The BIGGEST Risk Factor For Heart Attack
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- Опубліковано 10 чер 2024
- Leading risk factors for heart disease and stroke are high blood pressure, high low-density lipoprotein (LDL) cholesterol, diabetes, smoking and secondhand smoke exposure, obesity, unhealthy diet, and physical inactivity.
#doctor #health #healthy
The fact is, elevated low-density lipoprotein (LDL), the bad cholesterol, is a major cause of heart disease. LDL causes the build-up of fatty deposits within your arteries, reducing or blocking the flow of blood and oxygen your heart needs. This can lead to chest pain and heart attack.
0:00 - 1:01 Heart Attack and LDL cholesterol
1:02 - 3:27 LDL cholesterol
3:28 - 5:52 Why Hearth Attack
5:53 - 7:30 Meds and LDL cholesterol
7:40 - 12:00 Minimize Risk of Heart Attack
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Why is no one talking about inflammation? Cholesterol will pass through smooth vessels, but builds up on the walls of porous , inflamed vessels.
I'm a nurse who had a patient on statins for years ...still had bypass, and was placed on the liver transplant list due to "pharmacology induced liver failure" caused by statins.
I was having all the signs of a coming heart attack after having an arrythmia episode for about 2 hours. My cardiologist never said anything to me about inflammation due to the episode. I started taking Niacin and things to reduce inflammation and all my symptoms are gone! So much for the medical community!
@@michaelp5283 I'm an ER nurse for 25 yrs and I'm completely disgusted with the medical establishment. I've watched it go downhill, especially the last 5-10 years. Our family avoids meds, doctors and the hospital...and that's a shame for me to say. I'm truly sorry that the medical community is failing people.
@@ShalomUSA My last interaction with my gp was due to an abnormal ekg I had done through work, so of course it needed a follow up. I got less than 5 minutes of her time!, most of that was her typing in epic. I had other issues I needed to discuss, but had been dismissed.
Who would give someone statins for that many years and never check liver enzymes? Usually this is checked twice a year. Every person on statins should know their doctor will check their blood work for this.
Statins made my intestines swell shut it was horrible . In and out of the ER and hospital for 18 months . I quit smoking and eat better . Not been back to cardiologist in over a year . It's been 4 years since my stents. $2000 per visit with tests . I walk 4 to 5 days a week and lift 2 days a week . Everyday is a gift.
My cardiologist just restarted me on a statin, based on my lipid profile. I had discontinued it because of myalgias. I've got the myalgias back so I am going to stop it. This is a great explanation. I am a retired general internist, and I was generally skeptical of statins when I was in practice, especially for primary prevention. Our toxic food environment is the elephant in the room.
There's no "food environment"; it's food choice
Do yourself a favour dear, buy the book " The great cholesterol con " by dr.Malcolm Kendrick and thank me later :)
Statins also stabilize plaques in your arteries, they're not just to lower cholesterol levels. "Vulnerable plaque" is a good search term.
I agree with you! It is the food "environment". In order to minimize the noxious things in food such as additives, harmful seed oils, preservatives, sugars, etc you'd have to do all your cooking because the pre-cooked America diet is full of it. No wonder there is so many Americans now diagnosed with Type 2 diabetes.
The Cholesterol Con mentioned above is another great book.
I am almost 80. I don’t care what my readings are, it will not make that much difference. I want to enjoy the remaining years.
God bless you! Put your Faith in Him, for He will call when He is ready.
@@michaelhickey131amen
👍
Enjoy your days and take your MEDS: meat, eggs, dAiry and seafood!
@@karend.9218 I love my meat n potatoes with lots of salt n butter. I ain’t going to give it up. Enjoy life.
Been LCHF/ IF since 2017 - Lost 60 pounds and kept it off. My meals today: 4 scrambled eggs in butter with spinach sprinkled with flaxseed, then later a fatty 300 gram sirloin with sauerkraut, cherry tomatoes and some almonds and olives for dessert. 55 and my heart pumps like a champ🏆
I use flax seed and chia seed.
For optimal absorption, I grind the seeds in a coffee bean grinder
You lost a half of a person 60lbs
Of course things will be better. Everyone knows that jeez
Let me know when you get bored
Great video and great information. After watching this, I think that I am entitled to 3 college credits!!! I had a heart attack on April 8, 2023. One stent put in my right artery that was 100% blocked. Left the hospital on a 40mg statin. After a few months, I requested blood work to look at my cholesterol numbers because I told the doc that I didn't want to take more meds than needed. My cholesterol was not high when I weighed 247 lbs. I now weigh 194, changed my diet and exercise program. The doc said that he was going to reduce the statin to 20mg. When he did, I stopped taking them. Did more blood work 3 months later not taking the statin and my cholesterol and triglycerides are perfect. Triglycerides were 120 when I weighed 247, now they are 71. I have come to the conclusion from great doctors on youtube - that the side effects OUT WEIGH the benefit of any statin med in any dose. This is one of the best videos on this subject I have watched and I have watched dozens of them. Doctor Mike Hansen is in a league all by himself!!!!
Now I know how my high school students felt when we would read essays with long intros. Took nearly 5 minutes to get to target info that it's type B LDL, a small particle. To be fair, I've been listening to this kind of video for a few days. guess I need to go on a video diet.
The rabbit hole.
This is one of the best holistically explained if not the best video on UA-cam. Thank you for saving lives and simplifying everything one needs to use in their everyday lives and make informed decisions about one’s health.
🎯 Key Takeaways for quick navigation:
00:00 📚 The Role of LDL Cholesterol
03:59 💡 The Two Types of LDL Cholesterol
05:53 💊 The Impact of Statins and Other Drugs
08:13 🍔 Nutrition and Heart Health
11:12 🚫 Avoiding Trans Fats and Inflammation
Made with HARPA AI
Highly impressed by this and all your videos. We need more Healthcare providers like you to make a difference. People need to take responsibility in learning to care for themselves. Medications can be lifesaving, but healthy lifestyles are vital. Thank you for advocating for the public and for maintaining such strong ethics despite the multiple pressures exerted by our broken healthcare system. God bless your kind heart and values.
I went on an extremely low fat diet in the early 90's. It destroyed my lipid profile. Triglycerides jumped to 145. Now I've been on a statin for 20 years and no one ever mentioned K2 or Quercetin to protect the heart muscle. 🤬
The best way to protect your heart is stop taking Statins, and go to a high fat diet, using animal fats like butter, beef fat and pork fat. Do not use vegetable oils. Vegetable oils (seed oils) destroy you from the inside out. The US Govt has been lying to all of us about "dangerous" animal fats for a century now. It is the vegetable oils that are the real problem.
When taking statins, you need Coenzyme Q10 first of all and before all others you have mentioned. Please read about how statins deplete Q10 in the body ( it anyway decreases when getting older and have to take it not related to statins ) and how Q10 is the enzyme providing best energy for the body cells but preferentially for the heart muscle cells ! Q10 is the heart's best food in general.
That's because sugar is the culprit. Triglycerides are formed as a byproduct of the liver processing sugar.
Early 90’s low fat high carb was healthy. Things have changed.
Jama had a report in March on statins that concluded that they were very ineffective in reducing heart attack and stroke deaths.
This was an excellent video. Thank you.
What is that article?
I get way more motivation out of knowing why. Obviously one’s personal doctor doesn’t get to sit down and explain this stuff. Dr. Mike keep on making these videos. I wonder how many people you are helping. Thank you!
Thank you. Very Informative
Ordinary Dr make money 💰 only motive
Thanks Jenny! It's always rewarding when people can understand the why of things. Comments like yours always motivate me to keep this going!
kina/wax viruz
@@DoctorMikeHansen Who is your favorite cardiologist? I am looking for a good one.
This is by far the best and most accurate summary I’ve ever seen. Extremely well done! 👏
When I was doing my exit physical from the Navy the doctor gave me a prescription for Zocor saying that when I left the Navy my activity level and diet were definitely going to be much worse after I left. My response was, "Really? We aren't even going to discuss lifestyle changes at all?" When he handed me the prescription I immediately threw it in the trash. Probably one of the smartest things I've ever done.
I’m proud of you! Many people are offended if, you suggest a healthy life style.
Thank you for showing this video. A very good friend of mine just yesterday told me a story about her husband. He was going to have a knee replacement. He went to get cardiac clearance. The cardiologist noticed his cholesterol was
borderline so he started him on Lipitor 80 mg. He had the surgery but his recovery wasn’t
As expected. The pain was intense and he needed lots of pain meds. He developed a darkness in that leg that couldn’t be explained. Finally the orthopedic said I don’t understand what is happening but you should not hurt like this. His wife did some research and found that Lipitor can cause muscle and joint pain. He ended up with a rash and blisters. He stopped the med cold turkey and that I told her wasn’t the smartest thing to do. He isn’t doing well. Still having severe stomach cramps and muscle aches. He took that dose for 4 months which according to literature should never have been given for a cholesterol level of borderline.
The good cardiologist even told her that the primary Dr. would thank him for addressing an issue he was just watching. How long can these symptoms go on for after the med is stopped?
Questions she has been trying to get answers for.
Thank you for leaving your comments (and sharing your stories)! I'm also going to respond to your comments in my next email newsletter! sign up here --> doctormikehansen.com/home/
Super! small L-D-L.
Sadness from dealing with sick society and unhealthy realionships!
Thank you for clearly explaining the topics you covered. Recently had my blood panels done & to have a thorough explanation helps big time. Thanks!
HELP! I was substitute teaching in a school this week and had lunch duty. The situation is MUCH WORSE than it was even in twinky times. The school lunch was ALL processed foods and the food in kids lunch boxes was ALL processed food at ALL the tables I checked. ONE kid had brought spaghetti and meatballs in a thermos alongside his chips and processed peanut butter cracker sandwiches. These kids were ALL 1st and 2nd graders!!!!
Tell those kid's parents to *PACK THEIR KIDS OWN LUNCHES!!*
Do *NOT* rely on the school system to keep children healthy!
Come on.................
I school I subbed at actually had a Mac Donald's as their caterer .
@@josephshields2922 - Go Burger King!
Imma gonna slappa you!!!!!!!!!!!!!!!!!!
@@JamminClemmons This included kids packed lunches. ALL processed food in their lunchboxes.
That’s poison 😮
Excellent video Dr Hanson! Thank you for all the info and tips!
Thanks Dr Mike for being the voice of ethics and caring about human beings. Worked as cardiac nurse and rehab nurse for many years and totally agree. The science must be listened to not the money interests and separated out over time it becomes clearer. Your analysis is spot on in my opinion and much much needed by the public. Your doing such a great public service.
thank you L. Ann - it's really nice to hear that, especially because there are a lot of misunderstandings about heart health.
kina/wax viruz
@@DoctorMikeHansen Where do you get the idea that large LDL is neutral from a CVD risk perspective? Every lipid expert I have heard talk about says large LDL particles are dangerous also just not as dangerous as the smaller ones. And from the paper: "Lipoprotein Particle Profiles by Nuclear Magnetic Resonance Compared with Standard Lipids and Apolipoproteins in Predicting Incident Cardiovascular Disease in Women" you can clearly see the risk factor for the larger LDL particles is 1.44 and 1.63 for the smaller ones so obviously both are risky and the difference between them isn't that huge. Is it only the egg board theory that larger LDL would be neutral or are there some actual solid data to demonstrate this?
@@cyberfunk3793 ….hmmm…still no response from the doctor to this.
@@cyberfunk3793 You aren't employed by Pfizer are you?
thank you for this. I flat out refused statins because they make me feel so bad. I eat a ton of vegetables, and I do my best to avoid processed foods, but I do fail a little on bread, but keep it low as possible. when I worked ER I met many people coming in who felt awful after starting statins. I know it is skewed as people who didn't have difficulty with the medicine wouldn't come in to ER, but it made me think hard about how often medicines are pushed for reasons other than patient health.
Fish, especially salmon with the skin, sardines with the skin, and mackerel with the skin on can help a lot to get your numbers where they need to be. My Mom was in the danger zone and she went low carb and then started eating those fish on a daily basis and now her numbers are back down to where they needed to be.
Glad you mostly eat unprocessed foods. It's ok to stray here and there...I love bread too haha. Lifestyle (nutrition, exercise, not smoking) is way more helpful than statins.
Freeze your bread overnight and thaw it out. It will become much healthier. Toasting helps too. Resistant starch.
I just guzzle soda, eat well and workout.
@@richardf911 Can you explain this further? I'm very curious!
That you Dr Mike I’ve been following you since the pandemic and I love the information you put out because it’s simple and to the point.
Thank you for simplifying this information. My husband and I have been trying to sort out this exact topic for a while now. He has had mitral valve replacement and a bypass. He’s now on a statin, but is doing a major overhaul on his diet. We’re beginning to see that metabolic syndrome is the key link to nearly all modern health conditions.
Considering that you are a member of the medical profession, what a rebellious video! :-) Very thought provoking. Thank you.
You've very neatly articulated information in a short period of time that has taken me several years to comprehend, in a format that is easily understood by practically anybody. Hopefully your messaging allows more people to see and understand that there is a thriving deconstruction of decades of dogma and shaky science, and perhaps in a generation or two our current dietary guidelines will get the same treatment as leaded gasoline or smoking does today.
thank you so much! that's always the goal, and I'm glad you found it useful.
@@DoctorMikeHansen If only your whole presentation would be a notch slower! 😔
There is way too much information squeezed into a limited time. Not possible to even register all that properly, let alone link and comprehend on the spot 😮💨
Wondering what is the reason for rushing???
(this goes for all videos, except the covid ones from early on in the pandemic, when the pace was far more appropriate for an average YT viewer. It is of course fine for experts and those with lots and lots of background knowledge, but it's too fast for the masses)
@@DoctorMikeHansen Hello dear Doctor! I'm 31 and 2 weeks ago first time in my life i just wanted to check my cholesterol level & got high number of LDL... My doctor said that i should start taking statin asap otherwise later it'll be bad for my health! Please could you help me to understand what should i do, whats is the right way ? 🤷🏻♂️
P.S before that i had no complaints about my weight and health...
I’d love to have the citations to the follow up study to show my doctor! Thanks for your excellent information.
Excellent video! This really helped me interpret my lipid panel results. Thank you for preparing this - well done!
Thank you for providing the math behind determining risk factors. And, the info re smoking points in ‘good’ cooking oils/fats! 👍🏼
I cut processed foods out of my diet and reduced by Trigs/HDL ratio from 7.45 at age 59 to 1.47 at age 64.
Good for you. Whole foods are the way to go, as close to their natural state as possible. 👍
I've been reading up on this for the last 12 years at least and discussed the matter with my doctor who had suggested I take statins. I am blessed with a doctor who is open-minded and does not automatically recoil at youtube information though it is frequently justified. My LDL has always been on the high side although I only very occasionally eat processed food (not even salad dressings) and I have been doing 20-hour fasts 4 days a week for the last four years. The intermittent fasting has dropped my triglyceride levels dramatically. This has brought me well into my seventies without signs of diabetes or heart disease though my weight is higher than I would like it to be. I don't know the future but, so far, so good.
This video is the best summary of the conclusions I have come to during all the years I have followed this subject. I think anyone interested in the subject but hesitant about challenging the medical orthodoxy to read up on it, there is plenty of published and peer-reviewed scientific papers supporting the information presented here.
First time ever in my life i had ever asked for a copy of my Lipid Test resul a few weeks ago and glad I did! Ive been stressing about it before aNd even after...doctor wants me to come back in 6 months and wants me to improve my LDL numbers which is at 159...Glad i saw this video...my Trigleceride is 93 and my HDL is 44.....Thank you for this vid...
I wish every Dr in the world would be forced to watch this 100 times.
It may take 1,000 times. And some torture.
That's doctor abuse!!! 😶
@@alphaomega1351 More like de-programming. Doctors are taught by the drug companies. Taught to prescribe drugs for everything and eschew the body's own ability to heal given appropriate nutrients.
I wish doctors would believe their own eyes and ears!
You’re an incredible professor. Thank you.
Information seems to be constantly changing regarding cholesterol and this short video is extremely helpful in deciphering the numbers. Thank you for a concise, yet information explanation.
One of the best explanations on this complex topic. I wish Dr. Mike talked about the number of particles and using ApoE as an additional biomarker. I would love to get this into the picture. Very nicely done.
I've always had low triglyceride levels until one year when l went off my usual low carb diet. Triglycerides literally quadrupled and l gained weight.
Great video - it should be required viewing by all docs.
A great video. Very important information in a nutshell. I am familiar with this material from previous medical-oriented low-carb websites I have visited over the past 4 years. I have my pre-diabetes under control with a low-carb diet, unprocessed foods, and intermittent fasting. I wish my doctor would become familiar with the current literature. Recently, I had my bloodwork done and by my own calculations of my TG:HDL ratio and LDL Hazard ratio, my results were excellent. But my doctor ordered me to be on a statin based on a cholesterol level considered high according to the lab guidelines issued by the government. I have refused. She is very concerned but when I asked her questions, she had never heard of large buoyant LDL or small, dense LDL particles. She is a wonderful person and very caring, but our healthcare system is overwhelmed.
Very well explained. Short and to the point. Thank you.
Excellent teaching lesson!!!👍😃 Thank you💖💪
As always, thank you for the excellent information and presentation.
FINALLY! A mainstream doctor who hasn’t been cancelled talking about this!! I have been trying to explain this to friends and family for at least a few years now! I agree with most of what you are saying, Dr. Hansen. But, people who do very low carb/keto/high fat carnivore will sometimes get very high LDL but probably don’t need a statin because their triglyceride:HDL ratio will be excellent or even < 1. Thank goodness that my current physician either understood the concepts discussed in this video..or he knew that I wouldn’t take a statin based on TC 232, LDL 152, HDL 80, & Triglycerides 58. My other disagreement with you, is that saturated fat from well-raised ruminants is healthy..not unhealthy as you assert in your saturated fat video. But otherwise, thank you for this video! I will definitely be sharing it!
Thank you Laurel
Thank you for this personal info Laurel!
Don't guess. Don't presume. Take a coronary artery calcium (CAC) test. All LDL particles
@@SimonHealthAction thanks for your concern, but I’m not particularly worried. Having said that, I am up for getting a CAC, IF a doctor will prescribe it. But again, not really worried.
Fat regulation is dependent on genetics and thats a bell curve, but a straight line relationship exists for fat , heart disease, hypertension, breast cancer, prostate cancer. It is irrefutable and there is over a century of data to support this. Japanese cancer and heart disease data shows this clearly.
Thanks! This is the most complete and accurate explanation of heart disease prediction I've ever seen. It covers all significant aspects of metabolic and blood lipid health and also the important numbers we need to look for when getting blood work testing. It also covered very completely the best options for prevention particularly lifestyle diet and exercise.Thank You so much 👍.
Thank you for separating two types of cholesterol. This video is wonderful.
You provided a great public health service. I foolishly bought into the low fat fad and have been consuming too much sugar, bread, rice and pasta which i now understand is the cause of my rising LDL and triglycerides. My diet will change today, thanks to your informative presentation. This is one heart attack that will be avoided thanks to you, Doc. 🙏😊
Thank you! And yes, I once upon a time bought into the low-fat fad myself. It means a lot that my video made that kind of impact in your life, so cheers to you, and all the best to your health!
lol pasta doesnt cause heart disease. Meat and dairy and eggs cause heart disease
I wouldn't call you foolish - this whole low fat thing was the prevailing health paradigm from 1978 until....well it is STILL being shouted from the rooftops by most governments! In Australia it says a grown man should have something crazy like 5 or so serves of grains per day, which is 2 slices of bread X 5 ....... 10 slices of bloody bread a DAY. Just plain nuts.
@@mikebrigandi_ You're actually thinking it's still 1980. Research now all says it's carbs that cause LDL and triglycerides to rise. Update your knowledge.
@@colvideos1 okay then give me the peer reviewed research that shows carbs cause heart disease
Very good info, thanks. When I was fighting Lyme disease my LDL went up to 272 for quite awhile. I studied Naturopathy, and was taught that LDL carries endotoxins out of the bloodstream so that having this happen was normal with active Lyme. Sure enough, it went down to 130 after treatment. I was told that I had 60% small LDL , which is awful, but that was before I switched from a low-fat lacto-vegetarian diet to the Paleo Diet. Also, low HDL runs on one side of my family, and despite daily exercise, it was stuck at 29, until my doctor suggested I eat 21 soaked almonds every day. That got it up to 56, not wonderful, but much better, and has kept it there for years.
Your comments are very interesting, but not fully comprehensible to me, an engineer... not a medical professional. Did you err in complaining about "60% small LDL, which is awful"? Dr. Hansen said small LDL is bad and a low number should be good. However, you seem to rectify in your description of your HDL number. That you could raise your HDL with almonds is remarkable; I thought only exercise could do that.
@@johnbecich9540 - My GI doctor told me about the almonds since they fixed his low HDL and it also worked for me. Exercise did not lower HDL for me, no matter how vigorous and I was up to 2 hours of that daily. Almonds may not help everyone, but it's worth a try. HDL compared to triglycerides is the most important comparison. I had 60% small LDL plus 40% large LDL, that is correct. Heart attacks run on one side of my family.
Amazing video , so well delivered and with so much excellent science and medical information ,
Thank you keep reporting accurate information required stay strong stay free stay safe
This Dr. Is so darn good. Hope more medical doctors have the same expertise like him.
sadly, no.
Thank you! This is very useful. Are cholesterol levels higher than usual while breastfeeding? I am breastfeeding and my TG went up a lot despite having a similar diet to prepregnancy.
Out of probably a hundred videos and dealing with my own heath issue, THIS video seems to offer the best advice. Thanks!
Based on this vid, I subscribed and saved it for my first blood work at some point in the near future, great vid, thanks.
👌 Fantastic video. Thank you so much for explaining things so clearly. This has been really helpful.
Glad it was helpful!
Anyone else had persistent and uncomfortable heart palpitation issues since the shot that they didn't have before? I'm a young normal BMI relatively active guy, and my heart misses beats, bangs hard randomly and have upright tachycardia that I didn't have pre shot. I also have had episodes of gripping chest pain since a week after the shot too. Obviously in hindsight regret having it, but it's done now and it's been going on a while. The quick ECG, blood tests and chest X ray in the emergency room have all been normal on the couple of occasions I've gone in with it. They have no idea why.
If you have done all the things above than i would not worry about it. Forget about it, You might be causing it by thinking that way
Luckily, a recent retrospective study in Israel using a large number of people, did not show any elevated incidents of myocarditis or pericarditis resulting from COVID, but of course, they did not mention those who had the vaccine. I would still have your doctor refer you to a cardiologist. They should take a look at any arrhythmia. When I had COVID, my heart rate was through the roof for a few weeks. The doctor called it "COVID heart" over a phone call (telemedicine), although there is no such thing. If it's afib, but to check with the specialist.
I had a similar issue after my booster (3rd dose). My heart rate was rapid, forceful, and irregular and I had some chest pain. Thankfully my symptoms went away after about 3 days, so I never went to a doctor for it. According to the FDA, young men are at higher risk for myocarditis and pericarditis side effects from the vaccine. Regardless, those symptoms are something to take seriously, especially if they persist for a long time.
Check out Dr Asseem Malhotra and his latest updates on Covid vaccine's adverse effects. Also, remember: the heart is a muscle; the heart is a pump. So, like other muscles, it can be trained. Maybe you need to increase your aerobic exercise. Start small and build up. I'm a nurse and had PAT (Paroxysmal Atrial Tachycardia) - self-diagnosed but I knew what is was. Just started swimming laps (where I could push myself a bit); and went low carb/plant'based. It hasn't returned. Don't worry too much. Find ways to destress.
are you back to normal? if not, check out histamine intolerance - I got it in long covid and a lot of sides can come from either the virus or shot. My main symptoms were tachycardia, or just very loud pounding pulse that wasnt fast, or skips, also very agitated insomnia. Managing histamines eliminated it as well as other symptoms. God bless ❤️🙏❤️
Very informative and well explained. Thank you!
So much info and helpful drawings. Thank you.
The leading risk factor for CVD is high fasting insulin and poor blood glucose control. The Trig/HDL ratio is very powerful.
Thanks Douglas
Agree entirely. My lastest HDL is 70 and my Trig level measured 47. My LDL was 112. My PCP expressed concern over my LDL number? However, I am not worried a bit. I practice Keto and almost always do intermittent fasting every day!😉
My total cholesterol is always over the "magical" 200. (216 was my last). My GP, though I love her, is ALWAYS trying to push a statin on me, even though my triglycerides are always well below 150 and my HDL is always in the 60-80 range. This information is so helpful and didn't know the triglyceride/small LDL relationship until watching your video.
You're at risk for CVD. Don't buy into this bs. The only diet ever proven to prevent and reverse heart disease is a low fat, wholefood plant based diet.
Thank you so much Dr. Hansen!
Thank you Dr,. Mike. The video is very helpful.
I'm here for his art work.
Thank you. Comprehensive great video to this topic! I will send it to my cardiologist.
Thankyou so much for this much needed info.
Also with Framingham, the correlation with MI and LDL went away with increased HDL and decreased triglycerides
Nice and clear explanation of understanding modern day lipid panel information. You did forget to mention though, Lp(a) or lipoprotein a. Lots of people don’t get tested for this genetic cholesterol but it’s a real concern to have.
I agree, I wish he would have discussed lp(a) too, especially around plaque formation.
Great explanation - thank you!
Great comprehensive video for the layman!
I remember Dr. Castilini (sp?) of the Framingham study saying over 30 years ago that it was the very small hard dense particles that were the most damaging.
Please, no statins.
Research Nattokinase to replace statins…
@@springerrescue2608 🤡
🤡
What about Red Rice Yeast?
Funny because they saved my life after my heart attack. People who never had a heart attack have the luxury of saying no statins
I’ve been following you for a good while. I love this new style.
Wow that was an incredible video. Thank you 👏🏼
This is so helpful! I fall into the exact scenario you mentioned. My LDL is "very high", but under 190, and my TG and HDL are normal. I had a plaque scan just for peace of mind, and there was 0 plaque. Thank you so much!!
Great to hear this, thanks for sharing Danielle!
How much is a plaque scan?
I recently had a heart attack after years of refusing statins. When they sent me for the angiogram I thought oh boy, now I’m going to get a lecture about not taking the statins. But my arteries were pristine. Not even signs of a future problem brewing, yet they still wanted me to take statins. Nobody can tell me why I had a heart attack. 🤷♀️. I’m still refusing the statins. Unsure of my decision but more unsure about taking them🤔
Did you get Covid vaccines ? I know several people that had heart attacks for no reason other than getting the Covid vaxx. I don't know but it's worth thinking about it ...
That's awesome.
Are you on carnivore diet?
How is that possible to have a heart attack but your arteries are pristine? That doesn’t make any sense
You got the mrna covid vaccine? There's your answer
@@balzoemg8415he may have had chronic inflammation with vasoconstriction. Think of a wound before it heals, highly inflamed not a lot of platelets yet to heal the wound. But the damage is still there. Elevated blood glucose levels cause damage to the arteries even if those arteries don't activate defense mechanisms in the endothelial wall. Hope this helps explain.
Excellent video. Thank you Doctor.
Thank you. Very good and beneficial information.
Last week my triglycerides were 69 and my HDL was 76. My LDL was 129. I'm very happy with my blood work and of course my doctor wants me to take a statin. 🙂 I had metabolic syndrome for almost 20 years before I went keto and low carb.
Just say NO!--From a former nurse.
You need to calculate your TC/HDL ratio and measure your blood pressure.
Isn't keto necessarily low carb? or do you mean you started with keto and then moved to low carb?
Get a new doctor. Those are great names
more important is your ldl size
Get rid of sugars and grains. Watch out for processed foods. A low carb diet will keep u on the right track. Also, do some fasting, even if u start at just 12-14 hrs (overnight). Now my 'normal' eating times fall btwn 11am and around 2-3 pm. I switch it up to a later schedule for social events, which usually means weekends, and fast 24 hrs once a week most weeks
B.
I've had great success with this
Don't forget magnesium and reduce stress.
young,sharp n honest, is veery powerful imo
Outstanding content, thank you!
Fantastic presentation, Dr. Hansen. What do I do if I want to deal with with existing plaque? Thanks.
Read about how statins stabilize "vulnerable plaque."
Excellent video... Mike.
However you didn't mention the effects of LDL cholesterol on the kidneys. Could you make a video on that? My friend said his kidney disease was caused by LDL cholesterol.
Great vid, clear explanations. 👍
Excellent information thankyou 🙏🏻
My last bloodwork showed LDL @ 176 and a Total Chol of 259. My primary doctor expressed concern and started talking about putting in a statin. But HDL was @ 68, TG @ 75, and TG:HDL @ 1.1.
I had two of my doctors tell me I must immediately go on a statin after a recent blood work up. For 10 months previously I ate no sugar little or no carbs. I ate eggs, bacon, beef and black coffee, one cup in the morning. I practiced intermittent fasting using a four hour window for 2 meals thus fasting for 20 hours. I lost 35 pounds. My triglycerides dropped from 182 to 79. My HDL went up from 47 to 51. My LDL rose from 129 to 182. My A1C went from 5.8 to down to 5.5. I got healthier! But all they could see was that my LDL was higher. Yeah, I was eating eggs and bacon! I hadn't been able to lose weight on any diet except this one. It isn't the fat, it's the sugar. By the way 15 years ago my calcium score was 3.79. My cholesterol has been high since I was 23. I'm 72 now. I don't feel I'm at risk for a heart attack especially since I lost weight and lowered my A1C. Am I wrong?
scan your heart when
it's simple
losing some excess weight is nice but is it a good maker?
cancer patients lose weight very fast, heroin addicts also lose weight extremely fast
u ain't healthy if u have plaques in your heart veins
Losing weight is not associated with heart attacks. Your diet should be balanced. The fat I. The diet contributes to vascular risks bc of the artery logging with too much saturated fat. Eat more chicken instead of bacon beef and high fat oils
dont risk your life on psudoscience man just listen to your doctors
You are Fine. Just keep doing LOW carb and NO Sugar. 😎
I love your videos, and liking your new two camera angles and your drawing :) i see you are working out too, looking more fit and lean. ❤
Great content! Thank you.
Thank you for your work. I learn more from y'all than I do from my cardiologist.
Glad to help
Despite increased HDL and decreased Triglycerides... My doctor wanted to prescribe statin just because of slight increase in LDL to 88 mg/dL and total cholesterol, I said NOOO without second thought! Anyway I've lost 10kg of weight and on intermittent fasting 16/8, avoiding processed food, focusing on whole food with low carb, high protein and good fats :)
Dr. Hansen this is so enlightening. I did speak with my Dr.regarding the statin meds and he said I still need them even though my blood tests came back good. the only thing was my Sugar level was a bit high/7. I will go again and discuss my meds with him because I feel am unnecessarily taking meds that I do not require. Thank you, Dr. I really appreciate this.
They're determined to keep you on drugs.
What a nice smart doctor... thank you.
I am blown away by the info presented in this video. It is one I will rewatch most assuredly! One question: Kaiser - my healthcare provider, includes a note on lab results that risk of HA using the CHOL/HDL bio marker - avg risk of males to be 5.0, females 4.4.
I tried statins for 2 weeks about 10 yrs ago (funny how my Dr didn’t say a word about the potential side effects) but I found out real time quickly - very scary med for me. Your video gives me a bit of hope that I can exercise better control and participate more fully in finding a path forward without a statin! Thank you!
Thank you Drew!
Please Please do a video on LDL (a) and is Niacin ok to take vs a Statin? I'm 62 yo. I had a tiny CVA 3 mo ago, no risk factors. family hx yes but they were not healthy. My LDL (a) was elevated
Thanks for giving us an eye opening education. Easy answers are never the
whole story.
Believe it or not, you got through my thick 70 year old head with this one! I vow to improve my diet (there is a _lot_ of room for improvement) and to pay attention to triglycerides. My doctors have been telling me to do that but none adequately explained why. I will also add fish oil capsules to my daily vitamins; can't hurt, might help.
I would add one thing, though: my nomination for the most important factor in reducing heart attack deaths. (Drum roll)... know what heart attack symptoms are and commit yourself _now_ to getting to an ER if any of them appear. Everybody I have known who had a heart attack when I was there said, "I don't feel good." When it comes from a middle age person I ask, "what kind of 'don't feel good'?" Several times I have had to point out those are cardiac symptoms and really should be checked out soonest. Nobody did until our manager got involved; one had bypass surgery later that day.
I have promised my wife I will not ignore cardiac symptoms and I had to honor that promise once. Fortunately, the near faint, the lump under my sternum when I was out of the faint, and especially the sudden unexplained fatigue made me bum a ride to the ER from my friend. It was ultimately narrowed down to an anxiety attack with attendant esophageal spasm. I'm not sorry I did it.
Sardines are probably going to be a cheaper and more nutritious way to get your fish oil. Costco sells them in tins and they're pretty good. You can put them on top of a big pile of dark, leafy greens with a few walnuts.
Thanks for the valuable tip.😊
@@k8eekatt I can't stand sardines, though. The rest of the stuff sounds good but not sardines.
@@flagmichael I'm glad you are listening to your body to find what's right for you.
thank you! glad I had that kind of impact! all the best to you
A 2022 systematic review (that has no external funding) found that statins lower all-cause mortality: "The risk of all-cause mortality was significantly reduced in statin users
(hazard ratio: 0.72, 95% confidence interval: 0.66-0.76)".
You can look for "Effect of Statins on All-Cause Mortality in Adults:A Systematic Review and Meta-Analysis of Propensity Score-Matched Studies".
Thanks for the great video!
Another excellent presentation 👍💯 Thank you ❤️
The atorvastatin made my feet unbearable so I stopped taking it and did intermittent fasting and did Mediterranean diet, and walked 1.5 miles a day and now my feet doesn’t have any pain.
Great video. I do wish you would have touched on Lp(a) as well. I really think more people need to be aware that this genetic risk factor exists and is NOT part of a normal blood panel. You have to ask for an advanced lipid panel to show LDL particle size and Lp(a) number.
Yes, all the cutting edge cardiology is measuring these… unfortunately I have high Lp(a)
Yes, for cholesterol you want to get a the NMR (nuclear magnetic resonance) test, which shows particle size and number. Small particle LDL is the one that is dangerous.
@@michaelhimes8778 my LPa is also very high. Thinking to start niacin and baby aspirin
thanks for sharing Darlene. I thought about it going over Lp(a) but figured maybe for another video.
Yes I agree- I had a tiny CVA no risk factors + LDL(a) was elevated. I need more education about this-