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    Why Cholesterol Is Only One Factor Of Heart Health

    enJuly 03, 2023

    Podcast Summary

    • Simple habits for improving heart health and the importance of addressing lifestyle factorsMaking small changes to diet, exercise, and overall lifestyle can greatly reduce the risk of heart disease and inflammation, while medications alone may not be enough.

      There are simple and achievable habits that can significantly improve heart health. Despite the fact that diet and lifestyle changes can prevent 80% of heart disease cases, less than 3% of the US population meets the basic criteria for low risk. These criteria include not smoking, getting regular exercise, eating a healthy diet, and maintaining a healthy body fat percentage. Additionally, it is important to address the root causes of inflammation, such as stress, lack of exercise, bad sleep, and social isolation, as these factors contribute to heart disease. Unfortunately, the typical medical approach focuses on medication without addressing these underlying lifestyle factors.

    • The Limitations of Traditional Cholesterol TestsTraditional cholesterol tests only measure the amount of cholesterol in the body, ignoring the quality and size of cholesterol particles. Comprehensive testing methods like NMR or Cardiac iq tests provide a more accurate assessment of cardiovascular health.

      Traditional cholesterol tests often fail to provide a complete picture of a person's overall health. These tests typically focus on measuring the amount of cholesterol in the body, but fail to consider the quality and size of the cholesterol particles. For instance, LDL cholesterol is often labeled as "bad," but there are different subtypes of LDL, with some being more harmful than others. Similarly, the size and quality of HDL cholesterol also matter in determining cardiovascular risk. Furthermore, traditional tests do not account for other remnant particles that may contribute to heart disease. Therefore, it is important to seek out more comprehensive testing methods, such as the NMR or Cardiac iq tests, which provide a more accurate assessment of one's cardiovascular health.

    • The Importance of Metabolic Health in Preventing Heart DiseaseMetabolic health is a key factor in preventing heart disease, and it goes beyond weight and cholesterol levels. Cardiologists should consider hormones, inflammation, and the immune system. Lifestyle factors and early intervention are crucial.

      Metabolic health is a critical factor in preventing heart disease, and it is not solely determined by weight or cholesterol levels. Cardiologists should be seen as cardio endo immunologists, as hormones, inflammation, and the immune system all play significant roles in heart health. It is essential to personalize the approach to treating heart disease and consider the root causes rather than applying a one-size-fits-all solution. The conversation highlights that only 12.2% of Americans are metabolically healthy, and even two-thirds of skinny individuals are metabolically unhealthy. Therefore, lifestyle factors, such as diet, exercise, and overall metabolic health, should be considered when assessing an individual's risk for heart disease, rather than relying solely on weight or cholesterol levels. Early detection and intervention for pre-diabetes and type 2 diabetes are crucial, as the condition is reversible, preventable, and treatable.

    • Beyond traditional markers: The importance of considering insulin levels and glucose trends in assessing risk for heart disease and diabetes.Monitoring insulin levels and glucose trends over time is crucial in assessing the risk for heart disease and diabetes, even if glucose levels are within the normal range. A comprehensive approach that includes evaluating fat quality and diagnostic tests can help prevent disease progression.

      Relying solely on traditional markers like cholesterol and glucose levels may not provide a complete picture of someone's risk for heart disease and diabetes. It's important to also consider insulin levels and glucose trends over time. Even if someone's glucose levels fall within the normal range, variations and increases over time can indicate a higher risk. Insulin plays a significant role in inflammation and weight gain, even before blood glucose levels rise. Additionally, the quality of fat consumed matters, with fried foods and trans fats posing a problem, while fats from whole food sources like nuts and avocados can potentially be beneficial. Diagnostic tests that assess particle size and number as well as insulin response to a challenge, like drinking sugar, are often overlooked but can provide valuable insights. Ultimately, a comprehensive approach that considers these factors can help prevent the progression of heart disease and diabetes.

    • Addressing Underlying Factors for Heart Disease PreventionBy addressing insulin resistance, inflammation, and overall metabolic health through lifestyle changes, such as a diverse, plant-based diet and exercise, the risk of heart disease can be effectively reduced. Traditional markers like LDL cholesterol may not accurately reflect the risk.

      Heart disease is primarily a hormonal issue related to insulin and insulin resistance, as well as an inflammation issue. It is crucial to address these underlying factors rather than solely relying on medications like aspirin, statins, or metformin. High blood pressure, cholesterol, and diabetes are all interconnected and should be viewed as manifestations of the same metabolic imbalance. Additionally, factors such as exercise, sleep, stress, and gut health play significant roles in inflammation and overall metabolic health. Understanding the microbiome and its influence on insulin resistance and inflammation is essential. By adopting a diverse, plant-based diet and lifestyle modifications, similar outcomes can be achieved to medications like metformin. It is evident that conventional markers like LDL cholesterol do not accurately reflect the risk of heart disease. Instead, focusing on metabolic syndrome markers is more indicative of the condition.

    • The Impact of Lifestyle Changes on Risk Markers of Metabolic SyndromeMaking dietary changes, particularly adopting a low-carb diet, can effectively reverse metabolic syndrome and improve markers such as triglycerides, HDL levels, blood pressure, and HbA1c. It is important for doctors to stay updated and promote discussions about preventing, treating, and reversing heart disease risk factors.

      Lifestyle changes, particularly in terms of diet, can have a significant impact on improving risk markers of metabolic syndrome. One study showed that 50% of people with obesity who made a low-carb dietary change reversed their metabolic syndrome within 21 to 28 days. These markers include triglycerides, HDL levels, blood pressure, and HbA1c. However, there is a lack of awareness about the importance of nutrition and rapid lifestyle changes in improving these markers. Even major heart hospitals still recommend low-fat, high-carb diets, which is not supported by the current data. It is crucial for doctors to incorporate the latest research and promote nuanced discussions about prevention, treatment, and reversal of heart disease risk factors. Simple measures like maintaining normal blood pressure, HbA1c levels, waist circumference, and triglycerides can help identify and address insulin resistance, a key factor in heart disease.

    • The Dangers of Ultra-Processed Foods and Low-Quality CarbohydratesAvoiding ultra-processed foods and low-quality carbohydrates is important for overall health. Focus on a diet rich in whole, unprocessed foods for disease prevention and well-being.

      The consumption of ultra-processed foods and low-quality carbohydrates is a major contributor to health issues. These foods, which often come in packets and contain multiple ingredients including sugar and unhealthy oils, should be avoided as much as possible. Even if you are relatively healthy, indulging in these foods can lead to weight gain and other negative effects on your health. Cutting out these processed foods and focusing on a high-quality, nutrient-dense diet is crucial for disease prevention and overall well-being. The emphasis should be on whole, unprocessed foods like fruits, vegetables, lean proteins, and healthy fats. While cultural preferences and individual dietary needs may vary, prioritizing the quality of the food we eat is essential.

    • The impact of food, exercise, and stress on heart health.Understanding our individual biology, finding balance in exercise, and managing stress through techniques like meditation can greatly improve heart health and overall quality of life.

      Food is medicine and has a direct impact on our biology. Understanding our individual biological differences is crucial, as some people may be more carbohydrate tolerant while others may be more fat intolerant. It is important to find ways to determine and regulate these differences. Exercise plays a significant role in heart health, but it is essential to strike a balance and avoid overdoing it. Chronic psychological stress is a major risk factor for cardiovascular health and is often overlooked. Managing stress levels through practices like meditation can have a significant impact on heart disease reversal. By incorporating stress reduction techniques, individuals are more likely to sustain other lifestyle changes and improve their overall quality of life.

    • The Power of Meditation: Reducing Stress for Better HealthIncorporating just 20 minutes of meditation into our daily routine can improve stem cell production, reduce inflammation, and enhance brain connectivity, making it a valuable tool for overall health and well-being.

      Stress reduction through practices like meditation can have a significant impact on our overall health. Stress not only increases inflammation in our bodies but also affects hormone production, blood sugar levels, blood pressure, and fat storage. With the multitude of stressors we face in our lives, finding ways to effectively manage stress is crucial. Meditation, even for just 20 minutes a day, has been shown to improve stem cell production, reduce inflammation, and enhance brain connectivity. It is a simple, accessible, and free tool that can regulate our biology and improve various aspects of our health. Incorporating stress reduction techniques like meditation should be prioritized alongside diet, exercise, and sleep for optimal well-being.

    • The Impact of Lifestyle Changes on Heart Health and Overall Well-beingMaking simple lifestyle changes, such as improving diet and exercise habits, can have a profound impact on reducing the risk of heart disease and improving overall health.

      Making lifestyle changes, such as following a healthy diet, exercising regularly, and managing insulin resistance, can greatly improve a person's overall health and reduce the risk of heart disease. In the conversation, it is highlighted that by eliminating junk food, reducing sugar and starch intake, and incorporating good fats and fiber into the diet, one individual was able to lose almost 50 pounds and normalize their blood sugar levels. Additionally, it is emphasized that checking for pre-diabetes and measuring insulin levels are crucial in assessing heart disease risk. The conversation underscores the importance of addressing the underlying causes of health issues, rather than simply treating the symptoms, and demonstrates the significant impact that lifestyle factors can have on overall well-being.

    • Tailoring interventions to individual needs in managing heart attack risk and cholesterol levels.Personalized care is crucial in heart health. Individual factors and metabolic profiles should be considered to determine dietary interventions.

      Personalized care is crucial in managing heart attack risk and cholesterol levels. Different individuals respond differently to diets and lifestyle changes, highlighting the importance of tailoring interventions to specific needs. While general guidelines suggest limiting saturated fat intake, it is essential to consider individual factors and metabolic profiles. In one case, a woman struggling with weight loss and high cholesterol benefitted greatly from a high saturated fat diet, resulting in significant weight loss and improved lipid profiles. On the other hand, a fit and active middle-aged biker required different interventions. These examples emphasize the need to approach heart health holistically, taking into account unique circumstances and responses to various dietary approaches.

    • The Importance of Personalizing Your Diet for Optimal Health and Weight LossBy tailoring your diet to your individual biology and addressing insulin levels, gut health, and the microbiome, you can significantly improve your overall health and reduce the risk of heart disease.

      Personalizing the diet is crucial for achieving the most benefit from nutrition intervention. Lowering insulin levels, especially through a ketogenic diet, can lead to significant improvements in weight loss and overall health for individuals with metabolic syndrome. Traditional doctors may not focus on these factors, but Functional medicine emphasizes understanding an individual's unique biology and responses to different insults like diet and toxins. The influence of the microbiome and gut health on heart disease risk is also gaining recognition, breaking down the previous hyper focus on cholesterol alone. By looking at the nuances and designing personalized plans, like those offered at the UltraWellness Center, individuals can take control of their heart disease risk and improve their overall well-being.

    • Balancing Diet for Heart Disease PreventionA balanced diet that includes plant sterols, fiber, good fats, and phytochemicals can reduce the risk of heart disease. Addressing various factors like inflammation and gut health is crucial for prevention.

      Focusing on both what you remove and what you add to your diet can have a significant impact on reducing the risk of heart disease. It's not just about cutting out sugar and starch, but also incorporating compounds naturally found in plants, such as plant sterols in beans and legumes, nuts and seeds. These vegetable protein sources can help lower LDL cholesterol by binding to cholesterol in the gut. Additionally, increasing fiber, consuming good fats like olive oil or avocado oil, and improving the overall content of phytochemicals in the diet all play a crucial role in reducing risk. It's important to understand that heart disease is complex, and a personalized approach that addresses inflammation, oxidative stress, particle size, gut health, heavy metal toxins, and other nutritional factors is necessary for effective prevention.

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    Fatty, fatty.

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    Episode 215: Q+A - Protein, Satiety, Managing Cholesterol And More!

    Episode 215: Q+A - Protein, Satiety, Managing Cholesterol And More!

    Episode Overview

    We’re back with another Q+A episode to discuss what you should know about protein intake, how to know if you’re eating enough calories, what habits can offset high cholesterol, and more!

    And before you go… We are pumped to announce the return of our super popular FREE video series, Cut the Crap: How to Simplify Weight Loss and Get Out of Your Own Way. If you’ve had an ‘a-ha’ moment in one of our podcasts, you’re going to love how deep we go in this video series! It all starts May 4th. Click here to register!

    Key Points

    • Protein: what's bro science and what's not?
    • Is your calorie intake causing you to feel depleted?
    • What to do when you’re eating balance but you still feel hungry every 2 hours
    • What to do if you’re questioning how many calories you need to maintain your weight
    • Tips for managing a high cholesterol diagnosis

    Mentions

    Related Content

    Transcript

    Download a copy of this episode’s transcript here.

    #203 - AMA #34: What Causes Heart Disease?

    #203 - AMA #34: What Causes Heart Disease?

    View the Show Notes Page for This Episode

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    In this “Ask Me Anything” (AMA) episode, Peter dives deep into the topic of atherosclerotic cardiovascular disease (ASCVD)—the number one killer in the developed world. Peter argues for the importance of paying attention to and understanding ASCVD given its ubiquity and inevitability. He goes into great detail about the development of atherosclerosis and how it can take hold at a very early age, the role of cholesterol, and the causal factors of ASCVD that determine prevention strategies. Additionally, he discusses the important metrics and biomarkers found in blood work, as well as diagnostic tests such as coronary artery calcium scores (CAC) and CT angiograms which help to determine the level of arterial damage present. Finally, Peter lays out the keys to understanding and interpreting calcium scores before wrapping up the conversation with his key takeaways regarding prevention.

    If you’re not a subscriber and listening on a podcast player, you’ll only be able to hear a preview of the AMA. If you’re a subscriber, you can now listen to this full episode on your private RSS feed or on our website at the AMA #34 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here.

    We discuss:

    • The importance of understanding atherosclerosis early in life [2:15];
    • Defining atherosclerotic cardiovascular disease (ASCVD), its causes, and the role of cholesterol [9:00];
    • The process of developing ASCVD, part 1 [15:00]; 
    • The process of developing ASCVD, part 2 [24:00];
    • The process of developing ASCVD, part 3 [32:45];
    • How early in life ASCVD can start to develop [40:30];
    • Case studies of atherosclerosis and figures showing real pathology [43:00];
    • Coronary artery lesions present in autopsies of different age groups [49:15];
    • The causal factors of ASCVD that determine prevention strategies [52:15];
    • Labs to identify biomarkers of ASCVD ]59:00];
    • Diagnostic tests to determine the level of arterial damage present—CAC, CTA, CIMT, and more [1:00:30]
    • Keys to understanding and interpreting a CAC score and/or CTA results [1:05:15];
    • Is there a risk from cholesterol levels being too low? [1:13:00];
    • Key takeaways regarding prevention [1:15:45];
    • More.

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