Tuesday, April 15, 2025

When Weight Goes Beyond Willpower

As someone deeply immersed in biohacking and natural healing, I always seek perspectives that challenge conventional wisdom about health and the human body. Recently, I dove into Sylvia Tara's book, "The Secret Life of Fat," published a few years ago (Tara, 2017), and it really got me thinking. While I found her insights fascinating, particularly regarding the evolutionary role of fat and its complex biology, it also sparked a deeper reflection on something I feel incredibly passionate about: the societal tendency to blame individuals for their health struggles.

The Secret Life of Fat by Sylvia Tara

In our wellness-obsessed culture, it's easy to fall into the trap of judging others, even ourselves, when we don't see the expected results despite seemingly doing all the "right" things. We diligently follow the latest wellness hacks, adhere to strict diets, and push ourselves through intense workouts, yet sometimes our bodies don't respond the way we anticipate. This is a personal point of contention for me because I firmly believe that genetics plays an incredibly significant role in how our bodies function.

It's time we fostered more compassion for ourselves and others. If we're genetically predisposed to find it harder to lose weight, build muscle, or even just maintain a certain physique, it feels inherently unfair to constantly be bombarded with messages that it's all about willpower and effort.


Keto Meal From My First Day in Tbilisi, Georgia

(Chicken liver, spinach pkhali, and Chicken Kharsho) 



I've found a combination of intermittent fasting, the ketogenic diet, daily exercise, and ample sunlight to be my personal sweet spot for feeling my absolute best. I also consciously avoid alcohol, sugar, and processed foods, and try my best to prioritize home-cooked meals. This is my personal recipe for pursuing a long and healthy life because, for me, the focus is squarely on quality of life rather than just quantity.

However, I can't shake the frustration with our society's obsession with equating wellness with appearance. The author's initial motivation in the book's introduction might have been somewhat rooted in this desire to look a certain way. This, to me, is a direct consequence of the toxic stigma surrounding body image and weight that pervades our culture. I genuinely believe that genetics wields a massive influence, and we desperately need to shift the conversation towards living healthy, fulfilling lives and prioritizing how we feel rather than solely fixating on how we look.

I'm particularly captivated by how our unique genetic makeup and intricate mechanisms like histone modifications and epigenetics profoundly impact how our bodies react to our lifestyle choices. It's a far cry from the simplistic "calories in, calories out" equation. Reading Tara's book also highlighted for me how significantly globalization and shifts in agricultural practices, especially within the United States, have reshaped our nutritional landscape. The heavy emphasis on large-scale cultivation of cash crops like corn and wheat, and their subsequent widespread incorporation into our food supply, has fundamentally altered how people obtain nutrition and may have contributed to widespread shifts in public health. Even federal dietary guidelines advocating for specific intakes of carbohydrates and grains seem to potentially exacerbate these challenges.



Food Pyramid Guide states that the recommended servings of grains per day are 6 to 11, which should constitute the bulk of the diet, with grains filling 1/4 of the plate.


The historical narrative of the Pima people, poignantly discussed in "The Secret Life of Fat," beautifully illustrates the complex interplay between genetic adaptation and environmental change (Tara, 2017). Their ancestors developed a "thrifty genotype" as a survival mechanism during food scarcity. However, this very adaptation became a disadvantage when their dietary patterns drastically changed due to settler colonization, leading to a significant increase in obesity within their population. 

My own Greek heritage offers a compelling example of this connection. The traditional Mediterranean diet, rich in fish, nuts, unsaturated fats from olive oil, and protein and relatively low in carbohydrates, aligns particularly well with my physiology and the subjective experiences of well-being within my maternal family. This suggests a potential genetic harmony with this ancestral dietary pattern.



Hummus Plate and Grilled Chicken from Athena Souvlaki in Da Nang, Vietnam 



My extensive travels in Asia have further illuminated these dynamics. Observing the high rice consumption in countries like Thailand and Vietnam, without seemingly widespread weight gain, makes me wonder about generations of physiological adaptation to a rice-based diet, given the environmental suitability for its cultivation. In contrast, my own body doesn't respond as favorably to high rice intake. Similarly, my experiences in India, where the cuisine often features spicy, ghee-laden curries and a significant presence of dairy and breads, resulted in noticeable gastrointestinal discomfort, a stark contrast to the apparent tolerance observed among local populations. This highlights the potential influence of ancestral dietary patterns on our contemporary physiological responses to food.



Creamy, Rich Curries from Goa, India 


I truly believe that understanding our ancestral origins can provide invaluable insights into how we can best optimize our dietary choices for improved health and a greater sense of well-being. Our genetic makeup plays a significant role in how we respond to different foods. As "The Secret Life of Fat" points out, the Pima people's genes evolved to help them survive periods of famine, a stark reminder of how those same genes can become a disadvantage in today's world of readily available food (Tara, 2017).

The article's mention of varying obesity and diabetes rates across different groups also reinforces the idea that genetic predispositions can differ across populations, aligning with my earlier thoughts about ethnicity and ancestral adaptations to specific environments and food sources (Tara, 2017). It's not about one group being inherently healthier than another, but rather about different genetic adaptations that were once beneficial becoming less so in a changed environment.

What I found particularly interesting in Tara's piece was how we can influence how our genes affect our health (Tara, 2017). This directly connects with my fascination with epigenetics and how our lifestyle choices – like diet, exercise, and even sunlight exposure – can interact with our genes. The idea that the Pima people might need to adopt extra measures to accommodate their genetic peculiarities when it comes to fat makes perfect sense and reinforces the notion that a one-size-fits-all approach to health and weight management simply isn't going to work when genetics plays such a significant role.



The Pima Natives 


Her story about the Pima people and their thrifty genotype really brought to life what I explored in depth during a project for my genetics course this semester that looked at specific genes and their influence on obesity. It's fascinating to see how a genetic adaptation crucial for survival in one environment can become a liability in another. My research into genes like FTO, MC4R, and LEPR provides some of the molecular mechanisms behind this.

For instance, "The Secret Life of Fat" mentions that individuals with variations in the FTO gene tend to desire high-calorie foods more often and have more fat (Tara, 2017). This perfectly aligns with my project findings, where it was noted that the rs9939609 variant in the FTO gene is linked to increased appetite and energy intake, potentially leading to a higher BMI. The study by Colin Palmer on schoolchildren, where those with the FTO variant consumed more high-calorie foods from the buffet, directly supports this. Even the Harvard Medical School research highlighting how the FTO mutation can cause fat cells to become energy-storing white fat instead of healthier beige fat that can burn calories through exercise paints a clear picture of how this one gene can significantly impact our drive to eat and how our bodies store energy. The article's mention of an almost twofold increased risk of obesity associated with FTO variants really underscores its significance as a genetic determinant (Tara, 2017).

Similarly, the MC4R gene, which I also explored in my project, is critical in regulating appetite and energy balance. The passage about the Pima people in "The Secret Life of Fat" talks about their bodies storing away calories, and variations in MC4R, like the rs17782313 polymorphism I researched, can contribute to this by influencing our eating behaviour and hormone levels. The study I looked at in Iranian adults showed that individuals with the C allele had increased food intake, more emotional eating, higher levels of the hunger hormone ghrelin, and lower levels of the satiety hormone GLP-1, all of which would make it easier to store excess calories.

The LEPR gene, which encodes the leptin receptor, is also crucial in this whole picture. The passage mentions the Pima's bodies storing calories, and a dysfunctional LEPR, as highlighted in my project, can disrupt the signals that tell our body we're full and regulate energy expenditure. This can lead to continuous hunger and overeating, further contributing to weight gain, which again ties into the Pima's tendency to store fat efficiently.

It's really striking how these specific genes I've been studying – FTO influencing appetite and fat cell function, MC4R affecting hunger and satiety signals, and LEPR impacting our body's ability to recognize fullness – provide a deeper understanding of the genetic variations that might have contributed to the Pima's thrifty genotype and why it now presents challenges in a modern environment. And as Tara rightly points out, while we can't change these genes, understanding their influence can empower us to make informed lifestyle choices and to shed some of the guilt associated with weight struggles (Tara, 2017). We can recognize the significant role our genetic inheritance plays.

I hadn't fully considered the idea of "healthy obesity genes" before reading "The Secret Life of Fat," and the example of the IRS1 gene and its variants is so insightful (Tara, 2017)!

It makes perfect sense when Tara explains how variant A leads to lower overall fat but more of that dangerous visceral fat because the body isn't creating enough subcutaneous fat cells to store it properly (Tara, 2017). This ties into something I've been learning – it's not just about the total amount of fat we have, but where it's located that really matters for our health. This variant also affects insulin sensitivity, especially in men, and highlights the metabolic consequences of this unhealthy fat distribution (Tara, 2017).

Then you have variant B, where people might be considered "fatter" overall. Still, they're healthier because their bodies efficiently store fat in the subcutaneous tissue where it belongs (Tara, 2017). This is a fascinating example of how a gene that increases fatness can protect against diseases like type 2 diabetes and cardiovascular disease. It really challenges the simplistic view that all weight gain is inherently bad.

It's interesting to compare this with the genes I looked at in my project, like FTO, MC4R, and LEPR. While those genes primarily influence appetite, energy intake, and the tendency to accumulate fat, IRS1 is more specifically involved in creating fat cells and distributing fat, directly impacting metabolic health. It's like FTO might load the gun towards potentially eating more and storing more fat, but IRS1 influences where that fat ends up and how it impacts our insulin sensitivity.

The point in "The Secret Life of Fat" about not being "doomed" even with these gene variants is also critical and echoes what the article said about FTO (Tara, 2017). It reinforces that while our genes can predispose us to certain tendencies, our daily choices about diet and exercise ultimately hold significant power. The analogy of "genes load the gun, and environment pulls the trigger" sums it up nicely.


HEALTH IS WEALTH (Mumbai, India at Zin Cafe)


This exploration of "The Secret Life of Fat" has made me think even more deeply about how complex the genetics of obesity and metabolic health genuinely are. It's not just about genes that make us eat more; it's also about genes that influence how our bodies store and utilize fat, and even genes that might protect us unexpectedly. It definitely makes me want to continue learning more about these different types of "fat genes" and how they interact with each other and our lifestyles. Understanding this intricate dance between our genes and environment can help us move from judgment to a more compassionate and personalized approach to health and well-being.


Reference:

Tara, S. (2017). The secret life of fat: the science behind the body's least understood organ and what it means for you. W.W. Norton & Company. 

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