SEAN O'MARA, MD: How to reduce dangerous belly fat and visceral fat around the heart.

So I just want to say really grateful for the opportunity to be here and speak and I want to do a Short commercial for Christina for putting this together these these conferences take a huge amount of work. They're very stressful and You know first big thanks for you guys showing up and Try to encourage Christina in any way that you can participate in the future Encourage other people to go because I really like these small settings and This is such valuable content. So I hope everybody is appreciating and enjoying it and For hopefully the conference in the future of future conferences you guys participate encourage other people to come So I'm going to just start off a tad about myself. I grew up in Washington DC normal family I Had a father who had PTSD from World War two he signed up in the Navy after Pearl Harbor at the age of 15, he was on a US naval warship at the age of 16. He lied about his age and He suffered from PTSD and nobody really treated it back then just sucked it up I just thought I had a really jerky dad, but I understand now as a physician what happened to him But you know, I'm here today, I'm a physician myself and A veteran I just retired as a colonel from the US Army so you can So you can recover those from those kind of experiences So I look at my my childhood as a bit of a hermetic exercise So I'd like to explain, you know a little bit about that because it fits into how I am here today I just became a natural Troubleshooter problem solver because I had a dysfunctional father. I had to figure out things on my own. So I went into law enforcement worked as a police officer in New Jersey and not too far from from here actually down the Jersey Shore Wow would and I worked as an undercover narcotics agent. Then I went to law school and became a criminal prosecutor and then from law school I Studied worked as a night watchman security guard at nighttime to Study and be able to get myself in a medical school. I studied all night long and Got the necessary grades again in medical school I got a scholarship through the army that paid my way all the way through medical school and After I finished medical school, I practiced or rather specialized in emergency medicine So I couldn't be further from where I am today as a Type of physician I am a health and performance optimizing position But I worked for about two decades in emergency medicine rooms full time and today I'm a physician who specializes in Optimizing people's health back when I was an ER doctor. I could care less about your health I took care of gunshots and trauma and that's that was really interesting and anything came up like Electrolytes or minerals or you know chronic disease. I just roll my eyes but today That specially keeps me up at night. It's absolutely fascinating. So I Became like it a lot of other physicians overweight diseased. I had I had atherosclerotic cardiovascular disease in my arteries I had Barrett's pre Cancerous lesions in my esophagus severe heartburn. I had a large prostate that would wake me up about four to five times a night So I wasn't getting any sleep and I had eczema all over my body. I had Erectile dysfunction and I I talked about it because it's really it's not just an inconvenience It means you've got arterial disease and If you if you're a male and you've got that you need to deal with it And it's not going to be dealt with taking a medication that just allows you to have an erection You really want to resolve? fundamentally On a cellular level what is going wrong in your body? so that's why I think social media is so exciting because we can address those kind of concerns at a root level and Not just treating, you know what I call a neural shot paint job We just make you know, the outward appearance look a little better. So after a year of doing some dietary changes To really just help me lose weight So there's no placebo effect because nobody told me to do these things all your medical problems are going away But I and what I did was I started on a low-carb paleo diet cut out processed foods I started sprinting and stayed outside in the sunshine sprinting the sunshine and I started eating fermented foods Every medical problem I had went away Changed my life forever and I was super upset Pissed off at my medical profession because I felt like none of it helped me to get rid of disease It's if you have a heart attack you have a stroke you get a fracture your femur Yeah, go to the ER go to a physician but if you want to learn how to live if you want to get healthy, then you want to Understand lifestyle issues that are not taught in medical school. So hopefully this works. So Here's my startup page You can find me on Twitter Instagram YouTube LinkedIn threads Facebook tick-tock all at at Dr. Se a n o m a r a so it's a good way to contact me. We're gonna be talking about Today, I can go back to that people and get it Yeah, let me go back. So you get your phones up. So I'll be talking about good fat bad fat most of you think fat is all the same, but it's it is so different it's like night and day difference and The bad fat so much worse than you understand It is deadly and inflammatory and you know hardly anything about it the good fat is so much better than you understand and you want it and The system doesn't want you to understand either of them So we're gonna get into it explain it to you and hopefully get interested in and start Following and finding out ideally what's going on inside of you All right. So let's get started We're going to use this as an example here, this is a axial view through the abdomen of the physician who taught me about visceral fat and visceral fat is this white stuff in the middle and The white stuff on the outside is subcutaneous fat. So I'd like to show his scan because this guy Credit him was the physician MD PhD He was a researcher for atherosclerotic cardiovascular disease in University, Washington And he knows the people had the most amount of chronic disease with people had the most white stuff inside so he said he's Chinese ago, what did that white stuff and As it turns out he found out it was visceral fat. So we're gonna scan ahead to another MRI image to be able to give a little bit better definition. So Visceral fat is the stuff right in the middle. That's your bellybutton He's laying this patient is laying on their back. These are the back back muscles recti spiny muscles Muscles on this side. So all that white stuff in the middle deep in your abdomen. You cannot see is Visceral fat the other name for it is invisible obesity So it's obesity that you can't see that first image that showed you dr. Zhang the Chinese American his waist Was 31 inches. I have a 34 So he was filled with it. So if you think because you're thin that you don't have it You're running the risk of this diagnosing yourself. So this stuff is invisible You can't see it unless you do an MRI as it turns out we can see it a little bit in people's faces So we're developing an app to teach a machine how to read it Reason we're teaching the machine how to read visceral fat because there's not a radiologist in the world except for one Who reads visceral fat because it's kept from medical school Never heard a word about it medical school never heard about a residency No residencies teach this and I'm just going to tell you at the risk you think it's crazy They're keeping it from the doctors. So they keep it from you so We've got to get this curriculum to taught in medical schools Doctors will learn about it and they'll want to teach it to you, but we've got to get in the curriculum So this is invisible you can't see it But we can also start to infer it in people's faces and I'm going to show you some scans of people's faces Give you an idea about whether or that might be happening with you Muscles are dark on an MRI scan fat is white. So you can see fat is Starting to deposit in those muscles. So that's called my osteotosis or the Common layman's term for this marble ization. That's where your muscles start turning into a ribeye steak And so we'll try to show you some examples of that. So here's a guy still with visceral fat He's fat on the out outside. He's fat on the inside so he's both be fat outside fat inside and When this is through a slice this way, but if you do it slice this way, you know in this direction here It's called the sagittal plane. This is his abdomen his foots down there his heads up there This is all his abdomen you can see all his organs are surrounded by this inflammatory fat that every second is secreting Inflammatory molecules that go around destroying your body. They're just pumping out inflammatory molecules Now if you were to ask yourself, what's one thing I want to get rid of inside my body Most of you probably would say cholesterol It's a big red herring You want to get rid of this stuff and this will visualize what the problem is because it's surrounding all your organs and that's why you end up with the irritable bowel syndrome inflammatory bowel disease and why if you live to to be about In your 70s and 80s and life expectancy is about 77 But if you make it that far, you're gonna end up with incontinence leaking urine and leaking stool Because you're just going to be falling apart from all that inflammatory fat around it And this above the abdomen is your heart and a big chunk of fat surrounds that heart Directly up against coronary arteries. So that's how it leads to heart attacks and Vascular disease. So it's really important to see these these images now this guy here is young. He's 30 years old He's got quite a bit of visceral fat surrounding his organs already That's his bellybutton and he's got a six-pack and that's his body Filled inside there. So if that guy has it what's going on inside your body? That's why you've got to get an MRI scan and find this out and I'll give you some guidance about getting it in a little bit You know, I don't know but it's probably around nine percent ten percent So here's a scan and this is to show you this is a really bad scan This guy's in bad shape huge amount of visceral fat. This is the best MRI I've ever seen in my medical career This guy's muscles are enormous. They're so pure They're like filet mignon his visceral fat is that little bit right there that little bit right there so we take a measurement between the core and the abdominus rectus and the closer that is the healthy you are and The further the core is from your abdominus rectus the more disease potential you have So this guy's in really bad shape. This guy's an awesome shape. This guy's an Olympic sprinter and he performs incredibly well They look at his legs so we scan legs to abdomens and this guy's legs look like filet mignon and this guy looks like Wagyu beef and So these scans are done. You've had MRIs probably some of you on your your arms and shoulders and legs totally ignored Completely ignored because doctors aren't taught this and if you go have a conversation with they'll have this big kind of response Just go ahead and try it. It's it's literally being kept from us So this is what you've all seen this carbohydrate Filled cow with grains and corn and soy and molasses and now they're even feeding putting in cattle feed skittles so to fatten up these cows given this mild steatosis Marblization, this is a grass-fed cow. You want to eat a disease or sorry a species specific diet So for cows cows eat grass cows are a lot healthy now I knew in the carnivore community a lot of people will argue with me, but I'm telling you I scan these legs and arms and muscles and these people the more they have the more disease they are and You know that the Wagyu beef Industry those cows can barely stand up. We're being lied to about those steaks You do not want that marble I steak now you want to eat this fat right here That's omega-3 rich So this is good fat and this is bad fat right there So you really want to know good fat bad fat and before you start worrying about cows worry about yourself Get your your MRI scan yourself. All right. Here's a guy who is an NHL player He went out started company. He's he's worth seven figures Much better business guy than he was an NHL player and he came to me Filled with visceral fat and three months later. Look what he did. So Personality Dictates whether you're going to be disciplined enough to change your life If you stand off this the in the periphery say well I'm just gonna wait to get to see this how this visceral fat plays out think you're going to miss out in the opportunity Get yourself incredibly healthy. So the more motivated you are the more disciplined you are the better off You'll be able to move yourself along now this is to Compare and contrast a couple different ones. This is a toffee. This person is thin outside the sub-q fat but fat inside and this person is more fat outside and And thin inside then don't have as much they're very narrow in a foe T So fat outside thin inside so completely different now between the two of them toffee's die Toffee is the ones that the highest mortality rate that as it turns out that fat around the outside and we're gonna get into it Actually need to show I'll show you right here has a Difference. Okay. So this subcutaneous fat here. Do you see that black line going through there? Never taught to me in medical school. That's called scarpus fascia. It's a membrane. It separates subcutaneous fat into two compartments So they don't want you to know about visceral fat They don't want you to know about deep subcutaneous fat and here's the good fat you want to know about So get your pens out or what watch this again is called superficial subcutaneous fat superficial subcutaneous fat is Yeah, deep subcutaneous fat is from that black line deep and superficial from that black line superficial and The reason why superficial so good it releases a molecule that you've never heard about called adiponectin ADI P O N E C T I N and that is protective against disease mortality heart attacks strokes Alzheimer's neurodegenerative conditions MS Parkinson's Diabetes and even obesity so they don't want you to know about adiponectin At all until they figure out a drug that mimics it and then they'll be selling all over Get started now Nope, brown fats different. Oh, that's a good one But we won't get into because we can't image it very easily. So I don't really talk about it But yeah, it's okay, but superficial subcutaneous fat is good Now if you go and get women who go and get liposuction They'll they'll they'll end up taking get rid of that superficial and then they get faces that change You know, what keeps your face pretty that superficial subcutaneous fat Women and then 1500 1600s were painted in statutes. They were chubby and that superficial fat on the outside Gave them nice effeminate faces and when women get liposuction today, they would send me messages My god, it was the biggest mistake ever did I got really sick? I got I started get falling apart after I had that and my face got ugly They said that less attractive so you get a dude face So just Google women with six-pack abs and you'll see they have dude faces harsh-looking faces not attractive so you want that superficial fat and If you get rid of your visceral fat, it will help to keep it and I'll give you some recommendations About how to do that. All right real quick. What you got to do get rid of this visceral fat This is this series of six MRI scans over a period of 35 weeks this person Lost a Substantial amount of their visceral fat and they also lost the fat and their muscles here. See that Over this 35 weeks by just simply cutting out carbohydrates So they don't want you to know this they do not want you to know this Just cutting out carbohydrates particularly processed foods Dramatically reduce your visceral fat. You need to see this this scan should be in every medical school Should be in every physician office and Every patient ought to be getting this tracking this instead of cholesterol. So that's your first recommendation is cut out carbohydrates particularly processed Carbohydrates so you can have elimination that visceral fat and doesn't really matter what's going on in all these other studies You want to do a study of one you? That's the most important study and that's why I focus in on my clients who come to me I just do study after study on that patient and I don't really care about what's happening in the other 8 billion people You know, I'm taking care of this one patient We're just gonna get rid of this fat around their heart fat in their muscles and fat in their abdomen the deep subcutaneous fat And there will be a new creation Nothing improves a human being more than get rid of those four deadly fats. So This is the same individual that cut out carbohydrates right lung left lung right middle lung is their heart Now look at that big chunk of fat Around the heart and 13 weeks later from cutting out those processed carbs and carbohydrates Look how much dramatic reduction in that fat around the heart took place All right. Here's another guy came to me. He had a big belly. His name is Alvaro all these images grace Gratefully patient clients allowed me to share these and in three months this guy was motivated Look how much he lost of that happened in limiting visceral fat Using the strategies that we developed in the National Science Foundation studying it for seven years So but as impressive is from the outside and his wife's really happy about his change in his body Look at what happened on the inside. So this is his Donald scan filled with visceral fat. That's his heart scan Big chunk of fat around his heart and then look over three months about every 1.5 months every seven weeks or so. He got another MRI scan and Look how much dramatically he proved himself So you if you focus in on this fat you change from the inside out That's what you want to do when you lose weight and step on your bathroom scale. You don't know if you're losing water You're losing muscle or you losing beneficial superficial subcutaneous fat That's why you know bringing fidelity to what you're losing and what you're gaining through an MRI is the way to do this All right. Here's my own Scan of my heart. I got no fat around my heart and I'm very grateful about that. So Just show you it is possible to have zero fat Around that heart and get a scan. Well, let's look at some autopsies. These are harsh and real human beings they had bad outcomes and So this was a rel this probably a trauma patient Relatively healthy because they don't have a lot of fat except that fat stirs form around those arteries So you see that those arteries already have fat leading being Laying down around them and in middle individual has those steps substantially more and this one's just completely strong Now this is fairly common when I scan people It's that common that it is just around your heart and your heart even has Impairment of its ability to Biomechanically, you know with that huge chunk of fat isn't remarkable. Nobody talks to you about this This is how bad it was. I was on a Podcast with a cardiothoracic surgeon I said didn't you ever pay attention as you cut through all that fat that the ones that had the most fat had the worst disease arteries Complete silence and he paused he said I'm embarrassing it but never paid attention He never paid attention because it was never taught to him. He's just going after those arteries Fixing them, you know with graph bypass, but you want to get started where you are today until that's gone and You follow that said your your cholesterol. Well, this is this The best MRI scan I've seen in a female look at that they've quite quite low visceral fat hardly any at all and They're in great shape But I could tell looking at this MRI scan that this person has not had visceral fat for a long time Maybe ever but look at her picture. This is a lady. You can follow her on Instagram. Her name is Carolyn LaBouchere I saw her on Instagram and I Contacted her and asked her begged her to go get an MRI. This this poor lady had me chasing her town She lives in Dubai. She's British educated as this nice British accent and weirdo. Dr Sean's chasing her down to get this MRI and Because I looked at her at her photographs I'm like, I don't believe this woman's ever had visceral fat in her life because look at her legs Look at her torso. Look at her nice arms that attract a face and that thick long hair this lady 60 years old How does she have because what happened to her was in the 1960s? She went Atkins when she was a little girl only on her parents unlike my parents We tried Atkins her parents stayed on it when the government said Oh Go back to eating carbohydrates. It's fat. You got to worry about So she um, she's got a superficial she got a layer superficial subcutaneous fat But her big her big claim to fame in my clinical assessment is this lady because she's avoided Carbohydrates in the Atkins diet her entire life and the rest of us, you know chowed down on carbohydrates I was a fiend, you know, she she's preserved her body and her appearance and her life So that's how we're supposed to look when we're in her 60s But you can get it back. I look a lot better than I used to so we'll get into those pictures All right. Here's another scan we do with arteries now We don't in the studies for the National Science Foundation six thousand Americans We scan them scan their abdomens towards the end We did 20 MRIs of their brain and the reason because over that period of time seven years It was like what is it when you get rid of visceral fat that you become smarter more articulate your memories improved You don't make any mistakes and we said we don't know I don't know but finally at the end we start scanning these brains and we did we saw that the middle cerebral arteries had these blockages and They're pretty common. You know, they They can't do anything about put you on a statin now if it was in your heart they go and stent it They can't stent these in the brain because if they open rupture that artery They can't get they have to cut through your brain and then you're a vegetable So they just leave these things clocked it's ridiculous, but in nine months we open up that that artery eliminating Eliminate carbohydrates doing spraining sunshine fermented foods sauna and cold plunge It would the biggies that we did and then this guy came to me from Australia He had the same vessel only on the other side big blockage three months. We opened up this thing So clients are reporting, you know improvement and in everything across the board disease processes going away And we see blood flow and and the other thing we start seeing is visible pulses So, I don't know if you can you can see it when I'm up here at this light But do you see the big pulse in my my elbow there maybe in the front rope you get visible pulses Shouldn't feel for a pulse. You should look for it your pulses You should have reassurance as a homo sapien that you got massive blood flow that are soft arteries not burdened with fat calcified By having visible pulses and they're all over my body and a one weird one That's weird to talk about Erectile function, but you get in a balance to your erection Like you had when you know guys had when they were teenagers that have these big bounces And Mike my 50 60 70 year old clients are getting the big bounce back and they're super excited about it They're great blood flow and not not so much for their sex life, which is great But for better blood flow to their brain to their kidneys to the liver and you know, they're they have a much better lifestyle So you want to get those arteries opened up? Here's a guy who had heart attacks two of them in one week That was a bad week for him CPR cardio diversion defibrillation on both of them But he pulled through and we got him started on the strategies and that those look he's new new person. That's three months Three months change. That's how much you change when you get rid of this real fat And and this is his abdomen. I did not get an MRI scan on it because he was in London But you can see his abdomen got a lot more lean. So these strategies really work To improve you and then I told you a little bit about faces This is me in my 20s 40s and 48 and then I start eliminating visceral fat there and look what happens to my face now This is what happens everybody you worsen, you know, you think you worsen as you age, but you shouldn't You should be getting better because you get smarter and you figure out what you should be doing You should be improving your appearance improving your performance improving your quality of life. So a good example that is Tom Brady He is running faster at the age of 45 than he did as a NFL rookie age 21 So as you start to take care of yourself, you actually start improving your appearance in your performance So that's what happened to me and look at the dramatic change in my face So visceral fat is inflammatory and destroys your faces now for the females in the audience You you do pretty good until about menopause menopause kicks in then you start accumulating visceral fat and then you're it's like the unattractive button gets pushed or The ugly button gets pushing you start becoming less attractive and you can look at all your female relatives when they hit menopause That's what happens, but not if you get rid of your visceral fat. You want to be this elegant older lady and Elegant well not elegant but impressive attractive handsome older guy Because the better the healthy you are the better influence you're going to be you need to be an influencer to your spouse To your adult children to your grandchildren. You got to be in their life today old people the existence is wealth transfer You should be imparting to your subsequent generations knowledge on how to live better and be healthier So your kids and your grandkids and your great-grandkids will pay way more attention to you If you have a nice healthy looking face because it's biology We follow the healthy woman and the healthy man, but we do not follow diseased people. It's biological It's evolutionary. It's adaptive. We follow healthy people because we think they can help us hunt better It's always been that way as part of our makeup, so you want to be as healthy looking as you possibly can These are just the two photographs, you know big changes that may show you I only weigh 165 now I weigh closer to 180 so it's not weight It's this deadly fat that you have inside of you that makes the difference and this is my body seven years about eight years ago now I Didn't have as much muscle and I put on a lot more muscle as you get rid of visceral fat that you can start putting on muscle now Probably a lot of people in the audience don't really care to put on a lot muscle But you want to at least preserve your muscle because that's what's gonna allow you to pick up groceries And pick up your grandchildren and your great-great-grandchildren and to pick up your butt out of a chair Because you're gonna be losing muscle through chronic disease sarcopenia And so the biggest change between these two photographs was the elimination of visceral fat suddenly allow me to put on muscle So at the age of 60, you know 61 today. I have a Substantially large amount of muscle muscle to fat in my body and I can I can do exceptional things as a result. So That visceral fat being eliminated had a huge difference. All right, let's talk real quick about some biomarkers Notice that this is there's 15 minutes difference between these two photographs But look how much bigger I am and the reason is you see this in gyms and young people They go lift weights and they're always flexing to take selfies and stuff like that and you see them in gyms Why don't you see old people? You don't see old people because it doesn't matter They don't get big they stop putting on muscle But the young people get this pump post workout muscle pump and here see that big artery Big vein rather how much more plump it is Nitric oxide you got visceral fat. You're not going to have this nitric oxide being produced. That's another molecule They don't want you to know about so four things increase nitric oxide sprinting sunshine Sauna and fasting and then cutting out carbohydrates those five things will Maximize your your your nitric oxide now There's a test called skin turd or how fast you're in my skin turd is quite fast for a 61 year old guy but if you do those four things or all all five of them together like in like, you know in the middle of an extended fast doing the sauna sprinting and And get sunshine my skin will go Back so fast it make a snapping sound So you want your skin to make a snapping sound 61 my skin will snap They don't want you to know that but if you stack these strategies together you get synergistic benefits sunshine cutting out carbs sauna sprinting and Extended fasting will all increase your nitric oxide and I caught my my human dashboard Looking for my skin turd and These things these pulses get really massive when I do those four things because that nitric oxide I went on Paul Saladino Used to be carnivore MD He talked me in twice to take it honey and my beautiful Visible pulses disappeared. So no more, honey Not honey in any honey. So stay away from carbohydrates my recommendation. Some people can get away with it, but I do not I do not recommend for probably the majority people who who have ever been overweight who are metabolically and well I had a period of substantial period of being metabolic and well But if you've always been fairly healthy and haven't had those kind of an issues We all know this kind of people that can eat carbohydrates and just fine and it's going to be the microbiome But the more we eat carbohydrates and listen Guys and gals we ate a lot of damn carbs. We did we destroyed her pies We've got heavy and we disrupt our microbiome our metabolism got affected. So Most of us are not going to be in that situation to be eating carbohydrates Young people if they eat clean may be able to keep it But I'm talking to y'all here and I'm just going to tell you I think you'll be better off eliminate Carbohydrates clean your thing clean your act up get rid of your visceral fat and maybe revisit Carbohydrates down the road. All right. Here's how much my body changed in a profile my belly sticking out And now my belly flat my posture that was curved is now now straight and I don't know how nobody can explain how it shaped my head and neck and everything changed so much, but remarkable and Look at my basketure how much improved so that's just a three-year period of time Alright this these are scans of a client that came to me laying down and when I pulled up his shirt His belly was sunk down like that. Now. He's actually two years younger me and when I laid down my belly's nice and flat So this one they don't want to tell you about the reason why that belly is sinking in like that sarcopenia He doesn't have a whole lot of visceral fat, but the visceral fat that he had for years destroyed Reduce his his muscle performance and his tonicity of his muscle And so when he stands up just the opposite belly bulges out because all his guts stick out Never happens that my abdomen when I lay down is my abdomen standing up I'm like a 20 year old in a flat because I've recovered my sarcopenia and that used to be me though I did have I remember having that when I was about 53 and I got rid of My big belly, but my muscle side and I used to show patients you want to have an abdomen I'd lay down you want to have an abdomen like that. You know what they do look and they go Make this grimace and I'm like, oh god, they don't like my thing out of it. The reason is that sarcopenia It's not good that your brain is like, I don't think I'd want to go cuddling with that guy You know, but this you know, this is a more fit person so My definition of health is how you appear and how you perform your appearance and your performance and it starts with using these biometrics All right. Let's look at this this individual here There's another MRI just like that two people get an image in your head what this person is going to look like Okay, because you're going to be surprised they got a lot of visceral fat It's bulging out their abdomen and the other MRI scan of the person that got scanned with them looks exactly the same I got permission to show this kids That's what the heck is going on with our kids today This is them when they got scanned Look at him now You do not see kids getting better Because we're not teaching about visceral fat Their father brought these four kids There's just two of the boys and they have two other brothers and their daughter and his parents and his wife's parents This guy was was an innovator. He found me in the interest as this guy has got it We're gonna get rid of our visceral fat So he brought his whole thing this whole family's changing and this guy as a result now since sends tons of people to me He's like you got to go see Sean O'Mara and I'm not taking no for an answer. I'm buying you an airplane tickets I'm buying your hope your hotel and paying for your meals and he pays for all the MRI scans This guy's a real believer because he's changed his whole life has changed But look at these boys lips They're now being perfused appropriately this kid's face is so much better and his younger brother they go from average looking to looking like child actors now and that's about six months, so Children, you know burdened with Obesity and being overweight. This is this is what you need to do get these kids scanned There's no radiation in MRI and you know, I show this to a pediatrician She started crying because she she didn't know she was an endocrinologist She's just never seen it and I haven't either until these these kids came to me. Look at this guy He has MS in nine months. Look how much he improved his face and look at that big nose So interested is biomarkers Maybe he's big swollen noses off times see famous people drop dead of heart attacks and I look right before you know Recent photograph they get a big nose and then look at him 10 15 20 years earlier and they didn't have that big nose so they don't tell you about that, but you want to be Tracking your schnook schnauz if it's gotten pig. All right, look at this Look how beautiful this is a radiologist right there She's the only radiologist in the world that reads visceral fat and it's because I went to her about three years ago And I told her about it and she was such a nice little sweet lady. She listened me She's very Christian woman and God wanted her to listen to me and but this is what she looked like when I came to her Look what visceral fat had done to her So this was her before and this is her right when I told her about visceral fat and now look what's happening to her Because she's become a believer. She's my god. I've ignored this for 30 years never read it. Nobody told me about it. So you need to go to your doctor Do not take no for an answer tell them they need got to figure out visceral fat and start reading and reporting how people get rid Of it. All right. So here's a guy this guy came came to me from India So he's a vegan and his big belly and then six months later. Look how much By cutting back. He's eating tons of carbs. He still doesn't mean vegan He's gonna be eating carbs, but what he did is he added in fermented vegetables and he cut out Process process foods and like breads and stuff like that and Tortillas and whatever rice and so he gets so even the vegans. I'm a carnivore. I just Carnivore and fermented foods, but vegans can can reduce their visceral fat, too I mean, it's not like you know, we got a stronghold and you know, it's only carnivore You can improve you just got to get rid of this visceral fat though. You got to track it be aware of it All right, here's here's that's his MRI scan by the way All right, so I did have him when he first came and look how much him, you know with this face better So even just reducing a visceral fat You know will dramatically improve your your appearance and your health and your performance So you got to get these MRI scans to do it. All right. Here's another biomarker called spider veins. So These tell inject ages. They're just Metabolic disease and They show up and women have them on their legs and they can't stand up They go run over vein clinics all over America getting them stripped and surgery and injected Because you think they Really? It's not so much that you know It just basically says I suck at how I live and I'm unhealthy There's really from a biological standpoint what's going on? So we know as Patients got rid of visceral fat those spider veins reverse So get rid of your visceral fat and those spider veins will reverse All right. This is kind of a gross one, but these are not blackheads. It's called sebaceous filaments Going when you get on your own Take a look at these little dots on your your nose and as you go keto or somebody goes keto the more Inflammation they have the more Oxidation occurs and their sebum their oil and it gets this this these dark spots and then as they get rid of that visceral fat those dark spots go away, so you need to be taking a look at your noses and Watching for that. It's a very interesting biomarker nobody really talks about but it is biomarker we see get improved and Just back up a little bit if you were 16 years old and you were going you were having your first kiss and going on a date You know, if you were moving in you saw those black dots you would recoil, you know Because biology would be telling you this is not that one But if they if they had been like, I don't know farmer and they had dirt on their nose You just drive on it wouldn't really bother you But when you see your brain, I'm telling you you got software from your ancestors who lived well inside of you and tell you these things Pay attention to it. It's really it's powerful But we doctors don't pay attention to it or stool here another thing You don't pay attention to your stool might take a look at it But the shape of your stool all of you should be having this The I have a suspicion because when I was almost vegan for a while Eat nothing. I don't eat one serving of meat a week. I had stool that looked like a cow patty like a cow never had any shape stool and Now I've got a carnivore and eating permits you want a type 4 stool with a taper in the end and the reason why you want that taper in the end is because if this is your rectum and your anus is right here your anus really folds into your rectum and When you stool goes in there stretch receptors, you feel the nudge to have a bowel movement The anus unfolds like this and there's a little tiny hole When it functions appropriately so you want that tapered hole on your stool and then it opens up smooth perfect type 4 stool and Then it closes in again when it's empty creates that little taper on the back end folds back in and when you wipe You shouldn't have anything on your toilet paper So now my clients are reporting increasingly and I'm glad to report to that I hardly have to use toilet paper many times nothing on my toilet paper Now if that sounds too weird to you if you had a kid and you toilet trained him Mommy says to wipe and you wipe and there would be nothing on it because that kid was healthy And when you wipe and you got stool on you're not healthy Animals in the wild do not have residual stool on their anus domesticating animals typically don't either unless they're Really more diseased and humans should not have to use toilet paper So they don't let you know that you're falling apart, but eventually that Inflammatory fat skin into your pubic rectalis muscle your anus and causing you to lose rectal tone And we patients come in in the ER we gag and rectal rectal exams Teenagers it hurt my finger and 70 80 year old put my finger in there I don't even know I'm in the rectal vault until I come out. I can't feel any tone at all They've so fallen apart over a period of time and nobody tells them So you want to be having type 4 stool and watch to see your stool change? Watch it as you go carnivore cut out carbohydrates I start adding fermented foods And you'll have this beautiful change and your bowel movements will be about three Three to five seconds like your kids when they had bowels and when you were younger So you want to have you know very no pushing it should be like a reflex I joke on the and it should feel fantastic little babies your mother's in there If babies have bowels they get this big smile on their face and right because it feels so good It's a great feeling so Defecation should almost be orgasmic It should be that good feeling and it should be so easy that it functionally happens and today people fall apart Nobody's talking about no doctor talks about it You know you you're you're gonna end up in diapers if you do not get rid of that visceral fat if you live long enough Don't die from a heart attack. All right. Let's take a look at what's going on with this loss of functionality We're right at the end This is visceral fat around the rectum and that's that rectum starts getting exposed all those inflammatory Substances and so deep it's all the way through your abdomen up in your chest all the way down symmetrically and and Big disruptions your microbiome so eating the wrong kind of food juice you you put the wrong You develop the wrong kind of microbes inside of you And I don't have enough time to talk about visceral fat inflammatory fat in the microbiome But you better read about the microbiome because your doctor doesn't know about it, and that's your target Your your radiological target is visceral fat and muscle fat fat around your heart Your real target even before that Starts falling apart is your microbiome so you want to optimize your microbiome? I'll just briefly mention that that green liquid right there. That's green urine Why? because when you're a Optimized human being and you eat a piece of grass-fed grass-finished beef your urine should be green Now I'm gonna come out say it. I'll be the green pea doctor because that's what's happening to my patients my clients They're starting to pee green and unless you you know unless you can pee green eating a super healthy piece of meat You ain't nothing. That's your bioflex. You want to be able to do that so Yellow and and I've done this 50 times that I talked about last night My pee went yellow because I ate great green fed beef wasn't grass-fed and a lot of carnivore doctors say well There's no substantial difference There is there's a big difference in those nutrients and you're how healthy your microbiome is allows you to do that now my microbiome is If I had it tested in the company said I think they called me up and said you had the healthiest microbiome We've ever seen so I I can those microbes down there absorb Molecules from that meat and push it through metabolize it and some awesome things are happening So you really want to optimize your microbiome? All right? Let's look at function. I really fast. We're almost at the end here Lot of visceral fat this guy here See how this is him sprinting how little he could lift his foot and he would go really slow and look how high my foot goes In my knee and the difference is that that visceral fat? So the better your scan the lower your visceral fat the better you look and the better you perform Hopefully you can see we're both about the same age, but my appearance is quite a bit better than his All right, look at these two kids these these two kids Were raised in a family low-carb First paleo then keto and then carnivore watch what happens to them about ten years later Super healthy those are my sons so These kids are you know raise them up? And they've got to start on life and the one in the dark shorts. He told me He got into he wrote his college entrance exam without my permission Without my help assistance and I said would you write it on it because I wrote it on your medical practice And I said would you write would you write about on my medical practice is I wrote about how when I was 14? I saw all these overweight disease older people coming in and how you told them what to do and they get really healthy and How I made a decision then that I was never going to become sick say 14 year old kid But it's up to us to model that you want to model that kind of health to to get those kids our younger generation To to want to make that kind of decision That's it. So appreciate the opportunity to present to you and Sorry went over a little bit, but I couldn't resist trying to get this content now