I had periodontal surgery for gum disease in the early 1990’s and I sincerely believe that was the beginning of my future health issues. During a complete physical exam in the spring of 1997 (age 56) the attending physician heard noise in both carotid arteries. Shortly 😊thereafter a vascular surgeon performed surgery on the left and right carotid arteries - successfully. I thought all was well. Then 6 years later (age 62) I had a heart attack. A stent was inserted into my right ventricle artery . I had been an avid cyclist and runner while working out at the gym almost daily.for the prior 20 years. My total. cholesterol was in the 145 to 150 range. Then in 2020 as the Covid pandemic hit I was admitted to the hospital for another stent but the attending physician said no stent , a quadruple bypass is recommended and performed. Now at age 83 I am still alive, still exercising but not at the rate I did in the past. I believe all my health issues began with periodontal surgery for gum disease and the bad bacteria entered my arteries and the rest is history. Lesson learned - keep your mouth clean and free of bad bacteria.
My cardiologist me do the Doppler. It was a COMPLETE waste of time and money. My results were clean on one side and "less than 50%" blockage on the other side. My Virta doctor said, "What good is that? Is it 2% or 40%" My cardiologist just said, you need a statin.
I had tonsil and tongue cancer 2 years ago and had to have radiation to my throat and tongue area. I survived the cancer but couldn’t swallow for 20 months, but finally got off the feeding tube. Last time I saw my Dr of Radiology he said we now need to check my carotid artery to see if it has been damaged. Wish they had discussed all this before treatment, I have no idea what I’m looking at now but I’m praying to God it hasn’t been damaged. Gotta love radiation, it’s the gift that keeps on giving. I think I’m going to ask them to do this test. Thanks for the info Doc.
@@tomdehen it was rough Tom, but I had my “WHY’S” as to why I fought like the 3rd monkey getting on Noah’s Ark. I will admit there were times during radiation, chemo and not being able to eat by mouth for 20 months that I wished I hadn’t lived thru the surgery. But GOD, MY FAMILY & FRIENDS rallied around me and got me through the nightmare. I wouldn’t wish a head and neck cancer on anyone, it’s a BRUTAL JOURNEY to SURVIVE IT.
@@nettewilson5926 yeah well that’s why I took 300 mg of melatonin before each radiation treatment, yes I said 300 mg 2 hrs before each zap! It’s suppose to help protect your DNA and help the chemo and radiation work better. I ask my Dr at UTSW in Dallas could the body heal from chemo and radiation and he said “Yes, but it takes 7-10 years”. So I’m going to stay positive and keep BEING THE LOVE AND THE LIGHT in this dark world until my MISSIONS are completed down here and I’m called back home.
Ariana, a great description on what triggers a heart attack and why most people, including cardiologists, have no clue of what useful in preventing a myocardial infarction..
What a wonderful teaching!!! Thank you so much! I have been working hard at keto/carnivore diet for a few months, and I really appreciate what you suggest about the CIMT test. I have no insurance and am on a fixed income, but I think I can save up and have this test done in the next month. Also, my Mom and Grandma both had strokes, so I am pretty concerned about my arteries, especially because I have strange pains and pressure in my neck. So thank you!!!! I will return and watch this after I get the test done.
Since heart disease is the #1 killer in the US- 😅I think your channel can be the #1 channel on RUclips Tube! Myron does not know I’m recommending him but I think you can benefit from his coaching. I saw you for the first time today 9/22/24 but I see you have been on You Tube for at least 3 years. I will share your information.
@ Yes, I have some chest pain now and then and trouble breathing sometimes if I exercise Such as climbing stairs! Of course, he wants to put me on a statin & a blood thinner. I’m doing some other things myself first. I’m taking red, rice, yeast, niacin and garlic. I also take K2, Ginkgo,resverstrol, vitamin A, dry E, Various magnesium’s, and a multivitamin for older women, and so many other supplements. Way too many to mention! But lots of things that help the body function, more efficiently vitamin D, which is up for me right now like 66 which is considered really good, B12, and so many others. I’m even going to add a few other things I think will be helpful. I’d like to take an MNM & several other things that help the body! Stuff that will help kill off the zombie cells the dead ones. There’s so much more to say, but I’m just too tired to keep on talking
I had surgery this year of my Carotid Gland, because they found a little mass, and they have to tested. What happened was they couldn’t go ahead with the biopsy, because of excess of calcification, thanks God…it was benign, but I am dealing with it!!! I’m a female 73 years old…
150 dollars in Canada Alberta. I’m a 62 year old with a vascular age of 98! I have made drastic diet changes! June was 207 pounds now 183 pounds targeting 170 pounds
@@LilyOfTheTower Started with a 5 day hot water fast. Zero carbs zero sugar. Drink hot water and intermittent fasting 16 hours-20 not eating then eat mostly meat, eggs, cheese lettuce and mixed salad. No dressing. Usually do a 2 day fast when I hit a resistance area. Stopped statin, still on one blood pressure pill. 81 mg aspirin daily. Drink Zevia as a treat when eating.
Super informative guest. Respect for knowing more about CV plaque, CT calcium score, risk than any doctor I've consulted with at my big name HMO, starts with a K. 😂
Carotid Dopplers do not just evaluate flow. They evaluate the plaque and plaque morphology, and use velocities within a stenosis to determine the degree of stenosis that does correlate with direct risk of stroke. They also absolutely do differentiate between calcified and non-calcified, soft plaques. CIMT studies are not even intended to look at plaque. They simply obtain an average thickness of the carotid artery wall in a segment of the artery that is essentially free of visible plaque, and plug it in to a formula, along with the age and sex of the patient, that indirectly estimates the risk of coronary artery disease and heart attack. Two very different exams with different indications.
I am on Medicare and correct they do not pay for the CIMT test. I am resolute, and convinced my doc this test is important to my treatment, (already had CAC of 167). I had to step up, insist on this test, and manage up to make it happen. The only lab I could find quoted $800, all out of pocket, and I am living on $30k a year. Thats a lot of money, but I guess its a lot cheaper than a grave plot. In the mean time, focused on more discipline diet and exercise, and taking low dose aspirin. I am 68 Years old.
❤❤❤You guys thank you so much!!! I listened to your podcasts and went for my CIMT test. Glad i did. I have plaque but at 67 years I think lots/most people my age might have plaque. At least I am informed.
On a less comical note, I would like to thank the Brewer team for introducing me to the Bale Doneen method. Their books as well as the book "Why we get sick" by Benjamin Bikman- along with Prevmed videos, of course, have changed my life over the last year. Will be getting my second CIMT and follow-up blood work next month. Looking forward to the results.
Thank you Dr. Brewer! Just had a CIMT run and scored .9 on right and .7 on left -- at age 67 I think that's pretty good - I had a bad CAC test result of 509 on one heart artery so wanted to follow up with the CIMT. Been Keto/Carnivore for about 5 years (with some lapses in there for a few months).
Forward CarePod AI analysis is also a new scan testing the body ,and CIMT can see the soft plaque and other areas the coronary test doesn't see. Great video .Where is this lady located? I would like to have my test from the past, which didn't see everything, plus there was a blockage, and I would like a second opinion.
@@versewriter8123 19:57 min mark she says the fixes are (1) diet and exercise--she stopped eating high carb items like pears, (2) taking a statin, but she recognizes that many people have issues with statins--Dr. Brewer notes at the 1:05:00 min mark that Livalo (Pitavastatin) has fewer side effects than most statins, and (3) surgical intervention for those with very bad plaque, i.e., 70% artery blocked.
@@PrevMedHealth I'm scheduled to get the test next Thursday. I am forwarding this video to Direct Imaging LLC so that they'll know what I want. Humana Medicare does pay for it if ordered by a PCP with the right diagnostic and billing codes. With my plan, it will cost me $50 copay.
Age 69, carnivore since 1st Jan 2024 which has fixed Diabetes and CKD. Two outstanding issues remaining, Enlarged Prostate and Pulse Pressure. Pulse pressure is the difference between the upper and lower numbers of your blood pressure. A normal pulse pressure is 40 mmHg. Mine is constantly high 129/69 - 60 mmHg!!!
Great information on the scans. Then disappointed to hear the Privileged members get better information... and the rest left to figure it out, I guess. ???
As I've told you before - I am not taking ANY pharmaceutical drugs. I'm taking several supplements, trying to control blood pressure, and cholesterol. What natural supplement would be best for trying to stabilize the soft plaque? Calcium?
It might seem like calcium makes sense but that's not the case, some help like nattokinase, vitamin k2, vitamin D3, even berberine, but, none of them are as effective as a healthy lifestyle
@PrevMedHealth I'm active and am trying to eat right, but it's so confusing to know what diet menu to follow,, one says this, another says that - I'm going to try the low carb diet, but understand that some of the items on that list are not something that's good for cholesterol,, i.e. shrimp. My health store professional says shrimp is nothing BUT cholesterol and not to eat it (she watches you too!)
That's a clear missconception, dietary cholesterol, like the present on shrimp and Eggs are not a problem, unless You are allergic, almost any diet works, except for the SAD (standard american diet) is about finding what works for You, (You can do the diet long term and improves your biomarkers)
CIMT is NOT the ONLY method of detecting soft plaque . CT angiograms can do this in the coronary arteries according to Dr. Google. Search results show that there are many studies and papers showing that this is possible with CT angiograms. I am not sure of the accuracy of each method in quantifying the amount of soft plaque?? CIMT is more desirable due to lower cost, being non- invasive and with no radiation. Any comment on the accuracy of each procedure??
What do statins do for soft plaque??? I hate to use the word statin hater, but I do not feel statins are good after reading the book, “The Great Cholesterol Myth.” I have heard too many stories on dementia and statins and now seeing my father go through this. So… why are statins good for soft plaque?
Should folks just assume they have soft plaque and eat accordingly and not wait for a CIMT test? But I would like to know the same way I wanted to know my fasting glucose and blood pressure which gave me inspiration/purpose to seek improvement.
So if I have been told (a few days ago) that I have a total CAT scan showing Calcium score of 118 I assume the CIMT would be a waste to do it. One of the arteries is 80 - one is 38 and three are 0"s. I wish I could hear from you.
Yes, a CIMT screening is only performed to estimate your risk of coronary artery disease. Since you already know you have plaque in the coronary arteries, the screening would be a waste of time and money. That being said, if you and/or your physician want to know if you are also developing carotid artery plaque (for stroke prevention), a carotid Doppler would be worthwhile and covered by insurance due to your known coronary artery disease.
Been following Dr. Brewer for years and he points out that CIMT has no ionizing radiation, unlike CAC's. So CIMTs can be repeated (to monitor results of your lifestyle improvements) and are low cost if you elect to get one without a doctor. My 2019 CIMT showed low risk; then a CAC score of 0.51 in 2023 seemed OK; but a 2024 CIMT found a "1.5H in bulb" plaque on one side. Now that I have plaque at age 70, I plan on another one or two annual CIMTs to monitor progression of plaque, since aging typically drives rate of plaque progression and since I have been avoiding statins.
I am 52 and just found out my CAC score is 516. My doctor put me on Crestor 10 mg but I take it every other day. I take 380 mg K2 and 5000 D3/K2 with magnesium every day. My heart doctor did an EKG and an ultrasound on my carotids but I haven't heard anything yet.
I'm 59 yo and I've been on Carnivore for a year now. I work out daily, walk and ride my dirtbike 2 times a week. My only vice is George Killian's beer at 15g of carbs per 12 oz bottle. I know they are bad for me, but they are damn tasty.
Unbelievable! I watched this video 2 days ago. Since then, I've been googling to fine a place near me to get CIMT done, can't find any. I'm 30miles north of NYC, surrounded by several major imaging networks and hospitals, and nothing so far! Is this a rare equipment, or requires a very specialized training?
Have you looked at New York Medical Associates PC. I am not affiliated with them in any way but their website does suggest that they do the test. They are located in New York City.
So what if a person can't exercise enough to help reverse artery disease & someone like me who just doesn't feel full eating veggies & Seems to need carbs in order to feel full. I don’t eat very much but I don’t feel full just eating salad or a little soup. So I seem to need to eat carbs in order to feel full like toast or noodles or oatmeal or corn on the cob or things of that nature to feel really full and not get nauseated when I eat I don't eat meat & very little fish. I love cheese but it is a big No-no!! So I am worried given the high plaque in my carotid artery! I am doing red rice yeast, niacin & garlic. Which I believe helps but my doctor my current cardiologist says that that won’t do anything and he’s pushing a statin on me and of course the baby aspirin. But I think garlic things your blood and I think red rice yeast and niacin help control the plaque from progressing. What’s got me worried is that I have so much already I’m at the edge of needing surgery because they say when it’s 70 to 99%. But I’ve also heard that people that have less plaque have strokes and heart attacks. But I also failed my stress test twice. Yeah the information I got from my cardiologist says that my heart is strong I don’t have a heart murmur anymore and my Matcha valve regurgitation is minor. I do have a high calcium score of 1000 but if people had calcium scores that are like 250 still had strokes and heart attacks. I triglycerides are low my HDL‘s are high and my LDL‘s are a little high but I need to know which type they are before I want to take something for them other than what I’m already doing. My big concern is I’m having a difficult time finding things to eat that are not carbs in order to feel full even though I eat very small amounts. Like I could eat two pieces of toast sourdough bread. Or I can have half a cup of soup or I can have a handful of noodles that aren’t gluten and I’m full. And I can eat an egg and a piece of toast and I’m full eating the egg by itself might not make me full. So what can I eat To eat less carbs and to be able to help keep plaque under control?
I recently had the CIMT and my arteries were clear/normal, I also had the Calcium Score Test weeks later with a score of 529, my Cholesterol and Triglycerides are all good, I am also a Type 2 Diabetic and have been on the Keto diet for the past 4 years and lift weights and walk 10,000 steps per day.
How long have you known about your calcium score? I thought 5 or 6 hundred was very high possibility of a heart attack. Mine is over 600. Diet and exercise now. Low fat. Do you agree? And life style with good blood panel read. In range cholesterol, triglycerides, blood pressure, A1c, ect.
@@davidtmoreno5552 Yes, a 500/600 is high - mine was over 600, but that measures calcified plaque as Dr. Brewer discusses in hte video, which may be okay. Follow with CIMT, which I did and got a real good score there. But no to "low fat" -- you want HIGH fat, lwo carb!
I am 52 and just found out my CAC score is 516. My doctor put me on Crestor 10 mg but I take it every other day. I take 380 mg K2 and 5000 D3/K2 with magnesium every day. Will have another score done a year from now. My heart doctor did an ultrasound on my carotids and a EKG. Haven't heard from that yet.
It concerns me that folks in the study were told "not to intervene" if the CIMT found something. That seems questionably ethical though from a scientific standpoint it is understandable.
I am an advocate of CIMT because it is a better option than everything else in that medical device space, but to say it predicts 98% of heart events is just misleading. The test has a high sensitivity only because it has a poor specificity. The pie chart at 14:14 demonstrates this, 85% of the people she has tested score as elevated risk, only a tiny fraction of those with an elevated risk are going to have a cardiac event in the next 10 years. Using her math a test which categorized everyone as elevated risk would have had a 100% predictive accuracy. eta: I suspect the manufacturers of the CIMT software arbitrarily categorize so many people as elevated risk because such a diagnosis drives repeated testing.
My recent calcium score level is 176. I asked my cardio PCP to listen to my carotid artery. She said, "sounds good." The "swooshing" was free flowing, so nothing to worry about. She implied. IDK.
So the how do you go about stabilizing the soft plaque. I know about the diet aspect but she mentions statins can stabilize plaque. Is this true, because so many things I have heard lately say that statins don’t really reduce the risk of cardiac events?
They don’t but they do cause a gambit of other terrible problems. Dementia, extreme muscle deterioration and your heart is a muscle. I use 1/8 of a tsp cayenne pepper in a little milk to keep optimum flow in my arteries.
She also says you can reduce the inflammation with diet change and exercise, but what if you have inflammation in the arteries due to auto immune disease such as rheumatoid arthritis? What can you do about that type of chronic inflammation and the impact it has on the heart?
Unfortunately I can't get a CIMT test here in Australia. Hopefully one day we will have this available . My cardiologist says that it is not clinically approved/significant. I've tried locating a clinic that does this test but have drawn a blank so it looks like no-one has cimt available in Aus?.
Hi,I am in Australia. I just find the clinic on the Gold coast ,no referral need it and cost $86.00 out of pocket.👍 I would like to go get done this test
@@davidbarnes774 I googled up and find medical centre smart clinic at Merrimack. I called them and they said yes. You do not need referral,just give them call
I’m doing medical tourism in a couple weeks, flying to Seattle from California where there are at least 10 sites that do this test for $140 , vs. California where only cedar Sinai hospital in Los Angeles does it and they recently raised the price to $1100 bc they discovered they are the only ones in the state that offer the test according to the schedulers I spoke to:/ the price had recently been $150. The schedulers were apologizing for the raise in price. So much for California being cutting edge.:/
Been Following Dr. Brewer for a while now, and I am so grateful for all of your expertise and invaluable information! I sought a cardiology workup on my own just for "peace of mind" but I'm Afraid it didn't exactly turn out that way, - have to admit ( to Ariana), I did "freak out" lol My Calcium score was 200 and I have mild to moderate plaque diagnosed via doppler. Would Love to get a CIMT - however, finding it difficult to find a facility in Sarasota. Any help greatly appreciated!??
Also, sign up with Dr. Brewer. I did! My lab work is in progress...waiting for my 6week follow up for a health & wellness plan for sedondary treatment. I was emotionally stressed with lots of crying after my calcium score. I have peace of mind knowing that I'm in professional, caring hands with Dr. Brewer and his team.
Well isn't that interesting. Had a 100% closed LAD in 2011, RCA 90% closed. Carotides now and then 100% clear. Thickness 0.7 and 0.8. My age nearly 68. Any explanations?
Drink a shot of olive oil extra virgin if you want to do it naturally and eat healthy, don’t smoke, exercise or you can have surgery to remove it or have a stent placed if needed
Ariana, how did you find out you were allergic to the contrast dye? Would assume it is from a previous test you had? Reason I ask, is I am scheduled for venogram with IVUS in October, never had contrast dye in my system before. I have two autoimmune diseases and also fear I might have allergic reaction. I am not allergic to iodine, as in Lugols or betadine, but think contrast dye is different type of iodine? They prescribed 40 mg prednisone night before and morning of. Never had prednisone before either - not looking to any of it.
Unfortunately, I have the same thing family history and heart problems w soft blockages, I'm only 41, thought I would be able to avoid it since I was always healthy and eat healthy, and exercise 6 days a week, walk every single day too at least 10000 steps. It was disappointing to say the least when my angiogram wasn't all clear. Far from it, and that they wanted me on a statin and beta blocker. Sometimes if it's familial we can't avoid it completely, I'm sure if I was not following a healthy lifestyle I might of already had a heart attack. Doing my best, at the end of the day that's all we can do!!
@@havegrace9111I had a HA 8 years ago and have 5 stents now and shortly due to go in for a bit of ‘maintenance’. My HA was big but damage luckily minimal (I was very fit which helped ironically). Yes , family history here too- I am very fit still- run 5k’s, cycle, lift weights, do body weight exercise, walk more than 10k a day… good diet, very little alcohol- perfect bmi. I’m nearly 50 now. The preamble is to say I agree… it is what it is. Maybe I could reduce carbs/ sugar more and that will help- but everything else is near as advised Med diet etc ; so I get on with living and know that it will maybe get me one day… but a long way off I think; so perhaps you will have a long life too and it will get you EVENTUALLY when you are in your 90’s after a great life… we all have to go.
I want to access it. I saw a life line screening add it said, "need a CMIT" . It was a four part screen but all they measured was blood flow. Not the thickness. I'm in Olympia wa . Where do I get one.
I assume that the formation of plaque is a natural repair process as life progresses. Can we then come to finality about what is the causation of the plaque? I assume that it's lifestyle from being *citivized.* Off the top of my head, research scientists should be getting to the point, if not already, where they'll have large numbers of people on keto/carnivore to test...and then even testing those who've been keto/carnivore for the majority of their lives.
Is the CAC (coronary artery calcium) score test basically the same as CIMT? OK just googled it and ...."A CAC scan is better than a CIMT scan for predicting cardiovascular disease events. However, a CIMT scan may perform better in younger populations where CAC is less common."... So basically similar but done differently.
According to this channel that is not correct Calcium score only tells plaque and does not break it down to hard or soft plaque Dr Brewer has many videos on this
They measure two entirely different things. The objective I suppose is the same to predict your risk of a CV event. However, what I understand, a high Ca doesn’t always correlate to a high risk as it might indicate the plaque has stabilized
So I have a clear CIMT but a CTCA score of 11. I feel that the CIMT is not that indicative of coronary artery plaque. Interested at what other people think though.
I'm 68 and just had a CIMT test. Happy to find my IMT was below the normal rage for middle age (.57), and no plaque, nor calcification detected. Does that put me in the green, and is there anything else I should do or test for?
Aspirin, blood thinners, you can ad a low dose statin for its antinflammitory properties. Years working in the industry, I did a B-mode carotid ultra sound and saw a shadow which meant a plaque. I have been taking aspirin ever since, 30 years
So if I understand correctly, we need to turn our soft plaque into hard plaque . As far as I know , only statins can accomplish this , so should we all take statins until our plaque has calcified .
A bit off subject so sorry for this. Is it still worth taking niacin ? Tried to take it, and the flushing was so severe that many parts of my body developed tiny tiny tiny pimples with serious itching for many days after stopping. Statins had too many side effects. So now what ? Thanks.
I’ve followed keto, lowcarb and carnivore for 35 years. I have been extremely active and do cardio/sprints and lift heavy weights. I am a personal trainer, lean, ripped. I take all the supplements suggested by PrevMed for heart disease. I’m 65…My CIMT clear view says I have the arterial health of an 80+ year old. Plaque burden 9.5, right CCA Bulb 3.2 H, Internal Carotid 3.0 E Why? Homozygous Apo E4? Is there any help for me to reverse or stop the plaque build up? Please help!
What I have read is vit c is important to keep artery supple like they were when we were young. They stiffen with age therefore slowing down the flow. Quick flow is better. I take 1/8 of a tsp cayenne pepper in a little milk. It has the capability of flushing arteries and improving flow and high doses of vit C
Is the CIMT what the Life Line Screening service offers? My wife and I (57 and 65) got the carotid artery ultrasound done earlier this year, along with ultrasounds for abdominal aortic aneurysm, atrial fibrillation and peripheral arterial disease. All good, no plaque or things to worry about.
No, it's different. The screenings you had are good because they give direct information about the arteries in question. Since there is no non-invasive way to screen the coronary arteries, they use a measurement of the carotid artery thickness to indirectly estimate the risk of coronary artery disease. It's not a measurement of plaque, but of inflammation that studies have found correlate to coronary artery disease risk.
Lifeline is not nearly as effective I have had lifeline said i was great then had calcium score which stated i had 170 score Then had cmit which should i had 170 but was all hard plaque
I asked for it a month or so ago at VA Palo Alto .. I haven't seem the pictures yet .. 'said it was a 1 out of 5.. I will have to ask if it is Doppler or not ..
CIMT how do they do it ultrasound or CT. I am supposed to have a robotic hernia surgery in the morning and I am very nervous because when I told the surgeon about how I eat now he said that's not good
I just had surgery (endarterectomy) to remove 89% blockage from my right carotid artery. I have had previous TIA. The left carotid has a 69-70% blockage. My heart cath shows normal arteries. What am I to make of this? If you could answer my question I sure would appreciate it. Thank you.
This is actually a very common scenario. Often those with disease in large arteries such as the carotid, iliac, and femoral arteries do not develop problems in the smaller arteries such as the coronary, renal/mesenteric, and tibial arteries. The reverse is also true.
Similar to my experience. 25% blockage in carotid arteries, though CT angiography shows all heart arteries clear. Cardiologist advised start a statin immediately especially having a family history of vascular dementia (carotid artery blockage).
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I had periodontal surgery for gum disease in the early 1990’s and I sincerely believe that was the beginning of my future health issues. During a complete physical exam in the spring of 1997 (age 56) the attending physician heard noise in both carotid arteries. Shortly 😊thereafter a vascular surgeon performed surgery on the left and right carotid arteries - successfully. I thought all was well. Then 6 years later (age 62) I had a heart attack. A stent was inserted into my right ventricle artery . I had been an avid cyclist and runner while working out at the gym almost daily.for the prior 20 years. My total. cholesterol was in the 145 to 150 range. Then in 2020 as the Covid pandemic hit I was admitted to the hospital for another stent but the attending physician said no stent , a quadruple bypass is recommended and performed. Now at age 83 I am still alive, still exercising but not at the rate I did in the past. I believe all my health issues began with periodontal surgery for gum disease and the bad bacteria entered my arteries and the rest is history. Lesson learned - keep your mouth clean and free of bad bacteria.
getting a doc to first, Rx a CIMT and THEN actually finding a facility that performs them may be the bane of my existence.
Is a real problem, we are trying to create awareness to this test since we know makes a big difference
Contact Vasolabs in Utah for the scan
@@PrevMedHealthIs a carotid and subclavian scan the same as a Carotid Artery Scan?
My cardiologist me do the Doppler. It was a COMPLETE waste of time and money. My results were clean on one side and "less than 50%" blockage on the other side. My Virta doctor said, "What good is that? Is it 2% or 40%" My cardiologist just said, you need a statin.
@@firstchoicefarm7767 It was not a waste of time and money. It is important to know that you are developing plaque in your carotid arteries. The
I had tonsil and tongue cancer 2 years ago and had to have radiation to my throat and tongue area. I survived the cancer but couldn’t swallow for 20 months, but finally got off the feeding tube. Last time I saw my Dr of Radiology he said we now need to check my carotid artery to see if it has been damaged. Wish they had discussed all this before treatment, I have no idea what I’m looking at now but I’m praying to God it hasn’t been damaged. Gotta love radiation, it’s the gift that keeps on giving. I think I’m going to ask them to do this test. Thanks for the info Doc.
You have been through a lot. You are one tough lady.
@@tomdehen it was rough Tom, but I had my “WHY’S” as to why I fought like the 3rd monkey getting on Noah’s Ark. I will admit there were times during radiation, chemo and not being able to eat by mouth for 20 months that I wished I hadn’t lived thru the surgery. But GOD, MY FAMILY & FRIENDS rallied around me and got me through the nightmare. I wouldn’t wish a head and neck cancer on anyone, it’s a BRUTAL JOURNEY to SURVIVE IT.
You had no choice but to get the radiation but it’s extremely damaging.
@@nettewilson5926 yeah well that’s why I took 300 mg of melatonin before each radiation treatment, yes I said 300 mg 2 hrs before each zap! It’s suppose to help protect your DNA and help the chemo and radiation work better. I ask my Dr at UTSW in Dallas could the body heal from chemo and radiation and he said “Yes, but it takes 7-10 years”. So I’m going to stay positive and keep BEING THE LOVE AND THE LIGHT in this dark world until my MISSIONS are completed down here and I’m called back home.
Thank you so much for this, I've found someone 20 minutes away who specializes in these two tests. Will be calling Monday to schedule ❤
Ariana, a great description on what triggers a heart attack and why most people, including cardiologists, have no clue of what useful in preventing a myocardial infarction..
Hawthorn herb
I love the interaction between Drs. Brewer & Vega! Great interview!
🥰💗💕
What a wonderful teaching!!! Thank you so much! I have been working hard at keto/carnivore diet for a few months, and I really appreciate what you suggest about the CIMT test. I have no insurance and am on a fixed income, but I think I can save up and have this test done in the next month. Also, my Mom and Grandma both had strokes, so I am pretty concerned about my arteries, especially because I have strange pains and pressure in my neck. So thank you!!!! I will return and watch this after I get the test done.
Thank You for sharing!
Since heart disease is the #1 killer in the US- 😅I think your channel can be the #1 channel on RUclips Tube! Myron does not know I’m recommending him but I think you can benefit from his coaching. I saw you for the first time today 9/22/24 but I see you have been on You Tube for at least 3 years. I will share your information.
Watching this i have a little discomfort on my 47% blockage left carotid.
Very informative video.
Thank you guys❤
Well try not to worry too much, but focus on any lifestyle changes if you wish to improve your health.
If it makes U feel any better my carotid artery is 69% blocked & 50% blocked on the other side. Hope this let U worry less..
@@bondjane007did you have any symptoms with it?
@ Yes, I have some chest pain now and then and trouble breathing sometimes if I exercise Such as climbing stairs!
Of course, he wants to put me on a statin & a blood thinner. I’m doing some other things myself first.
I’m taking red, rice, yeast, niacin and garlic. I also take K2, Ginkgo,resverstrol, vitamin A, dry E, Various magnesium’s, and a multivitamin for older women, and so many other supplements. Way too many to mention!
But lots of things that help the body function, more efficiently vitamin D, which is up for me right now like 66 which is considered really good, B12, and so many others.
I’m even going to add a few other things I think will be helpful. I’d like to take an MNM & several other things that help the body! Stuff that will help kill off the zombie cells the dead ones.
There’s so much more to say, but I’m just too tired to keep on talking
@@bondjane007yeh hopefully you’ll see some benefit with big changes.
I had surgery this year of my Carotid Gland, because they found a little mass, and they have to tested. What happened was they couldn’t go ahead with the biopsy, because of excess of calcification, thanks God…it was benign, but I am dealing with it!!! I’m a female 73 years old…
150 dollars in Canada Alberta. I’m a 62 year old with a vascular age of 98! I have made drastic diet changes! June was 207 pounds now 183 pounds targeting 170 pounds
Keep up the great work!! What are some of the changes you've made, ifyou don't mind me asking??
@@LilyOfTheTower
Started with a 5 day hot water fast. Zero carbs zero sugar. Drink hot water and intermittent fasting 16 hours-20 not eating then eat mostly meat, eggs, cheese lettuce and mixed salad. No dressing. Usually do a 2 day fast when I hit a resistance area. Stopped statin, still on one blood pressure pill. 81 mg aspirin daily.
Drink Zevia as a treat when eating.
Can you just book it without a cardiologist note or referral?
@@herc2120
Yes in Alberta just google… Glenwood radiology did ours. Edmonton, Spruce Grove, etc
@@johngalm2686
Look into a carnivore lifestyle. There are a couple of carnivore cardiac surgeons who have channels here on YT
That woman is a inspirational healer!
For anyone in the UK, you can get this done at a private clinic without referral from your GP. It costs around £150
Can you advise which clinic have been looking for it and couldn't find one thanks
@@dusty1299 Ultrasound Direct have clinics nationwide. Pick the carotid scan.
@@dusty1299 I don't know why but my reply keeps getting deleted. I used Ultrasound Direct
@@dusty1299
Look for a Spire hospital in your area - if they don't do them they'll direct you to somewhere that does
Around 120 USD in Bangkok so I will be booking that next week.
THE greatest video Dr Brewer and Dr Vega ever made. And that's saying something. Andre
I would lay down my life for ANYONE that works at PrevMed Health. Andre
Thanks Andre!
Super informative guest. Respect for knowing more about CV plaque, CT calcium score, risk than any doctor I've consulted with at my big name HMO, starts with a K. 😂
Carotid Dopplers do not just evaluate flow. They evaluate the plaque and plaque morphology, and use velocities within a stenosis to determine the degree of stenosis that does correlate with direct risk of stroke. They also absolutely do differentiate between calcified and non-calcified, soft plaques. CIMT studies are not even intended to look at plaque. They simply obtain an average thickness of the carotid artery wall in a segment of the artery that is essentially free of visible plaque, and plug it in to a formula, along with the age and sex of the patient, that indirectly estimates the risk of coronary artery disease and heart attack. Two very different exams with different indications.
Very good analogy.
@@mikepeek5655 Only if the analogy is correct.
So the Doppler has a risk assessment?
I had the life screening and it was Doppler. The gave my no score.
You have a very different perspective than these doctors , are you a medical professional, or just especially knowledgeable on this subject ?
I am on Medicare and correct they do not pay for the CIMT test. I am resolute, and convinced my doc this test is important to my treatment, (already had CAC of 167). I had to step up, insist on this test, and manage up to make it happen. The only lab I could find quoted $800, all out of pocket, and I am living on $30k a year. Thats a lot of money, but I guess its a lot cheaper than a grave plot. In the mean time, focused on more discipline diet and exercise, and taking low dose aspirin. I am 68 Years old.
Where are you?
❤❤❤You guys thank you so much!!! I listened to your podcasts and went for my CIMT test. Glad i did. I have plaque but at 67 years I think lots/most people my age might have plaque. At least I am informed.
On a less comical note, I would like to thank the Brewer team for introducing me to the Bale Doneen method. Their books as well as the book "Why we get sick" by Benjamin Bikman- along with Prevmed videos, of course, have changed my life over the last year. Will be getting my second CIMT and follow-up blood work next month. Looking forward to the results.
As a 76 yo, I had a CIMT test last week and was told that my carotid’s were like a 17yo.
May you live to 120.
Awesomeness...!!! ❤
Live to 130.
@@betaylor5031 I have cervical spondylosis that is quite painful. The readings on both sides was 0 - 15%. Hopefully the physical therapy will work.
@@starbright1256 😃
Thank you Dr. Brewer! Just had a CIMT run and scored .9 on right and .7 on left -- at age 67 I think that's pretty good - I had a bad CAC test result of 509 on one heart artery so wanted to follow up with the CIMT. Been Keto/Carnivore for about 5 years (with some lapses in there for a few months).
Thank you Ariana - I learned a bit more about the CIMT report!
Forward CarePod AI analysis is also a new scan testing the body ,and CIMT can see the soft plaque and other areas the coronary test doesn't see. Great video .Where is this lady located? I would like to have my test from the past, which didn't see everything, plus there was a blockage, and I would like a second opinion.
16:03 min mark: if there is plaque from the CIMT exam, there's no need to panic. It's all fixable. 100% of atherosclerotic events are fixable.
How?
@@versewriter8123if you drink a shot of olive oil a day and eat healthy, don’t smoke, exercise
@@versewriter8123 19:57 min mark she says the fixes are (1) diet and exercise--she stopped eating high carb items like pears, (2) taking a statin, but she recognizes that many people have issues with statins--Dr. Brewer notes at the 1:05:00 min mark that Livalo (Pitavastatin) has fewer side effects than most statins, and (3) surgical intervention for those with very bad plaque, i.e., 70% artery blocked.
Insurance doesn't pay for it because it works!!!
Hopefully that changes soon, even insurance companies will save a lot of money
Part of it is the insurance corporations can have board members that also set on other boards that are "healthcare" (sick are) related.
@@PrevMedHealth I'm scheduled to get the test next Thursday. I am forwarding this video to Direct Imaging LLC so that they'll know what I want. Humana Medicare does pay for it if ordered by a PCP with the right diagnostic and billing codes. With my plan, it will cost me $50 copay.
Good information. Thank u
Use an HSA account ... problem solved
Age 69, carnivore since 1st Jan 2024 which has fixed Diabetes and CKD. Two outstanding issues remaining, Enlarged Prostate and Pulse Pressure. Pulse pressure is the difference between the upper and lower numbers of your blood pressure. A normal pulse pressure is 40 mmHg. Mine is constantly high 129/69 - 60 mmHg!!!
Hi, Doctor could you post? Maybe a list that says where you can get CIMT done. I can't find an office
Try this link
cardiorisk.com/
They have providers in multiple states, hopefully there is one near you
Please look up LIfe Line screening or any diagnostic imaging centers and preventive health clinics
@@quattr03 Lifeline does the semi-worthless doppler test
this is amazing information . Ive learned so much from your videos , thank you Dr. Brewer!
Great information on the scans. Then disappointed to hear the Privileged members get better information... and the rest left to figure it out, I guess. ???
Yeaaa, Me too….I’m just a regular subscriber!!!
@clararodas6243 I just did, but there's plenty of information. It's actually best get information from different sources to compare.
it's a business. it exists to make money it's not a public service announcement talk to your own doctor.
Oh wow I was just about to ask this question, how do you reverse cardiovascular inflammation. Thank you for talking about this.
Drinking a shot of olive oil a day, extra virgin and eat healthy, don’t smoke, exercise
As I've told you before - I am not taking ANY pharmaceutical drugs. I'm taking several supplements, trying to control blood pressure, and cholesterol.
What natural supplement would be best for trying to stabilize the soft plaque? Calcium?
Good question!
It might seem like calcium makes sense but that's not the case, some help like nattokinase, vitamin k2, vitamin D3, even berberine, but, none of them are as effective as a healthy lifestyle
I have it I was told k2mk7 helpsb
@PrevMedHealth I'm active and am trying to eat right, but it's so confusing to know what diet menu to follow,, one says this, another says that - I'm going to try the low carb diet, but understand that some of the items on that list are not something that's good for cholesterol,, i.e. shrimp. My health store professional says shrimp is nothing BUT cholesterol and not to eat it (she watches you too!)
That's a clear missconception, dietary cholesterol, like the present on shrimp and Eggs are not a problem, unless You are allergic, almost any diet works, except for the SAD (standard american diet) is about finding what works for You, (You can do the diet long term and improves your biomarkers)
CIMT is NOT the ONLY method of detecting soft plaque . CT angiograms can do this in the coronary arteries according to Dr. Google. Search results show that there are many studies and papers showing that this is possible with CT angiograms. I am not sure of the accuracy of each method in quantifying the amount of soft plaque?? CIMT is more desirable due to lower cost, being non- invasive and with no radiation. Any comment on the accuracy of each procedure??
Dr Brewer, PLEASE give us the CPT code for this test-- it is very difficult to get med office folks to distinguish between this and doppler test.
We use 93880
What do statins do for soft plaque??? I hate to use the word statin hater, but I do not feel statins are good after reading the book, “The Great Cholesterol Myth.” I have heard too many stories on dementia and statins and now seeing my father go through this. So… why are statins good for soft plaque?
Should folks just assume they have soft plaque and eat accordingly and not wait for a CIMT test? But I would like to know the same way I wanted to know my fasting glucose and blood pressure which gave me inspiration/purpose to seek improvement.
So if I have been told (a few days ago) that I have a total CAT scan showing Calcium score of 118 I assume the CIMT would be a waste to do it. One of the arteries is 80 - one is 38 and three are 0"s. I wish I could hear from you.
Yes, a CIMT screening is only performed to estimate your risk of coronary artery disease. Since you already know you have plaque in the coronary arteries, the screening would be a waste of time and money. That being said, if you and/or your physician want to know if you are also developing carotid artery plaque (for stroke prevention), a carotid Doppler would be worthwhile and covered by insurance due to your known coronary artery disease.
Been following Dr. Brewer for years and he points out that CIMT has no ionizing radiation, unlike CAC's. So CIMTs can be repeated (to monitor results of your lifestyle improvements) and are low cost if you elect to get one without a doctor.
My 2019 CIMT showed low risk; then a CAC score of 0.51 in 2023 seemed OK; but a 2024 CIMT found a "1.5H in bulb" plaque on one side. Now that I have plaque at age 70, I plan on another one or two annual CIMTs to monitor progression of plaque, since aging typically drives rate of plaque progression and since I have been avoiding statins.
Thank you for this knowledgeable information. May God bless you doctor.
If the soft plaque is the most dangerous , would estrogen replacement therapy for women over 60, be contraindicated ?
and thank you all for the levity!
I am anticipating the coverage of *colchicine,* as I fall into that category indicated by the studies.
I am 52 and just found out my CAC score is 516. My doctor put me on Crestor 10 mg but I take it every other day. I take 380 mg K2 and 5000 D3/K2 with magnesium every day. My heart doctor did an EKG and an ultrasound on my carotids but I haven't heard anything yet.
I'm 59 yo and I've been on Carnivore for a year now. I work out daily, walk and ride my dirtbike 2 times a week. My only vice is George Killian's beer at 15g of carbs per 12 oz bottle. I know they are bad for me, but they are damn tasty.
CIMT Tampa FL Cardiology ... they do it all...
Unbelievable! I watched this video 2 days ago. Since then, I've been googling to fine a place near me to get CIMT done, can't find any. I'm 30miles north of NYC, surrounded by several major imaging networks and hospitals, and nothing so far! Is this a rare equipment, or requires a very specialized training?
Have you looked at New York Medical Associates PC. I am not affiliated with them in any way but their website does suggest that they do the test. They are located in New York City.
65% as high risk. So, is there any way to see, during the last 6 years, how many actually experienced a cardiac event?
So what if a person can't exercise enough to help reverse artery disease & someone like me who just doesn't feel full eating veggies & Seems to need carbs in order to feel full. I don’t eat very much but I don’t feel full just eating salad or a little soup.
So I seem to need to eat carbs in order to feel full like toast or noodles or oatmeal or corn on the cob or things of that nature to feel really full and not get nauseated when I eat
I don't eat meat & very little fish. I love cheese but it is a big No-no!!
So I am worried given the high plaque in my carotid artery!
I am doing red rice yeast, niacin & garlic.
Which I believe helps but my doctor my current cardiologist says that that won’t do anything and he’s pushing a statin on me and of course the baby aspirin. But I think garlic things your blood and I think red rice yeast and niacin help control the plaque from progressing. What’s got me worried is that I have so much already I’m at the edge of needing surgery because they say when it’s 70 to 99%. But I’ve also heard that people that have less plaque have strokes and heart attacks.
But I also failed my stress test twice.
Yeah the information I got from my cardiologist says that my heart is strong I don’t have a heart murmur anymore and my Matcha valve regurgitation is minor.
I do have a high calcium score of 1000 but if people had calcium scores that are like 250 still had strokes and heart attacks. I triglycerides are low my HDL‘s are high and my LDL‘s are a little high but I need to know which type they are before I want to take something for them other than what I’m already doing. My big concern is I’m having a difficult time finding things to eat that are not carbs in order to feel full even though I eat very small amounts.
Like I could eat two pieces of toast sourdough bread. Or I can have half a cup of soup or I can have a handful of noodles that aren’t gluten and I’m full.
And I can eat an egg and a piece of toast and I’m full eating the egg by itself might not make me full.
So what can I eat To eat less carbs and to be able to help keep plaque under control?
I recently had the CIMT and my arteries were clear/normal, I also had the Calcium Score Test weeks later with a score of 529, my Cholesterol and Triglycerides are all good, I am also a Type 2 Diabetic and have been on the Keto diet for the past 4 years and lift weights and walk 10,000 steps per day.
How long have you known about your calcium score? I thought 5 or 6 hundred was very high possibility of a heart attack. Mine is over 600. Diet and exercise now. Low fat. Do you agree? And life style with good blood panel read. In range cholesterol, triglycerides, blood pressure, A1c, ect.
I thought 500 calcium score was high and dangerous?
@davidtmoreno5552 I've known for 2 months, however 4 years ago I started exercising and changed my diet, loat weight, and my labs improved.
@@davidtmoreno5552 Yes, a 500/600 is high - mine was over 600, but that measures calcified plaque as Dr. Brewer discusses in hte video, which may be okay. Follow with CIMT, which I did and got a real good score there. But no to "low fat" -- you want HIGH fat, lwo carb!
I am 52 and just found out my CAC score is 516. My doctor put me on Crestor 10 mg but I take it every other day. I take 380 mg K2 and 5000 D3/K2 with magnesium every day. Will have another score done a year from now. My heart doctor did an ultrasound on my carotids and a EKG. Haven't heard from that yet.
It concerns me that folks in the study were told "not to intervene" if the CIMT found something. That seems questionably ethical though from a scientific standpoint it is understandable.
I am an advocate of CIMT because it is a better option than everything else in that medical device space, but to say it predicts 98% of heart events is just misleading. The test has a high sensitivity only because it has a poor specificity. The pie chart at 14:14 demonstrates this, 85% of the people she has tested score as elevated risk, only a tiny fraction of those with an elevated risk are going to have a cardiac event in the next 10 years. Using her math a test which categorized everyone as elevated risk would have had a 100% predictive accuracy. eta: I suspect the manufacturers of the CIMT software arbitrarily categorize so many people as elevated risk because such a diagnosis drives repeated testing.
My recent calcium score level is 176. I asked my cardio PCP to listen to my carotid artery. She said, "sounds good." The "swooshing" was free flowing, so nothing to worry about. She implied. IDK.
So the how do you go about stabilizing the soft plaque. I know about the diet aspect but she mentions statins can stabilize plaque. Is this true, because so many things I have heard lately say that statins don’t really reduce the risk of cardiac events?
They don’t but they do cause a gambit of other terrible problems. Dementia, extreme muscle deterioration and your heart is a muscle. I use 1/8 of a tsp cayenne pepper in a little milk to keep optimum flow in my arteries.
She also says you can reduce the inflammation with diet change and exercise, but what if you have inflammation in the arteries due to auto immune disease such as rheumatoid arthritis? What can you do about that type of chronic inflammation and the impact it has on the heart?
I was a carnivore for year and still had 89% plaque blockage. I also gave Lupus and RA.
look into mineral supplementation, especially lugols iodine
Could vitamin K contribute to the decalcification of arterial plaque making it less stable?
Unfortunately I can't get a CIMT test here in Australia. Hopefully one day we will have this available . My cardiologist says that it is not clinically approved/significant. I've tried locating a clinic that does this test but have drawn a blank so it looks like no-one has cimt available in Aus?.
Hi,I am in Australia. I just find the clinic on the Gold coast ,no referral need it and cost $86.00 out of pocket.👍 I would like to go get done this test
@@ivetasvatt4946 Can you advise the name of the clinic on the gold coast?
@@ivetasvatt4946 I have searched again and can find no one in Australia (including the gold coast) that does CIMT testing.
@@davidbarnes774 I googled up and find medical centre smart clinic at Merrimack. I called them and they said yes. You do not need referral,just give them call
Can you do a episode on Testosterone supplement for 50+ and it’s effects on coronary arteries.
I’m doing medical tourism in a couple weeks, flying to Seattle from California where there are at least 10 sites that do this test for $140 , vs. California where only cedar Sinai hospital in Los Angeles does it and they recently raised the price to $1100 bc they discovered they are the only ones in the state that offer the test according to the schedulers I spoke to:/ the price had recently been $150. The schedulers were apologizing for the raise in price. So much for California being cutting edge.:/
Been Following Dr. Brewer for a while now, and I am so grateful for all of your expertise and invaluable information! I sought a cardiology workup on my own just for "peace of mind" but I'm Afraid it didn't exactly turn out that way, - have to admit ( to Ariana), I did "freak out" lol My Calcium score was 200 and I have mild to moderate plaque diagnosed via doppler. Would Love to get a CIMT - however, finding it difficult to find a facility in Sarasota. Any help greatly appreciated!??
My previous functional med doctor just starting offering CIMT test for $200. Try alternative medical offices.
@@LaKayDailey What practical steps would you take if your CIMT test is poor?
Also, sign up with Dr. Brewer. I did! My lab work is in progress...waiting for my 6week follow up for a health & wellness plan for sedondary treatment. I was emotionally stressed with lots of crying after my calcium score. I have peace of mind knowing that I'm in professional, caring hands with Dr. Brewer and his team.
If we r high risk. W/c preventative tx is better, baby aspirin or statins?
She said she was taking statins.
Does CIMT identify plaque only at the neck area or at the entire arteries?
Just the neck, but it is usually a reflection of other arteries including coronary, Cleerly CTA Scan is more specific but more invasive
Well isn't that interesting. Had a 100% closed LAD in 2011, RCA 90% closed. Carotides now and then 100% clear. Thickness 0.7 and 0.8. My age nearly 68. Any explanations?
Dr Brewer, have you explored these for their potential in removing arterial plaque? (1) palmitoleic acid (2) sodium thiosulfate (3) EVOO + Vit K2-D3?
Hi is this for soft plaque or calcified one? Thank you
@@clararodas6243 either
Are you going to tell us what the proper treatment is? The Fix you said is possible…
Drink a shot of olive oil extra virgin if you want to do it naturally and eat healthy, don’t smoke, exercise or you can have surgery to remove it or have a stent placed if needed
Ariana, how did you find out you were allergic to the contrast dye? Would assume it is from a previous test you had? Reason I ask, is I am scheduled for venogram with IVUS in October, never had contrast dye in my system before. I have two autoimmune diseases and also fear I might have allergic reaction. I am not allergic to iodine, as in Lugols or betadine, but think contrast dye is different type of iodine? They prescribed 40 mg prednisone night before and morning of. Never had prednisone before either - not looking to any of it.
How to "fix" plaque starts at 53:20
I was told the gold standard is cardiac catheterization. How does CIMT relate to this?
Well one is a surgery and one isn’t
I am in Houston. Where can I get this CIMT from a good place please ? Thank You
Check with cardiorisk
cardiorisk.com/
How can u fix it? Im doing everything i can toprevent heart disease. Have heavy family history of genetic heart disease
Unfortunately, I have the same thing family history and heart problems w soft blockages, I'm only 41, thought I would be able to avoid it since I was always healthy and eat healthy, and exercise 6 days a week, walk every single day too at least 10000 steps. It was disappointing to say the least when my angiogram wasn't all clear. Far from it, and that they wanted me on a statin and beta blocker. Sometimes if it's familial we can't avoid it completely, I'm sure if I was not following a healthy lifestyle I might of already had a heart attack. Doing my best, at the end of the day that's all we can do!!
@@havegrace9111I had a HA 8 years ago and have 5 stents now and shortly due to go in for a bit of ‘maintenance’. My HA was big but damage luckily minimal (I was very fit which helped ironically). Yes , family history here too- I am very fit still- run 5k’s, cycle, lift weights, do body weight exercise, walk more than 10k a day… good diet, very little alcohol- perfect bmi. I’m nearly 50 now. The preamble is to say I agree… it is what it is. Maybe I could reduce carbs/ sugar more and that will help- but everything else is near as advised Med diet etc ; so I get on with living and know that it will maybe get me one day… but a long way off I think; so perhaps you will have a long life too and it will get you EVENTUALLY when you are in your 90’s after a great life… we all have to go.
A thorough search showed no CIMT tests offered anywhere! We need help here!
Yes. Access is a problem. Call 859-721-1414
I did a lifeline screening. Wondering if it was a doppler.
On our experience it usually is
Does this suggest calcium supplementation or some such???
Do you know where I can get a CIMT in Las Vegas , NV?
I want to access it. I saw a life line screening add it said, "need a CMIT" . It was a four part screen but all they measured was blood flow. Not the thickness. I'm in Olympia wa . Where do I get one.
I wonder if us " older" adults should take low dose Crestor for a few months as prophylactic .. 🤔❓️
I don't think there's a provider in Albuquerque that will do a CIMT w/o a doctors approval.
Sorry to read that, try googling cardiorisk CIMT
I assume that the formation of plaque is a natural repair process as life progresses. Can we then come to finality about what is the causation of the plaque? I assume that it's lifestyle from being *citivized.* Off the top of my head, research scientists should be getting to the point, if not already, where they'll have large numbers of people on keto/carnivore to test...and then even testing those who've been keto/carnivore for the majority of their lives.
My personality is set up for carnivore...lol.
I thought Dr Brewer said statins have no bearing on heart attack/stroke
He actually recommends low dose statins in certain cases and took them himself.
There are no studies that support that statins prevent heart attack.
Is this the same as a Carotid Artery Evaluation screening?
Is the CAC (coronary artery calcium) score test basically the same as CIMT? OK just googled it and ...."A CAC scan is better than a CIMT scan for predicting cardiovascular disease events. However, a CIMT scan may perform better in younger populations where CAC is less common."... So basically similar but done differently.
According to this channel that is not correct
Calcium score only tells plaque and does not break it down to hard or soft plaque Dr Brewer has many videos on this
They measure two entirely different things. The objective I suppose is the same to predict your risk of a CV event. However, what I understand, a high Ca doesn’t always correlate to a high risk as it might indicate the plaque has stabilized
So I have a clear CIMT but a CTCA score of 11. I feel that the CIMT is not that indicative of coronary artery plaque.
Interested at what other people think though.
D only thing that may not be accurated is that those test dont see they inner carotide it is a Y shape the second part is in the head part?..
You'll be surprised how much the CIMT can get, even in an small portion of the artery bed
Thank you sir💪.
Does the HIT workout push and remove the loose plaques from arteries?
Did Honda study take VitK2 supplements into account as a parameter ?
Is this what Lifeline Screening does, CIMT?
No it is not as good
Great video, cheers!
So if you have soft plaque, can you turn it into calcified somehow?
Do you have a branch in San Diego?
I'm 68 and just had a CIMT test. Happy to find my IMT was below the normal rage for middle age (.57), and no plaque, nor calcification detected. Does that put me in the green, and is there anything else I should do or test for?
Hi Dr Brewer, I live in Maryland. I have good insurance. Can you recommend offices that perform the CIMT? Thank you.
So what can be done about a bad scan?
The lady explained she started a statin and dropped the carbs
Aspirin, blood thinners, you can ad a low dose statin for its antinflammitory properties. Years working in the industry, I did a B-mode carotid ultra sound and saw a shadow which meant a plaque. I have been taking aspirin ever since, 30 years
So if I understand correctly, we need to turn our soft plaque into hard plaque . As far as I know , only statins can accomplish this , so should we all take statins until our plaque has calcified .
This also happens naturally over time, but doctors may request that you start statins to stabilize the plaque in the meanwhile.
A bit off subject so sorry for this. Is it still worth taking niacin ? Tried to take it, and the flushing was so severe that many parts of my body developed tiny tiny tiny pimples with serious itching for many days after stopping. Statins had too many side effects. So now what ? Thanks.
I’ve followed keto, lowcarb and carnivore for 35 years.
I have been extremely active and do cardio/sprints and lift heavy weights. I am a personal trainer, lean, ripped.
I take all the supplements suggested by PrevMed for heart disease.
I’m 65…My CIMT clear view says I have the arterial health of an 80+ year old. Plaque burden 9.5, right CCA Bulb 3.2 H, Internal Carotid 3.0 E
Why? Homozygous Apo E4?
Is there any help for me to reverse or stop the plaque build up? Please help!
CardioRisk Scan results show a 9.5 plaque burden. Internal carotid 3.0E
Sorry to hear that. 🙏
I'll give an uneducated guess.....maybe your arteries are damaged from too much stress due to working out too intensely.Let them rest.
What I have read is vit c is important to keep artery supple like they were when we were young. They stiffen with age therefore slowing down the flow. Quick flow is better. I take 1/8 of a tsp cayenne pepper in a little milk. It has the capability of flushing arteries and improving flow and high doses of vit C
Is the CIMT what the Life Line Screening service offers? My wife and I (57 and 65) got the carotid artery ultrasound done earlier this year, along with ultrasounds for abdominal aortic aneurysm, atrial fibrillation and peripheral arterial disease. All good, no plaque or things to worry about.
No, it's different. The screenings you had are good because they give direct information about the arteries in question. Since there is no non-invasive way to screen the coronary arteries, they use a measurement of the carotid artery thickness to indirectly estimate the risk of coronary artery disease. It's not a measurement of plaque, but of inflammation that studies have found correlate to coronary artery disease risk.
@@merrieleiderman Thanks, good to know.
Lifeline is not nearly as effective
I have had lifeline said i was great then had calcium score which stated i had 170 score
Then had cmit which should i had 170 but was all hard plaque
When people have an event after running, does electrolyte imbalance from sweating contribute to event?
Can't Policosanol be used instead of Statins?
I asked for it a month or so ago at VA Palo Alto .. I haven't seem the pictures yet .. 'said it was a 1 out of 5.. I will have to ask if it is Doppler or not ..
Would taking calcium channel blockers for bp stop the plaque from calcifying and stabilising?
CIMT how do they do it ultrasound or CT. I am supposed to have a robotic hernia surgery in the morning and I am very nervous because when I told the surgeon about how I eat now he said that's not good
CIMT is an ultrasound, non invasive, non radiation, how do you eat?
Dr Brewer will fasting help if we have that problem?
I just had surgery (endarterectomy) to remove 89% blockage from my right carotid artery. I have had previous TIA. The left carotid has a 69-70% blockage. My heart cath shows normal arteries. What am I to make of this? If you could answer my question I sure would appreciate it. Thank you.
This is actually a very common scenario. Often those with disease in large arteries such as the carotid, iliac, and femoral arteries do not develop problems in the smaller arteries such as the coronary, renal/mesenteric, and tibial arteries. The reverse is also true.
how did you know you had blockage? What were your symptoms or what made you want to check carotid artery??
Similar to my experience. 25% blockage in carotid arteries, though CT angiography shows all heart arteries clear. Cardiologist advised start a statin immediately especially having a family history of vascular dementia (carotid artery blockage).
where can I get a CIMT done in the San Antonio TX area. Lifescreen mobile is the only thing that I can find and they have bad reviews.