Dr.Sayajirao Gaikwad Profile picture
Aug 4 14 tweets 3 min read Read on X
The Science of Visceral Fat: The Most Dangerous Tissue in Your Body
🧵How to Shrink It Naturally
Visceral fat is not just stored energy.
It’s a metabolically active, hormone-secreting, inflammatory organ.
It surrounds your organs and silently reprograms your metabolism, immunity, hormones, and brain.
Let’s decode the science👇
📍Definition:
Visceral fat (VF) is intra-abdominal adipose tissue that accumulates inside the peritoneal cavity, surrounding vital organs like liver, pancreas, and intestines.

Unlike subcutaneous fat, VF is more lipolytically active and pro-inflammatory.
Why is it harmful?
Visceral fat:
•Releases free fatty acids (FFAs) directly into the portal vein
•Increases hepatic fat → NAFLD
•Promotes hepatic insulin resistance
•Elevates inflammatory cytokines (TNF-α, IL-6, CRP)
•Disrupts glucose & lipid metabolism
🧬 Hormonal impact:
Visceral adipose tissue is an endocrine organ.

It secretes:
•Leptin → appetite regulation (but causes resistance when in excess)
•Resistin → promotes insulin resistance
•Adiponectin ↓ → reduced insulin sensitivity
•Cortisol → visceral deposition increases via HPA axis stimulation
⚙️ Insulin Resistance Mechanism:
•VF releases FFAs → liver overproduces glucose (↑gluconeogenesis)
•Triggers hyperinsulinemia
•Increases hepatic VLDL → high triglycerides
•Lowers HDL
•Impairs GLUT-4 expression in muscle → glucose uptake falls
= Metabolic dysfunction
🧠 Neuro-metabolic effects:
•Visceral fat is linked with reduced hippocampal volume
•↑ Inflammatory markers cross blood-brain barrier → cognitive decline
•High VF is associated with depression, anxiety, and poor sleep due to cortisol dysregulation
🔁 Vicious cycle:
•High cortisol → more visceral fat
•Visceral fat → more inflammation → insulin resistance
•Insulin resistance → more fat storage
This cycle leads to Type 2 diabetes, PCOS, CVD, fatty liver, and cancer risk.
Scientific measurements:
•DEXA and MRI: Gold standard
•CT scan: Accurate but high radiation
•Waist-to-Height Ratio >0.5 = high VF risk
•Android:Gynoid fat ratio (visceral:subcutaneous) predicts risk better than BMI
🔥 Why it burns faster:
•VF is more beta-adrenergic receptor dense
•Responds better to catecholamines (epinephrine, norepinephrine)
•Hence, exercise & fasting burn visceral fat faster than subcutaneous fat
🧠 PubMed-backed interventions:
✅ Low-carb, high-protein diets reduce VF faster than low-fat
✅ 16:8 or alternate-day fasting reduces VF & improves insulin sensitivity
✅ Resistance training + HIIT > cardio alone
✅ Magnesium & omega-3 lower inflammation and improve adipokine profile
⚠️ Visceral fat is also linked to:
•Alzheimer’s (via inflammation + insulin resistance = Type 3 diabetes)
•Hormone-sensitive cancers (breast, prostate, colon)
•Autoimmune flares (via IL-6, TNF-alpha pathways)
•Male hypogonadism (↓ testosterone, ↑ estrogen)
📉 Final Summary:
Visceral fat is not just about a belly.
It is a pathological, inflammatory, insulin-disrupting tissue.
It destroys metabolic health from the inside out.

Reversing it = reversing your biological age.
🧬 Lose visceral fat, and you:
✅ Improve liver, heart, and brain health
✅ Reduce inflammation
✅ Boost insulin sensitivity
✅ Normalize hormones
✅ Regain longevity

Fat loss ≠ vanity.
It’s molecular medicine.

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More from @DietDrsayajirao

Aug 3
Why are most Indian elders tired, bloated, or constipated?
It’s not age.
It’s nutrition.
ICMR’s dietary guidelines reveal how to fix this with food.
🧵 Diet plan for elderly people 👇 #ElderlyNutrition #ICMR
1️⃣ Energy Needs Decline, But Nutrient Needs Increase
With age, physical activity and basal metabolism slow down.
👉 Calories need to reduce by ~20% after 60 years
But nutrient density should increase.
Focus: small, frequent, nutrient-rich meals.
2️⃣ Protein Intake is Critical
ICMR-NIN recommends 1.0 g protein/kg body weight/day for elderly.
For a 60 kg elder, this means 60 g/day.
Essential for:
✔️ Preventing sarcopenia (muscle loss)
✔️ Immunity
✔️ Wound healing

✅ Protein sources:
•Milk, curd, paneer
•Pulses, dals, sprouts
•Eggs, fish, lean meat
•Soy, tofu, nuts & seeds
Read 12 tweets
Aug 3
“Your LDL is high. You’ll get a heart attack”.
That’s the fear most people live with.But science says something very different.
Here’s the most important thread you’ll read on LDL cholesterol:
Myths, truths, risks, and what REALLY matters. 🧵👇
1. LDL is not “bad cholesterol.”
LDL (Low-Density Lipoprotein) is not cholesterol.
It’s a carrier vehicle that transports cholesterol from the liver to cells.

Every cell needs cholesterol to:
•Build membranes
•Make sex hormones
•Produce bile & vitamin D

⚠️ LDL is a delivery system, not a toxin.
2. What makes LDL dangerous? Not quantity.But quality.

LDL becomes risky when it’s:
⚠️ Oxidized (damaged)
⚠️ Small & dense (easily trapped in arteries)
⚠️ High in number (ApoB)
⚠️ In an environment of inflammation + insulin resistance

LDL is like a delivery truck. Problem isn’t the truck, it’s damaged trucks in a traffic jam on a broken road.
Read 15 tweets
Aug 2
My grocery for the week.
Protein-first. Real food.
It’s how obesity, diabetes, fatty liver & arthritis get reversed- from the kitchen, not the clinic.
Here’s how to build your diet from your cart 🛒 🧵👇
#ProteinPriority #MetabolicReversalImage
This is not a trend. It’s a system.
My cart reflects 4 goals:
✅ Fat loss
✅ Muscle retention
✅ Gut repair
✅ Inflammation control
The plan starts before the plate it starts at the store.
What I Bought And Why

🥚 Eggs – Best-quality protein, daily essential
🧀 Paneer – Slow-digesting protein, keeps me full
🥛 Milk – Turned into homemade curd = gut health + protein
🌿 Veggies & Greens – Fiber for digestion & sugar control
🍌🍈 Fruits – Seasonal & planned, not mindless
🥒 Okra & Kantola – Low-carb, anti-inflammatory
Read 10 tweets
Aug 2
Type 2 Diabetes Is Reversible
Type 2 diabetes isn’t caused by sugar “ It’s caused by too much Belly Fat in your liver and pancreas.”
Prof. Roy Taylor proved it.
Obesity and diabetes are reversible,they’re not permanent life sentences.
Here’s how
Save & share this 🧵👇Image
1. Diabetes is not lifelong. It’s fat in the wrong places.

Prof. Roy Taylor’s research shows:

Type 2 diabetes happens when fat builds up inside the liver and pancreas, not just under your skin.

The solution? Remove this fat. Reverse the disease.
2. The Twin Cycle Hypothesis

🌀 Excess food → fat in liver
🌀 Liver becomes insulin resistant
🌀 More fat spills into pancreas
🌀 Pancreas stops making enough insulin

🔁 This vicious cycle causes type 2 diabetes.

💡 Reverse the cycle = remission
Read 13 tweets
Aug 2
💩 Poop is one of the most powerful biomarkers in medicine but also the most ignored.

Each bowel movement reveals data on gut health, nutrient absorption, liver & pancreas function, inflammation, and immunity.
Here’s a scientific breakdown worth saving 🧵👇
#GutHealth
1️⃣ What exactly is poop made of?
On average:
🔸~75% water
🔸~25% solids

Of the solids:
🔸30% dead & living bacteria
🔸30% indigestible fiber
🔸10–20% fat
🔸10–20% inorganic matter
🔸Small amounts of protein, dead cells, bile pigments

This is microbial data, not just waste.
2️⃣ Color: A reflection of bile + liver function
🟤 Brown = Normal (from bile + bilirubin)
🟢 Green = Rapid transit, magnesium, leafy greens
⚫ Black = Upper GI bleeding, iron supplements
🔴 Red = Lower GI bleeding, hemorrhoids, fissures
🟡 Pale/Clay = Bile obstruction check liver
⚪ White = No bile. serious warning sign
Read 14 tweets
Jul 31
Leptin: The Master Fat-Burning Hormone You’ve Never Heard Enough About

Struggling with weight loss even while eating less?
Always hungry even after meals?
The problem may not be willpower it may be Leptin Resistance.
Let’s dive deep 🧵 👇
#Obesity #Diabetes
What is Leptin?

Leptin is a hormone made by fat cells (adipocytes).
Its job is simple but powerful:

✅ Tells your brain: “You have enough energy stop eating.”
✅ Boosts metabolism
✅ Helps regulate fertility, immunity, and thyroid function

It’s often called the “satiety hormone” or “anti-starvation signal.”
How does Leptin work?

Leptin travels from fat tissue → to the brain (hypothalamus) and says:

🧠 “Energy levels are good. Reduce hunger. Burn more fat.”

So, more fat = more leptin = less hunger… in theory.

But in many people, the system breaks.

Enter: Leptin Resistance
Read 12 tweets

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