Podbit · 2 Bears, 1 Cave with Tom Segura & Bert Kreischer
Tom had hard, rock-solid visceral fat crammed around his organs. Bert had the softer, 'sit different' variety. Tom says he actually preferred his hard belly — people would poke it and say it felt like a rock. The distinction is funny, but visceral fat is the kind that presses on your heart.
Where this was said
At 8:00 · chapter starts 0:52
Tom opens this chapter with a striking confession: when he was at his heaviest, he had zero body insecurities. [1] — Tom Segura "Tom Segura says he had zero body insecurities at his heaviest. He only started questioning it when he looked back at photos and thought, 'W…" 02:18 He only started looking at old photos and thinking 'why didn't anyone say anything?' after he'd already lost the weight. He credits reading a Lindy West article on body positivity — in 'the gayest way possible,' he admits — with helping him accept himself as fat. Bert, by contrast, leaned into fat earlier but eventually hated it, and he draws the key distinction: Tom's fat was visceral, crammed hard around his organs, while Bert's was the softer 'sit different' variety — the kind where your legs spread and stairs are a threat. Tom says he actually liked having a hard belly; strangers would poke it and be amazed. Bert recalls having shirts custom-made because no store stocked his size, and Tom explains the weight-loss lip-injection illusion: face fat makes lips look smaller, so when it disappears, your actual lips appear bigger. The chapter closes with Bert recounting Ralphie May spotting him at a radio station and warning 'You're going to lose your whole act,' a dig neither man has ever fully forgotten.
Bert Kreischer had shirts custom-made because he was too large to buy one off the rack from any store.
Tom Segura says he had zero body insecurities at his heaviest. He only started questioning it when he looked back at photos and thought, 'Why didn't anyone say anything?' The disconnect between living happily in a fat body and the shock of hindsight is genuinely surprising.
Tom Segura says he never had insecurities about his body when he was at his heaviest, and only looked back at photos later and thought 'whoa, why didn't anyone say anything?'
Bert Kreischer explains that people assumed he had lip injections after losing weight, when in reality his lips just looked bigger once his face fat shrank.
Predictions that AI would eliminate radiologists were spectacularly wrong. Since those predictions, Mayo Clinic's radiology staff grew 55% and the specialty became the second-highest paid in medicine. The reason: AI automated scan-reading, but only 36% of a radiologist's time was ever spent doing that.
Self-help fails because people are sold one universal cure by the hyper-responders who had a transformative result from it. The real problem is context: every method works for the right person at the right time, which is almost never you just because the author says so.
Spencer Greenberg was once so socially anxious his heart pounded just approaching a stranger. His therapist gave him homework: go to a bar alone, talk to 5 strangers. Starting with asking for the time, he worked up to asking men for hugs — and his anxiety fell dramatically in 6 months.
A person who flies regularly but obsessively checks weather forecasts before every flight is not doing exposure therapy — they're teaching their brain that flying is only safe with the ritual. Safety behaviors prevent the brain from ever learning that the feared thing is actually fine.
The worry-time technique assigns all worries to one scheduled slot (e.g. 5 PM). Every time a worry surfaces, you write it down and ban yourself from engaging with it until that time. When 5 PM arrives, most worries feel trivial and the act of batch-worrying exposes how little it actually accomplishes.
In a randomized study of 20 habit techniques, 'habit reflection' stood out: recall a past habit you successfully built, write down what helped you succeed, then apply those same strategies to your new habit. It works because it's self-adapting — it uses whatever worked for YOU.
The tiny habits technique — always having a minimal version of your habit you can do when life gets in the way — keeps the mental machinery of habit formation from breaking. Paradoxically, people given a tiny-habit fallback option were MORE successful at the full habit, not less.
Fears and worries act like playground bullies — they want to ambush you. But when you deliberately seek them out and choose the time of engagement, they lose their power. The volitional act of starting the fight on your own terms is one of CBT's most underappreciated insights.
Most downtime defaults are things you regret immediately after — phone scrolling, binge TV. 'Glad you did it' activities meet the same need for rest but leave you feeling like you spent your time well. The switch from a bad screen to a documentary, a book, or a walk costs almost no extra effort but compounds into identity over time.
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