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Dr David Unwin

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2026-05-18
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2026-05-18
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  1. I was like, this is healthy. Is this okay? How's that? You know, what if somebody had type 2 diet? What for kids will just give them? You've touched on another thing about What's going wrong When we look at my practice and this epidemic, and really, as I've said already, it's not an epidemic, it's a pandemic. It's everywhere. I go all over the world, and obesity, type 2, diabetes, poor metabolic health is in it's everywhere. It's everywhere. And I think one of the things, touching on what you just said, is so you wake up and you have your cereals for breakfast.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  2. Fruits. Little cell. Yeah. And also it's a sort of who cares about the consequence but will make a pile of money selling dried up fruit and they miss. What you read on the back.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  3. Yeah. The simple Nutrition were not teaching it. So there's only three macronutrients. There's only protein, fats, and carbohydrate. And yet your friends there haven't even got the three macronutrients, and they are successful, intelligent people. So somewhere were going badly wrong, aren't we?

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  4. But for me, for twenty five years I did not believe that lifestyle was key and now I do. And that's why I didn't believe. Think that the biscuits made that much difference. Obviously, I knew basic nutrition, so I made sure there's protein and there's iron and stuff. I fundamentally Believed that drugs is what I should be using medication and that lifestyle was a sort of Not terrible

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  5. Yeah, with skim milk, and I would advise a few multivitamins. and a couple of pints of skimmed milk a day. That was my advice. And then when it didn't work, who do you think I blamed? And this was all part of my epiphany. I never joined the dots that the failure was not theirs, it was mine. And that's horrible, isn't it? Imagine twenty five years of I was blaming patients for their failure to lose weight, and it was my failure. Because I didn't give them advice that worked. And if you keep giving the same advice to people and it doesn't work, shouldn't I have questioned? But is that happening in society overall? How are we doing? How are we doing with health? How's it going? It's a disaster, isn't it? So we need to do something different.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  6. Well, that's in World War II where they all starved things. So the point is you're saying to somebody with an obesity problem. Yes, you're blaming them. That's exactly the point. And that's what I did. And it's worse than that because they I give them that advice, and it just about never works. I did a horrible thing. I used to say to them, write. So, why don't you just have two tablespoons of all bran a day?

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  7. No, um I didn't fundamentally believe it would make that much difference. And this is such a great point. You've a really great point. So let's think about weight loss. So I would give advice on weight loss to my patients and I would say eat less and move more.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  8. My mental powers were much greater, I could concentrate better, I wasn't fretty, so I noticed that. The next thing I noticed was I needed a lot less sleep. So, yeah, in the beginning. I used to have to have a little sleep on my doctor's couch every lunchtime. So I'm senior partner, so you press do not disturb, and you put the curtains round and have a little nap on my own couch for twenty minutes. It was the only way I could get through the day. I didn't need that nap anymore. I was less sleepy. I needed an hour's less sleep a day. Think better I was I could cope with the same problems And this is so weird. Mentally, I was stronger. It was like being a younger man. I don't know. I think you have a sense of mental horsepower

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  9. That's kind of how it began. So that's 2013, so that's 13 years ago. The rest is history, but that I was completely blown away and I was full of curiosity about all these other things and how was it? Why were these things improving?

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  10. Now I hadn't told anybody, but I had moderate high blood pressure for years. I didn't like to be a patient, so I never went to a doctor. I just put my head in the sand, so I had high blood pressure for years. When I took my blood pressure, it was low normal. Why I didn't know but on the patience as well I'm doing that as well I'm measuring all the blood pressure and it's improving so it's getting weirder and weeder liver function improving weight going down blood pressure improving In those days we were, the blood test that we did was a thing called a hemoglobin A one C. The A1C in America. This is the average sugaryiness of your blood for the preceding three months, so the results take a while. But then when the hemoglobin A one C came in there it was, we were getting really spectacular improvements in average blood sugar.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  11. So that was the first thing, then the weight. So we're all meeting every Monday night and we got the scales and everybody gets weighed every Monday night and the weight started falling off people. It really did. And then all sorts of other weird stuff started happening, some of which I couldn't make sense of for years. The first one was People said, Are you hungry'cause I'm not? And they started saying things like Do you have to eat breakfast? Where an eye also I wasn't hungry I wasn't hungry they were telling me the truth because I was experiencing this with them Why are we not hungry? That's so odd. And I was starting not bothering with breakfast, so I didn't eat it. You don't have to have it. And my belly went away. The next thing was, I noticed when I stood up from my desk, I felt dizzy.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  12. So, if you're going to do a weird thing, you need to measure stuff. You can't, you know, these are patients. So you can't just experiment and not be, am I doing harm? What's happening to the cholesterol and the lipid profiles? So I was monitoring stuff really closely. The liver function, though, Stephen Got people who I thought they were drinking alcohol, and I thought their liver problem was due to alcohol. And they'd had abnormal liver function for 10 years, and suddenly within weeks, the liver function was improving often by a third or fifty percent. I was so excited. Can you imagine I'm sitting there and the laboratory results are coming in and therefore like wow and then another another

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  13. So that's exactly what we did. We found eighteen volunteers who were interested amongst the patients, and then Jen and I, so that was twenty of us, we started meeting every Monday night. Talking about low carb learning how'd you cook stuff? How'd you do it? We did it together. And one of the nurses was so excited Heather is her name. Let's give her a, you know, thumbs up to Heather. Heather said I'll work for free. I'll help you. I'd love to do this. I want to believe in what I do. And then the magic begins. The results, I couldn't believe it. I could not, you know, I'd never seen anything like it. And the first thing, the first thing I saw. Was the liver function improving? You see, because I'm doing blood tests,'cause I know I'm doing something weird. I'm doing something that I would be criticized for.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  14. So I'm senior partner. I'm supposedly the boss. But the time low carb was not respectable and they didn't like it. And they said, we don't want you to do this. And partly because they said, well, how? You know, is that a good use of the resources of the practice? If you're doing this, David, maybe you're not treating chest infections or other things and there's pressure on the health service. So this felt a bit, they felt it was a bit self-indulgent. So go back to my wife and said the partners say no. And she said, I'll tell you what we're going to do. We're both going to work for free and we'll do it. Why don't we do this in our own time in an evening when the practice no resources

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  15. Yeah, Dr. John Briffer, what a lovely guy. So Jen bought that book just around the time I'm telling her about this patient. So she said, you have to read this book about the low carbohydrate approach to insulin resistance to type 2 diabetes. And in the book. Everything that my patient had told me was there. But it was done in a medical way. And I understood. She said David Why are you sort of failing? Why don't you do one thing before you retire? Why can't you do a cheerful something you really believe in? Why don't you have a go at this low carb yourself? Yeah, she said, Why don't you and me? Go on this diet for see if some patients would volunteer and do it with us. And I mentioned it to the partners. They said no.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  16. When I looked they were being rubbished by the healthcare professionals. So people like me were telling them you'll die. What you're doing is dangerous. Really ashamed. It's complete coincidence, but in the same month We have to introduce my wife, Jen. Is there a photo? Come on, let's see Jen. She's probably the cleverest woman in the world. She's so clever. I love that woman. So Jen, so her back, she is a clinical health psychologist, and she specializes. She's fascinated by the role of hope. Disease and the difference it can make she spent her life researching the difference that hope makes to clinical outcomes. So it just so happened that she was in a supermarket and she saw a discounted diet book. That one. That's the book.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  17. I was dead scared because you know Complaints as a GP, it's really bad. They're gone for years and years. But mainly I was scared because every word she said was true. And one thing I had learned about when you're in older doctor is you got to listen to people properly. If they're complaining. Don't deny it, don't defend yourself take it. So I said okay. I want to learn what you, you know, if this is true, will you meet me again? Let's do the blood test. So we did the blood test. It was true. It was the first case of drug-free 2 diabetes I had ever seen. I'd never seen a single case in 25 years where people came off medication. I was fascinated because she'd done it like a miracle. But there was another detail I just share with you. She was one of forty thousand people online, learning from each other how to do it.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  18. She said to me, You think you're going to tell me off, don't you, Dr. Unreign? Well, I've got news for you. I'm going to tell you off. I was scared like what's going on. She'd never been like this before. She was a polite person. Anyway, she went on to explain. She said, When you do my blood tests, you will find that my blood glucose is completely normal despite not taking your metformin. And she said I'm wondering if you're actually qualified as a doctor because In the last ten years did you ever once tell me that bread was sugar or breakfast cereals were sugar? I had to learn online and That bread is sugar, that rice is sugar, that breakfast cereals are sugar. And when I cut those foods, I don't need your metformin now. She made it worse. She said, This is schoolboy biology. You should have learnt that when you were sixteen.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  19. Yes, that would be true. But I think we should also be fair to say that the body of evidence at the time would say that it's good practice to give metformin to people with type 2 diabetes. Conversely, poor practice not to use, Metformin, but we'll develop that. So the backdrop is we're monitoring the patients who stop taking their metformin because that is number one, poor practice, and number two actually costs me. So I wrote to the person Dear Mrs So and so, I'm concerned that you don't seem to be taking your metformin. Please make an appointment with me at your earliest convenience very British, very polite. Anyway, nothing prepared me for what was going to happen that morning and it's changed my entire life on that point. So The lady, let's call her Mrs. Jones. That wasn't how. She marches in, and

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  20. That are needed for type 2 diabetes so that you're given a sort of quota where it's regarded as good practice that such a certain percentage of your patients will be on metformin.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  21. Two things happened, both to do with very powerful women. The first powerful woman was a lady I'd known for over ten years. She and her husband I'd cared for them both. They both had poorly controlled diabetes and they were both very heavy. At the time I could monitor how compliant my patients were with their medication. And if I'm to be truthful in part, that was how I was paid. So part of my payment was to do with are the patients having, in this case, metformin, the most commonly used drug for type 2 diabetes.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  22. Yeah. You know, so you start as a young doctor. I wanted to be part of a small community and stay there and make a difference. And then comes the sad bit really for the first 25 years, I was trying to do what's in the guidelines. I was trying to be a good doctor. But what I noticed, I noticed two things. Number one I notice what I've already said to you that the health of the population I cared for was deteriorating, it wasn't getting better so if I'm the doctor in charge of the practice looking after these people and health is deteriorating am I not responsible? And where is all this difference I was hoping to make? It just wasn't panning out. At the same time, I'd always in my heart. Felt that prescribing lots of drugs felt a bit wrong. It felt like a mini failure because how is somebody well if they're taking six tablets a day?

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  23. Exactly. Because if you took watermelon, Well, it's mainly water, isn't it? So you have to factor in. You can have quite a lot of watermelon to equal a chocolate bar. So, the density, That's why the glycemic load is better.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  24. So you see pure glucose is 100, and then other sugars come further down. There's something better than the glycemic index, and that's called the glycemic load. The glycemic load takes portions of food and predicts that How will that portion of food Actually, affect your blood sugar.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  25. Some carbohydrates are more sugary than others. And then, so that's the glycemic index. What that is doing is comparing different carbohydrates with pure glucose.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  26. Well, I can tell you that the people with prediabetes in my practice north of Liverpool, ninety three percent of them will get a completely normal blood sugar if they go low carb ninety three percent resolution and that will last for years because I've checked. Okay, how about we wait for the tent years and Stephen until Stephen you've got type 2 diabetes and then you go low carb At that point if I can get you early I've got a 73% chance of you having a normal blood sugar Let's wait another few years because you don't want to give up bread and you don't want to give up chips and pizza. Fair enough, I'll wait. But if we wait five years, you only stand a 50% chance. So do you see it goes 93 over 70%, 50%? So the chances of me not needing drugs and be able to do a good job for you are diminishing. So really it's a stitch in time.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  27. But unfortunately, this is another twist. Fat is being laid down in the pancreas gland, the very gland that your life depends upon producing insulin, and your ability to produce enough insulin collapses. And at that point you can't regulate blood sugar anymore. But upstream of that, you have a problem. You've got that. But you don't even know. You're talking about what's in my mind. Why are we waiting? until you actually have all the problems of type 2 diabetes. So since 2013, I've got hundreds of patients and I'm monitoring the baseline and latest follow-up. So what happens to them? It's really important. And now I have a huge data set that I can interrogate and answer questions. So number one question. Let's think about pre-diabetes. So, this is in the long silence screen.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  28. Crank up the supply we need more insulin. So now I have two things you have insulin resistance. Your insulin isn't working as well. But at the same time you're trying to produce more insulin in the pancreas. This bit's called the long silent scream from the liver this is worked by Professor Roy Taylor, a friend of mine at Newcastle University, and he pointed out that you've got fatty liver for about ten years you don't even know. You wouldn't know that your liver's gone fatty and yellow like that.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  29. Yes, these are human livers, and that's as it should be. But this, look at this liver, it's larger. And it's larger because of so much fat in it. Now the twist in the story is fatty liver interferes with the good work of insulin. So you develop a thing called insulin resistance, which means your insulin is no longer as powerful as it was. It's beginning to become difficult for you to deal with carbohydrate and sugar because your insulin isn't working as well. And the only way to deal with that is the next twist in the story. You have to start producing more insulin. Because it doesn't work as well. So your Pancras has to.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  30. Yes, so I was taking in too much glucose. Insulin was doing its good job of taking it out of my bloodstream and forcing it inside cells in my belly, but unfortunately in my liver. And so there's a progressive laying down of fat in the liver. So if we look at actually some proper liver, so this is the put on your seatbelts now because this is somebody's actual liver. So then that's the normal liver. But look at this is larger.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  31. Great. So fatty liver. This is the healthy liver here. And you see the color. Look at this one. It's yellow is the wrong colour, and it's because of fat. So in that case, like has happened to me over years my liver began to fill with fat

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  32. So I had a really heavy biscuit habit. I was senior partner of the practice and it's stressful and I had patients used to bring me biscuits all the time as a gift because they want the doctor to be happy. So in the drawer, in the top of my desk was packets and packets of biscuits. So I'm taking in more sugar and I didn't run around. And gradually my waist got bigger. What was actually happening was as I took in more sugar than I needed to run around, my insulin was working to get rid of that sugar, and it was giving me two things one. So, and I thought it's just middle aged spread, you know. And the other was I didn't know, but my liver was filling with fat. And that is very common now. So we have Well, it's a third of everybody in the developed world has fatty liver now. Here we got the wonderful props. Let's talk about these.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  33. Yes, yes, it does it does. So that's right. But you have the hormone insulin to defend you from poor dietary choices, so the question is what does insulin do with the sugar you just ate? And here's the answer Insulin, the hormone insulin produced by pancreas gland, which It pushes the sugar. It pushes it out of the bloodstream inside cells, where it can be used for energy for you to run around. But what if you take in more carbohydrate than you need to run around? Well, then that sugar is turned to fat inside cells. Because it's safer for you to turn that sugar into fat than it is to have it damaging your arteries. So I am somebody with type 2 diabetes, so we can talk about me.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  34. Okay, so first of all we're actually talking about glucose and And sugar can mean table sugar, or it could mean many different things. But we're actually talking about blood glucose.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  35. That's really important. Yeah. So first of all, there's type 1 diabetes and type 2. But before I can explain about diabetes, I need to explain about insulin. This is absolutely key to our whole discussion. So I've already said that a high blood sugar damages your arteries and in fact there's work to show that a very high blood sugar damages the non stick lining of your arteries within six hours.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  36. That a high blood sugar over time damages your arteries. So this accumulative thing over time. But what you may not know is that actually A rising cause of mortality for people with diabetes is cancer. So eight forms of cancer are strongly associated with diabetes.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  37. Absolutely. So we know from government figures, UK government figures, that for every year that you have poorly controlled type 2 diabetes, you're losing 100 days of life. That's about a third of a year, isn't it? Whatever age you are, if you have poorly controlled diabetes, you're losing life expectancy. And maybe a third of all the people in the world with type 2 diabetes don't even know they have it because they haven't taken the test so they don't know. What do you think kills people with type 2 diabetes?

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  38. The Dad Bod. You know the big tummy and ha without realizing that maybe that isn't how you're supposed to be. So that's what's on my mind. Young people and their future and they don't even know.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  39. A long time ago, just north of Liverpool in the practice I'm still there now. Obesity was rare and we didn't have a single case of type two diabetes in anybody under fifty five. Not a single case. It was quite unknown. And in fact type 2 diabetes had a different name. We've had to change the name because of the epidemic. It used to be called maturity onset diabetes. That meant old people, right? Now we call it type 2 diabetes because we have to include so many young people. It's really, really serious because people are losing their life expectancy. And I'm witnessing this. We're all sleepwalking into a metabolic disaster and the people praying the greatest price in my opinion are young people and it's a scandal and I'm hopping mad really. I think we've started to gnaw.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  40. And it's getting harder and harder and harder to make good health choices in your lifestyle. It's really hard. I'd say it's a pandemic of poor metabolic health. Yesterday in clinic, I saw two people under the age of twenty five who had poorly controlled diabetes, and one of them was too heavy for me actually to weigh. And this situation is completely new. So when I was a young doctor, and just starting off in practice, that was in 1986.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  41. Front of mind for me is the idea that each of us has a number of different health futures. So you have. So in your future, I don't know, there could be cancer. There could be multiple sclerosis or there could be many futures. What I'm interested in is how do I get you to pick a lifestyle that will get you the future you want. And I think that's very difficult in the world now to know what is the best lifestyle because you've given so much conflicting advice. And the particular focus for me in terms of picking health futures is around young people because they've got the longest time to make a difference.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  42. But each of us has a number of different health futures. And what I'm interested in is how do I get you to pick a lifestyle that will get you the future you want? Because my job is about behavior change.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  43. So now I'm going to give you the correct figure. The cornflakes is 1, 2, 3, 4, 5, 6, 7, 8. That chocolate bar is seven and a half. The banana, that's six, and then the potato is actually

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  44. You've just done it, you pass. But fat on your belly is more worrying than fat on your legs or on your arms. And fortunately, we've started to normalize things like the dad bod without realizing that isn't how you're supposed to be. And maybe a third of all the people in the world with type 2 diabetes don't even know they have it. But every year that you have poorly controlled type 2 diabetes, you're losing a hundred days of life. And it's because people don't know. The truth being fooled with the packeting and advertising.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT

  45. Your waist should be less than half your height. So half of that string should go around the fattest bit of your belly. And this is a really simple test for everybody at home.

    2026-05-18 · The Diary of a CEO · Fatty Liver Expert: Your Liver Is Filling With Fat Right Now - Dr David Unwin · IDENTIFIED FROM THE TRANSCRIPT