Dr Edward Leatham

VAT Trap

Health EN ↓ 40 episodes

The VAT Trap book, blog and digital media series reveals how visceral fat — the hidden metabolic organ — drives heart disease, hypertension, and diabetes. Drawing on 30 years of frontline cardiology and the latest in imaging, app-based tracking, and metabolic science, Dr Ed Leatham translates complex research into clear, actionable steps. Whether you want to avoid heart disease, stabilise your metabolism, or understand GLP-1 therapy, these four concise podcast seasons accompany a four book series that will help you see, track, and reverse the VAT trap. To join the mailing list click on the lin...

Author

Dr Edward Leatham

Category

Health

Podcast website

vat-trap.com

Latest episode

Jun 23, 2026

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Episodes

Visceral Adipose Tissue (VAT) as a Major Modifiable Driver of Cardiometabolic Risk 23.06.2026

Two people can share the same weight and BMI yet have completely different risks of heart attack and type 2 diabetes. The difference is often visceral fat — the hidden fat wrapped around your organs. This article explains what it does, why scales miss it, and how to reduce it. Read article

How to Measure Your Waist 16.06.2026

Waist circumference predicts cardiometabolic risk better than weight or BMI — but only when measured at a fixed anatomical landmark: the midpoint between your lowest rib and the top of your hip bone. Measuring at the “narrowest point” flatters the number and hides the risk. Read full blog

Why Your CGM Only Tells Half the Story 11.06.2026

Your continuous glucose monitor shows exactly how bread affects blood sugar but misses the fructose pathway completely. While CGMs track glucose perfectly, they remain blind to fructose heading straight to your liver, where it converts to triglycerides and visceral fat without spiking blood glucose. Read full blog

The Four Pillars: A Temple for Your Healthspan 03.06.2026

What if living longer isn’t about finding a miracle treatment, but strengthening four foundations that support every decade of life? The Four Pillars explores cardiovascular fitness, muscle strength, metabolic health and recovery, showing how small, consistent improvements in each area can help extend not just lifespan, but healthspan and vitality. Read full article 

How to Interpret Your Home Blood Pressure Results: What Your MyBP Numbers Actually Mean 03.06.2026

A week of home blood pressure readings tells a far more accurate story than a single clinic measurement. Learn how to interpret your MyBP results, understand what the categories mean, recognise when lifestyle changes are enough, and know when it may be time to discuss treatment with your GP. Read full article

VAT Brain 02.06.2026

Your belly fat isn't just threatening your heart — it's actively damaging your brain. Visceral adipose tissue drives the insulin resistance, inflammation and vascular damage that accelerate dementia, stroke and Parkinson's disease, often decades before symptoms appear. The hopeful part: every step in that chain is, in principle, reversible. Read full article

Is coronary artery calcification good or bad? 31.05.2026

Coronary calcium screening has evolved from expensive research tool to mainstream risk assessment, but fixation on Agatston scores obscures sophisticated plaque analysis. Zero calcium cannot exclude disease in younger patients, while elevated scores demand intensive prevention regardless of traditional risk calculations. Full article

The VAT Trap: Understanding the Metabolic Doom Loop 30.05.2026

Most metabolic problems start years before symptoms appear. Visceral fat creates a self-perpetuating cycle of inflammation and insulin resistance that drives diabetes, heart disease, and weight gain. Understanding this doom loop is the first step to breaking free from it and restoring metabolic health. Read the blog

Why Your Shrinking Muscles Are Making You Diabetic 29.05.2026

Your muscles handle 80% of glucose from every meal, but muscle loss from age thirty creates a vicious cycle. Shrinking muscle forces insulin overproduction, driving visceral fat accumulation and worsening blood sugar control. Strategic resistance training and protein intake can reverse this devastating doom loop. 45 words · Blog listings · Patient waiting room · Clinic handouts · ADL knowledge chu...

Why Your Statin Isn't Enough 28.05.2026

Your statin reduces dangerous cholesterol particles brilliantly, but it cannot touch the metabolic engine room that created your heart disease. The insulin resistance, inflammation, and visceral fat driving your cardiovascular risk continue running unchecked unless you address them directly through targeted lifestyle interventions. Read full post

The Hidden Fat That Predicts Heart Disease Better Than Weight 28.05.2026

Visceral fat surrounding your organs predicts heart disease better than bathroom scales ever could. Two people with identical weight can have completely different risks depending on where their fat is stored, making waist measurement more important than BMI. Read full article

Why Half of Heart Attacks Still Surprise Us 28.05.2026

For fifty years, cardiology's three-pillar model missed the fourth factor driving heart attacks. Visceral fat generates chronic inflammation that explains why people with "perfect" cholesterol and blood pressure still have coronary events unexpectedly. Read full story

Cardiology 3.0 - evidence-Based Protocols for Visceral Fat Reduction 11.05.2026

Visceral fat, strength, and metabolic precision now matter more than weight alone — redefining cardiovascular prevention. Read post

The Five Numbers That Matter More Than BMI 10.05.2026

Five key metrics—blood pressure, ApoB, glucose patterns, waist ratio, and muscle strength—redefine cardiovascular risk beyond outdated BMI measurements. Read Post

GLP-1 Therapies in Cardiology Clinical Practice 10.05.2026

GLP-1 therapies reduce cardiovascular events, likely through visceral adipose tissue reduction, reframing cardiology treatment toward upstream metabolic disease targeting Read post

The Fourth Pillar: Why I Spent 30 Years as a Cardiologist Without Hearing About the Most Important Risk Factor of All 10.05.2026

Visceral fat sits silently behind heart disease, dementia, prediabetes, joint pain and aggressive prostate cancer risk Read post

The Sugar Connection No One Was Teaching 10.05.2026

Fructose quietly drives visceral fat, insulin resistance, and small dense LDL, reshaping cardiovascular risk within today’s ultra-processed food environment modern. Read post 

Why Your Cholesterol Numbers Might Be Lying To You 10.05.2026

Two patients. Same LDL. One needs a statin. The other needs a tape measure. Here's how to tell which one you are. Read post 

Strength as a Vital Sign — How We Measure It in Clinic and at Home 10.05.2026

Simple grip strength testing predicts heart disease better than blood pressure. Two three-minute muscle function tests reveal your metabolic resilience and can be tracked at home monthly. Strong muscles actively fight visceral fat accumulation across all cardiovascular risk factors. Read post

Sarcopenia: Are We Diagnosing the Wrong Muscle Problem? 25.03.2026

In cardiometabolic medicine, muscle is not a cosmetic tissue but a metabolic organ. Evidence consistently shows that strength, not muscle mass, predicts insulin resistance, cardiovascular risk, and survival. Many older adults are not losing muscle tissue — they are losing muscle function, and that is the pathology that matters. Read Blog  

The Cardiometabolic Reset: Escaping the Metabolic Doom Loop 03.03.2026

The Eight-Month Metabolic Reset is a structured cardiometabolic programme designed to reduce visceral fat, preserve skeletal muscle strength, and improve glucose stability. Combining lifestyle change, targeted metabolic support, and clinical guidance, it helps break the cardiometabolic cycle and build sustainable long-term health beyond short-term weight loss. Read the blog

Prediabetes as a Therapeutic Target: A Cardiologist’s Editorial Perspective 27.02.2026

Prediabetes should be viewed as an active cardiometabolic disease stage rather than a passive risk marker. Cardiovascular injury begins before overt diabetes, creating a critical window for intervention. Lifestyle therapy remains fundamental, while agents such as metformin, GLP-1 receptor agonists, dual incretin therapies, and SGLT2 inhibitors may help modify long-term cardiovascular risk. https:/...

PCSK9, visceral fat, and the modern metabolic environment 22.02.2026

Because cholesterol is a fat-like substance, it cannot dissolve or travel freely in blood, which is mostly water. To move around, it must be packaged into microscopic transport particles called lipoproteins. One of these, LDL (low-density lipoprotein), acts as the main delivery vehicle, carrying cholesterol from the liver to cells that need it for repair or hormone production. In small amounts, LD...

Why a Cardiologist Puts Cream on His Porridge 16.02.2026

Porridge is healthy — but adding cream may improve its metabolic impact. This cardiologist explains how moderating glucose spikes, protecting muscle and reducing small dense LDL formation can support cardiovascular health, particularly in patients with visceral adiposity and insulin resistance. To read more see   https://www.scvc.co.uk/metabolic-health-weight/why-a-cardiologist-puts-cream-on-his-p...

Menopause, Belly Fat and Long Term Health: why HRT and Visceral Fat Screening Matter 04.02.2026

Menopause often brings a hidden shift in fat storage—from hips to abdomen—driven by falling oestrogen and loss of muscle. This article explains why visceral fat matters more than weight, how simple screening can detect risk early, and how HRT, lifestyle change, and modern tools can protect long-term heart and metabolic health. To read more see   https://www.scvc.co.uk/vat/menopause-belly-fat-and-l...

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