An estimated 15% to 20% of obese individuals have none of the metabolic derangements associated with obesity, such as high blood sugar, high blood fats, high blood pressure and Type 2 diabetes. This has led to the idea that you can be obese yet in good health

According to recent research, “metabolically healthy obesity” (MHO) is a fallacy. Obese individuals, even without metabolic risk markers, are at increased risk of diabetes and heart disease

High body mass index (BMI) in combination with normal glucose and lipid levels, and the absence of high blood pressure, is not sufficient for MHO classification. Rather, it’s the behavior of the adipose tissue that matters. People with normally sized adipocytes (cells that store fat), have far fewer obesity complications compared to those who have enlarged and inflamed adipocytes

Where you store most of your fat also matters. Obese individuals with large visceral fat stores, meaning the fat is primarily stored around their internal organs, are far more likely to develop Type 2 diabetes than those whose fat stores are distributed more evenly around their body

Obesity is a state of energy deficiency due to inhibited mitochondrial respiration, which causes calories to be stored as fat instead of being burned for fuel. The solution is to optimize your mitochondrial function and raise your metabolic rate

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Mercola

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