go in there and women that go in there for hours um that we you know the animals just don't exercise that way they exercise in a Life and Deaf manner maximally for a short period of time and some life and death struggle or some challenge for dominance and uh it's it's all out and it's very brief so that's how I advocate exercising good examples of that or sprinting and then doing push-ups and pull-ups to exhaustion weight lifting to uh to exhaustion and uh and failure and uh and condensing your workouts into a much uh much more intense and shorter uh period of exercise so I have averaged my exercise um uh to to achieve the body that I have at the age of 60 um the past 13 years I've averaged only about uh uh I would say seven to ten minutes every three days not much exercise and that might seem shocking to many in the audience but you know if you look at the equivalent in the animal kingdom I I just don't see animals exercising a lot they exercise like real bad asses super hard in a very shared time and frequently so that's what I have my clients doing and we're getting you know in my opinion the best results I've ever seen anywhere um doing these these strategies and we're we're also showing it's not just the outside we're doing it by MRI to help practice so um exercise is a king's tragedy and then another one is sunshine I think there's a lot of importance to Sunshine and I have the benefit having gotten um visible pulses of seeing Anthony when I go out in the sunshine and ignore our Dermatology counterparts no I'm not putting sunscreen on no I'm not avoiding that which I think we're biologically adapted through you know four million years of evolution uh to be able to to be tolerant uh of uh sunshine I go on the sunshine and immediately night my endothelial cells start producing nitric oxide and I know that because I can visibly see immediately my magnitudes of my pulses increased uh so not the crew but it's almost almost like you give the example it's like an immediate erection I don't get an erection but you know the the uh prominence of uh of uh erection within a human body uh is the mechanism of nitric oxide well uh almost equal to and uh the the equivalent of significance to to nitric oxide when I got on the sunshine is these pulses become huge so it's like my dashboard okay so when you're driving a car you glance down your dashboard I look at my my visible arterial pulses to help guide me into affirming that what I'm doing is good so I go around the sunshine I see visible pulses uh I know this Sunshine is good I go into my sonnet I do a sonnet and I see my visible pulses the magnitude increase from Asana I know it's good uh I I do fasting and I see the magnitude of my invisible pulses are enhanced because uh nitric oxide is associated with Sunshine saunas uh fasting and then when I Sprint my uh magnitudes of my visible pulses are significantly improved and I'm not talking heart rate don't confuse the pulse I mean your pulse which are your heart how many times beats per minute I'm talking how significant is that flow of blood this big enormous thing of blood flow that you can see I call it the amplitude or magnitude of that wave forcing through becomes gives me that visible uh affirmation that that is muy bueno Sunshine saunas uh fasting maximum intensity exercise and the other visible you know dashboard is the the post workout muscle pump so you know looking for that when you work out uh take your photographs and if you're listening to that I'm throwing out a challenge if you got some significant post workout muscle uh pump photographs uh DM me send them to me I might use them in in some of my uh future podcasts and YouTube videos and production material um and I'd like to talk to you because I'd like to see why you have particularly um I I got plenty of examples of 20 year olds so you don't have to do that I got teenagers to live at home but if you're somebody in your your uh 50s and 60s and 70s and you're achieving a significant post uh uh um workout muscle pump I'd like to hear from you like you share your photographs so um those those are my uh significant things oh one last one is oxytocin I actually toasted this great one you get oxytocin from being empathetic uh with uh with humans and dogs interestingly if you just have empathy your pet you even think about petting your dog oxytocin gets released um and then you know you we we are social creatures so we're met uh if you are living alone by yourself and you're listening this and you don't have friends get some friends go get some meaningful join you know a a Health Community or something uh get involved in other people so you can start having empathy with other people we are not lone wolves we are not meant to be uh by ourselves we are pack creatures tribal clannish and so oxytocin is is a really important one and uh I mentioned the microbiome early on I think optimizing the microbiome is hugely important so um I think cutting out chlorine and judicious very careful use of uh antibiotics unless they're really uh needed I would I would not be taking antibiotics because of their destructive influence in the microbiome and then positive influences by eating fermented foods that we mentioned uh before and then hanging out with healthy people like Anthony Dr chief he you know dudes never cheated he's going to have some super powerful uh microbes on his body and in his body and he's somebody you you know you you want to be hanging with that dude he's I would be harvesting microbes from from Anthony high five and that guy all the time you know that's uh those are my uh my list of recommendations perfect so as far as as far as fasting concern is concerned maybe a couple questions is this um do you find that there's a there's a benefit on top of a carnivore diet or even like a ketogenic diet I know there have been studies with so-called fasting mimicking diets which are just a ketogenic diet or is it do you find that there's a benefit on top of a carnivore diet with fasting and then how how long would you recommend people fast for in that context yeah so really good question so uh I have to say one of the most uh significant changes I've seen in in my capability is within an interesting test called a one-legged uh stance so for the audience sake I I encourage you to do this and record it do a video um memorialization of where you are it's another biomarker I think at far exceeding your uh your cholesterol panels and lipids that your doctor is pushing in fact you should say doctor I'll do your cholesterol panel if you do the one like it stands with me so have your you stand up on one leg you have to close your eyes and you see now how long you stand I no longer say that in the studies it was how long you stand people stand and they're wobbling over like crazy it's how well you stand how good you do that so if you stand real on one leg with your eyes closed on one foot with your eyes closed really still you're really healthy who does that who's really healthy kids 10 year olds to 14 year olds without a lot of influence yet of visceral fat degrading their Central and peripheral nervous system which allows them to um and make a minute adjustments to keep themselves nice and so kids stand like trees and uh I practice doing that stamp every day for 90 seconds in my kitchen for two years up when you're a you know a performance optimized physician you do crazy things I track that every day for two years I've had all this data sheets and sheets of date on it it never got better but when I started doing extended fasting Anthony oh my God I it was like night and day I I went um four years without doing that test for three years and then I did that um one legged stand after I started fasting three days 72 hours three um every week and that tests enormously improved so to answer your question I do believe that fasting adds on um more than just Carnival long I've never seen it studied in isolation one to one I'd love to see that that's a brilliant question so well how much different would uh extended fasting be relative to carnivores interventions um I'm just cautious and have my clients do both um but uh I have had some clients because I work for my clients I'm just a consultant they're the boss of their body I call them the CEO of their corporation so they can reject me I'm just the lowly consultant working for them and so some of my clients have said oh I just can't do fasting they're not they're not the ones that are moving head the most they don't get as good as beneficial results so when when clients kind of work with me I put them in a client group so they have an online community they get to talk to each other and so the ones boasting about you know fasting get this benefits and the other one's saying I can't do that I'm not there and they're kind of quiet but guess what happens they start fasting as they see everybody else getting better in this community of my my clients so um I would like to see that study I'd like to see you know how a carnivore what sort of a additional contribution uh extended fast enhancer for karma that's a brilliant question well I mean and it might even be able to do it with some of your own clients you know and see you know and sort of differentiate them get get someone in a carnivore group and and carnivore fasting group and and see the differences and try to try to see if you can find some objective measures and differences between their their progress I think that'd be very interesting I think it would be very interesting you know you talk about all The Chaperone proteins and the uh the different different uh you know epigenetic effects that we have noticed from extensive fasting certainly after 72 hours that seem to show up I think there have been studies with you know fasting mimicking diets showing that you have similar sort of outputs but I I don't I've never I don't know if there are any studies that you know they really show you know like a difference in like a long-term fast versus long-term ketosis or and those sort of epigenetic effects as well so I think it's something that's always really interested in me and uh you know and and I think that would be yeah fascinating area to study well if there's somebody that out there in your audience that would be willing to do that I would love to you know have them step forward and uh they would come in and uh become a client of mine I will help them with these uh you know super powerful MRI scans and allow them to track uh the the changes they get with carnivore for a period of time and then introduction of fasting um on top of that to track the the additional change that they they may get uh or not get uh with with the addition of uh of fast and I'm happy to to take a look at I do know though uh we we looked at fasting and extended fasting during the National Science Foundation uh with a diet without changing and that Interventional loan dramatically used uh visceral fat I mean a very very short period of time um faster than just uh carnivore alone now I will say about carnivore because I advocate it uh no other way of eating uh eliminates visceral fat and creates a more optimal um you know fat to muscle ratio than the carnivore diet so we looked at vegans vegetarians pescetarians um omnivores standard American diet we have a lot of standard American diet they go nowhere but you know more visceral fat and the best ones were were the carnivore diets and I you know I had a poor physician who was a vegan um who came to me uh and I said you know I said okay he was a doctor and I said Doctor I won't say his name I'll just say I'll make up a name Dr Walter we're going to quantify the amount of visceral fat you have the MRI scan will build because at that time I used software I don't use the Software System anymore to to do a numeric representation or quantification of visceral fat because numbers don't work but at that time I told them we're gonna quantify how much visceral fat you have by MRI um and uh once once once your skin is done and he goes he was another guy's oh are you I should have known by his voice oh well you're not going to find any visual fat in me I have been vegan for 37 years and this guy he had pounds yeah pounds of visceral fat inside of him and he was a Tope he's this little skinny older guy and what did he do he went out started eating meat he he went this was before the the carnivore died but he just started eating meat and we scanned him and guess what he he lost a substantial portion of his visceral fat in that intervening time so um you know on that point voices you know I have lots of people I have I have more people contacting me than I can take on as clients and that's why I'm working with seven other doctors I'm glad I'm getting you in this I need to train more people about these visceral fat and MRI scans because there's a huge demand out there I can't meet it at all but you know I talk to people all day long and I can hear visceral fat in their voices so I think it's responsible for the Aging voice but you also hear it in the younger voice so um you may hear it in somebody who's 30 years old who starts who's heavy and my kids used to walk around saying this when they're younger ha my name is Chubby my mama's chubby my daddy's chubby and I'm Chuck you know and it's this burden tongue uh burden with fat so the tongue is a muscle it's part of the skeletal muscle system and it becomes burdened with myostatosis fatty infiltrates as well and it becomes impaired and um you you lose the the functionality and the resonance the ideal optimal state of the tongue is compromised and so too the laryngeal muscle muscles as well so so um if I'm interested in working with a famous singer because I I don't want just any singer but I'd like a famous singer uh if you know anybody and you're listening and your your friend is you're friends with a famous singer have them come my way and I want to scan their tongues and their throats and their bellies and their hearts and their brains and get them to become optimally healthy so that we get to enjoy their voices for long because I'm very sad that I grew up with Alton John and now he is his voice is is very burden sounding I'd prefer to listen to an Elton John who's 80 years old still singing like he's 20. but that's that's where my mind goes in the health and performance optimized position is how can we preserve the Treasures of the world that are resonant within humans and get them to be optimally healthy by helping them to be aware what truly matters getting rid of this little fat and the the rapid progression unrecognized untreated unaddressed crime chronic disease that's going on it's the biggest problem in the world doctors completely ignore it except to the extent that they can exploit it and profit from it so it's allowed to exist in my opinion by A system that simply uses it to to uh to develop remuneration and make money from it and it's a crime against humanity and I as a former crime prosecutor would say I would be interested in being a part of a tribunal that prosecutes the people that are responsible they've been identified if we can figure out through Rico an organized front that this system is set up to uh create Financial profits in the same way Ford was held in the 1970s to be viable and responsible for the poor designer the Pinot that resulted in deaths of humans I think that's exactly what's going on and um I'm appalled of the tolerance that the system has for putting up with the the largest part of our economy that delivers the absolute worst production of service to consumers in the form of just pills that allows people to fall apart if you were buying anything else that fell apart as fast as human bodies do it would never be any kind of a successful system much less at the top but that's where we are in humanity I'm sorry if I sound mad but I am because we're talking about not only quality lives but lives people the the chronic disease is killing people it's degrading us and we have never seen the amount of disease that exists today in our species that we right now that we're seeing at any point of humanity and it's really a Confluence of processed foods and um all the nonsense out there and the the abandoned wholesale abandonment to humanity that our profession has done no longer putting the best outcome the patient first it's always guy says the patient first but it's really finances and profit that's first and uh I want to create an electronic medical record if you're listening today every electronic medical record that has ever been designed is is designed to optimize profits not designed to optimize the human being and in the future I'd like to see an electronic medical record that includes all the biomarkers that I talked about and many more than many other better more intelligent Physicians are going to come forward and scientists and health coaches whoever will identify markers that we should be paying attention to that truly optimize human beings and that's what should be in these electronic medical records yeah absolutely well it would be amazing if if we could uncover something like that I do remember there was a leaked video from some Investment Group where they were having a SlideShare presentation and one of the slides said is it you know good economic is a good financial model or investment model to cure diseases and you know the premise was you know should we should we actually fix these things and actually get people healthy or should we perpetuate disease and and just prolong the suffering and and put them into a chronic state where we have a customer for Life sort of thing and I think that's one of the most immoral and unethical and evil things that has ever been uh contemplated you know just perpetuating human suffering and illness for profit I think that is just absolutely disgusting uh sort of mental I I'm not surprised I'd like to see that video if you sent to him I don't know that I could watch it because I I might go scorched Earth if I see it but I know that that kind of mentality exists in there I have a somebody that I followed on Twitter I was the second follower he's a PhD and he was he came out he's a car bot if I could say this right carbohydrologist he studied he studied carbohydrates for a big Pharma and he recounts like a a trip on an airplane and in a corporate jet with a few of the sea levels and he's their darling carbohydrate scientists their little puppet right to help them maximize profits and uh the one of the sea levels said to him our favorite drugs that we have are drugs that create uh that create side effects that we have other drugs to help cure and help treat of insanity that operates with you know big Pharma uh you used to and you know listen I'm not myopic I I'm not you know complete one-sided I knew that there are some benefits to drugs but listen we can no longer pretend about the the greed and the obfuscation and uh departure from the the singular most important uh Focus that we should be having which is the the optimization of health of patients um and it's it's unfortunately been sidetracked by the pursuit of money and what I want to try to do in my startup is to to make money by really truly optimizing people and you know if you're listening today you know put your money where that's going on okay where where people are truly being optimized so and again we'll start going out we don't even have a name for it yet we're still struggling so if you got clever names come forward and DM me um but that's what we want to do we want to try to figure out ways that Physicians and and if I can't get enough Physicians Anthony to understand these biomarkers and visceral fat um you know like you are now uh I'm gonna go with health coaches and some and personal trainers or come up with a whole new different thing because you know the truth is I'd like to see the Board of Medicine try to prosecute a health coach for reading visceral fat and MRI because the first thing I ask you bring one physician witness to testify that that's what they do in your state right now yeah it it's not being done so the doctors aren't going to improve people we need somebody else so um uh yeah it's just a an appalling situation and I'm I'm gonna get I'm going to give the Physicians a try I'm I'm out there on social media I'm you know screaming top of my lungs about visceral fat and following appropriate biomarkers and uh most people are just quietly seeing the background you can eat popcorn watching you know the whole thing and uh and and then I've got you know about seven or eight Physicians that are now come forward and interested in doing visceral fat super excited about you and and Max down there in Australia um it sounds like Max Cole hey Dr Cohen is going to be uh doing a a practice and has a radiology practice on board they're going to be uh reading visceral fat and offering so if you are in Australia and you're listening um get with uh Dr Gohan and Dr Chaffee and and uh learn about this in fact get yours get yours assessment and join the ranks of uh of humans that are truly optimizing instead of humans that are just getting treated absolutely yeah and I think that's I think that's the main thing too I really like that ethos as a doctor of actually trying to get people better and actually be healthy and not need our services you know I mean I think that's that's what we're supposed to do we're we're supposed to be getting people to the point that they don't need us and you know as opposed to like this model of of creating a forever patient I don't I don't think that that's the right thing to do and I uh I believe strongly that if we're doing our job correctly we won't have to see people all the time we'll need to see new people and and be there to help people when they need help and that's the whole idea they shouldn't need help throughout their entire life they shouldn't need chronic you know they shouldn't have chronic debilitating issues that never go away hopefully you know I mean there are there are you know cases that do exist of course uh where there's no sort of getting around that but you know for the vast majority of people you should be able to get people healthy so that you only need that and you only need to see a doctor when there's an accident emergency or something like that and that's yeah complete agree so I think uh uh surgeons and ER doctors will have have good jobs in the in the uh uh yeah you just you won't need as many doctors I think a big problem to you uh today is uh health insurance is is all set up to propagate disease and and the problem with it is um uh health insurance they make their Chief Revenue uh by the cost of uh health insurance uh in the form of monthly premiums that the insured pays you know so if um if the prevalence of disease was really low uh you they wouldn't be able to charge much money for their insurance because it's just not that big of a threat but uh boy when everybody's dropping down of heart attacks and strokes and cancer and they're morbidly obese and they've got diabetes and God they got pumps and things hanging off their body they just look awful I mean that just dry lives the marketability of health insurance so I think the one of the least the last places you're going to see an appetite for getting people healthy is going to be an insurance realm and uh an example of that is automobile insurance was approached by Google I heard this very interesting Google exec uh who was part of their moonshot stuff and figuring out really cool stuff and so he was involved in driverless operating systems and the very first operating system that Google developed for driverless cars um looked at a 250 feet uh uh Direction 360 Degrees every way everywhere uh 360 Degrees UH 60 times the second so the functionality that was so far superior to a human being they could tell in the very first system they developed that they could prognosticate in the future it will be illegal for a human to set their hands on controls because machines will do it safer and they were able to reason that in the future we will within our lifetime probably in the next 10 years I think I at least I heard we will have a year in which not a single American is killed by a car because of driverless operating business will come in so the effect commercially economically uh within the automobile industry of that is enormous so what that means is automobile insurance uh will go down to probably about 50 bucks a year because it's going to be so extraordinarily safe uh the necessity to share it against an event like that is so unlikely and the Damage factors are so small that it will reduce it well just apply that to humanity and understand why health insurance um you know they'll pay all day long to have your cholesterol checked because guess what uh if anything uh the lower you get your cholesterol the more likely you're going to be diseased and die and so they're all behind that one but you watch crickets when visceral fat comes up they will not support that because once they look at and they see just how much Social and if you're listening today and you're struggling with any medical problems okay I forgot to mention this I like to say this down you have any condition at all and you hate it I want you to jump on Google right now and I want you to put that that medical condition down comma visceral fat and you'll find a study that shows that condition is worsened by visceral fat and then you'll be like damn how come I never heard about that we'll get back to all the points that we keep making here the Health Care System doesn't really want you better they want to make money off you so they're making no money a lot of money off the problem that's affecting you that you can't get any solutions for you just keep getting more pills and whatever it's just not working but if you understand now the role of visceral fat has in that condition you eliminate it you'll see it go away yeah well that's and that's hopefully what people will be able to do and then we'll you know be able to to sync the sort of the system from from below and knock out some of the pillars but you know beneath it if they won't go you know we just have to make them go we just have to make this this message go wide enough so that people can take charge of their own health and get free of that that whole just disease cycle and uh and then you know they'll have to make some some adjustments and changes you know something that I was I was uh you know talking others about that you have to find out you have to find a positive economic model that getting people healthy will will profit people you know because if there's that profit model then people will get behind it and they'll that's when these sorts of you know movements and just industrial size movements will start going you know especially with you know uh Professor seafreed talking about you know cancer as soon as we can figure out how to make you know ketogenic diet profitable for people treating cancer then then we could do this but you know it's very difficult at the moment to think of what that could be but one of the one of the solutions that people have come up with is going to businesses you know the the business themselves as opposed to the the insurance company and saying hey you know I can save you millions of dollars a year on your insurance premiums that you have to pay these insurance companies by getting your people healthy and by by you know you come to me we'll get your people actually healthy actually healthy and your insurance premiums will will go down to nothing um Nike would do that back in the 90s they they had programs with their employees where if you cycle to work you'd get an extra 200 a week this is the 90s you know so that was actually that was actually some money you know as opposed to you know that's a good you know coffee at Starbucks now but um and if you ran to work you'd get an extra 400 a week and if you exercise if you went to the gym there will always be a gym in whatever facilities they had in their main facilities if you went to the gym for lunch you get a two-hour lunch instead of a one-hour lunch you could work out for an hour for free on the company and so it was just ways of that they would pay you to get more healthy and you know that was worth it to them 400 a week was worth it to them and and you're losing an hour of work a day was worth it to them to get you healthy because it reduced their insurance by by so much and improved productivity and uh reduced sick days and things like that so if you I think we can you know model that to to big businesses saying hey you come to us we will draw we'll save you you know with big companies tens of millions hundreds of millions of dollars in insurance premiums I think that is a potential uh area for economic it gives me a lot of hope that when we saw chronic disease leaving the human body that human performance increased that's how I I decided to become a specialist uh physician specialized in Health and Human Performance optimization is that I had no medical training no experience with human performance uh improving with the elimination of disease because you know by frankly our conventional medical profession is is not anecdotally experience the elimination into these we treat it so um the fact that humans could perform better through increased productivity gives me a lot of hope that it's going to be Corporate America in the absence of the healthcare assistant conventional health care or health insurance um stepping up and doing the right thing Corporate America is going to profit from it and uh so the Natural Science Foundation has you know as a mandate you know given a grant they want you to come up with a commercially viable platforms so I think you know a for-profit entity that learns how to make money off improving people like I said before is an important point and there are corporations that have kind of incentives and with various different degrees I once had a patient walk into my practice and I was talking about visceral fat and health and all this stuff and he told he I forget one word company worked for is either Pepsi or Coca-Cola okay as a big company uh Fortune 100 company and uh he was uh he won the corporate Health uh uh of the Year award he was the healthiest employee in the whole company by his cholesterol labs and and everything that Pope said was healthy and do you know one month after he won it he had a heart attack This Guy's in front of me telling me this story one month at being declared by Coca-Cola or Pepsi as the healthiest employee he has a heart attack and we'll go figure so yeah we got um I think an important mission to to leverage and try to educate Corporate America uh on that and my startup is is targeting that we're very interested in that particular space we want to work with uh Executives if you're a sea level of a self-insured company and you listen to this and you think this is interesting DME because I'd like to optimize you and I like this trickle down and I'd like to um you know bust it out in your company increase productivity profitability and if you're that kind of a Visionary sea level or if you're a friend of a Visionary sea level uh get this to uh him or her uh I'd love to make that pitch and we'd you know like Dr chafe he said I'd love to see Corporate America uh step up and deliver what the largest part of our economy Healthcare has uh subrogated and abandoned completely um which is the of true optimization of humans and uh we as good as Corporate America is in Commerce um you know Corporate America could really improve it considerably or Australia you know uh if you're wherever you're at um I'll work with any company with the right people because uh I'm I'm about improving humans uh I'm a die-hard American but um I I want to improve humans what works to improve humans and uh in Hungary is going to improve humans in uh in the United States or Australia yeah absolutely and I'm happy to be a part of that too if anybody any um you know adventurous uh CEOs out there that are that are interested in that happy happy to talk about that we all get all put our heads together because you know I think that's that's you have to get you have to get a viable economic model uh to go forward on this I mean uh otherwise it's really just the Grassroots movement uh because everything else is sort of pitted against us and I think that that's that is a really powerful thing though I think that there are millions of people around the world that are coming around to this and getting more and more interested in it and and more and more people are are hearing about it and talking about it and now as a name you know carnivore diet and people are talking about it on on news programs even if to to vilify it and um and and say it's horrible but at least they have to talk about it at least it's getting out there and then people can actually look at that and say like okay well what is this these guys must be crazy and they listen to me well actually that's it's not all that crazy actually kind of make a bit of sense and so and maybe they try it and maybe they take an MRI and go like oh God I did not realize I had so much of visceral fat and maybe they try some of these interventions and then it goes away look at that so well hopefully people people can get uh inspired by that as well and um see some better changes I'm very optimistic in the next five years or so I think this is I think this is bordering on on a mainstream idea now because at least people are talking about it and they're talking about it more and more in more mainstream circles and I think that at a certain point it's going to hit a critical mass and then people are going to at least try it you know a lot of people try veganism vegetarianism but there's a reason that there's only two percent of people are are vegan and that's because they try and they do it for a couple months they feel miserable and it does it doesn't help you know maybe if they're eating a whole bunch of processed food and garbage there's a there's a relative benefit and they feel better but there was there was some statistic or something like 84 of people who go uh you know vegan uh vegetarians stop after the first year because generally because of health reasons they don't they don't feel good and so they have to stop for their health so uh this is the exact opposite if people if people actually tried a carnivore diet within a month or two and they saw just how amazing they felt I mean I never went back I never planned to yeah no I completely agree with you and uh my clients are the same way you know it's it's interesting me um uh as as real and significant as it is there's just such a large segment of the population um just yesterday I was at a a uh a party where it you know as a 63 year old guy with a big belly had never heard of the carnivore diet and this this was after he had seen some film called stake Revolution and he his his favorite food in the world is steak so he traveled from you know North America to Spain just to eat at the best state festival with these cows that are all grass-fed and this golden yellow all the stuff that I that I like and you know a little marbling and things and yet he he never knew knew anything about the carnivore diet so he he got an earful for me but I I do like the changes that are happening as part of the discussion and uh we see a increasing dialogue um about it and I just hope if you're listening today and you're you're benefiting from the carnivore diet that you you use your own experience to encourage other people and how promoted because I do believe it's saving lives and I do believe it's improving um the quality of living for so many people and uh and so I I'm super excited about the carnivore community in it and uh we are we are different because we are getting better results and um I I think we want to try to rise above the phrase as much as possible for some of the din that happens where you know it gets a uh you know a little unpleasant um I think you know I think we have the merits and we have the results and so we don't have to resort to some of the uh um emotional response that I see within the the vegan Community coming coming after us you know we can we can just show uh we can show results in that point to the spurious studies and things um in the in the long run what really matters is the study that's an N of one if you're listening that is the study that happens to you when you start eating um an all-meat diet you'll find um the the that is far more meaningful than what might happen some other obscure study that you don't even have enough skills to interpret probably whether it's good or bad have which probably you know a hundred Physicians looking at would argue differently about the results and how to begin with so just concentrate on your own life improving it see what happens but you know be rigidly scientific um I I'm always a little cautious about you know people deciding things on their own based on their feelings um because you you might uh end up succumbing or just really falling into heroin if you really are chasing chasing feelings or chasing carbohydrates because they do have that that kind of a feeling but you got to look at you know what it comes down for me is health is how you look and how you perform so the choices you make about the food how you eat when you eat fasting exercise and uh uh sleep and and stress and things should all all be um uh predicated upon proving your appearance and perform improving your performance so you know taking a look at at uh making sure that you you're always getting better improving and uh that that's why I'm super excited about um health and performance optimization especially I hope uh I hope other Physicians decide to do it and follow me and uh pursuing it and uh offer that to uh to patients because I think uh I think it's a very interesting and important uh specialty in the future I'm the only one doing it right now uh but you know one day down the road hopefully there'll be residency programs on it and uh we get a lot of other uh Health optimizing Physicians um out there that'd be amazing yeah well Dr tomorrow thank you so much for coming on it was absolute pleasure uh to speak to you again as always uh where can people find you and find your work work yeah so I'm on Instagram just uh at my name at Dr for Dr d r s e a n o m a r a at Dr Sean Amira and the same with Twitter and I also have a YouTube channel and you can see um some videos I'm pretty quirky uh I spend I spend more time thinking about science than I do production value so I don't have the level of uh prowess and Productions qualities that uh Dr plan free indeed it does but uh you can find me on YouTube Dr Sean O'Mara on YouTube and I also have a website that's just www dot d-r-s-e-a-n-o-m-a-r-a.com Dr seanomera.com so um feel free to take a look at lots of free content out there to inspire you and I'll make a pitch if you're somebody uh that you uh think um I'd enjoy working with that you um your unusually motivated yeah you're I look for the alpha personality somebody wants to biologically optimize and you get the financial resources to you know pay for MRIs and have the best approach to look what's going on uh we will study the Hades out of you and optimize your muscle and fat and do everything we can uh to make you the very best biological version of yourself possible and I I love super motivated people like that I'm attracting the best clients in the world and I think there's more out there and I could use some more sea levels because I want to take this to Corporate America so again you know you're at sea level Corporate America or corporate office Australia get a hold of me and I'll hook you up with Dr chafee down there in Australia and uh we'll uh we'll we'll bust this out make it happen awesome sounds good well I'll put all of that in the in the show notes as well and Link this back to our previous discussion as well where we talk about similar similar uh topics and more uh Dr Mara thank you so much for coming on it's been a pleasure yeah thank you Dr Chaffey take care hey guys thank you very much for taking the time out to listen to what I had to say if you like it then please like And subscribe to my YouTube channel and podcasts and if you're on YouTube then please hit that little bell and subscribe and that'll let you know anytime I have a new video out which should be every week if not more and if you could share this with your friends that would help me get the word out and let me know that you like what I'm doing thanks again guys [Music]