Jillian Michaels

I didn't say that.

But obesity lends itself to all-cause mortality across the board.

Have you heard of something called adiposopathy?

Mm-hmm.

Okay, so you know it means literally sick fat.

And you understand how it works?

Okay, tell me how it works.

No.

It works as follows.

When we eat too much food that has energy that we're not utilizing, the body needs to put that energy somewhere, right?

So it puts it in fat cells.

So it puts it in initially subcutaneous fat cells, a little bit of visceral fat, which is fat around the organs.

And at first you have hyperplasia, which means we're recruiting new little fat cells.

which isn't necessarily a bad thing up to a point.

Now the issue is that once you can no longer recruit more fat cells, right, you get hypertrophy.

So the fat cells start to expand.

And this is exceptionally dangerous because what ends up happening is the blood vessels get outpaced.

So the fat cells can't get oxygen and they start screaming, literally.

And when they do, they release

Cytokines, inflammatory proteins, right?