This blog post is based on insights from Dr. Pal Manikam’s YouTube video: “How do you know you have fat around your heart increasing the risk of heart attack and if so what is the mechanism of burning fat and my four hacks to burn fat”.
Have you ever looked in the mirror and thought, “I’m not overweight, so I must be healthy”—only to discover your cholesterol is through the roof? Here’s the shocking truth: you could be skinny on the outside but fat on the inside. That hidden fat, called visceral fat, might be wrapping around your heart, liver, and other vital organs right now, silently increasing your risk of a heart attack.
In this post, Dr. Pal Manikam, a medical expert who has helped thousands decode their true health risks, reveals why traditional weight measurements fail you and shares four simple, science-backed hacks that prime your nervous system to burn fat more efficiently—no extreme diets required.
Why BMI Is Lying to You (And What to Measure Instead)
If you’ve ever calculated your Body Mass Index (BMI) and breathed a sigh of relief, Dr. Pal has some sobering news: “Body mass index is a waste of a number.” —Dr. Pal Manikam, timestamp approx.
This is especially true for Southeast Asian people, particularly Indian men and women. Why? Because most of the dangerous fat gets deposited around the belly, not distributed evenly throughout the body. You might look perfectly normal while carrying a ticking time bomb of visceral fat around your internal organs.
The Waist Circumference Test
Forget the scale. Grab a simple inch tape measure—right now.
Here’s exactly what to do:
- Stand up straight and breathe normally
- Wrap the tape measure around your belly button (not your hips)
- Make sure the tape is snug but not digging into your skin
- Read the number
What the numbers mean:
| Measurement | Women | Men |
| Warning Zone | More than 80 cm (31.5 inches) | More than 90 cm (35.4 inches) |
| Obesity Criteria | More than 90 cm (35.4 inches) | More than 100 cm (39.4 inches) |
If you land in either zone, you likely have visceral fat accumulating around your heart, liver, pancreas, and intestines—even if you don’t look overweight.
For example, Dr. Pal shares his own story: “When I was measuring 100 kilos, my waist circumference was 104 centimeters but I did not look that much obese. My main problem was my belly looked like a volcano made of Biryani and if it erupts, it will spit out parotta salna.” —Dr. Pal Manikam, timestamp approx.
The Waist-to-Hip Ratio Test
Passed the first test? Dr. Pal has a backup that’s even more precise.
How to calculate it:
- Measure your waist circumference around your belly button
- Measure your hip circumference around the widest part of your buttocks
- Divide waist by hip (Waist ÷ Hip)
Your risk level:
| Result | Men | Women |
| Increased Risk | More than 0.90 | More than 0.85 |
For example, if you’re a woman with a 32-inch waist and 38-inch hips, your ratio is 0.84—just under the danger zone. But if your waist is 34 inches, your ratio jumps to 0.89, putting you at serious risk.
Bottom line: These two simple measurements reveal the truth that BMI hides. If you fail either test, congratulations—you’ve identified a hidden health threat you can now fix.
How Your Nervous System Controls Fat Burning
Before diving into the hacks, you need to understand the real mechanism of fat loss. It’s not just about “eating less and moving more.”
Here’s what actually happens:
- An enzyme called lipase breaks down fat cells into smaller fatty acids
- These fatty acids leave the cells and get used for energy
- The most powerful trigger for lipase? Your nervous system
Dr. Pal explains: “The neurons are connected from the brain into the fat cells and when [the nervous system] gets stimulated at the right time, it burns fat for you.” —Dr. Pal Manikam, timestamp approx.
When you diet, you force your nervous system to burn stored fat. When you exercise, you directly stimulate those same fat-burning neurons. That’s why diet and exercise work—but what if you could supercharge that nervous system so every healthy choice works twice as well?
That’s exactly what these four hacks do. They optimize your nervous system, boost your metabolic rate, and prime your body for maximum fat loss.
4 Powerful Hacks to Supercharge Your Fat Loss
Hack #1: Sleep Your Way to a Slimmer Belly
This isn’t about being lazy—it’s about neuron recovery. When you get 7-8 hours of quality sleep, your fat-burning neurons rest, recharge, and wake up ready to incinerate fat.
The science is clear: People who sleep properly consume 270 fewer calories per day automatically. Since you need to cut 3,500 calories to lose one pound of fat, that’s one pound gone every 13 days—just from sleeping!
The blue light problem: Your phone is sabotaging your sleep. That blue light delays melatonin (your sleep hormone) by 90 minutes, robbing you of precious fat-burning neuron recovery time.
Dr. Pal’s strict rules:
- No phones, iPads, laptops, or LED lights for 1 hour before bed
- If you must use your phone, enable red filters: Search “color filters” on iPhone, choose “color tint,” and max out the intensity
- If you wake up at night, never check your phone for the time—use a physical clock instead
For example, treat your home like a five-star hotel: one dim light at the dining table, everything else dark. Your neurons will thank you.
“My friend wake up! Why are you sleeping?” his wife asks. He replies without opening his eyes, “Don’t disturb, I am in a weight loss program.” —Dr. Pal Manikam, timestamp approx.
Hack #2: Feed Your Fat-Burning Neurons with Omega-3s
Your neurons are made of fat. Good fat. To burn bad fat (visceral fat), you need to feed your nervous system the right building blocks: essential fatty acids.
The star player? Omega-3 fatty acids. Get more than 3 grams per day, and your neurons fire faster, burning fat more efficiently.
Top sources:
- Walnuts: 10 walnuts (30g) gives you the daily requirement
- Salmon and other fatty fish
- Chia seeds
- Avocados
Warning: Walnuts are calorie-dense. Don’t eat them like snacks during a cricket match.
For example, “My friends eat walnuts like an IPL 2020 match. You should play it like Rahul Dravid’s drive in a test match—adding walnuts slowly and consistently.” —Dr. Pal Manikam, timestamp approx.
How to add them: Sprinkle chopped walnuts on your morning oatmeal, toss them in salads, or eat them as a mid-morning snack—not by the handful while watching TV.
Hack #3: Build a Fat-Burning Gut Army
Your gut is your second brain. It contains trillions of bacteria that directly influence your fat-burning neurons. Good bacteria = better fat loss.
The weapon? Buttermilk.
This fermented dairy product is packed with live lactic acid bacteria that boost your gut microbiome, which in turn stimulates your nervous system to burn more fat.
Buttermilk benefits:
- Promotes good gut bacteria
- Rich in phosphorus, potassium, vitamin B12, and riboflavin
- Natural probiotic
- Perfect for hot summer months
Dr. Pal’s recipe:
- Fresh mint leaves
- Coriander leaves
- Roasted cumin powder
- ½ teaspoon black pepper
- ½ inch fresh peeled ginger
- Blend with water until smooth
Serving: At least 2 servings per day.
For example, in Tamil Nadu marriage halls, buttermilk used to be served freely. Now it’s rarer, but you can make it at home in under 5 minutes.
Caution: “My patient drinks buttermilk daily, but his mustache filters all the ingredients. His mustache has more good gut bacteria than his stomach!” —Dr. Pal Manikam, timestamp approx.
Hack #4: Power Up Your Thyroid with Selenium
Your thyroid hormone is the master control of your metabolic rate. When it’s sluggish (hypothyroidism), weight piles on despite diet and exercise.
The key nutrient? Selenium. This trace mineral keeps your thyroid gland firing on all cylinders.
Daily requirement: 55 micrograms (up to 400 mcg for hypothyroidism patients)
Best source: Brazil nuts
- One Brazil nut = 75 micrograms selenium
- Safe amount: 2-3 Brazil nuts per day
Other selenium-rich foods:
- Fish and fish eggs
- Milk and yogurt
- Sunflower seeds
- Mushrooms
For example, “My patient Auro Kisami is a software engineer who works with Selenium tool. He says, ‘The only time I don’t think about selenium is while eating.’” —Dr. Pal Manikam, timestamp approx.
Warning: More is not better. Overdoing selenium is toxic, so stick to 2-3 Brazil nuts daily.
For example, “My friend Saravana Kumar says, ‘I have seen selenium only in the periodic table. What next, should I eat plutonium?’ I was like, no one can heal him!” —Dr. Pal Manikam, timestamp approx.
Real-World Example: Putting It All Together
Meet Priya, a 42-year-old software engineer who looked healthy at 130 pounds but had a waist-to-hip ratio of 0.87. Her doctor warned her about visceral fat and heart disease risk.
Instead of extreme dieting, she implemented Dr. Pal’s four hacks:
- Sleep: Set a phone curfew at 9 PM, used red filters, bought a physical alarm clock. Within a week, she slept 7.5 hours nightly.
- Omega-3s: Added 10 walnuts to her breakfast smoothie.
- Gut health: Replaced evening chips with a glass of homemade buttermilk.
- Thyroid support: Ate 2 Brazil nuts as an afternoon snack.
Results after 3 months: Her waist dropped by 3 inches, her ratio improved to 0.81, and her energy skyrocketed—proving that priming your metabolic rate works even without starvation diets.
Frequently Asked Questions (FAQ)
Q1: Can I still lose visceral fat if I don’t exercise?
Yes, but it’s slower. These hacks boost your metabolic rate, making diet alone more effective. However, adding even 30 minutes of walking triples your results by directly stimulating fat-burning neurons.
Q2: How long before I see results from these hacks?
Most people notice better sleep and energy within 1 week. Visible waist reduction takes 6-12 weeks of consistent application. Remember, you’re rebuilding your nervous system and gut microbiome—this takes time.
Q3: Are Brazil nuts safe for everyone?
Stick to 2-3 nuts daily. People with nut allergies should get selenium from fish, yogurt, or sunflower seeds instead. Always consult your doctor if you have thyroid medication.
Q4: Why is waist-to-hip ratio better than BMI for Indians?
BMI doesn’t account for fat distribution. South Asians store more visceral fat at lower body weights. The waist-to-hip ratio directly measures dangerous belly fat, making it a better predictor of heart disease risk.
Q5: Can I use my phone in night mode instead of red filters?
Night mode helps, but blue light still sneaks through. Dr. Pal recommends complete avoidance 1 hour before bed or maximum-intensity red filters for true melatonin protection.
Conclusion: One Belly at a Time
The hidden visceral fat around your heart is a silent killer, but you don’t need extreme diets to fight it. By measuring your waist-to-hip ratio, understanding your nervous system’s role in fat burning, and applying these four hacks—quality sleep, omega-3s, buttermilk, and selenium—you prime your body to lose fat twice as fast.
Credit & Call-to-Action
This blog post is based on insights from Dr. Pal Manikam’s YouTube video: “How do you know you have fat around your heart increasing the risk of heart attack and if so what is the mechanism of burning fat and my four hacks to burn fat”.
Dr. Pal runs Aishwaryam Trust, a Madurai-based nonprofit providing free food, shelter, and 24/7 medical care to hospice patients. If this content helped you, consider donating via the link in his video description. U.S. residents can donate tax-deductibly through the Vannamalaga Foundation.










