Of all the AMA's Peter has done this one REALLY should be made public. I have heart disease and this AMA explained it better to me than ANYTHING else I have ever seen. I am a paid subscriber and have watched it at least a dozen times and more-or-less used it to explain heart disease to people who do not really understand what ASCVD actually is. I've even given out my login info to family in order for them to understand exactly what it is I have. I'm sure Peter is doing quite well financially. It wouldn't hurt to release this AMA as a public service and make it free for everyone. I honesty think it could save lives.
I am 55 now. 14 years ago I went to see an interventional women's cardiologist due to family history of heart disease on my father's side. Lipid panel always good - 174 total cholesterol. Risk ratio low. Don't drink, smoke, and exercised since teens. 3 months ago I insisted on a calcium score. These tests have been around since the 90's. I scored 706. 99th percentile - only one percent of the population had a worse score thsn mine for my age and sex. I wish, and I hope doctors and professionals reading this include calcium scoring as part of the total heart health picture. In my case I clearly lost 14 years of intervention because my bloodwork was excellent and I was female and told i had nothing to worry about. Genetics can not be underestimated in heart disease folks.
I am sorry to hear this and you are right about genetics. We can't pick our parents. I have the same family history as you on my father's side. However the rest of my story is the complete opposite. I have had crummy lipid profile all my life, in my retirement years, and no heart disease according to the cardiologist. When they do imaging of my arteries they are stunned. I can't explain it. EXCELLENT they say. I think there is a lot more to this than just cholesterol. I hope you are doing well.
Being female and at menopause, you might research BHRT as another intervention to preserve heart health. Most women begin having cardiac issues at menopause. Hormones keep veins, tendons, arteries, and muscles more supple. Without intervention, all become brittle for women.
@kcsunnyone - agree and I've been on them since age 50 but also took birth control in my younger years. I stay on them, but it's a big fight with these doctors because of breast cancer risk they say. I stick with bioidentical. My entire family history is heart and I pulled the bad gene card despite all lipid tests and lifestyle pointing to no disease. Doing everything I can but age and genes is not my friend here. I appreciate your insight and suggestion 😊❤️ thank you
I am 59 now, at 50 I was diagnosed with FH. I had a CAC test and my score was almost 800. I had never been overweight, always into health and fitness, so needless to say I was shocked and deeply saddened. I had always lived my life to live to be 104!! I’m hoping I still make it. I had a baby at 40, my son is 18 now and was diagnosed with FH 2 years ago. He also has high triglycerides that I never had. We are both on statins, and I feel horrible about him being on them. He also takes health and fitness seriously, is an accomplished athlete and enjoys real food. I’m praying that there will be more understanding and treatments for our issues very soon. I always pay attention to Dr. Attia since he is one of the only public persona doctors that speaks to cholesterol, FH and heart disease. Thank you
@@btudrus Of course. Especially after I found my issues. It has never been a problem ( though that’s everyone’s first knee jerk reaction). I had it tested again last month, it was 6.9.
@@And1Mell You see, it could be anything. My diet has changed and evolved from when I was 5 years old until now. What I will say is that that I have taken a strong interest in health and fitness since my early 20’s, and have made a point to eat food in its natural form a majority of the time. My first job was in a gym in 1980 ( my HS senior year) when I started lifting. Nobody is perfect though, I wasn’t. But I assure you, I was not downing fast food, potato chips and ding dongs. For that matter, I never have taken my son to McDonalds. I nursed him for 15 months and made all his baby food except for when we traveled. He is graduating this week and never ate a school lunch, eats good homemade meals….his lipids are through the roof. I have always had a garden and grow what I can, I visit local farmers markets and buy food there. I have baked my own sourdough bread for years. I’ve been an omnivore, I favor seafood, and dislike eating pork, so I don’t Etc…. I like wine and enjoy a margarita or mimosa on vacation. Standard. With FH shit happens. It’s genetic. If someone with lucky genes ate as healthy as me their entire adult life there would be no issues, I assure you. There’s also the fact that the “what’s your diet like question” means nothing. Because it takes decades for atherosclerosis to form and I HAVE FH!!!
@@Marta_is_here It's not about lucky or unlucky genes, it's about habits. Genetic propensities that cannot be managed by lifestyle choices are of a very small percentage. You can overeat/overindulge on quality natural foods just as well as on junk food. Talking heads like Attia are trying to find their magic bullet, to be able to live their extreme desires, while enriching themselves on naive and unsuspecting customers, who are looking for him to find their magic bullet. It's really rather simple you need to find your hormetic point given your current circumstances. It's not sexy though, as it requires effort and discipline, which is at least difficult until it's a habit and even then it can remain a challenge depending on how you are able to cope with peer pressure. Your response is at least in part a deflection, I think you know what you are doing wrong.
I was hoping to hear some further insight relating to metabolic syndrome, insulin resistance, and a carbohydrate excess diet. How are these things related to ASCVD?
At 47 yo I was 100, 99, 98 and 95% blocked in my coronary arteries with NO symptoms until “one day.” I felt absolutely fine, watched my diet and could exercise normally. Less than a year before, I beat my wife and young daughter out of Carlsbad caverns, a very strenuous hike that lasted a couple of hours. I had a quad bypass. Four different doctors told me the first thing that should have brought me to the hospital was an ambulance carrying my dead body. NO symptoms until the day I had them. None. Chest pressure that felt like anxiety. A deep, sternum stretching inhale would relieve it. That was my only symptom until my left ankle swelled up. Ischemic cardiomyopathy. It Fooked my heart. My EF is 20%. I feel great but I’m skating near the edge.
What causes heart disease is a subject that has fascinated me for the last 24 years. The heart disease maps and 100 year timeline were valuable study tools. I have lived in the two States with the lowest death rates, and now living in a State with high death rates. What a contrast in lifestyle and environment.
I wish I could pay a lower subscription fee ($50-$60 Canadian per year) and just choose X amount of podcast episodes each month I could listen to. I want to support, but don't need the high detail on all the topics
Not always able to understand it. My father, a soldier from the age of 15, never smoked or drank. Triple heart bypass at 44. Myself quadruple heart bypass at 48. Never smoked or drank. Have excercised all my life. Physical job also. My 2 other brothers have had stents. They are older and smoked. My father is now 80’anx still alive. I’m only 53 and cycle 10 hours a week. My resting heart rate is 47 and my max which I hit weekly is 182. We are now in a genetic test to see why we got hit with hit. It’s not diet or excercised or weight caused with us anyway.
@@rogerc23 you are having a laugh. Only in the last 20 years have the working class eaten meat everyday. I still only eat a couple of times a week and it’s chicken then.
@@douglasbooth6836 20 years? So since 2003? Ahhh no. It’s been like this since the 1940s. Mass proliferation of process foods since the 1960s. Nice try though troll.
What I don’t understand is what is the evidence that high blood pressure has directly lead to Death ? Also why are the Blood pressure numbers the same for everyone irrespective of age, sex, body type, health etc.
The same bullshit again and again. Atherosclerosis is IN FACT caused by 2 things: 1) endothelian injury (e.g. through sugar intake or smoking), 2) insulin-resistance/hyperinsulinaemia which prevents the healing processes from being sucessfull and actually leading to more damage and at the end causing either a MI or a stroke... Lipids and hypertension are actually a minor issue, and BOTH are actually a downstream effect of insulin-resistance/hyperinsulinaemia/fructose intake. And yes, atherosclerosis PER SE is not inevitably progressive, there have been some very good mouse-model studies which show that after transplanting an aorta from an "atherogenic" mouse into a healthy one will REVERSE the atherosclerosis in about a week... The best way to protect itself from atherosclerosis is to stop eating sugar completely and be sure that you are insulin-sensitive and your insulin is low most of the time...
Thank you. Came here to say this 👍Another thing to note, in a study of 140,000 patients admitted to a hospital for cvd, nearly 40% had absolutely fine lipid numbers. If the lipid hypothesis and it's apob centered variant was correct then this should not be possible. The problem is arterial injury due to inflammation, glycation, etc.
@@OGPedXing my father had quadruple bypass surgery at 69 and he never had problems with blood sugar. Only high cholesterol. Never smoked, never drank alcohol
@@nickbardan3867 He may have had blood sugar problems that he didn't know about, if the only blood sugar tests he was having were fasting blood sugar tests. These give a snapshot of blood sugar at one time. They are static pictures. Better are glucose tolerance tests, in which blood sugar is measured up to 4 hours, after being given a large quantity of sugar, like a can of Coke. This is a dynamic test of blood sugar over time and can be more revealing of problems. You can be diabetic and have fasting blood sugar in the low 80's.
@@alanmadeira-metz1380 " you can be diabetic and have blood sugar in the 80,s " ???that doesn't make any sense. Diabetes IS high blood sugar. If you don't have high blood sugar you don't have diabetes. What are you talking about??
@@nickbardan3867 What I am saying is that your morning fasting blood sugar can be normal but you can still be diabetic. The diabetes shows up when you start eating and your blood sugar spikes but does not quickly return to normal after say 1 hour. Instead it continues to rise in the second and maybe 3rd hours and remains high. So a fasting blood sugar test which is what most people get may not tell you if you are pre-diabetic or diabetic. A better test is a Glucose Tolerance Test which tests your blood sugar response to a sugary drink for 2-4 hours. This is what people should be getting.
After reading all peter s 9 parts of cholesterol and blood lipids serie i reached to the conclusion that apoB particles and more important lp(a) are the ones penetrating the endothelium and start the process. but as mr thomas dayspring stated without inflammation the artery walls might be very powerful in which case the particles are not crossing that barrier. after these lessons i am more keen and target my particles lowering and make sure my apoB/apoA1 ratio stays lower than .8 2x cold baths / week lowers body inflammation check regularly crp or hscrp stay low with fasting insulin don’t eat sugar stay high on protein and balance carbs and fats, that is energy based on the training days eat smart saturated fats thanks peter for your work!!
@@adlsaias are you telling me that cold pressed pumpkin oils cause inflammation??? it has been demonstrated in many RCT trials that omega 6 does lower risks for CVD
@@claudiucosar all temperate zone seed oils have way more Polyunsaturated fatty acids than ruminant fat and dairy fat. Before 1900 99% of people got all their fat from low PUFA fat sources. All chronic disease exploded after the introduction of Crisco in 1910 as the first successful criminal enterprise selling industrial waste as food to humans which is a booming Government supported industry today with the support of a licensed pecuniary focused medical practitioner liars like Petey. The RCTs that directly compared humans consuming saturated fat against seed oils were done in the 1980s. Hundreds of millions of dollars, thousands of subjects, the biggest studies up to that time. The Minnesota Coronary Experiment and the Sydney study. They both shows that seeds oils are worse for death and heart attacks. Seed oils do lower cholesterol but that is negative for all cause mortality. The researchers and their government funders were profoundly disappointed in this proof of their malfeasance so they hid the results. Dr Ramstein of the NIH in 2016 dug up the hidden data and re-analyzed it. The forensic adventure is featured in a podcast by Malcom Gladwell. This is why all the criminals are silently backing off their 50 years of anti saturated fat propaganda. Links: www.bmj.com/content/353/bmj.i1246 www.simonsays.ai/blog/the-basement-tapes-with-malcolm-gladwell-s2-e10-revisionist-history-podcast-transcript-d764d0472079 You have been lied to by people who care nothing for your health. People like Peter Attia who cares more for his net worth than your health
@@adlsaias the studies you mention are flawed in short. they were debunked already...and they are NOT reliable. Check dozen of RCT(remember the most important studies) show PUFA do protect against CVD. myself i experiment a lot and see clearly that saturated fats from butter, goat chees + greek yogurts(fatty 10%) DO RAISE my blood lipids a lot. now that doesn't mean this apply to others as well, but it ALSO has been demonstrated that SAT FATs from dairy DO HAVE impact on cholesterol levels. others do NOT, for instance: stearic FFA and oleic acids do have beneficial effects so i would rephrase that NOT ALL SATURATED FATS are producing the SAME results on cholesterol! So for me, i try to reduce fats from dairies and do NOT limit fats from cacao/dark-chocolates or seeds. I do not fry food but only in olive oil but in general let's be realistic, the issues with seed oils come from the hydrogenic processes and many transformation yielding in byproducts that those seed oils also DO CONTAIN trans fats! Now i do NOT stand a minute in saying that if one consumes pumpkin cold pressed oil will be bad for one...imagine the process of it! there's NOTHING wrong with that MANUAL process. for instance: "Even if cocoa butter is the silent partner in the powder-butter duo, it's far from inactive in the body. Cocoa butter consists mainly of palmitic, stearic, and oleic acids. Palmitic acid, a solid, saturated fat, increases risk of cardiovascular disease. Stearic acid, which is also a solid, saturated fat, appears to have a neutral effect, which is uncommon among saturated fats. Oleic acid, meanwhile, is a liquid, monounsaturated fat that decreases the risk of heart disease."
@@claudiucosar OMG, where to start! Supposed debunkings of the largest RCTs on record with no links, huge quotes with no sourcing, weird obsession with pumpkin seed oil that has tiny market share. The best explanation is English as a second language The more likely explanation is early onset seed oil caused dementia either way not much point to continuing, good luck with the pumpkins
(Not exactly on this week's topic. Hopefully, enough people will ‘like’ this topic that you will consider it.) A disproportionate number of aging athletes seem to have heart electrical problems (bradycardia-tachycardia, sick sinus syndrome, atrioventricular block, atrial fibrillation or flutter (a-fib), etc.). The conventional medical ‘standard of care’ appears to be pacemaker implantation. There seems to be little research into nutritional prevention or reversal. Please update the latest science on causes and prevention, particularly relating to electrolyte deficiencies and/or imbalances (calcium, copper, sodium, potassium, magnesium, etc.).
My wife was a nurse in a cath lab. (Where they put stents in). Every single patient she ever had was on statins. How good is a drug if everyone that takes it still has heart attacks or needs stents?
It's anecdotal data. Patients she sees are going to already have vascular issues and most doctors are going to have them on statins to manage the arterial plaques.
Now imagine if they were not taking statins. They more than likely would have died already. Another thing they are on it because they already have diagnosed disease. Not all folks continue to do the right thing either, hence I am not at all surprised with what said.
@@arnoldfrackenmeyer8157 .The extent of risk reduction can vary from person to person, but research suggests that statins can reduce the risk of heart attacks by around 25-35% and the risk of strokes by a similar percentage in some cases. The exact benefit depends on individual factors and not all people benefit from them, albeit , some benefit significantly. Check with the AHA.. nobody know the numbers better !
My cousin had an aorta dissection at 37 with no previous heart issues and was a swimmer as a teenager. He found out after genetic testing that he had Loeys-Dietz syndrome (LDS).
Most teenagers were "swimmers." 37 year old adults are not teenagers as they have had 20 years to abuse their bodies, and lifestyle diseases may begin in infancy.
I think the heads up is the phrase "sneak peak" in the title. If you want more, get the paid subscription, or wade through a bunch of the 1.5 to 3+ hour podcasts he has on this topic, let us know if you find it there. That said, I believe Dr. Attia to be a credible and thorough source of state-of-the-art science-based knowledge on this and other similar subject areas.
I really wish I had found Dr. Attia years ago. I may have avoided a coronary event. I thought that since I wasn't overweight, ate healthy, and had healthy blood pressure that I was fine.
One important thing to do is to restrict your saturated fat because it will lead to cholesterol synthesis. That will lead to an increase in the number of ApoB lipoproteins which transport the LDL cholesterol in the blood. If this number becomes too high, some of these ApoB particles will pass through the artery wall and get stuck there. They will then get oxidized, leading to plaque formation. Inflammation will then develop. This process is the origin of heart disease. Other conditions like insulin resistance and high blood pressure can accelerate the process, but don't have to be present.
What's with the focus on Statins and LDL still? This is old medicine. “In the Get with the Guidelines study database which included 231,896 patients admitted to 541 United States hospitals with a diagnosis of acute coronary syndrome, 136,905 According to this study about half of the patients admitted to the hospital with an acute coronary syndrome had LDL cholesterol levels in the normal range.” This is consistent with growing data that treating patients with statins based off the standard lipid panel does not reduce mortality,” (Maiolino et al, 2015) From the BMJ in 2016 a large systematic review finally put to rest the long held assumption that high LDL leads to death. “High LDL-C is inversely associated with mortality in most people over 60 years. This finding is inconsistent with the cholesterol hypothesis (ie, that cholesterol, particularly LDL-C, is inherently atherogenic). Since elderly people with high LDL-C live as long or longer than those with low LDL-C, our analysis provides reason to question the validity of the cholesterol hypothesis. Moreover, our study provides the rationale for a re-evaluation of guidelines recommending pharmacological reduction of LDL-C in the elderly as a component of cardiovascular disease prevention strategies,” (Ravnskof, Diamond, 2016) A paradigm shift from the American College of Cardiology. They state they have perhaps been wrong about saturated fats over the past 40 years and they are not linked to heart disease. They also suggest that focusing on the standard lipid panel is inadequate and small LDL size is more indicative of heart disease risk rather than just using standard LDL as a risk factor tool, (Saturated Fats and Health: A Reassessment and Proposal for Food-Based Recommendations: JACC State-of-the-Art Review) The Brits are onto it as well. “Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively reduced from healthy lifestyle interventions,” (BMJ, 2017)
The cholesterol theory is extremely flawed. I suggest Peter Attita read "The Clot Thickens" by Malcom Kendrick, MD which very logically lays out a thrombogenic theory of heart disease. Perhaps Peter might invite Dr. Kendrick to his show.
I wanted to ask. I recently had stomach inflammation and it went on for like a month and half, I got a blood test and it showed I have high Lp(a) around 55 mg/dL, but I had it tested when I was on meds and I was feeling very sick. Could that possibly have an effect on Lp(a) reading?
Isn't that an Ayrton Senna helmet in the background? I'm 72 and have been a runner all my life. I have an ascending aorta that is a bit larger than normal but not enough for surgery, One cardiologist said slow jogging at most. My second cardiologist said running would be ok, but come back in one year for an echo. The key was no growth in the aorta diameter in the prior year. I'm checking BP daily and watching sodium intake.
Carbs. I once did Vegan hoping to knock my Doc's socks off. I could handle it fir a month. after testing he phoned me and told me that my cholesterol is suddenly so high that they wanted to wash out my blood. He wanted to hospitalise me. went keto in 2012 and got another call and he said it looked as if my results didn't belong in my file. my cholesterol halved to 6 and my trigs were for the first time in my life 0.7. it was always around 3. so I knew in my Knower that carbs would kill me off quickly. He said the blood doesn't lie. Tim Noakes was my hero.
How can you get high cholesterol from a vegan diet? Cholesterol is exclusively found in animal products. The only thing I can imagine is that your body made more to compensate.
long term plant based diet is the way to go to prevent this. my dad has a major heart attack at 48 which required triple bypass surgery. I am now 47 and have (at according to heart CT Scan), zero artherosclerosis. I was shocked. I expected to have some buildup. I have been vegetarian for over 20 years now, and during various periods, vegan off and on. I really think this helped me prevent this and delay onset as both my parents have heart issues. Anyway, my suggestion is for people to eat as much plant based whole unprocessed foods as possible and start as early as possible
@@christopherstewart9874 Plant chemicals work synergistically with the human body - feeding the microbiome, cleaning the colon, making SCFA's, preventing cancer, and on and on and on. There really only is a plant-based diet aside from processed foods.
I was on high dosage lipitor for many years. My biggest issue during that time was mental fog and memory issues. I would sit across from people i worked with for 20 years and forget their names and many times lose my train of thought midway thru sentences. Went off the statin and all was well.
I spoke to Peter and he said he’s prepared to give free access as long as you agree to do your job for no pay. Peter is a doctor and an expert and this is part of his business that’s why he want you to pay for his services, just like everybody else. I’m sure you don’t offer your work services for nothing
@@boydhooper4080 Boyd you massive condescending DH, plenty of people do volunteer work, for the greater good, alongside their full time work. Just asking for this one important episode to be released, not everything. Plus, these videos can also be monitized. In addition, his other content is so dense and long it's a disincentive to pay to subscribe. No doubt this will be limiting his audience, reach and impact.
I think he gives plenty on exercise, and he explains what medical solutions are available, but is often reluctant to be prescriptive because he is still discovering new perspectives and doesn’t want to be practicing medicine on strangers. Or he is actually very sly and wants people to have to return. 😈
Hi Peter, I am not a member but I am a physician. You have great insight but I think Ivor Cummings inside out versus outside in is key to ASCVD understanding. We see this with neovascularization in the eye and cotton wool spots but don't recognize the same thing is happening from the vaso vasorum to the tunica media of coronary arteries. Also HTN is mainly hyperinsulinemia. Wish I could see the whole interview because you have great insight.
Thank you for this comment Dr.Ripley...it led me to Ivor Cummins talk on this topic which is very thought provoking. A 3 year foray now into a very low carb very animal product (so high in saturated fat) heavy way of eating has seen my blood pressure go from medium high(145/90) to normal (125/80) , my HDL go up nicely, my triglycerides drop 60% to the low side of the normal range, my Hb1ac drop from 6 to 4.4 and a CAC score of 0. My calipered body fat is 18%. All this at age 68. My weight dropped from 98 kg to 83. And I can eat to satiety which means that I am never starving. I realize now that these interventions are at the heart of the Root Causes Ivor speaks of. With my Swiss doctor's agreement we don't even include LDL in a blood panel. It is a simple approach while not necessarily always easy.
@@jeffc1736 I think Ivor is clever, Peter is brilliant, but Vladimir Subbotin is on the right track.(ivor did same presentation but is a better public speaker) th-cam.com/video/vLpDCetBIC0/w-d-xo.html
I got nothing out of this podcast. What is the best diet to prevent or mitigate heart disease once you have it? If LDL-C in the diet leads to an increase in ApoB particles, then you would want a diet low in saturated fats. But I don't think Dr. Attia advocates for that, does he? And, I could name about a dozen studies that concluded that saturated fat in the diet, dairy, and/or meat do not cause heart disease, heart attacks, stroke, CVD mortality or all-cause mortality. And in the case of dairy, it reduces the risk of stroke. Maybe the best diet is low carb AND low fat.
It depends. It seems that high carbs + high fat diets are the most dangerous ones. Specially if the high carbs are sugars and high fat are omega 6s. So that's why low fat and low carb diets work - on one you remove the inflammatory carbs, in the other - the literal fats that clog the arteries. But removing both carbs and fats can be VERY stressful for the body. You still need energy source. Probably some form of time restricted feeding is more optimal. So your body have time to get rid of the exes fats and carbs in the system. Plus fc removing every possible inflammatory food.
@Funk Family I'm no expert, and it may not be as simple as no inflammation, no problem, but without the initial arterial damage I don't think the cholesterol is the problem. What is the problem is that the arterial damage starts in childhood. As adults we're just trying to keep it from getting worse.
Alan, check out Dr. Ken Berry on TH-cam. He has a short video based on info from the AMA's division of cardiology. He put their info into a pie chart showing the risk factors for heart attack. Straight forward and free. No membership required.
I have heard Peter say that saturated fats are a problem. He didn’t claim it was a reason he went off keto, but I suspect it may have been part of it because I also heard him say that he would eat a pint of sour cream at a time. I think he exercise enough that he could eat quite a few calories, but I would imagine that would be a lot more than eight or 9% of his total.
Is there any good evidence that presents a case for heart attack or stokes, that have nothing to do with food being the primary driver? I find it hard to believe all heart attacks or strokes can be traced back to some type of metabolic or diet related cause? To me this statement is almost as controversial and unfounded as the belief that all forms of cancer are diet related, (that is has something to do with what we eat, but how do you explain cancer in infants or baby's ? )
0 saturated fat, 0 cholesterol. Lots of leafy green vegetables, fruit, whole grains and exercise has been proven to REDUCE plaque build up in your blood vessels. Works better when you are younger. When your blood vessels become calcified in old age it is difficult if not im[possible to reverse.
If they can put a camera through arteries, certainly adding a laser to melt/break cholesterol plaque could be a thing. Alternatively, could habitual sauna or alike therapy help thin out cholesterol flow?
Many people died in front of me (aka in my Time. What should i do know? At first, i thought they are kidding me. I thought they are hiding to peek a boo. Some are yes they live again but i don't want to catch them. But some people are really dead, i believe. If they are dead, what i'm supposed to do?
Why is such an essential thing, made in our body, by our own cells become so deadly? I really have difficulty believong what you say.I don't believe the cause of Atherosclerosis is cholesterol.
Heart disease is one of our biggest enigmas. It could be brought on at any time and at any age, regardless of nutrition, fitness, genetics and lifestyle. It's quite challenging to get a stranglehold on it and certainly most frustrating to those who make a concerted effort in living as healthy a lifestyle as possible...
@@AnnTsungMD Indeed! And considering the fact so many people particularly in the U.S. are slaves to conformity, laziness and ignorance, certainly makes matters worse!! 🤷🏽♂
My feeling is, if you live a healthy lifestyle then it is unrealistic to worry about CVD, cancer, etc. Could it still happen? Yes, but there would not be much you could have done about it. There is a spectrum between pure neglect of heath and measuring every possible data point of your health, both of which aren't healthy. Peter does it for science but the average person being consumed with every facet of their life revolving around attempting to live another year isn't life at all.
How is atherosclerosis inevitable. I thought that atherosclerosis doesn't progress if you have an ldl-c under 67mg/dl. What if you stay bellow that level your whole life?
@@samvandervelden8243 From age of 45 we have prevention testing in our country. My mother have high LDL cholesterol but don't have plaque just a bit of soft plaque in carotid artery which is normal for her age doctor told so she is 64 she have higher LDL since her 30's. Probably LDL is not only factor. Like example my father's diet is very heavy a lot of meat and fat from dairy too much carbs but still cholesterol and BP are low.
Because you always have some amount of cholesterol in your blood, and your artery walls will degrade as you age no matter what you do. Eventually cholesterol will breach the endothelial walls and start to develop plaque. It's just a matter of time.
question: my cholesterol numbers are absolutely fucked, unheard of levels. all genetic tho. If plaque is building inside of my arteries will i start to see things such as a higher resting heart rate or higher blood pressure? what are some warning signs I can look for.
Considering the knowledge he's amassed for your benefit, and considering the vast majority of what he provides is free, this comment is a bit pathetic.
Nope: most of this information is already available in his long form podcasts which are available for free. Sry, to hear about your heart surgeries. American healthcare is a scam
Excessive amounts of sugar and carbohydrate in the standard american diet (high fat, high sugar, processed foods). Leads to hyperinsulinemia (aka insulin resistance), inflammation, oxidative stress.
@@RaffiTheQuokka Pete's the main deception is ignoring the role of PUFA consumption in causing heart disease and blaming it instead on LDL so that he can continue to give statins and the like to his unfortunate patients.
Thank you for a technically detailed podcast. I understand you have become interested in regenerative farming. You could invite the brilliant biologist, George Monbiot, to your podcast. It would be interesting (and brave).
I loved the book but was nearly shocked when towards the end you said your wife gets you Deli meat. Aren’t they the very definition of the processed foods not to have !!!
Carbs (which are just sugar once ingested) adhere to red blood cells causing spikes on the exterior of said cells. These spikes damage arteries when passing through. The body releases cholesterol to repair the damage done by carbs. Now your conventional MD blames cholesterol for what sugar has done and tells you to start taking statins. No mention what-so-ever of the root cause. Stop eating carbs, stop damaging the body every single day, the body can finally heal. That is super simplified, but not a difficult concept for one to understand.
Peter ignores the toxic effects of statins such as cognitive decline, accelerated deposition of calcium on the artery walls, destruction of the myelin-sheath, kidney and liver damage, permanent motochindria damage, increse in blood glucose, increase in insulin resistance, early onset diabetes and the associated heart disease that brings, thinning of the cardiac muscle, increase in Lp(a), and others, and Peter also ignores that the statin does not address root cause of the problem. Referring to Dayspring is embarassing because while a 300 pound cardiologist might have some nice graphics to show, his results are tragic.
@@Markhypnosis1 he has other long videos on CVD where he promotes statins but ignores the disastrous side effects as well as the lack of mortality benefit.
@@danielmccarthyy They also ALWAYS imply that the side effects are rare. THAT is nonsense. ALL of my family and friends I've got to know through this have horrendous side effects on statins. AND, I have been on just about every one on the market. Each one worse than the one before. I can somewhat tolerate a fibrate... but I don't care anymore.
I need more risk:reward study. Muscle pain prevented me from lifting - lean muscle and strength crashed. Dr Attia’s not the only one I’ve followed for years who recommends statins though.
@@turgayderya1938 No. High cholesterol is the cause. Inflammation at some level is unavoidable. People with low LDL cholesterol DO NOT GET CORONARY ARTERY DISEASE. People with high LDL cholesterol DO.
@@karwask1 The same can be said about vegans and vegan doctors like Greger who are like evangelists. I could name about a dozen studies that conclude that saturated fat in the diet, dairy and meat do not cause heart disease, heart attacks, mortality from heart attack, or all-cause mortality and in the case of dairy, lower the risk of stroke. Why don't vegans have an open mind to discover truth?
@@karwask1 I could cite about a dozen or more studies and meta-analyses since 2010 that show that diets high in saturated fat do not cause heart disease, heart attack, stroke, CVD mortality, or increase in all-cause mortality. These are not dairy industry funded studies. So, just to give you 1 example of an original study, not funded by the dairy industry, look at the Golestan Dairy Foods Study, a 10 year study, ended in around 2017 with 40,000 plus subjects. Was funded by Harvard, the NIH, the National Cancer Institute an international research org. and a Japanese pharmaceutical company. I believe it was designed by Dr. Willets of Harvard Medical School or School of Public Health. It found that saturated fat from dairy did not cause heart disease, heart attack or stroke and subjects eating low-fat yogurt and cheese saw significant reductions in these. Subjects in the highest quintile saw the greatest benefits. The authors recommended that people eat yogurt and cheese. I have never been on a keto diet and I can let others advocate for it. I do believe that a diet low in carbs, including little grains, pasta, bread and potatoes, but plenty of colored vegetables, a small amount of legumes, some meat, omega-3 fish, eggs and turkey and chicken is a healthier diet than the Mediterranean Diet or the vegan diet. I myself rarely eat meat, but I do eat the rest, with turkey mostly substituted for chicken. I eat some fruit, mostly mixed berries, and I eat organic. I think this a healthier diet because it eliminates deficiencies of vitamins and minerals, and keeps blood sugar under control. It's also great for maintaining a healthy weight.
Dont waste your time. No info here. Just folks who like to hear themselves talk. Whatever Attia is doing, its just about making money. Hence, no info given here in a 15 min vid.
Zero cholesterol in the blood stream would be certain death. Every cell in your body needs cholesterol. Without cholesterol there would be no testosterone or estrogen. We would cease to exist.
Your heart wears out Da !!! That’s it, it just wears out after beating for 65 years !! Just living to 65 is a miracle! Stop worrying about this worldly life, and focus on your eternal life by accepting Jesus Christ as your savior and live eternally
so how did Benjamin Franklin live to 84 then? He never consumed a seed oil or statin in his life or had an apoB test in his life. Strange, what did people do before Petey came around to sell them bullshite
Why did I waste time watching this. Smoking, high blood pressure, bad lipid profile. I learned this from my DENTIST in the 1970s. His prevention plan was high impact exercise to develop a cardiovascular system that had a very high capacity. No action items were given in this video.
Peter, you’re wonderful but… This is not helpful. It’s too long-winded. Get to the point. More than giving hacks, but far less than an epistle. Heart disease: What is it? How dangerous? Who gets it-risk factors? How do you get it? How best to avoid it? You use 10x the words necessary. Your listeners then get lost or just give up. Constructive criticism: You often ramble.
Listening to Peter Atilla just gets on my nerves. He just doesnt get to the point. Its meandering, rambling, long delivery, anecdotes, questions that are non-sequiters.
Most cardiac conditions are the result of genetics which explains why some people can eat high sat fat high cholesterol food like Twinkies for years and never develop heart disease while another can eat healthy for years and still have high cholesterol levels
genetics cannot be the explanation for the explosion of heart disease between now and 1900, try again. High cholesterol reduces all cause mortality especially for the elderly, try again check out seed oils
@@pabloblanco2656 My try again message is simple. Don't suggest causes for heart disease that cannot be. Genetics cannot explain heart disease almost non existent in 1900 and and becoming the number one cause of death now. This change must be environmental not genetic. Seed oils are digested by the GI tract and absorbed. They make up an every increasing amount of fat tissue and cell membranes of Americans as the years passed from 1900 to now. Just as ALL chronic disease incidence and severity has grown. I am currently avoiding all seed oils, even those in monogastric animals like modern pigs and chickens that have more Polyunsaturated fat in their fat than you will find in canola oil. My health has never been better at 64, no prescriptions. I eat like my great grandfather. Seed oil consumption is the number one cause of western chronic and auto immune disease and I expect to live doctor and prescription free for 4 score and ten. Cholesterol is produced by the body. Even if you could ete none somehow; you would not reduce it in the body. People with genetic disease that can't produce cholesterol die before birth. It is necessary for the production of male and female hormones and the crucial immune system modulating hormone vitamin D. It is required to make the membrane of every cell in your body. The idea that it is is a poison is ridiculous bullshit of Petey Asshole and lying money grubbing lipidologists and cardiologists. You know nothing, apparently, study more wisely before your ignorance kills you and your progeny. Keep your ill informed opinions to yourself until you do
@@adlsaias your ignorance is equal to your arrogance which both go hand in hand. You need to get educated before you spew nonsense and propaganda. As for your ignorant statement regarding animal fat being more unhealthy than canola oil. Let me educate you on how the body functions since you are not educated. Seed oils are usually NOT absorbed. Many people's small intestine can not absorb seed oils and it sits in the gut where it causes inflammation. You contradict yourself talking about seed oils and then turn around and say animal fat is worse than seed oil. As for your other ignorant statement regarding the 1900s. Cardiac studies were not being conducted at that time. What do you think people were dying of in the 1900s ? You're not too bright. You deny truth, science, common knowledge, documented published studies and facts. I see you also avoided the simple questions. How many people do you know that have lived forever ? That's what I thought. Maybe ask your great grandfather (the one you deny) what everyone was dying of back in his day but then that wouldn't work for you because you don't believe in facts like genetics. I bet you still believe in the toothfairy and the big bang theory nonsense too.
Are you a Doctor Who specialises in the subject matter? Or are you just a person who posts they’re uneducated opinion Regardless of the fact that it may impact peoples health or lifespan.
@ Boyd Hooper -- The truth is always offensive. I see you have an active ICDS membership. You are the type that like to hear theirselves talk but bring no value to the conversation table and jealous of people that have above average IQ. Keep swallowing, regurgitating and repeat until you can awaken from your ICDS stupor. Your ignorance and arrogance are shining bright. Both go hand in hand. Manage your narcissism before you pass uneducated judgement on others.
This is so typical and frustrating. Probably one of the most important health topics and you suck us in and give a sales pitch to a paid membership- wtf?! To me this is overall the most discouraging and disappointing things about the medical profession: There are wildly divergent arguments about heart disease and how to prevent it. Specifically around diet. Don’t eat meat, only eat meat, don’t eat fats, you need to lower cholesterol, no you should not take statins, you need more fat in your diet. Exercise regularly, cardio really does not help, drink alcohol in moderation, don’t drink any alcohol, loose weight, no don’t loose weight as you get older. And with all of these arguments the theme seems to be about how to make a buck or generate “clicks”. Overall Americans are not very healthy, it does not seem that there is much of a collective agreement on how to make the U.S. population healthier. The food pyramid is apparently a scam. The only thing that is generally agreed upon is to quit smoking. Overall frustrating. I am about 60lbs overweight (slightly obese) and my doctor has said basically nothing about losing weight, changing my diet or recommending any type of tests to see how the arteries in my heart are doing. And I think this is typical doctors are afraid to confront patients
Owe Peter , why do you delete my comment? It was a intelligent insight . It would be very interesting if you done a talk on the possible cardiac effects after having the covid vaccine no?
high fat diet -> rouleaux formation -> increased blood viscosity -> increased blood pressure -> progressive damage to endothelial resulting in lesions and plaques -> chronic ischemia and hypoxia -> death by various related diseases (Dr. Gregory Sloop - retired pathologist)
@@darkdragonite1419 you can watch it for yourself -> Blood Flow, Before & After Eating a Fatty Meal - and also learn more about it from Dr. Sloop by watching The Importance of Measuring Blood Viscosity (webinar) - why do you think that people take blood thinner medications?
You can eat a high fat diet and even have plaque, but your blood pressure can remain normal. I suppose people take blood thinner medications to prevent platelets from clumping to prevent clots, which can break off and cause heart attack, stroke and death.
@@alanmadeira-metz1380 People should be told by their doctors that optimal blood pressure (unmedicated) is 110/70 or less, not 120/80. Study of various native populations with traditional lifestyles showed us that this is possible and really should be normal for us too
![ApoB, LDL-C, Lp(a), and insulin as risk factors for cardiovascular disease [AMA 43 sneak peek]](http://i.ytimg.com/vi/MAw4KMoBTPo/mqdefault.jpg)
![ApoB, LDL-C, Lp(a), and insulin as risk factors for cardiovascular disease [AMA 43 sneak peek]](/img/tr.png)
Of all the AMA's Peter has done this one REALLY should be made public. I have heart disease and this AMA explained it better to me than ANYTHING else I have ever seen. I am a paid subscriber and have watched it at least a dozen times and more-or-less used it to explain heart disease to people who do not really understand what ASCVD actually is. I've even given out my login info to family in order for them to understand exactly what it is I have. I'm sure Peter is doing quite well financially. It wouldn't hurt to release this AMA as a public service and make it free for everyone. I honesty think it could save lives.
It is public
“Health is a state of complete mental, social and physical well-being, not merely the absence of disease or infirmity.”
I am 55 now. 14 years ago I went to see an interventional women's cardiologist due to family history of heart disease on my father's side. Lipid panel always good - 174 total cholesterol. Risk ratio low. Don't drink, smoke, and exercised since teens. 3 months ago I insisted on a calcium score. These tests have been around since the 90's. I scored 706. 99th percentile - only one percent of the population had a worse score thsn mine for my age and sex. I wish, and I hope doctors and professionals reading this include calcium scoring as part of the total heart health picture. In my case I clearly lost 14 years of intervention because my bloodwork was excellent and I was female and told i had nothing to worry about. Genetics can not be underestimated in heart disease folks.
Have you had imaging done of your arteries? That would tell you a lot.
I am sorry to hear this and you are right about genetics. We can't pick our parents. I have the same family history as you on my father's side. However the rest of my story is the complete opposite. I have had crummy lipid profile all my life, in my retirement years, and no heart disease according to the cardiologist. When they do imaging of my arteries they are stunned. I can't explain it. EXCELLENT they say. I think there is a lot more to this than just cholesterol. I hope you are doing well.
Being female and at menopause, you might research BHRT as another intervention to preserve heart health. Most women begin having cardiac issues at menopause. Hormones keep veins, tendons, arteries, and muscles more supple. Without intervention, all become brittle for women.
@kcsunnyone - agree and I've been on them since age 50 but also took birth control in my younger years. I stay on them, but it's a big fight with these doctors because of breast cancer risk they say. I stick with bioidentical. My entire family history is heart and I pulled the bad gene card despite all lipid tests and lifestyle pointing to no disease. Doing everything I can but age and genes is not my friend here. I appreciate your insight and suggestion 😊❤️ thank you
@arnoldfrackenmeyer8157 Yes, and it earned me 2 stents in my RCA 12/4/23 due to a 90% blockage. I had NO symptoms but was a walking corpse.
I am 59 now, at 50 I was diagnosed with FH. I had a CAC test and my score was almost 800.
I had never been overweight, always into health and fitness, so needless to say I was shocked and deeply saddened. I had always lived my life to live to be 104!! I’m hoping I still make it.
I had a baby at 40, my son is 18 now and was diagnosed with FH 2 years ago. He also has high triglycerides that I never had.
We are both on statins, and I feel horrible about him being on them.
He also takes health and fitness seriously, is an accomplished athlete and enjoys real food.
I’m praying that there will be more understanding and treatments for our issues very soon.
I always pay attention to Dr. Attia since he is one of the only public persona doctors that speaks to cholesterol, FH and heart disease.
Thank you
" I had never been overweight, always into health and fitness"
Have you measured your insulin regularly?
@@btudrus Of course. Especially after I found my issues. It has never been a problem ( though that’s everyone’s first knee jerk reaction). I had it tested again last month, it was 6.9.
What is your regular diet?
@@And1Mell You see, it could be anything. My diet has changed and evolved from when I was 5 years old until now.
What I will say is that that I have taken a strong interest in health and fitness since my early 20’s, and have made a point to eat food in its natural form a majority of the time. My first job was in a gym in 1980 ( my HS senior year) when I started lifting.
Nobody is perfect though, I wasn’t.
But I assure you, I was not downing fast food, potato chips and ding dongs.
For that matter, I never have taken my son to McDonalds. I nursed him for 15 months and made all his baby food except for when we traveled. He is graduating this week and never ate a school lunch, eats good homemade meals….his lipids are through the roof.
I have always had a garden and grow what I can, I visit local farmers markets and buy food there. I have baked my own sourdough bread for years. I’ve been an omnivore, I favor seafood, and dislike eating pork, so I don’t Etc…. I like wine and enjoy a margarita or mimosa on vacation.
Standard.
With FH shit happens. It’s genetic.
If someone with lucky genes ate as healthy as me their entire adult life there would be no issues, I assure you.
There’s also the fact that the “what’s your diet like question” means nothing. Because it takes decades for atherosclerosis to form and I HAVE FH!!!
@@Marta_is_here It's not about lucky or unlucky genes, it's about habits. Genetic propensities that cannot be managed by lifestyle choices are of a very small percentage.
You can overeat/overindulge on quality natural foods just as well as on junk food. Talking heads like Attia are trying to find their magic bullet, to be able to live their extreme desires, while enriching themselves on naive and unsuspecting customers, who are looking for him to find their magic bullet.
It's really rather simple you need to find your hormetic point given your current circumstances. It's not sexy though, as it requires effort and discipline, which is at least difficult until it's a habit and even then it can remain a challenge depending on how you are able to cope with peer pressure.
Your response is at least in part a deflection, I think you know what you are doing wrong.
I was hoping to hear some further insight relating to metabolic syndrome, insulin resistance, and a carbohydrate excess diet. How are these things related to ASCVD?
At 47 yo I was 100, 99, 98 and 95% blocked in my coronary arteries with NO symptoms until “one day.” I felt absolutely fine, watched my diet and could exercise normally. Less than a year before, I beat my wife and young daughter out of Carlsbad caverns, a very strenuous hike that lasted a couple of hours.
I had a quad bypass.
Four different doctors told me the first thing that should have brought me to the hospital was an ambulance carrying my dead body.
NO symptoms until the day I had them. None.
Chest pressure that felt like anxiety. A deep, sternum stretching inhale would relieve it. That was my only symptom until my left ankle swelled up. Ischemic cardiomyopathy. It Fooked my heart. My EF is 20%. I feel great but I’m skating near the edge.
Good luck!
What causes heart disease is a subject that has fascinated me for the last 24 years. The heart disease maps and 100 year timeline were valuable study tools. I have lived in the two States with the lowest death rates, and now living in a State with high death rates. What a contrast in lifestyle and environment.
I wish I could pay a lower subscription fee ($50-$60 Canadian per year) and just choose X amount of podcast episodes each month I could listen to. I want to support, but don't need the high detail on all the topics
If you are a student, they offer a student discount. It’s 70$ for the whole year, and you get all the content. I purchased this as a studnt
Not always able to understand it. My father, a soldier from the age of 15, never smoked or drank. Triple heart bypass at 44. Myself quadruple heart bypass at 48. Never smoked or drank. Have excercised all my life. Physical job also. My 2 other brothers have had stents. They are older and smoked. My father is now 80’anx still alive. I’m only 53 and cycle 10 hours a week. My resting heart rate is 47 and my max which I hit weekly is 182. We are now in a genetic test to see why we got hit with hit. It’s not diet or excercised or weight caused with us anyway.
Whole plant based diet, no processed foods, no oil or fats, no sugar or simple carbs. Don’t eat anything that has a face or a mother.
Take your statin
You say it’s not diet, but how much red meat and chicken did you eat? Everyday ?
@@rogerc23 you are having a laugh. Only in the last 20 years have the working class eaten meat everyday. I still only eat a couple of times a week and it’s chicken then.
@@douglasbooth6836 20 years? So since 2003? Ahhh no. It’s been like this since the 1940s. Mass proliferation of process foods since the 1960s. Nice try though troll.
@@rogerc23 I’m talking it’s only in the last 20years have the working class eaten meat everyday. In Britain most had it once a week.
What I don’t understand is what is the evidence that high blood pressure has directly lead to Death ? Also why are the Blood pressure numbers the same for everyone irrespective of age, sex, body type, health etc.
The same bullshit again and again.
Atherosclerosis is IN FACT caused by 2 things: 1) endothelian injury (e.g. through sugar intake or smoking), 2) insulin-resistance/hyperinsulinaemia which prevents the healing processes from being sucessfull and actually leading to more damage and at the end causing either a MI or a stroke...
Lipids and hypertension are actually a minor issue, and BOTH are actually a downstream effect of insulin-resistance/hyperinsulinaemia/fructose intake.
And yes, atherosclerosis PER SE is not inevitably progressive, there have been some very good mouse-model studies which show that after transplanting an aorta from an "atherogenic" mouse into a healthy one will REVERSE the atherosclerosis in about a week...
The best way to protect itself from atherosclerosis is to stop eating sugar completely and be sure that you are insulin-sensitive and your insulin is low most of the time...
Thank you. Came here to say this 👍Another thing to note, in a study of 140,000 patients admitted to a hospital for cvd, nearly 40% had absolutely fine lipid numbers. If the lipid hypothesis and it's apob centered variant was correct then this should not be possible. The problem is arterial injury due to inflammation, glycation, etc.
@@OGPedXing my father had quadruple bypass surgery at 69 and he never had problems with blood sugar. Only high cholesterol. Never smoked, never drank alcohol
@@nickbardan3867 He may have had blood sugar problems that he didn't know about, if the only blood sugar tests he was having were fasting blood sugar tests. These give a snapshot of blood sugar at one time. They are static pictures. Better are glucose tolerance tests, in which blood sugar is measured up to 4 hours, after being given a large quantity of sugar, like a can of Coke. This is a dynamic test of blood sugar over time and can be more revealing of problems. You can be diabetic and have fasting blood sugar in the low 80's.
@@alanmadeira-metz1380 " you can be diabetic and have blood sugar in the 80,s " ???that doesn't make any sense. Diabetes IS high blood sugar. If you don't have high blood sugar you don't have diabetes. What are you talking about??
@@nickbardan3867 What I am saying is that your morning fasting blood sugar can be normal but you can still be diabetic. The diabetes shows up when you start eating and your blood sugar spikes but does not quickly return to normal after say 1 hour. Instead it continues to rise in the second and maybe 3rd hours and remains high. So a fasting blood sugar test which is what most people get may not tell you if you are pre-diabetic or diabetic. A better test is a Glucose Tolerance Test which tests your blood sugar response to a sugary drink for 2-4 hours. This is what people should be getting.
After reading all peter s 9 parts of cholesterol and blood lipids serie i reached to the conclusion that apoB particles and more important lp(a) are the ones penetrating the endothelium and start the process. but as mr thomas dayspring stated without inflammation the artery walls might be very powerful in which case the particles are not crossing that barrier.
after these lessons i am more keen and target my particles lowering and make sure my apoB/apoA1 ratio stays lower than .8
2x cold baths / week lowers body inflammation
check regularly crp or hscrp
stay low with fasting insulin
don’t eat sugar
stay high on protein and balance carbs and fats, that is energy based on the training days
eat smart saturated fats
thanks peter for your work!!
Seed oils cause inflammation, they are the first misstep
@@adlsaias are you telling me that cold pressed pumpkin oils cause inflammation???
it has been demonstrated in many RCT trials that omega 6 does lower risks for CVD
@@claudiucosar all temperate zone seed oils have way more Polyunsaturated fatty acids than ruminant fat and dairy fat. Before 1900 99% of people got all their fat from low PUFA fat sources. All chronic disease exploded after the introduction of Crisco in 1910 as the first successful criminal enterprise selling industrial waste as food to humans which is a booming Government supported industry today with the support of a licensed pecuniary focused medical practitioner liars like Petey.
The RCTs that directly compared humans consuming saturated fat against seed oils were done in the 1980s. Hundreds of millions of dollars, thousands of subjects, the biggest studies up to that time. The Minnesota Coronary Experiment and the Sydney study. They both shows that seeds oils are worse for death and heart attacks. Seed oils do lower cholesterol but that is negative for all cause mortality. The researchers and their government funders were profoundly disappointed in this proof of their malfeasance so they hid the results. Dr Ramstein of the NIH in 2016 dug up the hidden data and re-analyzed it. The forensic adventure is featured in a podcast by Malcom Gladwell. This is why all the criminals are silently backing off their 50 years of anti saturated fat propaganda.
Links:
www.bmj.com/content/353/bmj.i1246
www.simonsays.ai/blog/the-basement-tapes-with-malcolm-gladwell-s2-e10-revisionist-history-podcast-transcript-d764d0472079
You have been lied to by people who care nothing for your health. People like Peter Attia who cares more for his net worth than your health
@@adlsaias the studies you mention are flawed in short. they were debunked already...and they are NOT reliable. Check dozen of RCT(remember the most important studies) show PUFA do protect against CVD.
myself i experiment a lot and see clearly that saturated fats from butter, goat chees + greek yogurts(fatty 10%) DO RAISE my blood lipids a lot. now that doesn't mean this apply to others as well, but it ALSO has been demonstrated that SAT FATs from dairy DO HAVE impact on cholesterol levels. others do NOT, for instance: stearic FFA and oleic acids do have beneficial effects so i would rephrase that NOT ALL SATURATED FATS are producing the SAME results on cholesterol! So for me, i try to reduce fats from dairies and do NOT limit fats from cacao/dark-chocolates or seeds. I do not fry food but only in olive oil but in general let's be realistic, the issues with seed oils come from the hydrogenic processes and many transformation yielding in byproducts that those seed oils also DO CONTAIN trans fats! Now i do NOT stand a minute in saying that if one consumes pumpkin cold pressed oil will be bad for one...imagine the process of it! there's NOTHING wrong with that MANUAL process.
for instance:
"Even if cocoa butter is the silent partner in the powder-butter duo, it's far from inactive in the body. Cocoa butter consists mainly of palmitic, stearic, and oleic acids. Palmitic acid, a solid, saturated fat, increases risk of cardiovascular disease. Stearic acid, which is also a solid, saturated fat, appears to have a neutral effect, which is uncommon among saturated fats. Oleic acid, meanwhile, is a liquid, monounsaturated fat that decreases the risk of heart disease."
@@claudiucosar OMG, where to start!
Supposed debunkings of the largest RCTs on record with no links, huge quotes with no sourcing, weird obsession with pumpkin seed oil that has tiny market share.
The best explanation is English as a second language
The more likely explanation is early onset seed oil caused dementia
either way not much point to continuing, good luck with the pumpkins
(Not exactly on this week's topic. Hopefully, enough people will ‘like’ this topic that you will consider it.)
A disproportionate number of aging athletes seem to have heart electrical problems (bradycardia-tachycardia, sick sinus syndrome, atrioventricular block, atrial fibrillation or flutter (a-fib), etc.). The conventional medical ‘standard of care’ appears to be pacemaker implantation. There seems to be little research into nutritional prevention or reversal.
Please update the latest science on causes and prevention, particularly relating to electrolyte deficiencies and/or imbalances (calcium, copper, sodium, potassium, magnesium, etc.).
Skip to 8:30 where you will finally find out about what it is.
My wife was a nurse in a cath lab. (Where they put stents in). Every single patient she ever had was on statins. How good is a drug if everyone that takes it still has heart attacks or needs stents?
It's anecdotal data. Patients she sees are going to already have vascular issues and most doctors are going to have them on statins to manage the arterial plaques.
Now imagine if they were not taking statins. They more than likely would have died already.
Another thing they are on it because they already have diagnosed disease. Not all folks continue to do the right thing either, hence I am not at all surprised with what said.
Statins don't reduce the likelihood of heart attack.
@@Taleb1160 The Absolute Risk Reduction of a Cardiovascular event with statins is in the 1% to 2% range.
@@arnoldfrackenmeyer8157 .The extent of risk reduction can vary from person to person, but research suggests that statins can reduce the risk of heart attacks by around 25-35% and the risk of strokes by a similar percentage in some cases. The exact benefit depends on individual factors and not all people benefit from them, albeit , some benefit significantly. Check with the AHA.. nobody know the numbers better !
My cousin had an aorta dissection at 37 with no previous heart issues and was a swimmer as a teenager. He found out after genetic testing that he had Loeys-Dietz syndrome (LDS).
Most teenagers were "swimmers." 37 year old adults are not teenagers as they have had 20 years to abuse their bodies, and lifestyle diseases may begin in infancy.
@@Longtack55 It was caused by the genetic disorder.
Give a heads up if you’re just gonna tell us what we already know and then cut it off before we get to the good stuff.
I think the heads up is the phrase "sneak peak" in the title. If you want more, get the paid subscription, or wade through a bunch of the 1.5 to 3+ hour podcasts he has on this topic, let us know if you find it there. That said, I believe Dr. Attia to be a credible and thorough source of state-of-the-art science-based knowledge on this and other similar subject areas.
What is your take on Dr Nathan Bryan's work in regards to nitric oxide, keeping cholesterol above 200 and no use of statins?
I really wish I had found Dr. Attia years ago. I may have avoided a coronary event. I thought that since I wasn't overweight, ate healthy, and had healthy blood pressure that I was fine.
Would love to hear what to actually do about heart disease for prevention, instead of only talking about what it is
check out Dr. James Roberts book on reversing heart disease, he is a genius.
Cut out processed foods and exercise
EAT MEAT AND REPEAT 🥩
There are hours of content on that by this guy
One important thing to do is to restrict your saturated fat because it will lead to cholesterol synthesis. That will lead to an increase in the number of ApoB lipoproteins which transport the LDL cholesterol in the blood. If this number becomes too high, some of these ApoB particles will pass through the artery wall and get stuck there. They will then get oxidized, leading to plaque formation. Inflammation will then develop. This process is the origin of heart disease. Other conditions like insulin resistance and high blood pressure can accelerate the process, but don't have to be present.
What's with the focus on Statins and LDL still? This is old medicine.
“In the Get with the Guidelines study database which included 231,896 patients admitted to 541 United States hospitals with a diagnosis of acute coronary syndrome, 136,905 According to this study about half of the patients admitted to the hospital with an acute coronary syndrome had LDL cholesterol levels in the normal range.”
This is consistent with growing data that treating patients with statins based off the standard lipid panel does not reduce mortality,” (Maiolino et al, 2015)
From the BMJ in 2016 a large systematic review finally put to rest the long held assumption that high LDL leads to death.
“High LDL-C is inversely associated with mortality in most people over 60 years. This finding is inconsistent with the cholesterol hypothesis (ie, that cholesterol, particularly LDL-C, is inherently atherogenic). Since elderly people with high LDL-C live as long or longer than those with low LDL-C, our analysis provides reason to question the validity of the cholesterol hypothesis. Moreover, our study provides the rationale for a re-evaluation of guidelines recommending pharmacological reduction of LDL-C in the elderly as a component of cardiovascular disease prevention strategies,” (Ravnskof, Diamond, 2016)
A paradigm shift from the American College of Cardiology. They state they have perhaps been wrong about saturated fats over the past 40 years and they are not linked to heart disease. They also suggest that focusing on the standard lipid panel is inadequate and small LDL size is more indicative of heart disease risk rather than just using standard LDL as a risk factor tool, (Saturated Fats and Health: A Reassessment and Proposal for Food-Based Recommendations: JACC State-of-the-Art Review)
The Brits are onto it as well. “Saturated fat does not clog the arteries: coronary heart disease is a chronic inflammatory condition, the risk of which can be effectively
reduced from healthy lifestyle interventions,” (BMJ, 2017)
@Funk Family Don't tell the French.
The cholesterol theory is extremely flawed. I suggest Peter Attita read "The Clot Thickens" by Malcom Kendrick, MD which very logically lays out a thrombogenic theory of heart disease. Perhaps Peter might invite Dr. Kendrick to his show.
My cousin was 57 y/o when he had a fatal heart attack. Looked like the picture of health; had just played tennis with his daughter.
8 months earlier had a life insurance exam... no issue found
@@TH-camdisco which vaccine did he get?
@@irondirectprimarycare9440 bingo was his name-o
Sorry for your loss TCG
@@irondirectprimarycare9440 Same thing happened to my brother but he was 56.
In 2015.
What vaccine was HE taking then?
Twit.
I wanted to ask. I recently had stomach inflammation and it went on for like a month and half, I got a blood test and it showed I have high Lp(a) around 55 mg/dL, but I had it tested when I was on meds and I was feeling very sick. Could that possibly have an effect on Lp(a) reading?
I am a premium member: is it possible to watch the video, or only listen to the podcast at the website??
Isn't that an Ayrton Senna helmet in the background? I'm 72 and have been a runner all my life. I have an ascending aorta that is a bit larger than normal but not enough for surgery, One cardiologist said slow jogging at most. My second cardiologist said running would be ok, but come back in one year for an echo. The key was no growth in the aorta diameter in the prior year. I'm checking BP daily and watching sodium intake.
Carbs. I once did Vegan hoping to knock my Doc's socks off. I could handle it fir a month. after testing he phoned me and told me that my cholesterol is suddenly so high that they wanted to wash out my blood. He wanted to hospitalise me. went keto in 2012 and got another call and he said it looked as if my results didn't belong in my file. my cholesterol halved to 6 and my trigs were for the first time in my life 0.7. it was always around 3. so I knew in my Knower that carbs would kill me off quickly. He said the blood doesn't lie. Tim Noakes was my hero.
How can you get high cholesterol from a vegan diet? Cholesterol is exclusively found in animal products. The only thing I can imagine is that your body made more to compensate.
What were you typically eating on that vegan diet that you were doing? We’re you by chance eating a lot of grains?
long term plant based diet is the way to go to prevent this. my dad has a major heart attack at 48 which required triple bypass surgery. I am now 47 and have (at according to heart CT Scan), zero artherosclerosis. I was shocked. I expected to have some buildup. I have been vegetarian for over 20 years now, and during various periods, vegan off and on. I really think this helped me prevent this and delay onset as both my parents have heart issues. Anyway, my suggestion is for people to eat as much plant based whole unprocessed foods as possible and start as early as possible
Exactly. A whole food, plant-based diet without processed 'foods' (processed oils and sweeteners) is the best way to avoid chronic disease.
Stop. Propagandizing.
@@icebox_Intruder Iow stop thinking . Smh
@@theartofbellydance I almost agree with you. The processed foods (seed oils and sugars) are the problem, whether the diet is plant based or not.
@@christopherstewart9874 Plant chemicals work synergistically with the human body - feeding the microbiome, cleaning the colon, making SCFA's, preventing cancer, and on and on and on. There really only is a plant-based diet aside from processed foods.
Yeah no membership for me. I'd rather listen to a podcast with ads than start a subscription.
😊😊😊
What’s the trade off list like for lifelong statins? Muscle pain will make me quit lifting. So lean muscle and strength will crash after 60.
I was on high dosage lipitor for many years. My biggest issue during that time was mental fog and memory issues. I would sit across from people i worked with for 20 years and forget their names and many times lose my train of thought midway thru sentences. Went off the statin and all was well.
Please make this one open access.
I spoke to Peter and he said he’s prepared to give free access as long as you agree to do your job for no pay. Peter is a doctor and an expert and this is part of his business that’s why he want you to pay for his services, just like everybody else. I’m sure you don’t offer your work services for nothing
@@boydhooper4080 Boyd you massive condescending DH, plenty of people do volunteer work, for the greater good, alongside their full time work. Just asking for this one important episode to be released, not everything. Plus, these videos can also be monitized. In addition, his other content is so dense and long it's a disincentive to pay to subscribe. No doubt this will be limiting his audience, reach and impact.
@@boydhooper4080 You could've just said - I've spoken to Peter and he has declined to release this for free.
Keep your Apo-b low for as long as you can. That's the basic practical take away advice
have Alan Flanagan one to discuss the diet/heart hypothesis and the role of LDL in the developement of heart disease.
So if a person doesnt live in ur area, do u an “angies list” for us to find a dr like the two of u based on where we live?
Does Peter Attia ever actually give actionable advice?
I haven’t heard any.
I think he gives plenty on exercise, and he explains what medical solutions are available, but is often reluctant to be prescriptive because he is still discovering new perspectives and doesn’t want to be practicing medicine on strangers. Or he is actually very sly and wants people to have to return. 😈
You should try listening to his podcast, he has literally named the cholesterol medications he prefers for his patients at least twice, if not more
Hi Peter, I am not a member but I am a physician. You have great insight but I think Ivor Cummings inside out versus outside in is key to ASCVD understanding. We see this with neovascularization in the eye and cotton wool spots but don't recognize the same thing is happening from the vaso vasorum to the tunica media of coronary arteries. Also HTN is mainly hyperinsulinemia. Wish I could see the whole interview because you have great insight.
Thank you for this comment Dr.Ripley...it led me to Ivor Cummins talk on this topic which is very thought provoking. A 3 year foray now into a very low carb very animal product (so high in saturated fat) heavy way of eating has seen my blood pressure go from medium high(145/90) to normal (125/80) , my HDL go up nicely, my triglycerides drop 60% to the low side of the normal range, my Hb1ac drop from 6 to 4.4 and a CAC score of 0. My calipered body fat is 18%. All this at age 68. My weight dropped from 98 kg to 83. And I can eat to satiety which means that I am never starving. I realize now that these interventions are at the heart of the Root Causes Ivor speaks of. With my Swiss doctor's agreement we don't even include LDL in a blood panel. It is a simple approach while not necessarily always easy.
@@tcsobo9448 Thanks, great to hear your success!
Link?
you think Ivor cummins knows heart disease best?
@@jeffc1736 I think Ivor is clever, Peter is brilliant, but Vladimir Subbotin is on the right track.(ivor did same presentation but is a better public speaker)
th-cam.com/video/vLpDCetBIC0/w-d-xo.html
Unbelievable! I have to be a member to watch it all??
I got nothing out of this podcast. What is the best diet to prevent or mitigate heart disease once you have it? If LDL-C in the diet leads to an increase in ApoB particles, then you would want a diet low in saturated fats. But I don't think Dr. Attia advocates for that, does he? And, I could name about a dozen studies that concluded that saturated fat in the diet, dairy, and/or meat do not cause heart disease, heart attacks, stroke, CVD mortality or all-cause mortality. And in the case of dairy, it reduces the risk of stroke. Maybe the best diet is low carb AND low fat.
It depends. It seems that high carbs + high fat diets are the most dangerous ones. Specially if the high carbs are sugars and high fat are omega 6s. So that's why low fat and low carb diets work - on one you remove the inflammatory carbs, in the other - the literal fats that clog the arteries. But removing both carbs and fats can be VERY stressful for the body. You still need energy source. Probably some form of time restricted feeding is more optimal. So your body have time to get rid of the exes fats and carbs in the system. Plus fc removing every possible inflammatory food.
@Funk Family I'm no expert, and it may not be as simple as no inflammation, no problem, but without the initial arterial damage I don't think the cholesterol is the problem. What is the problem is that the arterial damage starts in childhood. As adults we're just trying to keep it from getting worse.
Alan, check out Dr. Ken Berry on TH-cam. He has a short video based on info from the AMA's division of cardiology. He put their info into a pie chart showing the risk factors for heart attack. Straight forward and free. No membership required.
I have heard Peter say that saturated fats are a problem. He didn’t claim it was a reason he went off keto, but I suspect it may have been part of it because I also heard him say that he would eat a pint of sour cream at a time. I think he exercise enough that he could eat quite a few calories, but I would imagine that would be a lot more than eight or 9% of his total.
@@oolala53 If I remember correctly Attia went off keto because it didn't mesh well with family sit down meals especially with his children.
It sounds like your'e basing this on the previous false claims by Ancel Keys that cholesterol we consume causes plaque.
Is air conditiond (cooled) room is good for heart attack patient? Just curious
Is there any good evidence that presents a case for heart attack or stokes, that have nothing to do with food being the primary driver? I find it hard to believe
all heart attacks or strokes can be traced back to some type of metabolic or diet related cause?
To me this statement is almost as controversial and unfounded as the belief that all forms of cancer are diet related, (that is has something to do with
what we eat, but how do you explain cancer in infants or baby's ? )
If a narrowing of the arteries has begun, can this be reversed or do interventions only prevent it progressing further?
0 saturated fat, 0 cholesterol. Lots of leafy green vegetables, fruit, whole grains and exercise has been proven to REDUCE plaque build up in your blood vessels. Works better when you are younger. When your blood vessels become calcified in old age it is difficult if not im[possible to reverse.
If they can put a camera through arteries, certainly adding a laser to melt/break cholesterol plaque could be a thing. Alternatively, could habitual sauna or alike therapy help thin out cholesterol flow?
The whole foods plant based advocates say it can be reversed. Dean Ornish published some evidence that his patient(s) did.
Check out Dr Esselstyn and Dean Ornish work
th-cam.com/video/U-FnVtIIptc/w-d-xo.html
Many people died in front of me (aka in my Time. What should i do know? At first, i thought they are kidding me. I thought they are hiding to peek a boo. Some are yes they live again but i don't want to catch them. But some people are really dead, i believe. If they are dead, what i'm supposed to do?
Fantastic thanks Petey
yes thanks Petey, just doing the opposite of everything you said will extend my life
Please have a discussion on Kraft insulin Assay Test
Why is such an essential thing, made in our body, by our own cells become so deadly? I really have difficulty believong what you say.I don't believe the cause of Atherosclerosis is cholesterol.
I had such pain in my thighs, I couldn't walk when I was on a statin. I literally couldn't take a step.
Heart disease is one of our biggest enigmas. It could be brought on at any time and at any age, regardless of nutrition, fitness, genetics and lifestyle. It's quite challenging to get a stranglehold on it and certainly most frustrating to those who make a concerted effort in living as healthy a lifestyle as possible...
Today's diseases are mostly caused by poor lifestyle and poor diet choices. Exercise plays a very important in ones overall health as well.
@@AnnTsungMD Indeed! And considering the fact so many people particularly in the U.S. are slaves to conformity, laziness and ignorance, certainly makes matters worse!! 🤷🏽♂
@@jngfitness2001 agree 💯
My feeling is, if you live a healthy lifestyle then it is unrealistic to worry about CVD, cancer, etc. Could it still happen? Yes, but there would not be much you could have done about it. There is a spectrum between pure neglect of heath and measuring every possible data point of your health, both of which aren't healthy. Peter does it for science but the average person being consumed with every facet of their life revolving around attempting to live another year isn't life at all.
Regardless of genetics? Genetics is probably the main factor.
Sweet Ayrton helmet
How is atherosclerosis inevitable. I thought that atherosclerosis doesn't progress if you have an ldl-c under 67mg/dl. What if you stay bellow that level your whole life?
My fathers LDL was always 60-70 he is 67yo and have atherosclerosis.
@@pinciukauskas hmm interesting, from what age dod.he start testing and how much?
@@samvandervelden8243 From age of 45 we have prevention testing in our country. My mother have high LDL cholesterol but don't have plaque just a bit of soft plaque in carotid artery which is normal for her age doctor told so she is 64 she have higher LDL since her 30's. Probably LDL is not only factor. Like example my father's diet is very heavy a lot of meat and fat from dairy too much carbs but still cholesterol and BP are low.
Because you always have some amount of cholesterol in your blood, and your artery walls will degrade as you age no matter what you do. Eventually cholesterol will breach the endothelial walls and start to develop plaque. It's just a matter of time.
question: my cholesterol numbers are absolutely fucked, unheard of levels. all genetic tho. If plaque is building inside of my arteries will i start to see things such as a higher resting heart rate or higher blood pressure? what are some warning signs I can look for.
what are the numbers?
LDL
HDL
TG
festing glucose
HBA1C
fasting insulin
etc...
Get a coronary calcium score and find out if you have plaque and how much it's as simple as that
get a cardiac calcium test. If you are elderly then your high Cholesterol numbers will reduce your chance of death, Contra Petey
Get a CAC scan
@@bartrobinson2103 CAC are only for calcified plaque. pretty useless for people under 60. Soft plaque isn't measured
Look up Dave Feldman here on TH-cam for interesting dialogue around cholesterol.
Another nut! He’s an engineer not a lipidologist or cardiologist
@@davidwinebrennerjr4196 he is an engineer, exactly why his input is valuable, along with Ivor Cummins
check out Ivor Cummins
@@davidwinebrennerjr4196 Edison wasn’t an electrician….Actually just a thief. 😊 see my point.
@@ascendtoaesthetics nope you go to engineers for building bridges and such. Lipidologists and cardiologists for how to prevent CVD
Dude only smiles in the thumbnails.
So, money is more important than education?
Considering the knowledge he's amassed for your benefit, and considering the vast majority of what he provides is free, this comment is a bit pathetic.
@@kweirmeir what's pathetic is shoving content behind a pay wall.
show me a good free university
Why not focus on hyperinsulinimia and diabetes as root cause for hypertension and oxidized lipid
Peter: everyone needs this information.
Also Peter: buy a membership for information.
Me: heart patient in America still paying off 5 surgeries. Lol 😆
Spoiler alert don't keep spiking your blood sugar
@@TheShumoby spoiler alert, born this way... first surgery age 2. 😳
Nope: most of this information is already available in his long form podcasts which are available for free.
Sry, to hear about your heart surgeries. American healthcare is a scam
@@gnarlyDUCK gah! 😢 Hope you stay healthy!
@@TheShumoby thank you, I do my best.
what is the root cause of oxidized cholesterol and alterosclorosis.
Excessive amounts of sugar and carbohydrate in the standard american diet (high fat, high sugar, processed foods). Leads to hyperinsulinemia (aka insulin resistance), inflammation, oxidative stress.
Thx guys, many interesting points I’ve always been perplexed by
you will remain perplexed if you listen to these lies
@@adlsaias what are the lies exactly, and where can find the truth?
@@RaffiTheQuokka Pete's the main deception is ignoring the role of PUFA consumption in causing heart disease and blaming it instead on LDL so that he can continue to give statins and the like to his unfortunate patients.
There was a lot of clickbait here. Peter was smiling in the thumbnail
Thank you for a technically detailed podcast. I understand you have become interested in regenerative farming. You could invite the brilliant biologist, George Monbiot, to your podcast. It would be interesting (and brave).
I loved the book but was nearly shocked when towards the end you said your wife gets you Deli meat. Aren’t they the very definition of the processed foods not to have !!!
Carbs (which are just sugar once ingested) adhere to red blood cells causing spikes on the exterior of said cells. These spikes damage arteries when passing through. The body releases cholesterol to repair the damage done by carbs. Now your conventional MD blames cholesterol for what sugar has done and tells you to start taking statins. No mention what-so-ever of the root cause. Stop eating carbs, stop damaging the body every single day, the body can finally heal. That is super simplified, but not a difficult concept for one to understand.
Peter ignores the toxic effects of statins such as cognitive decline, accelerated deposition of calcium on the artery walls, destruction of the myelin-sheath, kidney and liver damage, permanent motochindria damage, increse in blood glucose, increase in insulin resistance, early onset diabetes and the associated heart disease that brings, thinning of the cardiac muscle, increase in Lp(a), and others, and Peter also ignores that the statin does not address root cause of the problem. Referring to Dayspring is embarassing because while a 300 pound cardiologist might have some nice graphics to show, his results are tragic.
It's a 15 min video, how is he going to fit all that into 15 mins?
@@Markhypnosis1 he has other long videos on CVD where he promotes statins but ignores the disastrous side effects as well as the lack of mortality benefit.
@@danielmccarthyy They also ALWAYS imply that the side effects are rare. THAT is nonsense. ALL of my family and friends I've got to know through this have horrendous side effects on statins. AND, I have been on just about every one on the market. Each one worse than the one before. I can somewhat tolerate a fibrate... but I don't care anymore.
As well, it depletes CoQ10 in the heart
I need more risk:reward study. Muscle pain prevented me from lifting - lean muscle and strength crashed. Dr Attia’s not the only one I’ve followed for years who recommends statins though.
I have read that 90% of heart attacks people survive these days? Not 50% mortality. Are you looking at old data?
Dose cardio after resistant training affects muscle gain negatively?
Does regular use of high thc concentrates cause heart issues?
High bllod sugar is the cause
@@turgayderya1938 How would you define HIGH blood glucose? By HbA1C? And what if the A1C is a bit high, but there is no high inflammatory marker?
Don't eat sugar and sugarys, walk every day till your breathing gets easy, that means that blood sugar is burned and down and You begin burning fat
@@turgayderya1938 No. High cholesterol is the cause. Inflammation at some level is unavoidable. People with low LDL cholesterol DO NOT GET CORONARY ARTERY DISEASE. People with high LDL cholesterol DO.
@@donwinston Watch my video. Link is at download
Son in law had doubts widow maker at 35!
Nothing worth, only general definitions, statistics and unfullfilled promises. I learnt nothing, what a deception.
Serrapeptase fixes atherosclerosis
So when ornish published in the lancet reversal of our number one killer you all just side step that? Get a grip
his study was tiny and he changed many things other than diet. worthless
@@karwask1 The same can be said about vegans and vegan doctors like Greger who are like evangelists. I could name about a dozen studies that conclude that saturated fat in the diet, dairy and meat do not cause heart disease, heart attacks, mortality from heart attack, or all-cause mortality and in the case of dairy, lower the risk of stroke. Why don't vegans have an open mind to discover truth?
@@karwask1 I could cite about a dozen or more studies and meta-analyses since 2010 that show that diets high in saturated fat do not cause heart disease, heart attack, stroke, CVD mortality, or increase in all-cause mortality. These are not dairy industry funded studies. So, just to give you 1 example of an original study, not funded by the dairy industry, look at the Golestan Dairy Foods Study, a 10 year study, ended in around 2017 with 40,000 plus subjects. Was funded by Harvard, the NIH, the National Cancer Institute an international research org. and a Japanese pharmaceutical company. I believe it was designed by Dr. Willets of Harvard Medical School or School of Public Health. It found that saturated fat from dairy did not cause heart disease, heart attack or stroke and subjects eating low-fat yogurt and cheese saw significant reductions in these. Subjects in the highest quintile saw the greatest benefits. The authors recommended that people eat yogurt and cheese.
I have never been on a keto diet and I can let others advocate for it. I do believe that a diet low in carbs, including little grains, pasta, bread and potatoes, but plenty of colored vegetables, a small amount of legumes, some meat, omega-3 fish, eggs and turkey and chicken is a healthier diet than the Mediterranean Diet or the vegan diet. I myself rarely eat meat, but I do eat the rest, with turkey mostly substituted for chicken. I eat some fruit, mostly mixed berries, and I eat organic. I think this a healthier diet because it eliminates deficiencies of vitamins and minerals, and keeps blood sugar under control. It's also great for maintaining a healthy weight.
High Blood presure and high cholesterol.
so whats the solution? why dont other mammals have heart atttacks?
What are you selling today?
Vegetable and Seed oils ,need to be eliminated from the diet!
yes those are inflammatory. Olive oil is good.
Sudden cardiac episodes are shooting up significantly. The poison shot is showing its true colors.
both covid and mrna are the cause.
Malcolm Kendrik has a better view what is going on than Thomas Dayspring and Attia. He does not make a business of the info. Sorry.
Thank you
100% wrong. Malcom is a nut!
Malcolm Kendrick is excellent
@@bartrobinson2103 he’s a nut and not in step with the best RCT data or the best lipidologists on the planet. ApoB and ldlp 1 &2
@@davidwinebrennerjr4196 follow who you want for my main man is Doctor Ford Brewer. He's my go-to man. Don't care to get into an argument
So, you can lower your chances of heart disease by paying for a subscription.
sir my age being 37 and maximum heart of about 183 .what would be my zone in term of heart rate plz
Your maximum heart rate should be 220-37 (your age)= 183. So you're fine
This guy is pharma's best bud. His info and theories have been debunked. Unsubscribe before you become misinformed
How do you figure?
I think the main cause of heart disease is stress and high blood pressure.
I'm 5 minutes in and nothing new has been said
So I guess this was an ad.
Dont waste your time. No info here. Just folks who like to hear themselves talk. Whatever Attia is doing, its just about making money. Hence, no info given here in a 15 min vid.
"Zero cholesterol in the blood stream is life " my new slogan
Then you’d be dead!
You'll die if your cholesterol is zero
Zero cholesterol in the blood stream would be certain death. Every cell in your body needs cholesterol. Without cholesterol there would be no testosterone or estrogen. We would cease to exist.
Your heart wears out Da !!! That’s it, it just wears out after beating for 65 years !! Just living to 65 is a miracle! Stop worrying about this worldly life, and focus on your eternal life by accepting Jesus Christ as your savior and live eternally
so how did Benjamin Franklin live to 84 then? He never consumed a seed oil or statin in his life or had an apoB test in his life. Strange, what did people do before Petey came around to sell them bullshite
@@J.o.e_K 👍
For real !
Why did I waste time watching this. Smoking, high blood pressure, bad lipid profile. I learned this from my DENTIST in the 1970s. His prevention plan was high impact exercise to develop a cardiovascular system that had a very high capacity. No action items were given in this video.
Interesting
Peter, you’re wonderful but… This is not helpful. It’s too long-winded. Get to the point. More than giving hacks, but far less than an epistle.
Heart disease: What is it? How dangerous? Who gets it-risk factors? How do you get it? How best to avoid it?
You use 10x the words necessary. Your listeners then get lost or just give up. Constructive criticism: You often ramble.
Listening to Peter Atilla just gets on my nerves. He just doesnt get to the point. Its meandering, rambling, long delivery, anecdotes, questions that are non-sequiters.
too long spent setting up, just cut to the chase ;-)
I'm curious, what is Peter drinking?
That video was ten minutes waste of my life that I’ll never get back..
Charging people for information even though TH-cam already pays you? Talk about greed.
Most cardiac conditions are the result of genetics which explains why some people can eat high sat fat high cholesterol food like Twinkies for years and never develop heart disease while another can eat healthy for years and still have high cholesterol levels
genetics cannot be the explanation for the explosion of heart disease between now and 1900, try again.
High cholesterol reduces all cause mortality especially for the elderly, try again
check out seed oils
@@pabloblanco2656 My try again message is simple. Don't suggest causes for heart disease that cannot be. Genetics cannot explain heart disease almost non existent in 1900 and and becoming the number one cause of death now. This change must be environmental not genetic.
Seed oils are digested by the GI tract and absorbed. They make up an every increasing amount of fat tissue and cell membranes of Americans as the years passed from 1900 to now. Just as ALL chronic disease incidence and severity has grown.
I am currently avoiding all seed oils, even those in monogastric animals like modern pigs and chickens that have more Polyunsaturated fat in their fat than you will find in canola oil. My health has never been better at 64, no prescriptions. I eat like my great grandfather. Seed oil consumption is the number one cause of western chronic and auto immune disease and I expect to live doctor and prescription free for 4 score and ten.
Cholesterol is produced by the body. Even if you could ete none somehow; you would not reduce it in the body. People with genetic disease that can't produce cholesterol die before birth. It is necessary for the production of male and female hormones and the crucial immune system modulating hormone vitamin D. It is required to make the membrane of every cell in your body. The idea that it is is a poison is ridiculous bullshit of Petey Asshole and lying money grubbing lipidologists and cardiologists.
You know nothing, apparently, study more wisely before your ignorance kills you and your progeny. Keep your ill informed opinions to yourself until you do
@@adlsaias your ignorance is equal to your arrogance which both go hand in hand. You need to get educated before you spew nonsense and propaganda. As for your ignorant statement regarding animal fat being more unhealthy than canola oil. Let me educate you on how the body functions since you are not educated. Seed oils are usually NOT absorbed. Many people's small intestine can not absorb seed oils and it sits in the gut where it causes inflammation. You contradict yourself talking about seed oils and then turn around and say animal fat is worse than seed oil. As for your other ignorant statement regarding the 1900s. Cardiac studies were not being conducted at that time. What do you think people were dying of in the 1900s ? You're not too bright. You deny truth, science, common knowledge, documented published studies and facts. I see you also avoided the simple questions. How many people do you know that have lived forever ? That's what I thought. Maybe ask your great grandfather (the one you deny) what everyone was dying of back in his day but then that wouldn't work for you because you don't believe in facts like genetics. I bet you still believe in the toothfairy and the big bang theory nonsense too.
Are you a Doctor Who specialises in the subject matter? Or are you just a person who posts they’re uneducated opinion Regardless of the fact that it may impact peoples health or lifespan.
@ Boyd Hooper -- The truth is always offensive. I see you have an active ICDS membership. You are the type that like to hear theirselves talk but bring no value to the conversation table and jealous of people that have above average IQ. Keep swallowing, regurgitating and repeat until you can awaken from your ICDS stupor. Your ignorance and arrogance are shining bright. Both go hand in hand. Manage your narcissism before you pass uneducated judgement on others.
WHAT A WASTE OF TIME. CHAT CHAT CHAT GIVE ME MONEY. JUST A WASTE.
This is so typical and frustrating. Probably one of the most important health topics and you suck us in and give a sales pitch to a paid membership- wtf?!
To me this is overall the most discouraging and disappointing things about the medical profession:
There are wildly divergent arguments about heart disease and how to prevent it. Specifically around diet. Don’t eat meat, only eat meat, don’t eat fats, you need to lower cholesterol, no you should not take statins, you need more fat in your diet. Exercise regularly, cardio really does not help, drink alcohol in moderation, don’t drink any alcohol, loose weight, no don’t loose weight as you get older. And with all of these arguments the theme seems to be about how to make a buck or generate “clicks”. Overall Americans are not very healthy, it does not seem that there is much of a collective agreement on how to make the U.S. population healthier.
The food pyramid is apparently a scam.
The only thing that is generally agreed upon is to quit smoking.
Overall frustrating.
I am about 60lbs overweight (slightly obese) and my doctor has said basically nothing about losing weight, changing my diet or recommending any type of tests to see how the arteries in my heart are doing. And I think this is typical doctors are afraid to confront patients
Owe Peter , why do you delete my comment?
It was a intelligent insight .
It would be very interesting if you done a talk on the possible cardiac effects after having the covid vaccine no?
Does that guy have a fake nose on?
Jesus saves. Love you guys.
high fat diet -> rouleaux formation -> increased blood viscosity -> increased blood pressure -> progressive damage to endothelial resulting in lesions and plaques -> chronic ischemia and hypoxia -> death by various related diseases (Dr. Gregory Sloop - retired pathologist)
Lol. You are wrong
@@darkdragonite1419 you can watch it for yourself -> Blood Flow, Before & After Eating a Fatty Meal - and also learn more about it from Dr. Sloop by watching The Importance of Measuring Blood Viscosity (webinar) - why do you think that people take blood thinner medications?
You can eat a high fat diet and even have plaque, but your blood pressure can remain normal. I suppose people take blood thinner medications to prevent platelets from clumping to prevent clots, which can break off and cause heart attack, stroke and death.
@@alanmadeira-metz1380 People should be told by their doctors that optimal blood pressure (unmedicated) is 110/70 or less, not 120/80. Study of various native populations with traditional lifestyles showed us that this is possible and really should be normal for us too
💯👍