I had a calcium score of 3200 and thought I was gonna drop dead my cardiologist at the time did a stress test and said I was perfect. Thankfully he transferred and I had to see another doctor that didn’t agree with him. Did the angiogram and had 90% blockage In two arteries. Had two stents put in the right artery that day and two weeks later did a stent in the left coronary Artery and that was seven years ago
@@tomvaccariello3019 1700 CAC here back in 2019. My cardiologist @ Mayo Clinic JAX did angiogram and I had 93% occlusion in LAD. One stent and so far so good. I always kick ass on echocardiogram stress tests with high METS, so cardio respiratory system is strong and efficient. Live healthy, eat healthy, keep heart & lungs strong and hope for the best. Salud 🍻
As always, amazing video, Dr. Winge! I love when you upload I literally sit through everything ads and all. I feel like there is so much to learn from you, and that you try very hard to keep up with current studies and literature. I find myself learning a lot, each time you upload. It only makes me want to learn more. Keep up the great work you do for everyone!
I am 67 and find my CAC is also in the 59th percentile. Not panicing, that's not what I do. I ask my self, 1) what do I know? 2) what don't I know?, and 3) what do I NEED to know? Videos like this are very helpful, so thank you for that. Overall, I know now I have a process going on that IS happening. I will double down on life style changes and see how my lipid panel looks in three months.
Interesting information Doc, appreciated. I’m an Endocrinologist myself, and I’ve come to the conclusion that even an carotid ultrasound is more “precise” in determining soft-plaque (more so than CAC) - being probably the far second to an Angio+contrast.
Really appreciate this video- ICU RN for 20 some years… 5 years ago CAC score was zero, five years later it’s 28, I was shocked/mad/freaked/etc… Admittedly, I do “supplement” but subjectively very reasonable/low… the “good news” is that while my late Father was quite parallel to yours, he lived to 84 despite still smoking and the majority of his CA history was self induced with poor diet, no exercise. Thanks again.
I did mine recently & my score was 27 my doctor said that’s a low score & do one in another 5 years.He said that’s a safe score so i don’t know what you’re worried about
@@welovedogs6835The problem with the scores is that they are compounding meaning a 15% progression rate per year will mean a doubling of a score every 5 years.
I’m 35 and just recently discovered that along with the calcium score of 10 I have 30 to 40% small calcified plaques in three arteries and absolutely terrified and if you have any words of advice or positive news please do share it. I much like yourself just recently discovered and Lpa of 288nmol. I suspect it has a large part to play in my findings. Some steps I’ve taken since, quit smoking, started taking Rosuvastatin and have lowered LDL from 166 to 53. Lost weight, 111 to 96 kilos and continuing to drop weight . Triglycerides are way down and have switched to a WFPB diet. I make sure to at least walk everyday.Nonetheless I can’t get this out of my mind, I feel like a walking heart attack. I am mentally destroyed.
There are people with scores in hundreds and thousands. A 10 isn’t anything that bad. They need to stop scaring people with this test. They don’t even recommend them for under 40 unless strong family history
Keep working on getting as healthy as possible. I think most lipidologists would want to get your LDL even lower. A PCSK9 inhibitor is something to discuss with your doctor.
Thanks so much Doc, since that comment 10mg ezetimibe was added. Unfortunately insurance won’t cover the PCSK9 inhibitor, but I feel the issue is also the Doc isn’t doing a very good job of asking. Might try asking another one. I’m currently in Lisbon, Portugal but am American by birth. Avoiding the states because I’d likely be paying an arm and a leg but perhaps would be easier to get a PCSK9 approved. Just not sure .
@@AgrippaMaxentius That will help. I take ezetimibe as well. You're right, in the US PCSK9s are very expensive. I could not get the VA to prescribe one for me. You usually have to be considered "high risk", meaning you have already had a heart attack. You may have better luck in Portugal, but these drugs will probably be expensive everywhere until they go generic.
@@AgrippaMaxentius just saw this. Having your LDL at 53 is a Great Step forward. Calcium Score of 10 is not that bad and the actions you have taken make you much less likely to be a "Walking Heart Attack" Hopefully you have kept the new Lifestyle Also Rosuvastatin (Which I take myself) makes any plaque you may have have much more Stable. Just be aware that your Calcium score may go up which actually means that any plaque you had is stabilizing
Glad you’re on it. We definitely should not be burying our heads in the sand with these health issues. Thankfully we have individuals like you educating us. I’ve actually never heard of this calcium score test until I started a carnivore diet eleven months ago and my doctor became very concerned. Even though I lost fifteen lbs and look, feel better she’s definitely not a fan of a meat only diet. She recommended the calcium score test. Honestly I was a bit apprehensive because at 57 years old I was a raging sugar addict most of my life. It wasn’t until I started on TRT 10 years ago that I took a better approach on my health and diet. Anyways to my surprise I scored zero across the board. Do you think there is a hereditary connection to this? My great grandparents, and grandparents mainly succumbed to cancer or Alzheimer’s related conditions. But no coronary artery disease that I could find.
What was your apoB level? Did not hear you mention it? Ia apoB directly correlated with LDL levels? Like if LDL goes up or down does ApoB follow? Does trt make it worse? Is red yeast rice an option too?
Hi Doc, just wondering if there's anything in the pipeline for potential medicines that will actually halt and maybe even reverse plaque and also statins create more hard plaque, though more stable calcium build is bad regardless. It would be cool if you talked about future treatments. Thank you and hope you're able to to reverse you plaque it can be done :)
It's a radical approach but have you looked into the Esselthyn diet? It may be something to reserve if nothing else works. Pretty good track record of keeping people alive who had severe CVD.
What about gut health as a way to reduce arterial inflammation by reducing sugar and managing endotoxicity from bacterial overgrowth and turn over in the gut. I have heard some doctors talking about this as a reason for heart and artery disease that not many people really discuss.
@manmedicine I'm glad you are sharing your journey and being proactive. I'm turning 40 next year and I've got my eye on my heart health. My father's side has horrible heart health from all my fathers siblings. Check out Dr William Davis. He is a big proponent in the gut link to heart disease. I look forward to hearing more from you about this I find your videos very helpful and informative!
You need to go to Dr Ken Berry utube channel, he does Q and A shows in the late afternoon, I think its Friday and Monday, but it has some great infl on how to get your numbers way down, with diet. There is heart doctor who had a heart event, overwieght, etc, He got his heart healthy with his diet, and there are others, do your own research, Your Diet is very inmportant and getting toxins out of the body and getting Zero score for your inflammation and getting the gut healthy.
Thanks Doc - awesome video. Here is the $1mm question! How many people that got a "High" score and did nothing to change their lifestyle factor, in to the statistics. So a person gets a score of 500 and continues to smoke and eat garbage - they skew the statistics and CHD %. Thoughts?
great video..am 74.. Calcium Score 415... on Rosuvastatin...just ordered Panetethine...my PL buddies of note KAZ, DR Squat Fred Hatfield...we all trained in Madison, Wisconsin
@@manmedicine Hi, I am 43 and just received a cac score of 26. I had a cac of 0 10 years ago when my father died at age 65 of a heart attack. His father died of a heart attack at age 55. I am very nervous of the score of 26 at my younger age. I’m on Rosuvastatin and am working with my cardiologist. If people like me get my act together with diet and cholesterol levels and continue with statin, are we going to be okay?
So far it seems to be either neutral or slightly negative in that regard. Just had a level check and it was 40 which is not too far off from my prior baseline.
I'am 67 and still refuse the statins but I'am going to have a heart teat soon and even it the test scores bad I still refuse poisen statin drugs. I told my heart doctor he can forget asking me to take that.
How did you reverse or lowered calcium score.. I stopped my statins as I had a score of 405 .. iv had 3 stents done 2 years ago and now I’m metabolically very healthy as I do intermittent fasting and eat whole foods .. I’m taking but k2 d3 I recently did an angiogram with dye and it was good , ie no more blockage since iv done my stents 2 years ago.. iv hardly been taking any statins .. I just changed the way I eat and stopped smoking and everything reversed including fatty liver.. my blood tests are perfect now but calcium score 405 is so high
@@davehoder3713 Dave, can you share your overall approach at a high level? I am 58, overall very healthy but have a score of 423. Advanced bloodwork looks very good, nothing glaring. Am modifying diet with supplementation regime from a wellness practitioner. Appreciate anything you are willing to share. Thanks!
Don’t worry about LPa. Lifestyle eating carnivore and walking is the way to live. Don’t take the statin drugs. My CAC was 175. Went on the Linus Pauling heart therapy of vitamin C and L-Lysine and my score is going down.
You have an amusing conversational style. What are your thoughts on the CIMT test instead of the CAC scan, especially because zthe CIMT check is suppsoed to identify soft plaque? also it is non-invasive, unlike an angiogram. This wish to live an active life in the nineties-how are such desires compatible with having children? The whole point of having children is to have people succeeding youand is based on the assumption that they replace you. And what about inheriting from you? Apprently they will have to wait a very long time!. Not dying means that the world overcrowds and crowds out other species on the planet. That is exactly what is happening! There should be more thought on this. Also, will these people living into their nineties be contributing to GNP? Or will they just be living on pensions meaning at the expensie of the working population?
I just read a study stating that TRT was associated with a significant increased in non calcified plaque volume, but did not increase the coronary artery calcium score. Should TRT users be concerned?
Long story short...there are major issues with that study, including short duration, more smokers/hypertensives/diabetics in the T group, and use of 1% Androgel, which on average didn't even raise T levels above 500, among other issues. It's hard to draw any meaningful conclusions, especially with the many other studies showing benefits.
Like you my lab numbers look good but my VA doc just ordered my calcium test; I haven't seen the report yet. He says if its not zero he's putting me on a statin. I don't want to take them....
It does contribute. It makes it easier for ApoB to enter the artery wall among other things. My hsCRP levels have always been near zero, but that is something I look at closely in patients.
I think I would be a goner if I'd stuck with standard medicine. I chose the Linus Pauling Heart Protocol and 20 months later I went from a 660 CAC to 458. My next CAC I expect to be in the low 300's I'm 69 on no meds.
@@robkreiderI'll tell you why! Because it's focal vitamin C deficiency. If it weren't so I wouldn't have reversed my 660 CAC to 458 in 20 months! On the Linus Pauling Heart Protocol.
Get ldl below 50. 40 is better. Cac score of 900 as a Carnivore dieter 10 years. LdL of greater than 180 for years and years. I thought is was a joke after reading atkins and carnivore bullshit. Now on am Ornish Esselstyn diet. Doing well.
All these medicines to prevent plaque.... how about a future procedure with "destroying" it with radiotherapy-like or laser lithotripsy-like procudures!
All, an Echocardiogram and Treadmill Stress Test are USELESS. Make sure you get heart health labs and a CAC first before you exert yourself on a treadmill!!
That originally was the thought but later analysis looking at both kinds didn't show a difference unfortunately. I wish it did work...I'd take the flushing any day. www.ncbi.nlm.nih.gov/pmc/articles/PMC6481694/
I had a calcium score of 3200 and thought I was gonna drop dead my cardiologist at the time did a stress test and said I was perfect. Thankfully he transferred and I had to see another doctor that didn’t agree with him. Did the angiogram and had 90% blockage In two arteries. Had two stents put in the right artery that day and two weeks later did a stent in the left coronary Artery and that was seven years ago
@@tomvaccariello3019 1700 CAC here back in 2019. My cardiologist @ Mayo Clinic JAX did angiogram and I had 93% occlusion in LAD. One stent and so far so good. I always kick ass on echocardiogram stress tests with high METS, so cardio respiratory system is strong and efficient. Live healthy, eat healthy, keep heart & lungs strong and hope for the best. Salud 🍻
As always, amazing video, Dr. Winge! I love when you upload I literally sit through everything ads and all. I feel like there is so much to learn from you, and that you try very hard to keep up with current studies and literature. I find myself learning a lot, each time you upload. It only makes me want to learn more. Keep up the great work you do for everyone!
I am 67 and find my CAC is also in the 59th percentile. Not panicing, that's not what I do. I ask my self, 1) what do I know? 2) what don't I know?, and 3) what do I NEED to know? Videos like this are very helpful, so thank you for that. Overall, I know now I have a process going on that IS happening. I will double down on life style changes and see how my lipid panel looks in three months.
Keep it up, your content will save lives.
thank you
Extend Lives
Interesting information Doc, appreciated. I’m an Endocrinologist myself, and I’ve come to the conclusion that even an carotid ultrasound is more “precise” in determining soft-plaque (more so than CAC) - being probably the far second to an Angio+contrast.
Yes I agree
Ronin! What a precious name.
Really appreciate this video- ICU RN for 20 some years… 5 years ago CAC score was zero, five years later it’s 28, I was shocked/mad/freaked/etc… Admittedly, I do “supplement” but subjectively very reasonable/low… the “good news” is that while my late Father was quite parallel to yours, he lived to 84 despite still smoking and the majority of his CA history was self induced with poor diet, no exercise. Thanks again.
I did mine recently & my score was 27 my doctor said that’s a low score & do one in another 5 years.He said that’s a safe score so i don’t know what you’re worried about
I agree! People are being scared into taking statins! These are low scores. Nothing to freak out about
@@welovedogs6835The problem with the scores is that they are compounding meaning a 15% progression rate per year will mean a doubling of a score every 5 years.
I’m 35 and just recently discovered that along with the calcium score of 10 I have 30 to 40% small calcified plaques in three arteries and absolutely terrified and if you have any words of advice or positive news please do share it. I much like yourself just recently discovered and Lpa of 288nmol. I suspect it has a large part to play in my findings. Some steps I’ve taken since, quit smoking, started taking Rosuvastatin and have lowered LDL from 166 to 53. Lost weight, 111 to 96 kilos and continuing to drop weight . Triglycerides are way down and have switched to a WFPB diet. I make sure to at least walk everyday.Nonetheless I can’t get this out of my mind, I feel like a walking heart attack. I am mentally destroyed.
There are people with scores in hundreds and thousands. A 10 isn’t anything that bad. They need to stop scaring people with this test. They don’t even recommend them for under 40 unless strong family history
Keep working on getting as healthy as possible. I think most lipidologists would want to get your LDL even lower. A PCSK9 inhibitor is something to discuss with your doctor.
Thanks so much Doc, since that comment 10mg ezetimibe was added. Unfortunately insurance won’t cover the PCSK9 inhibitor, but I feel the issue is also the Doc isn’t doing a very good job of asking. Might try asking another one. I’m currently in Lisbon, Portugal but am American by birth. Avoiding the states because I’d likely be paying an arm and a leg but perhaps would be easier to get a PCSK9 approved. Just not sure .
@@AgrippaMaxentius That will help. I take ezetimibe as well. You're right, in the US PCSK9s are very expensive. I could not get the VA to prescribe one for me. You usually have to be considered "high risk", meaning you have already had a heart attack. You may have better luck in Portugal, but these drugs will probably be expensive everywhere until they go generic.
@@AgrippaMaxentius just saw this. Having your LDL at 53 is a Great Step forward.
Calcium Score of 10 is not that bad and the actions you have taken make you much less likely to be a "Walking Heart Attack"
Hopefully you have kept the new Lifestyle
Also Rosuvastatin (Which I take myself) makes any plaque you may have have much more Stable. Just be aware that your Calcium score may go up which actually means that any plaque you had is stabilizing
Glad you’re on it. We definitely should not be burying our heads in the sand with these health issues. Thankfully we have individuals like you educating us. I’ve actually never heard of this calcium score test until I started a carnivore diet eleven months ago and my doctor became very concerned. Even though I lost fifteen lbs and look, feel better she’s definitely not a fan of a meat only diet. She recommended the calcium score test. Honestly I was a bit apprehensive because at 57 years old I was a raging sugar addict most of my life. It wasn’t until I started on TRT 10 years ago that I took a better approach on my health and diet. Anyways to my surprise I scored zero across the board. Do you think there is a hereditary connection to this? My great grandparents, and grandparents mainly succumbed to cancer or Alzheimer’s related conditions. But no coronary artery disease that I could find.
Yes absolutely. Genes make a big difference
What was your apoB level? Did not hear you mention it? Ia apoB directly correlated with LDL levels? Like if LDL goes up or down does ApoB follow? Does trt make it worse? Is red yeast rice an option too?
It used to average about 85-90 over the past 3-4 years (never checked it before that)...but it's down to 43 now ;)
Hi Doc, just wondering if there's anything in the pipeline for potential medicines that will actually halt and maybe even reverse plaque and also statins create more hard plaque, though more stable calcium build is bad regardless. It would be cool if you talked about future treatments. Thank you and hope you're able to to reverse you plaque it can be done :)
Have you looked into vitamin K2 MK7 and Nattokinase for reversing plaque?
I take the K2 but they don't reverse plaque. They may reduce calcium but unfortunately they don't reduce established plaque
It's a radical approach but have you looked into the Esselthyn diet? It may be something to reserve if nothing else works. Pretty good track record of keeping people alive who had severe CVD.
What about gut health as a way to reduce arterial inflammation by reducing sugar and managing endotoxicity from bacterial overgrowth and turn over in the gut. I have heard some doctors talking about this as a reason for heart and artery disease that not many people really discuss.
Great point. I deliberately left that out because in my opinion, the results are not definitive, but I've definitely got my eye on this.
@manmedicine I'm glad you are sharing your journey and being proactive. I'm turning 40 next year and I've got my eye on my heart health. My father's side has horrible heart health from all my fathers siblings.
Check out Dr William Davis. He is a big proponent in the gut link to heart disease. I look forward to hearing more from you about this I find your videos very helpful and informative!
@@brentonlmoderation is key
You need to go to Dr Ken Berry utube channel, he does Q and A shows in the late afternoon, I think its Friday and Monday, but it has some great infl on how to get your numbers way down, with diet. There is heart doctor who had a heart event, overwieght, etc, He got his heart healthy with his diet, and there are others, do your own research, Your Diet is very inmportant and getting toxins out of the body and getting Zero score for your inflammation and getting the gut healthy.
Thanks Doc - awesome video. Here is the $1mm question! How many people that got a "High" score and did nothing to change their lifestyle factor, in to the statistics. So a person gets a score of 500 and continues to smoke and eat garbage - they skew the statistics and CHD %. Thoughts?
You need a CCTA with Cleerly ai analysis. CAC is not a great test.
great video..am 74.. Calcium Score 415... on Rosuvastatin...just ordered Panetethine...my PL buddies of note KAZ, DR Squat Fred Hatfield...we all trained in Madison, Wisconsin
Those guys were incredible
@@manmedicine Hi, I am 43 and just received a cac score of 26. I had a cac of 0 10 years ago when my father died at age 65 of a heart attack. His father died of a heart attack at age 55. I am very nervous of the score of 26 at my younger age. I’m on Rosuvastatin and am working with my cardiologist. If people like me get my act together with diet and cholesterol levels and continue with statin, are we going to be okay?
I’m 35 and tested with a score of 10 and am terrified… any advice do I need angiogram. I feel absolutely awful about this all
How do you feel the nandrolone is effecting your numbers? I know when on 40mg it crushed my HDL down to 31 in a few weeks.
So far it seems to be either neutral or slightly negative in that regard. Just had a level check and it was 40 which is not too far off from my prior baseline.
@mannmedicine id love a update on how your nandrolone protocol is going
I just use test and gh because I am scared of lowering my HDL for too long.
I know a guy that was on Statins drugs for decades , but still had triple bypass surgery
I see them every day.
Statins have turned into the gateway drug of the pharma industry.
I'am 67 and still refuse the statins but I'am going to have a heart teat soon and even it the test scores bad I still refuse poisen statin drugs. I told my heart doctor he can forget asking me to take that.
@@reginamay2767 Everybody Dies In The End..Just Enjoy Your Time Here.
Would you write which statins you are on? Thank you. Your videos are so helpful .
rosuvastatin 10mg plus ezetimibe 10mg plus pantethine 600mg twice a day. I'll be discussing my labs soon.
I'm 63, tested 3 years ago with 325 score. Tested a few weeks ago down to 85. No statins, hope to be zero in a couple years.
Fantastic. nice work.
How did you reverse or lowered calcium score.. I stopped my statins as I had a score of 405 .. iv had 3 stents done 2 years ago and now I’m metabolically very healthy as I do intermittent fasting and eat whole foods .. I’m taking but k2 d3 I recently did an angiogram with dye and it was good , ie no more blockage since iv done my stents 2 years ago.. iv hardly been taking any statins .. I just changed the way I eat and stopped smoking and everything reversed including fatty liver.. my blood tests are perfect now but calcium score 405 is so high
What’s your secret, my MD says I have calcification around one of my heart valves. It’s got me worried.
Hi see my reply to @cpchris2
@@davesmart6240
@@davehoder3713 Dave, can you share your overall approach at a high level? I am 58, overall very healthy but have a score of 423. Advanced bloodwork looks very good, nothing glaring. Am modifying diet with supplementation regime from a wellness practitioner. Appreciate anything you are willing to share. Thanks!
You look excellent for nearing 50 man
thanks... I'm trying!
Don’t worry about LPa. Lifestyle eating carnivore and walking is the way to live. Don’t take the statin drugs. My CAC was 175. Went on the Linus Pauling heart therapy of vitamin C and L-Lysine and my score is going down.
You have an amusing conversational style. What are your thoughts on the CIMT test instead of the CAC scan, especially because zthe CIMT check is suppsoed to identify soft plaque? also it is non-invasive, unlike an angiogram.
This wish to live an active life in the nineties-how are such desires compatible with having children? The whole point of having children is to have people succeeding youand is based on the assumption that they replace you. And what about inheriting from you? Apprently they will have to wait a very long time!. Not dying means that the world overcrowds and crowds out other species on the planet. That is exactly what is happening! There should be more thought on this. Also, will these people living into their nineties be contributing to GNP? Or will they just be living on pensions meaning at the expensie of the working population?
I just read a study stating that TRT was associated with a significant increased in non calcified plaque volume, but did not increase the coronary artery calcium score. Should TRT users be concerned?
Long story short...there are major issues with that study, including short duration, more smokers/hypertensives/diabetics in the T group, and use of 1% Androgel, which on average didn't even raise T levels above 500, among other issues. It's hard to draw any meaningful conclusions, especially with the many other studies showing benefits.
@@manmedicine Would test cyp be safer on the cardiovascular system than compounded TRT cream?
How can I convince my doc to treat me based on a 30yr window instead of 10?
great content thank you
BP of 120's over 80's is not good. 110-115 over 65-70 is much better and is common on a keto diet
Like you my lab numbers look good but my VA doc just ordered my calcium test; I haven't seen the report yet. He says if its not zero he's putting me on a statin. I don't want to take them....
Fortunately, you've got a number of other options if you don't do well on statins.
Interesting stuff. Quite a lot of assumed knowledge so couldn't always keep up, but interesting nonetheless
It seems you focus too much on drugs to fix yourself. What about diet, herbs, spices? Nice Video. Thank you.
Maybe you are getting there but doesn’t inflammation contribute greatly to plaque in the arteries?
It does contribute. It makes it easier for ApoB to enter the artery wall among other things. My hsCRP levels have always been near zero, but that is something I look at closely in patients.
Checkout concentrated K vitamin K supplement.
I take 200 mcg daily
EXPENSIVE AND SIDE EFFECTS WE DON'T FIND OUT ABOUT.
Is your score really that high compared to those of us at 400 or greater? You make it seem like we are goners, feels that way...
Any score above zero is high. Calcified plaque is advanced plaque. Any non-zero score should be taken seriously.
I think I would be a goner if I'd stuck with standard medicine. I chose the Linus Pauling Heart Protocol and 20 months later I went from a 660 CAC to 458. My next CAC I expect to be in the low 300's I'm 69 on no meds.
Plenty of Ultra Marathoners have high Calcium Scores
Yeah you're absolutely right. Higher than the general population.
Truth…question is why ?
@@robkreiderI'll tell you why! Because it's focal vitamin C deficiency. If it weren't so I wouldn't have reversed my 660 CAC to 458 in 20 months! On the Linus Pauling Heart Protocol.
Carb loading is a common strategy used by endurance athletes.
why so low resolution? I can't even read what you are posting
UA-cam takes a while to process it into higher res. Give it a few minutes
36:00 lmao
50% of MIs happen in people with a normal range LDL
Which means the "normal" you've been taught is too high.
Bad teeth was a major cause of death
Get ldl below 50. 40 is better. Cac score of 900 as a Carnivore dieter 10 years. LdL of greater than 180 for years and years. I thought is was a joke after reading atkins and carnivore bullshit. Now on am Ornish Esselstyn diet. Doing well.
Glad to hear you're doing well. You're doing the right thing.
All these medicines to prevent plaque.... how about a future procedure with "destroying" it with radiotherapy-like or laser lithotripsy-like procudures!
Maybe one day! I'm waiting for them to perfect the roto-rooter lol
All, an Echocardiogram and Treadmill Stress Test are USELESS. Make sure you get heart health labs and a CAC first before you exert yourself on a treadmill!!
I thought it was the non flush niacin that research was done on, the niacin that gives the the flush is still of benefit 🤷 get back on the flush bro
That originally was the thought but later analysis looking at both kinds didn't show a difference unfortunately. I wish it did work...I'd take the flushing any day.
www.ncbi.nlm.nih.gov/pmc/articles/PMC6481694/
Ask yourself, how much visceral fat do you have?
I asked and the response was "very little". I have single-digit body fat percentage.