<?xml version="1.0" encoding="utf-8" standalone="yes"?><rss version="2.0" xmlns:atom="http://www.w3.org/2005/Atom"><channel><title>Metabolic Health on NCW</title><link>https://ncw.co.nz/tags/metabolic-health/</link><description>Recent content in Metabolic Health on NCW</description><generator>Hugo -- gohugo.io</generator><language>en</language><copyright>© 2026 Neo W.</copyright><lastBuildDate>Sat, 25 Jul 2026 00:00:00 +0000</lastBuildDate><atom:link href="https://ncw.co.nz/tags/metabolic-health/index.xml" rel="self" type="application/rss+xml"/><item><title>Insulin Resistance, Not Vitamin D, Is Quietly Aging You</title><link>https://ncw.co.nz/health/insulin-resistance-not-vitamin-d-is-quietly-aging-you/</link><pubDate>Sat, 25 Jul 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/insulin-resistance-not-vitamin-d-is-quietly-aging-you/</guid><description>&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 A vitamin D pill will not build your muscles. A ten-minute walk after dinner might do more for your long-term health than anything in your supplement cabinet. That&amp;rsquo;s not a wellness slogan — it&amp;rsquo;s what happens to insulin at the cellular level every time you move after a meal, and it&amp;rsquo;s the thread connecting why supplements keep overpromising, why muscle quietly disappears after 30, and why so-called &amp;ldquo;healthy&amp;rdquo; people still end up insulin resistant. The real driver of slow, silent decline isn&amp;rsquo;t a nutrient deficiency you can fix with a capsule. It&amp;rsquo;s chronic insulin exposure, accumulated meal by meal, for years — and the fix is boring, free, and already sitting in your evening schedule.
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&lt;h3 class="relative group"&gt;The pattern behind the supplement pitch
 &lt;div id="the-pattern-behind-the-supplement-pitch" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h3&gt;
&lt;p&gt;Start with the &lt;code&gt;vitamin D&lt;/code&gt; story, because it&amp;rsquo;s a clean example of a much bigger &lt;code&gt;pattern&lt;/code&gt;. A viral claim making the rounds holds that high-dose vitamin D can redirect calories from fat storage into muscle growth, via a hormone called &lt;code&gt;myostatin&lt;/code&gt; that normally puts the brakes on muscle building. The study behind that claim is real — &lt;a href="https://pubmed.ncbi.nlm.nih.gov/38766160/" target="_blank" rel="noreferrer"&gt;Chen et al.&lt;/a&gt; reported that &lt;code&gt;high-dose&lt;/code&gt; dietary vitamin D suppressed myostatin and increased lean mass in mice (with supporting data from zebrafish). But the paper is a preprint on Research Square, explicitly not yet peer-reviewed, run in animals at doses far above anything considered safe for humans, and never replicated in a controlled human trial.&lt;/p&gt;</description></item><item><title>Salt Is the Lever You Already Pulled</title><link>https://ncw.co.nz/health/salt-is-the-lever-you-already-pulled/</link><pubDate>Thu, 28 May 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/salt-is-the-lever-you-already-pulled/</guid><description>&lt;h1 class="relative group"&gt;Salt Is the Lever You Already Pulled
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&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 Cutting salt lowers blood pressure by about 4 mmHg. That&amp;rsquo;s real, and it&amp;rsquo;s also most of what fifty years of public health messaging has offered. The bigger untouched lever is insulin — which tells your kidneys to hold sodium regardless of how little you eat.
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&lt;h3 class="relative group"&gt;Start with what salt actually does
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&lt;p&gt;Blood pressure comes from three forces: how hard the heart pumps, how much fluid is in circulation, and how constricted the arteries are. Salt acts on exactly one of them — volume. Sodium pulls water into the bloodstream, plasma volume rises, and pressure follows. In people with well-functioning kidneys, the excess sodium is excreted and pressure normalises.&lt;/p&gt;</description></item><item><title>Choose Your Oil by Temperature</title><link>https://ncw.co.nz/health/choose-your-oil-by-temperature/</link><pubDate>Tue, 26 May 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/choose-your-oil-by-temperature/</guid><description>&lt;h1 class="relative group"&gt;Choose Your Oil by Temperature
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&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 There is no single best cooking oil. There&amp;rsquo;s a right oil for cold dishes, a right oil for everyday frying, and a right oil for high heat — and the most consequential fat in most people&amp;rsquo;s diet isn&amp;rsquo;t the one in their kitchen at all. It&amp;rsquo;s the reused oil in cheap eat-out food.
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&lt;h3 class="relative group"&gt;The ratio that shifted underneath us
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&lt;/h3&gt;
&lt;p&gt;Humans evolved eating omega-6 and omega-3 fats in roughly equal measure. &lt;a href="https://journals.sagepub.com/doi/abs/10.3181/0711-mr-311" target="_blank" rel="noreferrer"&gt;Simopoulos and others have documented&lt;/a&gt; that Western diets now run that ratio at approximately &lt;strong&gt;20:1&lt;/strong&gt;, with some estimates in the 15:1 to 17:1 range.&lt;/p&gt;</description></item><item><title>Kidney Damage Starts Below the Diabetes Line</title><link>https://ncw.co.nz/health/kidney-damage-starts-below-the-diabetes-line/</link><pubDate>Mon, 25 May 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/kidney-damage-starts-below-the-diabetes-line/</guid><description>&lt;h1 class="relative group"&gt;Kidney Damage Starts Below the Diabetes Line
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&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 The diagnostic cutoff for diabetes is a line drawn on a continuum. Your blood vessels never agreed to it. Cardiovascular risk starts climbing once HbA1c passes about 5.5% — well inside the range where you&amp;rsquo;ll be told your results are normal.
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&lt;h3 class="relative group"&gt;The threshold is administrative, not biological
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&lt;p&gt;Blood glucose is continuous. The diabetes diagnosis is a threshold placed on that continuum for clinical decision-making, and it&amp;rsquo;s genuinely useful for that. What it isn&amp;rsquo;t is a point where damage begins.&lt;/p&gt;</description></item><item><title>Fatty Liver Is the First Domino</title><link>https://ncw.co.nz/health/fatty-liver-is-the-first-domino/</link><pubDate>Wed, 20 May 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/fatty-liver-is-the-first-domino/</guid><description>&lt;h1 class="relative group"&gt;Fatty Liver Is the First Domino
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 Roughly three in ten adults worldwide have fat in their liver. Most don&amp;rsquo;t know. It produces no pain, and the early symptoms get filed under stress, age, or a bad night&amp;rsquo;s sleep — while the organ that regulates your blood sugar quietly stops doing it properly.
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&lt;h3 class="relative group"&gt;The liver is a metabolic organ before it is a detox organ
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&lt;/h3&gt;
&lt;p&gt;Popular health writing treats the liver as a filter. That framing is why people miss what&amp;rsquo;s happening to it. The liver&amp;rsquo;s more consequential job is regulating fuel: storing glucose, releasing it when you need it, packaging fats, producing bile. When fat accumulates inside liver cells, that regulation degrades first — long before anything shows up as liver &lt;em&gt;disease&lt;/em&gt;.&lt;/p&gt;</description></item><item><title>Cook It, Cool It, Eat It Cold</title><link>https://ncw.co.nz/health/cook-it-cool-it-eat-it-cold/</link><pubDate>Wed, 29 Apr 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/cook-it-cool-it-eat-it-cold/</guid><description>&lt;h1 class="relative group"&gt;Cook It, Cool It, Eat It Cold
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&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 In a four-month randomised trial, people with fatty liver disease taking resistant starch cut liver fat by 9.08% — and 5.89% of that persisted after adjusting for weight loss. You can manufacture the same compound at home by cooking potatoes or rice and putting them in the fridge.
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&lt;h3 class="relative group"&gt;The two fats that actually matter
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&lt;p&gt;Not all body fat carries the same risk. Two kinds do most of the damage: &lt;strong&gt;visceral fat&lt;/strong&gt;, packed around the organs, and &lt;strong&gt;liver fat&lt;/strong&gt;. Both sit upstream of type 2 diabetes and cardiovascular disease, and both can be substantial in someone whose weight looks unremarkable.&lt;/p&gt;</description></item><item><title>Your Kidneys Whisper Before Anything Else Shouts</title><link>https://ncw.co.nz/health/your-kidneys-whisper-before-anything-else-shouts/</link><pubDate>Tue, 21 Apr 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/your-kidneys-whisper-before-anything-else-shouts/</guid><description>&lt;h1 class="relative group"&gt;Your Kidneys Whisper Before Anything Else Shouts
 &lt;div id="your-kidneys-whisper-before-anything-else-shouts" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 You can lose half your kidney function and feel completely normal. The organ has so much spare capacity that it hides its own decline for years — which is exactly why the small, ignorable signals it does produce are worth more than they look.
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&lt;h3 class="relative group"&gt;The kidney is a vascular organ, and that&amp;rsquo;s the point
 &lt;div id="the-kidney-is-a-vascular-organ-and-thats-the-point" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h3&gt;
&lt;p&gt;Each kidney contains roughly a million microscopic filtering units, working continuously to clear waste, balance fluid and salts, and regulate blood pressure. What makes them a useful early-warning system isn&amp;rsquo;t the filtering — it&amp;rsquo;s what they&amp;rsquo;re built from.&lt;/p&gt;</description></item><item><title>Push-Up Capacity Is a Vital Sign</title><link>https://ncw.co.nz/health/push-up-capacity-is-a-vital-sign/</link><pubDate>Mon, 20 Apr 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/push-up-capacity-is-a-vital-sign/</guid><description>&lt;h1 class="relative group"&gt;Push-Up Capacity Is a Vital Sign
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 Men who could do 40 or more push-ups had a 96% lower rate of cardiovascular events over the following decade than men who could manage 10 or fewer. The test cost nothing, took two minutes, and predicted risk better than a treadmill.
&lt;/div&gt;


&lt;h3 class="relative group"&gt;The study, and what it actually showed
 &lt;div id="the-study-and-what-it-actually-showed" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h3&gt;
&lt;p&gt;The finding comes from &lt;a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2724778" target="_blank" rel="noreferrer"&gt;Yang et al. (2019, &lt;em&gt;JAMA Network Open&lt;/em&gt;)&lt;/a&gt;, a longitudinal cohort of male firefighters in Indiana followed for ten years. Participants were stratified by how many push-ups they could complete at baseline. Over the decade, 37 cardiovascular events were recorded — and all but one occurred in men who had managed 40 or fewer at the start.&lt;/p&gt;</description></item><item><title>How You Got the Number Matters More Than the Number</title><link>https://ncw.co.nz/health/how-you-got-the-number-matters-more-than-the-number/</link><pubDate>Tue, 10 Mar 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/how-you-got-the-number-matters-more-than-the-number/</guid><description>&lt;h1 class="relative group"&gt;How You Got the Number Matters More Than the Number
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 A trial of over 10,000 people with type 2 diabetes was &lt;strong&gt;stopped early because the group pushed to a near-normal HbA1c was dying at a 22% higher rate&lt;/strong&gt;. The same number reached through food and movement is protective. Reached with aggressive medication, it can kill you.
&lt;/div&gt;


&lt;h3 class="relative group"&gt;&amp;ldquo;Normal&amp;rdquo; is a diagnostic line, not a target
 &lt;div id="normal-is-a-diagnostic-line-not-a-target" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h3&gt;
&lt;p&gt;HbA1c thresholds exist to make a diagnosis — normal, prediabetic, diabetic. They were never designed to describe optimal.&lt;/p&gt;</description></item><item><title>Stop Eating Three Hours Before Bed</title><link>https://ncw.co.nz/health/stop-eating-three-hours-before-bed/</link><pubDate>Tue, 03 Mar 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/stop-eating-three-hours-before-bed/</guid><description>&lt;h1 class="relative group"&gt;Stop Eating Three Hours Before Bed
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 The same meal eaten at 9pm raises blood glucose higher, and keeps it elevated longer, than at 9am. Nothing about the food changed. What changed is that your organs had already started their night shift, and eating told them to clock back on.
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&lt;h3 class="relative group"&gt;Food is the clock signal, not light
 &lt;div id="food-is-the-clock-signal-not-light" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h3&gt;
&lt;p&gt;Every organ runs its own 24-hour rhythm. Liver, gut, pancreas, heart and muscle each switch sets of genes on and off depending on time of day — geared toward taking in and processing fuel during daylight, and toward repair, restoration and cellular cleaning after dark.&lt;/p&gt;</description></item><item><title>Nobody Teaches the Second Phase</title><link>https://ncw.co.nz/health/nobody-teaches-the-second-phase/</link><pubDate>Wed, 25 Feb 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/nobody-teaches-the-second-phase/</guid><description>&lt;h1 class="relative group"&gt;Nobody Teaches the Second Phase
 &lt;div id="nobody-teaches-the-second-phase" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 Most people who lose significant weight regain it. That isn&amp;rsquo;t a failure of discipline — it&amp;rsquo;s that losing weight and keeping it off are two different skills, and an entire industry only teaches the first.
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&lt;h3 class="relative group"&gt;Your body treats the loss as a threat, and doesn&amp;rsquo;t stop
 &lt;div id="your-body-treats-the-loss-as-a-threat-and-doesnt-stop" class="anchor"&gt;&lt;/div&gt;
 
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 &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#your-body-treats-the-loss-as-a-threat-and-doesnt-stop" aria-label="Anchor"&gt;#&lt;/a&gt;
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&lt;/h3&gt;
&lt;p&gt;The biology here is unusually well documented, and it&amp;rsquo;s the reason willpower framing is wrong.&lt;/p&gt;</description></item><item><title>One Meal a Day Works Because You Eat Less</title><link>https://ncw.co.nz/health/one-meal-a-day-works-because-you-eat-less/</link><pubDate>Tue, 10 Feb 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/one-meal-a-day-works-because-you-eat-less/</guid><description>&lt;h1 class="relative group"&gt;One Meal a Day Works Because You Eat Less
 &lt;div id="one-meal-a-day-works-because-you-eat-less" class="anchor"&gt;&lt;/div&gt;
 
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&lt;/h1&gt;
&lt;div class="lead text-neutral-500 dark:text-neutral-400 !mb-9 text-xl"&gt;
 When 139 people with obesity were randomised to a strict eating window or plain calorie restriction for a year, the window added nothing measurable. Not to weight, not to body fat, not to metabolic markers. The fasting wasn&amp;rsquo;t doing the work. The calorie deficit was.
&lt;/div&gt;


&lt;h3 class="relative group"&gt;What the controlled trials actually found
 &lt;div id="what-the-controlled-trials-actually-found" class="anchor"&gt;&lt;/div&gt;
 
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 &lt;a class="text-primary-300 dark:text-neutral-700 !no-underline" href="#what-the-controlled-trials-actually-found" aria-label="Anchor"&gt;#&lt;/a&gt;
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&lt;p&gt;One Meal A Day means roughly 23 hours without food and everything consumed inside one hour. It sits at the far end of a dial that runs from constant grazing to maximal fasting, and its appeal is real: low insulin for most of the day, no calorie counting, and a lot of reclaimed time.&lt;/p&gt;</description></item><item><title>Twelve Minutes Before Breakfast</title><link>https://ncw.co.nz/health/twelve-minutes-before-breakfast/</link><pubDate>Wed, 21 Jan 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/twelve-minutes-before-breakfast/</guid><description>&lt;h1 class="relative group"&gt;Twelve Minutes Before Breakfast
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 A glass of water, then straight out the door for a brisk walk, stopping every couple of minutes for twenty squats. Six minutes out, six minutes back. It costs nothing, needs no equipment, and stacks about six separate longevity levers before you&amp;rsquo;ve eaten anything.
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&lt;h3 class="relative group"&gt;The protocol
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&lt;p&gt;On waking: socks, shoes, clothes. Drink half a pint to a pint of water. Go straight outside.&lt;/p&gt;</description></item><item><title>Ten Minutes After Dinner Beats Thirty Minutes Whenever</title><link>https://ncw.co.nz/health/ten-minutes-after-dinner-beats-thirty-minutes-whenever/</link><pubDate>Wed, 14 Jan 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/ten-minutes-after-dinner-beats-thirty-minutes-whenever/</guid><description>&lt;h1 class="relative group"&gt;Ten Minutes After Dinner Beats Thirty Minutes Whenever
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 Same shoes, same thirty minutes, same person. Split it into three ten-minute walks straight after meals instead of one block at a convenient hour and postprandial glucose drops about 12% — and 22% after the evening meal. The variable that changed was timing.
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&lt;h3 class="relative group"&gt;The trial that isolates timing
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&lt;p&gt;&lt;a href="https://www.medscape.com/viewarticle/870503" target="_blank" rel="noreferrer"&gt;Reynolds et al. (2016, &lt;em&gt;Diabetologia&lt;/em&gt;)&lt;/a&gt; ran a randomised crossover study in adults with type 2 diabetes, comparing advice to walk 10 minutes after each main meal against advice to walk 30 minutes a day without specified timing. Total walking was held equal.&lt;/p&gt;</description></item><item><title>The Starch That Feeds Your Bacteria Instead of You</title><link>https://ncw.co.nz/health/the-starch-that-feeds-your-bacteria-instead-of-you/</link><pubDate>Sat, 10 Jan 2026 00:00:00 +0000</pubDate><guid>https://ncw.co.nz/health/the-starch-that-feeds-your-bacteria-instead-of-you/</guid><description>&lt;h1 class="relative group"&gt;The Starch That Feeds Your Bacteria Instead of You
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 In a randomised crossover trial, 40 g a day of resistant starch for eight weeks produced a mean weight loss of &lt;strong&gt;2.8 kg&lt;/strong&gt; — with no calorie restriction, against an energy-matched control starch. The mechanism wasn&amp;rsquo;t willpower. It was a change in which bacteria were living in the participants&amp;rsquo; colons.
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&lt;h3 class="relative group"&gt;The fat that actually matters
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&lt;p&gt;Visceral fat sits behind the abdominal wall, packed around the liver, pancreas and intestines. Unlike the subcutaneous fat you can pinch, it&amp;rsquo;s metabolically active — continuously releasing inflammatory signalling into portal circulation. It carries substantially higher risk of cardiovascular disease, type 2 diabetes, several cancers and cognitive decline.&lt;/p&gt;</description></item></channel></rss>