Insulin Doctor: The Fastest Way To Burn Dangerous Visceral Fat! I'm Finding Mould In My Patients!

Dr. Praep Jam Nadas, a renowned cardiologist, discusses the dangers of visceral fat and its link to heart disease, emphasizing lifestyle changes like fasting to combat insulin resistance. He highlights the role of inflammation in heart attacks, explaining how ruptured plaques and blood clots form. Dr. Nadas advises against excessive aerobic exercise and stresses the importance of resistance training and high-intensity interval training. He also addresses dietary concerns, recommending whole foods over processed ones, and highlights the significance of gut health and avoiding toxins like mold. Lastly, he underscores the value of living in the present moment for overall well-being.

• Visceral fat, located in the stomach area, is particularly harmful and is a major health epidemic today.
• This type of fat is associated with chronic heart disease and is a significant risk factor for heart attacks.
• Visceral fat is often linked to lifestyle factors, including diet and the frequency of eating.

"If you have a belly sticking out, you have a problem because the fat that's in the stomach, that's called visceral fat. This is very detrimental fat."

• Visceral fat is a significant health concern due to its association with chronic diseases and its location around vital organs.

• Frequent consumption of carbohydrates, sugars, and processed foods leads to elevated insulin levels.
• High insulin levels can cause insulin resistance, increasing the risk of heart disease.
• Insulin resistance is a precursor to diabetes and is linked to the development of coronary artery disease.

"Glucose actually is toxic inside the bloodstream and the body cause insulin into the bloodstream to push glucose out."

• Excess glucose in the bloodstream is harmful, necessitating insulin to regulate blood sugar levels.

• Fasting helps reduce visceral fat by lowering insulin levels and promoting fat utilization for energy.
• Different fasting protocols, such as 12-hour and 18-hour fasts, can be tailored to individual needs.
• Fasting is distinct from calorie restriction as it changes the body's metabolic processes.

"But this is where fasting comes in because after 12 hours you start pulling the fat out. And the first place the fat comes out of is going to be visceral fat."

• Fasting initiates fat loss, particularly targeting visceral fat, which is crucial for reducing inflammation and disease risk.

• Over-exercising aerobically can lead to coronary artery disease, while short sprints and resistance exercises are more beneficial.
• Mold, poor sleep, and excessive consumption of certain foods like white rice can negatively impact heart health.
• Calcium supplements and excessive fruit intake are also potential risk factors.

"I see that people who overly do aerobic activity, they end up with more coronary artery disease than patients who do short sprints and resistance exercises."

• Certain lifestyle choices, including exercise types, can influence cardiovascular health, with some activities posing more risk than others.

• Heart attacks occur when a plaque in an artery cracks, leading to a blood clot that obstructs blood flow.
• Plaque formation and instability are driven by inflammation and other systemic factors.
• Prevention focuses on identifying and addressing the underlying causes of plaque and inflammation.

"A heart attack is caused by a blood clot at the site of a rupture and what causes rupture is inflammation."

• The rupture of arterial plaque, leading to a heart attack, is primarily caused by inflammation, highlighting the need for targeted prevention strategies.

• Insulin resistance results from prolonged high insulin levels due to frequent carbohydrate consumption.
• It leads to metabolic derangements, including visceral fat accumulation and increased cardiovascular risk.
• Early detection and management of insulin levels are crucial for preventing diabetes and heart disease.

"It's all about insulin when it comes to the metabolic derangement."

• Insulin resistance is a central factor in metabolic disorders, underscoring the importance of monitoring and managing insulin levels.

• Fasting reduces insulin levels and promotes the use of stored fat, particularly visceral fat, for energy.
• Unlike calorie restriction, fasting does not slow metabolism or lead to muscle loss.
• Fasting is a physiological process meant to complement periods of feasting, which modern lifestyles have disrupted.

"When you fast, there's a totally different physiology when you cut down on calories."

• Fasting triggers unique physiological responses that differ significantly from those induced by simple calorie reduction, emphasizing its role in health maintenance.

• Fasting regimens can be adjusted based on individual health goals, such as weight loss or diabetes reversal.
• Extended fasting under medical supervision can lead to significant health improvements, including weight loss and normalization of blood pressure and glucose levels.
• Women generally respond well to fasting, though considerations are made for those pregnant or trying to conceive.

"There are many, many different types of fasting depending on your goal on what you want for that particular patient."

• Fasting strategies can be personalized to effectively address specific health issues, demonstrating its versatility as a therapeutic tool.

• Ketones are energy molecules produced by the liver from fat, serving as an alternative energy source to glucose.
• Fasting lowers insulin levels, prompting the body to break down fat and produce ketones.
• Ketones are considered a cleaner fuel, producing fewer reactive oxygen species and enhancing physiological functions.

"Ketones are an energy source of the body, an alternative source to glucose."

• Ketones provide an alternative energy source when glucose is scarce, promoting metabolic flexibility.

"Ketones and ketones are actually a cleaner fuel for the body."

• Ketones are a more efficient energy source, reducing oxidative stress and enhancing cellular function.

• Ketosis stimulates the production of brain-derived neurotropic factor (BDNF), improving cognitive functions.
• Stem cells increase during fasting, contributing to enhanced immunity and tissue repair.
• Long-term ketosis is not ideal; a balance between glucose and ketone metabolism is necessary.

"Brain derived neurotropic factor which means that you become smarter, you're growing new cells, your reflexes are better, your visual acuity is better."

• Ketosis enhances cognitive abilities and physical performance, driven by evolutionary survival mechanisms.

"You don't want to be in ketosis all the time because... you'll just be burning fats... all the time."

• Constant ketosis is not sustainable; the body requires both glucose and ketone metabolism for optimal health.

• Fasting mobilizes stem cells, which can differentiate into various cell types, enhancing tissue repair and immunity.
• Progenitor cells repair blood vessel linings, crucial for vascular health.
• Intermittent fasting boosts stem cell production, improving overall health and recovery.

"When you break your fast you get a surge of stem cells coming out of your bone marrow."

• Fasting triggers a release of stem cells, enhancing the body's repair mechanisms and immune function.

"Progenitor cells go and repair your blood vessels."

• Increased progenitor cells from fasting contribute to vascular health by repairing blood vessel linings.

• Exercise during fasting, particularly resistance training, can enhance muscle growth and retention due to increased growth hormone levels.
• Women may experience muscle breakdown if fasting during aerobic exercises due to glucose sensitivity.
• High-intensity interval training (HIIT) is effective for both men and women during fasting.

"You will find that you will put on more muscle and you'll retain more muscle as well because you have higher growth hormone."

• Fasting increases growth hormone, promoting muscle growth and retention during exercise.

"When I tell them to do HIT, which is high intensity interval training, all the women do just as well as the men."

• HIIT is beneficial for both genders during fasting, providing effective muscle stimulation without excessive glucose depletion.

• A ketogenic diet involves low carbohydrate intake, cycling in and out is recommended for health balance.
• Long-term ketosis is not necessary; intermittent fasting and time-restricted feeding are sufficient for maintaining health.
• Autophagy, the recycling of cellular components, occurs during ketosis, enhancing cellular efficiency.

"You have to because I don't want them to stay in a ketogenic state all the time."

• Cycling in and out of ketosis is crucial to avoid negative effects of prolonged fat metabolism.

"When you are in ketogenesis you are you are also in autophagy."

• Ketogenesis promotes autophagy, improving cellular function and efficiency through recycling.

• Excessive aerobic exercise can lead to inflammation and coronary artery disease.
• Short sprints, resistance exercises, and HIIT are recommended for cardiovascular health.
• Aerobic activity should be limited to 15-20 minutes for endurance without overtraining.

"People who do overly do aerobic activity... end up with more inflammation in their body."

• Excessive aerobic exercise can increase inflammation, negatively impacting heart health.

"Do flow exercises. You use your own body weight as resistance."

• Bodyweight resistance exercises are effective for maintaining heart health and overall fitness.

• The gut microbiome plays a crucial role in cardiovascular health, affecting nutrient absorption and inflammation.
• A leaky gut can lead to fatty liver and increased coronary artery disease risk.
• Maintaining a healthy gut through diet and lifestyle changes can improve heart health.

"The biggest difference between you and your outer environment is actually your gut."

• The gut microbiome significantly impacts overall health, acting as a mediator between external and internal environments.

"If the right microbiome is not present, you are being deprived of those micronutrients."

• An imbalanced microbiome can lead to nutrient deficiencies and increased disease risk.

• Calcium supplements may increase cardiovascular risks, while vitamin D3 and K2 are essential for proper calcium metabolism.
• Vitamin K2 prevents calcium buildup in arteries, reducing coronary calcification.
• Proper supplementation and diet can mitigate the risks associated with calcium intake.

"Calcium supplements actually increase the risk of cardiovascular events."

• Calcium supplements can contribute to heart disease, necessitating careful management of calcium intake.

"Vitamin K2 is going to make sure that you don't get the calcium build up in the wrong places."

• Vitamin K2 is crucial for directing calcium to bones rather than arteries, preventing cardiovascular issues.

• A high-fiber diet and fermented foods support a healthy gut microbiome, reducing the risk of leaky gut.
• Sleep, stress management, and omega-3 intake are vital for maintaining gut health.
• Lifestyle changes can significantly impact gut health and overall well-being.

"Fiber is found in anything that's nonprocessed... you got to eat real food."

• A diet rich in unprocessed foods and diverse vegetables supports a healthy gut microbiome.

"Lack of sleep causes a change in your gut microbiome."

• Sleep is essential for gut health, with sleep deprivation negatively impacting microbiome balance.

• Toxins, such as pesticides and plastics, disrupt metabolism and contribute to inflammation and disease.
• A dysfunctional gut increases susceptibility to toxins, emphasizing the importance of gut health.
• Reducing exposure to environmental toxins is crucial for maintaining overall health.

"A toxin is a molecule that should not be in your body."

• Toxins are harmful substances that disrupt physiological processes and contribute to health issues.

"When the gut is not working properly, you're going to be more prone to toxicity."

• A healthy gut is essential for detoxification and reducing the body's toxic load.

• The liver is overwhelmed by modern environmental toxins, affecting detoxification.
• Gut and liver issues are linked to high levels of heavy metals, pesticides, herbicides, and mold.
• Mold causes systemic inflammation, affecting cardiovascular health.

"The liver is supposed to get rid of a lot of toxins. But in today's day and age, because of the foods that we're eating, the environment that we breathe, the environment that we walk out into, we're getting too many toxins and this poor organ here is getting overwhelmed and cannot detoxify adequately."

• The liver's detoxification capacity is compromised by modern environmental factors.

"I'm finding that many of my patients who have gut issues and liver issues are very, very high with not only heavy metals, but they also have a lot of pesticides, herbicides, and mold in their body."

• Patients with gut and liver issues often have high levels of various environmental toxins.

• Mold is prevalent in many homes and can cause low-grade inflammation.
• Mold exposure can lead to chronic health issues, including cardiovascular diseases.
• Mold can become part of the microbiome, re-inoculating the body even after leaving the environment.

"Almost 70% of homes these days have some form of mold toxicity in them, either from previous water damage or exposure."

• Mold is a widespread issue in homes, contributing to health problems.

"When I get rid of the mold, all of a sudden I'm noticing that the patients are not only feeling better, but the rate of progression of coronary artery disease flattens off."

• Removing mold can significantly improve health outcomes, particularly in cardiovascular health.

• Inflammation is a key factor in the development of coronary artery disease.
• Identifying and eliminating sources of inflammation can prevent artery clogging.
• Common inflammation sources include mold, leaky gut, and food sensitivities.

"It's all about inflammation. We need to get rid of inflammation in order to get rid of coronary artery disease."

• Addressing inflammation is crucial for preventing coronary artery disease.

"There's always a reason why you get hardening of the arteries."

• Inflammation sources are often overlooked in cardiovascular health.

• Processed foods and nutrient-deficient diets contribute to poor health and increased risk of surgery.
• Foods high in refined sugars, artificial additives, and lacking fiber are detrimental.
• Excessive fruit consumption is also linked to health issues due to high fructose content.

"You should eat nutrient deficient processed foods every day."

• Processed foods are detrimental to health, leading to increased risk of cardiovascular issues.

"Fruit should be eaten only in season because it has too much fructose in it."

• Excessive fruit consumption can contribute to health problems like fatty liver and coronary artery disease.

• Overcooking and burning foods create harmful compounds known as advanced glycation end products.
• These compounds increase inflammation and negatively impact health.
• Proper food preparation, such as soaking rice to reduce arsenic, is important.

"When you over burn your food, when you overcook your food, you're creating these molecules."

• Cooking methods can significantly impact the inflammatory response in the body.

"Soak your rice in water and then discard the water after an overnight soak because it contains arsenic."

• Proper food preparation can mitigate exposure to harmful substances like arsenic.

• Vegetable seed oils are high in omega-6 fatty acids, contributing to inflammation.
• Olive oil, butter, ghee, and coconut oil are healthier alternatives.
• The balance of omega-6 to omega-3 fatty acids is crucial for health.

"Get rid of that vegetable seed oil bottle from your home."

• Vegetable seed oils are not recommended due to their high omega-6 content.

"The oil at home, if you're going to use any oil, is going to be olive oil, extra virgin olive oil for your salad."

• Olive oil and similar fats are healthier choices for cooking and consumption.

• Weight and body composition, particularly visceral fat, are key indicators of cardiovascular health.
• Joint pain and poor dental hygiene can indicate systemic inflammation affecting heart health.
• Bad breath can be linked to cardiovascular issues through the oral microbiome.

"If you're overweight, that's one strike against you already."

• Weight and body composition are important indicators of cardiovascular health.

"If you have bad teeth, bad dental hygiene, bad bacteria in your mouth, you're going to get valvular disease."

• Oral health is closely linked to cardiovascular health outcomes.

• Excessive caffeine intake can lead to heart palpitations and stress the cardiovascular system.
• Moderate caffeine consumption is generally safe and can be heart-protective due to its fiber and polyphenol content.

"Caffeine is very similar to the adrenaline molecule."

• Excessive caffeine can mimic adrenaline effects, leading to cardiovascular stress.

"A coffee a day is actually good for you for a different reason."

• Moderate coffee consumption supports gut health and provides beneficial polyphenols.

• Over-exercising can lead to heart palpitations due to blood flow diversion from the gut.
• Balancing exercise with proper recovery is important for cardiovascular health.

"When you overly exercise like that, you're causing relative ischemia to your gut."

• Over-exercising can affect gut health, leading to cardiovascular symptoms like palpitations.

• The vagus nerve is the largest nerve in the body, connecting the brain to various parts of the body, especially the gut.
• It plays a crucial role in conveying the state of the body to the brain and vice versa, especially concerning gut health.
• The nerve is involved in the autonomic nervous system, balancing sympathetic (fight or flight) and parasympathetic (rest and repair) activities.

"The vagus nerve is fascinating. It is the largest nerve in the body, and it basically is sending messages from the brain to the whole body and receiving messages back to say what is the state of affairs, and the largest distribution, believe it or not, is all in your gut."

• The vagus nerve is critical for gut-brain communication and maintaining gut health.

"When you get vagus nerve not working well, you get too much sympathetic. You're going to get tachycardia, you're going to get arrhythmias, palpitations."

• Dysfunction of the vagus nerve can lead to increased sympathetic activity, causing heart-related issues.

• Improving gut health can enhance vagus nerve efficiency and heart rate variability.
• Nutritional supplements like omega-3 fatty acids, especially DHA, are essential for optimal vagus nerve function.
• Breathing exercises, such as inhaling for four counts and exhaling for eight, can stimulate the vagus nerve.

"When you fix the gut, your vagus nerve will be able to work more efficiently, and you'll be able to repair yourself after the sympathetic drive."

• A healthy gut can improve vagus nerve function and overall body repair processes.

"Do the breathing exercises. So when you do the deep expiration, you stimulate all those parasympathetic nerve endings, and your heart rate goes down, blood pressure goes down."

• Breathing exercises can activate the parasympathetic nervous system, promoting relaxation and reducing stress.

• Eye movements, cold water facial applications, neck ice packs, and humming can all stimulate the vagus nerve.
• Devices that emit signals to the vagus nerve have shown to induce relaxation in patients.
• Laughing and the Valsalva maneuver are other methods to stimulate the vagus nerve.

"Cold water and gentle massage on your eyeballs stimulate the vagus nerve."

• Simple physical actions can trigger vagus nerve activity, aiding relaxation and stress reduction.

"Humming... that sound is transmitted to the vagus nerve. So, it's like shaking that vagus nerve, and it creates electrical impulses in the vagus nerve."

• Activities like humming and laughing can have a physiological effect on the vagus nerve, promoting relaxation.

• LDL (low-density lipoprotein) is often labeled as "bad cholesterol," but the concern is more about small, dense LDL particles.
• Small, dense LDL particles can lead to inflammation and atherosclerosis, contributing to heart disease.
• Factors like sugar, omega-6, advanced glycation end products, toxins, and leaky gut contribute to the formation of small, dense LDL.

"LDL is a reflection of your cholesterol. Now cholesterol is a normal molecule in your body, and you should have cholesterol because if you don't have cholesterol, I don't think you live too long."

• Cholesterol is essential for bodily functions, but its form and density determine its impact on health.

"It's when you have small dense damaged LDL. So the question is that's the issue and small dense LDL five things. Sugar causes it. Omega6, advanced glycation end products, toxins, and leaky gut."

• The focus should be on preventing small dense LDL formation rather than just lowering overall LDL levels.

• A vegetarian diet can help lower LDL levels, but the emphasis should be on reducing small, dense LDL.
• Statins can lower LDL but may have side effects like muscle loss, diabetes, and cognitive issues.
• Regular monitoring and a focus on inflammation rather than just cholesterol levels are crucial.

"Patients who have the highest LDLs actually make it into the '90s and live a healthier life. It's not the LDL; it's the damaged LDL that's the problem."

• High LDL levels are not necessarily harmful if they are not in the small, dense form.

"Statins are they effective. Effective in what? If the endpoint is to reduce your LDL. Yeah, statins will bring your LDL down. But does that translate to a decrease in cardiovascular event rates? That's a totally different question."

• The effectiveness of statins should be evaluated based on their impact on heart health, not just LDL reduction.

• High insulin levels can prevent proper vasodilation, leading to high blood pressure.
• Addressing insulin resistance through diet and lifestyle changes can lower blood pressure.
• Essential hypertension often has underlying causes like sleep apnea or hyperinsulinemia.

"When your insulin levels are running high, all your blood vessels and your capillaries all don't vasodilate properly."

• Insulin management is critical for maintaining healthy blood pressure levels.

"There's no such thing as essential hypertension. Essential hypertension meaning that you just have high blood pressure. There's always a cause."

• High blood pressure often has identifiable causes that can be addressed with lifestyle changes.

• Skipping breakfast and following an 18-hour fasting window can provide health benefits.
• If breakfast is necessary, options like eggs or kefir with berries are suggested.
• One meal a day (OMAD) can increase energy levels and promote health.

"Breakfast should be we should pass breakfast for most adults and just go for lunch and dinner only cuz then you can do your 18 six."

• Fasting and meal timing can play a significant role in health and energy management.

"When I do my OMAD, which I do at least 3 to four times a week, which I only have one meal a day, at 6:00 in the evening, I actually have more energy than I do in the morning."

• OMAD and fasting can enhance energy levels and overall well-being.

• A diet including grass-finished meats and organic produce is recommended.
• Supplements like D3, K2, omega-3, vitamin C, magnesium, and probiotics are part of a healthy regimen.
• Nattokinase is used for its blood-thinning properties and to prevent clots.

"I take D3, K2, omega3 fish oil. So I take two capsules every day. Vitamin C 1 g inulin kefir. I drink that every day."

• A comprehensive supplement routine supports overall health and cardiovascular function.

"Nattokinase I take about 8,000 units a day. What it is is that it does thin the blood a little bit so that you're less likely to make blood clots."

• Nattokinase can be beneficial for cardiovascular health by reducing clot formation.

• Coronary artery disease is a leading cause of death, with inflammation as a key underlying factor.
• Tests like coronary calcium scores and inflammatory panels can assess heart health risks.
• Depression and mental health issues can be linked to inflammation, not just psychological factors.

"If you're over the age of 30 and you have concerns, one, get a coronary calcium score. If your coronary calcium score is zero, you have no calcium, then you're in a good place."

• Coronary calcium scores can provide insights into heart disease risk.

"Depression is inflammation. Depression is not something psychological."

• Mental health can be significantly impacted by inflammation, highlighting the need for an anti-inflammatory lifestyle.

• Personal experiences, like the loss of a loved one, can teach valuable lessons about life and medicine.
• Living in the present moment is emphasized as a way to enhance life satisfaction and effectiveness.
• Being fully present in each moment can improve personal and professional life.

"The most difficult day of my life was a very personal one for me, you know, when my dad passed away."

• Personal challenges can lead to growth and a deeper understanding of life and medicine.

"Life is only expressed in this moment right now. So learning how to live in the moment applies not only to me but to everybody."

• Emphasizing present moment awareness can lead to a more fulfilling and impactful life.