Fat can also build up directly around the heart as epicardial fat, a layer that sits tightly against the heart muscle and coronary vessels. Because of this close contact, it releases inflammatory substances and fatty acids straight onto heart tissue, causing constant local stress. As the layer thickens, it limits how well the heart relaxes between beats, reducing how much blood it can fill with each cycle. To compensate, the heart pumps faster and harder, increasing strain even during rest. Over
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