Thanks doc for the real good information. Unfortunately, regular cardiologists never even mention fish oil in treatment protocol after my 3rd heart attack with stenting.
That’s interesting. I started taking a high-EPA fish oil by NutraSea that is 2g per teaspoon (1500 mg EPA, 500 mg DHA) and it really seems to help me with inflammation. Full price is around $80 for a big (500 ml) bottle of the liquid though.
😢 it's amazing how this EPA lowering blood-triglyceride exists still...i took 3300mg Omega-3 from Norwegian fishoil and my blood -triglyceride shot up from 165 to 530 in 6months. Switching to Krill oil for only one month, it came down to 135. Many fishoil brands now have on their labels that EPA+DHA in TG-form...can you guess why?😅
I’ve been taking a Norwegian fish oil twice a day for at least a couple of decades. It also brightens my mood. My cholesterol & triglycerides are excellent, but I think that is my genetics. No matter what the studies say, I will continue to take my fish oil.
DHA is beneficial for other things such as brain health I believe. I've been taking a high-potency over the counter fish oil for years which contains a good bit of both. Hopefully it's providing some reduction in risk but who knows
@@bartrobinson2103 oh, yea, I'm not saying it has no benefit. Rather I'm saying in most cardiovascular type trials/studies they either haven't studied it or it didn't seem to work as well. I've not actually looked at the mental effects much. I imagine there are pleiotropic benefits. From the fact the brain is composed of a lot of FAs to it possibly reducing atherosclerotic plaque in the brain. Probably BDNF and some other things it helps as well such as resolvins and protectins as well but as I'm only 42 I've been more interested in surviving that 40 to 50 CVD death that seems to spike vs dementia and mental decline 30 years from now. Not that they're not important but I also feel that what I do to maintain cardio and metabolic health will have some carry over. I'll be at 1 year of fairly strict IF/OMAD/lose carb and need to get my blood work done to see if it's improving markers (the real ones, not "basic LDL")
@@TebTengri I've been Keto and IF for 2 years. I had blood work done about 1 1/2 years ago and my cholesterol went up but my triglycerides and CRP went down. I do supplement with fish oil among other things. I feel 20 years younger. That is, I'm sure, partly due to losing 50 lbs. I have read good things about vitamin K2 in reducing arterial plaque.
Too bad we don't have results with EPA only fish oil and no statins in the picture. It feels like this study was paid for by statins companies and they mixed in EPA fish oil to get the good results. Talk about blurring the picture. That is not directed at the good Dr Ritter of course. I'm thankful to him for showing us his interest in EPA fish oil anyway.
Sardines are good source of omega 3, protein, but high in sodium. It seems the most desired supplements is made with sardines and anchovies, apparently the smaller fish oils contain less mercery.
You should get Sardines in Spring water only and check that the list of ingredients is stated as just Sardines in Spring water, with absolutely no added salt. If you are able to get fresh Sardines or frozen Sardines, then you can grill them with some fresh lemons and a little herbs and spices of your choice.
I was prescribed Vascepa after having a stent placed in a main coronary artery. It caused my heart to skip beats. At the time this was not a listed side effect. Notified manufacturer and it 's now listed as a side effect. Happened after only taking 2 capsules.
Fish oils, seafoods, flax, chia, hemp seeds all throw my heart into tachycardia and arrhythmia. My Cardiologist completely denies this has anything to do with my condition. I am on cartia 360mgs per day because I cannot tolerate beta blockers. Have you come across any studies with others that have this issue?
Thanks Dr CardioGauge for your videos 👍. Let me, please one question -3MIs, last with Stent, had a dozen of cardiologists, NOT by my choice, but none of them never recommended 🐠 fish oil.
Great discussion Doc! And good to see you again. Even though my triglycerides are perfect on low-dose Crestor and a calcium score of 505 years ago I'm trying to convince my doctor to prescribe the fish oil for me. I'm lucky to have an excellent prescription drug plan and would only be about twenty bucks for a three-month home delivery. But I have a feeling the insurance might deny it.
I'm 74yo with 63 Triglycerides, my best ever. Maybe because of Rosuvastatin 10 mg nightly. My summer lipid panel is my best in 15 years (all in the healthy zone). I've been on 90% Keto food since Jan 2017 and still feeling great. But the bad news is my calcium scan score of 1300 one year ago this month. A few months later I easily passed a stress test. (Which proves absolutely nothing about your blood flow restriction until it reaches 70%). My PCD prescribed fish oil, (1,000mg) a few years ago, which I purchased myself. But, since I don't like it much, I've been taking 1,000mg sometimes and sometimes 500mg when I don't notices the tiny fine print says "1,000 mg in two servings". I'm going to read these studies and then ask my doctor about getting another scan score, and if there is no improvement, I'll ask her about VASCEPA instead of OTC fish oil.. (2 g of icosapent ethyl twice daily). Heck, I might reach 80 if I start taking fish oil seriously.
@@lpg12338 Still kicking. Have somehow avoided covid so far. I have had all the symptoms of Omicron twice now. Once in December and for the last 2 weeks. My wife and I are both sick this time. It's a horribly bad cold! Both tested negative for covid, I also tested Negative for 2 types of influenzas. When I start to feel better, I plan to get another calcium scan, to see it's any better, worse, or maybe stable. Never figured I would see 76, but here I am.
@@XRinger I am glad to hear that you are doing well. If you are interested, please take a look at NAC - N-Acetylcysteine Thorne is my preferred brand. Most people take 1 capsule in the morning and 1 capsule at night, at least 30 mins before you eat or 2 hours after you eat Monday - Friday. It really helps to improve overall lung function.
Take 3gm fish oil omega 3 + 80mg Atorevastatin. Ttl cholesterol 109, LDL 43.. But HDL(Good) 39. With very low total cholesterol, would HDL be ok in 30s ?
If you take statins, they will low your cholesterol very well, but with side effects later. Statins = poison ☠️ So … or statins or natural supplements!
Old veg -indians never had heart attacks ,,all here donot have that much science about omega 3 , cholesterol ,statins ,,,which is going to work who had real data or biased funded data ??? The only think you can do 14 -16 hr fasting daily and some long walk ,,,,body eats body self eating it will work ,,,
Since dose response varies so much with omega 3s, I had them measured via a finger stick mail in blood test from omegaquant. Checkout the Bill Harris interview on Peter Attia's youtube channel for all about omega3,6 and more much much more.
I'm no doc, but neither of these fat sources contain EPA, or if they do, it's in very small amounts. Coconut oil in particular has very high levels of saturated fat and would be counterproductive.
I still feel like the science for omega 3 is not very solid. However, just in case, I have been taking algae oil to increase my omega 3 levels (blood tests confirm that it is working well for me). It contains both DHA and EPA.
I was on steroids for another reason and when I rode my bicycle very hard for 50 miles --- I was unbeatable and had no pain. I was riding up/down marginal grade hills and my spinning speed was almost a steady 18 miles per hour --- where without the steroids it was around 14 to 16 mph. After being taken off of steroids -- I felt like dying on my rides so I had to slow the amount of energy expended in my muscles. After a year of trying over the counter supplements to take the place of the steroids such as coq10 at 30mg 3x a day -- I wasn't making much headway in speed so I ran across the Hi Performance coq10 called Ubiquinol and found it definitively would replace the steroids so for the first year I took 100mg/day and usually that meant 4 days/week. That''s how many times/week I rode my route and that meant a 50 miler once per week. I found I was going faster but not as fast as I thought I could so I upped my dose to 200mg 4x/week and since that really worked out I went to 300mg/day and did that for 3 months until finally my heart started hurting each time I took the Ubiquinol 300mg until I finally was declared to be having a heart attack by the Paramedics and was taken to the Heart Institute and had 3 stints put into my LAD and the pain was no more and I felt refreshed to life....The doctor said I had suffered very, very little damage to the inside heart wall and the rest was good to go so within the month I was back on the bicycle doing 50 milers -- with no pain -- but, back to an hour and half one way in the first 18.5 miles at the lower 14 mph speed. I had suffered a LAD tear and the Ubiquinol definately fixed it -- but, all too well and built up the calcium plaque to the point of clogging my up - so I take ONLY EPA fish oils now with no pain so far and I take No coq10 either since now I know that stuff really dose fix your arteries and heart....more than needed in my opinion.
Hopefully your next video will explore quality cod liver oil.
I appreciate you saying right up front what kind of doctor you are. Everybody on youtube is a doctor and usually don't say or hide what kind they are.
Thanks doc for the real good information. Unfortunately, regular cardiologists never even mention fish oil in treatment protocol after my 3rd heart attack with stenting.
Because it is food. Doctors have no clue about food
I really appreciate that you take the time to educate the public.
Educate.the.public?.This.guy.is.a.statin.dealer!!!Stay.away.from.him.
Very good information sir,
I just ordered the product that you have just recommended .Thank you.
Thanks for sharing. Question: how does your treatment change if the patient is on a ketogenic diet?
What about DHA? I thought that was the most important Omega 3?
That’s interesting. I started taking a high-EPA fish oil by NutraSea that is 2g per teaspoon (1500 mg EPA, 500 mg DHA) and it really seems to help me with inflammation. Full price is around $80 for a big (500 ml) bottle of the liquid though.
Thanks for good info. Was it on line?
@@lubasulpovar5081 It’s NutraSea high EPA formula. And also CanPrev 5:1 EPA:DHA formula. You can find them online for sure.
Thank you Peter so much for sharing your EPA supplement. I will buy NutraSea for sure.
True. Get the omega 3 fish oils in bulk for 6 month. It's costly on month by month..it works
😢 it's amazing how this EPA lowering blood-triglyceride exists still...i took 3300mg Omega-3 from Norwegian fishoil and my blood -triglyceride shot up from 165 to 530 in 6months. Switching to Krill oil for only one month, it came down to 135.
Many fishoil brands now have on their labels that EPA+DHA in TG-form...can you guess why?😅
Thanks Doctor Ritter. Good to know some of the measures I take, including exercises, 18-6 IF (primarilydiscussion
Organic Cod Liver oil from Norway 1 teaspoon each day 1100 mg omega 3 has helped me.
I’ve been taking a Norwegian fish oil twice a day for at least a couple of decades. It also brightens my mood. My cholesterol & triglycerides are excellent, but I think that is my genetics. No matter what the studies say, I will continue to take my fish oil.
Will you address why you’re not including DHA in your next video?
Could you get rid of the statin and substitute with K2 ? Why EPA only? What is wrong with DHA?
Usually DHA doesn't show as much effect or none. There are Rx fish oil ethyl esters that are EPA and DHA - Omacor.
DHA is beneficial for other things such as brain health I believe. I've been taking a high-potency over the counter fish oil for years which contains a good bit of both. Hopefully it's providing some reduction in risk but who knows
@@bartrobinson2103 oh, yea, I'm not saying it has no benefit. Rather I'm saying in most cardiovascular type trials/studies they either haven't studied it or it didn't seem to work as well.
I've not actually looked at the mental effects much. I imagine there are pleiotropic benefits. From the fact the brain is composed of a lot of FAs to it possibly reducing atherosclerotic plaque in the brain. Probably BDNF and some other things it helps as well such as resolvins and protectins as well but as I'm only 42 I've been more interested in surviving that 40 to 50 CVD death that seems to spike vs dementia and mental decline 30 years from now.
Not that they're not important but I also feel that what I do to maintain cardio and metabolic health will have some carry over. I'll be at 1 year of fairly strict IF/OMAD/lose carb and need to get my blood work done to see if it's improving markers (the real ones, not "basic LDL")
@@TebTengri I've been Keto and IF for 2 years. I had blood work done about 1 1/2 years ago and my cholesterol went up but my triglycerides and CRP went down. I do supplement with fish oil among other things. I feel 20 years younger. That is, I'm sure, partly due to losing 50 lbs. I have read good things about vitamin K2 in reducing arterial plaque.
Too bad we don't have results with EPA only fish oil and no statins in the picture. It feels like this study was paid for by statins companies and they mixed in EPA fish oil to get the good results. Talk about blurring the picture. That is not directed at the good Dr Ritter of course. I'm thankful to him for showing us his interest in EPA fish oil anyway.
Carlson's makes great fish oil supplements! I love their liquid in Lemon flavor.
Carlson makes excellent products!
Thanks for the name drop, most of my supplements are from Thorne, but I will give Carlson a look. 👍
I agree. Carlson's Fish Oil is a high-quality oil, and they meticulous about removing any impurities too.
What about sardines or multiple cans of sardines daily.
Sardines are good source of omega 3, protein, but high in sodium. It seems the most desired supplements is made with sardines and anchovies, apparently the smaller fish oils contain less mercery.
You should get Sardines in Spring water only and check that the list of ingredients is stated as just Sardines in Spring water, with absolutely no added salt.
If you are able to get fresh Sardines or frozen Sardines, then you can grill them with some fresh lemons and a little herbs and spices of your choice.
Good stuff doc. Does it matter if it’s plant based omega 3 ?
I was prescribed Vascepa after having a stent placed in a main coronary artery. It caused my heart to skip beats. At the time this was not a listed side effect. Notified manufacturer and it 's now listed as a side effect. Happened after only taking 2 capsules.
In your opinion is it possible to lower a coronary calcium scan score ?
Fish oils, seafoods, flax, chia, hemp seeds all throw my heart into tachycardia and arrhythmia. My Cardiologist completely denies this has anything to do with my condition. I am on cartia 360mgs per day because I cannot tolerate beta blockers. Have you come across any studies with others that have this issue?
Just eat salmon
Between price and eating fish that often....bit hard for me to stomach long term
@@TebTengri hey there Teb! and I agree 100%
Wondering why the cross sectional view shows way way more than 9% shrinkage of plaque. Did they just cherry-pick the best example?
Thanks Dr CardioGauge for your videos 👍. Let me, please one question -3MIs, last with Stent, had a dozen of cardiologists, NOT by my choice, but none of them never recommended 🐠 fish oil.
Cod Liver Oil, just saying.
The challenge with OTC fish oil is so much of is is bad, bogus and rancid.
Can you guide for High triglycerides please , mine is 500 without medicine
About 80% of all fish oil around the world is already rancid by the time you Buy it. You need to eat fresh fish .
Take 8 grams/day
Can u suggest how much EPA + DHA is enough for a day bcoz my mother is taking algae oil EPA + DHA of 200mg
Great discussion Doc! And good to see you again. Even though my triglycerides are perfect on low-dose Crestor and a calcium score of 505 years ago I'm trying to convince my doctor to prescribe the fish oil for me. I'm lucky to have an excellent prescription drug plan and would only be about twenty bucks for a three-month home delivery. But I have a feeling the insurance might deny it.
I'm 74yo with 63 Triglycerides, my best ever. Maybe because of Rosuvastatin 10 mg nightly. My summer lipid panel is my best in 15 years (all in the healthy zone). I've been on 90% Keto food since Jan 2017 and still feeling great. But the bad news is my calcium scan score of 1300 one year ago this month. A few months later I easily passed a stress test. (Which proves absolutely nothing about your blood flow restriction until it reaches 70%).
My PCD prescribed fish oil, (1,000mg) a few years ago, which I purchased myself. But, since I don't like it much, I've been taking 1,000mg sometimes and sometimes 500mg when I don't notices the tiny fine print says "1,000 mg in two servings".
I'm going to read these studies and then ask my doctor about getting another scan score, and if there is no improvement, I'll ask her about VASCEPA instead of OTC fish oil.. (2 g of icosapent ethyl twice daily). Heck, I might reach 80 if I start taking fish oil seriously.
How long ago your cac score was 505? And how much it is latest?
@@XRinger Any update on your health?
@@lpg12338 Still kicking. Have somehow avoided covid so far. I have had all the symptoms of Omicron twice now. Once in December and for the last 2 weeks. My wife and I are both sick this time. It's a horribly bad cold! Both tested negative for covid, I also tested Negative for 2 types of influenzas. When I start to feel better, I plan to get another calcium scan, to see it's any better, worse, or maybe stable. Never figured I would see 76, but here I am.
@@XRinger I am glad to hear that you are doing well. If you are interested, please take a look at NAC - N-Acetylcysteine Thorne is my preferred brand. Most people take 1 capsule in the morning and 1 capsule at night, at least 30 mins before you eat or 2 hours after you eat Monday - Friday. It really helps to improve overall lung function.
statins are horrible for hormones and many other functions of the body.
I take Krill oil
Take 3gm fish oil omega 3 + 80mg Atorevastatin. Ttl cholesterol 109, LDL 43..
But HDL(Good) 39.
With very low total cholesterol, would HDL be ok in 30s ?
If you take statins, they will low your cholesterol very well, but with side effects later. Statins = poison ☠️
So … or statins or natural supplements!
Great LDL! I'd consult my cardiologist about your numbers. I know that maintaining low LDL is much more important than high HDL.
Old veg -indians never had heart attacks ,,all here donot have that much science about omega 3 , cholesterol ,statins ,,,which is going to work who had real data or biased funded data ??? The only think you can do 14 -16 hr fasting daily and some long walk ,,,,body eats body self eating it will work ,,,
Yes, fasting and walking are free and are very good for your health.
Since dose response varies so much with omega 3s, I had them measured via a finger stick mail in blood test from omegaquant. Checkout the Bill Harris interview on Peter Attia's youtube channel for all about omega3,6 and more much much more.
Why bother doing this video? Waste of time.
Then go watch another Channel
GoodRX kists generic Vascepa at $85
They should study niacin ✔
I never seen this kind of Genuine Cardiologist.🙏 Perhaps all other doctors prescribing only allopathic statins!!
How would avocado and coconut oil work compared to fish oil?
I'm no doc, but neither of these fat sources contain EPA, or if they do, it's in very small amounts. Coconut oil in particular has very high levels of saturated fat and would be counterproductive.
I still feel like the science for omega 3 is not very solid. However, just in case, I have been taking algae oil to increase my omega 3 levels (blood tests confirm that it is working well for me). It contains both DHA and EPA.
Omega 3 ?
Not sure so much about fish oil! Study shown it caused problems of build up a fat in livers in rats!
I was on steroids for another reason and when I rode my bicycle very hard for 50 miles --- I was unbeatable and had no pain. I was riding up/down marginal grade hills and my spinning speed was almost a steady 18 miles per hour --- where without the steroids it was around 14 to 16 mph. After being taken off of steroids -- I felt like dying on my rides so I had to slow the amount of energy expended in my muscles. After a year of trying over the counter supplements to take the place of the steroids such as coq10 at 30mg 3x a day -- I wasn't making much headway in speed so I ran across the Hi Performance coq10 called Ubiquinol and found it definitively would replace the steroids so for the first year I took 100mg/day and usually that meant 4 days/week. That''s how many times/week I rode my route and that meant a 50 miler once per week. I found I was going faster but not as fast as I thought I could so I upped my dose to 200mg 4x/week and since that really worked out I went to 300mg/day and did that for 3 months until finally my heart started hurting each time I took the Ubiquinol 300mg until I finally was declared to be having a heart attack by the Paramedics and was taken to the Heart Institute and had 3 stints put into my LAD and the pain was no more and I felt refreshed to life....The doctor said I had suffered very, very little damage to the inside heart wall and the rest was good to go so within the month I was back on the bicycle doing 50 milers -- with no pain -- but, back to an hour and half one way in the first 18.5 miles at the lower 14 mph speed. I had suffered a LAD tear and the Ubiquinol definately fixed it -- but, all too well and built up the calcium plaque to the point of clogging my up - so I take ONLY EPA fish oils now with no pain so far and I take No coq10 either since now I know that stuff really dose fix your arteries and heart....more than needed in my opinion.