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From The Diary Of A CEO with Steven Bartlett

The Insulin & Heart Doctor: The Fastest Way To Burn Dangerous Visceral Fat. This is How Insulin Is Quietly Clotting Your Blood! - Dr Pradip Jamnadas

1:55:11
September 22, 2025
The Diary Of A CEO with Steven Bartlett
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The Modern Roots of a Silent Epidemic

A generation ago heart disease was framed as a fate shaped by smoking, high cholesterol, and age. Today a different pattern is emerging: a web of metabolic dysfunction, environmental exposures, and lifestyle rhythms that quietly prime arteries for inflammation and clotting. The most visible sign is not a number on a chart but a changed silhouette — a protruding belly that hints at visceral fat and high circulating insulin. The physiology behind that belly, and the science that can reverse it, reframes prevention as practical, measurable, and in many cases reversible.

From Sugar to Stent: How Plaques Become Catastrophes

A plaque alone rarely causes a heart attack. The body forms plaques as an inflammatory response; a heart attack happens when one of those plaques ruptures and the blood clots that form on the fissure shut down blood flow. Chronic, low-grade inflammation turns vessels into tinder: small, dense, oxidized LDL particles, frequent insulin spikes, and environmental toxins all make the blood more likely to clot and the artery walls more prone to rupture.

Insulin as a Cardiovascular Threat

Insulin is not just a glucose regulator. When chronically elevated — the consequence of frequent carbohydrate-rich meals and processed foods — insulin becomes a pro-atherogenic hormone. It promotes smooth muscle proliferation inside arterial walls, encourages vasoconstriction, increases clotting tendency, and drives visceral fat and fatty liver. That visceral fat is metabolically active and an inflammatory factory, releasing cytokines that destabilize plaque.

Resetting Physiology: The Power of Fasting

Fasting is described here not as ascetic ritual but as a physiological reset button. Abstaining from calories long enough lowers insulin and triggers a cascade: first glycogen depletion, then liberation of free fatty acids and conversion to ketones. Beyond weight loss, ketone metabolism produces fewer damaging reactive oxygen species, stimulates brain-derived neurotrophic factor, and mobilizes stem and progenitor cells that help repair blood vessel linings.

Practical Progression of Time-Restricted Feeding

  • Start with a 12:12 window for two to three weeks to habituate the body.
  • Advance to 18:6 for sustained metabolic shifts and visceral fat reduction.
  • For substantial weight loss or diabetes reversal, include periodic 48–72 hour fasts under medical supervision.

Where the Gut Meets the Heart

The gut microbiome is not just about digestion — it is the metabolic border between self and environment. A disordered microbiome can erode the intestinal lining, allowing bacterial byproducts and toxins into the portal circulation, fueling fatty liver and systemic inflammation. Restoring diversity with a variety of fibers and fermented foods, and addressing leaky gut, can flatten progression of arterial calcification and lower inflammatory markers.

Toxins, Mold, and Invisible Contributors

Everyday exposures — pesticides, plastics, heavy metals, and mold — act as chronic irritants to the immune system. Mold in homes can reinoculate people through sinuses or gut reservoirs, producing low-grade immune activation that shows up as elevated CRP, interleukin-6, and other inflammatory indices. A thorough environmental and toxicologic evaluation can reveal upstream causes of what often appears to be unexplained heart disease.

Movement, Mechanics, and Myths

Not all exercise provides the same benefit for cardiovascular resilience. Long, excessive aerobic sessions are associated with greater inflammation and, paradoxically, more coronary disease than programs that include short sprints, HIIT, and resistance training. Resistance work preserves muscle and, when timed during the peak of fasting, takes advantage of higher growth hormone levels to maximize strength and retention.

Small Tests, Big Answers: Screening and Practical Tools

Two practical screens can reframe risk: a coronary calcium score and a detailed inflammatory blood panel that assesses particle size and markers such as CRP and interleukin-6. A zero calcium score is reassuring; any detectable calcification calls for targeted prevention. Measuring fasting insulin, not just A1C, uncovers a metabolic period of hyperinsulinemia that often predates diabetes by years.

Simple, Actionable Home Habits

  • Increase diverse fiber and fermented foods; consider soluble prebiotics like inulin with FOS.
  • Avoid industrial seed oils, limit processed foods, and treat fruit as seasonally enjoyed rather than constantly consumed.
  • Soak and cool rice to create resistant starch and reduce arsenic-related absorption.
  • Practice diaphragmatic breathing (inhale 4 counts, exhale 8) and simple vagal hacks such as humming and cold stimulation to restore parasympathetic tone.

Rethinking Risk and the Final Measure

Prevention does not mean absolutes. It is a continuous, layered practice that combines testing, diet, sleep, stress reduction, environmental scrutiny, and carefully dosed exercise. The central narrative is not deprivation but restoration: reducing inflammation, repairing the gut-heart axis, and reclaiming physiology that modern living has eroded. When the body spends more time in repair than in perpetual feast or fight, arteries stop progressing the way they do in contemporary epidemics.

Reflective close: The story of modern cardiovascular disease is less an indictment of individual choices than a map of mismatched biology and environment; attending to the rhythms that once protected us — fasting, fiber, rest, and clean air — is how the balance slowly, deliberately returns.

Key points

  • Measure fasting insulin and particle-size LDL to detect early metabolic risk.
  • Start with 12:12 fasting then progress to 18:6; use supervised 48–72 hour fasts when needed.
  • Visceral fat signals hyperinsulinemia and is the first fat lost during fasting.
  • Coronary calcium scoring identifies arterial plaque burden and guides prevention.
  • Repair the gut with diverse fibers, fermented foods, and inulin with FOS powder.
  • Avoid processed foods, industrial seed oils, excess fruit, and repeatedly burned foods.
  • Use targeted vagus nerve practices—breathing, humming, cold neck stimulation—for autonomic balance.

Timecodes

00:01 Visceral fat and insulin as cardiovascular drivers
02:37 Scope of cardiology and the shift toward prevention
03:53 How heart attacks occur: plaque rupture and clotting
10:25 Case study: young heart attack linked to visceral fat and hyperinsulinemia
12:53 Insulin, glucose toxicity, and the physiology of fasting
23:42 Fasting protocols and clinical applications
39:45 Exercise recommendations: HIIT and resistance over long aerobic sessions
45:10 Gut microbiome, leaky gut, and fatty liver connections
57:03 Toxins and mold: environmental contributors to inflammation
01:24:57 Vagus nerve role and practical vagal stimulation techniques
01:45:46 Screening guidance and tests to assess cardiovascular risk

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