Some obese people are healthy, but most are not

Even in people who are obese and healthy (normal cholesterol, blood pressure; little fat accumulation in the liver) often progress to unhealthy.  This is particularly true of intra-abdominal fat (“beer belly” or “soda belly“).  Fat under the skin, in the legs, buttocks, etc is less unhealthty.


Kirsi Pietiläinen
The fat cells of an obese person who is metabolically healthy (left) are much smaller than the engorged cells of an obese person with metabolic health problems (right).

Unhealthy is when the fat cells start to act poison, die, and set inflammation in place.  I used to presumably have fatty liver (abnormal liver blood tests).  Some people think that obesity will surpass alcoholism as a cause of liver cirrhosis, because the inflammation in the fat that fills the liver can scar the liver eventually.

After losing 130 lbs, my liver tests became normally – they were high before.


Dr John Ellis MD

Board-certified anesthesiologist, with expertise in cardiovascular anesthesia and the implications of obesity and sleep apnea in anesthesia. See for professional information. Dr. Ellis has used the strategies in here to: (1) lose 120 lbs over 18 months, (2) stop all antihypertensive medicines, and (3) no longer need CPAP treatment for sleep apnea.

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