Back to Sean OMara, MD JD, Health & Performance Optimizing

Brutally Honest Advice About Fat Loss in 8 mins

In a Nutshell

The scale and BMI are useless for tracking health because they ignore visceral fat—the inflammatory fat around organs that drives disease. Visceral fat reduction requires high-intensity exercise like sprinting and lifting, not steady cardio or calorie cutting, since these methods better control cortisol and inflammation. The only real target is lowering actual visceral fat levels, measured by MRI, not weight loss.

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Dr. Shawn Amara has spent the last 13 years studying visceral fat, the dangerous kind of fat that raises risk of heart disease, diabetes, and chronic disease. The number on your bathroom scale measures the wrong thing. The fat that is quietly raising disease risk is the fat you can't see. You can be skinny on the outside and still have a dangerous amount of it.

By the end of this video, the one number you should actually be watching will be revealed instead of weight.

After nearly 20 years as a doctor, the frustration of cutting calories, watching the scale, and living by the morning weigh-in is understood. You've been told that weight and BMI are your report card on health, but this will be changed. Weight and BMI tell almost nothing about the dangerous fat inside the body.

Evidence from over 25,000 studies shows that where fat sits matters more than weight and body mass index for predicting mortality and cardiometabolic disease. The goal should never be a smaller number on the scale. The goal needed is less of one specific dangerous fat. Most people are aiming at the wrong target entirely.

When most people think about fat, they think about soft fat just underneath the skin, the kind you can pinch. There is also visceral fat, the disease fat that packs deep inside the abdomen, wraps around the liver and heart, and fills the muscles. This fat cannot be pinched or seen.

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