We dig into why visceral fat drives disease risk, how to spot it on sight and imaging, and the levers that shrink it without losing muscle. We map a practical plan across food, fasting, light, stress, and training, and weigh GLP-1s and surgery against lifestyle-first care.

Christopher J. Stadtherr, MD is a board-certified physician in Family Medicine and Obesity Medicine, with expertise in nutrition and metabolic health.

He practices metabolic medicine in a direct primary care (DPC) model out of Gig Harbour, WA, USA and is committed to helping his patients reverse their diabetes, improve their metabolic health, and avoid the myriad complications that necessitate hospitalization.

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TIMESTAMPS

2:06 Subcutaneous vs Visceral: What Matters
5:27 Personal Fat Threshold Explained
11:05 Insulin Resistance As Root Cause
16:30 Genetics, Epigenetics, And Fat Storage
21:20 Circadian Disruption And Seed Oils
25:52 Why Liposuction Backfires Metabolically
30:02 Muscle, Sarcopenic Obesity, And CT Clues
35:10 Visceral Fat Across Diseases And Imaging
41:05 Reversing Visceral Fat: Food First
46:10 Gut Microbiome, Hormones, And Fasting
52:45 Stress, Cortisol, And Abdominal Fat
57:45 Light, Sleep, And Glucose Control
1:01:15 GLP-1s, Surgery, And Body Composition
1:08:40 Training That Burns Fat, Not Muscle
1:15:05 Fasting Protocols That Actually Work
1:20:25 Sex Differences And Testosterone Nuance
1:24:40 Why Everyone Should Check Organ Fat
1:27:30 Direct Primary Care And Better Incentives

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