I met a highly paid cardiologist surgeon in Cabo San Lucas, and I asked him if high cholesterol can cause a heart attack and he said to me that if high cholesterol caused heart attacks then he would have had one years ago since, as he said, his has been hovering around 300 for years and that statins haven’t moved the market on the rate of heart attacks since their inception.
Smokers have 15 to 30 times,(1500-3000%) higher risk of lung cancer, the biased and dubious claims by drug companies on cholesterol is increased risk of maybe 0.2 times (or 20%)
@@maxmillion6428 not at all. “My ldl has been sky high for years and I haven’t had a heart attack”. And “I smoke a pack a day and I’ve never gotten lung cancer”. That’s a fair comparison
@jesseshaver2262 One is a naturally occurring phenomenon and the other is an artificially induced phenomenon, so clearly a false equivalency, so clear a child could see it, by 20th century standards. Today? Not so much.
I have very high LDL, very high HDL und very low TG since 20 years. Refused taking Statins but took Magnesium, Vit D, Vit K2, Ubiquinol, cut down carbs and my Calcium Score last december was Zero.
im 30 with a high total and Nurse practicioner is trying to push statins, my LDL was in range, my HDL was excellent and my TG is very low- im 0.14 above reference range total cholestrol and they want to push statins hahaha, not happening
Yes!!! Lower the triglycerides and heal the insulin!! Real Food! Check out Dr. Johnny Bowden he’s written books and is a nutritionist that teaches legit food habits!
Got bloods done recently - High LDL, High HDL - everything else was perfect. Doctor said if it doesn't come down I'm going on statins for the rest of my life. I'm 43. No discussion about diet or lifestyle.
Since your other markers are good ( including TG) then Please add 100 grams carbohydrates everyday ( it can be sweet potatoes or Oreo cookies whatever) for 2 weeks with your current diet before your next blood test. Your LDL will definitely go down. Significantly. This will shut down your doctor’s mouth. I did it and got positive results. I gained 1 kg. Good luck
@@KeyserSoze088 yes, in japan we must do mandatory yearly thorough health check up if you work for a company or a govt job. It’s covered by the government and if something goes wrong , you need to do periodic visit to the doctor until your health markers are within ranges… it’s bothersome. I have reduced my weight , out of all health problems, zero medication and now in my healthy BMI. But my LDL has gone high doing low carb diet. Doctors are ignorant and always push statin which I refuse.. I’m not concerned about my LDL but my doctor is… got my situation now?
Love your thoughts! I found eating less sugar and carbs healed my over all Bloodwork by a significant margin. Then I had surgery and stopped exercising which elevated my LDL’s again. Rather than Statins, I chose to get exercising again and again returned my LDL’s to great levels. I was amazed at how big of an impact just exercising 25 min. 3 times a week had.
Cholesterol is an extremely important molecule for good health. It's necessary for bile acids, hormone production, immune system optimization, and cell membrane construction. Also, the myelin sheaths that cover axons in neurons are 25% cholesterol The idea that you can strip away cholesterol in the body and not suffer serious health complications is ridiculous. I would never take a statin.
When it comes to a Coronary Artery Calcium (CAC) Test, anything greater then zero is undesirable. It is a good test, but most people would also recommend a Carotid Intima-Media Thickness Test (CIMT), since it appears to be the gold standard when testing for soft plaque. Also, keep an eye on your A1C & triglycerides. As you may know, prolonged high blood glucose & pressure can lead to Endothelial Dysfunction. Check out Linus Pauling and his vitamin c therapy, it is pretty interesting.
My moms doc told her to eat in a way that lowers her cholesterol. So she doesn’t eat steak and bacon etc. But she has increased her sugar intake dramatically! She won’t listen to anything I say about diet. And I have a nutrition degree lol
What you eat account for what? 20% or so of your cholesterol level? I've been eating eggs, red meat, pork, chicken, pretty much whatever I want. Staying fit by working out, got off statins, and HDL steadily climbing and LDL came down quite a bit.
I just had my NmR lipoprotein test completed. I think I understand the results but would love your opinion. The categories are not labelled exactly as you are describing here: LPL particle num: 1962, LDL particle Size: 22, Total Cholesterol: 317, Triglycerides: 90, HDL Cholesterol: 80, LDL Cholesterol: 219. I just went off my Statin for three months and made some dietary changes and lost 15 pounds. I am a 6'0" male at 172 pounds that exercises 6 days a week and competes in National Tennis Tournaments. I didn't like taking the Statin due to many poor reviews of side effects. My father passed away of dementia at age 87. I am currently 60.
I am offering myself up to a clinical/medical/scientific study as it relates to blood work (cholesterol, glucose,A1C, etc.) and a low carb/keto/carnivore diet. I have tracked my labs going back to 2012. Went low carb in December 2017. Since going low carb, no more T2D, Sleep Apnea, brain fog, GERD, and more. Also since going low carb: significantly bettered my Triglycerides, Glucose, A1C, etc, but also have elevated total cholesterol and LDL. I've also had a CAC test and a CTA with contrast. I believe my data can help others, but I need a professional that wants to dive in.
Only thing that is worth looking at are triglycerides and HDL. If you are anywhere near a 1:1 ratio then that is excellent. I do look at inflammatory markers for all people, including those following a carnivore/keto diet because of the oxidation from cooking meat, especially meat that is loaded with antibiotics and hormones. Preparation and cooking method also plays a huge role. Contrary to what this physician recommended, I do recommend checking OxLDL and MPO, as well as Lp-PLA2, sedimentation rate, HS-CRP, and all the interleukin markers. I also run a GI-MAP test because so many people have gut issues or underlying gut issues which then leads to a host of problems and other autoimmune diseases. There is more in preventative care than to focus on just heart disease. What good is it to have a healthy heart when you contract cancer. You have to make sure all your detox pathways are open and functioning properly. Gut function as I mentioned, proper exercise, and I also recommend infrared sauna as well as rebounding or the use of a vibration plate to help with the lymphatic system. Even far and near infrared light therapy and EWOT is something I have been using the last 8 years or so with patients. The human body is very complex and supporting one bodily function or organ can or may have a negative affect on another organ and its function. BTW, I've been in healthcare some 30 years with a specialty in integrative functional medicine and endocrinology. Take care and best of luck.
Wow I just found this video and it’s exactly what I was struggling with my doctor yesterday!! My LDL went up 39 pts but everything else was normal… as usual he wants statins and I refused! My BP as usual went up because they take it 2 seconds after walking in the office. We had a serious talk about how he was an echo test and need for meds but I’m not buying it because I know how I eat … intermittent fasting 2-3 days a week and carb intake between 75-100 . How can I make my doctor see this is of no use and I am fine and feel great? I have your book “ Stay off my operating table “ and follow it .
Can this interview be viewed/heard elsewhere without the music? Or be posted, please. This is some good stuff but not sharing due to the loud music. I’m gonna look.
I don't think so . My sister developed high blood pressure at the age of 32 , health slim and fit young woman. She went to hospital for a week, got all the tests done but they couldn't find out why her bp was up the roof. She since had to take medicine for hbp.
@@nsudatta-roy8154Someone gets it. You hit the nail on the head my friend. Top strategies include 1. Eliminate all industrial seed oils 2. Increase your saturated to polyunsaturated fat intake ratio and 3. Augment your antioxidant status, most notably via pomegranate juice.
The Dr. mentioned that the majority of High Blood pressure is caused by Insulin Resistance, can you help us understand this causation statement with a study that proves his claim? I’m a carnivore, myself, but I also would like to see the study to make such a definitive bold claim.
My Hdl is 80, Ldl 170 , triglycerides 60, and generally cholesterol 270. Blood sugar 95 . I am 58 kg and 168cm tall. 55 years old and my doctor wants to give me statins...I really don't want ro take them 😢. Changed my diet but I fear ill disappear if I lose more weight 😢😢😢.
What is the study Dr. Phil Ovadia mentions at 2:00 "Statin use more than 10 years increases your risk of developing insulin resistance and type 2 diabetes"? As someone with FH who has taken statins since they were 8 years old....
Never heard that metroprolol (beta blockers) cause insulin- resistance or diabetes 2. This must be very induvidually! I can see from the cemical side of it in statins but not in metroprolol!
I always tell people total cholesterol is basically meaningless, unless it's close to 300. Triglycerides and HDL are the most important. LDL is only significant if triglycerides are high and HDL is low.
What if you already have diabetes but your blood sugar and blood pressure are under control? My triglycerides and HDL are good my LDL is high? My A1C has fluctuated between 5.5 and 6.2 for a year.
Have a high calcium score. On LCHF and have lost weight and resolved some issues but am still insulin resistant as indicated by high triglycerides and low HDL. Dr put me on low dose statin and Zetia to lower LDL to reduce risk. Plan to take them until my ratio indicates I have healthy LDL particles.
OK, so I’ve been on a low-carb carnivore diet for about 10 months. I’ve lost 85 pounds normalized my blood pressure lowered my A1c to 5.2 and other benefits. My lipids LDL is still very high at 2:30 and particle size are poor. Not sure what I should do Doctor has me on stat. I’m thinking it may benefit me until my metabolic health improves more. What are your thoughts?
OK, so I have a dilemma, metabolically I am fine, triglycerides, 62, HDL 92, LDL 163 and APO - B 130. Recent CIMT scan all clear. Do I need to worry about my high APO-B? And what if it is not oxidized? And how do you know if it is oxidized? Can you have APO - B which is not oxidized, and therefore not an issue? Not much information on this online at all
ApoB doesn't become oxidized, it is a carrier protein and a proxy for the total amount of lipoproteins, excluding HDL. The higher the ApoB, the more opportunities for lipoproteins to become oxidized and thus atherogenic, but it is not causative in and of itself. People who are metabolically healthy can 100% still develop heart disease if they have an imbalance of oxidation and antioxidant activity. As long as you are avoiding pro oxidative agents such as seed oils, and are emphasizing saturated and monounsagrated fat while minimizing PUFA, and consuming potent antioxidants such as pomegranate juice, you are golden.
Thank you for this wonderful interview. I was also delighted to find out that your show is available as a podcast vs video, so I could listen to it on my walk. (Not sure why it didn’t occur to me to look for it before now.) Wonderful information as I prepare for an annual checkup in April. Being low carb I am expecting a high LDL - hopefully if all other markers are good it won’t get my Dr going.
The background music is so distracting and unnecessary. Love the content and thank you for it. The music almost takes away from the credibility as it seems to be trying hard to elicit some sort of emotional response to this information.
Why are we still debating the best ways to estimate risk? We don’t have to guess anymore, we can look. A CAC will tell you if you’ve been growing plaque, and a CCTA will show you if you’re still growing plaque. Discussions about risk are obsolete-just look. If you’re metabolically healthy and eating your favorite diet and you’re not growing plaque, great! But if you’re still growing plaque on CCTA, as many do, you’d be wise to open your mind to treatments that have been shown by randomized human trials to improve outcomes.
@@texasjherrera Coronary CT angiogram. It's a CT scan with contrast that closely evaluates the presence of plaque in your coronary arteries. It detects both soft (immature/vulnerable) plaque and calcified (mature/stable) plaque. It's not cheap, and insurance only covers if you've got documented ASCVD. But a CAC (coronary artery calcium scan) is almost as useful and only costs about $80 cash. It's also a CT but without contrast that quantifies the amount of calcified plaque in your coronaries. It can't see soft plaque, but as long as your CAC score is zero, you've got essentially a 5 year warranty, meaning your risk of heart attack in the next 5 years is about zero.
@@jennifermarlow. That’s actually a very reasonable reply-thank you. Except I don’t think doctors are prescribing statins to people with normal lipid levels. And doctors do understand-they understand that if we give everyone with high LDL-C a statin, we reduce heart attacks and strokes. If I’m your doctor, and you come to me with high LDL-C and my job is to prevent your first heart attack, what should I do? I can tell you to exercise and lose weight, which I’ve presumably done a hundred times before, but if your LDL-C remains high, your risk remains elevated. I can ignore it, or I can treat it. At least that’s the old paradigm, which is what these two are still arguing in this clip. The beauty of imaging studies like CAC is that we now have a third option: instead of guessing about risk of disease, we can actually look for the disease itself. Anyone whose doctor suggests a statin might simply request a CAC to see if it’s really necessary.
@@mfkleven thanks for explaining that. I had a CAC and it was zero. I have a family history of CVD and my LDL cholesterol is “high” according to my physician, perhaps I’ll ask for another in 5 years from the last in order to get him to stop recommending I take a statin for no reason. I’m curious about the other scan though. I’ll see what the out of pocket cost is, and maybe get one just to establish a baseline at my age.
@@texasjherrera That sounds like a very reasonable plan that I think most doctors would support. The question is, “If I’m not growing plaque, why do I need to lower my cholesterol?” The answer, at least concerning heart disease, is, “You don’t.” However, brain health is another issue to keep in mind. Hyperlipidemia in mid-life is associated with a 2.3x risk of dementia in later life. It’s not clear if the absence of coronary plaque would place you safely outside that risk or not. It may, but I don’t think we know yet. My CAC is zero and my CCTA shows no soft plaque, but I still opt to take 10 mg of ezetimibe to keep my LDL-C about 70 mg/dL because it’s very safe and I don’t want dementia.
This is such valuable information to help us make important medical decisions. Especially statins. Only hear negatives but there seem to be so many people out there whose docs subscribe these. Also many of those say ‘No’. Great interview. 👏
I’m on on 10mg Lipitor per day paired with CoQ10 300mg and 0 side effects. My LDL is really low 0.5 mmol/l and my triglycerides is really low too 0.3mmol/l. My calcium score is 0.
I'd be curious what your research finds for those of us that are genetically prone to high Lp(a). I know they have some medications in development / trials to lower it. In my case, with Repatha, I brought my stubbornly slightly high LDL from 135 to 67. Fit, active, everything is else is optimal. But, that darn Lp(a)
I do not understand why many people still talk about HDL cholesterol and LDL cholesterol or good and bad cholesterol. It is confusing. There is only one cholesterol. Cholesterol is cholesterol. No good or bad cholesterol. LDL and HDL are NOT cholesterol. They are lipoproteins, little submarines, who transport cholesterol, triglycerides, vitamins.
The “cost” of a low fat, plant-centered diet seems to be robust health and longevity. Or, are there blue zones in which the population consumes a high fat diet with most of their calories coming from animal sources?
Correct, with a major caveat. The problem with high LDL is that there are more opportunities for it to become oxidized, but the real problem is that our dietary guidelines have optimized for the mitigation of LDL, not what confers these particles with resistance to oxidation. It turns out that these strategies are at odds with one another, and that attempting to lower LDL via reducing saturated fat actually renders these particles more susceptible to oxidation, hence why the goal post is ever being shifted/lowered with respect to target LDL in statin therapy.
The background music is very irritating..
thanks for the info though
I had to turn it off😢👎‼️
Yes I agree! Too many youtubers are doing it. It adds nothing & I cannot concentrate on what they are saying. So annoying why is this a thing now 🙄🙄🙄
It’s splitting my eardrums. Thankfully many of us can lipread.
And the mistake filled closed caption..
seriously I can't get through the video. Is this a real doctor, or is this some infomercial?
I met a highly paid cardiologist surgeon in Cabo San Lucas, and I asked him if high cholesterol can cause a heart attack and he said to me that if high cholesterol caused heart attacks then he would have had one years ago since, as he said, his has been hovering around 300 for years and that statins haven’t moved the market on the rate of heart attacks since their inception.
True, my grandpa smoked a pack a day and never had lung cancer so cigs don’t cause lung cancer or he would have had it years ago /s
Smokers have 15 to 30 times,(1500-3000%) higher risk of lung cancer, the biased and dubious claims by drug companies on cholesterol is increased risk of maybe 0.2 times (or 20%)
@jesseshaver2262 False equivalence much?
@@maxmillion6428 not at all. “My ldl has been sky high for years and I haven’t had a heart attack”. And “I smoke a pack a day and I’ve never gotten lung cancer”. That’s a fair comparison
@jesseshaver2262 One is a naturally occurring phenomenon and the other is an artificially induced phenomenon, so clearly a false equivalency, so clear a child could see it, by 20th century standards. Today? Not so much.
This is a very helpful video, but the background music is distracting, and frankly annoying. Leave that out next time, please.
I have very high LDL, very high HDL und very low TG since 20 years. Refused taking Statins but took Magnesium, Vit D, Vit K2, Ubiquinol, cut down carbs and my Calcium Score last december was Zero.
im 30 with a high total and Nurse practicioner is trying to push statins, my LDL was in range, my HDL was excellent and my TG is very low- im 0.14 above reference range total cholestrol and they want to push statins hahaha, not happening
My doctors have tried to put me on Statins through the years. I have high LDL, and low HDL. I always refused. So glad I did! Still here.
Well done. 👏 According to Dr. Noakes we have high LDL for a reason, to live longer.
Your triglycerides, A1C and fasting insulin are important numbers also.
Yes!!! Lower the triglycerides and heal the insulin!! Real Food! Check out Dr. Johnny Bowden he’s written books and is a nutritionist that teaches legit food habits!
You need to improve your hdl
Gosh the music! taking away from such a valuable discussion.
Great information! Background music is rather distracting.
Got bloods done recently - High LDL, High HDL - everything else was perfect. Doctor said if it doesn't come down I'm going on statins for the rest of my life. I'm 43. No discussion about diet or lifestyle.
Since your other markers are good ( including TG) then Please add 100 grams carbohydrates everyday ( it can be sweet potatoes or Oreo cookies whatever) for 2 weeks with your current diet before your next blood test. Your LDL will definitely go down. Significantly. This will shut down your doctor’s mouth.
I did it and got positive results. I gained 1 kg.
Good luck
@@arifaahamed7239but why? Only to shut down the doc? Makes no sense for me
@@KeyserSoze088 yes, in japan we must do mandatory yearly thorough health check up if you work for a company or a govt job. It’s covered by the government and if something goes wrong , you need to do periodic visit to the doctor until your health markers are within ranges… it’s bothersome.
I have reduced my weight , out of all health problems, zero medication and now in my healthy BMI. But my LDL has gone high doing low carb diet. Doctors are ignorant and always push statin which I refuse.. I’m not concerned about my LDL but my doctor is… got my situation now?
@@arifaahamed7239 Thanks. I don't mean to be rude but I won't be doing that.
@@arifaahamed7239 ah ok,Thank you for the clarification
Can you make the music louder? I accidentally heard the doctor.
Love your thoughts! I found eating less sugar and carbs healed my over all Bloodwork by a significant margin. Then I had surgery and stopped exercising which elevated my LDL’s again. Rather than Statins, I chose to get exercising again and again returned my LDL’s to great levels. I was amazed at how big of an impact just exercising 25 min. 3 times a week had.
Thanks for sharing this useful, short exercise benefit!! 😊
Cholesterol is an extremely important molecule for good health. It's necessary for bile acids, hormone production, immune system optimization, and cell membrane construction. Also, the myelin sheaths that cover axons in neurons are 25% cholesterol The idea that you can strip away cholesterol in the body and not suffer serious health complications is ridiculous. I would never take a statin.
Please cut the music out it’s irritating
But I love Mozart.
@@AnneMB955😂... But surely not when our Mike is speaking!😊
Agreed
I have high LDL but low triglycerides. I exercise every day and avoid sugar and ultra processed foods
Same here
Great interview but that backround music... Super annoying....😕
The music is very annoying.
This is such important information Thank You both, much appreciated!
My endocrinologist did the knee jerk reaction. I want more information. If she won’t go further with investigation, I’ll stop seeing her.
Thank you for this video. Short, full of information, simple enough to understand.
When it comes to a Coronary Artery Calcium (CAC) Test, anything greater then zero is undesirable. It is a good test, but most people would also recommend a Carotid Intima-Media Thickness Test (CIMT), since it appears to be the gold standard when testing for soft plaque. Also, keep an eye on your A1C & triglycerides. As you may know, prolonged high blood glucose & pressure can lead to Endothelial Dysfunction.
Check out Linus Pauling and his vitamin c therapy, it is pretty interesting.
Excellent information. Thanks!
My moms doc told her to eat in a way that lowers her cholesterol. So she doesn’t eat steak and bacon etc. But she has increased her sugar intake dramatically! She won’t listen to anything I say about diet. And I have a nutrition degree lol
What you eat account for what? 20% or so of your cholesterol level? I've been eating eggs, red meat, pork, chicken, pretty much whatever I want. Staying fit by working out, got off statins, and HDL steadily climbing and LDL came down quite a bit.
I eat red meat every day.
How do I find the right doctor who had been trained on the bigger picture?
Ask them a question. Can type 2 diabetes be reversed?
Thanks for your clear information
What's the deal with the background music? I found this video unwatchable.
Can you please discuss familia Hypercholesterolaemia and statins
I knew a woman in her 90s with cholesterol like 800.
I just had my NmR lipoprotein test completed. I think I understand the results but would love your opinion. The categories are not labelled exactly as you are describing here: LPL particle num: 1962, LDL particle Size: 22, Total Cholesterol: 317, Triglycerides: 90, HDL Cholesterol: 80, LDL Cholesterol: 219. I just went off my Statin for three months and made some dietary changes and lost 15 pounds. I am a 6'0" male at 172 pounds that exercises 6 days a week and competes in National Tennis Tournaments. I didn't like taking the Statin due to many poor reviews of side effects. My father passed away of dementia at age 87. I am currently 60.
Thanks for sharing!! Happy to set up a consult :) Here's the link if you're interested! courses.highintensityhealth.com/store/nq5vD83o
I am offering myself up to a clinical/medical/scientific study as it relates to blood work (cholesterol, glucose,A1C, etc.) and a low carb/keto/carnivore diet.
I have tracked my labs going back to 2012. Went low carb in December 2017. Since going low carb, no more T2D, Sleep Apnea, brain fog, GERD, and more. Also since going low carb: significantly bettered my Triglycerides, Glucose, A1C, etc, but also have elevated total cholesterol and LDL.
I've also had a CAC test and a CTA with contrast. I believe my data can help others, but I need a professional that wants to dive in.
Only thing that is worth looking at are triglycerides and HDL. If you are anywhere near a 1:1 ratio then that is excellent. I do look at inflammatory markers for all people, including those following a carnivore/keto diet because of the oxidation from cooking meat, especially meat that is loaded with antibiotics and hormones. Preparation and cooking method also plays a huge role. Contrary to what this physician recommended, I do recommend checking OxLDL and MPO, as well as Lp-PLA2, sedimentation rate, HS-CRP, and all the interleukin markers. I also run a GI-MAP test because so many people have gut issues or underlying gut issues which then leads to a host of problems and other autoimmune diseases. There is more in preventative care than to focus on just heart disease. What good is it to have a healthy heart when you contract cancer. You have to make sure all your detox pathways are open and functioning properly. Gut function as I mentioned, proper exercise, and I also recommend infrared sauna as well as rebounding or the use of a vibration plate to help with the lymphatic system. Even far and near infrared light therapy and EWOT is something I have been using the last 8 years or so with patients. The human body is very complex and supporting one bodily function or organ can or may have a negative affect on another organ and its function. BTW, I've been in healthcare some 30 years with a specialty in integrative functional medicine and endocrinology. Take care and best of luck.
@@Total_Body_Fitness_USA Impressive. You know your stuff. What do you charge to read/translate me my blood results? Thank you.
It's called the "cholesterol hypothesis" (or the lipid hypothesis) for a reason and it's been debated over 150 years and still no finding of proof.
Wow I just found this video and it’s exactly what I was struggling with my doctor yesterday!! My LDL went up 39 pts but everything else was normal… as usual he wants statins and I refused! My BP as usual went up because they take it 2 seconds after walking in the office. We had a serious talk about how he was an echo test and need for meds but I’m not buying it because I know how I eat … intermittent fasting 2-3 days a week and carb intake between 75-100 . How can I make my doctor see this is of no use and I am fine and feel great? I have your book “ Stay off my operating table “ and follow it .
Hey Mike, do you have any resources, recommendations protocols etc. for those with FH looking to do low carb/ keto/ ketovore?
Nice music but hard to hear the discussion
I’ve also heard that statins don’t reduce small damaged LDL particles at all. I just don’t see their benefit.
Even if that’s true, it lowers ApoB
Can this interview be viewed/heard elsewhere without the music? Or be posted, please. This is some good stuff but not sharing due to the loud music. I’m gonna look.
Is high blood pressure present only when arteries are getting clogged with plaque?
I don't think so . My sister developed high blood pressure at the age of 32 , health slim and fit young woman. She went to hospital for a week, got all the tests done but they couldn't find out why her bp was up the roof. She since had to take medicine for hbp.
WHY do you have music playing, beyond unnecessary and adds no value…just distracting.
So annoying!
Music is annoying, can't watch because of it
Didn't even notice the music until I saw the comments😅
If we do this no money is made!😱😳
Why are statins prescribed after having stents placed ..??...,
Because they haven't figured out how to reduce oxidation across the board. This is a very easy thing to do, naturally.
@@nsudatta-roy8154Someone gets it. You hit the nail on the head my friend. Top strategies include 1. Eliminate all industrial seed oils 2. Increase your saturated to polyunsaturated fat intake ratio and 3. Augment your antioxidant status, most notably via pomegranate juice.
What do we eat to get metabolic health? To get off B/P pills?
Avoid high sugar, vegetable oils and processed foods.
I concur with nattypatty.
Add decent sea salt to your low carb life style.... and what Natty Patty said😊.
Eliminate refined carbohydrates, sugar, and seed oils.
Thank you all for your response, that helps. Have a good day.
The Dr. mentioned that the majority of High Blood pressure is caused by Insulin Resistance, can you help us understand this causation statement with a study that proves his claim?
I’m a carnivore, myself, but I also would like to see the study to make such a definitive bold claim.
My Hdl is 80, Ldl 170 , triglycerides 60, and generally cholesterol 270. Blood sugar 95 . I am 58 kg and 168cm tall. 55 years old and my doctor wants to give me statins...I really don't want ro take them 😢. Changed my diet but I fear ill disappear if I lose more weight 😢😢😢.
What is the study Dr. Phil Ovadia mentions at 2:00 "Statin use more than 10 years increases your risk of developing insulin resistance and type 2 diabetes"? As someone with FH who has taken statins since they were 8 years old....
Never heard that metroprolol (beta blockers) cause insulin- resistance or diabetes 2. This must be very induvidually! I can see from the cemical side of it in statins but not in metroprolol!
Is the NMR test still a good particle test? For LDL?
Why was the music so epic lol
I always tell people total cholesterol is basically meaningless, unless it's close to 300. Triglycerides and HDL are the most important. LDL is only significant if triglycerides are high and HDL is low.
What is insulin resistance, is it diabetes.
What are some of the ways to reduce inflammation without statins?
What if you already have diabetes but your blood sugar and blood pressure are under control? My triglycerides and HDL are good my LDL is high? My A1C has fluctuated between 5.5 and 6.2 for a year.
Have a high calcium score. On LCHF and have lost weight and resolved some issues but am still insulin resistant as indicated by high triglycerides and low HDL. Dr put me on low dose statin and Zetia to lower LDL to reduce risk. Plan to take them until my ratio indicates I have healthy LDL particles.
OK, so I’ve been on a low-carb carnivore diet for about 10 months. I’ve lost 85 pounds normalized my blood pressure lowered my A1c to 5.2 and other benefits. My lipids LDL is still very high at 2:30 and particle size are poor. Not sure what I should do Doctor has me on stat. I’m thinking it may benefit me until my metabolic health improves more. What are your thoughts?
OK, so I have a dilemma, metabolically I am fine, triglycerides, 62, HDL 92, LDL 163 and APO - B 130. Recent CIMT scan all clear. Do I need to worry about my high APO-B? And what if it is not oxidized? And how do you know if it is oxidized? Can you have APO - B which is not oxidized, and therefore not an issue? Not much information on this online at all
ApoB doesn't become oxidized, it is a carrier protein and a proxy for the total amount of lipoproteins, excluding HDL. The higher the ApoB, the more opportunities for lipoproteins to become oxidized and thus atherogenic, but it is not causative in and of itself. People who are metabolically healthy can 100% still develop heart disease if they have an imbalance of oxidation and antioxidant activity. As long as you are avoiding pro oxidative agents such as seed oils, and are emphasizing saturated and monounsagrated fat while minimizing PUFA, and consuming potent antioxidants such as pomegranate juice, you are golden.
Ivor Cummins has a few vlogs on this. I believe he has a tendancy towards high APO-B.
Yes you do, that ApoB is way too high.
I love the Peter Attia shade.
Interesting conversation, but the background music is very annoying and makes it hard to follow!
Than you 👍👍thank you 👏🏼👏🏼👏🏼🌅
Thank you for this wonderful interview. I was also delighted to find out that your show is available as a podcast vs video, so I could listen to it on my walk. (Not sure why it didn’t occur to me to look for it before now.) Wonderful information as I prepare for an annual checkup in April. Being low carb I am expecting a high LDL - hopefully if all other markers are good it won’t get my Dr going.
I feel better at 2225-275 than at 179, mine currently is 275, my younger sister 250, my mom 280
Don't understand the point of the music. Distracting.
The background music is so distracting and unnecessary. Love the content and thank you for it. The music almost takes away from the credibility as it seems to be trying hard to elicit some sort of emotional response to this information.
Why are we still debating the best ways to estimate risk? We don’t have to guess anymore, we can look. A CAC will tell you if you’ve been growing plaque, and a CCTA will show you if you’re still growing plaque. Discussions about risk are obsolete-just look. If you’re metabolically healthy and eating your favorite diet and you’re not growing plaque, great! But if you’re still growing plaque on CCTA, as many do, you’d be wise to open your mind to treatments that have been shown by randomized human trials to improve outcomes.
For those of us that are unfamiliar with CCTA, can you at least tell me what that is?
@@texasjherrera Coronary CT angiogram. It's a CT scan with contrast that closely evaluates the presence of plaque in your coronary arteries. It detects both soft (immature/vulnerable) plaque and calcified (mature/stable) plaque. It's not cheap, and insurance only covers if you've got documented ASCVD.
But a CAC (coronary artery calcium scan) is almost as useful and only costs about $80 cash. It's also a CT but without contrast that quantifies the amount of calcified plaque in your coronaries. It can't see soft plaque, but as long as your CAC score is zero, you've got essentially a 5 year warranty, meaning your risk of heart attack in the next 5 years is about zero.
@@jennifermarlow. That’s actually a very reasonable reply-thank you. Except I don’t think doctors are prescribing statins to people with normal lipid levels. And doctors do understand-they understand that if we give everyone with high LDL-C a statin, we reduce heart attacks and strokes. If I’m your doctor, and you come to me with high LDL-C and my job is to prevent your first heart attack, what should I do? I can tell you to exercise and lose weight, which I’ve presumably done a hundred times before, but if your LDL-C remains high, your risk remains elevated. I can ignore it, or I can treat it.
At least that’s the old paradigm, which is what these two are still arguing in this clip. The beauty of imaging studies like CAC is that we now have a third option: instead of guessing about risk of disease, we can actually look for the disease itself. Anyone whose doctor suggests a statin might simply request a CAC to see if it’s really necessary.
@@mfkleven thanks for explaining that. I had a CAC and it was zero. I have a family history of CVD and my LDL cholesterol is “high” according to my physician, perhaps I’ll ask for another in 5 years from the last in order to get him to stop recommending I take a statin for no reason.
I’m curious about the other scan though. I’ll see what the out of pocket cost is, and maybe get one just to establish a baseline at my age.
@@texasjherrera That sounds like a very reasonable plan that I think most doctors would support. The question is, “If I’m not growing plaque, why do I need to lower my cholesterol?” The answer, at least concerning heart disease, is, “You don’t.”
However, brain health is another issue to keep in mind. Hyperlipidemia in mid-life is associated with a 2.3x risk of dementia in later life. It’s not clear if the absence of coronary plaque would place you safely outside that risk or not. It may, but I don’t think we know yet. My CAC is zero and my CCTA shows no soft plaque, but I still opt to take 10 mg of ezetimibe to keep my LDL-C about 70 mg/dL because it’s very safe and I don’t want dementia.
This is such valuable information to help us make important medical decisions. Especially statins. Only hear negatives but there seem to be so many people out there whose docs subscribe these. Also many of those say ‘No’. Great interview. 👏
So why does my Dr tells me I'm high in LDL 225 and wanna put me on statins. I won't take that stuff.
I’m on on 10mg Lipitor per day paired with CoQ10 300mg and 0 side effects. My LDL is really low 0.5 mmol/l and my triglycerides is really low too 0.3mmol/l. My calcium score is 0.
Sounds like you should stop taking statins immediately. Focus on metabolic health instead of your cholesterol numbers.
709k subs. Come on, you should know that the loud background music is a bad idea.
Hi my total Cholesterol 217,HDL 42,LDL 132,Triclyrates 232,HDL/LDL Radio -3.14
Need ur suggestions
Lipoprotein (a)-9.2
Recently.had blood work done. My total cholesterol was 319 but HDL was 102. I have read that HDL can be too high. Should I be concerned?
HDL in 102 is actually good number!
I'd be curious what your research finds for those of us that are genetically prone to high Lp(a). I know they have some medications in development / trials to lower it. In my case, with Repatha, I brought my stubbornly slightly high LDL from 135 to 67. Fit, active, everything is else is optimal. But, that darn Lp(a)
Your ldl is low
Is 42 triglycerides is good
What % of the public has Genetic/Familial high cholesterol?
1 in 220 people or 0.45%
Good luck with that idea!
Great video. But the music is unnecessary and annoying. I stopped watching halfway thru.
I do not understand why many people still talk about HDL cholesterol and LDL cholesterol or good and bad cholesterol. It is confusing. There is only one cholesterol. Cholesterol is cholesterol. No good or bad cholesterol. LDL and HDL are NOT cholesterol. They are lipoproteins, little submarines, who transport cholesterol, triglycerides, vitamins.
HDL reduces plaque in artery that's why
Can they instead ,invent a drug that can eliminate the worldwide video editor muzak disease ?
I needed to share this but won't because the music erodes credibility.
please lose the background music. Otherwise a good vid.
I found statins caused an increase in my sleep apnea!
I actually enjoyed the music, lol.
Statins save 1 in 100. That's with that 1%.
Not even that 1%. Statins can not cure the cause of inflammation. And the side effects may send the patient to the other world sooner.
lose the music ..
Background music annoying af
The “cost” of a low fat, plant-centered diet seems to be robust health and longevity. Or, are there blue zones in which the population consumes a high fat diet with most of their calories coming from animal sources?
I could not handle the background music (or so called music)
When doing an interview there's no need to have background music
👍 give 👍 a 👍 like 👍 for 👍 Mike! 👍
Never use statins. Do the research 1st. There is plenty of information
Clark Jessica Brown Gary Thomas Edward
The background music and the subtitles make this video unwatchable.
Hello from East Tx+++++Go Carnivore for Life +++Marvin
Lose the music. Great content stands on its own. Who are you trying to sell?
Ruined by the music. Couldn't even get halfway through.
I disagree that high ldl is only problematic in the context of there also being insulin resistance
Correct, with a major caveat. The problem with high LDL is that there are more opportunities for it to become oxidized, but the real problem is that our dietary guidelines have optimized for the mitigation of LDL, not what confers these particles with resistance to oxidation. It turns out that these strategies are at odds with one another, and that attempting to lower LDL via reducing saturated fat actually renders these particles more susceptible to oxidation, hence why the goal post is ever being shifted/lowered with respect to target LDL in statin therapy.
@@JasonActualization I think ldl should be mitigated. Along with inflammation, along with insulin resistance. Hit it from every side
@@jennifermarlow. yes, it is a marker, that causated with atherosclerosis
Music in the background is distracting from this important message. I'm out.
Lopez Barbara White George Johnson Helen
Loose the crappy "music"🤮👋👎👋
Notice that metabolic syndrome is the real problem.
Background noise as annoying as my doctor pushing $tatin$.
The music is way too annoying to finish this video.
Good video, bad music
My cholesterol is now so bad that my circulation has completely stopped and I am now carried around in a bucket.
💪🏿💪🏿