5 years ago I was about to leave my Doctor's surgery, I was using a walking stick and was in pain, my back knees, and hips, "Would you like some pain killers" the doctor asked, I said No I am first going to find out the course of the pain that would make more sense. I think he was a little upset. I went to the internet (a dangerous place for advice) and Checked out some of the so-called doctor's qualifications, a lot were not even doctors. I got it down to 5 trusted sites, I am now on an almost zero carbohydrate/Carnivore/Keto Diet. For three years I have been in a state of ketosis, I have NO joint pain and feel healthier than I have done for years, This is thanks to you and a lot of other doctors who talk real sense. I am 82 years old and walk my dog a couple of hours a day and I can enjoy what folk call my golden years because of you and like-minded doctors.
A man lost his car key in his backyard one night and solicited help from his neighbors to help him find them. A short time later, he saw that all his neighbors where gathered out in the front yard searching under the street light. The man called out to asked them why were they out front (when the key was lost in the backyard)? They said the light was better out front. That's the story of statins.
Thank you, I have been working on my inflammation since April 2024. I’m now carnivore and have noticed a big difference in my aches and pains, no big weight loss yet, but my joints feel so much better.
Went keto/carnivore in 2020 at age 57. In months, I had lost 50 lbs, dropped ALL pharma, no more joint pain or gut problems. My HDL and LDL are high and triglycerides are low. My former doctor and I “fired” each other at the same visit. I will never even consider going back on statins. Focus on reducing systemic inflammation, it works. My bride has found this as well and is now counseling her daughter as she also drops undesired weight.
My MD, in spite of successfully dropping 80# in 5 months, increasing lean muscle mass AND doing so without stretch marks all by treating my carb addiction as the addiction it truly is ... she was very concerned about my increased LDL and ApoB. I pointed out that at my heaviest that my Triglicerides were 133 and HDL was only 33, and those numbers moved to 90 triglyceride and 60 HDL and the gastroenterologist indicated that the fibro-scan showed a full resolution of the hepatic steatosis. I'm going to have to set up a virtual appointment, or book a flight out to Florida for a thorough workup with you. Great work as usual. I love your ability to cut through the crap
I too lost 52 pounds in 7 months and increase lean muscle mass. My HDL was 64 with triglycerides over 200. Once I quit sugar, carbs and started intermittent and prolonged fasting my latest blood work had HDL of 113 with triglycerides of 44. My LDL was 131 and my PCP said he wants to lower it. Nope, not going to take a statin. I'm 62 now and hope I didn't start too late.
@ayo9057 I don't get that sense from mine. My gut feeling from her demeanor was that she had a sense of genuine concern. She was ecstatic about the weight loss and reversal of fatty liver.
This was a BRILLIANT discussion about the real cause of atherosclerosis-INFLAMMATION, not LDL-C or ApoB100 levels. I sure hope that lipidologist, Thomas Dayspring, takes a look at this video; he might learn something!
My 66 year old (always lean) husband had a major heart attack last year. Nonsmoker, nondiabetic, and moderate drinker. He always had extremely high triglycerides. He's now strict low carb.
I think there are lots of pointers on how to reduce high triglycerides on the Internet, like Mayo Clinic or the Cleveland clinic etc.etc. Go, Keto !! Triglycerides are not as confusing to reduce as cholesterol/ LDL. Basically, eat less carbohydrates, so straightforward !! Because with high cholesterol or LDL , you have to take statins. There are various brands. But find the brand that suits you with the least side-effects, etc.etc . With the correct dosage, with no side effects, it even lowers Apo-B as this Doc in this video is going on about.
I see my cardiologist next week and am prepared to point out that I have 5 years empirical experience that eating Keto/Carnivore has radically reduced my inflammation and that putting carbs back for 3 months caused the re-occurrence of significant inflammation. He first prescribed a statin a year ago which I declined to take. Then he prescribed a drug that is not a statin but supposedly does the same thing. (I forget the name) Anyhow I took one tablet and got bad muscle aches for two days.I looked it up and that is a common side effect - so stopped it. I cannot do the work I need to do at the end of my life if I am made sick by a drug. It is irrelevant to me if not taking statins shortens my life. I am guided by the principle from one of the wisdom sayings from the Jewish Mishnah - You don't have to finish, but you are not allowed to stop. I am not going to stop or let anything unnecessary get in my way - period. If he is willing to work with me then perhaps he can help, but if it is just more protocol driven medicine then I am on my own. Nothing wrong with that - we have been for millions of years.
😍 "You don't have to finish, but you are not allowed to stop". Same experience w/ PCP insisting on Statin and even lowering parameters b/c CAC 131 & plaque. Sent her FDA side effects via patient portal, thus protecting her from protocol-driven obligation. Seemed to stop her from pressuring me (and spouse) and enable her to remain a collaborative advocate on other issues. Likewise, an oncology consultant was obligated to mention all chemo options but able to point to research that found no efficacy for my "stage". Appreciated her saying that some patients want to take and do everything available, so she has to include it in options. I know one such patient who opted for an extra round and now lives with excruciation side effect of neuropathic pain. SMDH
Great reference! It’s one of those quotations that can be taken in so many different contexts. In this case, being responsible for our own health. Sometimes, meds prescribed MAY improve one aspect, but ultimately be worse. WE make the decision on whether the sacrifice is worth it. We can’t stop caring for ourselves.
I learned so much from you because you explain technical medical stuff and link it to everyday things so we can grasp it. Thank you so much for all your videos!!!
Excellent video and insights, so I think I understand the mechanism now, too much carbs/sugar in the diet causes inflammation, which causes arterial (and other) damage, which causes an LDL response which causes arterial plaque to build up? So the "fix" is to correct the diet and restrict carbs and sugar?
Thanks. Great vid. Well done. Easy to understand and helps me understand the Statin/LDL thing much better. My wife and I are not pill takers, both in our later 70's, not addicted to carbs, and not overweight, both of us have a BMI of 20-21. Your vids are a great help to us, keep up the good work!!
Dr Cywes.. I just discovered your channel and you do an excellent job in explaining things. Being a 67 year old male and in remission for prostate cancer I decided to go carnivore lifestyle. I'm down 30 pounds and BMI from 31 to 27. Cutting the carbs and sugars is a daily struggle for me. I have a upcoming blood lab for my yearly physical and have already told my Dr if my cholesterol or fasting glucose is out of whack, not to go into panic mode. Will see what happens. Best Duane
excellent video again, many thanks dr. Rob! My blood work numbers reflect all what you´re explaining here. l´m on a keto, low carb diet for 4+ years now, my BMI is 21, and my LDL is over the roof 275, TC 360, which is giving a heart attack to my doc, and she keeps pushing me on a statin. But my HDL is 93 and TAG 84. BP is slightly less than normal 120/80. Therefoere, all your videos keep me in a positive way of thinking, and l don ´t freak out on my high LDL numbers any more.
Looking forward to the next vid in the series, as my PCP has threatened me with an Apo A test to buoy his case for me to drop LCHF. Triglycerides down to 98, HDL up to 71 (from 50!), and LDL holding steady at 242 the last six months. CAC score of 11.
I have been diagnosed with FH, high LDL, ApoB, small dense LDL and high LP (a). My triglycerides, HDL, A1C , homocysteine and hsCRP levels are all good. I also had a zero CAC scan and have been practicing intermittent fasting for years and restrict carbs and sugar in my diet. I am under the care of at three doctors as I am trying to make sense of all this. My functional medicine doctor believes that I am low risk but my primary care doc absolutely wants me on a statin. I am a post menopausal woman and weary of taking these drugs. I know all about absolute vs relative risk. I also know that with women of my age that statins do not have great efficacy compared to men. I am going to have a stress test and lifeline screening in a few weeks (i.e. carotid, PAD, Abdominal Aortic Aneurysm and A-fib testing). I am working with an Integrative Cardiologist now that is at least willing to work with me and order advanced testing. I recently had a Boston Heart test performed and it showed that I am not producing too much cholesterol but absorbing too much. I'm hoping this new doctor will be willing to order a Cleerly CCTA test as this seems to be the best measure of soft plaque and atherosclerosis. It's just maddening to me that I have to see multiple doctors just to order the proper tests. We wouldn't prescribe chemo for people who have not been diagnosed with cancer yet we can't get proper testing for heart disease. It's crazy to put someone on a lifetime drug therapy for a disease that is not properly diagnosed and with an unproven treatment.
It has been suggested that I have FH. I cannot have it because I developed high LDL only after going low carb, whereas someone with FH will have it from birth on any diet. Is this what happened to you? Only a minority of people with FU will have health issues due to having it. This group have problems due to a second associated genetic abnormality that increases blood clotting. If you don’t have this, chances are you don’t, then you are no more at risk than anyone else. Dr Paul Mason has a video about this. Ask your doctor. Here is a study about it www.ncbi.nlm.nih.gov/pmc/articles/PMC9409002/
A blood test of the same Lipid Panel Tests should not be expensive. Get at least one every 3 months. There are many brands of statins that do not have the same miserable side effects as Lipitol. Try different brand. Good Luck. They reduce overall your Cholesterol or LDL and therefore your APO-B level is also reduced. Don't eat too much. You shouldn't be overweight. You just need to exercise moderately.
Great, great analogy! 👏👏 Turning off the fire alarm does NOT address the fire! #Cause/Effect Address the cause not reduce/hide the effect. Bravo Dr Cywes!!
Do you still have to take another statin? The reason is that your chances of CVD went down after quitting Lipitor. Congratulations, no drugs for the rest of your life 🎉😅...
Thanks for this information and explanation, it helps me greatly. I was concerned because my doctor ordered an ApoB test for me last month (June) for the first time and it was 177. He will try to convince me to resume my statin medication that I quit two years ago. My metabolic health is good for my age of 64. Been on low carb/sugar with intermittent fasting for three years and was able to lose 50 pounds (I weigh the same as I did at age 20) and toss my blood pressure meds. My blood pressure today was 108/60, which is my new norm. Total Cholesterol is 304, HDL 95, LDL 189, Triglycerides 90 and CRP is 0.02. A1C is 5.1 and Glucose is 85. I had a CAC test two years ago and it was 32. I don't think I'll resume the statins. Thank you again for the thorough explanation.
yess..perfect explanation...Got LDL around 300 since 4 years, Low Carb. and autophagy. You say `they dont `get it`,` actually some get it but paid, some dont care, some dont have capability so service what is provided to them without thinking or anlayzing.
Two things come to mind from my 30 years as part of support for one of the world's largest computer networks. Correlation is not causation. Statisticians are the only people in the world that can drown in a pool of water with average depth of two inches. Our bodies contain numerous systems, they are designed to work together, and they affect each other. Focus on changing one, can affect others. Not every body is the same as all the others. Kidney disease can have a significant impact on what goes on in cardiac arteries. Vast majority of dialysis patients die of CVD. Dialysis changes the balance of blood composition, like viatmin K2 and D3. Perhaps a major reason why dialysis patients are frequently given injections of K2.
Thank you for your podcasts i am carb addicted. Trying to limit them we dont have many low carb docs in aus. So its read up and try and keep inflammation as low as possible❤reg jill
So I've had somewhat elevated cholesterol levels for about 12 years....been on lowcarb for about as long or longer....last time my Doctor said consider medication.I said order me a cardiac ct scan with a calcium score. My score ended up being zero I said i've considered and no thanks lol
Total 250-280 since my 20's... Ldl 150-180, hdl 40-55, triglycerides 50-100... Now i am 54 with 6 stents.. i am carnivore for thr past 8 years.. my cardiologist wants me on the cholesterol lowering shot... I feel genetics have a play with CVD .
You didn’t really address the first part of your title - I thought you were going to tell us when statins can be beneficial! I’m enjoying this series and finding much of it reassuring. Thanks.
I'm really looking forward to your program on Colchicine. It seems like the next big thing and I'm wondering why after getting FDA approval for heart disease prevention this year, it's not being handed out by cardiologists and primary care doctors. 30 + % reduction in heart attacks in large studies is nothing short of huge!
Fascinating! In my mind, I'm linking these aspects to your explaination of intercellular energy and hormone response from about four episodes ago. Thank you! 🖖
Dr. Cywes, your information is a blessing to all of us. I agree that inflammation along with insulin sensitivity and BP are keys to monitoring our health. What specific blood tests do you recommend for determining inflammation levels and what are the ranges for each that we should aspire to attain?
I had Stemi in Jan this year at 61. Never smoked,don't touch alcohol in any form, been going to the gym for the last 35 years with cardio work. Don't eat simple carbs but lots of protein rich food including oily fish. My HDL 1.26 ,LDL 1.56,TrigI 1.19. I guess if its in your genes,it increases your chances greatly irrespective.
As someone with high ldl, i refused statins as im also type 2 diabetic. They don't tell you that statins will raise your blood sugar. I also have Hashimoto's disease and that can cause bad ldl also . I hate going to my doctor. I feel very bullied, and I can't wait to get out the door. I feel like all they are licenced drug dealers .I only go there because I need a prescription for Tramadol as I have serious back pain, and it's the only thing I've ever taken that actually works. It gave me my mobility back. Hello from Australia 🇦🇺
The LMHR hypothesis should be a clue. Why do all the other metrics improve, but LDL-ApoB goes in the "wrong" direction? Does the body not know what it's doing? (However, if the other metrics are not good, all bets are off.)
I think he is saying, all the "cholesterol / plaque" problems start with too much carbs / sugar in the diet, which cause inflammation which causes damage, which triggers LDL response...
@@Really10801 Yes, too much carbs cause inflammation, as do seed oils, plus nicotine, high fructose corn syrup, diabetes, high blood pressure, and too much Omega 6 with not enough Omega 3. Also, certain infections and diseases can cause inflammation, but our focus here is long-term chronic inflammation caused by poor diet and toxic habits. Inflammation is a normal and beneficial part of the body’s response to injury or infection, but it becomes damaging when it occurs in healthy tissues, or it becomes chronic.
one question; for a patient with a very high CAC score, does statin use help in calcifying soft plaque which in turn lowers the risk of stroke/heart attack?
What about Hollenhorst plaques? Was avoiding statins and recently my ophthalmologist sent me to ER for stroke risk assessment because of blindness in 1 eye due to the Hollenhorst plaques and the hospitalist put me on statin and baby aspirin. Total cholesterol around 325.
Watched an interesting Ivor Cummins video a few days ago. They think the cholesterol doesn't go from inside the artery into the artery wall. They have a theory that it actually comes through the blood system to the outside of the artery and into the wall via the blood feeding the artery rather than the blood flowing through the artery.
All my blood work is good except my Colestrol. I have discontinued the Ldl lowering medication because of the Side effects which were gross. My Dr is sending me to a dietitian to have me cope with colestrol. No bacon or butter or my favourite meats. Plenty nuts etc beans pulses. I think I need a calcium score. I understand your video. Your thoughts😊
Pasta grannies youtube channel has woman between 91 and 104 eating too much pasta and then they have bread and other nice foods. Lots of carbs and even more carbs like so many centenarians and it just keeps them in such good health. When you are in good health you don't need any medications so have some pasta and bread and some vegetables.
When I started a low-carb diet, every single indicator of health include but My ldls and apo b went up. My doctor told me that he could not say I was okay because the conferences he went to said hi. Danielle was a problem and he couldn't come to the doctors. He was smarter than they were
SRP inhibits inflammation and oxidative stress through the endothelium MCP-1. We concluded that SRP has the ability to modulate vascular inflammation. Further studies will be required to explore the detailed mechanisms of the cardio-protective effects produced by SRP.Mar 8, 2023
Yes, and, if the statin use is continued over twenty five years, gradually increasing the dosage, can it eventually progress to increasing Warburg metabolism? I believe that that was my outcome, which woke me up (finally) to questioning everything I was being told, and resulted in targeted dives down many 'rabbit holes' toward better health. Now, I find it necessary to understand better how the laws of physics of light (and other electromagnetic effects) actually DO apply to biology, but seem to be mostly overlooked by the current medical paradigm. IMHO beware LED lighting indoors, get outside into the daylight often, and even more often in the shade.
I enjoy watching your videos and learning (and applying) important information. I would like to know if Lutein and Zeaxanthin, important to eye health, are substantial enough in a carnivore lifestyle or is Lutein and Zeaxanthin best obtained with a keto diet or supplements? I have narrow-angle glaucoma in both eyes and I have several friends who have age-related macular degeneration.
12:40 "Eat less carbohydrates to be on a low carbohydrate diet magnesium magnesium glycinate helps avocados help three Omega fatty acids the anti-inflam polyunsaturated fatty acids that we get in fish oil helps fibrate Niacin, B3 they may help a little bit early on but ultimately it is not getting a bunch of seed oils and a bunch of carbohydrates from your gut that makes the biggest difference and it's about decreasing inflammation not dumbing down the system that's responding to inflammation . "
Many of the low carb doctors say that the ratio of triglycerides to hdl is a much better predictor. You want the ratio to be less than 2 (triglycerides/hdl)
Shove statins. I'm in better health than my doctor, who has a gut the size of a pregnant woman - he recommended statins as a "preventative" measure (meaning, I don't need them). My markers are: my active lifestyle, my regular weight training, my happy outlook on life, my rich artistic and intellectual pursuits - not my LDL cholesterol.
Doc, I see you next month (Aug 20th). I am getting bloodwork done beforehand. Can I call your office to get a list of labs you recommend? Just want to be prepared for our visit.
Send an email to his office with this. They will send you a document with all the blood tests to get (it will be a lot). The lab will be asked to fax the results to Dr. Cywes, but I recommend in addition to make digital copies (PDFs, etc) and send to the same email address as a backup. My lab did not fax all the test results.
Dr Cywes, I know you say you’re a student continuing to learn. So basically we need to treat the inflammation and not the response to inflammation. So if Stents implants require drugs to prevent clotting and also these Stents cause inflammation because they are foreign objects to the body and we react to them. Recently they are finding micro plastics in our blood, found in the cholesterol in our arteries and also recently being discovered in the male penis. So it could be probable the micro plastics are causing inflammation and the body is sending its firemen out to fight it. What can we do to help fight the micro plastics in our body besides reduce food/water stored in plastics. These micro plastics will be a new excuse for doctors to prescribe statins for elevated cholesterol that is addressing the inflammation from micro plastics build up in the body. Will we have to be on dialysis to filter micro plastics out of our blood in the future.
Autophagy... fasting. Turnover damaged cells. That's what I've heard is one of the ways to address microplastics and basically anything else that hurts our cells. Hope that helps
The title is misleading - I thought the video was about the importance of taking a statin to lower LDL, as my doctor is urging me to do - Crestor being his drug of choice for me.
I am trying to lower my homocysteine and hs crp. My ldl is 180 but my doctors think my hs crp is high bc of the “bad “ cholesterol. I need to find different doctors
To know that there are human beings among us that are looking for markers, that statins lower, that correlate with artery plaque just to sell statins. Even though that they know the correlation isn’t causation. Disheartening to say the least
You said that you don't like prescribing medications to control the LDL, and instead prescribe medications to lower the inflammation that are better, what medications are those?
I had a whole series of blood tests recently, which included a lipid panel. I was not told be fasted because the lipids were not the main reason for the tests. Interestingly, my readings were lower than in many years; that after being really low carb, pretty close to carnivore for the last year. Tot chol - 4.8 mmol/l, HDL-C 1.9 mmol/l, LDL-C 2.5 mmol/l and trigs 1.2 mmol/l. The trigs were assumedly affected by the cheese I had about 5 hours prior to the tests. I would really be interested in what you can find out about inflammation. My CRP level remains elevated; this time 17 mg/l.
I’m scared and confused. I had a stroke Feb 1, 2024. Dr has me one 80mg of atorvastatin. Since then on my own I began GLP-1 and weight training. I’ve lost 40 lbs. A1c down to 5.3 from 6.4. But my last check has LDL at 68 and HDL 32. I’ve always had a low HDL going back to my 30s and I’m now 53. I want off these Statins but I’m afraid. I eat very low carbs. Just carbs from leafy green vegetables. I’m tempted to stop the statin cold turkey but I know my Dr wouldn’t agree. I’m lost!
My doctor wants to put me on a Statin....my Cholesterol is 210. I asked her if that was really high and she said, you're a diabetic with an A1C of 6.2 and you are headed for a heart attack. You definitely need to be on a Statin drug. I told her I will change my diet and now she is upset with me 😢
How old are you? If you are not yet in your 50s you may be able to delay LDL reduction by changing your diet. Your main risk right now are your blood glucose and insulin levels and you can fix that with diet (plus increasing your number of steps per day to 8000-10000). Research shows that high LDL can be dangerous if your blood glucose, insulin and triglycerides are also high. Also check your inflammation markers like CRP and stop smoking if you still smoke. If you are already in your 50s you have to check if you already have plaque through Coronary Calcium Score (CAC). A daily baby aspirin might also be helpful while you control your insulin and glucose (it's an anticoagulant)
@@nataliajimenez1870 I am 55 years old and I don't take Metformin or any meds to control my sugar. I just try with my diet. Back in the 60's that wasn't considered a high cholesterol. But today they consider it a high cholesterol. I don't smoke. Drink alcohol but I am addicted to caffeine unfortunately. I stopped drinking Coke Zero and now only drink one cup of coffee in the morning and lemon water or just water throughout the day. My cholesterol was 260 six months ago and had come down to 210. I don't know how fast it comes down but I have been putting forth an effort. Plus I have a Rebounder and have been working out on that and swimming too. Any more advice for a not so spring chicken anymore????
I remitted my diabetes in less than 3 months by changing to a low carb diet without any drugs. It can be done. I encourage you to try it. I also got off my blood pressure drug and am now at my ideal weight, without even trying. I found the following helpful (they are all on YT, just search for the title to find them): GLUCOSE IS EVERYWHERE - by Sheryl Fox Dr Sarah Hallberg Ted Talk Reversing Type 2 diabetes starts with ignoring the guidelines Dr David Unwin: Avoid 20 Foods To Prevent DIABETES Dr Eric Westman Duke University Ketogenic Diet Dr Vera Tarmin has some good videos / book about food / sugar addiction. Serious Keto channel (Steve): earlier videos have some food / recipe ideas Beat Diabetes! channel (Dennis Pollock): there are some good food ideas on this channel
Leaning into carnivore from keto, expect my chol. numbers to jump. I'm not worried as long as my ratio is good - keeping the trigs down will be a challenge though. Any tips?
So your saying apo b is marker of inflammation yet it rise on low carb so based off your theory wouldnt the apo b rising no matter what mean more inflammation?
Hey Doctor Rob, last video you responded to my comment that you'd suggest fish oil over Vascepa for my high triglycerides. I'm 5'3", 120-123 lbs, how many grams/milligrams per day? My CAC at 160 shows "scarring in my descending thoracic artery", i.e., "Widowmaker" and have been denied an angiogram.😭. Oh, by the way my formerly well-controlled blood pressure is now completely out of whack, even after DOUBLING my Cardura dose, with Clonodine for systolic above 180! My cardiologist not only doesn't care but I believe he's hoping I'll die because I continue to refuse statins or his "new, no side-effect" injections.
@@robertcywes2966Thank you so much. I DID set up a visit with Sheryl because you told me she takes my insurance. I'm headed to the next town over from me to a different hospital - wish me luck.💖
5 years ago I was about to leave my Doctor's surgery, I was using a walking stick and was in pain, my back knees, and hips, "Would you like some pain killers" the doctor asked, I said No I am first going to find out the course of the pain that would make more sense. I think he was a little upset. I went to the internet (a dangerous place for advice) and Checked out some of the so-called doctor's qualifications, a lot were not even doctors. I got it down to 5 trusted sites, I am now on an almost zero carbohydrate/Carnivore/Keto Diet. For three years I have been in a state of ketosis, I have NO joint pain and feel healthier than I have done for years, This is thanks to you and a lot of other doctors who talk real sense. I am 82 years old and walk my dog a couple of hours a day and I can enjoy what folk call my golden years because of you and like-minded doctors.
Amazing, big congrats!
A man lost his car key in his backyard one night and solicited help from his neighbors to help him find them. A short time later, he saw that all his neighbors where gathered out in the front yard searching under the street light. The man called out to asked them why were they out front (when the key was lost in the backyard)? They said the light was better out front. That's the story of statins.
Hahaha.. good one!
Yes, Dr David Diamond is brilliant (where this analogy is from). th-cam.com/video/VUMUhp1pSyM/w-d-xo.html
Thank you, I have been working on my inflammation since April 2024. I’m now carnivore and have noticed a big difference in my aches and pains, no big weight loss yet, but my joints feel so much better.
This was the best explanation I've heard on why LDL isn't harmful in the context of a ketogenic diet.
Statins and lipid drugs are important to the bottom line in the profits of pharmaceutical companies and that's it .
Went keto/carnivore in 2020 at age 57. In months, I had lost 50 lbs, dropped ALL pharma, no more joint pain or gut problems. My HDL and LDL are high and triglycerides are low. My former doctor and I “fired” each other at the same visit.
I will never even consider going back on statins. Focus on reducing systemic inflammation, it works. My bride has found this as well and is now counseling her daughter as she also drops undesired weight.
My MD, in spite of successfully dropping 80# in 5 months, increasing lean muscle mass AND doing so without stretch marks all by treating my carb addiction as the addiction it truly is ... she was very concerned about my increased LDL and ApoB. I pointed out that at my heaviest that my Triglicerides were 133 and HDL was only 33, and those numbers moved to 90 triglyceride and 60 HDL and the gastroenterologist indicated that the fibro-scan showed a full resolution of the hepatic steatosis.
I'm going to have to set up a virtual appointment, or book a flight out to Florida for a thorough workup with you. Great work as usual. I love your ability to cut through the crap
I too lost 52 pounds in 7 months and increase lean muscle mass. My HDL was 64 with triglycerides over 200. Once I quit sugar, carbs and started intermittent and prolonged fasting my latest blood work had HDL of 113 with triglycerides of 44. My LDL was 131 and my PCP said he wants to lower it. Nope, not going to take a statin. I'm 62 now and hope I didn't start too late.
@@markwhite6782 Excellent progress!
Virtual is fine...unless u love swimming in gorgeous turquoise water
@@markwhite6782 YEAH!
@ayo9057 I don't get that sense from mine. My gut feeling from her demeanor was that she had a sense of genuine concern. She was ecstatic about the weight loss and reversal of fatty liver.
This was a BRILLIANT discussion about the real cause of atherosclerosis-INFLAMMATION, not LDL-C or ApoB100 levels. I sure hope that lipidologist, Thomas Dayspring, takes a look at this video; he might learn something!
Really, real cause of arteriosclerosis??😅 That means if you keep taking statins, you will not get CVD!!😅
My 66 year old (always lean) husband had a major heart attack last year. Nonsmoker, nondiabetic, and moderate drinker. He always had extremely high triglycerides. He's now strict low carb.
What you mean by extremely high ?
Add some Omega 3 fish oil capsules. They lowered my Triglycerides from 1.5 to 0.43
Kirkland Brand Triple strength. 900mg Omegas from a 1400mg capsule.
where are his HDLs? Sounds like insulin resistance (high TGL). TGL to HDL ratio has been used as a marker for IR. If it were me I would go strict keto, supplement with K2, D3, MCTs, or saturated fat (animal) and Carnitine. The alcohol may be preventing the clearing of TGL by corrupting Lipase (clearing factor).
CLEARING FACTOR LIPASE AND ITS ROLE IN THE REGULATION
OF TRIGLYCERIDE UTILIZATION. STUDIES ON THE
ENZYME IN ADIPOSE TISSUE.
D. S. Robinson and D. R. Wing
Department of Biochemistry, University of Leeds
England
It is now generally accepted that the main physiological function
of the enzyme clearing factor lipase, or lipoprotein lipase, is
to facilitate the uptake of triglyceride fatty acids (TGF A) from the
blood by the extrahepatic tissues (1). This function is thought to
be exercised through the initiation by the enzyme of the hydrolysis
of chylomicron and very low density lipoprotein triglycerides that
are sequestered at the luminal surface of the endothelial cells of
the blood capillaries. Furthermore, changes in the activity of the
enzyme that occur in particular tissues with changes in physiological
status are believed to be responsible for corresponding
changes in the uptake of the plasma TGFA by these tissues. Thus,
the enzyme probably also performs a directive function in determining
the pattern of TGF A removal from the bloodstream. In
view of this proposed secondary role of clearing factor lipase, it
is clearly important to elucidate the factors which control, and the
mechanisms which underlie, the changes in its activity. These
questions are considered here in relation to the enzyme in adipose
tissue. The activity in this tissue is known to fall markedly on
starvation and to rise again on refeeding, and these changes can
be directly correlated with corresponding changes in the ability of
the tissue to take up TGFA from the bloodstream.
SOIne information on the factors which may control these
changes in adipose tissue enzyme activity has become available as
a result of the development of incubation systems in which the low
clearing factor lipase activity, characteristic of intact epididymal
71
W. L. Holmes et al. (eds.), Pharmacological Control of Lipid Metabolism
© Springer Science+Business Media New York 1972
72 D. S. ROBINSON AND D. R. WING
adipose tissue from fasted animals, increases progressively in
vitro over a period of several hours at 37 0 to reach a plateau level
not far below that found in the tis sue in the fed animal (2, 3). Such
activity increase is dependent on glucose and insulin and is inhibited
by adrenaline, noradrenaline and adrenocorticotrophic hormone.
Glucagon and thyroid- stimulating hormone have been shown to have
similar inhibitory effects (4).
It is significant that all the hormones which inhibit the rise in
clearing factor lipase activity described above have also been
shown in independent studie s to enhance the activity of the so - called
mobilizing lipase in adipose tissue, which is responsible for breaking
down triglycerides that are stored in the tissue and, therefore,
for mobilizing fatty acids from it (5). Moreover, insulin is able
to prevent such activation. This has suggested the possibility of
a single control mechanism affecting differentially the two lipases
conce rned re spectively with triglyceride depo sition in (clearing
factor lipase) and mobilization from (mobilizing lipase) adipose
tissue. There is already considerable evidence that the activating
effects of hormones on the latter enzyme are mediated through a
rise in the cyclic AMP concentration in the tissue (5). It is of
interest, therefore, that the rise in adipose tissue clearing factor
lipase activity which occurs under approprIate IncubatIon condItIonS
in vitro is inhibited in the presence of the dibutyryl derivative of
cyclic AMP (6). This clearly suggests that tissue cyclic AMP
could be the common mediator of the hormonal actions, a change
in its concentration altering the activity of the two lipases in opposite
directions.
Any effect of cyclic AMP on clearing factor lipase activity
could be either direct or indirect. Thus, a rise in the cyclic
AMP concentration in adipose tissue usually brings about a rise
in the FF A concentration in the tis sue because of activation of the
mobilizing lipase (7); and, at least under certain conditions in
vitro, this in turn causes a fall in the tissue ATP concentration
(8,9,10). Either of these two secondary changes could clearly be
the immediate factor influencing the clearing factor lipase activity.
However, correlations between FF A concentration and clearing
factor lipase activity in adipose tissue in a variety of situations in
vivo and in vitro are not always close and changes in ATP concentration
in the tissue have not yet been shown to occur in vivo under
conditions when the activity of the enzyme alters. Thus, the
que stion of whether any cyclic AMP effect on the enzyme is direct
or indirect remains unsettled at the present time.
I think there are lots of pointers on how to reduce high triglycerides on the Internet, like Mayo Clinic or the Cleveland clinic etc.etc. Go, Keto !! Triglycerides are not as confusing to reduce as cholesterol/ LDL. Basically, eat less carbohydrates, so straightforward !! Because with high cholesterol or LDL , you have to take statins. There are various brands. But find the brand that suits you with the least side-effects, etc.etc . With the correct dosage, with no side effects, it even lowers Apo-B as this Doc in this video is going on about.
He’s a drinker that explains the heart attack
I see my cardiologist next week and am prepared to point out that I have 5 years empirical experience that eating Keto/Carnivore has radically reduced my inflammation and that putting carbs back for 3 months caused the re-occurrence of significant inflammation. He first prescribed a statin a year ago which I declined to take. Then he prescribed a drug that is not a statin but supposedly does the same thing. (I forget the name) Anyhow I took one tablet and got bad muscle aches for two days.I looked it up and that is a common side effect - so stopped it. I cannot do the work I need to do at the end of my life if I am made sick by a drug. It is irrelevant to me if not taking statins shortens my life. I am guided by the principle from one of the wisdom sayings from the Jewish Mishnah - You don't have to finish, but you are not allowed to stop. I am not going to stop or let anything unnecessary get in my way - period. If he is willing to work with me then perhaps he can help, but if it is just more protocol driven medicine then I am on my own. Nothing wrong with that - we have been for millions of years.
😍 "You don't have to finish, but you are not allowed to stop". Same experience w/ PCP insisting on Statin and even lowering parameters b/c CAC 131 & plaque. Sent her FDA side effects via patient portal, thus protecting her from protocol-driven obligation. Seemed to stop her from pressuring me (and spouse) and enable her to remain a collaborative advocate on other issues. Likewise, an oncology consultant was obligated to mention all chemo options but able to point to research that found no efficacy for my "stage". Appreciated her saying that some patients want to take and do everything available, so she has to include it in options. I know one such patient who opted for an extra round and now lives with excruciation side effect of neuropathic pain. SMDH
Great reference! It’s one of those quotations that can be taken in so many different contexts. In this case, being responsible for our own health. Sometimes, meds prescribed MAY improve one aspect, but ultimately be worse. WE make the decision on whether the sacrifice is worth it. We can’t stop caring for ourselves.
I learned so much from you because you explain technical medical stuff and link it to everyday things so we can grasp it. Thank you so much for all your videos!!!
Excellent video and insights, so I think I understand the mechanism now, too much carbs/sugar in the diet causes inflammation, which causes arterial (and other) damage, which causes an LDL response which causes arterial plaque to build up? So the "fix" is to correct the diet and restrict carbs and sugar?
Thanks. Great vid. Well done. Easy to understand and helps me understand the Statin/LDL thing much better. My wife and I are not pill takers, both in our later 70's, not addicted to carbs, and not overweight, both of us have a BMI of 20-21. Your vids are a great help to us, keep up the good work!!
Dr Cywes.. I just discovered your channel and you do an excellent job in explaining things. Being a 67 year old male and in remission for prostate cancer I decided to go carnivore lifestyle. I'm down 30 pounds and BMI from 31 to 27. Cutting the carbs and sugars is a daily struggle for me. I have a upcoming blood lab for my yearly physical and have already told my Dr if my cholesterol or fasting glucose is out of whack, not to go into panic mode. Will see what happens.
Best
Duane
excellent video again, many thanks dr. Rob! My blood work numbers reflect all what you´re explaining here. l´m on a keto, low carb diet for 4+ years now, my BMI is 21, and my LDL is over the roof 275, TC 360, which is giving a heart attack to my doc, and she keeps pushing me on a statin. But my HDL is 93 and TAG 84. BP is slightly less than normal 120/80. Therefoere, all your videos keep me in a positive way of thinking, and l don ´t freak out on my high LDL numbers any more.
Looking forward to the next vid in the series, as my PCP has threatened me with an Apo A test to buoy his case for me to drop LCHF. Triglycerides down to 98, HDL up to 71 (from 50!), and LDL holding steady at 242 the last six months. CAC score of 11.
I have been diagnosed with FH, high LDL, ApoB, small dense LDL and high LP (a). My triglycerides, HDL, A1C , homocysteine and hsCRP levels are all good. I also had a zero CAC scan and have been practicing intermittent fasting for years and restrict carbs and sugar in my diet. I am under the care of at three doctors as I am trying to make sense of all this. My functional medicine doctor believes that I am low risk but my primary care doc absolutely wants me on a statin. I am a post menopausal woman and weary of taking these drugs. I know all about absolute vs relative risk. I also know that with women of my age that statins do not have great efficacy compared to men. I am going to have a stress test and lifeline screening in a few weeks (i.e. carotid, PAD, Abdominal Aortic Aneurysm and A-fib testing). I am working with an Integrative Cardiologist now that is at least willing to work with me and order advanced testing. I recently had a Boston Heart test performed and it showed that I am not producing too much cholesterol but absorbing too much. I'm hoping this new doctor will be willing to order a Cleerly CCTA test as this seems to be the best measure of soft plaque and atherosclerosis. It's just maddening to me that I have to see multiple doctors just to order the proper tests. We wouldn't prescribe chemo for people who have not been diagnosed with cancer yet we can't get proper testing for heart disease. It's crazy to put someone on a lifetime drug therapy for a disease that is not properly diagnosed and with an unproven treatment.
Perhaps uve been misdiagnosed. Set up a visit
It has been suggested that I have FH. I cannot have it because I developed high LDL only after going low carb, whereas someone with FH will have it from birth on any diet. Is this what happened to you? Only a minority of people with FU will have health issues due to having it. This group have problems due to a second associated genetic abnormality that increases blood clotting. If you don’t have this, chances are you don’t, then you are no more at risk than anyone else. Dr Paul Mason has a video about this. Ask your doctor. Here is a study about it www.ncbi.nlm.nih.gov/pmc/articles/PMC9409002/
A blood test of the same Lipid Panel Tests should not be expensive. Get at least one every 3 months. There are many brands of statins that do not have the same miserable side effects as Lipitol. Try different brand. Good Luck. They reduce overall your Cholesterol or LDL and therefore your APO-B level is also reduced. Don't eat too much. You shouldn't be overweight. You just need to exercise moderately.
You also had a very low CAC scan which means you shouldn't have a big cardiac arrest in the next five years!!😅
How old are you, sir? Lady ?😅
Doc, you are the MAN, as usual. Excellent information. Can’t wait for the talk on LPa.
Great, great analogy! 👏👏
Turning off the fire alarm does NOT address the fire! #Cause/Effect
Address the cause not reduce/hide the effect. Bravo Dr Cywes!!
When I stopped Lipitor my hdl increased 20 points and my triglycerides went down 20 points.
Do you still have to take another statin? The reason is that your chances of CVD went down after quitting Lipitor.
Congratulations, no drugs for the rest of your life 🎉😅...
Excellent presentation, crystal clear, and the face-palm at 11:05 is absolutely priceless.
Thanks for this information and explanation, it helps me greatly. I was concerned because my doctor ordered an ApoB test for me last month (June) for the first time and it was 177. He will try to convince me to resume my statin medication that I quit two years ago. My metabolic health is good for my age of 64. Been on low carb/sugar with intermittent fasting for three years and was able to lose 50 pounds (I weigh the same as I did at age 20) and toss my blood pressure meds. My blood pressure today was 108/60, which is my new norm. Total Cholesterol is 304, HDL 95, LDL 189, Triglycerides 90 and CRP is 0.02. A1C is 5.1 and Glucose is 85. I had a CAC test two years ago and it was 32. I don't think I'll resume the statins. Thank you again for the thorough explanation.
yess..perfect explanation...Got LDL around 300 since 4 years, Low Carb. and autophagy. You say `they dont `get it`,` actually some get it but paid, some dont care, some dont have capability so service what is provided to them without thinking or anlayzing.
Can’t wait for your talk doc on Lp(a).
Thank you dr. Robert C ❤💪🧠
Two things come to mind from my 30 years as part of support for one of the world's largest computer networks. Correlation is not causation. Statisticians are the only people in the world that can drown in a pool of water with average depth of two inches. Our bodies contain numerous systems, they are designed to work together, and they affect each other. Focus on changing one, can affect others. Not every body is the same as all the others. Kidney disease can have a significant impact on what goes on in cardiac arteries. Vast majority of dialysis patients die of CVD. Dialysis changes the balance of blood composition, like viatmin K2 and D3. Perhaps a major reason why dialysis patients are frequently given injections of K2.
This completely educated me. Fantastic and simple explanation!!
Intermittent fasting every day is also extremely important, no food after 7pm and fast till 10am.
Excellent
Thank you for your podcasts i am carb addicted. Trying to limit them we dont have many low carb docs in aus. So its read up and try and keep inflammation as low as possible❤reg jill
So I've had somewhat elevated cholesterol levels for about 12 years....been on lowcarb for about as long or longer....last time my Doctor said consider medication.I said order me a cardiac ct scan with a calcium score. My score ended up being zero I said i've considered and no thanks lol
Great news 7:23
@@patriciabowe2456 Thanks luckily, I have a Doctor who listens to me as opposed to some doctors who argue with you because they know better....
Statins wd be malpractice imho
do what you want. don't do what you don't want. what the dr. wants doesn't matter.
Total 250-280 since my 20's... Ldl 150-180, hdl 40-55, triglycerides 50-100... Now i am 54 with 6 stents.. i am carnivore for thr past 8 years.. my cardiologist wants me on the cholesterol lowering shot... I feel genetics have a play with CVD .
You didn’t really address the first part of your title - I thought you were going to tell us when statins can be beneficial! I’m enjoying this series and finding much of it reassuring. Thanks.
I'm really looking forward to your program on Colchicine. It seems like the next big thing and I'm wondering why after getting FDA approval for heart disease prevention this year, it's not being handed out by cardiologists and primary care doctors. 30 + % reduction in heart attacks in large studies is nothing short of huge!
This information actually cleared up my confusion about LDL. Thank you
Fascinating! In my mind, I'm linking these aspects to your explaination of intercellular energy and hormone response from about four episodes ago. Thank you! 🖖
All linked
Exactly, ApoB = LDL.....just another term...good job! (as usual!!)🙂🙂🙂
Dr. Cywes, your information is a blessing to all of us. I agree that inflammation along with insulin sensitivity and BP are keys to monitoring our health. What specific blood tests do you recommend for determining inflammation levels and what are the ranges for each that we should aspire to attain?
I had Stemi in Jan this year at 61. Never smoked,don't touch alcohol in any form, been going to the gym for the last 35 years with cardio work. Don't eat simple carbs but lots of protein rich food including oily fish. My HDL 1.26 ,LDL 1.56,TrigI 1.19. I guess if its in your genes,it increases your chances greatly irrespective.
Thanks Dr C.!
Awesome doc!
Great work Dr.
As someone with high ldl, i refused statins as im also type 2 diabetic. They don't tell you that statins will raise your blood sugar. I also have Hashimoto's disease and that can cause bad ldl also . I hate going to my doctor. I feel very bullied, and I can't wait to get out the door. I feel like all they are licenced drug dealers .I only go there because I need a prescription for Tramadol as I have serious back pain, and it's the only thing I've ever taken that actually works. It gave me my mobility back. Hello from Australia 🇦🇺
Why does cardiovascular disease only occur in the arteries and not the veins? If it was cholesterol and LDL then damage should occur in both places.
Thankyou!!! This is brilliant 🤩
The LMHR hypothesis should be a clue. Why do all the other metrics improve, but LDL-ApoB goes in the "wrong" direction? Does the body not know what it's doing? (However, if the other metrics are not good, all bets are off.)
Mostly over my head...have to listen a few times to get this down.
I think he is saying, all the "cholesterol / plaque" problems start with too much carbs / sugar in the diet, which cause inflammation which causes damage, which triggers LDL response...
@@Really10801 Yes, too much carbs cause inflammation, as do seed oils, plus nicotine, high fructose corn syrup, diabetes, high blood pressure, and too much Omega 6 with not enough Omega 3. Also, certain infections and diseases can cause inflammation, but our focus here is long-term chronic inflammation caused by poor diet and toxic habits. Inflammation is a normal and beneficial part of the body’s response to injury or infection, but it becomes damaging when it occurs in healthy tissues, or it becomes chronic.
A diagram would be very helpful! Are keytones only produced in the liver? What transports ketones? LDL?
Doc, what are your thoughts on the Linus Pauling protocol?
one question; for a patient with a very high CAC score, does statin use help in calcifying soft plaque which in turn lowers the risk of stroke/heart attack?
What about Hollenhorst plaques? Was avoiding statins and recently my ophthalmologist sent me to ER for stroke risk assessment because of blindness in 1 eye due to the Hollenhorst plaques and the hospitalist put me on statin and baby aspirin. Total cholesterol around 325.
Watched an interesting Ivor Cummins video a few days ago. They think the cholesterol doesn't go from inside the artery into the artery wall. They have a theory that it actually comes through the blood system to the outside of the artery and into the wall via the blood feeding the artery rather than the blood flowing through the artery.
All my blood work is good except my Colestrol. I have discontinued the Ldl lowering medication because of the Side effects which were gross. My Dr is sending me to a dietitian to have me cope with colestrol. No bacon or butter or my favourite meats. Plenty nuts etc beans pulses. I think I need a calcium score. I understand your video. Your thoughts😊
What inflammation markers should I look for?!
Conceived:
Temple of Heaven
Born:
Temple of Heaven
Education:
Temple of Heaven
Works at:
Temple of Heaven
!!!?!!, yes, very helpful.
How do you fix/treat inflammation if you have stents?
Pasta grannies youtube channel has woman between 91 and 104 eating too much pasta and then they have bread and other nice foods. Lots of carbs and even more carbs like so many centenarians and it just keeps them in such good health. When you are in good health you don't need any medications so have some pasta and bread and some vegetables.
How do you treat/fix inflammation if you have stents?
Same way!
When I started a low-carb diet, every single indicator of health include but My ldls and apo b went up. My doctor told me that he could not say I was okay because the conferences he went to said hi. Danielle was a problem and he couldn't come to the doctors. He was smarter than they were
SRP inhibits inflammation and oxidative stress through the endothelium MCP-1. We concluded that SRP has the ability to modulate vascular inflammation. Further studies will be required to explore the detailed mechanisms of the cardio-protective effects produced by SRP.Mar 8, 2023
Question: If inflammation is drastically reduced or goes away altogether, does the plaque eventually go away too?
Yes, and, if the statin use is continued over twenty five years, gradually increasing the dosage, can it eventually progress to increasing Warburg metabolism? I believe that that was my outcome, which woke me up (finally) to questioning everything I was being told, and resulted in targeted dives down many 'rabbit holes' toward better health. Now, I find it necessary to understand better how the laws of physics of light (and other electromagnetic effects) actually DO apply to biology, but seem to be mostly overlooked by the current medical paradigm. IMHO beware LED lighting indoors, get outside into the daylight often, and even more often in the shade.
I enjoy watching your videos and learning (and applying) important information. I would like to know if Lutein and Zeaxanthin, important to eye health, are substantial enough in a carnivore lifestyle or is Lutein and Zeaxanthin best obtained with a keto diet or supplements? I have narrow-angle glaucoma in both eyes and I have several friends who have age-related macular degeneration.
Saw patient with NSTEMI this am. LDL = 45. Cholesterol is not the right number to chase
Dr Cywes: What are your thoughts on this article about metabolic fuel partitioning by Gary Taubes?
Do you take VA community care?
Great info, just have one question. Does the Covid vaccines cause blood clots? Would it be best to avoid the vaccines?
Inflammation is the problem, not the LDL?
so how do you differentiate the two ? with an NMR ?
12:40 "Eat less carbohydrates to be on a low carbohydrate diet magnesium magnesium glycinate helps avocados help three Omega fatty acids the anti-inflam polyunsaturated fatty acids that we get in fish oil helps fibrate Niacin, B3 they may help a little bit early on but ultimately it is not getting a bunch of seed oils and a bunch of carbohydrates from your gut that makes the biggest difference and it's about decreasing inflammation not dumbing down the system that's responding to inflammation . "
Would C-reactive protein be a better marker for inflammation than APO100?
Where are located at in Florida?
So what markers should we be looking at if not apoB, hscrp?
Many of the low carb doctors say that the ratio of triglycerides to hdl is a much better predictor. You want the ratio to be less than 2 (triglycerides/hdl)
Shove statins. I'm in better health than my doctor, who has a gut the size of a pregnant woman - he recommended statins as a "preventative" measure (meaning, I don't need them). My markers are: my active lifestyle, my regular weight training, my happy outlook on life, my rich artistic and intellectual pursuits - not my LDL cholesterol.
Doc, I see you next month (Aug 20th). I am getting bloodwork done beforehand. Can I call your office to get a list of labs you recommend? Just want to be prepared for our visit.
Send an email to his office with this. They will send you a document with all the blood tests to get (it will be a lot). The lab will be asked to fax the results to Dr. Cywes, but I recommend in addition to make digital copies (PDFs, etc) and send to the same email address as a backup. My lab did not fax all the test results.
@@davidtufte8107 Thanks!
What is small LDL is very high?
Dr Cywes, I know you say you’re a student continuing to learn. So basically we need to treat the inflammation and not the response to inflammation. So if Stents implants require drugs to prevent clotting and also these Stents cause inflammation because they are foreign objects to the body and we react to them. Recently they are finding micro plastics in our blood, found in the cholesterol in our arteries and also recently being discovered in the male penis. So it could be probable the micro plastics are causing inflammation and the body is sending its firemen out to fight it. What can we do to help fight the micro plastics in our body besides reduce food/water stored in plastics. These micro plastics will be a new excuse for doctors to prescribe statins for elevated cholesterol that is addressing the inflammation from micro plastics build up in the body. Will we have to be on dialysis to filter micro plastics out of our blood in the future.
True but Microplastics are a relatively minor player
@@robertcywes2966
@@robertcywes2966 thank yo, down 15 pounds from June 4th visit, I won’t disappoint you Dr.
Autophagy... fasting. Turnover damaged cells. That's what I've heard is one of the ways to address microplastics and basically anything else that hurts our cells. Hope that helps
The title is misleading - I thought the video was about the importance of taking a statin to lower LDL, as my doctor is urging me to do - Crestor being his drug of choice for me.
What is the best way to track inflammation? Which markers should be measured?
There are two camps in this debate... And they're polar opposites.
I am trying to lower my homocysteine and hs crp. My ldl is 180 but my doctors think my hs crp is high bc of the “bad “ cholesterol. I need to find different doctors
To know that there are human beings among us that are looking for markers, that statins lower, that correlate with artery plaque just to sell statins. Even though that they know the correlation isn’t causation. Disheartening to say the least
My docs say I already have cvd, high ldl, and cvd and that it's genetic. So my only option is statins and/or Repatha.
Your Doctor is a goon living in the 90’s ( when they went to College)
You said that you don't like prescribing medications to control the LDL, and instead prescribe medications to lower the inflammation that are better, what medications are those?
Appreciate any thoughts on Hemp and Flax oil/seed/ hearts as omega sources as I have severe fish allergies. Ty.
Ok if ur vegetarian. If u eat meat use 🐟 oil
@@robertcywes2966 Thank you!
I had a whole series of blood tests recently, which included a lipid panel. I was not told be fasted because the lipids were not the main reason for the tests. Interestingly, my readings were lower than in many years; that after being really low carb, pretty close to carnivore for the last year. Tot chol - 4.8 mmol/l, HDL-C 1.9 mmol/l, LDL-C 2.5 mmol/l and trigs 1.2 mmol/l. The trigs were assumedly affected by the cheese I had about 5 hours prior to the tests.
I would really be interested in what you can find out about inflammation. My CRP level remains elevated; this time 17 mg/l.
@@Straightdeal you can reverse it
I’m scared and confused. I had a stroke Feb 1, 2024. Dr has me one 80mg of atorvastatin. Since then on my own I began GLP-1 and weight training. I’ve lost 40 lbs. A1c down to 5.3 from 6.4. But my last check has LDL at 68 and HDL 32. I’ve always had a low
HDL going back to my 30s and I’m now 53. I want off these Statins but I’m afraid. I eat very low carbs. Just carbs from leafy green vegetables. I’m tempted to stop the statin cold turkey but I know my Dr wouldn’t agree. I’m lost!
I reintroduced carbs and my ldl is still high. I'm still a LMHR. I don't understand. Inflammation is still low. It is all so confusing.
Do you subscribe to zero carbs or just moderate consumption?
so if I have CVD advanced , I need to reduce inflammation. should i also take a statin since I definitely have plaque ?
50 years of smoking. No plack, no HT, no inflammation markers. Hmmmm! I would love to stop the bad habit but sooo f-ing hard!
My doctor wants to put me on a Statin....my Cholesterol is 210.
I asked her if that was really high and she said, you're a diabetic with an A1C of 6.2 and you are headed for a heart attack. You definitely need to be on a Statin drug. I told her I will change my diet and now she is upset with me 😢
How old are you? If you are not yet in your 50s you may be able to delay LDL reduction by changing your diet. Your main risk right now are your blood glucose and insulin levels and you can fix that with diet (plus increasing your number of steps per day to 8000-10000). Research shows that high LDL can be dangerous if your blood glucose, insulin and triglycerides are also high. Also check your inflammation markers like CRP and stop smoking if you still smoke. If you are already in your 50s you have to check if you already have plaque through Coronary Calcium Score (CAC). A daily baby aspirin might also be helpful while you control your insulin and glucose (it's an anticoagulant)
@@nataliajimenez1870
I am 55 years old and I don't take Metformin or any meds to control my sugar. I just try with my diet. Back in the 60's that wasn't considered a high cholesterol. But today they consider it a high cholesterol. I don't smoke. Drink alcohol but I am addicted to caffeine unfortunately. I stopped drinking Coke Zero and now only drink one cup of coffee in the morning and lemon water or just water throughout the day. My cholesterol was 260 six months ago and had come down to 210. I don't know how fast it comes down but I have been putting forth an effort. Plus I have a Rebounder and have been working out on that and swimming too. Any more advice for a not so spring chicken anymore????
Only u can fix this...keep at it
@@nataliajimenez1870 Get Apo(B), lp(a) tested as well.
I remitted my diabetes in less than 3 months by changing to a low carb diet without any drugs. It can be done. I encourage you to try it. I also got off my blood pressure drug and am now at my ideal weight, without even trying. I found the following helpful (they are all on YT, just search for the title to find them):
GLUCOSE IS EVERYWHERE - by Sheryl Fox
Dr Sarah Hallberg Ted Talk Reversing Type 2 diabetes starts with ignoring the guidelines
Dr David Unwin: Avoid 20 Foods To Prevent DIABETES
Dr Eric Westman Duke University Ketogenic Diet
Dr Vera Tarmin has some good videos / book about food / sugar addiction.
Serious Keto channel (Steve): earlier videos have some food / recipe ideas
Beat Diabetes! channel (Dennis Pollock): there are some good food ideas on this channel
How do statins interfere in the blood work?
Leaning into carnivore from keto, expect my chol. numbers to jump. I'm not worried as long as my ratio is good - keeping the trigs down will be a challenge though. Any tips?
Dr. Berry has videos on how to lower triglycerieds.
So your saying apo b is marker of inflammation yet it rise on low carb so based off your theory wouldnt the apo b rising no matter what mean more inflammation?
Hey Doctor Rob, last video you responded to my comment that you'd suggest fish oil over Vascepa for my high triglycerides. I'm 5'3", 120-123 lbs, how many grams/milligrams per day? My CAC at 160 shows "scarring in my descending thoracic artery", i.e., "Widowmaker" and have been denied an angiogram.😭. Oh, by the way my formerly well-controlled blood pressure is now completely out of whack, even after DOUBLING my Cardura dose, with Clonodine for systolic above 180! My cardiologist not only doesn't care but I believe he's hoping I'll die because I continue to refuse statins or his "new, no side-effect" injections.
Setvup a visit or go to ER with " chest pain" ull get a cath 😊 sad but true. Reactive healthcare
@@robertcywes2966Thank you so much. I DID set up a visit with Sheryl because you told me she takes my insurance. I'm headed to the next town over from me to a different hospital - wish me luck.💖
When one's LDL level is high, how to know whether it is big fluffy LDL or small dense LDL.
Get an nmr blood test, it will tell you all about size
The voice you make when you mock the doctors that prescribe statins kinda sounds like Anthony Fauci 😂
Why does everybody talk about small dense LDL when HDL is more dense?