VAT Trap Transistor (https://transistor.fm) https://feeds.transistor.fm/vat-trap The VAT Trap book, blog and digital media series reveals how visceral fat — the hidden metabolic organ — drives heart disease, hypertension, and diabetes. Drawing on 30 years of frontline cardiology and the latest in imaging, app-based tracking, and metabolic science, Dr Ed Leatham translates complex research into clear, actionable steps. Whether you want to avoid heart disease, stabilise your metabolism, or understand GLP-1 therapy, these four concise podcast seasons accompany a four book series that will help you see, track, and reverse the VAT trap. To join the mailing list click on the link below and add your email https://link.scvc.co.uk/vat-trap-join-newsletter Green Pages Publication ef345762-debd-5ed8-adc5-c45e4c4ad857 no en Tue, 03 Feb 2026 07:24:06 +0000 Wed, 25 Mar 2026 07:10:07 +0000 http://vat-trap.com https://img.transistorcdn.com/n81AYICpO4418Vp4346D-vK5g5vC624_IFUa_G-LB6Q/rs:fill:0:0:1/w:1400/h:1400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS84MGUy/ZGRiNTM5NTcxNjgz/MGJkMTE4OTg0ZWRm/ZDg1NC5wbmc.jpg VAT Trap http://vat-trap.com episodic Dr Edward Leatham The VAT Trap book, blog and digital media series reveals how visceral fat — the hidden metabolic organ — drives heart disease, hypertension, and diabetes. Drawing on 30 years of frontline cardiology and the latest in imaging, app-based tracking, and metabolic science, Dr Ed Leatham translates complex research into clear, actionable steps. Whether you want to avoid heart disease, stabilise your metabolism, or understand GLP-1 therapy, these four concise podcast seasons accompany a four book series that will help you see, track, and reverse the VAT trap. To join the mailing list click on the link below and add your email https://link.scvc.co.uk/vat-trap-join-newsletter The VAT Trap book, blog and digital media series reveals how visceral fat — the hidden metabolic organ — drives heart disease, hypertension, and diabetes. Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL Edward Leatham No No Sarcopenia: Are We Diagnosing the Wrong Muscle Problem? 21 21 Sarcopenia: Are We Diagnosing the Wrong Muscle Problem? full 132aa24e-73ef-46ca-bfc5-82390b7aa61b https://share.transistor.fm/s/41b58f1e In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters.

Read Blog 

]]> In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters.

Read Blog 

]]> Wed, 25 Mar 2026 06:20:18 +0000 Dr Edward Leatham Dr Edward Leatham 1238 In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters.

Read Blog 

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No The Cardiometabolic Reset: Escaping the Metabolic Doom Loop 20 20 The Cardiometabolic Reset: Escaping the Metabolic Doom Loop full 34da7d67-1a1e-4e69-9499-9070b50f4559 https://share.transistor.fm/s/e7473d48 The Eight-Month Metabolic Reset is a structured cardiometabolic programme designed to reduce visceral fat, preserve skeletal muscle strength, and improve glucose stability. Combining lifestyle change, targeted metabolic support, and clinical guidance, it helps break the cardiometabolic cycle and build sustainable long-term health beyond short-term weight loss.

Read the blog

]]> The Eight-Month Metabolic Reset is a structured cardiometabolic programme designed to reduce visceral fat, preserve skeletal muscle strength, and improve glucose stability. Combining lifestyle change, targeted metabolic support, and clinical guidance, it helps break the cardiometabolic cycle and build sustainable long-term health beyond short-term weight loss.

Read the blog

]]> Tue, 03 Mar 2026 10:13:53 +0000 Dr Edward Leatham Dr Edward Leatham 1370 The Eight-Month Metabolic Reset is a structured cardiometabolic programme designed to reduce visceral fat, preserve skeletal muscle strength, and improve glucose stability. Combining lifestyle change, targeted metabolic support, and clinical guidance, it helps break the cardiometabolic cycle and build sustainable long-term health beyond short-term weight loss.

Read the blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Prediabetes as a Therapeutic Target: A Cardiologist’s Editorial Perspective 19 19 Prediabetes as a Therapeutic Target: A Cardiologist’s Editorial Perspective full 0b113d51-306b-40e5-9afe-beea5c103a5e https://share.transistor.fm/s/290b2868 Prediabetes should be viewed as an active cardiometabolic disease stage rather than a passive risk marker. Cardiovascular injury begins before overt diabetes, creating a critical window for intervention. Lifestyle therapy remains fundamental, while agents such as metformin, GLP-1 receptor agonists, dual incretin therapies, and SGLT2 inhibitors may help modify long-term cardiovascular risk.

https://www.scvc.co.uk/vat/glucose-insulin-dynamics/prediabetes-as-a-therapeutic-target-a-cardiologists-editorial-perspective/

]]> Prediabetes should be viewed as an active cardiometabolic disease stage rather than a passive risk marker. Cardiovascular injury begins before overt diabetes, creating a critical window for intervention. Lifestyle therapy remains fundamental, while agents such as metformin, GLP-1 receptor agonists, dual incretin therapies, and SGLT2 inhibitors may help modify long-term cardiovascular risk.

https://www.scvc.co.uk/vat/glucose-insulin-dynamics/prediabetes-as-a-therapeutic-target-a-cardiologists-editorial-perspective/

]]> Fri, 27 Feb 2026 08:54:14 +0000 Dr Edward Leatham Dr Edward Leatham 1256 Prediabetes should be viewed as an active cardiometabolic disease stage rather than a passive risk marker. Cardiovascular injury begins before overt diabetes, creating a critical window for intervention. Lifestyle therapy remains fundamental, while agents such as metformin, GLP-1 receptor agonists, dual incretin therapies, and SGLT2 inhibitors may help modify long-term cardiovascular risk.

https://www.scvc.co.uk/vat/glucose-insulin-dynamics/prediabetes-as-a-therapeutic-target-a-cardiologists-editorial-perspective/

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No PCSK9, visceral fat, and the modern metabolic environment 18 18 PCSK9, visceral fat, and the modern metabolic environment full 7775ed38-be56-44a5-ba8e-12837897fb46 https://share.transistor.fm/s/ec819f7c Because cholesterol is a fat-like substance, it cannot dissolve or travel freely in blood, which is mostly water. To move around, it must be packaged into microscopic transport particles called lipoproteins. One of these, LDL (low-density lipoprotein), acts as the main delivery vehicle, carrying cholesterol from the liver to cells that need it for repair or hormone production. In small amounts, LDL cholesterol is therefore completely normal and necessary. The problem only begins when too much LDL remains circulating in the blood for too long.

For more details see the blog article https://www.scvc.co.uk/vat-trap/pcsk9-visceral-fat-and-the-modern-metabolic-environment/

]]> Because cholesterol is a fat-like substance, it cannot dissolve or travel freely in blood, which is mostly water. To move around, it must be packaged into microscopic transport particles called lipoproteins. One of these, LDL (low-density lipoprotein), acts as the main delivery vehicle, carrying cholesterol from the liver to cells that need it for repair or hormone production. In small amounts, LDL cholesterol is therefore completely normal and necessary. The problem only begins when too much LDL remains circulating in the blood for too long.

For more details see the blog article https://www.scvc.co.uk/vat-trap/pcsk9-visceral-fat-and-the-modern-metabolic-environment/

]]> Sun, 22 Feb 2026 11:41:42 +0000 Dr Edward Leatham Dr Edward Leatham 1357 Because cholesterol is a fat-like substance, it cannot dissolve or travel freely in blood, which is mostly water. To move around, it must be packaged into microscopic transport particles called lipoproteins. One of these, LDL (low-density lipoprotein), acts as the main delivery vehicle, carrying cholesterol from the liver to cells that need it for repair or hormone production. In small amounts, LDL cholesterol is therefore completely normal and necessary. The problem only begins when too much LDL remains circulating in the blood for too long.

For more details see the blog article https://www.scvc.co.uk/vat-trap/pcsk9-visceral-fat-and-the-modern-metabolic-environment/

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Why a Cardiologist Puts Cream on His Porridge 17 17 Why a Cardiologist Puts Cream on His Porridge full 720b29bf-2e7b-4e4e-b05c-96a349a2e2ea https://share.transistor.fm/s/b065c17d Porridge is healthy — but adding cream may improve its metabolic impact. This cardiologist explains how moderating glucose spikes, protecting muscle and reducing small dense LDL formation can support cardiovascular health, particularly in patients with visceral adiposity and insulin resistance.

To read more see
 
https://www.scvc.co.uk/metabolic-health-weight/why-a-cardiologist-puts-cream-on-his-porridge/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> Porridge is healthy — but adding cream may improve its metabolic impact. This cardiologist explains how moderating glucose spikes, protecting muscle and reducing small dense LDL formation can support cardiovascular health, particularly in patients with visceral adiposity and insulin resistance.

To read more see
 
https://www.scvc.co.uk/metabolic-health-weight/why-a-cardiologist-puts-cream-on-his-porridge/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> Mon, 16 Feb 2026 15:53:32 +0000 Dr Edward Leatham Dr Edward Leatham 1048 Porridge is healthy — but adding cream may improve its metabolic impact. This cardiologist explains how moderating glucose spikes, protecting muscle and reducing small dense LDL formation can support cardiovascular health, particularly in patients with visceral adiposity and insulin resistance.

To read more see
 
https://www.scvc.co.uk/metabolic-health-weight/why-a-cardiologist-puts-cream-on-his-porridge/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Menopause, Belly Fat and Long Term Health: why HRT and Visceral Fat Screening Matter 16 16 Menopause, Belly Fat and Long Term Health: why HRT and Visceral Fat Screening Matter full 6c4a75ec-5a61-46c4-ba24-0e23468f1b6e https://share.transistor.fm/s/ec10e9a0 Menopause often brings a hidden shift in fat storage—from hips to abdomen—driven by falling oestrogen and loss of muscle. This article explains why visceral fat matters more than weight, how simple screening can detect risk early, and how HRT, lifestyle change, and modern tools can protect long-term heart and metabolic health.

To read more see
 
https://www.scvc.co.uk/vat/menopause-belly-fat-and-long-term-health-why-hrt-and-visceral-fat-screening-matter/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> Menopause often brings a hidden shift in fat storage—from hips to abdomen—driven by falling oestrogen and loss of muscle. This article explains why visceral fat matters more than weight, how simple screening can detect risk early, and how HRT, lifestyle change, and modern tools can protect long-term heart and metabolic health.

To read more see
 
https://www.scvc.co.uk/vat/menopause-belly-fat-and-long-term-health-why-hrt-and-visceral-fat-screening-matter/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> Wed, 04 Feb 2026 21:49:33 +0000 Dr Edward Leatham Dr Edward Leatham 1065 Menopause often brings a hidden shift in fat storage—from hips to abdomen—driven by falling oestrogen and loss of muscle. This article explains why visceral fat matters more than weight, how simple screening can detect risk early, and how HRT, lifestyle change, and modern tools can protect long-term heart and metabolic health.

To read more see
 
https://www.scvc.co.uk/vat/menopause-belly-fat-and-long-term-health-why-hrt-and-visceral-fat-screening-matter/

To review all podcasts is series https://feeds.transistor.fm/vat-trap

]]> HRT, Visceral Adipose Tissue, Metabolic Health No If You Spend 2 Minutes Brushing Your Teeth, Why Not 10 Minutes Saving Your Life? 15 15 If You Spend 2 Minutes Brushing Your Teeth, Why Not 10 Minutes Saving Your Life? full 8e63fef6-8c4d-481a-9d82-f4fc1ad5ea60 https://share.transistor.fm/s/9005864b Ten minutes of strength training, five days a week, is enough to change metabolic health. Like brushing your teeth, it works because it’s sustainable. Keep the time fixed, increase the weights gradually, and focus on strength, not scales. Small daily habits protect muscle, reduce visceral fat, and support long-term health.

To read more see https://www.scvc.co.uk/metabolic-health/if-you-spend-2-minutes-brushing-your-teeth-why-not-10-minutes-saving-your-life/

https://feeds.transistor.fm/vat-trap

]]> Ten minutes of strength training, five days a week, is enough to change metabolic health. Like brushing your teeth, it works because it’s sustainable. Keep the time fixed, increase the weights gradually, and focus on strength, not scales. Small daily habits protect muscle, reduce visceral fat, and support long-term health.

To read more see https://www.scvc.co.uk/metabolic-health/if-you-spend-2-minutes-brushing-your-teeth-why-not-10-minutes-saving-your-life/

https://feeds.transistor.fm/vat-trap

]]> Tue, 03 Feb 2026 07:05:04 +0000 Dr Edward Leatham Dr Edward Leatham 975 Ten minutes of strength training, five days a week, is enough to change metabolic health. Like brushing your teeth, it works because it’s sustainable. Keep the time fixed, increase the weights gradually, and focus on strength, not scales. Small daily habits protect muscle, reduce visceral fat, and support long-term health.

To read more see https://www.scvc.co.uk/metabolic-health/if-you-spend-2-minutes-brushing-your-teeth-why-not-10-minutes-saving-your-life/

https://feeds.transistor.fm/vat-trap

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Sarcopenia: Are We Diagnosing the Correct Muscle Problem? 14 14 Sarcopenia: Are We Diagnosing the Correct Muscle Problem? full 14c5a8b7-ad10-498a-97eb-c8eed9b69fac https://share.transistor.fm/s/1036ec0f In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters. Read the blog here

For all podcasts see https://feeds.transistor.fm/vat-trap

]]> In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters. Read the blog here

For all podcasts see https://feeds.transistor.fm/vat-trap

]]> Tue, 27 Jan 2026 14:14:49 +0000 Dr Edward Leatham Dr Edward Leatham 1003 In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters. Read the blog here

For all podcasts see https://feeds.transistor.fm/vat-trap

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Why GLP-1 Withdrawal Trials Fail — and Why Cardiometabolic Care Must Look Different 13 13 Why GLP-1 Withdrawal Trials Fail — and Why Cardiometabolic Care Must Look Different full fdc59ed4-5d2d-48c4-aef5-5bfa5b3c9abd https://share.transistor.fm/s/abd78914 A 2026 BMJ systematic review confirms that weight regain is the rule after stopping pharmacological weight-management therapy. Across drug classes, most lost weight is regained within 24 months, with parallel loss of metabolic benefit. This reflects biological defence of adiposity, not patient failure.

Blog 

]]> A 2026 BMJ systematic review confirms that weight regain is the rule after stopping pharmacological weight-management therapy. Across drug classes, most lost weight is regained within 24 months, with parallel loss of metabolic benefit. This reflects biological defence of adiposity, not patient failure.

Blog 

]]> Tue, 20 Jan 2026 07:18:38 +0000 Dr Edward Leatham Dr Edward Leatham 798 A 2026 BMJ systematic review confirms that weight regain is the rule after stopping pharmacological weight-management therapy. Across drug classes, most lost weight is regained within 24 months, with parallel loss of metabolic benefit. This reflects biological defence of adiposity, not patient failure.

Blog 

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Smart body composition scales: helpful metabolic tool—or misleading distraction? 12 12 Smart body composition scales: helpful metabolic tool—or misleading distraction? full 88f6eb96-af88-42b1-9da7-caa292f01aac https://share.transistor.fm/s/b27f3cbc Smart body composition scales are not metabolic truth machines. Their value lies in engagement, not precision. During weight loss—especially with GLP-1 therapy—hydration and glycogen shifts distort “muscle” readings. Used within a tiered system that prioritises waist, strength, and function, they can support behaviour without undermining progress.

Blog see https://www.scvc.co.uk/metabolic-health/smart-body-composition-scales-helpful-metabolic-tool-or-misleading-distraction/

]]> Smart body composition scales are not metabolic truth machines. Their value lies in engagement, not precision. During weight loss—especially with GLP-1 therapy—hydration and glycogen shifts distort “muscle” readings. Used within a tiered system that prioritises waist, strength, and function, they can support behaviour without undermining progress.

Blog see https://www.scvc.co.uk/metabolic-health/smart-body-composition-scales-helpful-metabolic-tool-or-misleading-distraction/

]]> Sat, 10 Jan 2026 16:53:12 +0000 Dr Edward Leatham Dr Edward Leatham 840 Smart body composition scales are not metabolic truth machines. Their value lies in engagement, not precision. During weight loss—especially with GLP-1 therapy—hydration and glycogen shifts distort “muscle” readings. Used within a tiered system that prioritises waist, strength, and function, they can support behaviour without undermining progress.

Blog see https://www.scvc.co.uk/metabolic-health/smart-body-composition-scales-helpful-metabolic-tool-or-misleading-distraction/

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No A New Year Reset: Why Your Waist Matters More Than Your Scales 11 11 A New Year Reset: Why Your Waist Matters More Than Your Scales full a3f9b756-2344-4258-928b-da828e1d1efc https://share.transistor.fm/s/79bec8d7 January isn’t just about weight loss. Much winter weight gain occurs as visceral fat, which drives insulin resistance and cardiovascular risk. Measuring your waist, not just your weight, gives a clearer picture of metabolic health. Building muscle and reducing visceral fat supports a healthier metabolism long after January ends.

]]> January isn’t just about weight loss. Much winter weight gain occurs as visceral fat, which drives insulin resistance and cardiovascular risk. Measuring your waist, not just your weight, gives a clearer picture of metabolic health. Building muscle and reducing visceral fat supports a healthier metabolism long after January ends.

]]> Mon, 05 Jan 2026 16:55:43 +0000 Dr Edward Leatham Dr Edward Leatham 1012 January isn’t just about weight loss. Much winter weight gain occurs as visceral fat, which drives insulin resistance and cardiovascular risk. Measuring your waist, not just your weight, gives a clearer picture of metabolic health. Building muscle and reducing visceral fat supports a healthier metabolism long after January ends.

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No The Insulin Paradox: How GLP-1 Drugs Reduce Belly Fat and Heart Risk 10 10 The Insulin Paradox: How GLP-1 Drugs Reduce Belly Fat and Heart Risk full 7d6b9f22-3a40-4feb-8051-816784300dba https://share.transistor.fm/s/829399da GLP-1 drugs seem paradoxical: they enhance insulin action yet shrink dangerous belly fat. The explanation lies in restoring normal insulin timing, reducing chronic insulin exposure, and reversing fat “spillover” from liver to abdomen. Real patient cases show rapid visceral fat loss alongside smoother glucose profiles and lower cardiovascular risk.

See blog for more details

All VAT TRAP Podcasts 

]]> GLP-1 drugs seem paradoxical: they enhance insulin action yet shrink dangerous belly fat. The explanation lies in restoring normal insulin timing, reducing chronic insulin exposure, and reversing fat “spillover” from liver to abdomen. Real patient cases show rapid visceral fat loss alongside smoother glucose profiles and lower cardiovascular risk.

See blog for more details

All VAT TRAP Podcasts 

]]> Sun, 14 Dec 2025 13:33:40 +0000 Dr Edward Leatham Dr Edward Leatham 935 GLP-1 drugs seem paradoxical: they enhance insulin action yet shrink dangerous belly fat. The explanation lies in restoring normal insulin timing, reducing chronic insulin exposure, and reversing fat “spillover” from liver to abdomen. Real patient cases show rapid visceral fat loss alongside smoother glucose profiles and lower cardiovascular risk.

See blog for more details

All VAT TRAP Podcasts 

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Why Protein Matters More Than Ever as We Age 9 9 Why Protein Matters More Than Ever as We Age full a856e82b-30bb-4411-b6d6-2be110672673 https://share.transistor.fm/s/d51a82ac Adequate protein and resistance training are essential for healthy ageing and reducing visceral fat. As we grow older, muscles become less responsive, making higher protein intake vital to preserve strength, metabolism, and independence. Building and feeding muscle is the most effective way to improve insulin sensitivity, raise metabolic rate, and burn harmful VAT.

For full story and links, see blog

]]> Adequate protein and resistance training are essential for healthy ageing and reducing visceral fat. As we grow older, muscles become less responsive, making higher protein intake vital to preserve strength, metabolism, and independence. Building and feeding muscle is the most effective way to improve insulin sensitivity, raise metabolic rate, and burn harmful VAT.

For full story and links, see blog

]]> Mon, 08 Dec 2025 13:18:48 +0000 Dr Edward Leatham Dr Edward Leatham 943 Adequate protein and resistance training are essential for healthy ageing and reducing visceral fat. As we grow older, muscles become less responsive, making higher protein intake vital to preserve strength, metabolism, and independence. Building and feeding muscle is the most effective way to improve insulin sensitivity, raise metabolic rate, and burn harmful VAT.

For full story and links, see blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No “ChatGPT Says My Thyroid Might Be Underactive… What Next?” 8 8 “ChatGPT Says My Thyroid Might Be Underactive… What Next?” full 83277a12-8d3e-40c6-8d23-fdd5f14bcf28 https://share.transistor.fm/s/8db9fbc8 Raised visceral fat quietly disrupts thyroid chemistry, increasing reverse T3 and lowering active T3 inside tissues. This pushes the body into metabolic “conservation mode” — slowing energy, mood and fat loss despite normal blood tests. Reducing VAT gradually restores healthy thyroid activation and metabolic resilience.

For the full story see blog

]]> Raised visceral fat quietly disrupts thyroid chemistry, increasing reverse T3 and lowering active T3 inside tissues. This pushes the body into metabolic “conservation mode” — slowing energy, mood and fat loss despite normal blood tests. Reducing VAT gradually restores healthy thyroid activation and metabolic resilience.

For the full story see blog

]]> Fri, 28 Nov 2025 05:27:05 +0000 Dr Edward Leatham Dr Edward Leatham 760 Raised visceral fat quietly disrupts thyroid chemistry, increasing reverse T3 and lowering active T3 inside tissues. This pushes the body into metabolic “conservation mode” — slowing energy, mood and fat loss despite normal blood tests. Reducing VAT gradually restores healthy thyroid activation and metabolic resilience.

For the full story see blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Statins: who do you trust? 3 3 Statins: who do you trust? full e99cdbee-a39a-4d05-92b5-70ee5e3974dc https://share.transistor.fm/s/719406d5 One of the greatest challenges in the online world is investigator bias. Any “expert” with a strong conviction — whether pro- or anti-statin — can easily find studies that appear to confirm their view. The internet is full of such cherry-picked data. When presented with confident authority, this can sound utterly convincing to a lay audience. The reality is that true medical understanding does not come from one paper, one YouTube video, or one self-proclaimed authority.

Read the full blog

]]> One of the greatest challenges in the online world is investigator bias. Any “expert” with a strong conviction — whether pro- or anti-statin — can easily find studies that appear to confirm their view. The internet is full of such cherry-picked data. When presented with confident authority, this can sound utterly convincing to a lay audience. The reality is that true medical understanding does not come from one paper, one YouTube video, or one self-proclaimed authority.

Read the full blog

]]> Mon, 24 Nov 2025 09:00:00 +0000 Dr Edward Leatham Dr Edward Leatham 848 One of the greatest challenges in the online world is investigator bias. Any “expert” with a strong conviction — whether pro- or anti-statin — can easily find studies that appear to confirm their view. The internet is full of such cherry-picked data. When presented with confident authority, this can sound utterly convincing to a lay audience. The reality is that true medical understanding does not come from one paper, one YouTube video, or one self-proclaimed authority.

Read the full blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No What Your Glucose Curve Is Trying to Tell You: Why Continuous Glucose Monitoring Matters Long Before Diabetes 7 7 What Your Glucose Curve Is Trying to Tell You: Why Continuous Glucose Monitoring Matters Long Before Diabetes full 0fd39e3d-1cbf-4040-b726-badb7c1fe0b9 https://share.transistor.fm/s/54d2dd4a At Surrey Cardiovascular Clinic, we have seen a pattern: some people whose blood sugar (HbA₁c) is technically “normal” are quietly drifting towards diabetes. Their blood tests look fine — but their day-to-day glucose readings tell another story.

Full blog

]]> At Surrey Cardiovascular Clinic, we have seen a pattern: some people whose blood sugar (HbA₁c) is technically “normal” are quietly drifting towards diabetes. Their blood tests look fine — but their day-to-day glucose readings tell another story.

Full blog

]]> Mon, 17 Nov 2025 12:16:39 +0000 Dr Edward Leatham Dr Edward Leatham 860 At Surrey Cardiovascular Clinic, we have seen a pattern: some people whose blood sugar (HbA₁c) is technically “normal” are quietly drifting towards diabetes. Their blood tests look fine — but their day-to-day glucose readings tell another story.

Full blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No What Keto and Atkins Diets Do 6 6 What Keto and Atkins Diets Do full 7239d1f4-9bad-442a-903d-61833a69737f https://share.transistor.fm/s/d4869796 Multiple studies show that low-carb, high-fat diets tend to shift LDL particles toward larger, more buoyant LDL (pattern A).
These particles are considered less atherogenic than small, dense LDL (pattern B), typical of insulin resistance.

Therefore, while LDL-C concentration may rise, LDL particle number (apoB) or non-HDL cholesterol may not rise proportionally — and inflammation markers (hs-CRP, TG/HDL ratio) often fall.


Read full blog

]]> Multiple studies show that low-carb, high-fat diets tend to shift LDL particles toward larger, more buoyant LDL (pattern A).
These particles are considered less atherogenic than small, dense LDL (pattern B), typical of insulin resistance.

Therefore, while LDL-C concentration may rise, LDL particle number (apoB) or non-HDL cholesterol may not rise proportionally — and inflammation markers (hs-CRP, TG/HDL ratio) often fall.


Read full blog

]]> Mon, 10 Nov 2025 16:53:05 +0000 Dr Edward Leatham Dr Edward Leatham 723 Multiple studies show that low-carb, high-fat diets tend to shift LDL particles toward larger, more buoyant LDL (pattern A).
These particles are considered less atherogenic than small, dense LDL (pattern B), typical of insulin resistance.

Therefore, while LDL-C concentration may rise, LDL particle number (apoB) or non-HDL cholesterol may not rise proportionally — and inflammation markers (hs-CRP, TG/HDL ratio) often fall.


Read full blog

]]> VAT No MASLD/MASH -metabolic dysfunction -associated steatotic liver disease: What You Need to Know 5 5 MASLD/MASH -metabolic dysfunction -associated steatotic liver disease: What You Need to Know full 27907c63-daf4-4788-b211-5b882c60ab97 https://share.transistor.fm/s/b36fd42f MASLD is a silent but important marker of metabolic health and another consequence of raised Visceral Adipose Tissue (VAT). Although often discovered by chance, it carries significant implications for both liver and cardiovascular wellbeing. Through caloric restriction, physical activity, improved nutrition, and early intervention, MASLD can usually be stabilised or reversed — protecting not just the liver, but the heart as well.

Read the full blog

]]> MASLD is a silent but important marker of metabolic health and another consequence of raised Visceral Adipose Tissue (VAT). Although often discovered by chance, it carries significant implications for both liver and cardiovascular wellbeing. Through caloric restriction, physical activity, improved nutrition, and early intervention, MASLD can usually be stabilised or reversed — protecting not just the liver, but the heart as well.

Read the full blog

]]> Mon, 03 Nov 2025 14:55:31 +0000 Dr Edward Leatham Dr Edward Leatham 725 MASLD is a silent but important marker of metabolic health and another consequence of raised Visceral Adipose Tissue (VAT). Although often discovered by chance, it carries significant implications for both liver and cardiovascular wellbeing. Through caloric restriction, physical activity, improved nutrition, and early intervention, MASLD can usually be stabilised or reversed — protecting not just the liver, but the heart as well.

Read the full blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No The Hidden Culprit Behind Heart Disease: Small Dense LDL and the Fat You Can’t See 4 4 The Hidden Culprit Behind Heart Disease: Small Dense LDL and the Fat You Can’t See full 536e3367-560a-4193-a5f1-3af1d800fa11 https://share.transistor.fm/s/22e07889 Small dense LDL (sdLDL) is the most harmful form of “bad cholesterol.” It forms when the liver overproduces VLDL — often driven by visceral fat and high insulin levels. Visceral fat sits deep around the organs and feeds directly into the liver, causing early metabolic disruption long before blood tests detect it.

For full blog 

]]> Small dense LDL (sdLDL) is the most harmful form of “bad cholesterol.” It forms when the liver overproduces VLDL — often driven by visceral fat and high insulin levels. Visceral fat sits deep around the organs and feeds directly into the liver, causing early metabolic disruption long before blood tests detect it.

For full blog 

]]> Mon, 27 Oct 2025 06:26:35 +0000 Dr Edward Leatham Dr Edward Leatham 1030 Small dense LDL (sdLDL) is the most harmful form of “bad cholesterol.” It forms when the liver overproduces VLDL — often driven by visceral fat and high insulin levels. Visceral fat sits deep around the organs and feeds directly into the liver, causing early metabolic disruption long before blood tests detect it.

For full blog 

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No Cholesterol, LDL, and what we learnt from PCSK9 mutations in familial hypercholesterolaemia 2 2 Cholesterol, LDL, and what we learnt from PCSK9 mutations in familial hypercholesterolaemia full d5244774-1bed-4e96-9ced-39138de6bcbb https://share.transistor.fm/s/6e01316f In families with inherited high cholesterol (familial hypercholesterolaemia), mutations in the PCSK9 gene have been identified which make this protein overactive. These are known as gain-of-function mutations — they increase PCSK9 activity and push LDL cholesterol to dangerous levels. For over 90% of people with raised LDL who do NOT have a mutation, there are alternative explanations outlined in a related article and for  readers that are curious about this PCSK9 take a look at my technical article linked to the VAT Trap book series on LDL Cholesterol. Read blog

]]> In families with inherited high cholesterol (familial hypercholesterolaemia), mutations in the PCSK9 gene have been identified which make this protein overactive. These are known as gain-of-function mutations — they increase PCSK9 activity and push LDL cholesterol to dangerous levels. For over 90% of people with raised LDL who do NOT have a mutation, there are alternative explanations outlined in a related article and for  readers that are curious about this PCSK9 take a look at my technical article linked to the VAT Trap book series on LDL Cholesterol. Read blog

]]> Sat, 18 Oct 2025 07:48:46 +0100 Dr Edward Leatham Dr Edward Leatham 1098 In families with inherited high cholesterol (familial hypercholesterolaemia), mutations in the PCSK9 gene have been identified which make this protein overactive. These are known as gain-of-function mutations — they increase PCSK9 activity and push LDL cholesterol to dangerous levels. For over 90% of people with raised LDL who do NOT have a mutation, there are alternative explanations outlined in a related article and for  readers that are curious about this PCSK9 take a look at my technical article linked to the VAT Trap book series on LDL Cholesterol. Read blog

]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No So what does determine your LDL (‘bad’) Cholesterol? 1 1 So what does determine your LDL (‘bad’) Cholesterol? full 45d85d4d-78c9-4237-9a37-5b8e77c0d057 https://share.transistor.fm/s/70d29967 In the first podcast in the series, the discussion revolves around cholesterol and the fact that while your blood LDL cholesterol determines the development of coronary plaque, your levels are more about your genetics than necessarily what you eat. In contrast, what happens to coronary plaque over your lifetime and whether it causes a heart attack is more about 'inflammation',  what carbohydrates and UPF's you eat and your lifestyle.

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]]> In the first podcast in the series, the discussion revolves around cholesterol and the fact that while your blood LDL cholesterol determines the development of coronary plaque, your levels are more about your genetics than necessarily what you eat. In contrast, what happens to coronary plaque over your lifetime and whether it causes a heart attack is more about 'inflammation',  what carbohydrates and UPF's you eat and your lifestyle.

Read full blog


]]> Fri, 17 Oct 2025 08:23:35 +0100 Dr Edward Leatham Dr Edward Leatham 555 In the first podcast in the series, the discussion revolves around cholesterol and the fact that while your blood LDL cholesterol determines the development of coronary plaque, your levels are more about your genetics than necessarily what you eat. In contrast, what happens to coronary plaque over your lifetime and whether it causes a heart attack is more about 'inflammation',  what carbohydrates and UPF's you eat and your lifestyle.

Read full blog


]]> Metabolic Health, VAT, Healthspan, Longevity, Prevention, LDL No