I went to a Cardiologist for heart palpitations and went through all the test but nothing was found, a little stress maybe caused them. But my LDL was slightly elevated (was into living keto for 2 years at the time) and he did his absolute best, even negotiated with me, to start taking a statin. He never brought up any discussion about diet, never. Then he asked me a question……”Then how long do you want to live? A statin will help you live way longer.” That was my signal that he’s a drug pusher and it was time to go. What made things worse was when the physicians assistant told me that my entire exam was flawless and my cardiovascular system was that of a healthy 25 year old……I’m 55. Thanks for the talk.
see 2/14/22 Dr Mike Hansen Vlog RUclips channel 4 possible metric to judge if your MD is asking all the right questions and considering possible differentials diagnosis. It ain't just cookie-cutter decision tree flow programmers who design medical records software ignorantly would like to believe that validates their programming skills...
When you dig deep into the science and the data, it shows that, all things being equal, long term statin use gives, on average, 4 extra days of life. But that is only if nothing else changes. If you are willing to make diet and lifestyle changes, you can gain many years.
I find it very disheartening how so many conventional doctors have bought into the status quo of heart disease and have become so ineffective in actually treating it. It took my doctors 18 years to confirm my CAD ... and this 18 years after I had been telling them I had a heart attack (at 34yrs old) which was blown off as a stomach problem/heartburn in the ER. 32 years of statin therapy have brought my cholesterol into the lower-than-low range yet, it is so curious that after eliminating the heart disease demon ... the disease progresses as it did before. Something is very wrong with the medical establishment ... misdiagnosis and undiagnosis is far too common. It should be an embarrassment. I've completely lost my trust in my doctors.
My indicator was a pain in my chest as I was walking, it was as if someone was poking me with a sharp object, doctor did an ecg, no heart attack, had an angiogram, had 7 blockages, doctor said I was beyond the stent had to have a cabg, coronary artery bypass grafting, my dad died of a heart attack at the age of 45, I was 53 at the time, 2 of my brothers went through the same op. My tenth anniversary nxt January 2022 (God willing I live that long). Haven't had any major problems since, have had the odd scare earlier on, but so far so good.
Awesome explanation Dr. Westman. I had a stoke over 6 years ago and none of my MD's have explained it as thoroughly as you just did. By signing up for programs like your Keto Made Simple and enrolling in Virta Health I have reversed my diagnosis of Metabolic Syndrome, lost about 50 pounds and my BP has dropped dramatically. You are phenomenal!! Thank you for sharing your knowledge.
These drs went to school to learn about medicines and know very little about treating the root cause of any disease and/or pain! Best of luck to you! Glad you’re doing better now
My Brother in law had his first heart attack at 46 years old, and had a quad bypass. He was never told about a keto diet until he developed the heart disease again and had diabetes type 2 on top of it. He went in with a surgeon when he was 67 years old who insisted he be on a keto diet before he performed another bypass surgery. At that point the surgery was his only hope for survival, but sadly he did not make it through the surgery. It is interesting that neither of his parents had any heart disease. His father was a doctor and he died of Parkinson's and his mother died of Alzheimer's. So I am fortunate to have found out about keto, and I too have a strong family history of heart disease on my mother's side, but with keto I have gotten my A1C down to 6.0 but I need work on my triglycerides (190) and HDL is 43. I am trying to do keto better, as I got off track off and on for almost a year and gained back 20 lbs of the 25 I had lost. Now, I am having trouble losing weight at all. I do not give up. My doc was pleased with my numbers and said I could take niacin to improve the triglycerides and the HDL. Thanks for your informative videos, you are the best Dr. Westman.
Keto does not produce consistent repeatable results in clinical trials. Do you know what has? A whole food plant based diet. A keto diet will certainly progress your heart disease, not treat it
Thank u 4 repeatedly pointing out management with meds or management with surgery is a choice, a courageous hard option or road to do down is diet, exercise, stress, sleep inflammation control. It ain't always easy to walk at night without a flashlight, thx 4 being the Mr. Moonlight! ; }
How long does it take for Apo B to come down on LowCarb Keto diet? And, is it harder even if you have normalised your HbA1c level and no longer in the diabetic range?
Had the treadmill pictures too. All good. My two brothers died young of heart disease yet both my parent had great hearts and died at the age of 87 and 89. Not from heart disease.
That is wonderful. I had a scan about 3 years ago and got a score of 210. I am waiting until I can lose some more weight before I do another one. I have been inconsistently taking K-2 which is supposed to help reduce the number by moving calcium out of your tissues and back into your bones. I need to remember to take it more often.
Hello, thanks! what about contrast medium ct? we don't use this to show aterisclerosis? Do you not see the condition / narrowness / width of the vessels and whether the coronary arteries are also affected? Also missing is whether the arteries then equally have plaques or whether it only occurs in places, e.g. in the places where there is a different pressure due to ramifications. Could you please add these answers as information for us? Thank you in advance!
I had the ultrasound test done yesterday. While I don't have the actual test results back yet, the practitioner told me there were 'no issues that need to be addressed.' I'm wondering if I need to keep taking statins for high cholesterol if I have no issue with Atherosclerosis. The test results will be sent to my family doctor, and it seems like the right thing for him to do would be to have me stop taking medications (statins) that I don't need.
Look up the Korean Cholesterol Mortality Study published in 2019. Not the first to show this, but the largest. Over 12 million subjects. If I were you I would take in a copy of the chart. I carry a copy in my purse. Low cholesterol is a death sentence. You do want to keep triglycerides down, but statins do not do that.
Hi Chris, I strongly suggest looking at Dr. Westman’s new cholesterol course opening for enrolment on the 15th November. In the course Dr. Westman arms you with the knowledge on statins so that you are able to make the best decision for yourself. You can join the waitlist here 👇👇 adaptyourlifeacademy.com/end-your-cholesterol-confusion/
Most people on statins don't actually need them. I have an agreement with my PCP that if he prescribed them I would throw them away. He now says it's my choice. So I say don't prescribe them. In this particular area I feel I am better educated than my PCP, and no he disagrees he agrees with my ability to make my own decision.
CONGRATULATIONS you two, the Q/A format, succinct answers with layman metaphors get the points across in a memorable way. I have been following you for years, keep improving, keep giving post-stroke people like me hope with your channel. My only regret is I can't direct my insurance company to financially support your work. For US tax purposes; is there a way to donate to your Duke clinic with a 401k gift?
Hi Tom, thank you so much for the words of encouragement. As for your kind donation suggestion, if you email us at support@adaptyourlife.com, I can direct this at Dr. Westman and get back to you on how this can be done. Once again, thank you Tom.
Tom what was your diet before the stroke etc, I'm worried about the same issuse u don't know what to do etc were you young as I keep telling my Drs I'm worried but they keep saying I'm too young.
@@Chris-kr7gg 6 weeks of alternate day fasting of under 1000 calories m-f 50g keto, however platelet donation with air embolism and possible heparin allergy seems more likely to me , but I am not an md....
I am no expert, I am only relating what I have learned. Ratio for Triglycerides and HDL levels should be 2 or under. Mine is at 4.4. My doc says taking 500-1000 miligrams of Niacin (non flushing type) daily can lower tri's and raise HDL.
I like using the trig/HDL ratio as an indicator of metabolic health and heart disease risk. You may hear that a ratio of 2 or less is OK but I believe an optimal target is 1 or less. An optimal target for triglycerides (according to cardiologist Dr. Williams and other "experts" I follow) is 60 mg/dL or less, while an optimal target for HDL is 60 mg/dL or higher. Most reference ranges say trigs less than 150 mg/dL are normal, but that is far too lenient. Similarly, HDL reference ranges are typically stated as 40 mg/dL or above for men, and 50 mg/dL or above for women. Not quite ideal. One argument about the trig/HDL ratio goes like this: Say you have trigs of 90 (not particularly great) and an HDL of 90 (which is super high). Your trig/HDL ratio will be 90/90 = 1. Looks awesome, but yet your trigs were 90, which is not ideal. Now, this is a hypothetical argument and I don't think it's very typical. Instead, trigs usually go down as HDL goes up, so having values of 90 and 90 for both would be unusual, in fact unlikely, in my opinion. How to we achieve trigs under 60 and HDL above 60? One way is to use Dr. Westman's keto eating approach. Eliminate sugar and high-carb foods and load up on fat and protein. Remember too that if you start losing weight, don't get your blood work done while that is happening (because your results may be distorted). Allow your weight to stabilize for a month (preferably 2 months) before getting tested. Also, when you change to a keto diet, your trigs may come down nice and quick, but HDL takes more time to rise. So be be patient.
I have heard that heart attack symptoms in women can be more subtle. Even unexplained tiredness could be a symptom. Doctors sometimes miss or dismiss heart attack symptoms in women and often their outcomes (e.g. survival) are worse than men.
No wonder I get so confused. One doctor says keto another says Whole Foods with lots of fruit veggies and legumes. How are we supposed to know what the health to eat.
On one side of my family, I have a grand mother that died at 56 of a heart attack, an uncle that died at 56, another uncle that had a heart bypass at about the age of 56, I had a heart attack at 57 and a brother that had a heart attack at 57 Something is there
Also i have a theory,theres not lots of smokers nowadays,i am still 1 of the few,i strougle to quit,i actually use iqos nowadays,but my theory is,so many people still die of heart attacks and get strokes and heart disease,so i think,im no doctor like this doctor at all means,but i think that carbs and sugar is more to blame when it comes to heart disease than smoking is
It’s normal but ultimately pointless to fear death. Nothing wrong with lifestyle changes to live longer. Just don’t get confused longer isn’t immortality . A scared life is a life less lived. Living longer still doesn’t give you a day to die that on that day you’re feeling good about dying. Most people are really miserable years before they go. Death is a relief for them.
Surgery is a last resort, I had a lapband done 2006, what a colossal mistake,yes lost weight lost most of my lean muscle mass,had I known about keto lifestyle,no way Surgery would have been done,at that time it was low fat,low calorie bullshit???? The joke is on me😭😷
Tell the truth Doc! The vast majority of your "average" GP's really want to go on that pharma sponsored golf trip SO,...they write them scripts! I enjoy your videos thus far but you need to get to the point quicker and you need to support your positions not with anecdotes or analogies but with clinical studies are hardcore bioscience data!
The only way to prevent and treat heart disease is a proper diet that has produced consistent repeatable permanent results through clinical trials. Whole food plant based diet
@@ahl6767 Three is only one PROVEN way. Stories about your pet goldfishes grandmaa dog curing heart disease by putting charcoal on there head is not evidence
If you are talking about the advent studies about heart health the study is debunked... they are vegetarian of course their study shows vegetarian is best....do more research 🙄
If you have calcium buildup in other parts of the body like calcific tendons, micracalcifications and kidney/gallbladder stones, is it likely that you have artery buildup as well or are they all totally different??? PLEASE answer if you know.
![Blox Fruits Dragon Rework Update [Full Stream]](http://i.ytimg.com/vi/EqDAp8udhm0/mqdefault.jpg)
I went to a Cardiologist for heart palpitations and went through all the test but nothing was found, a little stress maybe caused them. But my LDL was slightly elevated (was into living keto for 2 years at the time) and he did his absolute best, even negotiated with me, to start taking a statin. He never brought up any discussion about diet, never. Then he asked me a question……”Then how long do you want to live? A statin will help you live way longer.” That was my signal that he’s a drug pusher and it was time to go. What made things worse was when the physicians assistant told me that my entire exam was flawless and my cardiovascular system was that of a healthy 25 year old……I’m 55. Thanks for the talk.
Magnesium deficiency.
see 2/14/22 Dr Mike Hansen Vlog RUclips channel 4 possible metric to judge if your MD is asking all the right questions and considering possible differentials diagnosis. It ain't just cookie-cutter decision tree flow programmers who design medical records software ignorantly would like to believe that validates their programming skills...
You are so right!
I listened to a group of physicians talk about the longevity benefit of statins …it supposedly gives you 3 days added on to your life .
When you dig deep into the science and the data, it shows that, all things being equal, long term statin use gives, on average, 4 extra days of life. But that is only if nothing else changes. If you are willing to make diet and lifestyle changes, you can gain many years.
I find it very disheartening how so many conventional doctors have bought into the status quo of heart disease and have become so ineffective in actually treating it. It took my doctors 18 years to confirm my CAD ... and this 18 years after I had been telling them I had a heart attack (at 34yrs old) which was blown off as a stomach problem/heartburn in the ER. 32 years of statin therapy have brought my cholesterol into the lower-than-low range yet, it is so curious that after eliminating the heart disease demon ... the disease progresses as it did before. Something is very wrong with the medical establishment ... misdiagnosis and undiagnosis is far too common. It should be an embarrassment. I've completely lost my trust in my doctors.
My indicator was a pain in my chest as I was walking, it was as if someone was poking me with a sharp object, doctor did an ecg, no heart attack, had an angiogram, had 7 blockages, doctor said I was beyond the stent had to have a cabg, coronary artery bypass grafting, my dad died of a heart attack at the age of 45, I was 53 at the time, 2 of my brothers went through the same op. My tenth anniversary nxt January 2022 (God willing I live that long). Haven't had any major problems since, have had the odd scare earlier on, but so far so good.
Did you modify your diet ?
Awesome explanation Dr. Westman. I had a stoke over 6 years ago and none of my MD's have explained it as thoroughly as you just did. By signing up for programs like your Keto Made Simple and enrolling in Virta Health I have reversed my diagnosis of Metabolic Syndrome, lost about 50 pounds and my BP has dropped dramatically. You are phenomenal!! Thank you for sharing your knowledge.
Thank you so much 🙌
These drs went to school to learn about medicines and know very little about treating the root cause of any disease and/or pain! Best of luck to you! Glad you’re doing better now
My Brother in law had his first heart attack at 46 years old, and had a quad bypass. He was never told about a keto diet until he developed the heart disease again and had diabetes type 2 on top of it. He went in with a surgeon when he was 67 years old who insisted he be on a keto diet before he performed another bypass surgery. At that point the surgery was his only hope for survival, but sadly he did not make it through the surgery. It is interesting that neither of his parents had any heart disease. His father was a doctor and he died of Parkinson's and his mother died of Alzheimer's. So I am fortunate to have found out about keto, and I too have a strong family history of heart disease on my mother's side, but with keto I have gotten my A1C down to 6.0 but I need work on my triglycerides (190) and HDL is 43. I am trying to do keto better, as I got off track off and on for almost a year and gained back 20 lbs of the 25 I had lost. Now, I am having trouble losing weight at all. I do not give up. My doc was pleased with my numbers and said I could take niacin to improve the triglycerides and the HDL. Thanks for your informative videos, you are the best Dr. Westman.
Keto does not produce consistent repeatable results in clinical trials.
Do you know what has?
A whole food plant based diet.
A keto diet will certainly progress your heart disease, not treat it
@@justice4all529 You are full of terribly smelling brown substance and you spread misinformation.
@@justice4all529 Don’t put your suffering onto other people.
Hi dr. Eric from Iraq 🇮🇶🇮🇶
Thank u 4 repeatedly pointing out management with meds or management with surgery is a choice, a courageous hard option or road to do down is diet, exercise, stress, sleep inflammation control. It ain't always easy to walk at night without a flashlight, thx 4 being the Mr. Moonlight! ; }
Review transcript here: adaptyourlifeacademy.com/lifestyle/the-biggest-risk-factors-for-cardiovascular-disease/
While there is of course a genetic component, i wonder how much a family history of heart disease is an “inherited” dietary pattern
How long does it take for Apo B to come down on LowCarb Keto diet?
And, is it harder even if you have normalised your HbA1c level and no longer in the diabetic range?
I just had that calcium cat scan. I scored a 0
Had the treadmill pictures too. All good. My two brothers died young of heart disease yet both my parent had great hearts and died at the age of 87 and 89. Not from heart disease.
I. 66
I ment I’m 66 years old.
That is wonderful. I had a scan about 3 years ago and got a score of 210. I am waiting until I can lose some more weight before I do another one. I have been inconsistently taking K-2 which is supposed to help reduce the number by moving calcium out of your tissues and back into your bones. I need to remember to take it more often.
@@adorableadornments1101 Set a reminder alarm on your phone.
In Baton Rouge. Westman is tops
Great summary. Thank you!
Thank you so much for explaining this technical subject in terms we can understand!😍
Thank you for watching
Hello, thanks!
what about contrast medium ct? we don't use this to show aterisclerosis? Do you not see the condition / narrowness / width of the vessels and whether the coronary arteries are also affected? Also missing is whether the arteries then equally have plaques or whether it only occurs in places, e.g. in the places where there is a different pressure due to ramifications. Could you please add these answers as information for us? Thank you in advance!
If the CAC score does not tell you what is actually happening in your coronary arteries then what is the point. Radiation and frightening people??
Thank you for the explanation
7:15 solution
I had the ultrasound test done yesterday. While I don't have the actual test results back yet, the practitioner told me there were 'no issues that need to be addressed.' I'm wondering if I need to keep taking statins for high cholesterol if I have no issue with Atherosclerosis. The test results will be sent to my family doctor, and it seems like the right thing for him to do would be to have me stop taking medications (statins) that I don't need.
Good luck with that. Most doctors won't recommend stopping statins once you start them.
Look up the Korean Cholesterol Mortality Study published in 2019. Not the first to show this, but the largest. Over 12 million subjects. If I were you I would take in a copy of the chart. I carry a copy in my purse. Low cholesterol is a death sentence. You do want to keep triglycerides down, but statins do not do that.
Hi Chris, I strongly suggest looking at Dr. Westman’s new cholesterol course opening for enrolment on the 15th November. In the course Dr. Westman arms you with the knowledge on statins so that you are able to make the best decision for yourself. You can join the waitlist here 👇👇
adaptyourlifeacademy.com/end-your-cholesterol-confusion/
Most people on statins don't actually need them. I have an agreement with my PCP that if he prescribed them I would throw them away. He now says it's my choice. So I say don't prescribe them. In this particular area I feel I am better educated than my PCP, and no he disagrees he agrees with my ability to make my own decision.
Here in the UK the government said recently that doctors can prescribe statins to anyone over the age of 18 who wants them!
CONGRATULATIONS you two, the Q/A format, succinct answers with layman metaphors get the points across in a memorable way. I have been following you for years, keep improving, keep giving post-stroke people like me hope with your channel. My only regret is I can't direct my insurance company to financially support your work. For US tax purposes; is there a way to donate to your Duke clinic with a 401k gift?
Hi Tom, thank you so much for the words of encouragement. As for your kind donation suggestion, if you email us at support@adaptyourlife.com, I can direct this at Dr. Westman and get back to you on how this can be done.
Once again, thank you Tom.
Tom what was your diet before the stroke etc, I'm worried about the same issuse u don't know what to do etc were you young as I keep telling my Drs I'm worried but they keep saying I'm too young.
@@Chris-kr7gg 6 weeks of alternate day fasting of under 1000 calories m-f 50g keto,
however platelet donation with air embolism and possible heparin allergy seems more likely to me , but I am not an md....
These videos are great information thank you!
Thank YOU for watching 😊
Great info! Will you consider getting a better mic? Very important.
We currently use the Blue Yeti
I have no problem hearing him.
Thank you, and how to reverse the arterio sclerioses, please?
Be sure to watch Dr. Westman’s free Keto Workshop today at 8pm EST here on this channel.
@@AdaptYourLife Nope, I do not like this fishing methods! And you always say it is a FREEm keto workshop, but ir is NOT! Thats near fraud!
@@leonieharry2941 well, it’s at 8pm EST time tonight and tomorrow and it IS FREE
What is the target Triglycerides and HDL levels? How important is the ratio, Triglycerides to HDL? If it is important, what is the target ratio
I am no expert, I am only relating what I have learned. Ratio for Triglycerides and HDL levels should be 2 or under. Mine is at 4.4. My doc says taking 500-1000 miligrams of Niacin (non flushing type) daily can lower tri's and raise HDL.
I like using the trig/HDL ratio as an indicator of metabolic health and heart disease risk. You may hear that a ratio of 2 or less is OK but I believe an optimal target is 1 or less. An optimal target for triglycerides (according to cardiologist Dr. Williams and other "experts" I follow) is 60 mg/dL or less, while an optimal target for HDL is 60 mg/dL or higher. Most reference ranges say trigs less than 150 mg/dL are normal, but that is far too lenient. Similarly, HDL reference ranges are typically stated as 40 mg/dL or above for men, and 50 mg/dL or above for women. Not quite ideal. One argument about the trig/HDL ratio goes like this: Say you have trigs of 90 (not particularly great) and an HDL of 90 (which is super high). Your trig/HDL ratio will be 90/90 = 1. Looks awesome, but yet your trigs were 90, which is not ideal. Now, this is a hypothetical argument and I don't think it's very typical. Instead, trigs usually go down as HDL goes up, so having values of 90 and 90 for both would be unusual, in fact unlikely, in my opinion. How to we achieve trigs under 60 and HDL above 60? One way is to use Dr. Westman's keto eating approach. Eliminate sugar and high-carb foods and load up on fat and protein. Remember too that if you start losing weight, don't get your blood work done while that is happening (because your results may be distorted). Allow your weight to stabilize for a month (preferably 2 months) before getting tested. Also, when you change to a keto diet, your trigs may come down nice and quick, but HDL takes more time to rise. So be be patient.
My wife just got her blood work done..90 Hdl...84 Trig... she does mainly carnivore and exercise 3 days a week...btw turns 60 this year
Is it true men and women are different my mother just had shortness of breath when she had her first heart attack.
I have heard that heart attack symptoms in women can be more subtle. Even unexplained tiredness could be a symptom. Doctors sometimes miss or dismiss heart attack symptoms in women and often their outcomes (e.g. survival) are worse than men.
@@Malcolm-Achtman thank you so much.
No wonder I get so confused. One doctor says keto another says Whole Foods with lots of fruit veggies and legumes. How are we supposed to know what the health to eat.
If you read “End Your Carb Confusion” you will get clarity. 😊
On one side of my family, I have a grand mother that died at 56 of a heart attack, an uncle that died at 56, another uncle that had a heart bypass at about the age of 56, I had a heart attack at 57 and a brother that had a heart attack at 57 Something is there
Also i have a theory,theres not lots of smokers nowadays,i am still 1 of the few,i strougle to quit,i actually use iqos nowadays,but my theory is,so many people still die of heart attacks and get strokes and heart disease,so i think,im no doctor like this doctor at all means,but i think that carbs and sugar is more to blame when it comes to heart disease than smoking is
What about the latest Oxford Uni study which says red meat and processed meat causes heart disease Eric
It’s normal but ultimately pointless to fear death. Nothing wrong with lifestyle changes to live longer. Just don’t get confused longer isn’t immortality . A scared life is a life less lived. Living longer still doesn’t give you a day to die that on that day you’re feeling good about dying. Most people are really miserable years before they go. Death is a relief for them.
Better to die looking and feeling fit and healthy than to live longer looking and feeling half dead!
Well said.
Surgery is a last resort, I had a lapband done 2006, what a colossal mistake,yes lost weight lost most of my lean muscle mass,had I known about keto lifestyle,no way Surgery would have been done,at that time it was low fat,low calorie bullshit???? The joke is on me😭😷
Tell the truth Doc! The vast majority of your "average" GP's really want to go on that pharma sponsored golf trip SO,...they write them scripts! I enjoy your videos thus far but you need to get to the point quicker and you need to support your positions not with anecdotes or analogies but with clinical studies are hardcore bioscience data!
Dr. Westman has published over 100 papers and everything he presents is either backed by science or through his nearly 20 years of clinical practice.
To say that cardiovascular disease is more hereditary than lifestyle is bad advice.
👍🇨🇱
Coof jabs
The only way to prevent and treat heart disease is a proper diet that has produced consistent repeatable permanent results through clinical trials.
Whole food plant based diet
There is no “only” way
@@ahl6767
Three is only one PROVEN way.
Stories about your pet goldfishes grandmaa dog curing heart disease by putting charcoal on there head is not evidence
Nope
If you are talking about the advent studies about heart health the study is debunked... they are vegetarian of course their study shows vegetarian is best....do more research 🙄
If you have calcium buildup in other parts of the body like calcific tendons, micracalcifications and kidney/gallbladder stones, is it likely that you have artery buildup as well or are they all totally different??? PLEASE answer if you know.
Gall stones from my understanding is harden bile. From eating a low fat diet for years on end. Not using your gallbladder to break down dietary fat.
Do you take high doses of Vitamin D?
@@artemishunter8993 I take 50 ncg of D3 daily.