Visceral fats cannot develope without a source of energy, the laws of thermodynamics apply to the human body, it's not your genetics, and I dont want you to die. Wake up.

Would that mean that you would prefer to have a heart burdened by excess adipose tissue? Let’s not go fishing for red herrings, let’s talk about what is.

Of course, this is still an issue for patients who have long-term rates of increased adipose tissue. It’s easy to say, “Just lose the weight” but harder to make it happen. While it seems straightforward in terms of mathematics, it’s not easy because we have to consider why the person has a history of consuming far more calories than their body needs, even to the point where it contributes to poor health, joint paint, and chronic low-grade headaches and nausea. I lived like that and it was due to an underlying eating disorder, exacerbated by having depression, a lot of self-esteem issues, and so on. While those issues aren’t gone, they’re being managed, and as a result I’m out of the risk window. I had failed several diets because I wasn’t addressing the root cause of the overeating. 

We have very high rates of obesity, diabetes, hypertension and other comorbidities, which coupled with high rates of poverty are just screwing people over big-time.