You and Gill do not get enough recognition nor rewards for your incredible labor. It is a shame that the public tends to be prone to influencer's BS and lack basic knowledge and logical skills to dismantle the current state of nutritional affairs.
Excellent, really enjoyed the collaboration between two of the most vetted scientists/Doctor on RUclips who always offer the most useful information for the masses that can be applied to improve everyone's health. Thank you 🙏🏽
AFAIK this hasn't been shown "in vivo", opposite, in fact, in non-liver cells, and tests on mice showed the opposite in liver cells too, at least in the context of low glucose
Increased pressure and increased oxygenation in arteries. Oxygen and pressure causes oxidation to the artery causing injury, LDL responds to repair, it gets oxidized while there. Take Antioxidants. Strengthen your arteries with Vitamin C. That's fruits and vegetables. Genuine carnivores eat raw organs and meat for the vitamin C, unless you do, you are deficient.
I started out at 335 lbs back in November 2023, at which time I decided to change my diet to give up all processed foods, all vegetable oils (except olive), all sugars, and limit my intake of grains to just a few bites per week. After losing 20 lbs, I started on the treadmill. I am now (end of January 2024) down to 295 lbs and have maintained my diet choices reliably. My Total Cholesterol when from 150 to 277. My LDL went from 84 to 214. Triglycerides fell from 161 to 117 (so that's good). Now I'm worried that the saturated fat I have put into my diet (cooking with rendered beef fat or butter), has reduced the number of LDL receptors in my Liver and is causing my LDL to skyrocket. Doctor never ordered the ApoB test or the test that measures the size of the LDL, but we plan to do so on the next blood test in June. I need an oil I can use to cook my scrambled eggs and vegetables with, and something to use when making stir fry meat and vegetables.
Isn't it funny when doctors forget to order such tests? I wouldn't worry so much about the type of vegetable oil that you're eating, but rather the level of refinement. Refined olive oil is just as bad as the others. You want that 100% extra virgin olive oil. Also remnant cholesterol (RC) is much more dangerous than LDL. RC = Total cholesterol - HDL - LDL. It's all the even lower density stuff than the LDL, such as the VLDL and chylomicrons.
What would an alternative (or complement) to lowering ApoB look like? Maybe counteracting plaque formation by taking fibrinolytic enzymes? Nattokinase?
I've got everyone in my family who will take it, on Nattokinase. I've been able to get off BP medicine completely because if it, and a few more supplements. It's great.
There is no conclusive evidence that Natto lowers LDL/ ApoB. The main reason is that it has a poor bio-availability. Possibly trials using very large doses would be more or somewhat effective.
Holy cow Berg is a chiro? FFS. Look I don't really have any serious issues with Berg, but for the love of intellectual honesty it should be ILLEGAL for chiropractors to use the title of "Dr.". I mean it should carry a heavy fine and possibly even jail time. Berg has over 10 MILLION SUBS. I mean why don't channels like Physionic and Nutrition Made Simple! have this many? Can people be *this* intellectually stunted?
Dr Berg is among the very few legit doctors that can be listened by those familiar in the medical field. His analysis designates with science and reasoning unlike other charlatans spewing on behalf of pharmaceutical global mafia. FYI everyone on internet including Dr Berg is promoting his own products which I don’t agree at all and not approve on that regard. I like those who demonstrate all the data in-front of public like Nick is doing on this channel. A good example could be (Conquer aging or die trying channel) otherwise everyone’s opinion is bound to be criticised!
You and Dr. Gil are my favorite two RUclipsrs and I can't thank you enough about the amazing work you both do and how you educated me about looking at the data. Having you both collaborate is truly a joy! I'm on Mediterranean diet for a long time but have high APOB, calcium score of 1 and early fatty liver. I have taken Dr. Gil's advice and started to exercise and reducing calories and plan to test again beginning of next year. My doctor just wants to put me on statins without trying anything else 🙂
I"m with you on @NutritionMadeSimple and @Physionic being top of my list of trustworthy providers of analysis. They both tell us to go and look at the studies, and not just believe them.
@@jimdaikh9381 Great, Husk as done wonders for my total cholesterol, I usually take it at night before sleeping , be sure to drink a lot of water generally if on husk, and supplement high strength Omega 3 if u dont eat fish much, combined with exercise, u should see some major improvement by ur next test - So on supplementation side of things Creatine, Husk, Omega 3 & 60000 IU D3 once per week (This was perfect as per my recent blood report)
Actually I felt this was poorly presented. Not that Gil's knowledge isn't there but felt his comments were disjointed and like he didn't have time to prepare. I think what needs to be emphasized first is how do people find out their ApoB ratio? Well, typically when you go to your Dr for a physical and they order a cholesterol (lipid panel) it really doesn't tell you much. You have to request an "advanced lipid panel"....most Dr's don't do it because insurance companies don't pay for it. Its relatively inexpensive (about $90.00) if you have to pay out of pocket, but will tell you so much more. Additionally when they order your blood panel make sure they are checking liver levels (if its a filtering issue as pointed out, it may be picked up here but more likely will give you a baseline to compare in the future when you make lifetstyle and diet changes to counter an unfavorable ApoB ration). Next get in touch with a nutritionist and review you diet---Be honest! Then if you are lacking exercise in your regiment and especially if you have a desk job and or are obese, contact a certified trainer regarding an exercise program then review that with your Dr. prior to starting (especially if you've been inactive for a number or years, are obese, and or over 40) The idea being 1. find out if you have an ApoB issue 2. Make sure you have the correct information relative to your condition and age. 3. Contact experts and arm them with specific personal information. 4. Review plans (diet and exercise) with you DR and set up a time frame to check progress and retest / monitor. As I said I think Gil has the knowledge but given the presentation seemed spur of the moment and left key factors not addressed. Also DR Peter Attia covers this subject well with a couple videos and interviews.
Agreed, I had to listen 5 times to understand the gist. Very high sat fat diet switch to moderate fat diet. Reduce butter by switching to peanut butter/avocado. High carb diet reduce to low carbs. So LDLC no longer the bad guy its AlipoB., which is a type of VLDL.
The statement was made "HDL doesn't cause problems." I have seen research that shows that at very high levels HDL can cause problems. Would love to see a presentation devoted to HDL since mine is 120 mg/dl (but with very low TRIGS and OK LDL and APOB) I don't know whether or not to worry.
I think improving your digestive system and increasing diversity would be much better than bombarding your system with large amounts of highly available b3
An alternative explanation about plack development starts with endothelial injury and inflammation. TUMERIC and Cocoa power or Dark chocolate can help control the injury and inflammation.
Would like to see a presentation on plant sterols and stanols: helpful or not, or even harmful? Are supplements like Cholestoff effective and safe? How do sterols and stanols compare to Ezetimibe? I know that the method of operation for both is blocking absorption of cholesterol in the gut. But which is safer, better, and can they be combined? Thank you for your indepth and thoughtful analysis.
what is consider a safe or healthy range for a pob? In a lab test which result should I be looking at. Had one done and it varies from LDL particle numbers, LDL small, medium peak size. Apoliprotein B and (a). The latter was at 31.
Im a cardiovascular doctor and have put patience on 500-1,000 mg of Niacin with a plant base diet, with 1 day water fast per week, and have seen drastic improvements with this is several patients. To counter some of the Niacin sides I've incorporated some light carbs when taking Niacin. Cheers.
HI I am physician, I went on a carnivore diet for only month because my ALT was mildly elevated and I found from Dr. K.D .Berry that it was because of high carb diet, so was able to bring my ALT down but my LDL went up, however been doing Omega 3 and Niacin up to 500 mg Niacin flush twice per day, but stopped all my supplements 10 days prior to blood draw which is in a few days, so hoping it is much better, but wonder for the 10 days I did not any fish oil or Niacin , possible that my LDL level be higher than 10 days ago? I personally love Niacin and will take it after my lab regardless.
@@zhilahaghbin4766 doesn't Dr. Berry advocate not worrying about "high" LDL in the absence of IR? Super low LDL associated with higher mortality in studies if I recall...
@@fatillacing4131 Reverse causation. Various diseases and traumas cause low LDL hence the association with mortality in simple observational studies Trials that lower LDL to low levels, however, show reduced mortality.
ApoB seems to be a marker for people who consume carbohydrates. Is there any research showing the same results in people on a carnivore or keto diet (below 20g of carbohydrates/day)?
@@MichaelGGarryHave you EVER read an anthropology book? Do you know ANYTHING about our evolutionary diet? But I will volunteer that people are DIFFERENT. Some thrive on carnivore some on vegan. Our DNA and especially microbiomes are different. There is zero point in judging others' diets. There is NO CONTEST. Anyone who plays the competition game is an agent of division.
This doesn't make much sense to me. The plagues are created to patch damage to the blood vessels. Part of the patching material is cholesterol which is contained in ldl-b. If there is no injury, then no plaque is created, correct? Shouldn't we focus on reducing the injury to the vessel which is caused by inflamation or excess glucose, etc., instead of worring about ldl-b levels?
So when people say a”low carb diet” it is automatically assumed to be HIGH SATURATED FAT. But i have never seen a video that says you can replace half or more of the saturated fat with olive oil and be healthy. So should we eat lean meat on low carb and try to keep our carbs below a hundred grams? Then any excessive weight loss can be stopped by adding olive oil NOT SATURATED FAT. Can anyone give me guidance. I am clueless.
@@Feed_Bleed_Read (Jin, Kamanna, & Kashyap, 1999) and (Guo & Fisher, 2011) both show that niacin supresses the expression of ApoB. All studies are limited and none are definitive, of course.
Yes, LDL goes down with polyunsaturated fats but the phytosterol in for instance corn oil, sunflower oil raises the campesterol and sitosterol levels and are even more dangerous than high LDL. This applies especially to so called hyperabsorbers. Hyperabsorber should not increase their intake of polyunsaturated fats too much. They are better off consuming more carbs rich in fibers like sweet potatoes, beans, rice etc that also will lower their LDL. Hyperabsorber should not do keto / LCHF. The absence of carbs will make their LDL skyrocket.
Great information from my two favorite content creators. What do you say to those doctors on RUclips (Dr. Ford, Ken Berry) that say it's not fat, but carbs and glucose that causes plaque?
If this is the way it works then I can’t figure out how being carnivore dropped my LDL from 262 to 190. No fiber. And my HDL has gone up from 42 to 60. Triglycerides are 78. 64 year old male. Primarily pastured eggs and beef. Occasional lamb.
Your LDL is still very high. Do an ApoB test to see your level of arthrogenic level of cholesterol. You can order it on line and then go to a lab to do it.
@ 12:40 - WHAT protein is he suggesting will reduce apob? Is he saying SOY protein? I've re-listened several times - slowed the speed down - still can't quite understand what he's saying. But my guess would be that its soy protein. Can someone please confirm?
Ye, but........genetics plays a very small role in cardiovascular disease. It is overwhelmingly a lifestyle disease and can be both prevented and reversed.
What about diterpenes in coffee? To what entend can these block Apob receptors. In other words, can excess coffee consumpties (more than 6 cups daily) have an impact and increase cholesterol levels?
I have a 21BMI. Very physically active. Eat virtually zero processed food. Very low carbohydrates. Mostly polyunsaturated fats. My CAC is 160. CIMT shows soft plaque. A1C is 5.8. I can't do anything more. It looks like statins are my only readable option.
I'm 61 years old. Exercise and walk at least 3 times a week. Heart disease runs in my family. Parents and oldest brother died of heart attack's in mid 60's. I had a CAC score of 595 in November of 2023. I was keto for that whole year. After the test I went carnivore. I had the CAC test done in November 2024. The test score was 674. That's a 11.7% increase. I also had a NMR test done in November of 2024 and my LDL-P was 2459. Its literally so high its off the chart. Other numbers on my NMR are as follows: small ldl-p 154, ldl size 22.8, hdl-p 34.5, large hdl-p 16.3,hdl size 10.2, large vldl-p 1.5 and vldl size 42.5. My triglycerides are around 115. My LDL is usually around 223. Cant seem to lower these two anymore on carnivore. I only eat 1 meal a day. In 2024 I was and still am taking the following Vitamins. 6 grams vitamin c, 6 grams l-lysine, 1500mg proline, 1800mg chondroitin sulfate, mk-7 400mcg, 10,000iu D, 800 mg magnesium different varieties, b-complex, boron 3mg, 800mg quercetin, zinc picolinte 50mg, nattokinase 12,000 fu, 2 drops iodine 450mcg, fish oil 3600mg, 1 baby aspirin and 800mg berberine. It seems like whatever I do nothing seems to help with the CAC score. I had a nuclear stress test done in 2024 and passed. Had a CT angiogram with contrast done in April of 2024 and it said 50% to 69% maximal coronary stenosis. My cardiologist wanted me to take 80mg of statin. I refused. Does anybody have any suggestions on my situation?
@@KenRaineri Thanks for your reply. You seem to have taken all the right supplements. Somethings don't add up. Perhaps the followings are my concern: 1) Supplements are not tightly regulated. The consistency is not guaranteed. 2) Did the body have any problem absorbing the oil based nutrients such as vitamin D and K2? 3) What is the tested level of vitamin D, 25(OH)D, calcium? Are they in normal (or expected) range?
Your numbers indicate a high risk of a future cardiac event. I would carry a jar of cayenne pepper. If you realize a heart attack is starting, take a teaspoon in water and get to the er.. search RUclips for this cayenne pepper usage. IT BUYS YOU TIME. 😇❤😇
I am endocrinologist in my practice lowest apo b is seen in people with low both low Bmi and body fat with high strength and vo2 levels. I achieved this for my self with no oil little nuts and almost vegan diet.. Rarely had some milk. 4 days running 3 days weights. It took 4 years for me to reach ldl 45 from 130
@@TravisBiggie Interesting! Please share, I've seen many people claim this on youtube comments but have yet to see anyone actually share their studies.
@@tomthecat8172 put "Association between low density lipoprotein cholesterol and all-cause mortality: results from the NHANES 1999-2014" into google. No counter-proof allowed on you tube unfortunately.
What do you have to say to the proof out there that people are reversing their calcium scores through only eating meat salt & water? I’m curious to know..
Interesting how he forgot to mention Amla, an indian goose berry, mostly available in dry powder form that lowers very significantly LDL cholesterol and therefore ApoB. In a similar degree as statins.
Do ApoBs normally deliver cholesterol from the liver to other tissues or is the cholesterol in ApoBs mostly there to give it a spherical shape? My doc didn't know.
I would like to say deliver. I believe apoB is the protein bound to the ldl to give it structure. Although cholesterol does aid in fluidity of cell membranes and allows transporters to send things across membranes Idk I could totally be wrong I’d have to google and read a bit to remember.
Good video. I have FH and take a statin, pop low-dose niacin several times a day, have a good, mostly plant-based diet, and exercise regularly (fencing and bike riding).
I was surprised that Dr Carvalho said that dietary cholesterol likely has little impact on serum cholesterol, citing a study to that effect. BUT we know that some of the folks who practice keto or carnivore diets have total cholesterol levels that are unheard of. Some in the 400 to 600s. Gil must have been thinking of standard omnivore dieters.
His more detailed opinion is some folks are more sensitive to dietary cholesterol or genetically predisposed to higher (or lower) cholesterol than others. But the bulk of the populace shouldn't zero in on dietary cholesterol intake relative to keeping at watch on trans fat, saturated fat, and ultra processed foods.
He may have said both hyper absorbers and hyper responders. He mentioned soy being useful, along with fiber and exercise. I think soy lecithin (an emulsifier) would markedly lower GI and lymphatic absorption of cholesterol. @@JoeS97756
Lipoprotein is not cholesterol. Lipoprotein carries cholesterol. Eating Chol does not raise Chol, eating fats raises lipoprotein...to move the fat and Chol. Losing weight by utilizing fat from cells will make more lipoprotein.
So curious about the seeming conflict between Saturated Fat consumption and "Seed Oils" (linoleic acid). Many say this dietary ratio is too high as many "processed foods" use seed oils and many are calling this out. Also what about new findings surrounding "Pentadecanoic Acid" (aka C-15) an "essential fatty acid" or saturated fat that studies show reduces CVD etc. I see a need for more studies...What's new?
My cholesterol ratio is normal. My triglycerides are normal. My Lipo B is high 149. My lipo a/b ratio is moderate high. I don't eat grains, dairy, or soy. They want me to go on a statin. I am doing diet and exercise. Decreasing saturated fat, processed food and limiting sugar. I use olive and avocado oil. I had acute cholecystitis, no stones. My liver enzymes and total cholesterol was high. My liver enzymes are nomal after surgery and cholesterol is going down. I eat fiber veggies and fruits. I eat more fish. I am taking fish oil, tudca, B12 and vitamin D3 K2. I am feeling better. I have celuacs and hashimotos. My TSH is normal and take no synthroid. I do not have the genetic genes for FH or APOE4. I am only 10 lbs over weight. My BP is 120/80, which I do want to lower. I also try to get 8 hours of sleep and practice meditation.
I thought it was pretty generous for the doctor not to bias things by reporting that he did an experiment to lower his DL cholesterol I’m pretty sure, LDL - C, and was amazingly successful by going. I think pretty much plant-based. I did that at one point for various reasons and then went off it for other reasons and I am praying that it’s OK to be off that because honestly, I did not feel satisfied overall, even though I felt full and did not get excessively hungry because I’m an old lady. I just like a little more variety with some dairy products, a few eggs, some fish, and a few things thrown at the small number of social events with food that I actually attend each year.
Do people in Minnesota, Hawaii, and Colorado have lower Apob levels? The reason I ask is those are the 3 States with lowest death rates from heart disease.
Wondering if ApoB 10 is considered as too high, for someone who exercises regularly and only eats (not consumes) plant food, no saturated fat and does not smoke?
10:00 lost me at canola oil. Eating seed oils like that creates all kinds of other problems with inflammation - hard to see how that would be an improvement.
It might surprise you to know that canola oil isn't inflammatory, along with many other seed oils. Watch Gil's video on it here: ruclips.net/video/-xTaAHSFHUU/видео.html
I suspect that you've done a video on the dangers of APO B. Can someone provide a reference to that video? I still struggle with the notion that our bodies make a protein that causes us harm without a concomitant benefit. Also, it seems to me that our bodies store energy as fats--largely saturated fats.
Hey Morris - not directly on ApoB, but the lipoprotein with the most ApoB. Here: LDL Cholesterol: Heart Disease Risk? Does size matter? [Study 171 - 180 Analysis] ruclips.net/video/1t8rqfG1CMA/видео.html
i've done everything. eat right and exercise but my ApoB is still high. Everything else looks good. I have done the Lipoprotein Profile Plus test. I have no inflammation. My CAC scan test is 1.5... I had an angiogram done as well coz they had to rescore my CAC. I tried Repatha but I stopped due to its side effects on my joints and I had migraine. Now, I'm waiting on zetia. My high ApoB is probably genetics!
i'm 55 y/o. Our high cholesterol is genetics. My mom has high cholesterol. I was diagnosed of high cholesterol at age 38. I've been on statins for 17yrs but since I did the Lipid Profile Plus Test, I just noticed this from my result.
HI Nick: i was wondering if you remove certain comments, a cardiologist earlier explained how he uses Niacin and one day a week water fasting and his patients do well, I asked him a question, I no longer see his or my comment. Another question of for Dr. Gil, whom I respect so much and enjoy his content as much I enjoy your content. Dr. Gil, I heard in this video you said that Statins actually reduce the size of the plaque in Coronary arteries , however, if your interview with Dr. T.Dayspring "5 myths about Coronary A. Calcium score", he say that Statins actually calcify the plaque and thus "prevent it from rupture", also in many of his videos I have heard him say" Statins don't reduce the size of plaque, nothing does reduce the size of plaque once it is formed, but Statins reduce the complications of an MI or Strokes. So my questions for both of you , is please make a video on studies that show Statins actually reduce the size of plaque if that is the case, as well as exactly what Statins do? do they reduce the size of the plaque or prevent its growth? do they stabilize the plaque by calcifying it thus preventing rupture? do they reduce poor outcome once someone has had an MI? do they actually prevent MI or stroke? thank you both for excellent content
I only remove comments that are rude, never anything else. I haven’t removed any comments on this video. I’ll cover statins when I have time to do the analysis as well as am prepared to receive insults (because it’s such a hot button topic and people often feel it’s okay to insult someone they disagree with). It’ll get done, though.
Thanks Nick for your response. I look forward to your analysis of Statin because I do find some bias from top doctors [not Dr. Gil] either over demonizing or minimizing their side effects@@Physionic
@zhilahaghbin4766 , the comment is still there, it is from @knockstarstv5711, from 3 months ago: "Im a cardiovascular doctor and have put patience on 500-1,000 mg of Niacin with a plant base diet, with 1 day water fast per week, and have seen drastic improvements with this is several patients. To counter some of the Niacin sides I've incorporated some light carbs when taking Niacin. Cheers."
The question is why. Why does the liver decrease LDL receptors when one consumes saturated fat? Is the body angry at us, and punishing us for consuming animal products? In general, it seems that the body does what is best for us, or at the very least tries to mitigate the damage caused by our bad habits. If this is true, then it seems that decreasing LDL receptors in the liver when we consume saturated fat must be some kind of beneficial adaptive response. Or, looking at it a different way, perhaps increasing LDL receptors in the liver in the face of polyunsaturated fat consumption is actually the beneficial adaptive response. Maybe the body knows that polyunsaturated fat is dangerous because it increases our vulnerability to oxidative stress. Maybe the body is just doing everything it can to metabolize those polyunsaturated fats (in the liver) so that they don't accumulate too much in the body. By contrast, maybe the body is happy to store the saturated fats because they do not increase oxidative vulnerability. The liver says, "Hey, thanks for eating saturated fat. No need for me to metabolize this right away. I'm going to send this off to the fat cells in case we ever run out of food."
Brilliant comment. There has to be more to this. I thought the modern thinking was that dietary saturated fat wasn’t a risk factor? Given that we have evolved eating saturated fat and very minimal PUFAs why would there be a biological disadvantage in consuming saturated fat? This argument doesn’t sound right to me
Modem thinking is saturated fat needs to be limited, but its better to eliminate it. We didnt evolve eating saturated fat. We evolved eating mainly plants. @@realneal000 The liver has receptors that pull ldl out of the bloodstream. Saturated fat clogs up the receptors, so they dont pull out as much ldl. Thats the mechanism
Well imagine you are a hunter forager. Most of your calories are going to come from what you can forage because they give you the most calories for the least effort. Most of what you will hunt, if you are successful, will be very lean, like rabbits. You're not going to find too many big animals in the wild just standing around all day munching grass and getting fat while you try to eat them. Wild animals with significant fat stores are much harder to catch and not worth the effort. Therefore you wouldn't expect the body to be optimized around domesticated animals, even grass fed ones... you'd expect a diet of mostly plant based carbs and fats supplemented with some lean animal protein
I appreciate this channel as little lessons, but organic chemistry is complex enough, I don't really know what each of these things found in each of these foods are, and what words are synonyms, etc Like saturated fats, versus triglycerides, versus different kinds of lipoproteins, which now I know are actually transport units, versus cholesterol which is also inside, but I don't get how different kinds of cholesterol play in ..
At 11:10, the study quoted wasn't able to "draw any conclusions regarding the effects of dietary cholesterol on CVD risk." But he then concludes that there is a "significant but modest" effect. I found that quite funny.
No statins for me, sorry. I had my tendon on my right bicep tear in 2019 and my left bicep tear in 2019. While it is normally the Achilles tendon, I found out doing a little online looking it can effect other tendons too.
@@Feed_Bleed_Read No, that's actually a well documented side effect of statins. Do a google search (Plus I learned it in nursing school... wife learned it in med school)
Come on DR Gil, Switching Butter to seed oils may very well improve the ApoB value but that IS NOT A HARD ENDPOINT. DEATH and heart attack is. I tend to think that the degree of imflamation caused by fats is a more important factor. Seed oils sucks. I eat diary fats without fear since many years and have all values perfectly fine. 73 years old.
I agree. Americans have reduced intake of foods he mentioned as bad, and gotten fatter and sicker doing this. As for dairy, most Americans don't buy whole milk dairy. Reduced fat, no fat, or fake milk is the majority of sales.
If you had listened to him in the past, you would learn that the message is that no food is very bad. It is all a matter of how much you eat. All that was said here are the ways to lower ApoB when things get out of control, with an emphasize on exercise. Same for getting fatter if you are in caloric surplus Plus, all claim made are based on clinical trials
![ApoB, LDL-C, Lp(a), and insulin as risk factors for cardiovascular disease [AMA 43 sneak peek]](http://i.ytimg.com/vi/MAw4KMoBTPo/mqdefault.jpg)
A collab made in heaven ... if we had a golden buzzer, this would be worthy, hands down! ❤
Thanks!
Thank you!
Having two of my go to people in the health and wellness industry on the same video is awesome. No BS. Just the facts. Much appreciated!
You and Gill do not get enough recognition nor rewards for your incredible labor. It is a shame that the public tends to be prone to influencer's BS and lack basic knowledge and logical skills to dismantle the current state of nutritional affairs.
Thankyou to the both of you for your excellent presentations.
I would like to see research that compares ApoB levels in those with elevated A1c and CRP levels and those with low levels of above markers.
Excellent, really enjoyed the collaboration between two of the most vetted scientists/Doctor on RUclips who always offer the most useful information for the masses that can be applied to improve everyone's health. Thank you 🙏🏽
Indeed.
Subscribed to this channel now.
Thanks for the conversation gents.
reduction of receptors by using saturated fatty acids was interesting for me.
AFAIK this hasn't been shown "in vivo", opposite, in fact, in non-liver cells, and tests on mice showed the opposite in liver cells too, at least in the context of low glucose
I love the two of you because you show the science and you don't sell any products!
Very interesting, Nick. Thanks for sharing. Wonder what the mechanism is for fiber (psyllium husk) lowering ApoB?
Psyllium husk binds with your bile acids. Your body then needs to use cholesterol to make new bile acids.
Why do we not see ApoB buildup in veins? Unless a vein is put into service as an artery as in a bypass procedure. Then they seen to block up faster.
Covered in my Saladino video
@@Physionicis it a short one?
Increased pressure and increased oxygenation in arteries. Oxygen and pressure causes oxidation to the artery causing injury, LDL responds to repair, it gets oxidized while there. Take Antioxidants. Strengthen your arteries with Vitamin C. That's fruits and vegetables. Genuine carnivores eat raw organs and meat for the vitamin C, unless you do, you are deficient.
It was indeed very informative. Thanks!
Very clear and helpful. Thank you both!
Our pleasure!
I started out at 335 lbs back in November 2023, at which time I decided to change my diet to give up all processed foods, all vegetable oils (except olive), all sugars, and limit my intake of grains to just a few bites per week. After losing 20 lbs, I started on the treadmill. I am now (end of January 2024) down to 295 lbs and have maintained my diet choices reliably.
My Total Cholesterol when from 150 to 277. My LDL went from 84 to 214. Triglycerides fell from 161 to 117 (so that's good).
Now I'm worried that the saturated fat I have put into my diet (cooking with rendered beef fat or butter), has reduced the number of LDL receptors in my Liver and is causing my LDL to skyrocket.
Doctor never ordered the ApoB test or the test that measures the size of the LDL, but we plan to do so on the next blood test in June.
I need an oil I can use to cook my scrambled eggs and vegetables with, and something to use when making stir fry meat and vegetables.
We use Olive oil and Avocado oil
Search norwitz Oreo
Isn't it funny when doctors forget to order such tests? I wouldn't worry so much about the type of vegetable oil that you're eating, but rather the level of refinement. Refined olive oil is just as bad as the others. You want that 100% extra virgin olive oil.
Also remnant cholesterol (RC) is much more dangerous than LDL. RC = Total cholesterol - HDL - LDL. It's all the even lower density stuff than the LDL, such as the VLDL and chylomicrons.
Try avocado oil for cooking and maybe switch to fish
Incorporate psyllium husk, it did wonders to me
What would an alternative (or complement) to lowering ApoB look like? Maybe counteracting plaque formation by taking fibrinolytic enzymes? Nattokinase?
I've got everyone in my family who will take it, on Nattokinase. I've been able to get off BP medicine completely because if it, and a few more supplements. It's great.
There is no conclusive evidence that Natto lowers LDL/ ApoB. The main reason is that it has a poor bio-availability. Possibly trials using very large doses would be more or somewhat effective.
I guess I need to look into my APOB levels 😅
Always helpful :) - thank you!
This is better than getting health information from chiropractors like "Dr.Berg" amongst others. 👍
Dr. Berg gives a lot of good and helpful information, you can't go much wrong by listening to him, obviosly no diet protocols are a one size fits all.
Holy cow Berg is a chiro? FFS. Look I don't really have any serious issues with Berg, but for the love of intellectual honesty it should be ILLEGAL for chiropractors to use the title of "Dr.". I mean it should carry a heavy fine and possibly even jail time. Berg has over 10 MILLION SUBS. I mean why don't channels like Physionic and Nutrition Made Simple! have this many? Can people be *this* intellectually stunted?
@@eyeofsauronsa and a scientologist
Dr Berg is among the very few legit doctors that can be listened by those familiar in the medical field. His analysis designates with science and reasoning unlike other charlatans spewing on behalf of pharmaceutical global mafia. FYI everyone on internet including Dr Berg is promoting his own products which I don’t agree at all and not approve on that regard. I like those who demonstrate all the data in-front of public like Nick is doing on this channel. A good example could be (Conquer aging or die trying channel)
otherwise everyone’s opinion is bound to be criticised!
@@donniedarko3259 do you even know what Scientology is other than what biased media has been saying 😂
Very educational! Thank you very much!
YESSSS Finally a collab of my 2 most trusted "sources" :D
You and Dr. Gil are my favorite two RUclipsrs and I can't thank you enough about the amazing work you both do and how you educated me about looking at the data. Having you both collaborate is truly a joy! I'm on Mediterranean diet for a long time but have high APOB, calcium score of 1 and early fatty liver. I have taken Dr. Gil's advice and started to exercise and reducing calories and plan to test again beginning of next year. My doctor just wants to put me on statins without trying anything else 🙂
My condolences
I"m with you on @NutritionMadeSimple and @Physionic being top of my list of trustworthy providers of analysis. They both tell us to go and look at the studies, and not just believe them.
Also do have psyllium husk and check D3 levels
@@eddscall I have started using psyllium husk and do take D3 but haven't measured it. Plan to test soon. Thanks
@@jimdaikh9381 Great, Husk as done wonders for my total cholesterol, I usually take it at night before sleeping , be sure to drink a lot of water generally if on husk, and supplement high strength Omega 3 if u dont eat fish much, combined with exercise, u should see some major improvement by ur next test - So on supplementation side of things Creatine, Husk, Omega 3 & 60000 IU D3 once per week (This was perfect as per my recent blood report)
Actually I felt this was poorly presented. Not that Gil's knowledge isn't there but felt his comments were disjointed and like he didn't have time to prepare.
I think what needs to be emphasized first is how do people find out their ApoB ratio? Well, typically when you go to your Dr for a physical and they order a cholesterol (lipid panel) it really doesn't tell you much. You have to request an "advanced lipid panel"....most Dr's don't do it because insurance companies don't pay for it. Its relatively inexpensive (about $90.00) if you have to pay out of pocket, but will tell you so much more. Additionally when they order your blood panel make sure they are checking liver levels (if its a filtering issue as pointed out, it may be picked up here but more likely will give you a baseline to compare in the future when you make lifetstyle and diet changes to counter an unfavorable ApoB ration).
Next get in touch with a nutritionist and review you diet---Be honest! Then if you are lacking exercise in your regiment and especially if you have a desk job and or are obese, contact a certified trainer regarding an exercise program then review that with your Dr. prior to starting (especially if you've been inactive for a number or years, are obese, and or over 40)
The idea being 1. find out if you have an ApoB issue 2. Make sure you have the correct information relative to your condition and age. 3. Contact experts and arm them with specific personal information. 4. Review plans (diet and exercise) with you DR and set up a time frame to check progress and retest / monitor.
As I said I think Gil has the knowledge but given the presentation seemed spur of the moment and left key factors not addressed.
Also DR Peter Attia covers this subject well with a couple videos and interviews.
Agreed, I had to listen 5 times to understand the gist.
Very high sat fat diet switch to moderate fat diet. Reduce butter by switching to peanut butter/avocado.
High carb diet reduce to low carbs.
So LDLC no longer the bad guy its AlipoB., which is a type of VLDL.
Great content thank you
Excellent. I finally understand.
Nick & Gil is the collab that we need in the online nutrition space. Thanks gents and happy holidays!
Dude, love your pods. Much thx for sharing this! Will decrease my sat-fats and increase my EVOO and guacamole.
Which Niacin Please? Flush Niacin or NON Flush ?
I am no expert, but I did look into this it appears as though no flush =no benefit. I would default to the flush version until proven otherwise.
Flush is better.
A lot of people asking about Niacin, official guidelines now recommend not taking it. Also, there is no current way to lower Lp(a)
@chrisgerard1650
Agree!
Thanks for posting.
Except that it works dramatically for me. HDL increase by 50% and LDL cut in half.
The statement was made "HDL doesn't cause problems." I have seen research that shows that at very high levels HDL can cause problems. Would love to see a presentation devoted to HDL since mine is 120 mg/dl (but with very low TRIGS and OK LDL and APOB) I don't know whether or not to worry.
How about vitamin B3 as an effective supplement for lowering apoB?
Wasn't mentioned, but I have several videos on the topic.
I think improving your digestive system and increasing diversity would be much better than bombarding your system with large amounts of highly available b3
New study just out about B3 supplementation (Niacin) actually causing heart disease.
The study doesn't say Niacin causes heart disease. It says Niacin is not better than statins at PREVENTING heart disease.@@JoeS97756
Great talk; Thanks!
An alternative explanation about plack development starts with endothelial injury and inflammation. TUMERIC and Cocoa power or Dark chocolate can help control the injury and inflammation.
Cocoa heavy metals no thx.
Also, turmeric is being blamed for causing damage, too. Sorry.
Vitamin C strengthens arteries.
@@mowthpeece1yup. There was a nobel prize winner who talked about this, Dr Pauling i think
@@chrismyers9951 There are 100% Cocoa powder company(s) that does 3rd party analyzing to show purity and safety for low heavy metals
Would like to see a presentation on plant sterols and stanols: helpful or not, or even harmful? Are supplements like Cholestoff effective and safe? How do sterols and stanols compare to Ezetimibe? I know that the method of operation for both is blocking absorption of cholesterol in the gut. But which is safer, better, and can they be combined? Thank you for your indepth and thoughtful analysis.
brilliant combo
Awesome 👏 Video
what is consider a safe or healthy range for a pob? In a lab test which result should I be looking at. Had one done and it varies from LDL particle numbers, LDL small, medium peak size. Apoliprotein B and (a). The latter was at 31.
What is the real driver in atherosclerosis, is it the high levels of cholesterol or the oxidation of cholesterol?
Will cardiovascular exercise, like running, lower apo-b?
yes
@@PhysionicThanks. Mechanistically, is it the cardio itself or is it more linked to body weight reduction?
Im a cardiovascular doctor and have put patience on 500-1,000 mg of Niacin with a plant base diet, with 1 day water fast per week, and have seen drastic improvements with this is several patients. To counter some of the Niacin sides I've incorporated some light carbs when taking Niacin. Cheers.
HI I am physician, I went on a carnivore diet for only month because my ALT was mildly elevated and I found from Dr. K.D .Berry that it was because of high carb diet, so was able to bring my ALT down but my LDL went up, however been doing Omega 3 and Niacin up to 500 mg Niacin flush twice per day, but stopped all my supplements 10 days prior to blood draw which is in a few days, so hoping it is much better, but wonder for the 10 days I did not any fish oil or Niacin , possible that my LDL level be higher than 10 days ago? I personally love Niacin and will take it after my lab regardless.
I think making the niacin in the system more available than giving large amounts of highly available niacin would be better long term.
@@zhilahaghbin4766 doesn't Dr. Berry advocate not worrying about "high" LDL in the absence of IR? Super low LDL associated with higher mortality in studies if I recall...
@@fatillacing4131 Reverse causation. Various diseases and traumas cause low LDL hence the association with mortality in simple observational studies Trials that lower LDL to low levels, however, show reduced mortality.
Do you mean patients? It’s hard for me to believe a doctor wouldn’t know how to spell that word
ApoB seems to be a marker for people who consume carbohydrates. Is there any research showing the same results in people on a carnivore or keto diet (below 20g of carbohydrates/day)?
2024 and people still on those ridiculous diets.....
@@MichaelGGarry respect other peoples dietary choices and stop offering your petty insulting advice
@@MichaelGGarryHave you EVER read an anthropology book? Do you know ANYTHING about our evolutionary diet?
But I will volunteer that people are DIFFERENT. Some thrive on carnivore some on vegan. Our DNA and especially microbiomes are different. There is zero point in judging others' diets. There is NO CONTEST. Anyone who plays the competition game is an agent of division.
What pharmacology reduces Apob?
Love Gil’s knowledge and clarity!
Can you do a video about Lp(a)? Please.
Since most people rarely eat fish & seafood, unfortunately. I'd suggest taking up to 1g of omega-3 suplements.
Superb content, cool collaboration. God bless
Can you go over the risks of statins and how serious they are ?
Ther;s a strong risk that they will reduce major adverse cardiovascular event rates and dementia rates.
@@tomgoff7887 isn't that a good thing ?
@@farhat5325 Er, yes.
This doesn't make much sense to me. The plagues are created to patch damage to the blood vessels. Part of the patching material is cholesterol which is contained in ldl-b. If there is no injury, then no plaque is created, correct? Shouldn't we focus on reducing the injury to the vessel which is caused by inflamation or excess glucose, etc., instead of worring about ldl-b levels?
Turns out 0 damage is needed for mass amounts of ApoB to penetrate endothelium. So no, that's not something we need to be focusing on.
So when people say a”low carb diet” it is automatically assumed to be HIGH SATURATED FAT. But i have never seen a video that says you can replace half or more of the saturated fat with olive oil and be healthy. So should we eat lean meat on low carb and try to keep our carbs below a hundred grams? Then any excessive weight loss can be stopped by adding olive oil NOT SATURATED FAT. Can anyone give me guidance. I am clueless.
Great video. It's interesting that Gil never listed niacin (nicotinic acid) as one of the supplements that greatly lowers ApoB...and Lp(a)!
I know, although he has done a deep dive on Niacin, and heart disease.
Probably forgot to mention it off the cuff.
@@Feed_Bleed_Read
I have to agree with you. Niacin didn't lower my Apo b, nor did it raise my Hdl😏
@@Feed_Bleed_Read (Jin, Kamanna, & Kashyap, 1999) and (Guo & Fisher, 2011) both show that niacin supresses the expression of ApoB. All studies are limited and none are definitive, of course.
Unfortunately there’s no way to lower Lp(a) They are working on a medication for it currently
Yes, LDL goes down with polyunsaturated fats but the phytosterol in for instance corn oil, sunflower oil raises the campesterol and sitosterol levels and are even more dangerous than high LDL.
This applies especially to so called hyperabsorbers.
Hyperabsorber should not increase their intake of polyunsaturated fats too much. They are better off consuming more carbs rich in fibers like sweet potatoes, beans, rice etc that also will lower their LDL.
Hyperabsorber should not do keto / LCHF. The absence of carbs will make their LDL skyrocket.
Interesting stuff.
Great information from my two favorite content creators. What do you say to those doctors on RUclips (Dr. Ford, Ken Berry) that say it's not fat, but carbs and glucose that causes plaque?
Would like to know what he thinks of Nattokinase for reducing ApoB.
If this is the way it works then I can’t figure out how being carnivore dropped my LDL from 262 to 190. No fiber. And my HDL has gone up from 42 to 60. Triglycerides are 78. 64 year old male. Primarily pastured eggs and beef. Occasional lamb.
Your LDL is still very high. Do an ApoB test to see your level of arthrogenic level of cholesterol. You can order it on line and then go to a lab to do it.
Don't lower LDL unless it's OXIDIZED. Get a count. Check ApoB.
Did you say industrial trans fats were discontinued in the United States? Can you elaborate more on that
Gil is the GOAT
@ 12:40 - WHAT protein is he suggesting will reduce apob?
Is he saying SOY protein?
I've re-listened several times - slowed the speed down - still can't quite understand what he's saying.
But my guess would be that its soy protein.
Can someone please confirm?
One very important and often overlooked in Cardiovascular health is Lp(a) a genetic factor that causes Atherosclerosis regardless of LDL numbers.
Which is why it's important to use ApoB instead of LDL, since ApoB takes into account Lp(a)
Ye, but........genetics plays a very small role in cardiovascular disease. It is overwhelmingly a lifestyle disease and can be both prevented and reversed.
Ah yes, searching for lights I g strikes. What an inefficient way to use the healthcare system
Great Video 5-Stars !
What about diterpenes in coffee? To what entend can these block Apob receptors. In other words, can excess coffee consumpties (more than 6 cups daily) have an impact and increase cholesterol levels?
What if fat is your primary source of fuel, eg keto, carnivore diets? Is the advice the same?
I have a 21BMI. Very physically active. Eat virtually zero processed food. Very low carbohydrates. Mostly polyunsaturated fats.
My CAC is 160. CIMT shows soft plaque. A1C is 5.8.
I can't do anything more. It looks like statins are my only readable option.
You never mentioned what the “healthy range” is in mg/dL! How do we know what is healthy & what concentration is not healthy!!!!
It will be on your lab report.
Is ApoB a synonym for LDL?
Cut back on soda? No, eliminate soda from your diet.
Looking cozy
He mentions canola oil as an option for something you should switch to , seed oils are poison. So I am not sure about his suggestions
Any evidence for that ? Besides what influencers say?
I'm 61 years old. Exercise and walk at least 3 times a week. Heart disease runs in my family. Parents and oldest brother died of heart attack's in mid 60's. I had a CAC score of 595 in November of 2023. I was keto for that whole year. After the test I went carnivore. I had the CAC test done in November 2024. The test score was 674. That's a 11.7% increase. I also had a NMR test done in November of 2024 and my LDL-P was 2459. Its literally so high its off the chart. Other numbers on my NMR are as follows: small ldl-p 154, ldl size 22.8, hdl-p 34.5, large hdl-p 16.3,hdl size 10.2, large vldl-p 1.5 and vldl size 42.5. My triglycerides are around 115. My LDL is usually around 223. Cant seem to lower these two anymore on carnivore. I only eat 1 meal a day. In 2024 I was and still am taking the following Vitamins. 6 grams vitamin c, 6 grams l-lysine, 1500mg proline, 1800mg chondroitin sulfate, mk-7 400mcg, 10,000iu D, 800 mg magnesium different varieties, b-complex, boron 3mg, 800mg quercetin, zinc picolinte 50mg, nattokinase 12,000 fu, 2 drops iodine 450mcg, fish oil 3600mg, 1 baby aspirin and 800mg berberine. It seems like whatever I do nothing seems to help with the CAC score. I had a nuclear stress test done in 2024 and passed. Had a CT angiogram with contrast done in April of 2024 and it said 50% to 69% maximal coronary stenosis. My cardiologist wanted me to take 80mg of statin. I refused. Does anybody have any suggestions on my situation?
What is the percentage of omega-3 FA in the fish oil?
I might look into taking niacin in the form of nicotinic acid.
@@stanleyyu2079 i take 3600 once a day with food
@@KenRaineri Thanks for your reply. You seem to have taken all the right supplements. Somethings don't add up.
Perhaps the followings are my concern:
1) Supplements are not tightly regulated. The consistency is not guaranteed.
2) Did the body have any problem absorbing the oil based nutrients such as vitamin D and K2?
3) What is the tested level of vitamin D, 25(OH)D, calcium? Are they in normal (or expected) range?
Your numbers indicate a high risk of a future cardiac event. I would carry a jar of cayenne pepper. If you realize a heart attack is starting, take a teaspoon in water and get to the er..
search RUclips for this cayenne pepper usage. IT BUYS YOU TIME. 😇❤😇
@@stanleyyu2079 vitamin d is 63. Didnt get my calcium level tested. I buy NOW Brand and Life extension Brands.
I am endocrinologist in my practice lowest apo b is seen in people with low both low Bmi and body fat with high strength and vo2 levels.
I achieved this for my self with no oil little nuts and almost vegan diet.. Rarely had some milk. 4 days running 3 days weights.
It took 4 years for me to reach ldl 45 from 130
thats not a good thing, my goodness. how many studies do there need to be to show low ldl is bad? insane
@@ns1extreme This guy on this channel, many times. Most old people have elevated LDL....
@@TravisBiggie Interesting! Please share, I've seen many people claim this on youtube comments but have yet to see anyone actually share their studies.
@@martinp7256I think you misread the comment you were replying to.
@@tomthecat8172 put "Association between low density lipoprotein cholesterol and all-cause mortality: results from the NHANES 1999-2014" into google. No counter-proof allowed on you tube unfortunately.
What do you have to say to the proof out there that people are reversing their calcium scores through only eating meat salt & water? I’m curious to know..
The survivors. The ones that died on the diet aren't around to tell everyone it is a huge and dangerous mistake.
Did you or @nutitionmadesimple notice any bump from cross over subscribers ? .
Interesting how he forgot to mention Amla, an indian goose berry, mostly available in dry powder form that lowers very significantly LDL cholesterol and therefore ApoB. In a similar degree as statins.
The thing that has always annoyed me is that my ldl has always been low but my total is higher and I'm hoping doctors catch on to the science soon.
Do ApoBs normally deliver cholesterol from the liver to other tissues or is the cholesterol in ApoBs mostly there to give it a spherical shape? My doc didn't know.
I would like to say deliver. I believe apoB is the protein bound to the ldl to give it structure.
Although cholesterol does aid in fluidity of cell membranes and allows transporters to send things across membranes
Idk I could totally be wrong I’d have to google and read a bit to remember.
Good video. I have FH and take a statin, pop low-dose niacin several times a day, have a good, mostly plant-based diet, and exercise regularly (fencing and bike riding).
May I ask which low dose niacin brand you use? I can’t tolerate the higher dose ones. Thank you in advance 🙏🏻
I recommend David Diamond's presentation on FH and CVD risk
Watch the Niacin, new study out showing supplementation causing heart disease.
I’ve heard the American heart association has officially stopped recommending niacin
Thank you
Surprised he didn't mention niacin for lowering apob. It is a natural way of lowering apob instead of a statin.
And, what does a very lowfat diet do?
Malnutrition
links?@@brucejensen3081
Make me very depressed
Try taking Amla.
I was surprised that Dr Carvalho said that dietary cholesterol likely has little impact on serum cholesterol, citing a study to that effect.
BUT we know that some of the folks who practice keto or carnivore diets have total cholesterol levels that are unheard of. Some in the 400 to 600s.
Gil must have been thinking of standard omnivore dieters.
His more detailed opinion is some folks are more sensitive to dietary cholesterol or genetically predisposed to higher (or lower) cholesterol than others. But the bulk of the populace shouldn't zero in on dietary cholesterol intake relative to keeping at watch on trans fat, saturated fat, and ultra processed foods.
He mentioned hyper responders.
He may have said both hyper absorbers and hyper responders.
He mentioned soy being useful, along with fiber and exercise. I think soy lecithin (an emulsifier) would markedly lower GI and lymphatic absorption of cholesterol. @@JoeS97756
One problem of the portfolio diet is that hyper responders will also respond to phytosterols as well
Lipoprotein is not cholesterol. Lipoprotein carries cholesterol. Eating Chol does not raise Chol, eating fats raises lipoprotein...to move the fat and Chol. Losing weight by utilizing fat from cells will make more lipoprotein.
So curious about the seeming conflict between Saturated Fat consumption and "Seed Oils" (linoleic acid). Many say this dietary ratio is too high as many "processed foods" use seed oils and many are calling this out. Also what about new findings surrounding "Pentadecanoic Acid" (aka C-15) an "essential fatty acid" or saturated fat that studies show reduces CVD etc. I see a need for more studies...What's new?
My cholesterol ratio is normal. My triglycerides are normal. My Lipo B is high 149. My lipo a/b ratio is moderate high. I don't eat grains, dairy, or soy. They want me to go on a statin. I am doing diet and exercise. Decreasing saturated fat, processed food and limiting sugar. I use olive and avocado oil. I had acute cholecystitis, no stones. My liver enzymes and total cholesterol was high. My liver enzymes are nomal after surgery and cholesterol is going down. I eat fiber veggies and fruits. I eat more fish. I am taking fish oil, tudca, B12 and vitamin D3 K2. I am feeling better. I have celuacs and hashimotos. My TSH is normal and take no synthroid. I do not have the genetic genes for FH or APOE4. I am only 10 lbs over weight. My BP is 120/80, which I do want to lower. I also try to get 8 hours of sleep and practice meditation.
LP(a) is the most critical marker for heart risk, yes?
Gil is another OG!
I thought it was pretty generous for the doctor not to bias things by reporting that he did an experiment to lower his DL cholesterol I’m pretty sure, LDL - C, and was amazingly successful by going. I think pretty much plant-based. I did that at one point for various reasons and then went off it for other reasons and I am praying that it’s OK to be off that because honestly, I did not feel satisfied overall, even though I felt full and did not get excessively hungry because I’m an old lady. I just like a little more variety with some dairy products, a few eggs, some fish, and a few things thrown at the small number of social events with food that I actually attend each year.
How do I buy one of your Dad's coffee cup?🤓
Joeveo Temperfect website
Do people in Minnesota, Hawaii, and Colorado have lower Apob levels? The reason I ask is those are the 3 States with lowest death rates from heart disease.
Wondering if ApoB 10 is considered as too high, for someone who exercises regularly and only eats (not consumes) plant food, no saturated fat and does not smoke?
10:00 lost me at canola oil. Eating seed oils like that creates all kinds of other problems with inflammation - hard to see how that would be an improvement.
It might surprise you to know that canola oil isn't inflammatory, along with many other seed oils. Watch Gil's video on it here: ruclips.net/video/-xTaAHSFHUU/видео.html
Evidence?
Based on what studies?
@@arihaviv8510 There are many. Here's one: www.ncbi.nlm.nih.gov/pmc/articles/PMC5719422/
@@christoffernilsen747 www.ncbi.nlm.nih.gov/pmc/articles/PMC5719422/
I suspect that you've done a video on the dangers of APO B. Can someone provide a reference to that video?
I still struggle with the notion that our bodies make a protein that causes us harm without a concomitant benefit. Also, it seems to me that our bodies store energy as fats--largely saturated fats.
Hey Morris - not directly on ApoB, but the lipoprotein with the most ApoB. Here: LDL Cholesterol: Heart Disease Risk? Does size matter? [Study 171 - 180 Analysis]
ruclips.net/video/1t8rqfG1CMA/видео.html
He very clearly stated that cholesterol is needed by the body, but not in excess.
How does ApoB relate to lipoprotein A?
i've done everything. eat right and exercise but my ApoB is still high. Everything else looks good. I have done the Lipoprotein Profile Plus test. I have no inflammation. My CAC scan test is 1.5... I had an angiogram done as well coz they had to rescore my CAC. I tried Repatha but I stopped due to its side effects on my joints and I had migraine. Now, I'm waiting on zetia. My high ApoB is probably genetics!
Hey! How old are you? And when did you start noticing your apoB is high
i'm 55 y/o. Our high cholesterol is genetics. My mom has high cholesterol. I was diagnosed of high cholesterol at age 38. I've been on statins for 17yrs but since I did the Lipid Profile Plus Test, I just noticed this from my result.
My ldl is 202, apob 1.6. not taking any med.how much is ur apob level?
HI Nick: i was wondering if you remove certain comments, a cardiologist earlier explained how he uses Niacin and one day a week water fasting and his patients do well, I asked him a question, I no longer see his or my comment. Another question of for Dr. Gil, whom I respect so much and enjoy his content as much I enjoy your content. Dr. Gil, I heard in this video you said that Statins actually reduce the size of the plaque in Coronary arteries , however, if your interview with Dr. T.Dayspring "5 myths about Coronary A. Calcium score", he say that Statins actually calcify the plaque and thus "prevent it from rupture", also in many of his videos I have heard him say" Statins don't reduce the size of plaque, nothing does reduce the size of plaque once it is formed, but Statins reduce the complications of an MI or Strokes. So my questions for both of you , is please make a video on studies that show Statins actually reduce the size of plaque if that is the case, as well as exactly what Statins do? do they reduce the size of the plaque or prevent its growth? do they stabilize the plaque by calcifying it thus preventing rupture? do they reduce poor outcome once someone has had an MI? do they actually prevent MI or stroke? thank you both for excellent content
I only remove comments that are rude, never anything else. I haven’t removed any comments on this video.
I’ll cover statins when I have time to do the analysis as well as am prepared to receive insults (because it’s such a hot button topic and people often feel it’s okay to insult someone they disagree with). It’ll get done, though.
Thanks Nick for your response. I look forward to your analysis of Statin because I do find some bias from top doctors [not Dr. Gil] either over demonizing or minimizing their side effects@@Physionic
@zhilahaghbin4766 , the comment is still there, it is from @knockstarstv5711, from 3 months ago:
"Im a cardiovascular doctor and have put patience on 500-1,000 mg of Niacin with a plant base diet, with 1 day water fast per week, and have seen drastic improvements with this is several patients. To counter some of the Niacin sides I've incorporated some light carbs when taking Niacin. Cheers."
Very nice explanation, never heard this explanation before!
The question is why. Why does the liver decrease LDL receptors when one consumes saturated fat? Is the body angry at us, and punishing us for consuming animal products? In general, it seems that the body does what is best for us, or at the very least tries to mitigate the damage caused by our bad habits. If this is true, then it seems that decreasing LDL receptors in the liver when we consume saturated fat must be some kind of beneficial adaptive response. Or, looking at it a different way, perhaps increasing LDL receptors in the liver in the face of polyunsaturated fat consumption is actually the beneficial adaptive response. Maybe the body knows that polyunsaturated fat is dangerous because it increases our vulnerability to oxidative stress. Maybe the body is just doing everything it can to metabolize those polyunsaturated fats (in the liver) so that they don't accumulate too much in the body. By contrast, maybe the body is happy to store the saturated fats because they do not increase oxidative vulnerability. The liver says, "Hey, thanks for eating saturated fat. No need for me to metabolize this right away. I'm going to send this off to the fat cells in case we ever run out of food."
Brilliant comment. There has to be more to this. I thought the modern thinking was that dietary saturated fat wasn’t a risk factor? Given that we have evolved eating saturated fat and very minimal PUFAs why would there be a biological disadvantage in consuming saturated fat? This argument doesn’t sound right to me
Modem thinking is saturated fat needs to be limited, but its better to eliminate it. We didnt evolve eating saturated fat. We evolved eating mainly plants. @@realneal000
The liver has receptors that pull ldl out of the bloodstream. Saturated fat clogs up the receptors, so they dont pull out as much ldl. Thats the mechanism
Well imagine you are a hunter forager. Most of your calories are going to come from what you can forage because they give you the most calories for the least effort. Most of what you will hunt, if you are successful, will be very lean, like rabbits. You're not going to find too many big animals in the wild just standing around all day munching grass and getting fat while you try to eat them. Wild animals with significant fat stores are much harder to catch and not worth the effort.
Therefore you wouldn't expect the body to be optimized around domesticated animals, even grass fed ones... you'd expect a diet of mostly plant based carbs and fats supplemented with some lean animal protein
The takeaways from this are difficult to keep in my brain, lol. Compared to the hdl "cleaning" ldl story
I appreciate this channel as little lessons, but organic chemistry is complex enough, I don't really know what each of these things found in each of these foods are, and what words are synonyms, etc
Like saturated fats, versus triglycerides, versus different kinds of lipoproteins, which now I know are actually transport units, versus cholesterol which is also inside, but I don't get how different kinds of cholesterol play in ..
what are your conflict of interests?
I love science. There ya go. 😜
@@Physionic ok tell me if you love science- does HDL gets oxidized?
At 11:10, the study quoted wasn't able to "draw any conclusions regarding the effects of dietary cholesterol on CVD risk." But he then concludes that there is a "significant but modest" effect. I found that quite funny.
No statins for me, sorry. I had my tendon on my right bicep tear in 2019 and my left bicep tear in 2019. While it is normally the Achilles tendon, I found out doing a little online looking it can effect other tendons too.
@@Feed_Bleed_Read No, that's actually a well documented side effect of statins. Do a google search (Plus I learned it in nursing school... wife learned it in med school)
Just happened to me, too, 7 weeks after stopping pravastatin. Torn biceps tendon while curling puny 20lb dumbbell. Ridiculous. No more statins for me.
Gil states "APO B is the causative factor". Does he want to rethink that comment, or does he still stand by that?
Why would he? Apo B is a direct measure of number of atherogenic particles .
Come on DR Gil, Switching Butter to seed oils may very well improve the ApoB value but that IS NOT A HARD ENDPOINT. DEATH and heart attack is. I tend to think that the degree of imflamation caused by fats is a more important factor. Seed oils sucks. I eat diary fats without fear since many years and have all values perfectly fine. 73 years old.
I agree. Americans have reduced intake of foods he mentioned as bad, and gotten fatter and sicker doing this.
As for dairy, most Americans don't buy whole milk dairy. Reduced fat, no fat, or fake milk is the majority of sales.
If you had listened to him in the past, you would learn that the message is that no food is very bad. It is all a matter of how much you eat. All that was said here are the ways to lower ApoB when things get out of control, with an emphasize on exercise.
Same for getting fatter if you are in caloric surplus
Plus, all claim made are based on clinical trials
@@keithbarbaro7590naa they're eating plenty of ribs, fried chicken and ice cream don't worry 😅