Dr. Paul Mason: Rethinking Cholesterol & Blood Tests - Ep 116
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- Опубликовано: 27 июн 2024
- Join us for an enlightening episode of the LowCarbUSA® podcast, where host Doug Reynolds sits down with Dr. Paul Mason, a distinguished sports and exercise medicine physician, to discuss the nuances of blood test interpretation and preview the upcoming LowCarbUSA® 9th Annual San Diego Symposium for Metabolic Health, to be held August 15-18 (www.lowcarbusa.org/smhp-sympo....
Meet Dr. Paul Mason
Dr. Mason uses an evidence-based approach to challenge conventional medical wisdom on topics such as saturated fat, cholesterol, dietary fiber, and sun exposure. He has authored a chapter on nutrition in the textbook Clinical Sports Medicine and is actively involved in curriculum development and teaching within the Australasian College of Sports and Exercise Medicine. His approach to managing complex medical conditions spans patients from the general public to elite athletes, including the Australian Olympic rowing team.
Revolutionizing Blood Test Interpretation
In the podcast, he offers profound insights into the often misunderstood realm of blood tests. "The concept of having biomarkers that reflect our health is a very good one," he explains, "but the trouble is, some of them are more reliable than others, and sometimes the reference intervals are completely out of whack." He emphasizes the need to interpret blood test results through the lens of optimal health rather than population averages and he believes reference intervals should be set using data on longevity. "The people who take statins whose cholesterol actually lowers the most actually have the worst survival," he noted, highlighting issues with overly aggressive cholesterol lowering.
He went on to explain, "Every blood panel I do is actually personalized to their history." He also discussed the complexities of evaluating markers like ferritin and the importance of considering inflammation. His meticulous and systematic approach ensures that each patient receives a nuanced and accurate health evaluation.
Optimizing Health for Longevity
Dr. Mason advocates for using all-cause mortality data to set health benchmarks, stating, “My favorite outcome in science is mortality. And that's because you can't fudge it. In terms of clinical outcomes, nothing beats living. And you can't fake that. You can't have a mischievous researcher come through and manipulate the methodology too much when you've got mortality as an outcome.”
Listeners also learned how subtle factors like thyroid function can influence cholesterol levels. He provides valuable insights on the importance of thyroid health and its impact on cholesterol levels. "An underactive thyroid can elevate your triglyceride levels and your cholesterol levels," he explains, emphasizing the interconnectedness of various health markers.
Join Us at the Symposium in San Diego, August 15-18
This podcast episode is just a glimpse of the comprehensive, science-backed health insights Dr. Mason will share at the 9th Annual San Diego Symposium for Metabolic Health, August 15-18 (www.lowcarbusa.org/smhp-sympo.... Don't miss this opportunity to gain invaluable knowledge and interact with leading experts in metabolic health. This year’s symposium will feature a full day, Thursday, August 15th, dedicated to exploring the connection between mental health and metabolic disease.
I had a cardiologist who wanted me to take statins because my LDL was 'too high'. He got a bit annoyed when I asked him what level we were trying to get down to. His answer was "zero would be a good outcome"! My wife and I looked at him and I said "If I could get my LDL down to zero, I'd be dead wouldn't I, given that LDL is an essential component of life"? He gave me the prescription, I got them and didn't take them, I also didn't consult him again.
What I can not understand is why my mother at 100 years old is placed on a satin to increase her chances of survival over a 10 year span. There is only one chance in a thousand that a centenarian will reach 110. Actuarial tables are most unkind to centenarians, even in the best of circumstances. That would apply to most of the medications she has on prescription and she takes a few morning and night.
Yes, my cardiologist was annoyed when I asked about possibly a test to determine the size of the LDL, but he was in this lecture mode referencing the Jupiter Study on cholesterol, given that Dr Paul Mason has enlightened my understanding of how statins/cholesterol relationship works, I no longer will visit that cardiologist, the lack of acceptance that a patient might have a point that he disagrees with is unfortunately common in Australia. My doctor is far more accepting/supportive of my Keto lifestyle.
Its not just in Australia, Steve, it's everywhere!
Go by the deadly Book and protocol and never think outside of the box.@@coweatsman
@@coweatsman The missing piece of information is that statins are very profitable.
Dr. Paul Mason is a brilliant physician & educator, and is always a pleasure to listen to and to learn from.
Glad to see there's a new generation of Masons on the way 😊
Here is what I learned from this video. If you eat the SAD, you are going to need a genius of a doctor like Dr. Paul Mason to keep you well. Good luck with that. If you eat Carnivore, you are good to go. The body is too complicated to mess around with things that we did not evolve to eat. Your body is amazing. Give it what it needs.
😊😊😊
Paul Mason is the best. I would watch anything with him, so insightful and relaxed. Lovely family.
I think we’re a huge and growing group of Dr Paul Mason admirers and followers. He’s making a significant (and important) impact!! 🫡👏🏻
Now I’ve been waiting to hear this.. I read “Rethinking Diabetes “ by Gary Taubes.. we need to “Rethink Cholesterol “. We have been lied to for years… mostly for the medical profession and big pharma to push their drugs.
A-B-S-O-L-U-T-E-L-Y
They restricted egg yolk consumption by scaring people about cholesterol. The real reason is to restrict the complete nutrition present in yolk. We were too dumb not to realise that an entire fricking animal comes out of yolk meaning everything that animal body needs is in yolk. What a scam !!!
Can you please post a link to the research showing lower LDL leads to higher all cause mortality? Every doctor should see that.
ruclips.net/video/k5uCD4HPaS0/видео.html
I have plaque, CAC score of 12. Ive been given the statin talk many times. When I didnt want those I was offered the other type , fancy inhibitors. I said if you can tell me the numbers needed to treat, ill consider it. Silence. Cardiologist didnt know. The alternatives she wanted me on are not for use on their own but in combo with statins according to the Cochrane Review. I've done my 'Mesa' score. I'm low risk. The letter back to my GP from cardiologist said I "wasnt interested "in cholesterol lowering meds. Not true and I told my GP so. I told her It's important to ask the patient not just read the letters because Ivey never said I wasnt interested, Im VERY interested . If in my case there's a benefit please enlighten me, I do want to live! Never has anyone in my medical team enlightened me appropriately.
If only there was a Paul Mason in every suburban general practice. Alas it can not be so so I am searching out a new doctor. Haven't found one yet and I haven't visited my regular GP for over a year for various reasons.
He is fantastic. The very best. 👍
Why do you need a doctor?
@@josephschmeggins6311 To be a partner in good health, EXPLAIN ( beyond all the YT instant experts know-alls), to order benchmark-setting blood tests - oh, you know useless stuff like that. (Or I guess we could ask YOU! 😂,) Cheers. 🙏
@@josephschmeggins6311 My answer vanished. Try again: to be a partner in good health. To EXPLAIN as an expert beyond YT unqualified instant know-alls, to order blood work as benchmarks. Etc. (or people could just ask you 😂). Cheers. 🙏
So so interesting. Hoping videos from the conference in San Diago will be available for us who live around the globe Thank you
There is a Livestream ticket option, so anyone in the world can watch it
Thank you, had bloods and health check yesterday. BP/HR/BMI all in optimal range, LDL 5.25mmol/l.. 9 month carnivore and feeling terrific !
Videos like this are extremely helpful. Thank you very much.
Totally agree with Australian blood tests not designed to detect any problems. My dr kept testing me and of course it was always in the "normal" range, but mysteriously disappeared when I started 3000mcg a day of Methyl B12. My dr apologised for the system!
Wow credit to your doctor for acknowledging the failings in the system.
I have a feeling it will be shown that prolonged fasting can heal many autoimmune conditions. High ferritin? Prolong fasting to get that ferritin down… etc.
Thank you so much Dr. Mason! You'd better come back from San Diego! Don't let the Anericans steal you from us!
I learned to not look at single inflammatory markers in isolation.
This guy is brilliant!!!
The irony is that in Oz 🙃🦘🇦🇺🙃 the results come back with a reference range, as Paul says - but for cholesterol, they suddenly start caring about TARGET ranges for primary and secondary interventions. They then say to aim for LDL under (some very silly number). Then the doc pushes statins. I dont recall any other ones with a "target" like that. There is a LOT of pushing. They even wanted to put statins in the water, like fluoride. 😮
PS Paul Mason is my No. 1 Go-to. Really appreciate his sanity, knowledge and generosity sharing it. 🎉
Brilliant as always.
Thankyou for a great interview dr Mason is brilliant . God bless u both x😊
An EUC in the USA is called a complete metabolic panel (CMP) or sometimes a Chem 12
A CMP is a Chem 24 and a BMP (basic metabolic panel) is a Chem 12.
!!! "now here is the question - Is 95% of the population healthy?" What a wonderful question to pose about so called "normal" ranges.
Paul Would it be possible for you or others to prepare as better set of reference ranges. What do you think of Ken Berry's ranges?
Fantastic info from the great Paul Mason! I too am appalled by the very idea that there is a threshold for considering auto-antibodies as too high. The correct amount is ZERO! Shocking really. Great to find out how right I have been about so many things, when I hear Our Paul clearly explaining them. I'm sorry he still thinks school is a good place for kids. He should be home educating them !!
26:48 Host: “I’m confused.”😂
If someone gets sunburnt can that throw off their lipid or liver function numbers?
Dorevitch gave me a Holotranscobalamin of greater than 146, their requirement was greater than 27 (pmol/L). Guess I was higher than their reference range.
I’d say you were.
How would a person decide what is optimal?
Dr Ken Berry has a book called Common Sense Labs; it's available as an e-book. In it he gives the standard and optimal ranges for the various tests. For example the standard reference range for fasting insulin is
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Time stamp 00:18:00 talk about Fe... See what Morley Robins has to say about this. He claims Cu moderates Fe. Makes perfect sense!
I can't seem to get both my vitamin D and platelet count in the reference range. If I take vitamin D, my platelet count drops. I never feel sick from either out-of-range biomarker, but it really sucks that I can't do anything to make my doctor stop worrying.
What about trying to get Vitamin D from the sun and seeing what happens?
@@kimberlyf4888 I get lots of sunlight already. Maybe I could go sunbathe but that seems like more effort than I really want to put in.
Adequate magnesium is required for assimilation of Vit D and also affects platelet count.
Be your own advocate, do your research, don't worry about what your doctor says.
how does a person avoid inflammatio???????????????
Reducing carbohydrates and sugar has a massive anti-inflammatory effect. Reducing them low enough to get into a ketogenic state, even better
Seed oils are known to be inflammatory.
6:01 This is misleading. I'm certain you are fully aware of the Australian vitamin B12 lab results guidelines, as it is written in plain English (you only quoted half of the statement, omitted important details). There are 2 tests: Total serum vit B12, & Active B12 (Holotranscobalamin). If Total B12 is 400 pmol/L or less, they test Active B12 levels, to clarify B12 status (over 400 pmol/L is regarded replete). If Active B12 levels are 35 pmol/L or less, then it's regarded as Vit B12 deficient (regardless of Total serum B12).
The Active B12 test is much more expensive, therefore only undertaken when clarification is needed.
My folate is 6.6 on carnivore.
How to get more?
Vegemite, if you can bend the rules. Otherwise chicken liver is mind blowingly high in it.
Looks a bit high in carbs, gives me gout. Heard about the chicken liver before so will give a try
Liver or eggs.
Weird food pyramid.. The meats should be on top, veggies and fats be on second top.
If you tip the pyramid around so it stands normal, the meats should be on the bottom, veggies and fats on second floor 🤠
Right.
Meat is a base food as far as I am concerned.
@@man_at_the_end_of_time that's what I am saying.
How's this relevant to people who don't do "blood tests"?
Well duh ...if you don't check levels, it's totally irrelevant. Most of us do like to see these markers vastly improve with healthy woe. It's great biofeedback as a kind of reward for this woe. Just as a CGM or glucometer give immediate feedback to how foods affect glucose levels.
Still interesting, ain't it?
How about speaking in plain speech.
At 8 minsor so Dr Paul says "My favourite outcome is mortality" 😂😂😂 Keeping out of YOUR surgery, doctor! 🤔🦘😂
He kind of laughed, so he clearly understands the irony.
@@KenJackson_US Nah, he was just enthusing about it as a superior statistical measure. Really. He would laugh like a drain when it was pointed out, I bet. I am an Aussie, and I think he's the bee's knees. I watch him whenever I can. No need to defend him! 😂 I was not having a go at him. Really. 🙏