With this. The most subclinical inflammation in adipose tissue, he does not even suspect what kind of time bomb he lives with, he does not feel any temperature, he does not have no rhinitis, sinusitis, no red eyes, runny nose, nothing , but in this process insulin resistance is formed , for example, yes, everyone knows, this is such a formidable condition, translated into russian, this is prediabetes, talk about what an unpleasant sore. A serious illness, diabetes, i think no one needs, so , this subclinical inflammation makes the body tissues insensitive to insulin, this is prediabetes, then what happens, insulin, the main purpose of this hormone is to produce glucose, like so energetic substrate into the cell, then the cell can function, but when insulin resistance sets in, glucose does not enter the cell, not into all cells, for example, into the muscles. The tissue does not arrive, the cells signal to the brain that we are starving, we do not have an energy substrate, and what does the brain do, it activates the hunger center, and a person constantly walks around with the desire to eat, he has such a ravenous hunger, and what gives energy the fastest . Sweet, so people in this state become sweet tooth, even if they previously they couldnt stand any sweets, they didnt notice all this, but now they just have. Such a craving, at the same moment a constant struggle with themselves arises, the person understands that he is gaining weight because of all this, there is someone at home for him its reproaching, such endless selfcriticism begins, it seems that somewhere he begins to limit himself, against the background of which eating disorders arise, it would be more correct to call them eating disorders, but somehow its customary to call all this an eating disorder than more a person limits himself, the more he breaks down, then he gains more, then he suffers more, there are even more violations, and so on and so forth, but how to get out of this vicious circle, its really very difficult to break out of this, otherwise there wouldnt be 2 billion people, today there are actually more than 2 billion overweight people, more than 650 million obese people all over the world, unfortunately there are also a lot of children, which is why there wouldnt be so many of them if obesity could be easily dealt with , yes, you and i see a. A lot there are such good, pleasant motivating stories about how people got rid of excess weight, but there are much fewer stories about how people not only got rid of, but forever retained that same good, correct body composition, this is connected precisely with these complex mechanisms, insulin resistance, inflammation and other difficulties that form against the background of excess adipose tissue, despite all this, i always tell patients, unlike bariatric surgeons, who call obesity a lifelong disease. Bariatric surgeons are those who cut off part of the stomach or alter, lets say, the intestines, this is done so that most of the food is not digested and so that a person, in principle, physically cannot eat more, the ventricle becomes small, so they consider this a lifelong disease, i believe that you can get rid of this, but in order to get rid of it you need to change your habits and there must also be. Such clear awareness is correct, unfortunately, in most cases, a person still needs to see a doctor, because from obesity must be overcome not just by losing weight, with a minimum number of complications that develop against the background of obesity , why i say to the majority, because if you have gained three extra kilograms of fatty tissue, but that s all enough, 3 kg of total weight, first of all, because. Adipose tissue or total weight, you need to do a special study, here you can handle it yourself, but if you have significantly more kilograms and have developed the same conditions that accompany obesity, then excuse me, most likely it will be difficult to do without a doctor, well then eating wolf hunger can be cured, of course, in general the majority can be cured, even if the will is weak, even if the will is weak, i realized that this is some kind of burning question, everything human is not alien to us, yes, but we can cope with everything, awareness, awareness is very necessary, it is very important for me when i talk to. I always say do not waste time explaining and try to explain everything so simply that even a child can understand you, because if a person understands what the doctor said, then it will be very difficult for him to continue do this, so the more clearly you tell everything, the more conscious the person is, the greater the chances of getting rid of it forever, obesity can be treated quite successfully, now there are many medications that can. Not only save you from excess weight, but relieve you from the consequences of this excess weight, the whole question is, how do you go in time, contact the doctors, they will definitely help you. Russian grand prix, live broadcasts, october 28 and 29, at the first, lets see, it will be very interesting, love figure skating, adore figure skating, appreciate figure skating skating. Gene snop, product of stetellar group, what kind of idiot even wrote this letter, and what a cool, cool kostya kevich, they really could have been imprisoned, because rock musicians were imprisoned, if Roman Kostomarov had not been a famous legendary athlete, you would have fought for him to exactly the same extent, any celebrity entering the shock hall will end up on the same bed, on the same ekmo machine, on the same aol device, we dont have any section. Consideration of the case of kamilla valieva, of course they want geniuses like her, because she really figure geniuses, they want this to be born in their countries, because if we have it in our country, we will always defeat them, any person who wants to adequately assess the present, of course, should know history, now they dont ask, its you flew into space, now they say it was you who were filming the film challenge, but for me its different , they tell me, well, you flew with yulia perese, i say, no, its strange, its so similar, they say you flew with me. I know that you recently had a very difficult accident, i flew from the back seat to the front, i have a concussion brain, a man got into a Traffic Accident at a speed of 110, he didnt brake at all. Podcast lab is with you all nights, we continue the conversation about obesity in the podcast deception of substances, Olesya Nosova from ukhrapavlov is with you. Zluhra sharipovna, in fact, there is another very interesting topic, about sarcopenia , yes, my favorite, yes, this is when apparently thin people are diagnosed with obesity, well, as a rule, first degree obesity there, well, beyond the first degree, in my opinion they dont go, no, not like that, yeah, these are the same skinfet, but in the west there is such a thin fat woman, and obesity, or any Second Degree, is diagnosed according to body mass indexes, and what is characteristic of sarcopenia, that the body mass index of these people is absolutely normal, to put it mildly, it can even be in deficiency, and another very important point, no way you cant miss it, these people have an absolutely normal waist circumference, but our body mass index is not a very objective criterion, well, look, what is the body mass index, this is the ratio of height and weight, and at certain values we set a deficit body weight. Normal body weight, overweight, from thirty units obesity begins and there it is divided every five units by degrees, if the body mass index is high, large, say 35, yes 35. 9, this is already the Second Degree of obesity, but in front of you is a bodybuilder , he has no excess fat tissue at all, that is, he has excess weight due to muscle tissue, not fat, so the body mass index can mislead us. Circumference has become a more objective criterion, because this is the most visceral obesity, it is very is clearly reflected in the size of the waist circumference, if we evaluate. Then we say for women it should be less than 80, for men less than 94 cm, we take slavs, europeans, because there are also ethnic characteristics, imagine a person with sarcapene, he has a body mass index of 21, that is, the absolute norm, circumference the waist, if its a young lady, maybe even 69 or less, the man there is 75 loaded steel, that is, very good numbers. But if we do bioimpedance or densatometry, such studies of body composition, we will see that these people have a lot of adipose tissue and little muscle tissue, this is a very tricky and complex phenomenon, because such people are physically unstable, their muscle mass is weak, their bones will begin to suffer faster, lets say, they can develop phenomena that are characteristic of obesity, they may have prediabetes and even diabetes , this is the socalled skinny phenotype and when you say that this person is not obese in the classical sense, yes, that there is a body mass index of more than thirty, and we mean that the proportion of adipose tissue is greater than expected, and if you dont have enough muscles, many people look at you as not quite adequate, what kind of obesity . Zukhra sharifovna, yes, i remember myself 15 years ago, when i came to you, you measured me, and despite the fact that i was about the same, you told me that it looks like you have a lot of fat, but not enough muscle, you need to urgently change the situation, i had to change the situation, although i remember this, it was a real shock, because i couldnt even imagine myself as an obese person in a nightmare, yes, yes, yes, yes, thats how it is, so objective Research Methods help a lot, and indeed, when you tell a person, you know, your body composition is disturbed, you have a lot of fat. The person looks, well, with suspicion, and then, when you show these objective figures and explain that happens, and also, you know, in order to gain a persons trust, you tell him, most likely you have this, this, you feel like this, here like this, here the person understands, yes, you know exactly whats wrong with him happens and you can be trusted, then it begins, well, this is the beginning of changes, yeah, fine. There is a belief that after a certain age all women begin to get fat, and this is normal, but this is usually after 50 years, so what do you say to that . Unfortunately, yes, i sometimes hear from colleagues, well, what do you want, shes 55 years old, she should have the right amount of adipose tissue there, i think thats how it should be, thats how it should be, thats how it should be, yes, thats how it should be , yes, we have such a concept of physiology, this is normal according to physiology, this is when it is not normal, it seems like with age we really should gain fat, lose muscles, but this is how nature intended and we must leave this stage, and for this to happen in the end, someday, yes, our body composition is changing, but you and i have slightly different tasks with nature, we we not only want to live long and we do everything for this, we also want to live a quality life, because why a long life if a person is sick and is not a joy for himself and a burden for someone else . Therefore it should not be this way, if we want to live long, then it is important to maintain our body composition, so we need to eat enough the amount of protein, with age, the ability not only to chew it also goes away, in fact, for this, teeth are lost , this is also necessary, it seems, we are putting on teeth, enzymes can change, very often you can hear a person say, you know, i cant eat meat, its very difficult after this, its nature working against man, well, or a man once tried so hard that, well, lets say, he affected his gastrointestinal tract, well, in principle, yes, ours is decreasing and number of enzymes certain substances that must digest proteins, as such a basic one, i would say one of the most important macronutrients, but its not for nothing that the greeks called protein proteim, and protein from greek is paramount, and i always give an explanation. What does primary mean, that fats are not important or carbohydrates are not important, everything is important, but if you ate protein, then from this protein we can form fats, proteins, carbohydrates inside our own body, and if you ate only fat , well, lets say, i dont know, theres a piece of lard in there, yes, any kind of lard, goose, pork, any kind, then we will get only fats and carbohydrates, because we can safely organize carbohydrates for ourselves from fats. And the same with carbohydrates, if you and i ate an apple, we can only get carbohydrates and fats, and we get proteins only from protein, or, unfortunately, from our own muscles, and muscles cannot be wasted, muscles are ours wealth, this is youth, this is beauty, this is strength, so when they say that a woman after 50 is after menopause, to be precise, it is normal to gain excess weight adipose tissue is never normal , and there is a lot of evidence of this, look at what longlivers look like, and in any country , longliving people are slim people, until the last day, and so lean, active, as a rule they still have good health brain activity, they never overeat, so excess adipose tissue is always superfluous, it always leads to the beginning of unpleasant events, and of course, when you and i are reproductive, this is the most active period of our lives, for men, for women, even with a slight excess of adipose tissue, nature still protects us, because we are able to reproduce when we are not. This excess adipose tissue will not protect us in any way and will contribute to the development of serious diseases. Im not even afraid to mention them, because this awareness really helps not to strive to gain this weight, these are cardiovascular diseases, these are carbohydrate diseases, primarily diabetes , this is musculolithiasis, this is gout, this is copd, chronic obstructive pulmonary disease, this is a lot of all kinds severe chronic stomach diseases and so on and so forth, yeah, good, but what to do with the fact that the metabolism supposedly slows down, and in men and women after a certain age, or is this a myth, we have a reason, i am for this is a myth, its not for nothing that we called our podcast the deception of substances, yes, there is no such pronounced decrease in metabolism, its about the same, so chalk it up to the fact that oh, i have a special metabolism or something. Age so i have such a metabolism is not very honest, but it happened such a concept that has been destroyed, there is a lot of research on this matter, so it makes no sense to blame it, well, i must say and be honest, of course, we all have genetic characteristics, yes, if on both sides, in the family and on the fathers side moms line is all very fat, people have diabetes, of course, a person has a predisposition to all this, but this is not a death sentence. It becomes a death sentence when a person violates the principles of a healthy lifestyle; if you adhere to them, no genetics will affect for a very, very long time, so dont spare any effort and dont think that this is some kind of sentence. With you was the podcast deception of substances and the editorinchief of komsomolskaya pravda Olesya Nosova and doctor endocrinologist, zuhra pavlova. Hello, dear friends, i know that you really liked the project that started on channel one, we are playing a wedding, here is its host, what is the difference between, for example, the game program and garmun, it seems like we play there and there, yes. The fact is that the game and harmony are wonderful amateur artists, free time from work, of course, parting songs, playing a wedding, firstly, a wedding is once and for all, well, to be honest, more than once, uh, everyone who knows my biography knows that i am completely honest with you, here, and secondly, well, after all, forever, you will always remember your wedding, therefore, when people start working with. Wedding material with folk material, they transfer from the screen into real energy, the energy of gathering, the energy of expedition and of course, the energy of true love and patriotic attitude towards russian songs, i can talk further, its time to sing, i said everything correctly, or Something Else absolutely, lets probably sing, lets better and then well talk, this is only part of the song, what is it really . Well, its lyrical, its a sad drawl, when they came apparently from work or in the winter, when there was no work, and sang, but we were now preparing for the arkhanel wedding, and this song from the arkhanel region is mentioned in the notes of ethnographers, ethnomusologists, that when the honest train of young svinchans arrived, they could sing lyrical music, in particular this song was also written in notes. Dear friends, so that it doesnt seem that there is only one color in this wonderful project , lets watch the trailer, that is, the teaser of this wonderful project, in order to understand that, in fact, there are many colors planned, i hope we will hear them during. The program, in every fairy tale, a wedding is played, and you and i will play a wedding, only in the Old Fashioned way, our task is not just to show the tradition, it is important for us that it blossoms in the new world, to me all the time i was afraid that my wedding would take place with garters and a fight, the road for the young, the road for the young, you are now rubbing it, but you need it. Eh, lets dig into what kind of young people there are, modern, interestingly cool, songs, dances, gifts, a feast in the mountains, to health, to health , to health, lets congratulate you, husband, i m expecting a grandson from you, lets play a wedding. But this is great, you can say how the current average wedding differs from the centuriesold russian folk wedding, its just pain, the pain of my soul, my heart, what guests come to a wedding, in a modern wedding, and wait for the host to cheer them up, and here we are every time, we already have such experience of meeting modern guests, i say every time, if you dont take a break, dance and rejoice for young. After all, i remember this later, but you remember how soandso drove you to dana in a wheelbarrow, disbelief, you also have such interesting, unexpected folk jokes and traditions, so here yegor was under horror with one bride in the udmursk which . I was dressed up like a pony or as it is correctly called in a skirt, he is wearing makeup, so i had to go out to the groom there and had to buy him off so that the real bride is there, you also do the geshef , yes, these ransoms have always been in russia or is it just now in monetary times went yes no no no they were and what did you buy, well, not only money but also of course vodka, wine, sweets, pies, that is, not only money but ransom was always everywhere interesting of course what do you see, that at all, at all stages, even plucking the wedding goose , a song sounded, and of course, comrades, lets do it this way, this is not, not a holiday , for example, the opening of a library in a village, this is a wedding, and the most important thing in a wedding is that we are counting on a new addition to our family, in the village, in russia, so, you also have songs related to walking, the groom. And the bride valkov, in the next episodes, apparently you will have to delve into it, so