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The Science: Why Belly Fat Is Harder to Lose There are two types of fat in the midsection: Subcutaneous fat (soft belly fat under the skin): The kind you can pinch Stores energy but isnt as dangerous Responds to long-term lifestyle change May reduce with calorie deficit, strength training, and metabolic support Visceral fat (fat stored inside the abdomen, around your organs): inside the abdomen, around your organs): You cant grab it but it makes your waist look wider, bloated, or hard Its inflammatory, metabolically risky, and associated with high cortisol and insulin resistance Hormonally protected, meaning your body fights to keep it under stress Slower to lose and usually the last to go Your body stores visceral fat as a survival mechanism

By comparison, the dementia incidence rate for those taking metformin was almost 5%

It helps protect against age-related concentration impairment, supports long-term heart and brain health

BMI prior to surgery was 49.4 8.9 kg/m 2 (mean SD), total weight loss after surgery was 21.5 10.3% (mean SD), and maximum weight loss following BS was 29.1 11.9% (mean SD)