Dr. Manickam Palaniappan

And when that goes up, and that is where the underlying problem of your plaque formation and the blood vessels supplying the heart and that increases the risk of hypertension and heart disease and everything. So it is bottom line, it is very clear that visceral fat increases the risk of heart disease. This is what I explain to all my patients on the clinical level. Okay.

But I go a step beyond that. And then I say that, yes, it's good that, you know, we found your diabetes. We found your hypertension. Now, you know, that visceral fat is at increased risk of heart disease. And now we can treat you from diabetes to developing into heart attack. Okay. But I am more interested in how a normal person don't develop diabetes or hypertension to start with.

But I go a step beyond that. And then I say that, yes, it's good that, you know, we found your diabetes. We found your hypertension. Now, you know, that visceral fat is at increased risk of heart disease. And now we can treat you from diabetes to developing into heart attack. Okay. But I am more interested in how a normal person don't develop diabetes or hypertension to start with.

But I go a step beyond that. And then I say that, yes, it's good that, you know, we found your diabetes. We found your hypertension. Now, you know, that visceral fat is at increased risk of heart disease. And now we can treat you from diabetes to developing into heart attack. Okay. But I am more interested in how a normal person don't develop diabetes or hypertension to start with.

Okay, so there is a normal person, subclinical level, clinical level and the outcome. Okay, so clinical level is your diagnosis of diabetes, hypertension, obesity and everything. So I think the key, which is the most important thing in the world is to target preventive medicine right at the subclinical level where everything is happening before the disease happens. Right.

Okay, so there is a normal person, subclinical level, clinical level and the outcome. Okay, so clinical level is your diagnosis of diabetes, hypertension, obesity and everything. So I think the key, which is the most important thing in the world is to target preventive medicine right at the subclinical level where everything is happening before the disease happens. Right.

Okay, so there is a normal person, subclinical level, clinical level and the outcome. Okay, so clinical level is your diagnosis of diabetes, hypertension, obesity and everything. So I think the key, which is the most important thing in the world is to target preventive medicine right at the subclinical level where everything is happening before the disease happens. Right.

Actually, I didn't know about this as a medical doctor myself until there was a health care to me person. So I think I'll just tell you my journey. Please. And then I can say how I learned about all this. So similar to all Indian immigrant, we're all hardworking and we work so hard to settle in our career. And we build our career so much to a point that we forgot to build our muscle.

Actually, I didn't know about this as a medical doctor myself until there was a health care to me person. So I think I'll just tell you my journey. Please. And then I can say how I learned about all this. So similar to all Indian immigrant, we're all hardworking and we work so hard to settle in our career. And we build our career so much to a point that we forgot to build our muscle.

Actually, I didn't know about this as a medical doctor myself until there was a health care to me person. So I think I'll just tell you my journey. Please. And then I can say how I learned about all this. So similar to all Indian immigrant, we're all hardworking and we work so hard to settle in our career. And we build our career so much to a point that we forgot to build our muscle.

during the young days. And so I entered medical school in 2000, and then 2000 to 2006 was my MBBS. And I came here, I did my MPH, Master's in Public Health, MD, General Medicine, DM, Gastro, AB, Gastro, Advanced as well. So from 2000 to 2015, if you look at it, it says Dr. Palaniyapan Manikam, MBBS, MD, AB, Gastro, there are like eight letters right after my name.

during the young days. And so I entered medical school in 2000, and then 2000 to 2006 was my MBBS. And I came here, I did my MPH, Master's in Public Health, MD, General Medicine, DM, Gastro, AB, Gastro, Advanced as well. So from 2000 to 2015, if you look at it, it says Dr. Palaniyapan Manikam, MBBS, MD, AB, Gastro, there are like eight letters right after my name.

during the young days. And so I entered medical school in 2000, and then 2000 to 2006 was my MBBS. And I came here, I did my MPH, Master's in Public Health, MD, General Medicine, DM, Gastro, AB, Gastro, Advanced as well. So from 2000 to 2015, if you look at it, it says Dr. Palaniyapan Manikam, MBBS, MD, AB, Gastro, there are like eight letters right after my name.

But at the same time, there was eight inches of belly hanging around my belly button.

But at the same time, there was eight inches of belly hanging around my belly button.

But at the same time, there was eight inches of belly hanging around my belly button.

right so i was similar to every hard-working person out there i abused my body as well in the in the name of settling down and my career was more important than my health so i had a scare while i was seeing a patient in my office in my gastroenterology office after being in attending where i suddenly had a palpitation dizziness and chest pain

right so i was similar to every hard-working person out there i abused my body as well in the in the name of settling down and my career was more important than my health so i had a scare while i was seeing a patient in my office in my gastroenterology office after being in attending where i suddenly had a palpitation dizziness and chest pain

right so i was similar to every hard-working person out there i abused my body as well in the in the name of settling down and my career was more important than my health so i had a scare while i was seeing a patient in my office in my gastroenterology office after being in attending where i suddenly had a palpitation dizziness and chest pain

And then they found out that I had an angina and then, you know, treatment was done. And while I was sitting in that hospital bed, and that was the time where I was actually looking at what am I doing to my body?