MarcKatzMD
MarcKatzMD
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High Cholesterol: diet, medications, statin risks and benefits, ApoB and Lp(a), supplements more
This video reviews the basics of high cholesterol, what we look at in a lipid panel including: a discussion about ApoB and Lp(a), what LDL levels we target based on cardiac guidelines, how we manage and treat high cholesterol levels including dietary recommendations, secondary causes of high cholesterol, general dietary guidelines including the general recommendation against excessive saturated fat, common myths and half-truths regarding statin therap, alternative medical therapies we use to lower cholesterol and triglyceride levels, and why I don't recommend using over the counter (OTC) supplements like red rice yeast or OTC omega-3-fatty-acids.
*This video is purely for educational purposes and is not meant to replace medical care. If you have general knowledge questions about cholesterol I'm happy to answer them but I cannot answer specific questions about your personal medical care. As always, if you are concerned with your treatment or lab values then talk to your doctor.
Citations:
1. Mach, F. et al. (2019) ‘2019 ESC/EAS guidelines for the management of dyslipidaemias: Lipid modification to reduce cardiovascular risk’, European Heart Journal, 41(1), pp. 111-188. doi:10.1093/eurheartj/ehz455.
2. Kolominsky, J. (2020a) Familial hypercholesterolemia: Cardiovascular risk stratification and clinical management, American College of Cardiology. Available at: www.acc.org/latest-in-cardiology/articles/2020/06/01/13/54/familial-hypercholesterolemia
3. Virani, S, Morris, P, Agarwala, A. et al. 2021 ACC Expert Consensus Decision Pathway on the Management of ASCVD Risk Reduction in Patients With Persistent Hypertriglyceridemia: A Report of the American College of Cardiology Solution Set Oversight Committee. JACC. 2021 Aug, 78 (9) 960-993. doi.org/10.1016/j.jacc.2021.06.011
4. Belardo D, et al. Practical, Evidence-Based Approaches to Nutritional Modifications to Reduce Atherosclerotic Cardiovascular Disease: An American Society For Preventive Cardiology Clinical Practice Statement. Am J Prev Cardiol. 2022 Mar 2;10:100323. doi: 10.1016/j.ajpc.2022.100323. PMID: 35284849; PMCID: PMC8914096.
5. Bellissimo, M, Hundley, W. Low-Carbohydrate High-Fat Diets, Lipid Levels, and Cardiovascular Risk∗ . JACC Adv. 2024 Jun, 3 (6). doi.org/10.1016/j.jacadv.2024.100975
6. Zhong VW, Van Horn L, Greenland P, et al. Associations of Processed Meat, Unprocessed Red Meat, Poultry, or Fish Intake With Incident Cardiovascular Disease and All-Cause Mortality. JAMA Intern Med. 2020;180(4):503-512. doi:10.1001/jamainternmed.2019.6969
7. Collins R, Reith C, Emberson J, et al. Interpretation of the evidence for the efficacy and safety of statin therapy. Lancet 2016;388: 2532-61.
8. Mach F, Ray KK, Wiklund O, et al., for the European Atherosclerosis Society Consensus Panel. Adverse effects of statin therapy: percep- tion vs. the evidence-focus on glucose homeo- stasis, cognitive, renal and hepatic function, haemorrhagic stroke and cataract. Eur Heart J 2018;39:2526-39.
9. Newman CB, Preiss D, Tobert JA, et al. Statin safety and associated adverse events: a scientific statement from the American Heart Association. Arterioscler Thromb Vasc Biol 2019;39:e38-81.
10. Berger JS. Aspirin for Primary Prevention-Time to Rethink Our Approach. JAMA Netw Open. 2022;5(4):e2210144. doi:10.1001/jamanetworkopen.2022.10144
11. Zhou, Z, Ryan, J, Ernst, M. et al. Effect of Statin Therapy on Cognitive Decline and Incident Dementia in Older Adults. JACC. 2021 Jun, 77 (25) 3145-3156. doi.org/10.1016/j.jacc.2021.04.075
12. Cannon, C.P. et al. (2015) ‘Ezetimibe added to statin therapy after acute coronary syndromes’, New England Journal of Medicine, 372(25), pp. 2387-2397. doi:10.1056/nejmoa1410489.
13. Sabatine, M.S. et al. (2017) ‘EVOLOCUMAB and clinical outcomes in patients with cardiovascular disease’, New England Journal of Medicine, 376(18), pp. 1713-1722. doi:10.1056/nejmoa1615664.
14. Raal, F.J. et al. (2020) ‘Inclisiran for the treatment of heterozygous familial hypercholesterolemia’, New England Journal of Medicine, 382(16), pp. 1520-1530. doi:10.1056/nejmoa1913805.
15. Cohen, P. A., Avula, B., & Khan, I. A. (2017). Variability in strength of red yeast rice supplements purchased from mainstream retailers. European Journal of Preventive Cardiology, 24(13), 1431-1434. doi.org/10.1177/2047487317715714
16. Hasific, S, Oevrehus, K, Lindholt, J. et al. Effects of Vitamin K2 and D Supplementation on Coronary Artery Disease in Men: A RCT. JACC Adv. 2023 Nov, 2 (9). doi.org/10.1016/j.jacadv.2023.100643
#Cardiology #Cardiologist #LifeOfACardiologist #Residency #InternalMedicine #Fellowship
Переглядів: 1 115

Відео

High Blood Pressure: What Your Cardiologist Wants You to Know About Hypertension
Переглядів 2,1 тис.7 місяців тому
High blood pressure is a silent killer because it can cause damage to your body without causing any symptoms. In this video I review the basics of what I share with my patients when discussing high blood pressure. I review how we diagnose high blood pressure, how to take your blood pressure at home, non-pharmacologic diet and lifestyle changes you can implement today to lower your blood pressur...
Difference between a heart attack and cardiac arrest
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Differences between a heart attack and cardiac arrest. A heart attack is a sudden blockage in the arteries that supply the heart. Cardiac arrest is electrical instability that causes the heart to be unable to pump efficiently caused by several potentially life-threatening abnormal rhythms. The most importance similarity? Prompt, and effective CPR, when necessary, can help save a patient’s life...
How to Identify Sinus Rhythm on ECG
Переглядів 2,9 тис.Рік тому
How to identify sinus rythm on ECG- I'll give you a hint, it's NOT a 'P-wave before every QRS. Not sure where in medical education this came from (and no judgement bc I remember during med school being educated on this topic too). The answer is actually even more simple! Just look for upright P-waves inferiorly and inverted in aVR #cardiology #cardiologist #internalmedicine #fellowship #cardiol...
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How Much Money Do Cardiologist Make?
Переглядів 23 тис.Рік тому
Every year the Doximity physician compensation report answers the simple question: how much money do doctors make? The issue with this physician survey is that they lump several subspecialties into one big group. For instance, Doximity only shows 'cardiology' salary instead of more accurately explaining that 'cardiology' includes (1) interventional cardiology, (2) electrophysiology, (3) advance...
Health Life Hack: everything in moderation
Переглядів 773Рік тому
Video description *This video is purely for educational purposes and is not meant to replace medical care. So if you have follow up questions about this video drop them in the comments but I cannot provide personalized medical advise. Check out my other social channels: - Blog: marckatzmd.com/ - Instagram: kittykatzmd?hl=en - TikTok: www.tiktok.com/@marckatzmd - Twitter: twitter....
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Переглядів 787Рік тому
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What are Palpitations? Check out the full YouTube video for more details #cardiology
Переглядів 670Рік тому
What are Palpitations? Check out the full UA-cam video for more details #cardiology
What are palpitations?
Переглядів 6 тис.Рік тому
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What is Hypertrophic Cardiomyopathy
Переглядів 1,5 тис.2 роки тому
What is Hypertrophic Cardiomyopathy
Wolff-Parkinson-White (WPW) Syndrome
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Wolff-Parkinson-White (WPW) Syndrome
Nephrology & cardiology: secret bff’s in an alternate universe
Переглядів 1,4 тис.2 роки тому
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What Your Coronary Artery Calcium Score Means
Переглядів 171 тис.2 роки тому
What Your Coronary Artery Calcium Score Means
Basics of Atrial Fibrillation
Переглядів 2,2 тис.2 роки тому
Basics of Atrial Fibrillation
Everything You Need To Know About Pericarditis
Переглядів 25 тис.3 роки тому
Everything You Need To Know About Pericarditis
Introduction to Cardiac Stress Testing: part 1
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July 1st Interns Starting Their Medical Residency- You Got This!
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The History of Warfarin: Rat Poison and Blood Thinner
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Sudden Cardiac Death In Young Patients and Athletes
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КОМЕНТАРІ

  • @gardenstudiosmelb
    @gardenstudiosmelb 19 годин тому

    Total Gobbledygook. I have lived with a score of 3600 for 60 years. Go figure that?

  • @WedgeGangly
    @WedgeGangly 2 дні тому

    Have you ever looked at the longevity studies done on folks taking statins? How much longer will one stay on this planet with statins? Days. Not weeks. Not months. Not years. Days. They rope people in with statements like, “reduces your chance of a heart attack by 38%”. Quantified…that works out to less than a week of extra life. Think I’m crazy? Google it. I’m 65 with 250 total cholesterol, 180 LDL, 100 trig, 200 non HDL cho with a 3.5 LDL/HDL ratio. I’ve been like this all my life. Last week’s CAC score…2. $99 cash walk-in.

  • @derekmilani8887
    @derekmilani8887 3 дні тому

    Statin will raise ur CAC score ?

    • @MarcKatzMD
      @MarcKatzMD 3 дні тому

      @@derekmilani8887 turns soft vulnerable plaque into hard plaque that won’t rupture and cause a heart attack. And reduces future risk

  • @derekmilani8887
    @derekmilani8887 3 дні тому

    Appreciate ur Channel

  • @LightSoldarkwrld
    @LightSoldarkwrld 3 дні тому

    On top of the meds you mentioned i was also prescribed Robaxin is it necessary?

  • @drjsm
    @drjsm 4 дні тому

    That's why I opted for Ortho!!

  • @Grand-Zeno
    @Grand-Zeno 4 дні тому

    Doctor thank you for this informative information. Out of curiosity if I have pericarditis can I stop taking statins for cholesterol with my doctors advice?

  • @richardhailes4392
    @richardhailes4392 5 днів тому

    Mate you are way outdated with your information. Have a yarn with Dr Chafee and you may cancel this presentation, because your information is out of date.

    • @MarcKatzMD
      @MarcKatzMD 5 днів тому

      @@richardhailes4392 carnivore diets are not healthy as I detail in my extensive video on cholesterol

  • @talevskablagica7540
    @talevskablagica7540 5 днів тому

    Prevod na Makedonski ili srpski jazik ,imam virusni perkaditis pozdrav

  • @SigmonFarmLife
    @SigmonFarmLife 6 днів тому

    Mine was 1400 , and a few hours later, it went to 3100. This was my 2nd heart attack.

  • @MANIACxCOP22
    @MANIACxCOP22 7 днів тому

    I just took a CT Calcium test, and it came back at 1.4. My LDL went from 175 to 140. My doctor wants to put me on Crestor. I'm 43, I don't want to take any medicine yet. Any suggestions?

    • @MarcKatzMD
      @MarcKatzMD 7 днів тому

      @@MANIACxCOP22 I can’t answer specific personal medical related questions. However I go into great detail answering your question in this video: ua-cam.com/video/_LhkAmFUhBI/v-deo.htmlsi=-byT6bLIgMDC8Zp3.

  • @shobana9496
    @shobana9496 8 днів тому

    Sir after placed one stent with 95 peecent blockage pain is there Doctor said it is muscle pain only Put amurthaanjan on chest It is correct or not sir

  • @流川枫-m1j
    @流川枫-m1j 9 днів тому

    I have a heavy heartbeat caused by intense exercise and nervousness. This heaviness is not just something I can feel myself, but also noticeable vibrations in my heart and abdomen. However, my heart rate is still within the normal range, which greatly affects my sleep. Another symptom is feeling tired even when I am very tired. To put it bluntly, physical fatigue does not help with sleep, and after exercise or work, my heart rate is difficult to calm down. My heavy heartbeat becomes even more pronounced and greatly affects sleep. No matter how tired I am, I don't feel sleepy at night. Moreover, my heart rate accelerates when I dream, and my heart rate is fast with a heavy heartbeat. How can I find the cause and treat it? My English is not good, this was translated using translation software

  • @yayicedeno2805
    @yayicedeno2805 11 днів тому

    How much potassium chloride should a patient take when taking Higroton 25 mg? to avoid hipokalemia.

  • @KellsBren7
    @KellsBren7 17 днів тому

    What is a "coronary average mean" and "coronary calcium mass"?

  • @mandavaramesh6365
    @mandavaramesh6365 19 днів тому

    My calcium score in LAD is 111 and RA is 27 now. Lad stenosis was 50 four years ago when total calcium score was 52.in 4 years calcium score in LAD increased from 52 to 111.what I have to do

  • @cindyre85
    @cindyre85 21 день тому

    Love this 😂 Great way to learn with humor.

  • @mrt3895
    @mrt3895 25 днів тому

    One intelligent person sums up the AI replacing doctors saga in one example : doctors who know how to keep up with technology and use AI are in a safe place, those who don’t are not.

  • @KKPMONSTAofficial
    @KKPMONSTAofficial 25 днів тому

    The cat

  • @reisesser136
    @reisesser136 26 днів тому

    I am 15 and I have it often when I am playing football, maybe when I did not warm up properly. They appear suddenly and last sometimes about an hour long. Or when I stop exercising and lay down. Then it feels like they are gone. But the next day I feel a bit uncomfortable in my chest, like my heart is very heavy. Is that normal?

  • @debrataylor655
    @debrataylor655 27 днів тому

    What does a palpitation feel like

  • @Ethanvaladez637
    @Ethanvaladez637 29 днів тому

    really cool video! thanks for being comprehensive in this video! 🫀

  • @kondojunagaraju8899
    @kondojunagaraju8899 Місяць тому

    Sir, What is your health secret? And i should follow your health secret.

  • @kondojunagaraju8899
    @kondojunagaraju8899 Місяць тому

    Sir, I have observed foreign surgeons. They don't have overweight. What kind of health problems will occur with overweight? What will happen with overweight? Plz comment.

  • @KVanDyke-s9c
    @KVanDyke-s9c Місяць тому

    Great presentation. I was misdiagnosed w/NSTEMI. Sent to ER- Dx Pericarditis and sent home with ibuprofen. Two inpatient stays followed- acute pericarditis, effusion, HR 200, crazy counts, SOB, dizziness, lesions, anemia, edema, etc. No one considered Vasculitis until, after one year of infections, I got scleritis. Ophthalmologist's blood work showed P3 of 640 and c-ANCA of 523= GPA Vasculitis. By then I was seriously ill. She saved me. If only anyone, given my many AAV symptoms, would have put it together earlier, all would have been better. Vasculitis should be r/o for all pericarditis pts.

  • @stephenash9549
    @stephenash9549 Місяць тому

    Both AUC and Ross have had a 98% US Match rate this year. So there is quite a bit of variability in Caribbean Medical schools

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      I attended Ross University. They definitely do not include individuals who dropped out or failed out before being able to attempt to match

  • @paulhailey2537
    @paulhailey2537 Місяць тому

    LMFAO BULL CRAP

  • @vaibhav_tatasteel
    @vaibhav_tatasteel Місяць тому

    I diagnosed with pericarditis 0.87cm & small oval mediastinal lymph nodes

  • @mytube785
    @mytube785 Місяць тому

    25:05 Best 4 words ever 😂😂😂😂

  • @mytube785
    @mytube785 Місяць тому

    Dr. Katz: I loved the concluding 4 words 😂😂 I also really liked your short on the 5 things that may actually work for the wellbeing of residents. Do you have a longer or different videos on the subject?

  • @mytube785
    @mytube785 Місяць тому

    Totally agree and support your 5 points. How can we make it happen? 😂

  • @harry554
    @harry554 Місяць тому

    You’re completely wrong about cholesterol being bad for you bro

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      @@harry554 the entire field of cardiology disagrees. I go into further detail in my longer video: ua-cam.com/video/_LhkAmFUhBI/v-deo.htmlsi=OVSnF2FpwQV0j1FF

    • @harry554
      @harry554 Місяць тому

      @@MarcKatzMD nah not the entire field agrees. Causation is not causality. You’re just parroting what big pharma and the bought and paid for studies fraudulently claim. I’d suggest you looking into Ken berry, Anthony chaffe, Paul Saladino and other MD who are part of the field who don’t agree. You may actually spreading misinformation

  • @alyshaillies7318
    @alyshaillies7318 Місяць тому

    It’s an association, a correlation. There’s no evidence for a causative role. Not to say there isn’t, but it has yet to be proven. The same factors that could result in increased CVD could simultaneously increase cholesterol. And atherosclerosis may be triggered by something other than cholesterol and the resulting atherosclerotic lesions themselves could in turn trigger higher cholesterol. Certainly high cholesterol could be bad in some individuals but high cholesterol alone doesn’t mean someone is unhealthy. There are studies trying to understand a population of lean, healthy adults with high LDL and what makes them different from high cholesterol groups that do have negative health outcomes. We can’t assume to know more than the research provides us.

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      Check out my full 42 minute video where I go into more detail: ua-cam.com/video/_LhkAmFUhBI/v-deo.html

  • @fredbehnken5493
    @fredbehnken5493 Місяць тому

    My wife had type two diabetes and an unknown heart condition at her death. The coroner could see the calcium and micro cellular damage that killed her. The many doctors we interacted with never looked. It is telling that American medicine wont pay for the test in insurance. In other more humane countries it is givne for free. Even in my community there was a group giving free CAC tests at churches. i just did an Ai search and th liars at Google spread goverment genocide propoganda that CAC tests arent worth it an medicare wont pay for it. Just Assholes. If we would have known my wife Vikki would be alive now.

    • @SET12DSP
      @SET12DSP 23 дні тому

      I'm so sorry for your loss. I got lucky I had a doctor recommend me mine 9 years ago and scored 299, then 5 years later, 660. I was able to reverse mine to 458 2 years ago. I'm looking forward to my 4th, which should be near the low 300s. Doing great at age 69 on no medications. I was a walking heart attack waiting to happen. Shocking is how few people know about this test!

  • @gerardlunow567
    @gerardlunow567 Місяць тому

    Great video. At 70 I have a 9. I did a stress test and they stopped it, not me, I was not done yet. The explanations were great. Was happy to pay $100 to have peace of mind. I always think about risk factors. It is being aware of risk, any risk, that allows you to properly manage risk. Now I need to find out how to lower my bp. One day ok, the next 40 points up. Makes no sense to me.

  • @Aaron84danielle
    @Aaron84danielle Місяць тому

    This is my results. What does this actually mean? Am I at risk of having a heart attack? My age 60 Total coronary artery calcium score of 56, at the 80th percentile compared to patients

    • @SET12DSP
      @SET12DSP 23 дні тому

      It's compounding, meaning it can easily double every 5 years. Reversing mine verified by CAC.

    • @chaz6399
      @chaz6399 8 днів тому

      It means out of 100 women in your age group, 79 of them have a lower score than you. Everyone is at _some_ risk of a heart attack, even if their score is 0. The risk may be small but it's still there. A full risk assessment requires more information but a CAC score less than 100 is not by itself considered high risk. It's an indicator that you have atherosclerosis and you need to make some changes to slow down or arrest the disease process, or you probably will have issues down the road in 10, 15, 20 years. If you like to follow mainstream medicine that probably means taking a statin and addressing any blood sugar related issues, like insulin resistance/prediabetes or diabetes. And, of course, if you smoke or drink, stopping those.

  • @mamajoker24
    @mamajoker24 Місяць тому

    My 17yr old was just diagnosed with this.. doctors kept saying he was lying about fatigue and dizzy spells even said he was faking his fainting spells.... finally got someone to listen and they pit heart monitor on him and found wpw... makes me want to sue the doctors that kept gaslighting him

    • @marckatz6179
      @marckatz6179 Місяць тому

      I’m so sorry you had to convince a doctor to listen- patients shouldn’t have to but I’m happy you continued to advocate for your son and found someone to look into it appropriately

  • @enidmrtnz5315
    @enidmrtnz5315 Місяць тому

    This information is pure gold! Thank you for covering the silent killer, because that’s what High Cholesterol should be called. I also highly suggest any women who’ve had Gestational Diabetes (GD) to get labs done during the 6 week postpartum checkup to check Cholesterol levels and continue to do so with your family doctor every year afterwards because no OBGYN will tell you Cardiovascular Disease is another disease you should worry about after you deliver your baby. All you ever hear is, “maintain a healthy diet and exercise to avoid developing type 2 diabetes.” You will never hear them say that any woman diagnosed with GD is at risk of not only developing Type 2 Diabetes, but also the following: *Cardiovascular Diseases due to high cholesterol. *Malignancies such as breast/ovarian/endometrial/pancreatic cancers. *Ophthalmic Disease. *Renal Disease. Furthermore, I also highly suggest anyone who’ve had GD or was recently diagnosed with GD to stay away from red meats, fried foods, unhealthy oils, excessive carbs, and highly processed foods. If you can’t stay away from eating these types of foods, eat it in moderation and always go on at least a 20min walk after these meals or any meal to be honest.

  • @F91RPG
    @F91RPG Місяць тому

    9am?9am?999999999???????mine starts at 630 holy shit

  • @josephdirnfeld3593
    @josephdirnfeld3593 Місяць тому

    I am vegan , no big sacrifice .

    • @SET12DSP
      @SET12DSP 23 дні тому

      I was on the Cadwell Essyltyn diet. It didn't stop calcium build-up. I switched to Keto grain and sugar-free and the Linus Pauling Heart Protocol. Reversal verified by CAC.

  • @HabibCAD_CAE
    @HabibCAD_CAE Місяць тому

    Song name?

  • @angelcarreto09
    @angelcarreto09 Місяць тому

    How much money you make per year

  • @jeanwilcox3464
    @jeanwilcox3464 Місяць тому

    Thank you for posting. Next week I will get my first eco

  • @vincentmcgarry3598
    @vincentmcgarry3598 Місяць тому

    Whats the best heart test to take then?

  • @bobdec6665
    @bobdec6665 Місяць тому

    Your body makes cholesterol for a reason. You need it. Every cell in your body needs it

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      @@bobdec6665 watch my video on cholesterol for a full perspective

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      @@bobdec6665 ua-cam.com/video/_LhkAmFUhBI/v-deo.html

    • @bigred6770
      @bigred6770 20 днів тому

      @@MarcKatzMD Hi I am 43 and have a cac score of 26. I am terrified. Have a family history. Making some lifestyle adjustments (eating better and working out more). I am on 10mg Rosuvastatin. I’m wondering if this is something that I can stop now so that I don’t have a major problem down the road….I’m wondering how much stenosis would be expected with a score of 26. Non diabetic, non smoker, in general pretty active….

  • @bobdec6665
    @bobdec6665 Місяць тому

    read the cholesterol myth

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      @@bobdec6665 watch my video on cholesterol

  • @joelthorne7434
    @joelthorne7434 Місяць тому

    Helpful info. Thanks. I had a first-time calcium scan: All 0s except a 58 score for my LAD. I’m 66. I’ll have to re-double my health regime.

  • @vashstampede360
    @vashstampede360 Місяць тому

    AI does not even understand finance! Let that sink in😂

  • @NRCave1
    @NRCave1 Місяць тому

    I can tell you ❤️‍🔥 your job but thanks for saving people's lives indeed. Sweet cat 🐈 haha.

  • @annabelmoodie9992
    @annabelmoodie9992 Місяць тому

    It's the level of TRIGLYCERIDES that are more important

    • @MarcKatzMD
      @MarcKatzMD Місяць тому

      @@annabelmoodie9992 did you watch the video?

    • @SET12DSP
      @SET12DSP 23 дні тому

      Focal vitamin C deficiency is more important. Reversing my coronary CAC verified by CAC.

    • @MarcKatzMD
      @MarcKatzMD 23 дні тому

      @@SET12DSP I disagree

    • @SET12DSP
      @SET12DSP 23 дні тому

      @MarcKatzMD It's called the Linus Pauling Heart Protocol. Reversed my 660 CAC in 20 months to 458. That was 2 years ago. It's likely down to the low 300s now. My triglycerides are 99 HDL 36. Linus Pauling was a biochemist 2-time Nobel Prize winner along with being awarded 48 PhDs over his lifetime. His opinion was enough for me, and more over, it works!

    • @SET12DSP
      @SET12DSP 23 дні тому

      @@MarcKatzMD So do I!