It's an uphill battle...because it's easier to fool than to convince a fool they have been fooled. Keep going Mr. Carvalho your impact is far reaching and sometimes you may not know whom but you do have an impact...I'm one
The moment pod casters like this, along with nutrition made simple, acknowledge that demonising red meat is the CAUSE of being over weight, obese, diabetic, HBP, cardio vascular disease, will go some way to improving peoples health and health span. I've come to the conclusion that pod casts like this are niche, for the healthy ten percent of the population, ignores completely the terrible harm that has come from encouraging strange and compicated eating habits. Meat satiates. Carbs create hunger and do not satisfy. There are many causes of CVD, primary being carb abuse. This is a podcast for the health elite, definitely not for Joe Blogs.
As a 74 year old with mild coronary artery disease ( diagnosed last year), I was extremely grateful for the information about a predominantly whole foods plant based diet (carefully designed). I adopted it wholeheartedly, have now adhered to it for the last 8 months, effortlessly lost some excess weight and regained a slim figure, and - most importantly - feel decades younger with perfect blood pressure and a renewed zest for life. Thank you, Simon, for your valuable information, and both of you for this podcast.
@sillvia good for you for making a break with your old diet and not just cutting bad food consumption by half like Dr. Alo mentioned here for his old patients. Just because you are a senior citizen doesn't mean you shouldn't be offered the information
"Carefully designed"? I have to wonder what this means? What are the principles? I find this to be a great mystery. A vegan whole foods diet does sound potentially very deficient and unnatural and few can sustain it. Is it not arguable that animal foods, as a class of foods, have been the most universally eaten foods by humans, down through antiquity? Saturated fat through the millennia, but now it's killing us!
Carefully designed means that I take pains to avoid deficiencies. My breakfast includes whole oats, pumpkin seeds, either chia or flax seeds freshly ground, 1/2 tsp cinnamon, frozen raspberries, plant milk (no oil or sugar added), small handful soaked walnuts and half a banana. Lunch and dinner consist of 1/4 plate protein rich food (beans/lentils, tofu or tempeh), 1/4 plate whole grains/wholemeal pasta and 1/2 plate vegetables either as a salad or hot meal. Snacks include 1 row of dark chocolate a day (85%) and different kinds of fruit. I take vitamin B12 twice a week, iodine 3 x a week (unless I eat seaweed), and vitamin D every day. I make sure that I eat a minimum of 30 different plants each week, including herbs and spices. Blood analyses show excellent nutrient levels and I cannot remember when I felt better.
@@panes840 And lots and lots of people NOT thriving which helps explain the very high (>85%) defection rate from veganism. 100% plant based implies some animal products, which thankfully, can make all the difference.
I really enjoyed this interview.. as a 37 year old guy with mild CAD he made me very relieved to know that the plaque progression can be stabilized with lifestyle and statin therapy.
This was the most upbeat and fun conversation on cardiovascular health I've had the pleasure of hearing. Dr. Alo is so well-spoken and really knows his stuff! Hats off to both of you!
This is by far the most informative podcast I have seen so far!! There are many out there currently suffering from Orthorexia due to all of the confusion and misinformation out there! There should be accountability but unfortunately there is none! Thank you Simon!
You are super welcome. Please watch my Ultimate Weight loss playlist. We discuss food freedom and how to avoid food phobias. Sorry the medical community has been so confusing
Congrats Simon, Im coming back to this a year later and listening again. I really enjoyed this format, clear, concise and spoken in a tone that was easy to listen to whilst I went about my morning with an earpiece in. Just bought the ferments guide also 👍
Nurse here. Documented by carotid ultrasound I had moderate to extensive plaque in bilateral carotids with minimal blood velocity. After research went on a whole food plant based diet for a year to the month. Not any sugar or processed food or meat. On second documented ultrasound it showed minimal bilateral plaque or atherosclerosis and high blood velocity. My b/p was 110/60. I was 58. Not an easy diet to maintain I have since started eating meat/fish four times a week. Four or five eggs wkly. The rest is all Whole Foods. Just had another ultrasound a few months ago and am the same. All good. B/p is higher but normal. No meds at 66. Don’t know if getting rid of sugar and processed foods or that I stopped meat that reversed my heart disease. Probably both helped greatly.
Are you still going to debate Dr Anthony Chaffee regarding the carnivore diet? For those who don't know: Dr Anthony Chaffee ('The Plant-Free MD') challenged Simon Hill to a debate regarding the Carnivore Diet (or meat consumption in general related to health), to which Simon Hill publicly accepted. That was approaching 6 months ago now, and nothing his eventuated from it. If you really want to dissuade people from it, then I would think defeating one of the biggest proponents of the diet in debate would go a long way towards achieving that goal. I'll also be asking Dr Chaffee what happened with this in his latest video he posted today as well (he has replied to all the times I have asked, saying something along the lines of "hopefully". But I haven't asked for a few months as I was just waiting)
@@TheProofWithSimonHill Ok fair enough. Thank you for clarifying the issue. So it seems that Dr Anthony Chaffee (the initiator of the challenge) is the one who backed out of the debate. I'll admit I am quite surprised about that. Quite thought provoking. Looking forward to you conversing with Paul Saladino. Yes, he does have a larger audience, however he is basically a meme in the true carnivore space and is not a good representation of it at all (most think that he is causing more harm than good by his recommendations). But it is what it is, and I'd still watch it.
@@TheProofWithSimonHill Just hearing about this gets me agitated. These guys can not be debated. As much as it sounds entertaining and educational it is a waste of time. Their followers will listen and believe their mental gymnastics thinking you have been schooled while other intelligent people will know you won the debate. The sad thing is that many watchers not on any camp yet but not too smart will actually think you lost the debate and will try carnivore due to the superior confidence and emotive language and fear mongering they use.
I am in the camp of "learning" and would love this type of debate. Paul Saladino has mentioned it. I best check to see if I've missed it...always a dollar short and day late for these things. So many podcasts, so little time!
Omg. This is me. I was diagnosed with prediabetes. So then I started to listen to famous influencers that meat is good, so I started eating keto/LCHF a few weeks ago. Nevermind the fact my LDL is at 214, right? I was miserable eating on that diet. It is just, simply put, not sustainable. What about our mental health? Isn't that a factor to our overall well-being? I started watching videos by Nourished By Science, Nutrition Made Simple, and now this channel. I would feel so much better making a better decision for the lifestyle I am most comfortable with. I haven't found one yet, but I'm working on it. For now, my biggest question is what can I add instead of cream to my coffee?? I love it too much. Jokes aside, I have cut out sugar and I'm going to start incorporating more plant based whole foods to my diet moving forward.
Hello, I enjoyed listening to this Doctor named Mohammed Alo Cardiolosit and sharing this video on my Twitter X account for my followers . And will share my medical health research background of more than 40 years of independent research and journalism with due respect, as I agree and disagree with many of his claims and I will share my knowledge and research resources pending in my next message from a small army of Health Experts MDs and Scientists that follow me and I follow them as well. Thank You from Holistic Chef Barry Anderson of Phuket Thailand Garden Villa Phuket Thai Organic Food Forest Nature Retreat co-founder.
I am a cheating Vegan. If I want an egg or a steak, I have one. I am 82 today and stay skinny because I have exercised my whole life and never been overweight. No meds. Genetics and a decent lifestyle. We can't choose our parents, but everything else it takes to be healthy, is up to us. #1 IMO, is staying skinny. Fantastic video.
I took a short nutrition class at ECornell and the professor said the heart disease is reversible as proved by Dr McDugal, but it was extremely hard due to the abnormal diet and compliance. Is this what was meant herein? I noticed his dietary advice leans toward compliance than what might be the optimal health outcome. Do you have any plans to interview Dr. Gregor or would that be a redundant dialogue? The cross pollination between your 2 platforms may expand both audience attendance.
Yes. Dr Caldwell i b Esselstyn did this. Reversed and stopped progressing disease in his patients. No animal products. Or oil. You will stop progress and reverse some disease
Simon, even thought I’m in the “choir”, I always learn something new that I use to cement my understanding of otherwise very complicated topics, and look for opportunities to share with others who are less informed or duped by medfluencers. Shortly after listening to this episode, I had a conversation with a gym friend whose husband is considering the carnivore diet, and I was able to direct her to this pod episode. Much thanks for all you do. You have the best guests. Have you spoken with Chris at Plant Chompers? His content is amazing. I wish more people knew of his channel.
Dr. Alo said that 90% of the world and 90% of the US don’t have diabetes or prediabetes and therefore don’t have insulin resistance. According to the CDC, in 2021, 38% of American adults had prediabetes based on A1C. Even if we set aside that using A1C as the diagnostic criterion underestimates the actual number, that is way more than 10%. Then you have to add the almost 9% who had diabetes. Not to mention you can be somewhat insulin resistant without diabetes or prediabetes.
14:28 --- To be fair to "Carnivore MD", he IS an actual MD (graduated from medical school at University of Arizona - all MDs go through the EXACT same training before they choose to specialize - he chose psychiatry as his specialty), completed residency at University of Washington in Seattle, and attained a board certification as a Physician Nutrition Specialist. Prior to medical school, he worked as a physician assistant in cardiology. He can read papers just fine. In fact, in his debate / discussion with Dr. Alo, he ran circles around Alo in this area.
I actually thought you were a jerk on Twitter but listening to your soft spoken voice and your beautiful eyes. I have changed my mind. But really you appear a very nice person. Am sorry for thinking you were a jerk. Apologies good man
Same here! Wfpb ethical vegan here for 15 years, never going back! But it is critical to understand the science, I think the ethical argument stands on its own.
@@doddsalfavegan diets contribute to animal cruelty as well. If a Human eats, animals die. To grow plants, nowadays, unfortunately, the earth itself is being killed, too. Even if one forages quietly in the woods for entire meals, something is killed or disturbed. Animal ethics in a vegan diet is a myth.
@@DrMAlo Please post citations on this point. I'm digging through web of science at the moment and am not finding this. Not saying it is not out there, but as you point out yourself, blanket statements without citations can be dangerous. I really want to know more about this and as a biologist, I am happy to "geek out" and hit the scientific peer reviewed literature on this.
Young doctor here, working right now at a cardiology rehab, where people also get taught how to use lifestyle changes in addition to their meds for secondary prevention. It is terrible what other doctors put out on the web here. There was a carnivore patient after an MI, complaining how nonsensical the diet advice was refusing to eat anything but meat. He ended up not finishing the rehab because of angina pectoris and he had to be stented again. It is anecdotal but sad... How to reach those people?
@@jimmymac958 I don‘t know how the diet advice from our licenced dieticians should harm the patients, working individually if needed. They learned and studied nutrition, on the contrary to some doctors on social media, recommending something not even based in science - unsure if it does harm, claiming it cures „everything“.
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research.
There's a medical chart being shown in videos that shows lowering your ldl results in increased rates of death by any cause. People who lived the longest had total cholesterol in the 170 to 240 range.
I was on the fence. took a docs suggestion to “get fit” as an excuse to not care about bloodwork. found this guy on tiktok and now I am embracing consensus advice, taking a statin, changed diet, losing weight and determined to fight all my numbers down to the safe ranges.
@@wiltonpt1 in my case my blood cholesterol seems over-sensitive to diet as I had high ldl whether at bmi 22 or 30 and since the statin is cheap and effective without any side effects I can notice, I don't see it as a particular cost to take.
@@nyc863 the side effects exist. You may not feel it. Many develop myopathies and especially when they exercise. But if it’s not contributing any more than lifestyle why keep taking a foreign substance that affects your live in other ways. You may still not crediting things to your own chsnge in lifestyle
@@wiltonpt1 myopathies (muscle weakness) are far from a guaranteed result of taking on a statin. They can occur for some, just as other side effects can occur. I'm more interested in side effects that I can feel than hypothetical ones.
Thank you for another clarifying interview. You have quickly become a favorite channel of mine. I appreciate the time and effort you put into well structured interviews with credible experts who bring to the table not just their opinions but broad research to support it. On another note, I really enjoy the long 1-2 hour episodes. I can listen to them while I work and do other things, but most importantly they are long enough to get into deep detail of related subjects. Thank you!
Always rings my alarm bell when somebody is dooming everything in a very hurry manner. I have done something right because my epilectic heart problem has gone away. I've been fasting 1 and 1/2 months i.e on carnivore diet eating myself. This is same diet as new born babies have done 9 months. But I think proper diet(outside fasting) is cycling all these different diets so that body has best changes and resources to learn and execute to adapt to different situations. This cholesterol thing is very confusing because it seems anyone can pull out a rabbit of any color as they wish. Then only right thing to do is to love them all. My problem is eating disorder so that I cannot get "full" feeling without eating like 3kg something. And that is not satiety then but pain. I solved that problem by not even trying and started to watch channels like this (kognitive therapy) and treat food as medicin like Hippocrates recommended. But man it is hard for jury because of so many snake oil scientists talking like "we could talk about this like 3 hours" without references. That tiktok talk is not right way to talk in UA-cam. I'm so happy Simon gives room for all of these guys though. I have to add that I've never ever been able to lose a gram without strict water fasting. But I have been able to keep the weight with keto diet. With full carb diet it just crawls back like 12kg per winter - even if I cross country ski like crazy. This means people are very different. So dooming everythin is not helpful.
Absolutely. And the good doc that defames other docs and says they put out misinformation to sell products.....Well he himself sells products. Online Consult, Access to his private group...and HIS heart healthy cook book.
This was a fantastic episode. Thank you. Changes my views on Cholesterol meds. I have high LDL and it's always been quite high even when I switched to predominantly plant based. My Dr hasn't recommended meds as I have no obvious risk factors and she actually said "you havent had a heart attack". I'm 56 and was thinking of the calcium score testing but now I realise its more important to get that LDL down. I worry about a lot.
I'm 15 minutes into the this two hour presentation. I am excited about a doctor talking about all of the misinformation out there. Thanks ahead of time.
@@DrMAlo Why are countries with higher meat consumption such as Australia, Canada and France have the lowest CVD death rates and countries with very low meat consumption and low cholesterol levels such as Yemen, Syria and India have the highest CVD death rates?
@@beepbeepnj2658 Australia, Canada & France are relatively affluent countries so the population has more access to good medical services and the other 3 are for most part complete sh!t holes with limited or near zero health care. Not good examples to make comparisons I think
@@888jucu My question was about a specific 1 type of disease only, not why do rich countries with better healthcare live longer. How would better healthcare help Yemen, Syria and India who have the highest CVD death rates help them if they already have low meat and animal consumption rates and low cholesterol levels? They don't have super high obesity or smoking rates either so what could it be causing heart disease at a younger age?
@@beepbeepnj2658 Just a cursory look at your claim I find smoking rates in Adult males for Australia 12% Yemen 20% and Syria 58% so when I just look at one part of your claim and can poke holes all through it I need not look further at your other claims as wasting my time. I suggest you research your claims better before posting
Metabolic dysfunction and systemic bodily dysfunction from HMG coezynme reductease inhibitor or by PCSK9 inhibitors which prevent delivery of lipids from free circulating lipoproteins by inhibiting their tendency to stop lipoproteins being removed from the bloodstream. I'm not even guessing the side effects these are literally just the description of how these drugs work
Simon, this was a very detailed and interesting cardiology exploration BUT, now I'm confused about taking Omega 3 supplements vs LDL levels. I understand the importance of reducing LDL as much as possible, but there were good reasons for taking Omega supplements. Can you please clarify or shed more light? PS I do have salmon once or twice a week.
Salmon would be better. The evidence on fish oil (omega 3) whether it's EPA only or in combination with DHA isn't really necessary at this time. Seems to cause harm with no true benefit.
@@DrMAloso would you say a plant based diet with salmon once or twice a week would be better then no salmon at all? Because with no salmon at all would that mean we won’t be getting no omega 3s in our diet. I do eat flax seed every day but I heard that’s probably not enough for most people
Total supposition on my part. Is there a 'halo effect' re: ultra endurance athletes feel that they can eat anything they want which can be harmful (like Jim Fixx decades ago).
"90% of people are not insulin resistant." I'd love to see the source of that information. When you google it, all official information you find is like this: 80+ % of the population is prediabetic. (i.e. has insulin resistance) 40% of young Americans have insulin resistance. etc. etc. How do you get to 90% of the population not having insulin resistance if 14% of the population has T2D? How do you get to 90% of the population not having insulin resistance if 42% of americans are obese? Come on,...... really?
I listened to the whole thing. I believe the doctor, but there is a lot out there about it not being fat that is the cause of cardiovascular disease, it is the sugar. Listening to this, I am inclined to believe it is both.
Simon you need to do more of these. Please. I just saw a short with heart surgeon promoting saturated fat. It’s scary. Person (Dr.Ovadia) who actually held heart and saw the clogged arteries says these things. Very flexible with the whole “do no harm”. Okay rant over.
Simon! Gosh, even if you are preaching to the converted, we still learn a lot. I am 73, god BP, good sugar, WFPB, low salt, olive oil, nuts, wakame for iodine, Brazil nuts for selenium, lots of greens (I have dry AMD), with an occasional bowl of canned salty fatty menudo as trash food and sardines once in a while for the boost in real B12 and omega 3s(in addition to the same supplements). I do 1 hr 4% grade treadmill, speed to get to heart rate targets, and daily stretches and balance boards. But I am 50 lbs overweight and feel like I am starving all the time. Why? Oh, yeah, steady total Cholesterol of about 225 no matter what I eat. To make things worse, I ran a blood test that came back Apo-B of 1844 nmols/L WITH 1 Apo-a per 3 Apo-B. Ok, I should have died 15 years ago. Did not happen. But really at risk here and I am watching and learning. Keep it up. PS I may consult a cardiologist in spite of my doctor phobia. Maybe I might find one who is not an arrogant asshole that just spins my BP up. Bear in mind my primary physician wanted to put me on statins a long time ago, but I do not trust doctors (I got my reasons). She certainly never asked for the Apo-B or Apo-a tests. Plus, the receptionist made it perfectly clear, 5 years ago, that if I had no complaint, then there was no way to bill, so dont call until I have a complaint. Ok. So I order my own tests. lGood thing. Anyway. Todays discussion may be what prompts me to do it , so keep preaching to the converted.
The sad thing is that most people still tend to listen to their actual cardiologist or cardiac surgeon and most of these docs still don't think diet has much to do with CAD, and very very rarely provide any dietary advice. I know this as a fact, as I work in both Cath Lab and Cardiac OR.
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research. I find you can find what you want. There are papers for and against each idea. I have read and listened to many thoughts.
First time I am hearing that higher LDL causes heart attack. I read several papers showing TG and or HDL more related to heart attack. LDL, ldl, ldl.. that’s all he talks about. My brother too had a low ldl and had open heart surgery -two completely blocked arteries.
All those studies are bogus unless they are 100% controlled on humans for at least 95% of their entire lives. Are their any studies out there that depict this scenario? Or are they just "trusting" human specimens and taking their word on their diet via surveys, etc? My grandfather is 90 years old, ate mostly high fat / high cholesterol / high saturated fat meats and very low carb. I'm sure his saturated fat intake throughout his entire life is more than substantial...and he's running around w/o any symptoms of any health issues. My dad is very similar in terms of health and diet. I'm not seeing any adverse effects of saturated fat in those two generations. Blood work for them is obviously super high on the lipids, and Doctors are trying to get them on statins...but they are full of energy and no symptoms of any ailments or cancer... just my observations. Maybe the key here is low carb and low sugar?...
Very interesting conversation! Really enjoyed it. I am perplexed, however, by the advice of "just eat 50% less and you could lose 50% of your body weight". Sounds plausible in theory but realistically doesn't lead to that outcome as the body fights back with metabolic adaptation. Appreciate the question on appetite and cravings, Simon. People love to give the advice of "just eat less" within the "weight loss by any means possible" mindset.. but it is never as simple as that and our willpower is not stronger than our survival instinct. When folks cannot sustain this restriction for a long time, they will feel like a failure if the weight comes back on. Also the gen pop is only eating ~15g of fiber to begin with, why reduce that even further? I understand many people may not wish to completely overhaul their diet overnight, but simply cutting their diet by half is likely to lead to low energy, rebound bingeing and disordered eating behaviours (like volume eating a head of iceberg lettuce, which sounds like the most unsatiating thing I could think of!) I hope he has a good Registered Dietitian on his team to help people with their relationship with food 🙂
Totally agree with you. The body adapts. Most people can't cut calories by 50% and lose 50% of their body weight fir various reasons. You shouldn't be in such a severe calorie deficit either.
Thank you Hanna! I am one who cannot eat over 1200 calories daily without gaining. From yoyo dieting almost my entire life. And I was plant based for several years, convinced this was the answer. Besides 50 lbs overweight, all it got me was a big fat kidney stone and thyroid/parathyroid issues, and osteopenia. Now low carb with a diet full of pasture raised meats and wild caught seafood, I feel great. Lots of veggie and fiber. I don't feel starved. Have I been misinformed by the ones who say that older folks with higher cholesterol readings have lower mortality overall? Mine, at 68, is around (USA) 220 total cholesterol. Triglycerides in the 60s. Perfect blood pressure. Only meds are for familial migraines occasionally.
@jellybeanvinkler4878 You can do healthy keto with less saturated fat for the appetite suppressant effect.. if you lose weight then you will get healthier overall but stay away from the saturated fat and refined sugar.
1:30:48 canola oil. Why does canola oil give me after 1 day of continous use (15-20grams; the more I consume the worse the pain) joint pain and chest pain with a heavy feeling in the chest around hearth area? I like maize oil and sunflower oil but i get most of my fat from nuts.
If 60% of the world's population is obese, and many of them, presumably, not metabolically healthy, how can only 10% of the world's population be non-diabetic and non-pre-diabetic?
@@TheProofWithSimonHill Maybe, but I've heard from many sources, that pre-diabetes is present for about 10 years preceding diabetes. And I don't think doctors have decided exactly the best test for pre-diabetes, e.g. is it a glucose tolerance test, metabolic syndrome, other? I think he's wrong about the pre-diabetes incidence., if pre-diabetes is the same as metabolic syndrome. www.cdc.gov/pcd/issues/2017/16_0287.htm#:~:text=Among%20US%20adults%20aged%2018,from%2025.3%25%20to%2034.2%25. Great and helpful discussion. I have been influenced by the carnivore community and glad to hear this. It would be helpful for all to hear discussions that acknowledged all the pros and cons to food choices. For example, why don't the vegans address the nutrient density of animal foods, and the WHO's recommendations to avoid vegan diets for infants and pregnant women? I do think it would help all, tremendously, if all the doctors would talk about diagnostic tests to evaluate atherosclerotic status, e.g. CIMT, coronary calcium scoring and coronary CT angiograms. The carnivores should get and share the data. They are influencing a lot of young people who may be sorry in 40 years.
I was impatient while listening...did hear that part...great info as I am a confused ex-keto..low carb eater. Trying to lower my saturated fats & upping my veg/bean consumption. Thank you for these kinds of video.
Dear Dr Alo, given that u r a cardiologist do u mind if I ask you this question:- I understand that excess carbs when not being directly utilised for exercise or for glycogen replacement are being converted to fat. I read that this lipogenesis is producing mostly VLDLs composed mostly of triglycerides? I also heard VLDLs could also be partially converted to LDL.? Is the lipogenesis of extra carbs driving up cholesterol or just triglycerides or both?? Many thanks if can clarify this for me, rgds
Really enjoyed this one. I work in a GP practice in the UK on the nurse team and all the questions you asked were spot on and ones I wanted to know the answers to! I hope more doctors like him post on social media. We get people coming in for NHS health checks on carnivore or keto with disastrous lipid profiles. I hope eventually misinformation will be on the decline.
@@damienroberts934 Thank God the medical, pharmaceutical, and "food" industry finally strike back! Meat is poison! They should have banned it when it was introduced just before the heart disease epidemic started! Back in the 20's I think. 😉
I thought Simon was going to be a plant based zealot, but I’ve listened to a few podcasts now, and I was wrong. Such nuanced and refreshing discussions. I’ll be listening from now on. As for Dr. Alo, if you’re a bodybuilder I’m gonna need to see those guns for proof 😅
Spectacular episode, Simon! Thanks for that! I've got two questions about it! I've seen you guys, Alan Flanagan and in other episodes mentioning that HDL is not as protective as it was once thought. Here in Brazil I still see many doctors paying much attention to it, just as it is also reinforced in the guidelines for cardiovascular health and for atherosclerosis prevention. Could you point me to some studies, systematic review, narratives or else that suggest this lower importance? Also, which studies have discovered the inflexion on the relationship between saturated fat and serum LDL (with points of inflexion on ~8% and 13%)? Thanks and keep up the awesome work! That is an area that I'm much interested in, and will specialize on it once my graduation is over!
If you look at the cholesterol levels of long lived healthy elderly and centenarians you will find they have higher than typical HDL cholesterol levels usually between 60-80 mg/dL.
HDL is no longer cardioprotective. We have no targets to treat HDL. Very high HDL is actually dysfunctional and not working. The higher the saturated fat intake, the worse and higher your LDL cholesterol. That's the main take away.
This has been a very informative and interesting presentation. My husband has had two mild heart attacks in the past 20 years and is the owner of 8 stents, all in the RCA. Even with a cessation of smoking since 2003 (first event) statins and lifestyle changes (not as significant as I would like, mind you) have gone a long way. He has strong family history. I know his statin controls that LDL to about 70 but it sounds like it is worth asking his cardiologist about even further lowering with other drugs. What was said here is consistent with guidance from his own cardiologist, with the exception of even further driving down the LDL. Fortunately, no signs of any peripheral artery disease or carotid issues or aortic issues.....and no detectable heart muscle damage due to a husband who listens to his body and a cardiologist who listens to his patient...even once, having to buck the insurance company. We are grateful he did, and when he was proven right, they paid. Those bean counters could have killed him. With me being retired, I am geeking out, and honing in on the saturated fat guidance (now aiming for 6%, which is certainly lower than the sat fat we have been eating which was more in the 10-12% range) and now, second guessing the use of fish oils since we do not eat much fatty fish due to concerns about sustainability and contamination.
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research.
Just to clarify the fish oil: Recent 2022 meta-analysis of RCT concluded that while omega-3 supplementation raises LDL-C, it lowers ApoB, VLDL-C and triglycerides. Another meta-analysis of RCT published 2022 looked at major adverse cardiovascular events, cardiovascular death and myocardial infarction. Conclusion of that study? "Omega-3 FA supplementation had a positive effect in reducing the incidence of major adverse cardiovascular events, cardiovascular death, myocardial infarction. Regardless of the stage of CHD, omega-3 FA supplementation can prevent the occurrence of myocardial infarction." My conclusion? To lower the risk of CVD, take omega-3.
@@TheProofWithSimonHill UA-cam for some reason doesn't allow me to write PMID nor web links. Try search it by the title: Study 1: "The effect of omega-3 fatty acids and its combination with statins on lipid profile in patients with hypertriglyceridemia: A systematic review and meta-analysis of randomized controlled trials". Study 2: "Omega-3 Fatty Acid Supplementation and Coronary Heart Disease Risks: A Meta-Analysis of Randomized Controlled Clinical Trials"
Many thanks for sharing another great video Simon, much appreciated. Based on much of what I see online, with people promoting a carnivore diet is their claim that 1, 2,3,4, 5 years of being on it and losing a ton of weight and feeling better than ever is proof everyone should join the movement. As was pointed out, it takes a very long time as much as 30+ years of eating that much saturated fat for CVD to fully mature and manifest as a major life threatening CVD event. So would be interesting to see what happens to these people 30+ years of eating carnivore. Also, some of the improvements seen in lower Homoglobin A1C and triglycerides may well be due to being hypocaloric and losing lots of fat. Carnivores do not track calories as they believe calories are a useless construct. This can be accomplished with any type of diet, which doesn’t mean it is best for long term hard health outcomes. I can undertake a hypocaloric diet where I consume white bread only, or candy bars only everyday, or ice cream only. I am sure my metabolic markers short term may be in the healthy range from the fat loss. But long term, the hard health outcomes would be much worse if I did that for 30+ years And saying mentally someone feels like never before is not always a reflection of what is happening under the hood. Some people claim to experience a super ketogenic runner’s type high from consuming several tablespoons of MCT oil all day. That doesn’t negate any long term permanent damage to their health it can result in from cumulative life time exposure
As a type 2 diabetic, i learnt a lot about hormones, insulin and other risk factors of diets not suited to type 2 diabetics. Calories do matter i believe… because that represents energy quantity. How many are digested is a different matter though.
The best ever!! I am a 59 year old mom who has been a pescatarian since the 80’s. I was diagnosed with FH at 49, CAC score of 789, LDL over 300. (Since forever, but no doctor was ever concerned because I was “fit”, trigs in the 60’s and otherwise healthy 🤦♀️) I have a 19 year old (athlete majoring in kinesiology) son with FH, he’s already on statins he’s totally not thrilled about being on meds. After 2 years his LDL is still 100 ish, down from high 200’s. This was a great podcast. I’m sending to my son…praying he has some time between studies and the gym to give it a listen! *if not, we are watching it spring break 😂
You are super welcome! Please get your numbers down as well. And check any and all relatives. It's autosomal dominant and many will have it in your family tree.
@@DrMAlo thank you for responding ☺️ I am on rosuvastatin 40 and ezetimibe, and along with some diet tweaks at last check my LDL was 59, still working to get it lower. Mt cardiologist told me my nuclear stress test 2 years ago came back excellent. I was very relieved. My paternal side is all good. My mom was adopted, and she did have high cholesterol, was on statins, had stents etc in her 60’s and has since passed away. Her lifestyle wasn’t the best. My younger brother has been on statins for 25 years. I continue to urge him to get his children checked. I appreciate your work so much. I’m glad you are getting such a large following 💫
Really helpful interview, Simon and Dr A. One of the fear factors for people considering statins and LDL lowering pharma is the side effects. Can you do a deep dive on that in a future episode. Many friends and family have had bad experiences with muscle pain as they cycle through every statin before they are prescribed an alternative like Repatha or similar. I think this fear factors into one’s susceptibility to buy into the LDL denier arguments. Thanks for all the great content. I’m a fan!
Good question. There is a lot of bs on this and a deep dive like you suggested would help I think. I would also like to hear about potential, preferably proven, side effects of naturally low ldl, total cholesterol and ultra low fat intakes. Also, does zero ldl really mean that someone is cvhd-proof? (I heard Dr. A. just say this, but I am doubtful this is true. For instance: Would a smoker with 0 ldl not be able to get cvhd?)
I had muscle cramps on Lipitor 15 years ago and stopped after a few weeks. This time around, baby dose (2.5mg) rosuvastatin and 10mg ezetimibe and ZERO side effects and ldl-c/ ApoB cut by 70%, down to 31.
It's because statins deplete muscles which your organs are made up of of potassium and co Q 10 which can lead to heart arrhythmias, muscle weakness and aches and pains. Statins effect on the brain can also cause confusion, brain fog and difficulty focusing. Eliminate foods that are late and with trans-fats and sugars such as processed foods. Greatly increase your green leafy vegetables as well as fruits with lean proteins such as fish or poultry. Eliminate all vegetable oils and shortening such as margarine / butter alternatives or Crisco. Add nuts and lagoons to your diet while eliminating simple carbohydrates such as bread, cereal, pasta or white rice and pastries of course.
Question for Simon: I appreciate you and all your guests, and the Treasure Trove of information you bring forth. I have been taking fish oil supplements, as I thought the general consensus was that they are healthy in many ways for my body. Now I hear a cardiologist saying that may not be the case for the heart, in that they will raise ldl. But the issue with specialist, is a lot of times they just look at things from their organ of specialty. So the neurologist are still saying fish oil is a good choice for brain health. So what am I to do? Does the potential benefit for my brain exceed the harm to my heart.
Wow, thanks for the quick response! Well... it's right at about 100 on my last lab and has been dropping each year. So I was looking for more ways to reduce my ldl, but there is a history of dementia with both parents, but not heart disease. So... ???
Thank YOU so much. Big thanks to you, to people who invite knowledgeable doctors and doctors who really care! I have no idea what has happened but the explosion of "carnivore/lion" diet has gained the momentum and people are attached to it like leeches. I have family member who have suffered some terrible health problems and their diet was/is predominantly meat-based. Yes, they would decrease the meat consumption after their health degrades but the damage has already been done. They would use lard instead of oil, they would be on a meat-only diet to lose weight, they consume meat during every meal + snack on it. It is so frustrating to me when I see people quoting "doctors" who support such lifestyles and lying to people how plants are causing people to be obese - as an example. The problem is, when they link me all these research papers, I can debunk it - and that is scary. I am not a medical doctor. I should not be able to debunk it! Yet I can...yet they ignore it. I am very scared that some of my close friends have damaged their health because of the diets they have been following - carnivore diet was and is the most popular one aka as keto (but without veggies). I have tried to tell them. When they would experience a health issue, I would link the studies. I would give an advice...yet, nothing changes. The excuse is always the same: "its genetical". And I love them to bits but there is only so much one can do. I sometimes become so worried that I would feel anxiety thinking about my family and friends. Every time they tell me of another new health issue, I zone out, feel sadness and anger. In my region it is believed that lard is healthy. We would be the healthiest nation on this planet if it was so. I know old habits die hard but I cannot comprehend why choose the excuse above the minimal action of at least trying to avoid freaking lard. The problem is, when I voice my concern they dismiss me thinking I am just saying that because I love animals.
Thanks for this very informative video! I would love to get more info on whether and to what extent we older folks (I'm 70) who already have some arterial narrowing (but not enough for a stent) can prevent disease progression through dietary and lifestyle improvements. If anyone can point me to something on this, it would be much appreciated.
Thank you so much for having this discussion. Really helpful to get a cardiologist who is out there providing lots of content. Now I have to go try to watch a lot of his videos! As someone with heart disease I particularly enjoy discussions that are cardiology-related. Like Simon, I'm plant-based, but I've also gotten out of my initial bubble of extremely low-fat WFBP eating being the only way to stay healthy for someone with heart disease. I can share Dr. Alo's content because it isn't specifically plant-based but it is evidence-based, which is the main issue. I figure some people have the desire and fortittude to transition to a 100% plant-based diet, and that's great, but it should always be a personal decision and one based primarily on ethics/environment rather than health, since we simply don't have the data to say that a plant-exclusive diet is definitely healthier than one that has some animal products. It's really which animal products and in what form they are that may cause issues, just as one can eat "plant-based" foods (IE ultraproccessed ) that can cause issues.
Really enjoyed this discussion and as always the nuanced, science based approach that you take Simon. I would love a deep dive into all health outcomes around eating eggs. I appreciate the information here as it relates to cvd but I recently watched a video on Nutrition Facts about a potential link between choline in eggs and prostate cancer in men (chicken as well). It seems there may be other health reasons to avoid or limit them?
Having trouble taking eyes off of spiked hair but excited to hear about fish … I’ve been WFPB for 3 years and feel great and love vegs but recently very understanding chef wife is complaining about going out to eat in vegan places. I may have to add fish back in 1 day/week for marital concerns.
Hi thank you another very interesting conversation. I’m 62 been vegan for nearly 15 years, my total cholesterol 10 years ago was 6.3 mmol/L (239mg/dl) , it fell when I became more WFPB to 4.82 mmol/L (186mg/dl), is this still considered to high. I’m taking a daily microalgae EPA/DHA/DPA supplement, Dr Alo mentioned that taking a fish EPA/DHA supplement does increase LDL, is this same with microalgae?
It's a shame that streams like yours, the Sherzais and so on, get so much less traffic than the less science based ones. In a perverse way, I guess it suggests that I am getting the best advice, avoiding all the carnival barkers.
Very confused about info on LDL. Zero to negative LDL scores? Is there even such a thing? 🤔 LDL does have a function. It transports cholesterol to liver and peripheral cells.There are health problems associated with very low LDL.
Could we conclude that, in the context of a WPFBDiet, a (algae source) EPA/DHA supplement is worth to take for brain health even tho it could raise LDL? Specially considering that LDL shouldn't be high enough for that increase to be significant? What do you think?
It's scary how many cardiologists and especially chiropractors on several UA-cam channels are spouting stuff that goes against science. It's really scary how easy it is to fall down the wrong rabbit hole. It took me 2 years to find videos that are actually showing the science like this channel and nutrition made simple. I have only just stopped being swayed by these channels saying saturated fat is ok no matter how much of it you eat. I think it is so difficult to follow the science because of people cherry picking snippets of studies to mostly profit and sell their supplements or books. It's dangerous.
What might cause a drop in HDL-C? Mine went from 98 to 79. This is supposed to be the “good” cholesterol. Do I need to be concerned about this? My LDL-C went from 90 to 81 during the same timeframe, which is a good thing, I assume. Triglyceride is 58. I stopped drinking alcohol (used to drink some wine with dinner, most nights). Could this be the reason for the HDL drop and might the wine actually be beneficial for me (58 y.o. female, on MHT and Synthroid, BMI is 21, I eat a Mediterranean diet.) Thank you very much for this interview! So much interesting information!
As a person who has been so confused about diet, I needed to hear this!!!! Please do more talks on carnivore diet so people can hear the truth. I search for carnivore diet fails and it is hard to find. I have friends doing this diet and I fear for their health.
I am 95% carnivore. I include some honey, junk, bread, and fruit once to twice a week. My health markers are crazy good. I mostly eat raw meat, raw suet, raw dairy, and eggs, often with runny yolks.
This was a good discussion on how social media personalities influence without evidence. However, Dr. Alo said at one point that there was a straight line association of saturated fat intake with CVD mortality, which is not true according the Cochrane review by Hooper et. al in 2020. We can't post links in comments of UA-cam, so here's a direct quote from the review: "We found little or no effect of reducing saturated fat on all‐cause mortality (RR 0.96; 95% CI 0.90 to 1.03; 11 trials, 55,858 participants) or cardiovascular mortality (RR 0.95; 95% CI 0.80 to 1.12, 10 trials, 53,421 participants), both with GRADE moderate‐quality evidence." As Gil Cavalho and others have also pointed out in the past, the relationship of saturated fat intake to CVD risk has been shown to not be linear, it is an S curve that shoots up at about 10% of energy intake and then plateaus.
1. A large egg has only 1.6 g of saturated fat. 2. Dietary cholesterol has very little to do with blood cholesterol, unless you're a "hyperresponder" "How does dietary cholesterol affect blood cholesterol? The amount of cholesterol in your diet and the amount of cholesterol in your blood are very different things. Although it may seem logical that eating cholesterol would raise blood cholesterol levels, it usually doesn’t work that way. The body tightly regulates the amount of cholesterol in the blood by controlling its production of cholesterol. Blood cholesterol levels are mostly determined by the amount of fats and carbohydrates in the diet, not by dietary cholesterol. Recent research has found that for most people, consuming an egg a day had no affect on their cholesterol. However, in some people, high-cholesterol foods raise blood cholesterol levels. These people are often referred to as “hyperresponders.” This tendency is considered to be genetic. Even though dietary cholesterol modestly increases LDL in these people, it does not seem to increase their risk of heart disease." www.healthline.com/nutrition/dietary-cholesterol-does-not-matter#effects
First of all, thanks a lot for your project. "The Proof" rocks. (This is a comment after listening a quarter of the episode) Really Simon & Mohammed? 90 percent of the US population is NOT diabetic/prediabetic? Really, solution for CVD are pills and injections? So Saladino's business model is unethical? Then how different is his business model from the medical industry one? How different is it from Simon's? (So you do not have plans at all to sell anything supported by your podcast?)
@@TheProofWithSimonHill Thanks Simon. You said Diabetic/Prediabetic. Anyways, do you really believe this number? I would believe the opposite, only 8% are not prediabetic. It's as easy as landing on the US and open your eyes. BTW, that link you posted says 35% of male adults in the US are prediabetic! 👆 I really appreciate your project and your responses. Thanks a lot. But this episode is really hard to listen (it's like being a "techno music" fan and have to listen to "Thrash Metal") I really think you need to review with open mind, open heart and open eyes what has been said in this interview. And yes, please bring Dr. Paul Mason from Sydney to your show! (And Dave Feldman, Dominic D'agostino, Jeff Volek) BTW, sorry, I updated my first post with an additional question about business model.
@espinosalexis THANK YOU. I love Simon's interviews, too, but the bias is obvious, of course. Sometime hard to sit through. Though I did with this one. Thx for calling him out.❤
@@jellybeanvinkler4878 Yeah, and now he is selling vegan Omega-3 and supplements for maternity. That is great! I'm not against it. But it's in total contradiction of what he said in this episode. 🍷
There is more recent information out there than this. Look up Dave Feldman, Dr. Matthew Budoff, and Nick Norwitz. They are cutting edge. At least with Lean Mass Hyperresponders.
A great talk. Regarding seed oils, is the evidence that they are not harmful, when the are uncooked? Always been curious about that as i believe cooking changes the composition.
Interesting response on the endurance athletes. It'll take a few more years but because of the popularity of plant based endurance athletes it'll be interesting to see them vs matched omni controls that compete at the same levels and where researchers have access to their training diaries.
Amazing podcast! This was so easy to follow and so much fun. While I love my whole food plant based diet, I also love the nuance! As well as the fun you had every now and again talking about the carnivores and seed oil guys :)
Had to smirk when Dr Alo said " of course Statins are good ... I'm a cardiologist, I'm going to prescribe statins" All cardiologists think statin are good. The rest of the world has their doubts.
only 78 million Americans are on statins or eligible for statins. it should be Mandatory for all Adult Humans to take Statins! CVD will be nearly eradicated & millions of lives will be saved.
Great interview. One thing I found odd: his suggestion that cooking with olive oil creates “trans fats.” Any data that says that happens to an appreciable degree? That’s the first I’ve heard of it. Everything I’m used to seeing says cooking with olive oil is healthy.
If you over heat the oil, over 360 degrees, and keep reusing, you increase trans fat content. Which is why they made fast food industry change their oil every day. Because trans fats
Doesn't cherry picking happen on both sides of the fence tho? I would think that Ansel Keys picking 7 out of 21 countries and leaving out France would be considered cherry picking also.
You're listening to lies. Read the study. Most of that data was unreliable and France was a place they wanted data on but France didn't want to participate by collecting the information. The latter followups show extremely high correlation. That initial plot was merely a hypothesis forming paper
You said you wonder if you are making anybody considering changing their diet? You helped me to change my mind. I did keto type of diet for a while, but mostly meat and veggies, no starchy vegetable or legumes. Its been a month now since i started eating oats, legumes, tofu...and very little meat. I had fish 3 times and probably 4 eggs the whole month. I am trying to learn what and how to eat, for myself and for the planet.
A Dr who is not against statins for people and he stated and showed physiology of cholesterol But in the end he did say statins do cross the brain barrier and no cholesterol in the brain means loss of memory and Dementia. I know people whose muscles hurt and can’t move
A thought about preaching to the converted idea. My guess is that most of the time you are, but the converted have friends and family who talk to them and ask questions. These people are helped by proxy. Keep up the good work. It helping more people than you directly see.
Surprising to hear a cardiologist say there's no utility to doing imaging unless you have symptoms. Symptoms don't show up until disease is advanced, while imaging can show early disease that can then be arrested with lifestyle changes. Preventive medicine should be the rule.
Yes, I have an entire playlist on preventative cardiology. Mainly we need to know you LDL/ApoB. That is the prevention part. Decades down the road, if you have symptoms or have elevated LDL and ApoB, then we can do imaging and further testing to figure out what to do next.
I'm 56 and I work with people in their 30s and 40s and they don't seem to care about their food choices - crisps, coke, chocolate every day. They already have digestive and joint issues.
I went straight to TikTok. I’ve had high LDL (140ish)for 20 years in spite of exercise and diet so was wondering should I start statins now at 50 or still wait?
these days a cardiologist on social media who's familiar with the science feels like finding a glass of water in the desert
It's an uphill battle...because it's easier to fool than to convince a fool they have been fooled. Keep going Mr. Carvalho your impact is far reaching and sometimes you may not know whom but you do have an impact...I'm one
The moment pod casters like this, along with nutrition made simple, acknowledge that demonising red meat is the CAUSE of being over weight, obese, diabetic, HBP, cardio vascular disease, will go some way to improving peoples health and health span. I've come to the conclusion that pod casts like this are niche, for the healthy ten percent of the population, ignores completely the terrible harm that has come from encouraging strange and compicated eating habits. Meat satiates. Carbs create hunger and do not satisfy. There are many causes of CVD, primary being carb abuse. This is a podcast for the health elite, definitely not for Joe Blogs.
You are too kind. I saw way too much crazy stuff online and had to start responding
@ty Ty we are here and definitely need to start responding to the madness
@@unitedintraditions yes Carvhalo is excellent! Agree with you!
As a 74 year old with mild coronary artery disease ( diagnosed last year), I was extremely grateful for the information about a predominantly whole foods plant based diet (carefully designed). I adopted it wholeheartedly, have now adhered to it for the last 8 months, effortlessly lost some excess weight and regained a slim figure, and - most importantly - feel decades younger with perfect blood pressure and a renewed zest for life. Thank you, Simon, for your valuable information, and both of you for this podcast.
@sillvia good for you for making a break with your old diet and not just cutting bad food consumption by half like Dr. Alo mentioned here for his old patients. Just because you are a senior citizen doesn't mean you shouldn't be offered the information
"Carefully designed"? I have to wonder what this means? What are the principles? I find this to be a great mystery. A vegan whole foods diet does sound potentially very deficient and unnatural and few can sustain it. Is it not arguable that animal foods, as a class of foods, have been the most universally eaten foods by humans, down through antiquity? Saturated fat through the millennia, but now it's killing us!
Carefully designed means that I take pains to avoid deficiencies. My breakfast includes whole oats, pumpkin seeds, either chia or flax seeds freshly ground, 1/2 tsp cinnamon, frozen raspberries, plant milk (no oil or sugar added), small handful soaked walnuts and half a banana. Lunch and dinner consist of 1/4 plate protein rich food (beans/lentils, tofu or tempeh), 1/4 plate whole grains/wholemeal pasta and 1/2 plate vegetables either as a salad or hot meal. Snacks include 1 row of dark chocolate a day (85%) and different kinds of fruit. I take vitamin B12 twice a week, iodine 3 x a week (unless I eat seaweed), and vitamin D every day. I make sure that I eat a minimum of 30 different plants each week, including herbs and spices. Blood analyses show excellent nutrient levels and I cannot remember when I felt better.
@@Silvia-pv1ls Thank you for your effort in detailing your program. Quite interesting. 🙂
@@panes840 And lots and lots of people NOT thriving which helps explain the very high (>85%) defection rate from veganism. 100% plant based implies some animal products, which thankfully, can make all the difference.
I really enjoyed this interview.. as a 37 year old guy with mild CAD he made me very relieved to know that the plaque progression can be stabilized with lifestyle and statin therapy.
It can also be reversed. Prevent and Reverse heart disease Dr Caldwell b Esselstyn.
This was the most upbeat and fun conversation on cardiovascular health I've had the pleasure of hearing. Dr. Alo is so well-spoken and really knows his stuff! Hats off to both of you!
Thanks Mia! Glad you enjoyed it! Hopefully it gives you new perspective on how to avoid heart disease and not end up needing a cardiologist!
Great talk gentlemen!! Thoroughly enjoyed listening to the great info you shared 😊
@@livinlavidaplantbased Thank you!
This is by far the most informative podcast I have seen so far!! There are many out there currently suffering from Orthorexia due to all of the confusion and misinformation out there! There should be accountability but unfortunately there is none! Thank you Simon!
You are super welcome. Please watch my Ultimate Weight loss playlist. We discuss food freedom and how to avoid food phobias. Sorry the medical community has been so confusing
Do calcium supplements cause hardening of the arteries? Lots of people say not to take calcium at any age.
I'd like to see this covered too, esp since so many women take calcium supps post menopausal to avoid bone loss.
Great question. Hope so.
Congrats Simon, Im coming back to this a year later and listening again. I really enjoyed this format, clear, concise and spoken in a tone that was easy to listen to whilst I went about my morning with an earpiece in. Just bought the ferments guide also 👍
Welcome back!
Nurse here. Documented by carotid ultrasound I had moderate to extensive plaque in bilateral carotids with minimal blood velocity. After research went on a whole food plant based diet for a year to the month. Not any sugar or processed food or meat. On second documented ultrasound it showed minimal bilateral plaque or atherosclerosis and high blood velocity. My b/p was 110/60. I was 58. Not an easy diet to maintain I have since started eating meat/fish four times a week. Four or five eggs wkly. The rest is all Whole Foods. Just had another ultrasound a few months ago and am the same. All good. B/p is higher but normal. No meds at 66. Don’t know if getting rid of sugar and processed foods or that I stopped meat that reversed my heart disease. Probably both helped greatly.
Do you eat dairy?
Are you still going to debate Dr Anthony Chaffee regarding the carnivore diet?
For those who don't know: Dr Anthony Chaffee ('The Plant-Free MD') challenged Simon Hill to a debate regarding the Carnivore Diet (or meat consumption in general related to health), to which Simon Hill publicly accepted. That was approaching 6 months ago now, and nothing his eventuated from it.
If you really want to dissuade people from it, then I would think defeating one of the biggest proponents of the diet in debate would go a long way towards achieving that goal.
I'll also be asking Dr Chaffee what happened with this in his latest video he posted today as well (he has replied to all the times I have asked, saying something along the lines of "hopefully". But I haven't asked for a few months as I was just waiting)
@@TheProofWithSimonHill Ok fair enough. Thank you for clarifying the issue.
So it seems that Dr Anthony Chaffee (the initiator of the challenge) is the one who backed out of the debate. I'll admit I am quite surprised about that. Quite thought provoking.
Looking forward to you conversing with Paul Saladino. Yes, he does have a larger audience, however he is basically a meme in the true carnivore space and is not a good representation of it at all (most think that he is causing more harm than good by his recommendations). But it is what it is, and I'd still watch it.
@@TheProofWithSimonHill
Just hearing about this gets me agitated. These guys can not be debated. As much as it sounds entertaining and educational it is a waste of time. Their followers will listen and believe their mental gymnastics thinking you have been schooled while other intelligent people will know you won the debate. The sad thing is that many watchers not on any camp yet but not too smart will actually think you lost the debate and will try carnivore due to the superior confidence and emotive language and fear mongering they use.
@knockingseekerfinder6363 I side with the carnivores and I'd LOVE a discussion like that.
@@knockingseeker
dumb people = carnivores. smart people = vegans. got it.
I am in the camp of "learning" and would love this type of debate. Paul Saladino has mentioned it. I best check to see if I've missed it...always a dollar short and day late for these things. So many podcasts, so little time!
Omg. This is me. I was diagnosed with prediabetes. So then I started to listen to famous influencers that meat is good, so I started eating keto/LCHF a few weeks ago. Nevermind the fact my LDL is at 214, right? I was miserable eating on that diet. It is just, simply put, not sustainable. What about our mental health? Isn't that a factor to our overall well-being? I started watching videos by Nourished By Science, Nutrition Made Simple, and now this channel. I would feel so much better making a better decision for the lifestyle I am most comfortable with. I haven't found one yet, but I'm working on it. For now, my biggest question is what can I add instead of cream to my coffee?? I love it too much. Jokes aside, I have cut out sugar and I'm going to start incorporating more plant based whole foods to my diet moving forward.
This is one great cardiologist. Great interview too. So glad I found this channel.
Thanks Linda! You are too kind!
@@DrMAloYou are the kind one, oh wise doctor. Too many medi influencers, as you call them, out there.
Hello, I enjoyed listening to this Doctor named Mohammed Alo Cardiolosit and sharing this video on my Twitter X account for my followers . And will share my medical health research background of more than 40 years of independent research and journalism with due respect, as I agree and disagree with many of his claims and I will share my knowledge and research resources pending in my next message from a small army of Health Experts MDs and Scientists that follow me and I follow them as well. Thank You from Holistic Chef Barry Anderson of Phuket Thailand Garden Villa Phuket Thai Organic Food Forest Nature Retreat co-founder.
I have been following Dr A for a year on UA-cam he deserves so may more subscribers, always good to see when two people you are following hookup!
Thanks Chris! You are too kind
I agree 💯
I am a cheating Vegan. If I want an egg or a steak, I have one. I am 82 today and stay skinny because I have exercised my whole life and never been overweight. No meds. Genetics and a decent lifestyle. We can't choose our parents, but everything else it takes to be healthy, is up to us. #1 IMO, is staying skinny. Fantastic video.
I took a short nutrition class at ECornell and the professor said the heart disease is reversible as proved by Dr McDugal, but it was extremely hard due to the abnormal diet and compliance. Is this what was meant herein? I noticed his dietary advice leans toward compliance than what might be the optimal health outcome. Do you have any plans to interview Dr. Gregor or would that be a redundant dialogue? The cross pollination between your 2 platforms may expand both audience attendance.
Yes. Dr Caldwell i b Esselstyn did this. Reversed and stopped progressing disease in his patients. No animal products. Or oil. You will stop progress and reverse some disease
Simon, even thought I’m in the “choir”, I always learn something new that I use to cement my understanding of otherwise very complicated topics, and look for opportunities to share with others who are less informed or duped by medfluencers. Shortly after listening to this episode, I had a conversation with a gym friend whose husband is considering the carnivore diet, and I was able to direct her to this pod episode. Much thanks for all you do. You have the best guests. Have you spoken with Chris at Plant Chompers? His content is amazing. I wish more people knew of his channel.
You are super welcome! That's why we do this!
Dr. Alo said that 90% of the world and 90% of the US don’t have diabetes or prediabetes and therefore don’t have insulin resistance. According to the CDC, in 2021, 38% of American adults had prediabetes based on A1C. Even if we set aside that using A1C as the diagnostic criterion underestimates the actual number, that is way more than 10%. Then you have to add the almost 9% who had diabetes. Not to mention you can be somewhat insulin resistant without diabetes or prediabetes.
Good point
Your point is inconsistent.
Pre-diabetic is not diabetic.
Try again…
14:28 --- To be fair to "Carnivore MD", he IS an actual MD (graduated from medical school at University of Arizona - all MDs go through the EXACT same training before they choose to specialize - he chose psychiatry as his specialty), completed residency at University of Washington in Seattle, and attained a board certification as a Physician Nutrition Specialist.
Prior to medical school, he worked as a physician assistant in cardiology.
He can read papers just fine. In fact, in his debate / discussion with Dr. Alo, he ran circles around Alo in this area.
You love to eat meat. I get it.
I actually thought you were a jerk on Twitter but listening to your soft spoken voice and your beautiful eyes. I have changed my mind. But really you appear a very nice person. Am sorry for thinking you were a jerk. Apologies good man
Beat Diabetes with Dennis Pullock. He said saturated fat is the boogeyman. Please, Sir, what should i do?
Really great interview! I’m plant based and will never change my mind, but I am interested in hearing from the other camps.
And that is the way to eat with the best outcomes! 💪🏻🫀
Same here! Wfpb ethical vegan here for 15 years, never going back! But it is critical to understand the science, I think the ethical argument stands on its own.
@@Amshatelia88 please explain. What are your ethics?
@@jellybeanvinkler4878probably stand against animal cruelty
@@doddsalfavegan diets contribute to animal cruelty as well. If a Human eats, animals die. To grow plants, nowadays, unfortunately, the earth itself is being killed, too. Even if one forages quietly in the woods for entire meals, something is killed or disturbed.
Animal ethics in a vegan diet is a myth.
The bit about fish oil and algae oil potentially raising LDL-c was surprising. I would love to see a deeper dive follow-up on that topic.
Yess, im confused about that too
EPA and DHA combo and even EPA only fish oils increase LDL and atrial fibrillation
Separately, isn't there also some evidence that DHA supplements increase cancer risk as well?
🤯 this blew me away. Totally the opposite of what I thought!
@@DrMAlo Please post citations on this point. I'm digging through web of science at the moment and am not finding this. Not saying it is not out there, but as you point out yourself, blanket statements without citations can be dangerous. I really want to know more about this and as a biologist, I am happy to "geek out" and hit the scientific peer reviewed literature on this.
Young doctor here, working right now at a cardiology rehab, where people also get taught how to use lifestyle changes in addition to their meds for secondary prevention. It is terrible what other doctors put out on the web here. There was a carnivore patient after an MI, complaining how nonsensical the diet advice was refusing to eat anything but meat. He ended up not finishing the rehab because of angina pectoris and he had to be stented again. It is anecdotal but sad... How to reach those people?
What garbage. I feel so bad for your patients who will be harmed by your views and advice.
ua-cam.com/video/p0zgJcbPg7I/v-deo.html
@@jimmymac958 I don‘t know how the diet advice from our licenced dieticians should harm the patients, working individually if needed.
They learned and studied nutrition, on the contrary to some doctors on social media, recommending something not even based in science - unsure if it does harm, claiming it cures „everything“.
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research.
There's a medical chart being shown in videos that shows lowering your ldl results in increased rates of death by any cause. People who lived the longest had total cholesterol in the 170 to 240 range.
I was on the fence. took a docs suggestion to “get fit” as an excuse to not care about bloodwork. found this guy on tiktok and now I am embracing consensus advice, taking a statin, changed diet, losing weight and determined to fight all my numbers down to the safe ranges.
Fantastic NYC! Glad I could help!
So by now if you drop the stayin what do you think is going to happen. Especially if you avoid sugar ???
@@wiltonpt1 in my case my blood cholesterol seems over-sensitive to diet as I had high ldl whether at bmi 22 or 30 and since the statin is cheap and effective without any side effects I can notice, I don't see it as a particular cost to take.
@@nyc863 the side effects exist. You may not feel it. Many develop myopathies and especially when they exercise. But if it’s not contributing any more than lifestyle why keep taking a foreign substance that affects your live in other ways. You may still not crediting things to your own chsnge in lifestyle
@@wiltonpt1 myopathies (muscle weakness) are far from a guaranteed result of taking on a statin. They can occur for some, just as other side effects can occur. I'm more interested in side effects that I can feel than hypothetical ones.
So a low LDL score and a low calcium artery score makes us safe from heart disease and heart attacks?
Thank you for another clarifying interview. You have quickly become a favorite channel of mine. I appreciate the time and effort you put into well structured interviews with credible experts who bring to the table not just their opinions but broad research to support it.
On another note, I really enjoy the long 1-2 hour episodes. I can listen to them while I work and do other things, but most importantly they are long enough to get into deep detail of related subjects.
Thank you!
Always rings my alarm bell when somebody is dooming everything in a very hurry manner. I have done something right because my epilectic heart problem has gone away. I've been fasting 1 and 1/2 months i.e on carnivore diet eating myself. This is same diet as new born babies have done 9 months. But I think proper diet(outside fasting) is cycling all these different diets so that body has best changes and resources to learn and execute to adapt to different situations. This cholesterol thing is very confusing because it seems anyone can pull out a rabbit of any color as they wish. Then only right thing to do is to love them all. My problem is eating disorder so that I cannot get "full" feeling without eating like 3kg something. And that is not satiety then but pain. I solved that problem by not even trying and started to watch channels like this (kognitive therapy) and treat food as medicin like Hippocrates recommended. But man it is hard for jury because of so many snake oil scientists talking like "we could talk about this like 3 hours" without references. That tiktok talk is not right way to talk in UA-cam. I'm so happy Simon gives room for all of these guys though. I have to add that I've never ever been able to lose a gram without strict water fasting. But I have been able to keep the weight with keto diet. With full carb diet it just crawls back like 12kg per winter - even if I cross country ski like crazy. This means people are very different. So dooming everythin is not helpful.
Absolutely. And the good doc that defames other docs and says they put out misinformation to sell products.....Well he himself sells products. Online Consult, Access to his private group...and HIS heart healthy cook book.
This was a fantastic episode. Thank you. Changes my views on Cholesterol meds. I have high LDL and it's always been quite high even when I switched to predominantly plant based. My Dr hasn't recommended meds as I have no obvious risk factors and she actually said "you havent had a heart attack". I'm 56 and was thinking of the calcium score testing but now I realise its more important to get that LDL down. I worry about a lot.
You are super welcome! Please don't hesitate to reach out if you have questions!
I'm 15 minutes into the this two hour presentation. I am excited about a doctor talking about all of the misinformation out there. Thanks ahead of time.
You are welcome
@@DrMAlo Why are countries with higher meat consumption such as Australia, Canada and France have the lowest CVD death rates and countries with very low meat consumption and low cholesterol levels such as Yemen, Syria and India have the highest CVD death rates?
@@beepbeepnj2658 Australia, Canada & France are relatively affluent countries so the population has more access to good medical services and the other 3 are for most part complete sh!t holes with limited or near zero health care. Not good examples to make comparisons I think
@@888jucu My question was about a specific 1 type of disease only, not why do rich countries with better healthcare live longer. How would better healthcare help Yemen, Syria and India who have the highest CVD death rates help them if they already have low meat and animal consumption rates and low cholesterol levels? They don't have super high obesity or smoking rates either so what could it be causing heart disease at a younger age?
@@beepbeepnj2658 Just a cursory look at your claim I find smoking rates in Adult males for Australia 12% Yemen 20% and Syria 58% so when I just look at one part of your claim and can poke holes all through it I need not look further at your other claims as wasting my time. I suggest you research your claims better before posting
What are the risk factors involved in taking all those medications to lower LDL ?
All those? You usually take 1
Metabolic dysfunction and systemic bodily dysfunction from HMG coezynme reductease inhibitor or by PCSK9 inhibitors which prevent delivery of lipids from free circulating lipoproteins by inhibiting their tendency to stop lipoproteins being removed from the bloodstream. I'm not even guessing the side effects these are literally just the description of how these drugs work
Simon, this was a very detailed and interesting cardiology exploration BUT, now I'm confused about taking Omega 3 supplements vs LDL levels. I understand the importance of reducing LDL as much as possible, but there were good reasons for taking Omega supplements. Can you please clarify or shed more light? PS I do have salmon once or twice a week.
Salmon would be better. The evidence on fish oil (omega 3) whether it's EPA only or in combination with DHA isn't really necessary at this time. Seems to cause harm with no true benefit.
@@DrMAloso would you say a plant based diet with salmon once or twice a week would be better then no salmon at all? Because with no salmon at all would that mean we won’t be getting no omega 3s in our diet. I do eat flax seed every day but I heard that’s probably not enough for most people
The Doctor indicated that fish oil increases LDL, do you know if that would also be the case for vegan algae oil?
Total supposition on my part. Is there a 'halo effect' re: ultra endurance athletes feel that they can eat anything they want which can be harmful (like Jim Fixx decades ago).
You see it in weight lifters a lot.. then they die at like 50.
"90% of people are not insulin resistant." I'd love to see the source of that information. When you google it, all official information you find is like this:
80+ % of the population is prediabetic. (i.e. has insulin resistance)
40% of young Americans have insulin resistance.
etc.
etc.
How do you get to 90% of the population not having insulin resistance if 14% of the population has T2D?
How do you get to 90% of the population not having insulin resistance if 42% of americans are obese?
Come on,...... really?
Mr Hill I am participating in the Challenge. Aren’t we supposed to take Omega 3 and didn’t Dr Alo say not to?
I’ve discussed this in other eps. The effect on LDL-C is minor. Focus on getting ApoB to goal and optimising omega 3 index
Where exactly do i find that straight line??
Maybe the 7 countries study, that was so erroneous as to be a joke.
I listened to the whole thing. I believe the doctor, but there is a lot out there about it not being fat that is the cause of cardiovascular disease, it is the sugar. Listening to this, I am inclined to believe it is both.
Simon you need to do more of these. Please. I just saw a short with heart surgeon promoting saturated fat. It’s scary. Person (Dr.Ovadia) who actually held heart and saw the clogged arteries says these things. Very flexible with the whole “do no harm”. Okay rant over.
Simon! Gosh, even if you are preaching to the converted, we still learn a lot. I am 73, god BP, good sugar, WFPB, low salt, olive oil, nuts, wakame for iodine, Brazil nuts for selenium, lots of greens (I have dry AMD), with an occasional bowl of canned salty fatty menudo as trash food and sardines once in a while for the boost in real B12 and omega 3s(in addition to the same supplements). I do 1 hr 4% grade treadmill, speed to get to heart rate targets, and daily stretches and balance boards. But I am 50 lbs overweight and feel like I am starving all the time. Why? Oh, yeah, steady total Cholesterol of about 225 no matter what I eat. To make things worse, I ran a blood test that came back Apo-B of 1844 nmols/L WITH 1 Apo-a per 3 Apo-B. Ok, I should have died 15 years ago. Did not happen. But really at risk here and I am watching and learning. Keep it up. PS I may consult a cardiologist in spite of my doctor phobia. Maybe I might find one who is not an arrogant asshole that just spins my BP up. Bear in mind my primary physician wanted to put me on statins a long time ago, but I do not trust doctors (I got my reasons). She certainly never asked for the Apo-B or Apo-a tests. Plus, the receptionist made it perfectly clear, 5 years ago, that if I had no complaint, then there was no way to bill, so dont call until I have a complaint. Ok. So I order my own tests. lGood thing. Anyway. Todays discussion may be what prompts me to do it , so keep preaching to the converted.
The sad thing is that most people still tend to listen to their actual cardiologist or cardiac surgeon and most of these docs still don't think diet has much to do with CAD, and very very rarely provide any dietary advice. I know this as a fact, as I work in both Cath Lab and Cardiac OR.
Totally agree with you on this. We need to do better. Which is why the work Simon is doing is amazing!
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research. I find you can find what you want. There are papers for and against each idea. I have read and listened to many thoughts.
First time I am hearing that higher LDL causes heart attack. I read several papers showing TG and or HDL more related to heart attack. LDL, ldl, ldl.. that’s all he talks about. My brother too had a low ldl and had open heart surgery -two completely blocked arteries.
You should listen to my lipid series with Dr Thomas Dayspring. Sounds like you will benefit a lot!
@@TheProofWithSimonHill Thanks for the suggestion. Yes, he was good and open minded with research to back up his reasoning.
Your brother, more than likely, suffers from a highly inflamed vascular problem. What are his hCRP and homocysteine numbers?
All those studies are bogus unless they are 100% controlled on humans for at least 95% of their entire lives. Are their any studies out there that depict this scenario? Or are they just "trusting" human specimens and taking their word on their diet via surveys, etc? My grandfather is 90 years old, ate mostly high fat / high cholesterol / high saturated fat meats and very low carb. I'm sure his saturated fat intake throughout his entire life is more than substantial...and he's running around w/o any symptoms of any health issues. My dad is very similar in terms of health and diet. I'm not seeing any adverse effects of saturated fat in those two generations. Blood work for them is obviously super high on the lipids, and Doctors are trying to get them on statins...but they are full of energy and no symptoms of any ailments or cancer... just my observations. Maybe the key here is low carb and low sugar?...
Very interesting conversation! Really enjoyed it.
I am perplexed, however, by the advice of "just eat 50% less and you could lose 50% of your body weight". Sounds plausible in theory but realistically doesn't lead to that outcome as the body fights back with metabolic adaptation. Appreciate the question on appetite and cravings, Simon. People love to give the advice of "just eat less" within the "weight loss by any means possible" mindset.. but it is never as simple as that and our willpower is not stronger than our survival instinct. When folks cannot sustain this restriction for a long time, they will feel like a failure if the weight comes back on.
Also the gen pop is only eating ~15g of fiber to begin with, why reduce that even further?
I understand many people may not wish to completely overhaul their diet overnight, but simply cutting their diet by half is likely to lead to low energy, rebound bingeing and disordered eating behaviours (like volume eating a head of iceberg lettuce, which sounds like the most unsatiating thing I could think of!)
I hope he has a good Registered Dietitian on his team to help people with their relationship with food 🙂
Totally agree with you. The body adapts. Most people can't cut calories by 50% and lose 50% of their body weight fir various reasons. You shouldn't be in such a severe calorie deficit either.
Thank you Hanna!
I am one who cannot eat over 1200 calories daily without gaining. From yoyo dieting almost my entire life. And I was plant based for several years, convinced this was the answer. Besides 50 lbs overweight, all it got me was a big fat kidney stone and thyroid/parathyroid issues, and osteopenia.
Now low carb with a diet full of pasture raised meats and wild caught seafood, I feel great. Lots of veggie and fiber. I don't feel starved.
Have I been misinformed by the ones who say that older folks with higher cholesterol readings have lower mortality overall?
Mine, at 68, is around (USA) 220 total cholesterol. Triglycerides in the 60s. Perfect blood pressure. Only meds are for familial migraines occasionally.
@jellybeanvinkler4878
You can do healthy keto with less saturated fat for the appetite suppressant effect.. if you lose weight then you will get healthier overall but stay away from the saturated fat and refined sugar.
Hey. Which of your brain health episodes discussed vascular dementia.
I'm having trouble finding it.
1:30:48 canola oil. Why does canola oil give me after 1 day of continous use (15-20grams; the more I consume the worse the pain) joint pain and chest pain with a heavy feeling in the chest around hearth area? I like maize oil and sunflower oil but i get most of my fat from nuts.
Oil constricts arteries. Damages endothelial cells that produce nitric oxide. Nitric oxide dilates blood vessels
It's only canola oil though@@billdublewhopper3064
PLEASE host Ken Berry ❤
That would be amazing but Simon is hosting mainly people who are in the plant based camp 🤷♀️ unfortunately 😊
If 60% of the world's population is obese, and many of them, presumably, not metabolically healthy, how can only 10% of the world's population be non-diabetic and non-pre-diabetic?
I think you’re conflating metabolic health with diabetes. You can have poor metabolic health and not have diabetes.
@@TheProofWithSimonHill Maybe, but I've heard from many sources, that pre-diabetes is present for about 10 years preceding diabetes. And I don't think doctors have decided exactly the best test for pre-diabetes, e.g. is it a glucose tolerance test, metabolic syndrome, other? I think he's wrong about the pre-diabetes incidence., if pre-diabetes is the same as metabolic syndrome.
www.cdc.gov/pcd/issues/2017/16_0287.htm#:~:text=Among%20US%20adults%20aged%2018,from%2025.3%25%20to%2034.2%25.
Great and helpful discussion. I have been influenced by the carnivore community and glad to hear this. It would be helpful for all to hear discussions that acknowledged all the pros and cons to food choices. For example, why don't the vegans address the nutrient density of animal foods, and the WHO's recommendations to avoid vegan diets for infants and pregnant women?
I do think it would help all, tremendously, if all the doctors would talk about diagnostic tests to evaluate atherosclerotic status, e.g. CIMT, coronary calcium scoring and coronary CT angiograms. The carnivores should get and share the data. They are influencing a lot of young people who may be sorry in 40 years.
I do not want to take any scripts if I can change my numbers by food/herbs/way of life etc. Can diet lower LDL instead of statins?
I was impatient while listening...did hear that part...great info as I am a confused ex-keto..low carb eater. Trying to lower my saturated fats & upping my veg/bean consumption.
Thank you for these kinds of video.
You can reduce it with diet changes
Dear Dr Alo, given that u r a cardiologist do u mind if I ask you this question:- I understand that excess carbs when not being directly utilised for exercise or for glycogen replacement are being converted to fat. I read that this lipogenesis is producing mostly VLDLs composed mostly of triglycerides? I also heard VLDLs could also be partially converted to LDL.? Is the lipogenesis of extra carbs driving up cholesterol or just triglycerides or both?? Many thanks if can clarify this for me, rgds
Carb conversion to fat is very difficult. Doesn't happen.
@@billdublewhopper3064 That is not my understanding
@@billdublewhopper3064it does happen if you do much as eat any calories in excess..
Really enjoyed this one. I work in a GP practice in the UK on the nurse team and all the questions you asked were spot on and ones I wanted to know the answers to! I hope more doctors like him post on social media. We get people coming in for NHS health checks on carnivore or keto with disastrous lipid profiles. I hope eventually misinformation will be on the decline.
You are welcome! Glad we could help. Reach out if you have any questions.
Disastrous? How's thier weight, their blood pressure, their triglycerides, thier HDL, their overall well-being? This is silly.
@@damienroberts934 you didn't listen to the podcast apparently. Could be a good exercise! Try it!
@@damienroberts934 Thank God the medical, pharmaceutical, and "food" industry finally strike back! Meat is poison! They should have banned it when it was introduced just before the heart disease epidemic started! Back in the 20's I think. 😉
@@damienroberts934 Trigycerides and HDL are not concerning. ApoB and LDL are the cause of ASCVD. No ratios matter when you correct for ApoB.
I thought Simon was going to be a plant based zealot, but I’ve listened to a few podcasts now, and I was wrong. Such nuanced and refreshing discussions. I’ll be listening from now on. As for Dr. Alo, if you’re a bodybuilder I’m gonna need to see those guns for proof 😅
Spectacular episode, Simon! Thanks for that!
I've got two questions about it! I've seen you guys, Alan Flanagan and in other episodes mentioning that HDL is not as protective as it was once thought. Here in Brazil I still see many doctors paying much attention to it, just as it is also reinforced in the guidelines for cardiovascular health and for atherosclerosis prevention. Could you point me to some studies, systematic review, narratives or else that suggest this lower importance?
Also, which studies have discovered the inflexion on the relationship between saturated fat and serum LDL (with points of inflexion on ~8% and 13%)?
Thanks and keep up the awesome work! That is an area that I'm much interested in, and will specialize on it once my graduation is over!
If you look at the cholesterol levels of long lived healthy elderly and centenarians you will find they have higher than typical HDL cholesterol levels usually between 60-80 mg/dL.
@@TheProofWithSimonHill thanks!!
HDL is no longer cardioprotective. We have no targets to treat HDL. Very high HDL is actually dysfunctional and not working.
The higher the saturated fat intake, the worse and higher your LDL cholesterol. That's the main take away.
This has been a very informative and interesting presentation. My husband has had two mild heart attacks in the past 20 years and is the owner of 8 stents, all in the RCA. Even with a cessation of smoking since 2003 (first event) statins and lifestyle changes (not as significant as I would like, mind you) have gone a long way. He has strong family history. I know his statin controls that LDL to about 70 but it sounds like it is worth asking his cardiologist about even further lowering with other drugs. What was said here is consistent with guidance from his own cardiologist, with the exception of even further driving down the LDL. Fortunately, no signs of any peripheral artery disease or carotid issues or aortic issues.....and no detectable heart muscle damage due to a husband who listens to his body and a cardiologist who listens to his patient...even once, having to buck the insurance company. We are grateful he did, and when he was proven right, they paid. Those bean counters could have killed him.
With me being retired, I am geeking out, and honing in on the saturated fat guidance (now aiming for 6%, which is certainly lower than the sat fat we have been eating which was more in the 10-12% range) and now, second guessing the use of fish oils since we do not eat much fatty fish due to concerns about sustainability and contamination.
Im confused too about the fish/algae oil
The newer guidelines actually recommend much lower LDL especially if you have prior stents and other risk factors
@@DrMAlo That is good to know. Where are the new guidelines?
Get his LDL and ApoB below 55
Even if you are a cardiologists that in no way gives you knowledge of nutrition, exercise and heart health. They know how to diagnose, prescribe medicine and do surgery. I have heard that over and over. People like Simon and Doctors who want to study the cause of heart diseases are the legit ones. I have heard Drs like Gundry say some stupid sh...t. People look to see who is trying to profit. Do a little research.
Dr Bernstein said low very low carbs. Dennis Pullock on his videos Beat Diabetes says this all the time. No pasta, no potatoes no breads.
Just to clarify the fish oil: Recent 2022 meta-analysis of RCT concluded that while omega-3 supplementation raises LDL-C, it lowers ApoB, VLDL-C and triglycerides. Another meta-analysis of RCT published 2022 looked at major adverse cardiovascular events, cardiovascular death and myocardial infarction. Conclusion of that study? "Omega-3 FA supplementation had a positive effect in reducing the incidence of major adverse cardiovascular events, cardiovascular death, myocardial infarction. Regardless of the stage of CHD, omega-3 FA supplementation can prevent the occurrence of myocardial infarction." My conclusion? To lower the risk of CVD, take omega-3.
@@TheProofWithSimonHill UA-cam for some reason doesn't allow me to write PMID nor web links. Try search it by the title: Study 1: "The effect of omega-3 fatty acids and its combination with statins on lipid profile in patients with hypertriglyceridemia: A systematic review and meta-analysis of randomized controlled trials". Study 2: "Omega-3 Fatty Acid Supplementation and Coronary Heart Disease Risks: A Meta-Analysis of Randomized Controlled Clinical Trials"
Many thanks for sharing another great video Simon, much appreciated. Based on much of what I see online, with people promoting a carnivore diet is their claim that 1, 2,3,4, 5 years of being on it and losing a ton of weight and feeling better than ever is proof everyone should join the movement. As was pointed out, it takes a very long time as much as 30+ years of eating that much saturated fat for CVD to fully mature and manifest as a major life threatening CVD event. So would be interesting to see what happens to these people 30+ years of eating carnivore. Also, some of the improvements seen in lower Homoglobin A1C and triglycerides may well be due to being hypocaloric and losing lots of fat. Carnivores do not track calories as they believe calories are a useless construct. This can be accomplished with any type of diet, which doesn’t mean it is best for long term hard health outcomes. I can undertake a hypocaloric diet where I consume white bread only, or candy bars only everyday, or ice cream only. I am sure my metabolic markers short term may be in the healthy range from the fat loss. But long term, the hard health outcomes would be much worse if I did that for 30+ years And saying mentally someone feels like never before is not always a reflection of what is happening under the hood. Some people claim to experience a super ketogenic runner’s type high from consuming several tablespoons of MCT oil all day. That doesn’t negate any long term permanent damage to their health it can result in from cumulative life time exposure
As a type 2 diabetic, i learnt a lot about hormones, insulin and other risk factors of diets not suited to type 2 diabetics. Calories do matter i believe… because that represents energy quantity. How many are digested is a different matter though.
The best ever!!
I am a 59 year old mom who has been a pescatarian since the 80’s. I was diagnosed with FH at 49, CAC score of 789, LDL over 300. (Since forever, but no doctor was ever concerned because I was “fit”, trigs in the 60’s and otherwise healthy 🤦♀️)
I have a 19 year old (athlete majoring in kinesiology) son with FH, he’s already on statins he’s totally not thrilled about being on meds. After 2 years his LDL is still 100 ish, down from high 200’s.
This was a great podcast.
I’m sending to my son…praying he has some time between studies and the gym to give it a listen!
*if not, we are watching it spring break 😂
You are super welcome! Please get your numbers down as well. And check any and all relatives. It's autosomal dominant and many will have it in your family tree.
@@DrMAlo thank you for responding ☺️
I am on rosuvastatin 40 and ezetimibe, and along with some diet tweaks at last check my LDL was 59, still working to get it lower.
Mt cardiologist told me my nuclear stress test 2 years ago came back excellent. I was very relieved.
My paternal side is all good.
My mom was adopted, and she did have high cholesterol, was on statins, had stents etc in her 60’s and has since passed away. Her lifestyle wasn’t the best.
My younger brother has been on statins for 25 years. I continue to urge him to get his children checked.
I appreciate your work so much. I’m glad you are getting such a large following 💫
Really helpful interview, Simon and Dr A. One of the fear factors for people considering statins and LDL lowering pharma is the side effects. Can you do a deep dive on that in a future episode. Many friends and family have had bad experiences with muscle pain as they cycle through every statin before they are prescribed an alternative like Repatha or similar. I think this fear factors into one’s susceptibility to buy into the LDL denier arguments. Thanks for all the great content. I’m a fan!
Good question. There is a lot of bs on this and a deep dive like you suggested would help I think.
I would also like to hear about potential, preferably proven, side effects of naturally low ldl, total cholesterol and ultra low fat intakes.
Also, does zero ldl really mean that someone is cvhd-proof? (I heard Dr. A. just say this, but I am doubtful this is true. For instance: Would a smoker with 0 ldl not be able to get cvhd?)
I had muscle cramps on Lipitor 15 years ago and stopped after a few weeks. This time around, baby dose (2.5mg) rosuvastatin and 10mg ezetimibe and ZERO side effects and ldl-c/ ApoB cut by 70%, down to 31.
Fluvastatin ER usually has no muscle aches. But yes, we have many other options now
It's because statins deplete muscles which your organs are made up of of potassium and co Q 10 which can lead to heart arrhythmias, muscle weakness and aches and pains. Statins effect on the brain can also cause confusion, brain fog and difficulty focusing. Eliminate foods that are late and with trans-fats and sugars such as processed foods. Greatly increase your green leafy vegetables as well as fruits with lean proteins such as fish or poultry. Eliminate all vegetable oils and shortening such as margarine / butter alternatives or Crisco. Add nuts and lagoons to your diet while eliminating simple carbohydrates such as bread, cereal, pasta or white rice and pastries of course.
Question for Simon: I appreciate you and all your guests, and the Treasure Trove of information you bring forth. I have been taking fish oil supplements, as I thought the general consensus was that they are healthy in many ways for my body. Now I hear a cardiologist saying that may not be the case for the heart, in that they will raise ldl. But the issue with specialist, is a lot of times they just look at things from their organ of specialty. So the neurologist are still saying fish oil is a good choice for brain health. So what am I to do? Does the potential benefit for my brain exceed the harm to my heart.
Wow, thanks for the quick response! Well... it's right at about 100 on my last lab and has been dropping each year. So I was looking for more ways to reduce my ldl, but there is a history of dementia with both parents, but not heart disease. So... ???
Yes, neurologist seem to still recommend DHA for brain health. But excess DHA/EPA will raise your LDL and increase rates of Afib.
Thank YOU so much. Big thanks to you, to people who invite knowledgeable doctors and doctors who really care! I have no idea what has happened but the explosion of "carnivore/lion" diet has gained the momentum and people are attached to it like leeches. I have family member who have suffered some terrible health problems and their diet was/is predominantly meat-based. Yes, they would decrease the meat consumption after their health degrades but the damage has already been done. They would use lard instead of oil, they would be on a meat-only diet to lose weight, they consume meat during every meal + snack on it. It is so frustrating to me when I see people quoting "doctors" who support such lifestyles and lying to people how plants are causing people to be obese - as an example. The problem is, when they link me all these research papers, I can debunk it - and that is scary. I am not a medical doctor. I should not be able to debunk it! Yet I can...yet they ignore it. I am very scared that some of my close friends have damaged their health because of the diets they have been following - carnivore diet was and is the most popular one aka as keto (but without veggies). I have tried to tell them. When they would experience a health issue, I would link the studies. I would give an advice...yet, nothing changes. The excuse is always the same: "its genetical". And I love them to bits but there is only so much one can do. I sometimes become so worried that I would feel anxiety thinking about my family and friends. Every time they tell me of another new health issue, I zone out, feel sadness and anger. In my region it is believed that lard is healthy. We would be the healthiest nation on this planet if it was so. I know old habits die hard but I cannot comprehend why choose the excuse above the minimal action of at least trying to avoid freaking lard. The problem is, when I voice my concern they dismiss me thinking I am just saying that because I love animals.
The best thing you can do is spread the word about this type of knowledge and discussion. We need to get the word out to combat the carnivore crowd.
The carnidiot videos come first when searching on UA-cam or social media. That's the scary part. Stupid chiropractors making videos on heart health
Eating an apple with some almond butter as I’m watching this awesome conversation with DR.Alo 🫶
That sounds good!
Thanks for this very informative video! I would love to get more info on whether and to what extent we older folks (I'm 70) who already have some arterial narrowing (but not enough for a stent) can prevent disease progression through dietary and lifestyle improvements. If anyone can point me to something on this, it would be much appreciated.
Get your LDL and ApoB below 60, and you won't have further issues.
Thank you so much for having this discussion. Really helpful to get a cardiologist who is out there providing lots of content. Now I have to go try to watch a lot of his videos! As someone with heart disease I particularly enjoy discussions that are cardiology-related. Like Simon, I'm plant-based, but I've also gotten out of my initial bubble of extremely low-fat WFBP eating being the only way to stay healthy for someone with heart disease. I can share Dr. Alo's content because it isn't specifically plant-based but it is evidence-based, which is the main issue. I figure some people have the desire and fortittude to transition to a 100% plant-based diet, and that's great, but it should always be a personal decision and one based primarily on ethics/environment rather than health, since we simply don't have the data to say that a plant-exclusive diet is definitely healthier than one that has some animal products. It's really which animal products and in what form they are that may cause issues, just as one can eat "plant-based" foods (IE ultraproccessed ) that can cause issues.
Really enjoyed this discussion and as always the nuanced, science based approach that you take Simon. I would love a deep dive into all health outcomes around eating eggs. I appreciate the information here as it relates to cvd but I recently watched a video on Nutrition Facts about a potential link between choline in eggs and prostate cancer in men (chicken as well). It seems there may be other health reasons to avoid or limit them?
Having trouble taking eyes off of spiked hair but excited to hear about fish … I’ve been WFPB for 3 years and feel great and love vegs but recently very understanding chef wife is complaining about going out to eat in vegan places. I may have to add fish back in 1 day/week for marital concerns.
And that's ok too. That puts you into the Mediterranean category
Hi thank you another very interesting conversation. I’m 62 been vegan for nearly 15 years, my total cholesterol 10 years ago was 6.3 mmol/L (239mg/dl) , it fell when I became more WFPB to 4.82 mmol/L (186mg/dl), is this still considered to high. I’m taking a daily microalgae EPA/DHA/DPA supplement, Dr Alo mentioned that taking a fish EPA/DHA supplement does increase LDL, is this same with microalgae?
Get rid of the EPA/DHA and recheck in a few months. It will probably go lower. We want total cholesterol under 150 now.
Well done Simon and Dr Alo, amazing interview. 👏🏻👏🏻
You are super welcome! 💪🏻🫀
It's a shame that streams like yours, the Sherzais and so on, get so much less traffic than the less science based ones. In a perverse way, I guess it suggests that I am getting the best advice, avoiding all the carnival barkers.
Agree with you! Please spread this to all!
Very confused about info on LDL. Zero to negative LDL scores? Is there even such a thing? 🤔 LDL does have a function. It transports cholesterol to liver and peripheral cells.There are health problems associated with very low LDL.
Could we conclude that, in the context of a WPFBDiet, a (algae source) EPA/DHA supplement is worth to take for brain health even tho it could raise LDL? Specially considering that LDL shouldn't be high enough for that increase to be significant? What do you think?
Ask a neurologist, but probably not necessary for most.
@@DrMAlo cool, thanks for your advice
It's scary how many cardiologists and especially chiropractors on several UA-cam channels are spouting stuff that goes against science. It's really scary how easy it is to fall down the wrong rabbit hole. It took me 2 years to find videos that are actually showing the science like this channel and nutrition made simple. I have only just stopped being swayed by these channels saying saturated fat is ok no matter how much of it you eat. I think it is so difficult to follow the science because of people cherry picking snippets of studies to mostly profit and sell their supplements or books. It's dangerous.
What might cause a drop in HDL-C? Mine went from 98 to 79. This is supposed to be the “good” cholesterol. Do I need to be concerned about this? My LDL-C went from 90 to 81 during the same timeframe, which is a good thing, I assume. Triglyceride is 58. I stopped drinking alcohol (used to drink some wine with dinner, most nights). Could this be the reason for the HDL drop and might the wine actually be beneficial for me (58 y.o. female, on MHT and Synthroid, BMI is 21, I eat a Mediterranean diet.)
Thank you very much for this interview! So much interesting information!
98 to 79 isn't a significant change and it's also not "good cholesterol". I wouldn't worry about it. Just keep working on getting your LDL down.
@@DrMAlo Thank you for your reply, Dr Alo! I really appreciate it. 😊
As a person who has been so confused about diet, I needed to hear this!!!! Please do more talks on carnivore diet so people can hear the truth. I search for carnivore diet fails and it is hard to find. I have friends doing this diet and I fear for their health.
You are super welcome! I have to battle these people every day!
I am 95% carnivore. I include some honey, junk, bread, and fruit once to twice a week. My health markers are crazy good. I mostly eat raw meat, raw suet, raw dairy, and eggs, often with runny yolks.
Thans, Simon, for introducing me to Dr. Alo! What a great interview.
Thank you for the kind words!
This was a good discussion on how social media personalities influence without evidence. However, Dr. Alo said at one point that there was a straight line association of saturated fat intake with CVD mortality, which is not true according the Cochrane review by Hooper et. al in 2020. We can't post links in comments of UA-cam, so here's a direct quote from the review:
"We found little or no effect of reducing saturated fat on all‐cause mortality (RR 0.96; 95% CI 0.90 to 1.03; 11 trials, 55,858 participants) or cardiovascular mortality (RR 0.95; 95% CI 0.80 to 1.12, 10 trials, 53,421 participants), both with GRADE moderate‐quality evidence."
As Gil Cavalho and others have also pointed out in the past, the relationship of saturated fat intake to CVD risk has been shown to not be linear, it is an S curve that shoots up at about 10% of energy intake and then plateaus.
How can eggs be great when their so high in sat fats and cholesterol?
1. A large egg has only 1.6 g of saturated fat.
2. Dietary cholesterol has very little to do with blood cholesterol, unless you're a "hyperresponder"
"How does dietary cholesterol affect blood cholesterol?
The amount of cholesterol in your diet and the amount of cholesterol in your blood are very different things.
Although it may seem logical that eating cholesterol would raise blood cholesterol levels, it usually doesn’t work that way.
The body tightly regulates the amount of cholesterol in the blood by controlling its production of cholesterol.
Blood cholesterol levels are mostly determined by the amount of fats and carbohydrates in the diet, not by dietary cholesterol.
Recent research has found that for most people, consuming an egg a day had no affect on their cholesterol.
However, in some people, high-cholesterol foods raise blood cholesterol levels.
These people are often referred to as “hyperresponders.” This tendency is considered to be genetic.
Even though dietary cholesterol modestly increases LDL in these people, it does not seem to increase their risk of heart disease."
www.healthline.com/nutrition/dietary-cholesterol-does-not-matter#effects
Lots of people eat raw/rare liver. You act like its so weird to eat foods that were commonly consumed by the majority of society just 100 years ago.
So coconut oil is unhealthy, but what about whole coconut, or coconut milk? Is there evidence on these?
First of all, thanks a lot for your project. "The Proof" rocks.
(This is a comment after listening a quarter of the episode)
Really Simon & Mohammed? 90 percent of the US population is NOT diabetic/prediabetic? Really, solution for CVD are pills and injections?
So Saladino's business model is unethical? Then how different is his business model from the medical industry one? How different is it from Simon's? (So you do not have plans at all to sell anything supported by your podcast?)
@@TheProofWithSimonHill Thanks Simon. You said Diabetic/Prediabetic. Anyways, do you really believe this number? I would believe the opposite, only 8% are not prediabetic. It's as easy as landing on the US and open your eyes. BTW, that link you posted says 35% of male adults in the US are prediabetic! 👆
I really appreciate your project and your responses. Thanks a lot. But this episode is really hard to listen (it's like being a "techno music" fan and have to listen to "Thrash Metal")
I really think you need to review with open mind, open heart and open eyes what has been said in this interview. And yes, please bring Dr. Paul Mason from Sydney to your show! (And Dave Feldman, Dominic D'agostino, Jeff Volek)
BTW, sorry, I updated my first post with an additional question about business model.
@espinosalexis THANK YOU. I love Simon's interviews, too, but the bias is obvious, of course. Sometime hard to sit through. Though I did with this one.
Thx for calling him out.❤
@@jellybeanvinkler4878 Yeah, and now he is selling vegan Omega-3 and supplements for maternity. That is great! I'm not against it. But it's in total contradiction of what he said in this episode. 🍷
Thanks Simon, I look forward to watching this
I hope you enjoyed!
@@DrMAlo I sure did. Thanks for your comment
I would love a podcast with Peter Attia
There is more recent information out there than this. Look up Dave Feldman, Dr. Matthew Budoff, and Nick Norwitz. They are cutting edge. At least with Lean Mass Hyperresponders.
A great talk. Regarding seed oils, is the evidence that they are not harmful, when the are uncooked? Always been curious about that as i believe cooking changes the composition.
@@MB10097 Nice thanks
I did a video on seed oils on my channel.
Heating any oil excessively and over and over again, increases trans fats
High heat /frying also creates Advanced Glycation Endproducts in the oil, but not as much as if you fry in butter.
How much saturated fat in a 2,400 calorie diet?
Ideally under 20 grams a day on average.
10 grams or less.
Interesting response on the endurance athletes. It'll take a few more years but because of the popularity of plant based endurance athletes it'll be interesting to see them vs matched omni controls that compete at the same levels and where researchers have access to their training diaries.
I'm also really excited to see this!
That would be interesting to see.
Amazing podcast! This was so easy to follow and so much fun.
While I love my whole food plant based diet, I also love the nuance! As well as the fun you had every now and again talking about the carnivores and seed oil guys :)
Thanks Nina! Glad you had fun! I had fun with Simon as well!
Had to smirk when Dr Alo said " of course Statins are good ... I'm a cardiologist, I'm going to prescribe statins"
All cardiologists think statin are good. The rest of the world has their doubts.
You are wrong
Very very wrong
only 78 million Americans are on statins or eligible for statins. it should be Mandatory for all Adult Humans to take Statins! CVD will be nearly eradicated & millions of lives will be saved.
Great interview. One thing I found odd: his suggestion that cooking with olive oil creates “trans fats.” Any data that says that happens to an appreciable degree? That’s the first I’ve heard of it. Everything I’m used to seeing says cooking with olive oil is healthy.
If you over heat the oil, over 360 degrees, and keep reusing, you increase trans fat content. Which is why they made fast food industry change their oil every day. Because trans fats
@@DrMAlo Thanks. We sometimes bake with olive oil and your comments had me worried.
Doesn't cherry picking happen on both sides of the fence tho? I would think that Ansel Keys picking 7 out of 21 countries and leaving out France would be considered cherry picking also.
You're listening to lies. Read the study. Most of that data was unreliable and France was a place they wanted data on but France didn't want to participate by collecting the information. The latter followups show extremely high correlation. That initial plot was merely a hypothesis forming paper
You said you wonder if you are making anybody considering changing their diet?
You helped me to change my mind. I did keto type of diet for a while, but mostly meat and veggies, no starchy vegetable or legumes.
Its been a month now since i started eating oats, legumes, tofu...and very little meat. I had fish 3 times and probably 4 eggs the whole month. I am trying to learn what and how to eat, for myself and for the planet.
extraordinary !!!!
please do another episode with dr.alo regarding exercise. please !
@@TheProofWithSimonHill yeees ! thank you !!!
We will definitely get on that!
I would love to see this as well!
Stick to organics as much as possible ' Vegetables or meat '
A Dr who is not against statins for people and he stated and showed physiology of cholesterol But in the end he did say statins do cross the brain barrier and no cholesterol in the brain means loss of memory and Dementia. I know people whose muscles hurt and can’t move
A thought about preaching to the converted idea. My guess is that most of the time you are, but the converted have friends and family who talk to them and ask questions. These people are helped by proxy. Keep up the good work. It helping more people than you directly see.
We will keep fighting this battle
Surprising to hear a cardiologist say there's no utility to doing imaging unless you have symptoms. Symptoms don't show up until disease is advanced, while imaging can show early disease that can then be arrested with lifestyle changes. Preventive medicine should be the rule.
Yes, I have an entire playlist on preventative cardiology. Mainly we need to know you LDL/ApoB. That is the prevention part. Decades down the road, if you have symptoms or have elevated LDL and ApoB, then we can do imaging and further testing to figure out what to do next.
I'm 56 and I work with people in their 30s and 40s and they don't seem to care about their food choices - crisps, coke, chocolate every day. They already have digestive and joint issues.
I went straight to TikTok. I’ve had high LDL (140ish)for 20 years in spite of exercise and diet so was wondering should I start statins now at 50 or still wait?
I've read studies diametrically opposed to what this man is saying.