Sean OMara, MD JD, Health & Performance Optimizing is live!
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Good morning everybody. We're discussing fruit and honey: whether to start including them, eliminate them from your diet, or be aware of insights for future consideration. Sharing personal perspective objectively using MRI data, as individual responses vary (N of 1 experiments). What happens to one person may not happen to another. Track your own body with MRI at baseline and after changes. Enlightened individuals get an MRI to capture baseline and monitor impacts. Use MRI over CT due to no radiation (MRI uses magnetic fields). If you love your current diet, get an MRI to confirm if it's beneficial.
Fat is not all the same: some is super bad (avoid), some super good (want). Focus on these fats, not just cholesterol. Tell your doctor: "I work for you, make me as healthy as possible." Pay cash for MRI if needed; Dr. Sean is an option.
- Back muscles: Should be dark on MRI; white streaks indicate marbling or myosteatosis (fat in muscles), leading to weakness (e.g., unable to get out of chair at 80).
- Visceral fat: Bad, inflammatory.
- Love handles: Subcutaneous fat with two compartments separated by Scarpa's fascia:
- Superficial subcutaneous fat: Good (like a white-hat horseman, releases adiponectin - protective against inflammation, heart attacks, strokes, obesity, diabetes, neurodegeneration).
- Deep subcutaneous fat: Bad (behaves like visceral fat and myosteatosis, releases inflammatory molecules; three black-hat horsemen with guns).
Deep subcutaneous fat, visceral fat, and myosteatosis trickle inflammatory molecules, causing body breakdown over time.
Example: Individual mostly dark (healthy muscle) vs. mostly white (muscle shrinking, sarcopenia risk). Track internal muscle, not just external (bodybuilders lose muscle with age). Fruit and honey's role: study their effect on muscle composition.
Want healthy layer of superficial subcutaneous fat for adiponectin protection against sarcopenia. Visceral and deep subcutaneous fat attack muscle.
Superficial subcutaneous fat is chief source of adiponectin; deep subcutaneous and visceral lack it.
Fruitarians lose superficial subcutaneous fat and muscle mass over time (Google fruitarian/vegetarian examples).
Ideal: Fat outside (superficial subcutaneous), thin inside (low visceral) - e.g., Yumi Nu (model, Sports Illustrated swimsuit edition; full-figured, likely low visceral fat, high superficial subcutaneous fat; healthy, attractive face).
Unhealthy faces from deep subcutaneous/visceral fat inflammation: Sinead O'Connor (young, before death).
Appearances deceive:
- Good-looking body with high visceral fat.
- Six-pack abs but no subcutaneous fat ("toad" - thin outside/inside).
- Six-pack outline but high visceral fat inside.
Ancestors assessed health visually; get MRI to confirm.
Army National Guard individual: Mixed diet → adding carbs (face inflames, broadens); carnivore (inflammation reduces).
Personal example: Before (high visceral fat) vs. after (visceral removed, optimized subcutaneous fat). No longer chases visible six-pack; prefers MRI-confirmed six-pack under protective superficial subcutaneous fat layer.
New status symbol: health, not visible abs. Subcutaneous fat protects against obesity, heart attacks, strokes, diabetes, neurodegeneration.
Women regret liposuction removing superficial subcutaneous fat: health deteriorated, faces less attractive.
Renaissance masters painted cherubic, full-figured women/children (healthy superficial subcutaneous fat = attractive, feminine faces). Attracted to health, not cuteness. Kids show disease-free look; parents show disease accumulation.
Effects vary by individual; study with MRI.
Example: Speaker's son (raised carb-free): No visceral fat, healthy microbiome; can handle fruit.
Microbiome drives health (changes before visceral fat appears); tracks with visceral fat. Healthy microbiome metabolizes fruit carbs safely.
Most viewers: Like 42yo man (pudgy but shirts hides it; high visceral fat inside, destroying health - sarcopenia, erectile dysfunction ahead). Do not add fruit/honey; he's "fed the bears" (visceral fat like trash-fed bears).
Carnivore (meat, fat, protein) prevents obesity; all obesity cases involve carb periods.
Try carnivore as ultimate elimination diet (baseline MRI first). Not forever - test it.
Carnivore physician: Eat healthiest meat (select best from herd like Native Americans - sheen, silhouette; avoid marbled/rheumatoid-like). Marbleization links to visceral adiposity and carbs.
Add small amount of fermented foods (microbes as garnish, like ketchup on steak) for good infection (microbes rebuild microbiome).
Add good microbes through infections to build a healthy microbiome. Carolyn Leuschner, 59 years old, looks exceptional—attractive body, great shape legs, elegant arms, gorgeous hair like 18-year-old Brooke Shields. Her MRI shows mostly dark interior with no visceral fat and a nice layer of superficial subcutaneous fat. Advocate adding a little more subcutaneous fat for her, though she's a well-compensated model. Ancestors would prefer more superficial fat on her. Key insight: Carolyn looks good because she's never had visceral fat—always attractive due to low-carb Atkins diet her family followed long-term, unlike the speaker's family who abandoned it.
For super lean people like the speaker's son with low visceral fat, intact healthy microbiome, and no carb upbringing, consider adding fruit. Monitor impact closely as it may lead to issues. Fruit and honey are more sensible than other carbs, but some clients influenced by Dr. Paul Saladino started with fruit/honey then progressed to candy, tortillas, bread—disrupted microbiome fed bad microbes that spread.
Dr. Paul Saladino promotes fruit and honey for everyone, but speaker disagrees. Clients persuaded by him regressed. Paul has lean face, recent DEXA showed low visceral fat, but speaker wants none—not low. At 61, speaker preserves body with minimal exercise (15 minutes every other day, hard). Paul surfs 3 hours. Dedicated surfers rarely fat; theory: ocean water wipeouts introduce living ocean microbes protecting microbiome. Paul ferments too.
Nobody knows fully—no large studies. Avoid fruit/honey if history of obesity like speaker's clients. Consider if robust microbiome, no visceral fat like speaker's son. Speaker won't due to past obesity, disruptive microbiome—risks bad infection leading to tortillas, bread, pasta, ice cream. Get MRI to baseline, repeat in 3 months if adding/eliminating fruit/honey.
Not anti-fruit or anti-carb—limits carbs but eats them in meat glycogen and liver (60g carbs in liver). Animal-source carbs better than milk lactose, which increased speaker's visceral/deep subcutaneous fat. Ferment dairy to eliminate lactose carbs.
Low GI fruit has higher carbs than high GI? No significant difference if robust microbiome metabolizes fructose/sugar. Modern fruit hybridized for taste/profit, not health—super sweet grapes in bags. Prefer wild fruit: tiny, sour, stringent, with wild microbes (flies/bugs). Eating wild fruit yields pleasant bowel smell. Lower GI wild fruit better; robust microbiome handles it. Avoid high GI if unsure.
For babies, skip fruit/honey—pediatricians say start vegetables first to avoid fruit preference. At 1 year old birthday, give meat, fermented foods (kimchi, cheese, fermented carrots) instead of cake. Ferment fruit/vegetables: reduces carbs, eliminates oxalates, lectins, mycotoxins. Eat vegetables/fruit fermented, not raw.
Raw, organic, natural honey better but not safe for everyone—fructose issue persists. No for those with visceral fat like speaker's client.
Depends on leanness/microbiome. None for obese history; small amounts for leaner like speaker's son. Start very small—obesity from excess, so smaller better. Track goals and harm: MRI for visceral/deep subcutaneous/muscle fat, face photos. Speaker's face lean, teenager-like, softening nasolabial creases. Paul Saladino losing subcutaneous fat (cherubic Renaissance look desirable), veins popping like 80-90-year-olds without subQ fat. Ideal: vascularity with concealing superficial subcutaneous fat, not visible six-pack.
Varies by individual—how long to develop damage? Long development (micro-bullets) takes longer to recover than acute. Body brilliant, recovers if eliminate visceral fat, myosteatosis, deep subQ fat, optimize microbiome. Full carb cut accelerates; partial (less pizza, fewer donuts) slows.
Age irrelevant—health/microbiome determines speed. Healthy like Carolyn clears visceral fat faster than unhealthy. Assess health, not age. Even 500lb couch potato can recover, but time limited for some—heart attacks/strokes kill. Flip light switch: get serious, disciplined. Body most important physical asset after soul; optimize to enjoy life, avoid stroke/diapers, preserve brain for family.
Thanks for joining second IG/YouTube live. More with Carolyn Leuschner—follow her. More lives, shows, productions; expanding to St. Louis, Chicago, 10 states in two months. Growth around visceral fat awareness/health optimization. Share content.
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