Why Do Most Indian Men Have Potbellies?!

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so why do most Indian men have pot bellies now I have done another video on this previously but I have some new information that goes beyond just eating too many carbs so to get more accurate information about this topic I’m bringing on Dr rashne Who is an endocrinologist that actually lives in India doc thanks for coming on I I wanted to just say hello and uh good to see you again yes thanks for having me Dr Eric it’s been great to connect and and be in touch again yeah I wanted to really talk about what’s happening in India especially related to belly fat and I know it’s a big problem all over the world but especially in India for several reasons I did a video on this before and uh this is kind of a part two because there’s some additional information after talking with you that I found out that I think I want to share that goes a little bit beyond just lowering your carbohydrates trying to lose weight so we’re going to talk about that as well I think you were you were born in the US but then you lived half of your life in India you treat people as a medical doctor and as an endocrinologist so I’m so glad that I have someone who actually can give me firsthand knowledge of what’s happening in India so can you just kind of give people an overview of the type of health problems that are we’re running into in India of having uh protruded bellies oh yes there’s a a lot we can cover there Dr Eric um you know it’s actually no longer you know type 2 diabetes is obviously something that comes into our world a lot as endocrinologists um we deal with sure you know PCOS polycystic ovarian syndrome uh we deal now with seeing younger and younger people getting sick from insulin resistance even people who shouldn’t be getting insulin resistance we think of someone with type 1 diabetes we see them getting insulin resistance so India is not IM imune to what the rest of the world is seeing we have little children now it’s there are some states in India that have one in three children with highy tri glycerides and fatty liver already on sonography and the protruding belly is hitting these young children right from when they’re little and it’s part of it could be nature part of it could be genetic tendency but a lot of it if you take it in the right way is good news it’s environmental it’s something we have control over in terms of our lifestyle and our choices but a lot of Lifestyle Changes are coming in where insulin resistance protruding bellies we’re seeing it across the board the diabetes metabolic crisis in India is exploding we may not be the most obese country in the world but we’re up there in the top five in terms of Maximum cases of type two diabetes as well as cardiometabolic so early cardiac issues you know I’m just dying to ask you this one question about that because you know just to keep this really simple I think I’m assuming that most people know this but but they might not when you eat carbohydrates in excess amounts it triggers a hormone called insulin and then insulin is the hormone that not only stores fat but it prevents you from burning fat okay so that’s what insulin is but here’s my question when you went through medical school then you studied Endocrinology when a doctor goes through this intensive medical training especially on insulin which is the main hormone but somehow it gets kind of disconnected when you get into the carbohydrate triggering insulin and I mean it’s just obvious when you step back now and look at it like okay so if you have too much fat obviously you have too much insulin but in medical school I don’t know what tell tell me what happens when someone is taught that and as far as an average medical doctor that or an average endocrinologist and somehow they don’t connect the dots to lowering your carb oh yes yeah you know that’s uh I had to look back to understand where did my my basics of first year of medical school from biochemistry where carbohydrate was the food group that triggers the maximum insulin response or the maximum insulin requirement you know there was a disconnect from learning that in first year of medical school till the time we came to second year where we were studying pharmacology already there was a disconnect where we were memorizing the types of insulin the NPH the quick acting the long acting the newer molecules how to prescribe them and then in third year medical school we went into internal medicine and we had Harrison’s textbook and it was very little time spent on the lifestyle aspect and much more time spent on the prescription aspect whether it was the presence of pharmaceutical representatives in our clinics you know funding or doing these little reminders of what to prescribe there was very little time or energy in my medical school training for nutrition Beyond the first year and then MD medicine Internal Medicine in the hospital you know people who are sick and admitted they’re sick enough to be admitted to hospital really the con the concept of doing lifestyle discussion or nutrition discussion wasn’t really relevant in a way it sounds bad but here’s somebody who’s really sick they’re like you know lying in a hospital bed getting Hospital trays it’s not seeming like the right time to talk about nutrition or carbohydrates they’re eating what’s on the plate and then went into Fellowship to become an endocrinologist an insulin specialist right and I’m still prescribing medicine but I’ve not had the training handson how to change nutrition so this is mind-blowing because I went through Premed but I didn’t go to medical school I went to Chiropractic College there’s just not enough time to really learn the information I had to past the test I had to memorize and get on to the next test because there’s so much information being crammed down our throats and then but you don’t have time to really go out let me apply apply this Theory and and also how can we use this information practically it’s just not talked about so I guess what you’re saying is like you’re taught this information but then there’s a just a disconnect on the diet part or the food part a big disconnect a big disconnect or the nutrition part yeah I wouldn’t say that doctors were getting hardcore or thorough nutrition training I wouldn’t say that there must have been a point when you Gra graduated you’re going out there just doing what you were taught there must have been a shift can you tell us what happened at that point yes so um I I noticed you know when I was an endocrine fellow that we as fellows in training would run around run around one side of the corridor running into the patient rooms to do the consults and then talk to our senior doctors and get the sign off on the medication changes we wanted to make and one of the prescriptions we would write along with the insulin or the medications for diabetes for example uh was go to this diabetes class and I was like well that’s interesting there’s a class and it’s on the other side of this Corridor luckily for me it was on the same campus in the same building and so as I was graduating I got you know permission to go and sit in on some of these classes by the diabetes Educators because I was curious about the behavioral elements and what are they teaching over there that might be useful to my patient that I’m asking them to take out time and come again to take this educational course so I didn’t I was having a bit of fomo like I didn’t want to miss out on what was being said so that was my first exposure to the impact of nutrition and you know Dr Berg it’s almost like a paradox it’s like I had blinders on because endocrinologists are the most trained doctors when it comes to treating people with type 1 diabetes when I have to prescribe insulin for someone right and over there we’re taught insulin carbohydrate ratio which means for how man