Question:
I have read in several places on the forum references to fat underneath the muscle. As a RN, i am puzzled because to my knowledge this is not possible.
Can someone direct me to information about this?
Answer:
Here's a link.. I just googled for "fat apple pear". The fat isn't really under the muscle per se, it's around the organs..
Here's a snipet from the article..
<<Fat comes in two main varieties: subcutaneous fat, which is located under the ; and visceral or abdominal fat, which packs itself around the inner organs of the abdomen. Subcutaneous fat, being closer to the surface, is always easy to see. Visceral fat, on the other hand, is not always visible from the outside. It jams up against the intestines, kidneys, pancreas, and liver (and sometimes even inside the liver). >>
Answer:
Ahhh right. I do not associate that kind of fat with what makes you "appear fat". To me, that kind of fat is what clogs up the organs but does not contribute to visually appearing overweight.
I've never seen enough fat around organs to give to an overweight appearance. 's, is this possible? I've asked the other nurses I work with and they were as puzzled as I am.
If this is true, then I can go educate my co-workers.
Answer:
When I tell people they look at me like I'm crazy.....so did my docs. I gave them the articke and they are seeing how to make sense of this.
Answer:
There is fat around the organs and the more obese a person is, the more fat one will have on the inside. My understanding is that one person has to be very obese in order to have problems.
Answer:
Males can have this internal fat that contributes significantly to a "pot belly" and a TT will not address this at all.
Females tend to deposit fat under the where can more effectively treat it.
Most individuals wil have a small l of "preperitoneal fat" that is beneath or between the muscle layers. In obese individuals this layer can be very thick.
Hope this helps,
John LoMonaco, M.D., F.A.C.S.
Houston,
Answer:
This internal fat that everyone is talking about is not the kind that clogs up the organs but the kind that surrounds the internal organs. It is great if you need a Cat Scan. It help identify the organs. But other than that...just fat. Like doc said. Mostly in men but very over weights women have it as well.
Answer:
Here's a pic that helps explain.. Images always help me..
Also, I think the term "very obesse" is kinda relative. I weighed 189 the morning of my surgery, but I didn't have the inner (visceral) fat.. I've seen ladies here who weighed less, but who's fat was mostly visceral.
I think it does happen more often in men tho.. My brother has a huge stomach. But it' tight it is a hard as a rock. We all know men like that, right? He's a burly, strong guy. It's all muscle on top, but he carries the dangerous type fat.. My fat was all squishy and I could pick it up and push it around. I think that may be one way to tell.
Here's that pic..
Answer:
Thanks everyone! It's always good to learn something new!
Answer:
They are probably talking about intraperitoneal fat or "fat around your organs."
Answer:
I'm assuming here that a TT will not do anything in regards to this type of fat nor will ...or am I wrong? I was extremely overweight, will this type of fat effet the results of a TT? Can it be lost with diet and exercise or once you have it are you stuck with it?
Thanks,
SweetIrish
Answer:
So Drs.. I've been trying to locate real life s showing this, but can't seem to come across any..
Can you clear up something for me? Is it a 'l' of fat over all the organs? Or is wrapped around the individual organs? Or is it a combination? The pictures I've seen of examples in the past, showed organs that were explanted and had the fat attached and surrounding each organ..
I guess I kinda assumed there was a layer of fat surrounding the individual organ, as opposed to just a layer of fat underneath the muscles that surrounded the organs?
I guess we're a bit off topic.. but I love anatomy stuff. Do you have any websites you can recommend for the lay person?
Thanks for your time on this stuff..
Answer:
Right.. look at some of the pics in the TT education area and you'll "see" why.. They never go thru the muscle l.. so any fat under there stays there.. That's why they can only pull you so tight, if you're still carrying weight under there.. And is the only way to get rid of it.. I think that's why some folks can lose weight afterwards and not affect results, and some show some loseness.. At least in the case where there's no internal fat, the MR is more likely to remain tight, even if your loosens a tad?
May be greatly over-simplifying.. but it makes sense to me at least!
Answer:
Thanks Sweeby,
That does make sense to me too.
I'm more concerned about the health issues of fat surrounding the organs than the cosmetic effect. I've been overweight all my life and I'm now 55 so if I don't end up with 6 pack abs I'm not too concerned. The TT is my "insurance" that I will not drift back into overeating and gaining back all that unhealthy weight. I have body image issues now that I never had as a "fat" woman.
I know that will sound funny to people who haven't lost a great deal of weight but it is the way I feel. So I will have the surgeries to ensure that I stay the course so to speak.
However, I started this journey to become healthy and the interal fat appears it might be an issue in my health so I wish to address that and do what I can to change it. If diet and exercise will help that then I will do what needs to be done.
Thanks so much for the time you put in here and the hand holding you do for all of us who are going through one of the biggest events of our life. I personally don't know what I would do without the moderators, the other ladies here and on the other Boards, our two s, and Barbie who has personally supported me through my first ps of AL.
Thanks everyone, it is a joy to share this experience with you all,
SweetIrish
Answer:
Hi Swebby. The visceral fat deposits arer mainly in the omentum, a fatty apron of tissue that hangs over the internal organs. Large deposits can also be found in the mesentery...the tissue l that connects the intestines to the retro-peritoneum.
I have a CT scan of a male and a female taht show this clearly. Maybe I can get it posted Monday..
John LoMonaco, M.D., F.A.C.S.
Houston,