Ep:324 ASPIRIN: YES OR NO? Beyond generic guidelines.
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- เผยแพร่เมื่อ 15 มิ.ย. 2024
- Is ASPIRIN of value TO YOU as an INDIVIDUAL? Dr Cywes breaks it down BEYOND THE GENERIC GUIDELINES RESPONDING TO DR KEN BERRY. Is a heart attack or stroke in your future? Do you have hypertension or a high likelihood of having a DVT. Please leave comments.
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Circulation. Volume 140, Issue 11, 10 September 2019; Pages e596-e646
2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Arnett DK, et al.
*** The Guidelines: www.uspreventiveservicestaskf...
*** JAMA Article: jamanetwork.com/journals/jama...
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I had a massive PE 13 years ago and my cardiologist tol me to take a baby aspirin / day for the rest of my life. He was also an oncologist and in a private conversation on the way to our cars he also told me to forget about low fat dieting and start looking at low carb. He qualified that statement that he would not be able to advise me that in an official consultation at the time...!!!
I thank him to this day as I have been more or less low carb for 13 years and went from over 100kg to 80 kg and and 10x healthier than I ever was!
Which country was that? How lucky were you that you got an honest and decent cardiologist?
Did you continue the aspirin?
Doc in hushed tone to patient: "Meet at the bar across the street at 5pm - I have something to tell you about proper human nutrition, but I can't tell you with this white coat on"....
My position on standards of care: My doctor may be under some obligation to follow them, but I'm under no obligation to follow them.
I love that!
Yes, I like that too. I might just say that to my doctor if she again mentions statins.
Hey Russ, good to see you here; I never miss your videos.
Dr. Berry is blessed to have an awesome colleague like you.
I have stents, type 2 diabetes, I was on asprin and was constantly heavy bleeding from my back passage. It was so bad I had to keep getting iron infusions, I was also suicidal. I decided to stop taking asprin strongly against my GPs advice. The bleeding stopped completely. I have been keto since 17th of August, I have lost 12lb and my blood sugars are normal. My GP told me the risks of not taking the asprin and my reply was there is living and living. Love your talks by the way.
My friend didn't listen to me while driving 2 days straight. I told him to take aspirin. He has a pulmonary embolism now and in the hospital 🫁 I had 4 clots in my legs from my job about 4 years ago. I was walking / exercising daily! Couldn't afford their expensive meds, so I went to aspirin. Been fine ever since. 55 ketovore. I was keto when i got my first blood clots. CAC 0 . Dr C is a real doc practicing.
1st I heard of talking an aspirin for long haul sitting.
Only makes sense.
And you were active, wow.
We are doing our best.
Stop trying, start dying.
I would think that also goes for taking a baby aspirin if going on long airplane flights (oh, I finally got to the part where Dr C mentions flying) or if sick in bed for several days. My husband who is paraplegic broke his lower right leg many years ago and was put in a cast - not told to go on a baby aspirin, but though he regularly did and still does upper body workouts with weights as well as being a “Wheeler” he developed a DVT in that leg with PEs and survived but now has to be on warfarin (rat poison) to thin his blood (found out he is anaphylactic with anything with aspirin in it). If you are sick enough you only want to be in bed - don’t be…get up and move around as it’s better for your lungs too.
@susanhogan2560 aww I'm sorry about your husband. Ya, i even kept moving when i wasn't working. It wasn't enough. I'll never go back to a full time sitting job.
Excellent advice about taking an aspirin while traveling. I never thought of that. Thanks, Doc.
THANK You Dr Cywes. Really Excellent presentation...! Yes - Quality Medical advise should NOT be based on "Population-Averages"... 😊 👍 -70SomethingGuy
After taking baby aspirin for a couple of decades I noticed that as I aged I was experiencing significant bruising and bleeding under my skin. When I mentioned this to a friend, he replied that "everybody knows that ones blood thins as we age." I stopped taking baby aspirin and my symptoms decreased markedly. That was over 5 years ago, I'll be 78 next month and won't be taking any baby aspirin in the coming decades.
Why were you taking it?
Thirty years ago many doctors recommended taking daily baby aspirin as an anti-inflammatory agent, so I thought it was a good idea back then to follow that suggestion. @@DK-pr9ny
Thirty years ago taking baby aspirin was recommended by many doctors as an anti-inflammatory agent, so I decided to follow that advice. @@DK-pr9ny
I had breast cancer 2 years ago (2021). I'm 54. My medical oncologist has me on tamoxifin and a baby aspirin a day. I have been keto since Nov. 2019 and ketovore since January. When I saw Ken's video I dropped the baby aspirin to 2 times a week instead.
I just don't know who to listen to anymore. My med oncologist sees me via zoom and goes over a checklist, I literally watch her eyes scanning the page as she asks her generic questions.
Wish I could find a doc that would give it to me straight. There are times I doubt I even need that tamoxifin.
Thanks Dr. Cywes!
I hear ya, 5 years into tamox myself.
God bless you. I hope you get well soon. I feel the same way you do about what direction to go. I love what Paul Saladino has to say, but I’m not like him. I have atherosclerosis and have to be careful with carbs.
You wish to find a doctor giving to you straight ? All most of them do is giving advice based on their training, the latter often being outdated and resistant to changes.
Best Doctor! Very interesting talk. Thanks Dr Cywes.
Instead of using aspirin u can use Ginger capsules to thin the blood without the fatal side-effects of potential stomach rupture n bleeding that aspirin can cause.
Suffer with pain from rheumatoid arthritis even after hand and foot surgery but have never been told to take aspirin, although encouraged to take methotrexate! Will buy aspirin today in the hope it helps with the pain! Thank you.
Thank you for the clarity.
Thank you for this clearer explanation!
Thank you. You always talk a lot of sense.
Thanks for the great explanations. You always provide consistently easy to understand insight to clarify current standards of care.
Thank you for another clear explanation about aspirin use. It's great to hear your response to Dr. Berry's video. Different or broader perspectives with an explanation like you gave in this video are always helpful.
You are amazing, Doc!!! Thank you!
Thank you for all your good advice
Thank you so much for doing this!
Great presentation . I totally agree with you regarding Statins. Thank you.
I agree...individualization. Thanks!
Thanks Dr Rob...some pearls in this vid today
There is not doubt you have the right approach.
Thank you for making this video. I like Dr. Berry but I find it frustrating when he blanketly states that no one should take a baby aspirin or a statin, etc.
Thanks for clarifying that for me.
great stuff, doc !
Thanks for the clarification. I never knew whether to take a baby aspirin or not. I also need to get a CAC score done. I'm 64 and have never had one.
Thank you for this and for giving us your knowledge. I was put on baby aspirin by my neurologist 30 years ago. Have always taken one since then. I also have RA, so I know it's especially important.
As usual more to think about and if I travel as you indicated I will need to remember your advise
Morning Dr. Cywes. I'm a 70 yr. young woman who had a spotnaneous dissection of a basilar artery when I was 43. Did not tear out into the brain only on the interior, formed a clot and I had a pontine stroke- locked in, completely paralyzed. Ended up in the ER where then H was the doctor on duty. Flown to OHSU where they gave me urokinase in my femoral artery, snaked it up to my brain and broke up the clot. Post surgery i was on coumadin for 6 mos. then aspirin for a yr. I no longer take aspirin. I now have tinnitus, big time. If I have pain I don't take anything, just work it out. I wonder if taking aspirin is OK for me? Oh, I graduated college a yr. after the stroke,- hike, swim, bike. I'm a miracle. You are awesome.
Do you have pulsatile tinnitus or ringing tinnitus? I have pulsatile tinnitus. The specialist said to try aspirin, but it had zero effect.
I subsequently accidentally discovered that both caffeine (from instant coffee) and potassium both have a positive effect on my pulsatile tinnitus. The caffeine had a small effect, but the potassium citrate has a significant effect; I take a 1/4 teaspoon in 400ml of water twice daily; morning and evening.
Such good advice!
Thank you Dr!! 😊
I take Nattokinase in place of a baby aspirin. Worth investigating.
Just started nattokinase along with serrapeptase, bromelain, curcumin and NAC to destroy Covid Spike Protein.
Was going to suggest natto to Dr Cywes.
Thank you.
In the UK, the NHS Primary Care, GP's, don't' automatically send you for a CAC score if you have high blood pressure.
Thanks 🙏
How to find a doctor who understands even 1/10 of this?
Just do a prolonged fast, this will clear up the plaque and reduce inflammation. Much better than using drugs
if doing a prolonged fast cleared plaque it would be known by now, millions would do it and cardio vascular events would be on the downfall.
@Cervin_Suisse millions would not do it. They'd rather die. They want a pill, an injection, something you drink, something to do, an operation, just anything because the nothingness of a fast is unbearable.
Thank you for an informative video👍
I have been taking a baby aspirin daily since 2018 when I had two heart attacks to protect a stent that was fitted to a coronary artery with a partial blockage. Since reading the new guidelines, I have been wondering whether to stop taking the aspirin.
I'm 71 living a healthy life and have no issues with bleeding, so having watched your video I'm going to continue with the aspirin PS I don't take statins (even though my GP keeps pushing them
thank u sir
I've had a DVT a few years ago but presently have an ulcer. Also CAC score was 429 in May (when I went from keto to carnivore). GI doc wants me on an acid blocker (pantoprazole) for the ulcer. Age 73 and my parents both lived to 95. I take a low dose statin 2x per week for trig of 161. Hoping that goes down from May so I can stop the statin.
I can't find a doctor in the NW Iowa area who is not a statin pusher.
Thanks for the review of this topic; it gave me pause to perhaps reconsider baby aspirin for inflammation when sick or when I have wide-spread joint point for some reason.
Wow, a lot to consider, really good to hear this.
Question, is this same as making a daily cup of tea out of willow bark?
I am taking 75mg prescription aspirin daily after a bypass surgery two years back. I am aware of aspirin's significantly negative side effects with long term use which has prompted me to evaluate natural alternatives but not much research is available. I have been trying to figure out if a reduced aspirin dose with natural blood thinners can be a possible solution. Appreciate Dr. Cywes views.
Some years ago I was travelling a lot and someone recommended me to take aspirin before flying. I don't think that you should take an aspirin at day, but is a tool that you can use when needed
This confirms where I am at 65, and started keto-ish low carb higher fat. Don't fear the fat that comes with the meat.
The key was an understanding of part of the mechanism of insulin.
lost 50 pounds in 6 months. One can't lose weight continuously & indefinitely.
life comes in cycles
*Editor's note:* misspoke at 13:44 but immediately clarified. "You don't need an _aspirin_ if you take an aspirin as indicated."
I have no use for statins with my understanding at this point.
Thanks, Doc 🥕
Interesting video. Went to the hospital with symptoms of a stroke. Family dr Diagnose it as trigeminal neuralgia. Not on Aspirin at this time. I also have hashi's. Was wondering if I should be on low dose aspirin now. Dr also like to push statins. Thanks Dr.
I`ve been taking baby aspirin for 15 years.. I usually take a couple in the morning and 3 at bed time. If I take 4 at bedtime I will sleep all through `til morning. I`m now 76 and have fluctuations in heartbeats but in the normal range. I will not take blood thinners. Scratches and cuts heal immediately ,so I feel safe taking more if needed.
At that dosage it can no longer be called the baby aspirin. " I will not take blood thinners " , aspirin is a mild blood thinner, a blood thinner nevertheless.
Great info doc! Can you do one on Ibuprofen?
Thanks for the video Doc. back in 2021 i had a TIA stroke which caused oclution and a small brain bleed ( hemoridge) . The doctor put me on 3 different drugs one was a statin and olso put me on a 81 mg aspirin. I was ok for about 1 month then while sleeping i got a terrible burning in my right hand and it also swelled up. This went on for about 2 weeks until i called my doctor and said that i was gonna go off the drugs, he advised against that , so i stayed the course and suffered for another week till i finally stopped taking them. i stayed on the aspirin though and am still taking the aspirin although i don't thinki really need them, i find that I am bruising way too easily. I am71 years old now. By the way there were other symptoms too and after stopping the 3 drugs (about 1 week) all the symptoms were gone and have never returned. My question is do you think i should go off the aspirin, i am very healthy otherwise. thanks.
What about Nattokinase?
Dr. Cywes, I stopped doing carnivore because I have a mutation in the PPAR-a gene which impairs how my body handles saturated fats.
I’m wondering if you have any insight into this genetic variant as it relates to keto/carnivore?
Thanks
There are better ways to treat the problems you're talking about. Removing all sugars from the diet for one thing.
I have been told that my husband had 2 brain aneurysms because of blood thinners. He took baby aspirin every day. I'm truly curious what you think. We have been super strict low carb for 3or4 years, he had gotten slightly lax about it the past year and a half. He's had a heart stent about 7 years ago.....95% artery blockage. He has autoimmune disease as well. They have him on statins and blood pressure meds and all kinds of different stuff now. Metformin.
We weren't seeing the weight coming off like other people when we were strict so we got a bit discouraged. Even more so now.
What’s your opinion about taking nattokwinase instead of baby aspirin?
I was recently diagnosed with AFib and told to take a baby aspirin daily. I have had several erosive stomach ulcers and an erosive esophageal ulcer. Not bleeding. And told not to take NSAIDS including aspirin. Long history of high cholesterol but a CAC of zero. Statins have recently been prescribed but I won’t take them. My mom died of a massive stroke her dad and my sister of heart attacks all in their 50s. I feel like everything in my life contradicts everything else.
I am 67, 6'3" and I weight 230lbs on my way down to 215lbs from a high 3 years ago of 325lbs. I have been doing Ketogenic for 2 years and now I have been pure carnivore for 9 weeks. My CAC scores over the last 7 years have all been 0. BUT... I have had arrhythmia for over 30 years. My cardiologists have tried to put me on blood thinners, but I refused. So I have been taking a baby aspirin about 3 times a week for the past 7 years. I have never had a cardiac event. It is just that my heartbeat rate is irregular varying from 50 to 95 randomly. I swim 3 to 5 miles a week and am fairly active. My sleeping average heart rate is 57. Should I continue taking baby aspirin? My LDL is 238 and HDL is 70. Of course every doctor on the planet has tried to put me on statins which I also refuse.. I have torn up many prescriptions in front of the doctors... Thank you for your sanity...
Excellent
What some that can't take AS can take instead?
I'm fighting agains insulin resistance and high blood pressure.
I feel as my heart beat shakes my body...
My cardiologists nurse wanted me to start taking aspirin but im wondering if i should cause im menopausal age 61 and im in the middle of seeing a gynocologist for ive been bleeding off and on from vagina my endometrium is a 2 cm thickness bit my heart nurse wont ok the gyno to do a hysterascopy to see if i have hyperplasia atipical or cancer snd she will do a c curtelege ...dnc...too ...cause im having angina attacks unstable and stable
What about baby aspirin with gestational diabetes? My fasting sugars are 97-101 typically but normal after meals. I am 28 years old
I've been taking Eliquis I would like to use aspirin instead is that something that's feasible
Any risk of aspirin and type 1 diabetes? Also where can I find a cardiologist like you in my area?
Does having had a gastric sleeve have any bearing on bearing able to take a baby aspirin? I'm over 60.
I’m salicylate intolerant, so that’s a no from me 😊
I definitely believe in what you say based on my research but I have some concerns about a CAC. It only shows hard plaque and misses the most dangerous soft plaques. Most dangerous in that the plaque can rupture and cause a blood clot and lead to a stroke or heart attack. Can you elaborate on this?
Also, I have seen studies that say statins can stabilize the dangerous unstable plaques. Your thoughts on this?
As always thank you for all your great info!
Do not fear CAC test. It’s low cost, low radiation, extremely fast, and non invasive. Really nothing to lose and everything to gain.
Those that poo poo this test usually stems from competing modalities. Other tests are comparably much higher profitability, more invasive, more risks.
Moreover if any doctor recommends a diagnostic test over a screening test, run for your life. CAC test is a screening test.
It’s better to know and more importantly get a baseline. If there is a problem, you can look into secondary prevention before having an event. What’s better than that.
Is it okay to take Natokinase and niacyne instead of baby aspirin ? ... 62 years old CAC over 600 over 3 years on keto
Does it do the same thing?
I have had a infarction in the past so I do take a baby aspirin but my Dr wants me on a statin because I’m doing carnivore and my LDL is very high even though everything else is great!
👍
Dr. Cywes - You don't have a placard on your YT videos that says 'From a doctor licensed in the U.S.'. I'm noticing that really none of the doctors in this particular 'low carb' space on YT have it but the SugarMD who is advocating that T2 diabetics eat quinoa, low carb bread and legumes does. What the fluff? Is this placard new? Are you applying for it with the 'YT health council' whoever they are or have you applied and been rejected? Curious if the topic is worth an episode since folks are all a twitter about the potential shadow-banning of this sort of low carb health content on YT because it is not in alignment with accepted health science as per the WHO.
Would you take a baby aspirin if you had a CAC score of 3200?
I’m a 77 year old man with a calcium score of 433. I have been on a keto diet for nine months and have lost 44 pounds and reached my weight goal.
My labs were excellent a couple of months ago, but my doctor encouraged me to continue taking my statin and a baby aspirin. I decided to cut my statin in half and on my own discontinued, taking the baby aspirin because I noticed excessive bruising on occasion.
Now I’m torn as to whether I should start taking the baby aspirin again. I’m thinking that you have convinced me to maybe start them two or three times a week. Any advice…
Cayenne pepper is much healthier then any pills.
3 times a week to be on the safe side.
Coumadin must do the same, yes?
Yes, it does so don’t take any Aspirin or ibuprofen or naproxen while on it and also watch because some antibiotics will change it as well as too many veggies etc with Vitamin K. My husband takes Coumadin that is how I know. Also the Voltaren ointment that is now over the counter (for arthritis areas) can also affect it so watch that as well.
I would love to hear your thoughts on fish oil instead of aspirin. I was told that fish oil is a blood thinner is this correct? Thanks for your response.
Unfortunately most fish oil is highly processed, somewhat delicate, oxidised and contains aldehydes. It does not appear to be a good supplement. There might be some better than others.
I think quite a few herbs have blood thinning effects including ginkgo biloba, ceylon cinnamon and berberine.
And natokonase
Stomach bleeding may result in a blood donation effect reducing harmful iron stores.
Well, the stomach is a strong store of ACID. (HC acid). That an aspirin can upset that "acid balance" just doesn't make sense. It depends upon how much, of course. A local fellow of my acquaintance because of hip point got carried away with Naproxen to the point where he lost a lot of weight and ended up in the ER. The medical system monitored his drug use and when he was stable they replaced his hips.
How about cayenne pepper as a substitute to aspirin for blood thinner
Something to this cayenne business cause i can not find cayenne most times
Read studies?
due to my incapability to 'pop' pills I developed a taste for aspirin!
I'm one of those people that chews some pills to include aspirin.
Can you have a Calcium Score if you already have stents??
Yes. There are also reports of stents increasing the possibilities of calcification.
The less pharmaceutical less often the better
But is it just my imagination or does aspirin seem to cause me to have more episides as retinopathy .....black floaters bleeds???
So what if your doctor tells you to take a statin 10m and a baby aspirin only because I had a calcium score of 890
I was told by a neurologist, after I had a small ischemic stroke, that adults need 2 low dose aspirin. This is advice he gave me admittedly from an “outcome study” that 1 aspirin is not enough for any adult over 150lbs. ❓ What you think?
What about bleeding to death?
Recently, FDA just approved colchicine as therapy to decrease risk of CV events with known atherosclerosis.
Supposed to decrease inflammation also
Let's talk about aspirin, doc.... Did you ever read a bottle of aspirin with all the additives they are putting in it?????
I just looked at my bottle. No additives at all.
My bottle has a peel off label with more ingredients listed underneath. Stuff I normally would stay away from. I wonder if there is a pure 81 mg. Aspirin made.
@@GilmerJohnThere will be additives in the form of tableting agents (excipients), maybe also colours. The purest aspirin I could find contained guar gum and a few colours, but at least no titanium dioxide. Some aspirin has a lot of ingredients!
You can get pure forms online.
first
South African ?
Even a baby aspirin causes my stomach to hurt in about 3 days.
Does fish oil have a similar effect to aspirin?
I've noticed that I bleed more/bruise easily when taking omega 3,
Yes it also thins the blood without the side-effects of asprin. But don't take more than 3000mg per day.
My doc wants me to take statins, and I have t2 diabetes. I thought statins made insulin resistance worse. Feels like cookie cutter ignorance.
they want everyone to take them. No reason for you specifically.
I heard that there are many studies finding that statins worsen/cause diabetes. When I mentioned this to my doctor earlier this year she said there are new studies coming out saying that it helps. I didn't say anything but thought, yes, you get your information from the drug companies and they are going to cite the studies to back up taking statins.
Statins lead to diabetes so that Big Pharma can also sell u n profit off diabetic medicatons.
Positive cac score had 2 scans now 2 years apart i take baby aspirin and 5 mg Crestor 3 days a week
Bloods and insulin close to optimal now getting a CT angiogram to get a full picture
When I was 3 years old, I ate an entire bottle of baby aspirin; my only experience with aspirin!
I am 70 and I have refused a statin for about 10 years now. LDL is in the 700’s. Not diabetic. BP controlled. Cardiologist wanted to put me on a statin AND Eliquis. Nope, not going to do it. Asked for a CAC, just did it yesterday. Would consider a statin if it is abnormal. I think aspirin 3 times a week is a great idea. So tired of doctors pushing statins just for elevated LDL.
I am 63(female) with ldl last checked was 336. I'm not carnivore but high protein , low carb , moderate fat. I have had high cholesterol my whole life. Dr. wanted me to take the shot that lowers your ldl to 70 or below. Of course I wasn't going to do that. I took a statin once in my 30s and learned that if my ldl goes below 150 my nerves start to get damaged. I was diagnosed with small fiber neuropathy when I took the statin. Anyway... I asked him for a CAC scan and it was only 10. Of course he still wanted me to take the shot. Haven't been back to him.
@@beacomrie343 wow.. I felt pressured about 2 months ago and took Crestor. Had severe diarrhea that lasted 3 weeks after I stopped it. They want me to try another one. Shaking my head…
@@beacomrie343In my mid 20’s my ob/gyn said my bad cholesterol was borderline of needing meds. He told me to take a fish oil tab then come back in 3 months. It had gone down enough. By age 30 it had gone back up so he told me take 2 fish oil and come back. Went back and it was fine. I’m now 47 and it’s hasn’t gone up since then.
If you have tinnitus don't take Aspirin at all it increases the tone
Husband is deathly allergic to aspirin so don’t know that I should take it and then kiss him…🤔 I like having him around. Maybe ok to use occasional Naprosyn or ibruprophen instead? If I take those too often I bruise easily. (age: late 60s)
YOU SIR, OFFER PRECISE THOUGHTFUL CONSIDERED ADVICE. I deeply admire Dr Berry but he has a strong tendency to paint with a broad brush, generalize, and dumb things down way too much for my taste. I will always listen to you above all others. Thank you.
what's baby asprin
Acetylsalicylic acid ASA, baby is 81mg, regular is I believe 325 mg. Non steroidal anti inflammatory drug NSAID
G6PD I can't take aspirin.
Two different cardiologists ive seen they will not ....they refuse .....to setme up a CAC test!!!!whats up with that their excuse is well you already had a stent put into your LAD so why woukd you want the test???
Pretty sure Ken was aiming at people taking aspirin every day for no reason other than they want to and it was recommended to them and not to people whom aspirin would actually serve.