Відео

Thanks for the feedback. Definitely not the first time I’ve heard that so that’s good to know! And I think ratios can be a good tool but certainly not the end all be all. Thanks for taking the time to comment!

Glad you enjoyed it! Hope you had a good workout!

Thank you so much for the kind words… I really appreciate it. And I am glad you are doing so well and feeling great! Health is very individualized and I’m glad you found an approach that works for you!

I’m glad that you found the podcast helpful!

Unfortunately that is going to be impossible to answer. Overall the data doesn’t look like doses around 2g produce a ton of side effects, but it’s so variable for each individual. But overall 2g is not a super high amount

@@jrennickemd so I'm ok then?

Overall recommendations are about 500mg of DHA and EPA and typically that is found in about 2g of fish oil. So your dose would be a normal dose but unfortunately I can’t tell you specifically if that’s right for you!

@@jrennickemd will I feel sharper I can stand on my feet for long hours at a time now I do armed security work so standing is a must for me, I'll probably keep taking it

It all comes down to “optimization” vs “good enough.” I’m a “good enough” guy and so BY FAR the most important thing is total protein intake. If you wanted to squeeze out every possible little gain then there is some data suggesting that multiple protein rich meals can spike muscle protein synthesis and may lead to some improvements. Do worry about that specifically? No. As with most things, you can get super nuanced, but for the vast majority of people and their health needs, keeping it simple wins.

I’m glad you found it helpful!

@@jrennickemd I absolutely did. I've always been concerned about when the best times I should take my protein and it's just confusing. You made it simple for me and that's extremely helpful to me. Thanks again! I'll be subbing and checking out more videos of yours in the future!

@@mjames7674 I really appreciate the kind words. My whole goal is to give actionable information to keep people healthy for life!

That’s a great question. I Assume you would want to do it around a workout to optimize muscle protein synthesis, but that would be an interesting experiment!

That’s a tough one! Usually activity modification is the big treatment plan, and I don’t know of any amazing treatment options for upper extremity cases. However, Botox can be used in the lower extremity, and theoretically could be used in the upper extremity as well, but that would be more experimental.

@@jrennickemd thanks for the reply! That’s what I thought, there is far less info for the upper body out there but it’s also much more easily managed- just do less pull ups and grip strength exercises basically 😂

I wish we had something better!

Yes I essentially combined an entire podcast episode into one short! It’s probably too much to cover!

Would be interesting to study for sure!

The leisure time activity paper? It was published in a journal and should have went through the peer review process!

@@jrennickemd i mean the first one, about blue zones.

@@ZsS911 ahh yes. That one is not! Would love to see it done though!

Thanks so much for the kind words! If even one person finds my work helpful then I will consider it a success!!

I do estrogen replacement in my primary care patients but have not initiated it yet solely for this issue. Great question!

So true! I didn’t think about that but that was a very important risk factor!

@jrennickemd You are rambling a bit, please structure it better to get your point across. Love it tho...

@@ZsS911 noted. Thanks!

Thanks!

100%. It’s easy to say but hard to do. But worth it if you can!

That is one of the big problems with any medication… side effects. But glad you are routinely exercising now!

That is super interesting. Where did you get the Botox into for PAES?

@@jrennickemd Bristol southmead hospital in the UK. First time they'd injected it in the UK, i was on a clinical trial for military personnel only too see the effects vs decompression surgery. I walked up snowdon 2 days after the injection. I had the 6th type of PAES, which is where everything is where it's meant to be, but the gastro muscle is too big and crushed the artery. The way they told me it'd work, it paralyses the muscle, stops it for working at all, this causes muscle atrophy without cutting the muscle out. I'm very certian this botox for PAES and CECS was established by "The McGinley Clinic" This is where everyone in the states who has money goes to get the botox. For the botox it was Prof. Robert Hinchliffe And for the CECS its with Prof Paul lee of Harley street.

Thanks so much for the kind words! I really appreciate it!

I know… probably a bit too much!

Oh man that’s a loaded question! I generally think about it this way: elevated lipoproteins appear to be a risk factor for cardiovascular disease. It may not be the whole picture, but it is part of the picture. Therefore, I believe in trying to have a reasonable level just like I would want a reasonable blood pressure and insulin sensitivity to lower my overall risk.

That’s a great question. This article did not specifically talk about krill oil so I can’t specifically speak to that. Definitely a great question though because if we could get the benefits of omega 3s but without the risk of AFib that would be ideal!

Wow! Thanks for sharing. It’s important to hear these cases because they do show that fish oil isn’t completely harmless. Glad you are doing better now!!

I’ve never heard about that one! Smells fishy (pun intended)!

@@jrennickemd it was reported by those news slash blog sites like Lifehacker, endgadget etc. I believe the exact title was 'Don't take fish oil'

Thanks but I am not looking for any business offers at the moment!

I have seen that too but I will admit I did not specifically look at that when reviewing this paper. I’ll add it to my list!

Thanks Kristen! Glad you enjoyed it!

All I can do is try my best to learn, stay open minded and help people the best I can. I hope you have a great day!

Very well said. I agree that there are many confounders like you mentioned. But each article helps us put together the whole picture!

Interesting perspective that I had not heard before. Thanks for sharing!

We perpetually have inflammation because of the amount of refined grains and sugar we eat.

@@alice_agogo diet can definitely play a big role in so many things!

I think that is just a testament to how challenging nutritional research is. Unfortunately we will always have some conflicting day. But the entire literature base does not say that omega 3s are bad… just that like most things we need to consider if we truly need supplements or if diet would suffice. Also I can assure you I have made exactly zero dollars on this!

Omega 3 is good while it is in food you eat. Being extracted and processed it become oxidized and rancid very fast. You can not store it for long time separate from fish. Fish is good, omega 3 pills are not.

Omega 3 is a cholesterol. But anyway meat and fat used to be bad. It was only more than 20 years that the new studies that blamed carbohydrates started appearing on the news wires.

@@alice_agogo I am more in the camp that no macronutrient is “bad” per se. I think the excess amount of total intake is our biggest problem in society today

That is a great example! Eggs have gotten lots of publicity over the years!

Grocery eggs 🥚 are mostly zombie eggs 🥚 anyway. They're pale yellow, sometimes orange when they're supposed to be reddish. Upon hearing that there are people who only buy red eggs 🍳 🇺🇲 farmers started feeding their chickens 🐔 paint. The same exact chemicals used to stain glass windows in churches ⛪

Yup, I’ve been big on eggs, beef, 2 percent milk, and sharp cheddar cheese lately. My lab numbers and vitals are at their best now!

@@GDoggy-em2xc what do you mean by 2% milk 🍼?

@@alice_agogo yeah I totally agree and I would never eat those kind of eggs. Those are disgusting. I proud to say I was way ahead of my time. I started eating grass fed , mostly organic, and local free range pasteurized eggs about 25 years ago before it was in style. I knew something was wrong with the food supply even then.

I appreciate it! And I agree… definitely confusing stuff and I’m still trying to make sense of it. What are your take aways?

Most working cardiologists will just make you take whatever it is their selling that blocks calcium.

@@alice_agogothere are definitely plenty of good cardiologists out there!

Like most things… the dose is usually the poison! Looks like in general the higher doses are the ones causing trouble

@jrennickemd supplements are all about quality and dosing. Everyone in the industry knows this. 2-3 grams a day of high quality Omega-3s is generally the upper end of dosing. Combine this with a well balanced diet and voila.

@@justinthompson5631 supplements are just that… supplements to a healthy diet. Love it.

​@@jrennickemdfish oil eventually turns to poison because it oxidizes rapidly in the body. Which is why you need to pair it up with vitamin E

I don’t recall seeing that in the study. Add that to the list of limitations!

I would love to see a study like this looking at algae consumption… my guess is they wouldn’t have enough people to do the study!

Thanks for the feedback! Believe it or not you are definitely not the first person to tell me that! Noted!

You can slow down the video

I take it back. At .75x speed now it’s too slow. lol. Yeah the youtuber should slow down when speaking lol

@@breaknfiction21 ok that’s too funny!

Thanks for pointing that out! Thought I had more about that in my notes but Must have just passed over it during the recording. But HR of 1.05 with p value of 0.05 means technically not <0.05 so debatable if truly significant. To me, nothing significantly changes with that number. Regardless I appreciate you commenting and keeping me honest!

I can confirm I am real indeed!

I disagree, looks 100% normal 😅

@@TheCetarius thank you!

Thanks for the valuable feedback. You are not the first person who has said that before! Noted!

I just change playback to 0.75 if someone talks fast on UA-cam! You shouldn’t have to change who you are 😊

@@sophiemeads5243 I appreciate it! But I also do appreciate the feedback because if a lot of people are saying that I want at least be aware of it. I edit my videos in 2x speed so 1x speed sounds so slow to me to begin with so I would have no idea what others think!

You're welcome!

Exactly. Staying in the game is the name of the game!

I am so sorry you are dealing with it! And it is possible to get long-term relief, but that involves fixing the underlying problem which is usually a problem with the tendon. This is a great video that goes into some exercises that may be helpful. ua-cam.com/video/e_Kk-XqPWZo/v-deo.htmlsi=1F2ZfNBEuLWlTOkI

It’s possible but we can’t definitively say that yet. Excited to see what we learn in the future!

@@jrennickemd Drug pushers are just creating confusion to continue taking statins. Evidence is already clear. Cure diabetes (insulin resistance) and LDL will not matter.

👍🏻

Thanks so much!

That’s a tough one for sure. By the guidelines you would qualify for a statin, and that is why your doctor is recommending them. This is where we use a shared decision making model. I think it’s super fair to get additional Imaging to help determine your true risk, as more data may be helpful. But also, sometimes genetics just can be a thorn in the side! If you told me the same exact story, but instead of cholesterol it was your Blood pressure, would it change your opinion on medication? All of these things are risk factors, but we all have to decide our comfort level with having “abnormal” levels of anything if that makes sense.

Also it may help to get apoB and Lp(a) to further stratify your risk

@@jrennickemd Hey I very very very much appreciate the reply Dr Rennicke! My LIPOPROTEIN (a) was <10 and my apoB was very high at 151 H (I can just imagine Peter Attia freaking out over a number this high!). However this was when my total cholesterol was 318 H and I managed to lower that to 240 by my second set of tests but didn't get the advanced lipid panel to recheck my apoB which I assume was lower. I'm very curious, if you had my results but ended up with perfect CAC and CT scores would you take a statin? It's all very confusing for me. I've been following the youtube channels High Intensity Health and Dr. Anthony Jay which have lead me to feel like I am probably alright. Hopefully I'll know more once I get an ultrasound and CCS etc. "If you told me the same exact story, but instead of cholesterol it was your Blood pressure, would it change your opinion on medication?" So full honesty, I've never had issues with blood pressure as it's always been considered within the range of a 'fit person' so I am entirely ignorant when it comes to this question as I just haven't spent the time learning about it. Anyways, thank you again and hope you have a lovely upcoming weekend!

Excited to see apoB moving forward becoming more common place. And I like the way you think. It is a holistic view of risk factors, and then coming up with a plan to address those factors as the patient and physician feel fit. We will always have uncertainty, but using multiple inputs will become exceedingly more useful!

Agreed. “Good” and “bad” cholesterol are too simplified for a complex topic like this.