I like you Doctor.So, I’m an ER doc (like this Sean O’Mara guy, apparently), and as such I look at CT scans of the abdomen and pelvis every shift (the radiologist provides the official read, but I always personally review the images as well). Do you want to know who has a lot of visceral fat? Fat people. Do you know who doesn’t have a lot of visceral fat? Lean people.
I have never seen an endurance athlete with excess visceral fat.