The fat. This enemy who installs sneakily in our bellies, buttocks and thighs is unfortunately not always easy to dislodge.

Before tackling it, it is therefore important to know which grease (s) we have made.

• Nerve fat

This white fat, superficial and very visible, meets frequently. Indeed, nervousness, anxiety and overwork are the causes.

The solar plexus is one of the main targets of stress and acts as a fuse between the attacked brain, the adrenals and the pancreas. This reacts by secreting an excess of insulin and the abdominal adipocytes are filled with fat.

Where is it? It predominates on the front of the abdomen, making (seen in profile) as a shield on the belly. Soft and thick, you can pinch it between your fingers.

The symptoms: hypoglycemic pump shots, sugar cravings, bloating from the first bites, fatigue and depressive attacks.

What to do ? "You have to calm stress and identify cravings over time, says Dr. Panizza 1. Remove then the sugars meals that precede them. If they feel in the morning, take a breakfast with protein and fat If it is in the afternoon or in the evening, classic breakfast, and we privilege protein and fat for lunch and dinner.To avoid bloating during periods of stress, it eliminates refined grain foods, fruits at the end of the meal and alcohol before meals.In the period of relaxation, on the other hand, it is perfectly legitimate to resume a normal diet. "

Appropriate medical treatment will aim to control cortisol and adrenaline outbreaks and limit insulin spikes.

• Deep fat

"This white fat is that of all dangers," says Dr. Panizza. It leads indeed to thromboses, atheromas and infarcts, because the functioning of the organs is disturbed by this greasy coating.

Where is it? By pinching the skin of the belly, we notice that it is not very thick. This is because the fat will lodge in the depths of the abdomen.

Symptoms: drowsiness after meals, snoring at night, sleep apnea, lack of energy, even in the morning. Hypertension, increased triglycerides, bad cholesterol.

What to do ? Following a specific diet decreases the disturbances of the metabolism, but to treat these deep abdominal obesities, it is essential to regulate the insulin secretion and to suppress, initially, all sugars with high glycemic indices.

On the other hand, it is necessary to optimize the contributions in omega 3 and to adjust the protein ration of the meals. It is determined by measuring the lean mass, that is to say the body mass without fat, thanks to a specific device (balance or electronic coach).

But medical treatment is always essential.

"It must be based on small doses of metformin hydrochloride, combined with nebulisates of plants, minerals and vitamins," says Dr. Panizza.

The fat then gradually leaves the deep fat cells, the volume of the belly decreases, the bloating after the meal disappears, and the energy returns.

But beware: recurrences are always possible, with reappearance of symptoms to the key.

Periods at risk: pregnancy, menopause, stressful situations and treatments based on hormones, neuroleptics, corticosteroids, anti-inflammatories, etc. In this case it will be necessary to resume punctually the same food phase as at the beginning of treatment.

• Cellulite

Cellulite is due to adipocytes whose functioning is disturbed and whose destocking mechanisms are deficient.

Capillary cellulite , extremely common, is a cold fat located on the thighs and arms.

What to do ? Avoid the cold, favor soft massages and Scottish showers.

Venous cellulite is a warm fat that coats thighs and legs.

What to do ? The ingestion of sugars with a high glycemic index (GI) should be moderated. On the other hand, antioxidants are beneficial, as is a diet rich in fatty acids and omega 3 (rapeseed, flax and walnut oils, fatty fish), vitamins E and C, selenium, zinc, manganese and copper.

Hormonal cellulite like the saddlebags is a cold fat that invades the lower belly, the upper thighs, the inner side of the knee.

What to do ? No dietary restrictions that cause the cheeks to lose, but not the buttocks. Just reduce the high GI sugars. Dietary supplements based on evening primrose oil, rich in gamma-linolenic linoleic acids, can restore a good hormonal balance, especially estrogen.

1. Author of "Strategy to lose weight! The nutri-metabolic balance" (Teztez editions).