Coronary calcium score: what it means and how to interpret your results (AMA #5)

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  • เผยแพร่เมื่อ 17 มิ.ย. 2024
  • Original release date: 4/22/19
    This AMA Clip is a segment pulled from an "Ask Me Anything" episode of The Drive titled: #50 - AMA #5: calcium scores, centenarian olympics, exercise, muscle glycogen, keto, and more
    Show notes page: peterattiamd.com/ama05/
    About:
    The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 10 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.
    Peter is the founder of Attia Medical, PC, a medical practice with offices in San Diego and New York City, focusing on the applied science of longevity. The practice applies nutritional biochemistry, exercise physiology, sleep physiology, techniques to increase distress tolerance, lipidology, pharmacology, and four-system endocrinology to increase lifespan (delaying the onset of chronic disease), while simultaneously improving healthspan (quality of life).
    Learn more: peterattiamd.com/
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ความคิดเห็น • 385

  • @Norm475
    @Norm475 ปีที่แล้ว +159

    I am 81 I had a calcium score of 1200 three years ago. My brother who is 60 just had one done and he was 1100 and my buddy who is 78 had a score of 2200. My buddy and my brother both had cardiac workups and the cardiologist told both of them they were fine and don't worry about it. My thought was nobody lives forever so I did not get the work up. I figured what the hell are they going to do? A bypass, a stent? I never have any chest pain or shortness of breath. Having a heart attack in your 80s and dying is not the worst thing. Going into a nursing home at 100K a year and having some 20-year-old nurses aid wipe your butt because you are incontinent is much worse.

    • @svonkie
      @svonkie 10 หลายเดือนก่อน +14

      Love your attitude. I think you're going to live a lot longer with that outlook!

    • @sonicwoofer2008
      @sonicwoofer2008 10 หลายเดือนก่อน +11

      Ur reasoning and judgement is soothing to me as i was recently diagnosed with CAD and calcium score of 50 at 55 . Not sure where my path will lead by my Lord 🙏

    • @norsangkelsang7939
      @norsangkelsang7939 3 หลายเดือนก่อน +2

      My friend got his to zero in 1 years using vitamin K2.

    • @myfairyblueworld
      @myfairyblueworld 2 หลายเดือนก่อน

      ​@@norsangkelsang7939WHAT?!!! That's amazing! Are you sure? I heard K² is very beneficial but that's crazy!

    • @susanrodriguez7127
      @susanrodriguez7127 2 หลายเดือนก่อน

      how high was he to start with? @@norsangkelsang7939

  • @Ragnar-Viking
    @Ragnar-Viking 11 หลายเดือนก่อน +3

    I found Dr Attia a few weeks ago and he has utterly change my thinking for the better and healthy life.

  • @sgardi2
    @sgardi2 3 ปีที่แล้ว +8

    I'm so glad that I watched this, Peter put this in perspective for me. Thanks Peter!

  • @MrStreetninja007
    @MrStreetninja007 10 หลายเดือนก่อน +58

    I swear the more videos I watch on this subject the more I come to the conclusion that There is no straight forward test or way to predict any of it

    • @williamcunningham1586
      @williamcunningham1586 19 วันที่ผ่านมา

      Hence, science is an art form

    • @sunwm2003
      @sunwm2003 2 วันที่ผ่านมา

      That’s exact what he wants you to think so one will be sheep to follow alone until death. Lol

  • @kevinc.3717
    @kevinc.3717 9 หลายเดือนก่อน +2

    An excellent video that answered many questions I've had. Thank you!

  • @aymankarem5983
    @aymankarem5983 3 หลายเดือนก่อน

    Thank you for clarifying this

  • @nalinisingh2684
    @nalinisingh2684 2 ปีที่แล้ว +1

    Thank you both Awesome Brilliant Health tips

  • @kali542
    @kali542 2 หลายเดือนก่อน +10

    my lipo B is very high, overall cholesterol very high, CAC score is zero. NEVER will I take a statin. Sick of the statin push

  • @canadareals
    @canadareals 2 ปีที่แล้ว +35

    I have had a ton of assaults to my arteries. I am a 75 year old man who has a strong family history of CVD. My grandfather, father, and brothers have had terrible problems. I do not take a statin. My CAC score is 1400 but I have never had a problem and feel great. My ECG still has all the peaks in the right places. I assume that my good fortune is due to the fact that for 51 years (I read Cooper's book) I have always worked out 5 times a week. Since getting my CAC score 4 years ago I have begun fasting and eating fewer carbs. I have brought my Tg/HDL ratio down to 1.1 (.49 in Canadian/European units.) I hope this lowers my need for calcium patches.

  • @dgreen1064
    @dgreen1064 5 หลายเดือนก่อน +3

    When I was 57 I had a CAC score of 57. That was a wake up call. I am following Peter's advice and treating aggressively to get my ApoB under 40 (LDL under 55). So far I have lowered LDL from 146 to 85 (ApoB from 119 to 71) without drugs. Next is finding the drug mix that gets me the rest of the way with the least side effects. A guy I work with did iron man competitions regularly and dropped dead from a heart attack during his last one at the age of 43. You can have very severe heart disease with no symptoms until that fatal first heart attack, but this can be wholly avoided by aggressive preventative care early enough.

    • @elinino5275
      @elinino5275 4 หลายเดือนก่อน +1

      There are lots of marathon runners that drop dead frequently. That's why cardio of frowned upon now by some cardiologist. The recommendations are now HiiT walking and cycling

    • @papee29
      @papee29 4 หลายเดือนก่อน +1

      What did you do to lower your ApoB without medication?

    • @DrProfX
      @DrProfX 28 วันที่ผ่านมา

      Rosuvastatin 5mg/Ezetimibe 10mg is a good combo - you’re getting a statin at a low dose with minimal side effects and it’s synergistic work with Ezetimibe makes it more effective than higher dose statin alone😉

  • @VenturiLife
    @VenturiLife ปีที่แล้ว +4

    Very good summary. A score of 0 doesn't mean no calcium and no risk of a coronary event, just no detected calcification, there could be very small spots in the heart or other parts of the body as he stated.

    • @andrewrivera4029
      @andrewrivera4029 9 หลายเดือนก่อน +1

      CAC is a measure of risk, a 0 is the lowest possible risk of a coronary event in the next 5-10 years. If the doctor is to be believed then having calcium in your arteries means you’ve already had an event and calcium buildup is the end of that coronary episode. He also said age is a big factor, the example he used was the 60ish with 0 CAC but high LDL may have a system resistant to coronary disease or has successfully bio hacked themselves. Ultimately it’s up to the individual to reduce risk as low as possible and getting second opinions is most definitely important.

    • @VenturiLife
      @VenturiLife 9 หลายเดือนก่อน

      @@andrewrivera4029 It looks as if Vitamin K2 may have a protective effect for arteries, if the studies are to be believed, it supposedly moves calcium in the bloodstream to bones, and helps prevent it settling in the artery walls with cholesterol deposits. This matches up with the Japanese diet of eating Natto, fermented young soybeans, which has high levels of K2 apparently, and their relatively low incidence of heart disease (among other dietary factors like seafood (taurine) and smaller meals).

    • @donfrussell
      @donfrussell 9 วันที่ผ่านมา

      @@andrewrivera4029 My brother in law- who is a #1 MD and knows everything - told me a 73 YO male- that my calcium score of zero doesn't guarantee anything- plaque can still be there but not calcified.

  • @marksmith2625
    @marksmith2625 ปีที่แล้ว +16

    I'm a lean mass hyperresponder, and trying to get into Dave Feldman's study. I have a total cholesterol of 403, LDL 289, but HDL 119, triglycerides 35. BMI 20. I just had a Calcium ct score of 278. My inflammatory markers are all quite low, and my fasting insulin is 4.2. First of all, I'm not going to worry about anything, and live my life to the fullest at 72. Second, this plaque has probably been building up for decades, and I've only been on keto for 2 years. I view each test as one piece of the puzzle and nothing more.

    • @geoffharrower2845
      @geoffharrower2845 ปีที่แล้ว +4

      Have a look at Prof. Robert Lustig, endocrinologist at USF, particularly his discussions about cholesterol. He suggests that determination of particle size of LDLs is important to establish the ratio of the dangerous small dense LDLs vs buoyant LDLs.

    • @Joseph1NJ
      @Joseph1NJ ปีที่แล้ว

      @@geoffharrower2845 Dr Lustig has amazing credentials. But I think you've misinterpted his point. Yes, some LDL particles are more deleterious to health than others, but for the layman, as in us, ALL LDL particles are atherogenic. So if you lower your LDL-C, regardless of particle size, you've effectively lowered your risk. Now if, and only if that becomes complicated and stubborn to achieve even with pharmacology, then you can begin to dissect particle size in order to find a more targeted personal therapy. We have to be careful of those in the keto/high fat camp that like to parse false complancies by defending things like high HDL, which is not protective of CVD, and low triglyceride levels somehow off setting the risk high LDL-C.

    • @ciricillo333
      @ciricillo333 10 หลายเดือนก่อน

      ​@geoffharrower2845 . . I 0:16 8

    • @ladagspa2008
      @ladagspa2008 4 หลายเดือนก่อน +1

      I please stop the keto/carnivore diet on that CAC score. It's not worth it. Lower the LDL to 60.

  • @sandragillanders7009
    @sandragillanders7009 ปีที่แล้ว +16

    I am 75 and recently had a CAC with a score of 538, followed up with a pharmacological nuclear stress test that I passed. I'm on two statins, aspirin, and have my LDL down to 49. I was very concerned about this as most of the calcium is in my LADA. Thought I was going to drop dead any minute. Well, I feel a bit better now and just going to get on with life and add more exercise although arthritis is pretty bad. Guess I am lucky I made it to 75. Thank Dr. Attia for the information. I am diabetic too. On Farxiga and Trulicity which has my A1C down to 5.4.

    • @carmenross1077
      @carmenross1077 ปีที่แล้ว +5

      I’m diabetic thank God off of Med BEC of Proper human diet Low carb, no sugar ,organic Pasteur raised beef,chicken,no processed food ,I learned that standard diabetic care is not useful, DO THE OPPOSITE, I do fasting and Omad . And still going there, take a listen to Dr.Ken Berry for more sound health advise.

    • @carnivoreRon
      @carnivoreRon ปีที่แล้ว

      I'm 70 and my score was 32. I have eaten carnivore for 4 years. If saturated fat is the cause of heart disease, then the test would have shown it. Please research keto/carnivore way of eating. Reduce sugar consumption and then cut out all sugar, carbs and seed oils like canola oil. Here is a video by Dr Ken Berry...th-cam.com/video/ZqtXTP2BDgc/w-d-xo.html

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      Look into oxalate toxicity. Avoiding high oxalate foods might be a good thing. There is some evidence that calcium oxalate causes inflammation in the blood vessels.
      I just had my CAC score done three days ago. Score = 305. I'm nearly 76.

    • @geoffharrower2845
      @geoffharrower2845 ปีที่แล้ว +1

      Have you established the volume of small dense LDLs vs buoyant LDLs

    • @bettywhill
      @bettywhill ปีที่แล้ว +9

      Your arthritis is pretty bad could be because of the statins your Dr prescribed.

  • @tangocharlie9291
    @tangocharlie9291 2 หลายเดือนก่อน +7

    I’ve embraced A Ketovore lifestyle (Carnivore with a random salad), walk/exercise 6 days a week, take K2 & D3 daily… I’m canceling my CAC scan. Whatever is done, I can’t do anything about.

    • @DrProfX
      @DrProfX 28 วันที่ผ่านมา

      You could… take vitamin K2, Omega 3s, even a low dose statin🤷‍♂️

    • @AgrippaMaxentius
      @AgrippaMaxentius 11 วันที่ผ่านมา +2

      I should have done this. I’m 35 with a CAC score of 10, made some pretty awful life choices such as smoking since 15 and drinking a lot of diet sodas. Now It’s all i can think about, I am constantly terrified.

  • @mackie3875
    @mackie3875 ปีที่แล้ว

    Great knowledge

  • @sunwm2003
    @sunwm2003 2 วันที่ผ่านมา +1

    He is not telling the audience you need to lower your carb intake to reduce your heart attack risk, he is such a well spoken “Dr evil” . lol

  • @Krunch2020
    @Krunch2020 ปีที่แล้ว +17

    It seems cac scores are used to stress the patients into having MI.

  • @duradim1
    @duradim1 ปีที่แล้ว +7

    With a score of 55 I thought I was good to go. Glad I watched this video.

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      I love Peter but I don't like his recommending medications it seems so much

  • @nutritioncoachjo
    @nutritioncoachjo ปีที่แล้ว +8

    Thank you for mentioning a CT angiogram. I am going to suggest that to my doctor. I have a high CAD (plaque is located in my main artery/widows maker) score especially taking into consideration my great overall health, eat healthy, good blood work (except for high LDL and high total cholesterol), have no dense small particles and some big buoyant particles, not overweight, low blood pressure, workout regularly, etc. It's very confusing to say the least especially when I have taken care of my body for over 15 years. I am currently 58.

    • @RHt09
      @RHt09 ปีที่แล้ว

      What's your lipoprotein (a) level tho?

    • @MJ-gg3zq
      @MJ-gg3zq 2 หลายเดือนก่อน

      Do you have FH? similar story as yours pretty healthy, not overweight, low blood pressure, homocysteine good, so are the triglycerides, but cholesterol at 430 LDL!

    • @DrProfX
      @DrProfX 28 วันที่ผ่านมา

      LAD is usually where it happens - the issue is not so much about calcified, stable plaque, but because you have it, it’s likely that you may have soft plaque, too - for this reason, statins can be cardio protective as they’re not only reducing cholesterol, but are also anti-inflammatory and stabilize current plaque and can even regress (make smaller/less bulgy) it…

  • @michaelhimes8778
    @michaelhimes8778 ปีที่แล้ว +5

    Great discussion. But is calcium really only backward looking? It seems that calcium (hard and dense) adhering to tissue that is meant to flex, would inhibit that flexibility over time.

  • @michaelmody
    @michaelmody ปีที่แล้ว

    Anyone listening to this, get your pencil out and take notes. Watched this two years ago, rewatched today with pencil in hand.

  • @abdullahal-shimri3091
    @abdullahal-shimri3091 23 วันที่ผ่านมา +2

    I'm 44 years old perfect cholesterol levels and my CAC is 14. 2% of having a cardiac event in the next 10 years.

  • @twinb1954
    @twinb1954 หลายเดือนก่อน

    My coronary calcium score last year was 441. However, the cardiologist didn’t seem concerned since my lipid numbers were normal and I am on Atorvastatin. I also have moderate Aortic Stenosis.

  • @adamwest6458
    @adamwest6458 3 หลายเดือนก่อน +4

    Dr Ross Walker (Australian cardiologist)says that if you're over 60 years, and if you score anything under 100 CCA, you should not be on any Statin drugs.

  • @oregon32nursenurse43
    @oregon32nursenurse43 7 วันที่ผ่านมา +1

    My hubby: age 54 had a high score of 200. The interpretive said 80% of people his age have the same score. We won’t do anything about this other than avoid sugar/alcohol as much as possible.

  • @bobcocampo
    @bobcocampo ปีที่แล้ว +1

    Please discuss Kraft assay test

  • @evans5150
    @evans5150 11 หลายเดือนก่อน +21

    I turn 50 next week and just got a score of 707. Massive hereditary history. I'm 5'8" and 141 lbs. Exercise daily and eat pretty well. Cardiologist had me do a treadmill and I hit 170bmp with zero issues and ran for 10 minutes. Also did an echocardiogram and everything looked absolutely perfect. I was on simvastatin (20mg) for the last 8 years so he switched me to 40mg of Crestor and a baby aspirin. I regularly get my heart rate in the 150s when I'm exercising and have never had any symptoms. I dialed in my diet after this score and have lowered my daily saturated fat content to roughly 6 to 8 grams a day. Also have gone almost mainly mediterranean.

    • @dgreen1064
      @dgreen1064 5 หลายเดือนก่อน +2

      All good steps that you have taken, but a score of 707 indicates very high risk of future major cardiac events. If I were you, I would take measures to get your LDL below 50 so you stop any progression of current plaques and regress current plaques. PCSK9 inhibitors can significantly slow calcification and maybe reverse it.

    • @evans5150
      @evans5150 5 หลายเดือนก่อน

      @@dgreen1064 In 3 months of switching to Crestor I was able to bring my LDL down from 95 to 56. I’m hoping to be under 50 at my next test in a few months.

    • @getemtreedoutdoors5858
      @getemtreedoutdoors5858 3 หลายเดือนก่อน +1

      How is the med diet how's the food any good

    • @MJ-gg3zq
      @MJ-gg3zq 2 หลายเดือนก่อน

      @@dgreen1064 Hi, would you mind sharing the data on PCSK9 inhibitors? thanks

  • @thefisherking78
    @thefisherking78 2 ปีที่แล้ว +13

    1:35 at least among the people I'm watching, the CAC is just a card they pull when their doc insists on a statin etc because of high LDL despite an overall context of low inflammation, high HDL, low TG, etc.
    Neither I nor anyone whose ideas I consider useful or reliable would claim CAC=0 means nothing matters, but that it adds the the weight of evidence against using LDL in a vacuum as the only CV risk marker.

  • @kennrayy
    @kennrayy 2 ปีที่แล้ว +12

    I’m 60 Keto/OMAD just had my first CAC of 1232! CVD runs in my family. So I’m devouring all I can. Asymptomatic, in the best health of my life. Weights, tennis cardio 3X per week. Waiting to see a cardiologist

    • @barbarapecka4935
      @barbarapecka4935 2 ปีที่แล้ว

      Hi. I've got my Calcium score. It's 676. I'm scared to death .
      I'm 62 years old pretty active woman with high cholesterol 330 and ldl 220. Over 2 years on keto .
      Did you see your cardiologist?
      Any sugestions?

    • @MaddJazzFL
      @MaddJazzFL ปีที่แล้ว

      Any update from cardiologist you'd wish to share, as to how to reduce the risk from here?

    • @carmenross1077
      @carmenross1077 ปีที่แล้ว +6

      Watch Dr. Ken Berry he has a CAC video and has a personal predictor form there you can fill up and will personally tell you what it means. Let me know what your cardiologist say. I will see mine this Thursday too good luck to us. Let’s talk about this matter and share what our cardiologist says.

    • @carmenross1077
      @carmenross1077 ปีที่แล้ว

      @@barbarapecka4935 watch Dr Berry re keto people have high ldl cholesterol,I’m on keto same issues

    • @BRIANDER100
      @BRIANDER100 ปีที่แล้ว

      I thought CAC was a scale from 0 - 300 ? what did your cardiologist say ?

  • @bi0lizard1
    @bi0lizard1 2 ปีที่แล้ว +8

    50 years old with Ca score of 28. Very concerned now! Didn’t expect to be having problems like this yet.

    • @ZonaJim
      @ZonaJim ปีที่แล้ว +7

      Hang tough Bi0lizard. I was over 500 at 50. I'm 68 now, with a score of 2,100. But I have no blockages. My angiogram is clear.

    • @12yukos
      @12yukos 8 หลายเดือนก่อน +3

      @@ZonaJimhave you been taking statins since you had CAC when you were 50?
      I’m 54 and just got a score of 246 despite good lipid (APO B 78, AP a 64) and low inflammation and low insulin resistance score and slim. My doctor thinks it’s because of prednisone use when I was a child (autoimmune disease) and recommended me to take statins. But I’m hesitant.

    • @ZonaJim
      @ZonaJim 8 หลายเดือนก่อน

      @@12yukos I started on statins in my 40's.

    • @joelcasas7222
      @joelcasas7222 7 หลายเดือนก่อน

      @@ZonaJimThat is awesome, your annual progression rate of calcification is 5%. Did you change anything after receiving your first score of 500? Diet, exercise supplements? Great job

  • @peterbedford2610
    @peterbedford2610 2 ปีที่แล้ว +16

    Dr Ford Brewer has some very good vids on this subject. Calcified plaque is far safer than the soft version.

    • @jerseytony1
      @jerseytony1 2 ปีที่แล้ว +3

      CAC measure ONLY hard plaque NOT the dangerous soft plaque! CIMT is better dummies!

    • @peterbedford2610
      @peterbedford2610 2 ปีที่แล้ว

      @@jerseytony1 It is still valuable because its quick, easy and cheap and tells you you have atherosclerosis and need to investigate more deeply. CIMT's , if done well, are more useful. Dummies

    • @Definitely_Someone
      @Definitely_Someone ปีที่แล้ว +2

      @@jerseytony1 what is the soft plaque and what causes it?

    • @Viz210
      @Viz210 10 หลายเดือนก่อน

      No plaque is “safer”.

  • @g99se9
    @g99se9 2 ปีที่แล้ว +4

    13:15 starts the point of CAC for low/med/high intensity exercise. Hold out: he makes his point a few minutes later. Focus, bro 😎

    • @jeffdavis5841
      @jeffdavis5841 2 ปีที่แล้ว +1

      Took the interviewer for ever to get to his point after qualifying it and then changing the equation multiple times. I'm not sure it had much validity since 1. he didn't define the exercise levels 2. No lipid #s were associated 3 no cac scores were cited. It sounded like he just wanted to sound as intelligent the Dr.

  • @josieb3238
    @josieb3238 ปีที่แล้ว

    Can they analyze a sample of artery plaque from a cadaver? I think calcium oxalate in my blood is increasing my CAC.

  • @bennguyen1313
    @bennguyen1313 6 หลายเดือนก่อน

    So the CAC score is useful to know if it is consistent with others in your age group.. but it seems very non-linear:
    for example the 50% for
    45-49 is 3
    50-55 is 15
    55-59 is 48
    Exercise in highly trained athletes appear to increase the score.
    We need a video for the Attia Curry?

  • @gabymalembe
    @gabymalembe 2 ปีที่แล้ว +28

    I wish I could have seen this video 10 years ago when I got a CAC score of 1188 and was sure I was going to die any day.

    • @Whineboy
      @Whineboy 2 ปีที่แล้ว +3

      I just racked up an 1124. Be my spirit brother/sister?

    • @gabymalembe
      @gabymalembe 2 ปีที่แล้ว +1

      @@Whineboy Brother. I could tell you my protocol, but I have no idea what, if anything, was helpful.

    • @barbarapecka4935
      @barbarapecka4935 2 ปีที่แล้ว +1

      @@gabymalembe
      I've got my Calcium score it is 676 and I'm scared to death
      I'm 62 years old pretty active woman with high cholesterol 367 and ldl 250 over 2 years on keto
      Statins?
      Any sugestions from your experience with doctors?
      Thanks in advance

    • @gabymalembe
      @gabymalembe 2 ปีที่แล้ว +3

      @@barbarapecka4935 Ford Brewer, on his youTube channel, recommends statins (as did every cardiologist I’ve seen), exercise, weight loss, vitamins D3 and K2, and optimizing blood sugar.

    • @gabymalembe
      @gabymalembe 2 ปีที่แล้ว +1

      If you want to optimize your blood sugar, I found that a continuous glucose monitor was very helpful, because in 2 weeks I was very surprised at which foods cause my glucose to spike and which ones don’t.

  • @audwalkernz
    @audwalkernz 21 วันที่ผ่านมา

    Hi Dr Attia, Would love for you to look into Atherocare as a way to clean Cholesterol and Plaques from the arteries.

  • @joeordinary209
    @joeordinary209 9 หลายเดือนก่อน +1

    I got last spring Angina symptoms, and was ordered a TC scan ( 58Y male). Have been past decades living a pretty healy lifestyle, expect for a stressful job. My calcium score was 0, but the bad news, my aorta is enlarged. The strange thing is i have OK cholesterol values, low blood pressure, ok physical condition, ok bmi...dont get this, not much i can do improve the situation and why is it enlarged in the first place. My symptoms was during strainfull physical activities got pain in the lower jaw, and if rest, the pain goes away. I also had for a few years kind of voice issues, without any obvious reason. This was considered angina symptoms, but in reality related to enlarged aorta. A good thing i got the symptoms, now i at least know.

  • @user-zu7gk9ol9f
    @user-zu7gk9ol9f 8 หลายเดือนก่อน +1

    Thank you for this informative discussion! Question: I read recently that near starvation diet (as seen in WW1 autopsies), and in another study- alcohol consumption were the ways to reduce coronary plaque and LP(a), respectively. Do you agree?

    • @oregon32nursenurse43
      @oregon32nursenurse43 7 วันที่ผ่านมา

      Intermittent fasting is excellent!!! 16/8 fast 16 hours….

  • @KatieJoMikell
    @KatieJoMikell 2 ปีที่แล้ว +4

    Oh I love the way he put it where you live in a bad neighborhood but you got a pitbull that’s fighting it off 😊

  • @erichenryandersen
    @erichenryandersen 5 หลายเดือนก่อน +3

    Thanks for all you do, Peter. LOVED your book!
    79 year old father has a score of 518. PA wants to put him on a statin. LDL 132, HDL 49, Triglycerides 80. He went to doctor because of lingering cough and they discovered mild scaring of the lungs. I am wondering if scaring on lungs was from Covid last year? Smoked for 6 years but quit in 1967. Also, rides his bike 50 miles and climbs 8,000 foot mountain peaks, no problem. The whole situation is confusing and trying to figure out the best answer. Any input would be appreciated.

    • @UncleJoes63
      @UncleJoes63 2 หลายเดือนก่อน

      Im pretty much on teh same boat. i had a score of 400, I have a pretty variable cholesterol, which curiously seems to increase when I lower my thyroid medication. It also seems teh plaque is concentrated on one artery. However Im not overweight, I do 20 miles in a stationary bike every day and 40 miles every other day. Im also a bit confused .

    • @DrProfX
      @DrProfX 28 วันที่ผ่านมา

      Statins tend to have so many good things: stabilize and even regress current plaque, and are also anti-inflammatory… So, if that’s a bulgy piece of soft plaque a statin would make it smaller and would stabilize it with calcium cap on top…

  • @abhyunnati8589
    @abhyunnati8589 ปีที่แล้ว

    Nice

  • @vincentcasolaro
    @vincentcasolaro ปีที่แล้ว +9

    I asked my physician for a referral to get a calcium score. She she said wait until you have an event that would deem it necessary. Guess I'll be paying for one out of pocket so much for healthcare premiums.

    • @kathygann1180
      @kathygann1180 ปีที่แล้ว +2

      Insurance doesn’t pay for it anyway. Call around. In my town, prices range from $150-$400.

    • @okeejoe
      @okeejoe ปีที่แล้ว +4

      I paid out of pocket $100, best I ever spent!

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +2

      We just had ours done at a cost of $99 each. (In Pennsylvania)

    • @Pixieluscious1
      @Pixieluscious1 7 หลายเดือนก่อน

      I was able to have my CAC done, paid for via insurance, based on the fact that my mother died a few years ago from complications or arteriosclerosis, I have a family history of CVD on both sides, I'm 52 and menopausal, and my cholesterol is high (although I've gotten is down to 232 overall). I'm so glad I did. My CAC was 601, and I've been going through the evaluation process since that finding that information out in September. I have a stress echo on Tuesday, my standard echo found mild diastolic dysfunction, but nothing to worry about according to the Stanford cardiologist. I was also recently diagnosed with HBP after a lifetime of having low blood pressure, but my medical team and I are fairly certain that it's due to a different medication which I have since stopped.

    • @user-rn3fd3he6q
      @user-rn3fd3he6q 6 หลายเดือนก่อน

      My doctor told me I didn’t need a new CAC because I had an event for years earlier after the first CAC. 🤷🏻‍♂️

  • @MikeM.1971.GenX.
    @MikeM.1971.GenX. หลายเดือนก่อน +3

    Have ben doing keto for 8 years now, and got a ct scan for a CAC score 3 years ago, it was 0. Prior to Keto, i ate almost soley a carb diet. Had eczema, pre diabetes, arthritis, high blood pressure, neuropathy, and depression. All of it disappeared within three months of a ketogenic diet.

    • @arlenepospisil586
      @arlenepospisil586 9 วันที่ผ่านมา

      Wow I would like to try Keto...

    • @MikeM.1971.GenX.
      @MikeM.1971.GenX. 9 วันที่ผ่านมา

      @@arlenepospisil586 it will be the best decision of your life.

    • @donfrussell
      @donfrussell 9 วันที่ผ่านมา

      @@arlenepospisil586 Hi Mike - how old are you? I too had a score of zero - Had diabetes, neuropathy I'm on a low carb low calorie diet and 15K steps. BS still average 160

    • @MikeM.1971.GenX.
      @MikeM.1971.GenX. 9 วันที่ผ่านมา

      @@donfrussell I'm 53 years young

    • @MikeM.1971.GenX.
      @MikeM.1971.GenX. 9 วันที่ผ่านมา

      If your blood sugar is at 160, you need to drop down the carbs even further. I would recommend no more than 10 g of carbs per day and see how that helps.

  • @daven6145
    @daven6145 3 หลายเดือนก่อน +1

    Like Norm whose comment follows mine, I'm also 81. My question is if my cardiologist correctly diagnosed me with FH at age 70, in part because my LDL at that time was 210, could my LDL have been half that level anywhere between age 40-60? Thank you!

  • @madwoof3932
    @madwoof3932 2 ปีที่แล้ว +6

    I'm getting a pit bull.

  • @KrazyKats39
    @KrazyKats39 3 หลายเดือนก่อน +1

    What do the different scores on the arteries mean? Some are zero.

  • @wilzboyz
    @wilzboyz หลายเดือนก่อน

    How did you get insurance approval for a coronary CTA? No way they would cover in the absence of symptoms or abN stress test (which they also wouldn’t cover solely based on abN lipid panel)?

  • @kathygann7632
    @kathygann7632 5 หลายเดือนก่อน +3

    Could a bad case of Covid-19 cause damage to the heart that would increase CAC score?

  • @BRIANDER100
    @BRIANDER100 ปีที่แล้ว +8

    can you take d3 and k2 with a statin ? if so, what dosage do you suggest for d3 and k2 ?

    • @geoffharrower2845
      @geoffharrower2845 ปีที่แล้ว +6

      Professor Robert Lustig, endocrinologist at USF , maintains the statins have very minimal effect unless you’ve already had a cardiac event

    • @erastvandoren
      @erastvandoren 3 หลายเดือนก่อน

      @@geoffharrower2845 Lustig is a charlatan

  • @kathygann7632
    @kathygann7632 ปีที่แล้ว +7

    According to doctors, calcium increasing is bad, unless you are on statins, then it is good

    • @terrigodmother
      @terrigodmother 7 หลายเดือนก่อน +2

      Exactly...just push those statins!

  • @DK-pr9ny
    @DK-pr9ny ปีที่แล้ว +6

    Would have loved to hear more about treatment for high CAC scores..

    • @carmenross1077
      @carmenross1077 ปีที่แล้ว +4

      Listen to Dr. Ken Berry proper human diet.

    • @bettywhill
      @bettywhill ปีที่แล้ว +3

      According to this Dr. It’s statins statins statins!

    • @napnap609
      @napnap609 ปีที่แล้ว +3

      @@carmenross1077 Berry is a quack.

    • @napnap609
      @napnap609 ปีที่แล้ว +1

      @@bettywhill Exactly! Doctors with logical brains who approach and interepret the science properly, and the studies properly, all know that statins work.

    • @billrafferty9258
      @billrafferty9258 ปีที่แล้ว +2

      @@napnap609 I avoid the TH-cam docs who have a cure for everything under the sun. Sometimes they may be spot on, other times giving dangerous advice. How does a layperson know one from the other? Stick with the PhD's and MD specialists in a particular field, in my opinion.

  • @mpeltz1534
    @mpeltz1534 7 หลายเดือนก่อน +2

    It is interesting to read all the comments from older men who exercise. I have been involved with fitness and health since I was a kid and made a career of it. I'm now 71 and still a regular strength trainer and cardio guy. I'm currently on no medications but my doctor wants me to start a low dose statin. My triglycerides are low but my LDL is always around 110 to 120 and my total is around 205. My HDL is also high around 65. I decided to do a Calcium scan to see what was up before I agreed to go on the Statin. There is little or no heart disease in my family but my father has some mild strokes at 92 and lived to 95. My Calcium score came back at 97. I have heard from no one about my results? I found them on my patient portal. I went to see a cardiologist also before the Calcium test. Nothing from my GP or my cardiologist? Another interesting issue in my mind is my heart rate. My normal heart rate is around 75 to 80. My exercise rate can reach 160. I'm a relatively small guy 5'4" 128lb. by no means overweight in fact I suffer from the other problem of keeping weight on. I careful about my diet but I have to get enough calories or I will blow away. Can't seem to get any good answers from my doctors on anything.

    • @gtkona1608
      @gtkona1608 4 หลายเดือนก่อน

      CAC of 97 at age 71 is excellent. CAC is thought to represent about 30% of total plaque. Some think that in highly trained endurance athletes that the calcified plaque represents all of the plaque, which was the case for me, 30 years of high level triathlon training and racing, at age 63, CAC 235, CT Angiogram showed no soft plaque. Look into APO b levels. My cardiologist suggests that low dose statins are safer than baby aspirin and there is some thought that low dose statins are the way to go as part of a diet and exercise program to lower APO b.

    • @mpeltz1534
      @mpeltz1534 4 หลายเดือนก่อน

      Thanks. That is helpful. Probably will start the low dose staten at my next yearly physical. I can’t adjust my diet anymore as my weight keeps dropping and I need to gain some back or I will blow away.!

  • @jerseyjim9092
    @jerseyjim9092 2 ปีที่แล้ว +27

    I've been following the LDL issue for years and there are brilliant people on both sides of the issue and unfortunately no conclusive evidence either way. The upcoming 2 year study by Dave Feldman will hopefully finally show whether or not lmhrs are protected from high LDL-P as he and many others suggest. I think the one thing all agree on is that insulin resistance is a huge contributor of heart disease and everyone should be addressing that. I'm certain I had the beginnings of it as early as in my 30s but it went undected because my fasting blood glucose was always "in range". Early detection is paramount and requires more than just a fasting glucose test.

    • @carmenross1077
      @carmenross1077 ปีที่แล้ว +3

      Doctors always says you’re fine re your blood glucose well check it next year even though you’re in borderline. Just learned from my experience.

    • @andrewlomas5796
      @andrewlomas5796 ปีที่แล้ว +2

      What other tests do you recommend?

    • @Definitely_Someone
      @Definitely_Someone ปีที่แล้ว

      did you have high cholesterol?

    • @JoelRoseTV
      @JoelRoseTV 11 หลายเดือนก่อน

      Any tips on how you reversed it?

    • @gloriaharbridge4986
      @gloriaharbridge4986 2 หลายเดือนก่อน

      ​@carmenross1077 if your blood glucose is borderline or HbA1c is borderline, ask for a Fasting Insulin. A high insulin might be causing as much a problem as glucose.

  • @trixieknits
    @trixieknits ปีที่แล้ว +7

    I’ve been keto for five years and just got my first CAC score = 368. I wish I had known what it was five years ago. Hoping next year it’s lower.

    • @HellcatManual2023
      @HellcatManual2023 ปีที่แล้ว +3

      You cannot reduce your number. Regardless of what anyone says. However, you can slow/prevent any new plaque from forming in new areas.

    • @zenden6564
      @zenden6564 ปีที่แล้ว

      The Dr asserts CAC = not 0 is abnormal, period. Whereas the published tables show ranges to age for CAC scores with more latitude.

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      @@HellcatManual2023
      Oh really? Maybe you should watch this...
      th-cam.com/video/ysifMKWKZLY/w-d-xo.html

    • @HellcatManual2023
      @HellcatManual2023 ปีที่แล้ว

      @@njsongwriter
      Do the research and you’ll realize it’s just not possible. I wish it were. Dr. Agatston would be the one person who truly knows whether it’s possible, and he says it’s not.

    • @Hornet135
      @Hornet135 ปีที่แล้ว +1

      @@HellcatManual2023 So how do explain Ford Brewer’s own personal case as well as cases of his patients and patients and others lowering CAC scores?

  • @AJ-em6gm
    @AJ-em6gm 3 หลายเดือนก่อน

    Can taking OTC TUMS raise CAC score ?

  • @AN-jz3px
    @AN-jz3px 3 หลายเดือนก่อน

    At 35 I broke my rib doing Jiu Jitsu - and discovered after a CT scan that I had Plaque. After a cardio workup, I have LAD plaque and a score of 55. I am glad I found this as I have managed well.

    • @AgrippaMaxentius
      @AgrippaMaxentius หลายเดือนก่อน

      Hey man can we stay in touch? Got a similiar score at the same age and I am terrified. What did your doctor tell you about risk going forward? My score was 10 but pretty sure it’s all bad at our age irregadless of the score.

    • @AN-jz3px
      @AN-jz3px หลายเดือนก่อน

      @@AgrippaMaxentius yeah I get checked every year and really watch my lifestyle. I drove myself crazy worrying about it, but essentially cannot do much besides manage and constantly monitor.

    • @AgrippaMaxentius
      @AgrippaMaxentius หลายเดือนก่อน

      @@AN-jz3px Man I am wishing you the best. Did the Doc give any positive feedback? Ive read all of the studies and it seems we are for sure more likely to have Cardio issues but seems to be a much more case by case basis. Id love to see a study with folks with our scores that turned their lifestyles around.

    • @AN-jz3px
      @AN-jz3px หลายเดือนก่อน +1

      @@AgrippaMaxentius I've always had a good lifestyle - am 6'1" 200 lbs and have been wrestling / doing mma / jiu jitsu all my life. Don't smoke, don't drink. Just genetics!! I wouldn't worry about it, just live your life and monitor.

  • @mwb6772
    @mwb6772 3 หลายเดือนก่อน +2

    Would you please post the scientific studies that prove that calcium increase while on statins is a good thing? Would really like to read those. Thanks!

    • @gloriaharbridge4986
      @gloriaharbridge4986 2 หลายเดือนก่อน

      I read somewhere that the statin will harden some of the soft plaque which in turn puts your calcium score up. A calcium score does not measure soft plaque.

  • @bobcocampo
    @bobcocampo ปีที่แล้ว +1

    Please discuss CIMT

  • @kbmblizz1940
    @kbmblizz1940 7 หลายเดือนก่อน +5

    I watched this and really gained no more insights on how to chart an action plan to my high CAC score.

  • @iamthemoss
    @iamthemoss หลายเดือนก่อน +1

    Several of my MD's (I see a pulmonologist, hematologist, gastroenterologist. cardiologist, and a GP). There is some disagreement on the significance of blood lipids. Obviously there are factors we don't know about and money has tainted medicine.
    I just started the carnivore diet to try and get relief from autoimmune conditions as I have run out of options. I hope it will help with my weight but time will tell.

    • @georgehazel4935
      @georgehazel4935 15 วันที่ผ่านมา

      Check out @medicalmedium Anthony Williams. He says that "autoimmune" issues are caused by pathogens, like the Epstein Barr virus.

  • @johnyhouben2483
    @johnyhouben2483 3 หลายเดือนก่อน

    Hdl 46. Ldl 230. Total 281. Bmi 25 Cta. Cac 0. 5y on K2 but no Cta before K2….🤷‍♀️

  • @bettywhill
    @bettywhill 2 ปีที่แล้ว +5

    The lady with a wonky lipid numbers is a lean mass hyper responder.

  • @jamesalles139
    @jamesalles139 2 หลายเดือนก่อน

    and how does Calcium channel blockers complicate things?

  • @MarkSmith-js2pu
    @MarkSmith-js2pu ปีที่แล้ว +25

    I’m in the camp that doesn’t care what the Total or LDL is as long as you eat very low carbohydrates and have low triglycerides and high HDL. If they could make a pill for triglycerides and HDL they would and push it on us. You can lower triglycerides fast if you cut out the carbs and possibly alcohol. HDL will take a bit longer but will go up if you are active and lift some heavy things. I expect my CAC score next week. If more than zero, it’s because of my old lifestyle. I’m 68 and have no history of heart disease in me or the family. I’m not going to take a statin, period. I’ll just continue with mostly red meat and fish, high fat yogurts, hard cheeses, berries, good fats like butter, lard, olive oil, avocado oil and zero grains and processed vegetable seed oils.

    • @bostonjackson9384
      @bostonjackson9384 ปีที่แล้ว

      Hello. What was your last cac score?? Are you still doing keto?

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      I'm of the same conviction as you. I'm 75 did keto bfor two years and now on carnivore. I'm nearly 76. My CAC is 305.

    • @MarkSmith-js2pu
      @MarkSmith-js2pu ปีที่แล้ว +5

      @@bostonjackson9384 cac was 200 something. Last week my other numbers were:
      Total cholesterol. 282
      LDL. 190
      HDL. 79
      Triglycerides. 57
      VLDL. 13
      I Went from 212 lbs to 170 and remain there now for about 18 months and feel better physically, mentally and emotionally. So good that I un-retired and now work 42 hours a week at a large hardware store, walking an average of 6500 steps a day there and getting to lift heavy things like sand, concrete, soil etc. I ride to work rain or shine on an electric bike, 5 miles one way. I have relaxed my sugar rules and now have a big bowl of ice cream every night. But that’s the only carbs I consume. My Total and LDL actually went down from 349 and 248 with the others staying the same. Of course the doctor and I don’t get along, we both are firmly convinced that each other is crazy. She works for a large medical group in the state and she flat out told me that she has to push the statins for legal liability reasons for her AND the medical group. Long answer to your question, I am not in ketosis anymore. At least I can attest to its effectiveness and will never forget lessons learned…….. throw out ALL seed oils, don’t eat fruit, bread, pasta and rice. Eat 2 meals a day, don’t drink or count calories, eat till you are full, don’t eat if you are not hungry, eat fatty meats, fish and lots of eggs.
      I was disappointed by my CAC score but I do blame my standard American diet from decades past. I expect a repeat CAC will remain same or perhaps go down a bit as time goes by.

    • @bostonjackson9384
      @bostonjackson9384 ปีที่แล้ว +1

      @@MarkSmith-js2pu Did you have a previous CAC score or was the 200 your one and only score ever sat through? Do you take vitamin k2 supplements?

  • @time2heal
    @time2heal 7 หลายเดือนก่อน

    Pitbulls relieve my anxiety. So sweet!

  • @crushynn90
    @crushynn90 ปีที่แล้ว +2

    I’m more confused than ever.

  • @JR-es1sb
    @JR-es1sb ปีที่แล้ว

    "You just like saying CAC." 😂

  • @bobcocampo
    @bobcocampo 2 ปีที่แล้ว +8

    Dr Ford Brewer prefers CITM and inflammation test

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      The only problem is an inflammation test is of no help if there are other sources of inflammation in the body. I have skin cancer that will give me elevated levels on inflammation tests.

    • @roscoetanner5996
      @roscoetanner5996 ปีที่แล้ว

      You mean a CIMT

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      @@roscoetanner5996 WE know. Sorry you got nothing to do. lol

  • @googbert
    @googbert ปีที่แล้ว

    I had a CAC with a dye. I guess that would be a wet CAC. He discussed what he called a dry CAC. Anyone know the difference,?

  • @jamesblevins7115
    @jamesblevins7115 ปีที่แล้ว +1

    Had a ct with cac of zero. Three months later still presented with chest angina cta cac zero no known issues still have angina no dr seems concerned just tell me how my anxiety is triggering all my angina. Got my bp in check but still concerned about chest pain. Any help would be appreciated

    • @amysim8899
      @amysim8899 11 หลายเดือนก่อน

      Zero cac means you have not had an incursion/event yet but CAC does not pick up on soft plaque. Check you blood work.

    • @gtkona1608
      @gtkona1608 4 หลายเดือนก่อน

      By cta do you mean CT angiogram with IV contrast?

    • @jamesblevins7115
      @jamesblevins7115 4 หลายเดือนก่อน

      CT WITHOUT X2
      CT WITH CONTRAST

  • @nicoladalenzio4499
    @nicoladalenzio4499 2 หลายเดือนก่อน

    This interview seems more geared to professionals

  • @carmenross1077
    @carmenross1077 ปีที่แล้ว +1

    I was expecting he will at least mention few numbers from 1 to 6 and discuss on it

    • @gautambhaskar336
      @gautambhaskar336 7 หลายเดือนก่อน

      Correct. I have Calcium score 4.1

  • @FrankGreenway
    @FrankGreenway 9 หลายเดือนก่อน +1

    Should I take a statin if my cholesterol is normal and I’m not diabetic, and I have good blood pressure, just because my cac score is 913?

    • @12yukos
      @12yukos 8 หลายเดือนก่อน

      Let me know if you ended up taking statins. I’m on he same boat.

    • @micas4048
      @micas4048 7 หลายเดือนก่อน +1

      In another video Petter explains that a low dose of 5mg of Rosuvastatin gives you 85% of the benefits of statins. Might want to start there and see if you get any side effects.

  • @brownr749
    @brownr749 หลายเดือนก่อน

    Anyone knows the highest number of a CT calcium score?

  • @carloscontreras3633
    @carloscontreras3633 ปีที่แล้ว +1

    What advancements have been made in finding cures to diseases since 1985?

    • @doctormarazanvose4373
      @doctormarazanvose4373 หลายเดือนก่อน

      They can't make money off you if you're cured.

  • @tgchris2222
    @tgchris2222 3 หลายเดือนก่อน

    I have a CAC score of 23 , but they said I have calcification on ascending aorta. GP Recommended Lipitor. Thoughts?

    • @susanrodriguez7127
      @susanrodriguez7127 2 หลายเดือนก่อน

      That was my exact scenario. Lipitor can lower inflammation, but it also prevents absorptionof K-2, which actually helps de-calcify, so I take Lipitor once a week, but I'd like to get off of it completely

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      Are you nuts? Work on your diet and stop thinking medication will fix it without un-known side effects

  • @bettywhill
    @bettywhill 2 ปีที่แล้ว +9

    Evidently statin didn’t work for that patient whose calcium score kept going up the the 20 years.

    • @msantello1
      @msantello1 2 ปีที่แล้ว +7

      But Dr Attia explained that since statins stabilize plaque your CAC score will usually go up on statins. It is not calcified plaque that is the issue, the calcium represents a stable bandaid in a damaged artery. Its the liquid soft plaque that is the killer, and statins will calcify the softer plaques.

    • @naegleriafowleri2230
      @naegleriafowleri2230 2 ปีที่แล้ว +3

      Statins increase calcification

    • @Joseph1NJ
      @Joseph1NJ 2 ปีที่แล้ว

      @@msantello1 Is it the drug that does that, or is it the body that does that once you've lowered your cholesterol enough? In other words, would a diet and lifestyle that consistently delivers a low cholesterol/ low LDL do the same thing?

    • @msantello1
      @msantello1 2 ปีที่แล้ว

      @@Joseph1NJ My understanding is that while your body will calcify plaque on its own, as the good, non-oxidized LDL is designed to do, my Dr and other sources say the statins amp that process up in a big way...if you have a bunch of unstabilized plaque in your arteries. Dr. Ford Brewer said in one of his many videos that he got to have a look/see at the inside of an diseased artery in a cadaver, and he said it was like "pimples on a teenager's face." We have been led to believe that when you have a cardiac event is is the calcified plaque that has dislodged and caused the stroke or CI, but its not. Its the soft, infected plaque that has erupted into the blood stream, and when it interacts with blood forms a clot...and then boom. The bottom line is that this process is not cholesterol driven as a whole, but thought to be more about a body-wide biochemistry of insulin resistance that oxidized the LDL particles in the first place, making them highly inflammatory. And when these kinds of LDL particles invade a crack or fissure in an artery, that inflammatory stuff gets into the under layers, and your off to the races so to speak. Some, not all statins, can have more of an anti inflammatory & plaque calcifying effect, thus making these soft lesions in "safer" and less inflamed. Crestor is the best for this I have heard. And yes, diet, exercise, supplements - there are many other ways to address this issue without stains and their terrible side effects. But again, the actual cholesterol particle #'s are not the whole story. How LDL is getting oxidized is. Cheers.

    • @chadfitch3293
      @chadfitch3293 ปีที่แล้ว

      Statins also reduce inflammation. Low carb diets also reduce inflammation. It is possible the real reason statins work is because they reduce inflammation not because they reduce cholesterol. This is not studied. Statin drug companies have a lot of data they refuse to release. The main creator of the CAC score, Dr Agatston, has said low carb diet is the best way to address calcium build up and has recently updated his south beach diet to be closer to a real LCHF diet. Dr Dave Diamond has an excellent study to show people on a low carb diet with high LDL live longer. Not conclusive but evidence points in that direction. We need more studies!

  • @tphillips777
    @tphillips777 ปีที่แล้ว +3

    Very interesting. I was a competative cyclist for about 10 years, I have both a Incomplete RBBB and a resent CAC of 161 now at at 54. Still have above average VO2 max and a low resting heart rate. Was on the fence about statins, as my numbers are not that bad, still below the threshold for therapy. I eat a low-carb diet, but think it's time to agressively attack APOB.

    • @RHt09
      @RHt09 ปีที่แล้ว

      You should be on a statin with that CAC

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      Try The Caldwell Esdelstyn diet. Whole plant based food, no oils, surgers, fry food, processed food. I'd beleive him over someone tell me that I can eat fat. LOL

  • @larrygk1257
    @larrygk1257 3 วันที่ผ่านมา

    So did I just waste my Medicare money at 74 years old and a CAC of 44, and a percentile of 25? Means nothing?

  • @pagefour6498
    @pagefour6498 2 ปีที่แล้ว +1

    Im 47 and have a score of 1.5 My cholesterol is around 280 with my LDL being around 180 and HDL of 50.
    Does this seem alarming?
    I was told that my diet isn't the problem since everything else was great and I have fam history of high cholesterol.

    • @thefisherking78
      @thefisherking78 2 ปีที่แล้ว +1

      IDK, what are your triglycerides? If they're in the same range as HDL your risk is probably low.

    • @pagefour6498
      @pagefour6498 2 ปีที่แล้ว +2

      @@thefisherking78 67 for triglycerides

    • @beezowdoodoozoppitybopbopb9488
      @beezowdoodoozoppitybopbopb9488 2 ปีที่แล้ว +2

      I remember hearing about a meta analysis a while back that showed a total cholesterol up to 280 was the safest group to be in. Cant remember the lower floor to the range, but I recall it being in the upper 100s

    • @pagefour6498
      @pagefour6498 2 ปีที่แล้ว

      @@beezowdoodoozoppitybopbopb9488 🤙🏼

  • @Merzui-kg8ds
    @Merzui-kg8ds 3 หลายเดือนก่อน +2

    If heart attacks/heart problems kill so many people, why is it that the only thing a general physician knows is "Cholesterol scores high...take statins"? I had to demand a CAC because my gen Practitioner used the "cholestorol high..must prescribe statins" mantra. There's growing numbers of studies questioning the blanket prescribing of statins. Why don't doctors know better how to assess coronary health?

    • @hillsofwi
      @hillsofwi 9 วันที่ผ่านมา

      It's a very lucrative model for the industry as it stands.

  • @rosemarycaraglia9219
    @rosemarycaraglia9219 ปีที่แล้ว +5

    Up until age 42, I was a metabolic train wreck. Obese, (waist size 42), high BP, pre-diabetic with borderline high triglycerides. In the last decade, I dropped 80 lbs, A1c has leveled off to 5.5, fasting insulin is 5, and my trig/hdl ratio is 0.76 now. My total chol and LDL have gone way up, but I've had lipoprotein particle testing that showed I have much more of the large, buoyant LDL and my Lp(a) is

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +2

      I wouldn't take a statin and might contact Dr Ovadia for his advice. Read his book.

    • @zpavic7814
      @zpavic7814 ปีที่แล้ว

      LDL particle count doesn’t really mean much at all. Even some iDLs can penetrate the intima. All ApoB particles are athogenic according to the science literature - thinking that only the small oxidated/glycated LDLs are dangerous is a myth.

    • @napnap609
      @napnap609 ปีที่แล้ว +1

      When you're in the 90th percentile, you need to be on a statin which is probably why the doctor called it in without hesitation. And, a CAC test in 1 year may not provide much more useful info, since you're already in a range that indicates aggressive risk factor modification; not just lifestyle but pharmacological as well. CAC tests aren't usually repeated because they only cause more unnecessary alarm in patients because the score will most certainly be higher than your first test; which if on a statin a higher score means more stable, if you're not on a statin and your score is higher than the initial test, then you're just rolling the dice. But of course to each his or her own, we all gotta do what we feel is best for ourselves.

    • @napnap609
      @napnap609 ปีที่แล้ว

      @@njsongwriter Satins work.

  • @mikekellum6238
    @mikekellum6238 3 หลายเดือนก่อน

    My cardiologist has never mentioned or suggested the calcium test.

  • @TheCourier54
    @TheCourier54 ปีที่แล้ว +2

    My calcium score four days ago was 1100. I'm 70 years old and work at McDonald's to supplement my Social Security. Probably not a wise choice...

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      Just dont eat there lol

  • @BRIANDER100
    @BRIANDER100 ปีที่แล้ว +3

    will vitamin k2 remove plaque ?

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +3

      K2 may remove the calcium (if it's natural K2 from natto) but nattokinase would be needed to remove the soft plaque. I take both.

  • @njsongwriter
    @njsongwriter ปีที่แล้ว +1

    Okay my score is 305 and I'm 76 years old.
    What should I do going forward?

    • @StevenBanks123
      @StevenBanks123 4 หลายเดือนก่อน +1

      Same age, same numbers. I already exercise but will reluctantly start statins, have dropped from 161 lbs. to 145 lbs. in 2 months (easily) and will be dropping sugar drinks and ice cream (NOT so easily) and just hope for the best. You can only do what you can do and live your life.

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      Eat better NOW

  • @JJ-wi2uw
    @JJ-wi2uw 3 หลายเดือนก่อน +1

    I believe that taking Vitamin K2 (MK7 form) is helpful as a preventative for Coronary calcium.

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      IF you do that with a plant based or near plant based diet, it really won't matter. But if you want change the way you eat than sure why ow

  • @fleadoggreen9062
    @fleadoggreen9062 2 ปีที่แล้ว

    Who does these scans ? What do I google ? CAC scan ?

    • @bucketmouth7705
      @bucketmouth7705 2 ปีที่แล้ว +1

      Any imaging center

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +1

      We went to UPMC in Pennsylvania. Cost = $99

    • @michelleweaver3279
      @michelleweaver3279 4 หลายเดือนก่อน

      I googled CAC near me and found one an hour from my home and it was $50

    • @fleadoggreen9062
      @fleadoggreen9062 4 หลายเดือนก่อน

      @@michelleweaver3279 thank you 😀

  • @bettywhill
    @bettywhill ปีที่แล้ว +2

    You’re going to order a CT Angiogram for someone with a 0 calcium score 🤦🏻‍♀️

  • @stevemc2626
    @stevemc2626 ปีที่แล้ว +4

    I really don’t understand why increasing calcium scores when you are on a statin are good but increasing calcium scores when not on a statin is bad. This sounds like a convenient situation for drug companies. But maybe I’m wrong. So what is the evidence?

    • @amysim8899
      @amysim8899 11 หลายเดือนก่อน

      Most admit that there is a correlation but do not say that one causes the other. Correlation is not causation.

    • @gtkona1608
      @gtkona1608 4 หลายเดือนก่อน

      Since the calcified plaque is thought to represent only 30% of the total plaque, it is the soft plaque that causes heart attacks by rupturing, it could be that the soft plaque not seen on a CAC scan calcifies thus becoming relative safe while increasing the CAC score.

  • @MrProphet469
    @MrProphet469 ปีที่แล้ว +2

    How does one rid one’s self of atheroma and/or CAC? Mine is 118 {0,4,114,0}. I damn near cried and hyperventilated when I saw it, especially when my PA friend told me the LAD artery (114) is known as the WIDOWMAKER😳😳🤯😭😭😭😭😭😭😭😭😭😭😭😭😭😭

    • @Deekened
      @Deekened ปีที่แล้ว

      Take 4 triple strength fish oil supplements daily. 2 morning before breakfast, 2before dinner. Your hdl and trigs will improve and can reverse Plaque. Stay away from bad carbs. Eat whole unprocessed food. Fish oil should be 3600 total omega 3’s. About 900 epa,dha combined per one pill. So 4 daily is your 3600. Get your LPa measured. If high may need upwards of 6000 daily omega 3’s.

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +2

      I do a ketovore diet. I also take an unfortified cod liver oil and magnesium, nattokinase and K2 derived from natto (not synthetic). I also avoid high oxalate foods as calcium oxalate has been implicated in causing atherosclerosis.
      I'm 76. My score is 305.
      I'm determined to start exercising more.

    • @MarquosXoloVanda
      @MarquosXoloVanda 7 หลายเดือนก่อน

      ​@@njsongwriterprogress update?

  • @gazels11
    @gazels11 ปีที่แล้ว

    Is the CAC score reversible?

    • @rickmattison
      @rickmattison ปีที่แล้ว

      Following

    • @googbert
      @googbert ปีที่แล้ว

      Read about k2 and calcium

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      Watch this...
      th-cam.com/video/ysifMKWKZLY/w-d-xo.html

    • @schigara
      @schigara ปีที่แล้ว +2

      According to allopathic medicine, no because there is no pharmaceutical drug to reduce plaque. Look up the root cause protocol from Morley Robbins.

  • @Zorrely021
    @Zorrely021 3 ปีที่แล้ว +5

    Folks check Dr. William Davis and Patrick Theut point of view. Be carefull with your ApoE gene type, inflamation and insulin resistence. Use koncentrated vitamin K. Good luck.

    • @bostonjackson9384
      @bostonjackson9384 ปีที่แล้ว

      @Islayman How much k2 and Vit c did you take for this?

    • @njsongwriter
      @njsongwriter ปีที่แล้ว

      I would consult with Dr. Ovadia.

    • @njsongwriter
      @njsongwriter ปีที่แล้ว +1

      @Islayman
      What are you doing for soft plaque?

  • @tomwalker389
    @tomwalker389 ปีที่แล้ว +3

    At first glance I thought you guys were smoking shishas.

  • @biohackingalchemy7996
    @biohackingalchemy7996 ปีที่แล้ว +9

    CAC score of 0, and my doctor wants me on statins, so i found a new doctor.

    • @Viz210
      @Viz210 10 หลายเดือนก่อน

      Whaaat? My dr told me mine was 0 and he said I was doing great

    • @xelerated
      @xelerated 9 หลายเดือนก่อน +1

      @@Viz210 that’s why I found a new doc. Zero reason to use statins ever. But even more so for a cac of 0

  • @roncav8
    @roncav8 2 ปีที่แล้ว +14

    I'm a thin 5' 7" 135 lbs fit 76 year old with no symptoms of any health problems and have been on Keto for almost 4 years. Just got a requested by me CAC scan with a result of 1114.5. My most recent blood test results were a trigyceride/HDL of 1, CRP

    • @JasonMaggard
      @JasonMaggard 2 ปีที่แล้ว +2

      Are you Apo E3/4? And have you checked Lp(a)? Looked at LDL-P? Small dense LDL? These can be check with NMR Lipoprofile. And Lp(a) and blood labs.
      If you do your genetics through 23 and me, and then run your raw data file through Found my fitness genetics (Dr Rhonda Patrick), you can see if you are Apo e 3/4, which can be more sensitive to saturated fat. Look at Apo E 3/4, lots of websites and articles online.
      And there are other genes that can make you poor at metabolizing saturated fat you may find in your full genetic report. For some people with these genes, high saturated fat diets (like Keto), may make LDL-P and cv disease worse. I have seen this with some clients doing Keto, despite good HDL/Trig ratio, good glucose/insulin, good weight, and other seemingly healthy metabolic makers.

    • @pollyptwan
      @pollyptwan 2 ปีที่แล้ว +2

      I think the best next step is to go study Dr Brewer’s (PrevMed) videos! He has LOTS of information about CAC along with heart attack and stroke prevention! He talks about controlling inflammation and insulin as a key ways to prevent cardio events and stroke.
      Probably taking the Kraft Insulin Survey or OGTT WITH insulin markers to find out if you have insulin resistance is your key next step. Plus get a good CIMT done at a technically reliable place. (Call Cardio Risk to find out where you can get the scan in your city)
      A possible best case scenario for you could be that the high calcium score reflects that your have already done some damage control to the plaque that you have accumulated in your arteries before your current healthier lifestyle and Keto diet? But whether your body is still making soft plaque is the key question.

    • @roncav8
      @roncav8 2 ปีที่แล้ว +2

      @@pollyptwan Thanks for your input. My last blood test showed total insulin of 5 with a range of 3 - 25 uIU/mL and my CRP < 1 which indicates low inflamation. I had a high carb/low fat very little sugar vegetarian diet for most of my adult life prior to switching to Keto. It will probably take years for my body to heal from the vegetable oils, gmo foods and all those carbs.

    • @pollyptwan
      @pollyptwan 2 ปีที่แล้ว +1

      @@roncav8 Yes, I think we have all done damages to our health when we followed all the wrong suggestions on what was healthy for us in the last decades!
      As for an insulin of 5, according to Dr Brewer, a fasting "snapshot" still doesn't mean you don't have insulin resistance at all. The best test to find out for sure is the Kraft Insulin Survey. We need to be put under a "challenge" and actually do a tolerance test and watch our insulin response to the glucose challenge for three plus hours.
      Good luck!
      PS: I have been researching all this because I recently got a 1300 on my CAC as a 60 yr old female!! Otherwise, I am healthy and symptom free. I also have normal BMI, pretty good blood work numbers, and eat a low carb high fat diet! But of course my case is much worse than yours since I am only 60. I have been learning so much on Dr Brewer's channel. :)

    • @DK-pr9ny
      @DK-pr9ny ปีที่แล้ว +1

      Wear a CGM for a couple weeks to check your glucose levels.

  • @michaelnippert945
    @michaelnippert945 ปีที่แล้ว +3

    My calcium score at 63 was Zero

  • @edangstrom366
    @edangstrom366 ปีที่แล้ว

    Been on ppi for 25 yrs , recently found numerous studies that related the use of ppi to high cac score. Was diagnosed with atrial fib 25 yrs ago , the relationship was acid reflux caused my atrial fib , after taking prilosec for 5 days my atrial fib disappeared. Have to watch my diet closely, no oranges , coffee or high acidic foods. The catch 22 is I need the ppi 's to stop the development of Barrett's while at the same time the ppi ' s are causing causing calcified plaque. My cac score was 2049 july of 2022. Never have smoked , follow a strict diet and have been competing in powerlifting for 45 yrs. I was shocked at my score, the research showed me the reason, ppi are the culprit.

    • @bettywhill
      @bettywhill ปีที่แล้ว

      You should start watching all Dr Ken Berry’s videos.

    • @bettywhill
      @bettywhill ปีที่แล้ว

      Also watch Patrick Theut’s videos and read the book k2 and the calcium paradox.

    • @KevinSmith-4Liberty
      @KevinSmith-4Liberty ปีที่แล้ว +1

      Have you been on a statin during this time period? I heard also PPI increased heart disease if taken long term. I was on a PPI for 4 years and also a statin at the same time. My CAC Score doubled from a 25% annual increase to a 45% annual increase while on the PPI and a statin.

    • @tgchris2222
      @tgchris2222 3 หลายเดือนก่อน

      What is ppi?

    • @edangstrom366
      @edangstrom366 3 หลายเดือนก่อน

      @@tgchris2222 proton pump inhibitor--- reduces acid in stomach.

  • @lindastarke9228
    @lindastarke9228 4 หลายเดือนก่อน

    Mine around 220 my ldl 154 cholesterol 230 hdl 50. 73. Cant take statins.

    • @davie2983
      @davie2983 12 วันที่ผ่านมา

      You cant be serious. fix your diet.

  • @orangejulias9954
    @orangejulias9954 13 วันที่ผ่านมา

    I’m 47 male just got scan. I’m at ZERO