Individuals can have high muscle mass but poor muscle health due to intramuscular and visceral fat deposition, affecting muscle contraction and mitochondrial efficiency.

“the health of that skeletal muscle is fat deposition can be visceral fat deposition fat around the organs and it can be also fat infiltrate into the tissue like not to gross anyone out a marbled steak and that's exactly what can happen to un healthy skeletal muscle which then affects its ability to contract which also affects there's a ton of mitochondria in skeletal muscle it affects the efficiency of skeletal muscle”