Paul Saladino· MD
and unfortunately if there's not a lot of uptake by the adipocytes for many different reasons which we'll get into but if there's not a lot then they need to start putting it somewhere else and that's where you get the buildup of what's known as a topic fat ectopic fat is basically to summarize putting energy specifically fat into tissues that were not designed to hold it such as like xanthelasma san-tomás things like this yes not just that but also like organs like the liver the pancreas even the heart there's many different places where it can get I guess you could say stashed but unfortunately that is highly correlated with a disease State and you're definitely in a metabolically inflexible position after that