VAT Trap
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 link below and add your email https://link.scvc.co.uk/vat-trap-join-newsletter Disclosure Dr Leatham is Director and Founder of the Surrey Cardiovascular Clinic and, since 2019, Co-Founder and Managing Director of HeartScanDirect (https://www.heartscandirect.com/), one of the UK’s leading cardiac CT providers specialising in AI-processed scans and among the few cardiologist-led CT services in the country. Dr Leatham’s own private medical practice is based at the Surrey cardiovascular clinic and therefore has a major financial interest in the Surrey Cardiovascular clinic, the Virtual Cath Lab and Vat-Trap.com. He has no financial relationship with any pharma company or product. A full disclosure is available at https://www.vat-trap.com/disclosures.

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Jaksot(43)

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

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

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 interventi...

27 Helmi 20min

PCSK9, visceral fat, and the modern metabolic environment

PCSK9, visceral fat, and the modern metabolic environment

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 lipopr...

22 Helmi 22min

Why a Cardiologist Puts Cream on His Porridge

Why a Cardiologist Puts Cream on His Porridge

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 ...

16 Helmi 17min

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

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

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 sc...

4 Helmi 17min

If You Spend 2 Minutes Brushing Your Teeth, Why Not 10 Minutes Saving Your Life?

If You Spend 2 Minutes Brushing Your Teeth, Why Not 10 Minutes Saving Your Life?

Ten minutes of strength training, five days a week, is enough to change metabolic health. Like brushing your teeth, it works because it’s sustainable. Keep the time fixed, increase the weights gradual...

3 Helmi 16min

Sarcopenia: Are We Diagnosing the Correct Muscle Problem?

Sarcopenia: Are We Diagnosing the Correct Muscle Problem?

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 su...

27 Tammi 16min

Why GLP-1 Withdrawal Trials Fail — and Why Cardiometabolic Care Must Look Different

Why GLP-1 Withdrawal Trials Fail — and Why Cardiometabolic Care Must Look Different

A 2026 BMJ systematic review confirms that weight regain is the rule after stopping pharmacological weight-management therapy. Across drug classes, most lost weight is regained within 24 months, with ...

20 Tammi 13min

Smart body composition scales: helpful metabolic tool—or misleading distraction?

Smart body composition scales: helpful metabolic tool—or misleading distraction?

Smart body composition scales are not metabolic truth machines. Their value lies in engagement, not precision. During weight loss—especially with GLP-1 therapy—hydration and glycogen shifts distort “m...

10 Tammi 14min

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