Cholesterol Unveiled Separating Fact from Fiction in Heart Disease
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- Опубликовано: 18 окт 2024
- Unlock the truth about cholesterol in this eye-opening video! Contrary to popular belief, cholesterol isn't a disease but a marker for atherosclerosis. Discover the science-backed perspective challenging the notion that cholesterol directly causes heart disease. Explore the importance of preventing atherosclerosis through lifestyle changes, such as low-carb diets, and delve into the valuable insights provided by Dr. Westman's cholesterol course and Dr. Yancy's ketogenic textbook. Learn why personalized risk assessment and arterial measurements offer more accurate information about heart disease risk than conventional approaches. Say goodbye to fear mongering and explore a proactive approach to heart health.Say goodbye to unnecessary lab tests and prioritize disease detection over relying solely on blood tests. Join us on a journey to understanding cholesterol beyond the myths and misinformation!
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Dr. Eric Westman, Associate Professor of Medicine at Duke. He is Board Certified in Obesity Medicine & Internal Medicine, & founded the Duke Keto Medicine Clinic. He is a Fellow in The Obesity Society. He is the author of The New Atkins for a New You, Cholesterol Clarity, and Keto Clarity, and End Your Carb Confusion & co-founder of Adapt Your Life.
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I've been keto or low carb for about ten years and my LDL is above the normal range. My doctor requested a CAC analysis of my arteries. I did this and there was no plaque--the score was zero. I am not too worried about this and probably won't take a statin to lower my LDL cholesterol since it is not causing plaque after ten years of exposure. I will keep after it and rescore it sometime in the future as directed by my doctor.
Every single cell in our body is made of cholesterol. All our hormones are made by cholesterol. I'd only be worried about my chol... if it was low.
DO NOT TAKE STATINS , EVER.
Same thing happened to me.
My total cholesterol is in the 400's, ldl in the 300's, HDL 86, trig 72. I'm LMHR.
Love your channel Dr Westman!
Same
I just got my blood work back and everything excellent but cholesterol. Total 317, LDL 204, HDL 94 and Triglycerides 97. First paragraph of results sent, "it is recommended that you consider starting a statin type medication like Atorvastatin. 🫣 I have always had hight cholesterol but was told the good negated the bad so not to worry until now. I take no drugs but multivitamin which shocks the clinic when I go in. Since the holidays been eating crap and not walking as much. Going to make changes in that before even considering any kind of drug and one really not seeing good reviews on.
I keep hearing this. Same for my mom. My kiddo is Sixteen and we want to see her CAC but I don’t want her to go in for that if it’s not necessary. My mom is almost 70 so she’s the one who should really have the issue.
I have you beat. :) LDL over 400, HDL of 122 (not a typo)., TG 66.
@@EdJacobson77 GREAT.. 🥰 your TG/HDL is less than 1
Dr. Westman, this is one of your BEST videos ever. The amount of information you have provided, using terms we laymen can understand, is amazing. Your information and advice on the cholesterol/LDL topic help to educate us as we prepare to discuss this topic with our PCP's, cardiologists and lipidologists. It is critical thinkers like you, Professor Bart Kay, Dr. Nadir Ali, researcher Dave Feldman, Professor David Diamond, Dr. Aseem Malhotra, Dr. Malcolm Kendrick and many more, who are going to finally prove that the Lipid-Heart hypothesis has been bogus for over 60 years and needs to be put to rest. Amen!
Im told I have arteriosclerosis 14:55 I’ve suffered two heart attacks. I have two stents in my heart. After my 1st heart attack, I got on statins and had my cholesterol way down, but several years later had another heart attack. So I don’t think cholesterol has anything to do with it. But my doctor still insists I keep on statins, even though I feel so much better after I stopped and started doing keto
It's not the cause. It's the fireman. It tries to stem the damage the carbs and other sugars caused.
I'm sorry they butchered you. 🥹
Find yourself a keto or carnivore dr. They will help you live a healthy long life.
There is a benefit in taking statins in increasing nitric oxide, which does help in reducing CVD. This is the mechanism how statins help a bit. Ref Dr Malcolm Kendrick.
Statins can cause heart attacks!
@@AlecmcqNot true.
One can’t know if the statin didn’t help. Possibly you would have had a worse heart attack or had one sooner if you’d not been taking statins.
Burl Ives did that “Old Lady Swallowed A Fly” song in the 1950’s. I learned it as a kid in NJ.
DR. Berry says you have to be willing to write in your file that you were told to take a statin & refused it. That way the doc has some protection if you have a stroke or heart attack & family blames & sues doc.
Gary Taubes says he just tells folks he believes keto is benign, but if you have a heart attack, he apologizes.
You don’t have to write that yourself. Just tell the doctor who wants you on a statin that you are making an *informed* choice to refuse statins. He/she will note that down in your notes: job done. I have done this a number of times: I have very high LDL (450), and current CAC score is 10… nothing to see here.
@@AlecmcqGood advice
I remember Dr. Berry advising from the video with the guy from Serious Keto and thought that advice was awesome.
Thank you for this discussion. That was my biggest worry going to meat based Keto, was high cholesterol. Mine has always been really good, accoding to the doctors. My health and inflammation has not been good, however. How you feel matters. Nobody tells you that cholesterol is not a disease. These discussions are so necessary to combat the horrible information that has been given to us for years! I just was able to watch Fat Fiction. Excellent film!!
Hi from Australia! I have been quietly watching your videos. I adopted a keto diet 12 months ago to help manage pain from trigeminal neuralgia. The diet has had a profound effect on my pain levels, I have lost 30kgs, lowered my blood pressure and have a 1AC of 4.2. My total cholesterol (7.2 Aus measurement) is considered high but it is all HDL, very low triglycerides and slightly raised LDL. I am still trying to educate my Dr about cholesterol and why I will never take a statin. If you have good blood sugar control and improvement in other health markers, your total cholesterol is not an issue.
Thank you I've been trying to convince my provider my LDL is not an issue
LDL 407, HDL 131, TG 59, Cardiologist appointment on April 5. They are part of the “church”. It’s going to be fun😀 I am requesting a CT angiogram.
looking forward on what CT angiogram says.. as your TG/HDL
Australian here:
There was an old lady who swallowed a fly. I don't know why she swallowed a fly. Perhaps she'll die.
There was an old lady who swallowed a spider, that wriggled and wriggled and wriggled inside her. She swallowed the spider to catch the fly. I don't know why.....
There was an old lady who swallowed a bird. How absurd! She swallowed a bird. She swallowed the bird to catch the spider...
There was an old lady who swallowed a cat. Fancy that! She swallowed a cat. She swallowed the cat.....
There was an old lady who swallowed a dog. What a hog! She swallowed a dog. She swallowed the dog....
There was an old lady who swallowed a cow. I don't know how, she swallowed a cow. She swallowed the cow.....
There was an old lady who swallowed a horse. She died, of course.
😅😅😅
Such a great video Dr. Westman. I am on Keto since May 2023 although I’ve been more on Mediterranean keto combined the last few months as I’m leaning towards this for maintenance. Anyway I decided to get my cholesterol blood test in the local GP the other day so we’ll see what happens (I’m expecting panic when my cholesterol comes back high!!! 😅 but I’ve asked for the slip/ results so I can read them myself as I want to see the triglycerides). ❤
Good recommendation to view Bart Kay's channel. I watch his videos regularly and was interviewed by him in 2022. His biggest conversation point is the Randle Cycle.
Love your videos. Doctor is constantly requesting my husband get on statins, his triglyceride to HDL ratio is 1.5. 2 years ago, it was 2.0, and it looks like ketovore is bringing it into better alignment.
12 degrees down here in Wilmington yesterday morning. Haven’t been on a walk that cold since I left Indiana! Thanks for all you do!
Amazing. You sir are a life saver for potentially hundreds of thousands if not millions of people.Keep up the truly fantastic work. ❤️
This is so good! My LDL is 218 on keto diet. My doctor is extremely upset. Wants me to go all grain and veggies.
Gross all those GMOs and glysophates .
Get a new Dr
@@Charlie-h7x The new one could well turn out to be just like the current one. My guess is 9 out of 10 primary care doctors are like this. Good luck finding that 10th one.
Thanks Dr Westman for another Great video. I think Bart Kay is one of the best scientists to follow to help understand nutritional science and he is always spot on with his arguments.
Good to see you haven't been taken down yet. Mark bell had his channel taken down as dangerous with no warnings
Mine is real high I refused a statin. I try 2 statins both made me very sick. I said I’ll just take my chances. I’m really not worried I feel great. At 78
I'm in my 70s too. I stopped statins. Feel so much better, wide awake, no brain fog, more energy, no pain. I will stick with KETO😊
After my heart attack, the cardiologists focus solely on cholesterol especially LDL & they talk about cholesterol 'breaking off' and causing a blockage & a heart attack (I now have 4 stents). My LDL before my heart attack was 130-150 on a statin (somewhere I got put on one but that's another story. Went off for a few months before my heart attack & now back on a statin with LDL around 90 & now with yet another med (etibe?) down to 40. So, this focus on cholesterol is alive and well among mainstream cardiologists. Of course a Mediterranean diet was pushed (Vegan by another), but I've stuck with Keto. I wish there was a study looking at our arteries post-heart attack.
Please try to ditch the Statin. Find another doctor you can trust. Dr Westman reccomendation?
@@joyceelmer131 Statins are not required unless there is some cardiac issue & as such are not truly preventative as most doctors think they are. On the other hand, there is some evidence (though not strong) that they may be better post heart attack. I do agree that the cardiologist come up with the lamest explanations though.
Love you, Dr Westman and you look so handsome in that blue sweater❣️♥️♥️
I'm so tired of feeling like I have to fight my doctors to stay healthy. I'm so tired of my family telling me what I am doing is wrong.
First my son was diagnosed with T1D - eat a total of 300 carbs a day doctors told us. My LDL is 207, go on a statin they tell me. Eat more carbs the doctor tells me when I say I eat less than 20 a day. Don't eat so much meat/fat everyone tells me. I'm exhausted with feeling like I just don't know anything anymore. I just don't know who to trust anymore. I'm going to trust you Dr. Westman even though it is very hard to do.
Thank you Dr Westman ❣️
Amazing what I have already learned from you !!
Greetings from Goldsboro NC
What do you do if the calcium score comes back high? Continue the statins? I will find out this week my score.
Can never find an answer to this. Mine came back at 1600. LDL cholesterol 100. I don't want to take a statin and there's very little information for people like me. It's frustrating
That is incredible, the local pharmacies are directing the doctors.
Review transcript here: adaptyourlifeacademy.com/cholesterol/cholesterol-heart-disease/
Thanks Doc, reason and common sense. You are a treasure!!
Happy New Year Dr. W. Cholesterol schmolesterol. 😅😂
We sang the old lady who swallowed a fly etc in the UK too
I really appreciate your emphasis on checking for the disease rather than simply treating a symptom which may or may not indicate underlying disease. Would you please consider a discussion of Lipoprotein(a)? Thanks for all you do.
Thank you so much Dr. Westman for the detail in this video. I'm more comfortable now saying no thank you for the prescription at my doctor's office, and again at the pharmacy.
13:55 I'ld love to hear that song about the lady swallowing the fly. 😊
I was just at a hospital with my mother in law, she is having a leaky heart valve and fluid retention. The food is “low fat” a basically packaged snacks and friuit juice , rice potatoes, pudding, jello. She’s 92, overweight. Her cholesterol is controlled by statins.
I was in the hospital for 10 days. I have td2 in remission with diet. The diet averaged 180g carbs/day with the option of up to an additional 6 snack packs of cookies and a quart of juice.
I wanted low carb meals but constantly served high meals.
I remember that childhood story!
I hope you do a video on the Oreo cookie intervention for LDL cholesterol. Please! I will be waiting with baited breath.
QUESTION: What are your thoughts on the need to use electrolytes daily??
At 375lbs my trig/hdl ratio was 4.5. Now. At 220lbs with watching carbs and more meat. 1.04!
Good information. Thanks!
🙋 my doctor is so out of date that he talks about total cholesterol
I'm looking forward to seeing him if I turn out to be a lean mass hyper responder, so I can ask "what is that supposed to show... Isn't there a direct test for that, like a CAC?"
Thank you for the concise way to explain concerns and cholesterol.
I never was concerned about my LDL which has been high most of my life. I have been on keto for over 10 years and while LDL and total cholesterol was always high, all my other numbers are excellent. HDL 100, triglycerides 75 and fasting glucose 75 so I am not concerned at all. My only concern is I have calcium buildup in my main artery according to my CAC test (total of 175). Cardiologist wanted to put me on statin to slow the calcium buildup but I am trying natural supplements first and hoping that will work including exercise and consuming specific foods. According to my cardiologist, I need to lower LDL to address the calcium buildup in my main artery. Not sure if I agree with that assessment. Still doing my own independent research.
K2 redirects calcium away from arteries, but I don't know that it removes it once it's there, maybe.
The parathyroid is involved in calcium blood level. Could there be a connection?
Thanks for this very informative presentation.
What if I already have atherosclerosis and have had bypass surgery.
I am from NJ and I remember that old lady nursery rhyme.
‘Find the ill to match the pill, then send the bill’
Not MY words, but those of a Doctor 😮
Words of a doctor, who is my friend: If you see a doctor somewhere, take your legs and run away.
I would totally agree you should never take a drug for a disease you may not have, but if you were measured with with a score of 1 (i.e 1 mild plaque in a single place) is high LDL an issue. If you watch 'nutrition made simple' and his cholesterol video he seems convinced the number of LDL particles is dangerous (gives lots of references)?
If cholesterol is a marker for atherosclerosis, then why would there be no indication of that disease when one's cholesterol is so hight? (I wish the doctor would reply to some of these comments. Perhaps, he will later. First time I've listened to him.)
Thanks for this analysis!
Doc, what percentage of the volume of blood is actually cholesterol? We keep hearing about "artery clogging cholesterol" as though it were a viscosity issue. Assuming the highest known LDL particle size and number, what percentage of blood volume is LDL? And what percentage is cholesterol? And if it is some tiny percentage, how can it be a viscosity issue?
The notion of "artery clogging cholesterol" is just wrong. It's nothing to do with viscosity because cholesterol, being a lipid, is not water soluble. It is always transported through the circulatory system in a lipoprotein transporter. LDL = Low density lipoprotein, HDL = High density lipoprotein. The nutrients, including cholesterol, in the LDL transporters are taken up by cells as they require. They are not simply dumped into the blood stream.
Arteries get "clogged" at the site of damage to the artery wall, and the body forms the equivalent of a scab as temporary protection, as the healing process takes place. It narrows the artery wall. Cholesterol is a basic building block needed for all cells. So it's normal to find cholesterol where tissue repair is taking place - but it's not the cause of the damage. If the inflammation persists, damage continues, and more scab is formed because the body has not had time to heal the previous damage. If this continues too long then the artery can become completely blocked. To stop arteries getting "clogged" you first need to identify the cause of the damage. This is inflammation. It can be due to a number of things: smoking, persistently high levels of glucose, high consumption of omega 6 fats, to name a few. Get rid of the source of inflammation causing arterial damage and no more "clogged arteries".
@@ekondigg6751Thank you so much for your comment!
It's not about viscosity. It's about the narrowing of the arterial walls.
My doctor said I have a one out of 4 chance of having a heart attack if I don’t take a prescription for high cholesterol. I asked her if the high hdl and low triglyceride number, low bmi and normal blood pressure mattered and she said no because my total cholesterol was over 300!!
I would find a new doctor. She's a drug company pusher.
We read aloud the book about The Old Lady who swallowed a Fly in elementary school.
Thank you!
Yep grew up with that song 😂
Thank you, Dr Westman.
Hi Dr Westerman, could you do a react of the Zoe nutrition review of carnivore with prof Christopher Gardner from Stanford. Disappointingly bad.
As is most of their content. Just avoid
❤❤❤❤❤ Thank you
The inflammation you speak of, Dr. Westman, is it measured with c-reactive protein?
C reactive protein isn't that good a marker. My spouse always had a low c reactive protein and when he did a CAC, it was over 1000.
@@iss8504 oh wow! Hope things are heading in the right direction. Which marker do you think is a better measure for inflammation assessment?
Dr Eric, do you have a link to Dave Feldman's latest research findings? BW
I had a heart attack and had three stents put in. I've tried many statins with bad side effects and am not currently taking anything for cholesterol. My cardiologist has noted that I'm allergic to statins. So how do I determine what caused what caused my clogged arteries so it doesn't happen again?
Atherosclerosis is an inflammatory clotting disease. You need to reduce the inflammation in your blood vessels. An important way to do that is to reduce your blood glucose levels and your insulin levels. A low carb diet combined with time restricted eating will do that. Not smoking and avoiding very polluted air also reduces blood vessels inflammation. Avoiding highly inflammatory seed oils is also important (use animal fats and the cold-pressed fruit oils like olive, avocado and coconut instead). It's also very important to try to reduce your stress levels through proper sleep and doing meditation/breathing/walking exercises. Another thing that you may need is a blood thinner if you tend to clot easily. And the other important thing is to reduce your blood pressure. Reducing your blood glucose and insulin will help to reduce it
Eating too many carbs is probably what caused it. Not to mention if you smoke and or drink alcohol. Cut the carbs, lowers your glucose and A1C.
I have LPa and the Dr wants me on a statin and Insm on Keto and OMAD with 20 hours fasting! Do I need the statin.
My triglycerides are 36 and HDL 100 My LDL is 152 and I am 79. No events.
Be careful with statins, they can cause heart attacks
LDL is correlated with longer life. Don't take statins
Been on keto for about a month. Lost a bunch of weight, but LDL is really high, HDL is low and triglycerides are really high. Not sure this way of eating is going to work for me unfortunately.
This is literally the only way you should be eating... aside from more of a carnivorous diet.... what else would you eat if you are cognizant of your health???
Dr. Westman runs a course called Keto Made Simple that teaches .... well, the simple and uncomplicated way to follow keto. You could continue what you are doing for a month or two more and see if you're getting results, or find out if you need to tweak what you're doing.My total is 219, HDL 60, LDL 159 and triglycerides less than 50.
Give it a chance. I feel so much better not taking statins. Statins gave me inflammation.
Don't care about your cholesterol.
@@yukoncornelius8669 I did a 30-day vegan challenge a number of years ago and that was the only time in my life that all three have ever been "in the green", so-to-speak. I felt great, but I absolutely hated it and couldn't wait to be done with it. Not something I want to go back to, so I really want to find a way to make keto (or keto-ish) work.
‘There was an old lady who swallowed a fly, I don’t know she swallowed a fly….I guess she will die.
On and on it goes, until the last line…’she died’!
Wonder why they taught us kids that song.
🇦🇺
Why would you *want* to reduce LDL when it is *not* causative in CVD? Makes no sense.
How do you know your arteries are okay? Check your arteries..
Science 2.0 💪
I have been refusing statins over 12 years as a low carber with higher LDL. When I research atherosclerosis, I find that we are not sure what causes it (seed oils and/or too much sugar I think) and that high cholesterol is a possible risk factor. When i research statins, i find that they have many bad side effects and are not recommended for someone like me. Yet doctors apparently don't know that and of course, they are much smarter than their patients. We are supposed to do what they say without question. I keep firing my doctor and trying a different one. The latest blood tests two weeks ago. LDL 228 is my only marker for anything. Trig/HDL 1.3 which she didn't even want to hear about. So I say no statin and I would like to get my CAC score. Doctor says my blood calcium score is fine so I don't need a CAC test. I don't think those two things are at all related. Is she totally incompetent? So I got my test which I can do since I am over 45 and high cholesterol is a "risk" factor. CAC score is a big fat 0. She is fired. God forbid I ever really need a doctor or end up in the hospital.
What if you already had atherosclerosis and had a triple bypass? When you had the triple bypass does that mean you don't have it anymore? Can you still do keto after
I can only relate my 69 yo brothers results.He had a double bypass in 2021 after a heart attack and 2 additional stents a few months later. He started Carnivore on Jan.1,2023. He lost 90#s and is off most of his heart meds. His ultrasound shows no plaque in any of his previous trouble areas. His doctors at the VA are amazed.He is feeling so well his wife and he went on an Aegean Sea cruise to the Greek Islands and a couple ports in Turkey for 3 weeks in October. His weight went from 250#s to 165/170#s. We talk most Sundays as he lives in San Diego and I live in Washington State. Here is what he did in addition to the carnivore woe: He takes nattokinase,lumbrokinase.serrapeptase. You look it up and see if you think you can tolerate those enzymes. I will say the lumbrokinase is 300 time stronger than natto or serrapeptase but the Japanese eat natto to keep their arteries clean as a whistle but I don't like the taste of that stuff. Dried in pill form is available.
@@paulcallicoat7597Good comment!
Here in Scotland in my youth I well remember the old lady who swallowed a fly song!
Is it rainy there ?
Me as well, it appears to be a traditional old British song.
In Australia too
My doctor has convinced me, or tried to convince me that cardiac vascular disease is caused by high cholesterol and has been telling me that for years
Bad doctor
You’re close but not quite correct. LDL that doesn’t return to the liver has been glycated by insulin and sugar(glucose in blood) and those must be recycled by macrophages. Low carb(glucose in blood) leads to recycling more LDL which brings down the LDL to your normal level. Eat real food and no veggie oils and there is significantly less “risk” my LDL dropped from 335 on American diet to 180 eating bacon and eggs every day.
The whole drug to treat the side effects of the drug to treat the side effects of the drug (ad nauseam) is there for one reason only: to make drug companies rich.
Oreos work better to lower cholesterol, taste better too.🙂
Ha ha! yes, I saw that as well 😆
And you still get diabetes probably.
The oreo video is weird
Bart Kay is good.
55 degrees in Central California 🤷♀️
Good, stay there forever liberal commie .
Wait, statins cause diabetes, but all diabetics are supposed to be put on statins? Make it make sense.
Statins can also cause a heart attack
And worsens mental decline in dementia etc
Headache pill paracetamol has a side effect - it causes headaches! Pharmaceutical companies are quite the salesmen.
I don’t like that we are given radiation as a precautionary measure…a just in case..?
I've heard of the old lady who swallowed a fly. I am from Iowa so maybe it is a midwestern thing.
Oops - I've lived life in SC, GA and FA and have heard it along the way. It was mostly sung to children. Best wishes
Yes, a child's parody of sorts, everything swallowed after the spider stretch's the realm of possibility.@@usn64711
NC I sang the song growing up, she swallowed a horse... she's dead of course!!!
I watch Prof. Bart Kay. His thing is to be an a$$. He has some good points and makes it interesting. The personal side is the exact opposite of you but you both try to rely on what the science actually shows and doesn't show. You have the added bonus of saying what you have seen firsthand with patients.
Can COVID cause LDL to go up?
No
I’m probably a little younger than you, but I do remember that children’s song.
ruclips.net/video/ApmEM9-xA2c/видео.html
We were brainwashed to check the ldl, and forced to get statins. In all countries around the world, that use the Western Medicine.
The doctors just pushed statins, so I switched doctors.
❤❤❤❤❤❤❤❤❤❤
If your LDL-C is 350 and your LDL-P is over 3500 and your apo-b 240, then you can push your Keto /carnivore all day long on me. Otherwise no thanks.
I'm learning about these numbers at the moment. So what you said make no sense to me, would you mind explaining?
@@genomedia44Forget him
360p in this day and age.