Is Low-Carb diet related to Coronary Artery Calcification?
ฝัง
- เผยแพร่เมื่อ 5 ต.ค. 2021
- Ready to reverse your chronic disease? Dr. Ford and the PrevMed staff are currently accepting new patients for a limited time. Book an appointment here: prevmedhealth.com/
Have you registered for the PrevMed Health Dallas Summit yet? We have an early bird sale going on right now. Reserve your spot now while seats are available.
Hear from top medical professionals on how to avoid heart attacks, cardiovascular diseases, strokes, and age healthier. Don't miss this life-changing event!
Sign up now at www.prevmedhealthevents.com/ - บันเทิง
Hello Doc … if calcification of existing plaque increases on a low carb diet is it then possible that the degree of blockage of an artery could increase (even though the risk of clot rupture has decreased) and if so is it likely that mild angina , particularly under exercise stress , could also increase … and if so should that be of any worry since the underlying cause is being addressed?
Good question. But calcification is always part of a shrinkage process for plaque.
@@PrevMedHealth 🎯
if plaque is shrinking with calcification after plaque shrinks how do we take out calcification out @@PrevMedHealth
Thank you, dr. Brewer! As an RD, I always appreciate how well you are able to dissect studies and save time to other health care professionals and your potential patients❤
Thanks
ARE THEY BOUGHT UP TO EAT MEAT AND NOT MANY VEG,,S AND UNHEALTHY FATS LOOK ALIKE BUTTER MARGARINE WHICH IS 1 STEP AWAY FROM PLASTIC CHEMICALY IS NOT GOOD FOR ANYONE
For the less informed please speak the names such as intima-media thickness instead of the initials IMT. This would help get your message across.😊
Thank you , this has been very informative. I had a calcium cardiac score of zero about 4 years ago, I am mainly vegetarian, I have very good blood pressure but 10 kilo overweight. In the last 7 months, I lost 7 kilograms, cut out bread and wheat products and processed foods, and no added sugar/ honey. I eat kale smoothies, etc. My bloods were good, but my LDL jumped alarmingly. And my HDL went up a little 2.1 mmol/ l. My Triglycerides/ HDL ratio was 0.5. I'm not prediabetic. My doctor said I could have a stroke immediately, and I should start statins immediately. I saw a cardiologist, and he sent me off for a CT scan with radioactive dye. The images showed, possibly, soft plaque, but the radiologist said, "I'm not completely sure!!!" The cardiologist said1) go on statins or 2) don't go on statins but watch my diet. He thought maybe I was eating too many nuts and seed! It is so confusing. So I'm not on statins. I'm not eating any dairy, or gluten, and trying to keep the carbs under 50 grams. In 2 months, I'll have another blood test. Interesting, about the inability to digests carbohydrates as we age. Thanks again
Sorry this is such a late reply but to me it sounds like neither of your doctors understands the process of cardiovascular disease. I would’ve thought a cardiologist would have certainly nixed the statin idea your primary recommended but maybe he’s just covering his own butt so to speak and offering you the choice so it’s ultimately your responsibility if something were to happen.
Everything you’ve shared makes me believe you have a low risk of cardiovascular event. A TG/HDL ratio of 0.5 is excellent.
If you’re concerned you could ask for an NMR profile and/or ApoB as well as a CRP and homocysteine level. You could even do a fasting insulin level if you want to really go all out. If your inflammation is low and insulin is low then I would say your high LDL probably doesn’t matter so much. Of course the NMR will tell you what percentage of your LDL is small/dense which is potentially more dangerous than the larger LDL particles.
It seems to me the possible cause of your increased LDL level could be your attempt to eat less carbs and more fats, though I’m just assuming that since you didn’t say it specifically. Again, LDL may not be as big a deal as the guidelines make it seem. I believe I saw that they recently updated treatment guidelines to achieve an LDL goal of less than 55 for those at higher risk. Don’t quote me on that last part.
Hi Doc I'm coming up for air here. Saw this 2 hrs after livestream. I usually ignore diet studies cause none of them check genetics. Apo E gene status of study participants is never checked. Low carb diet is not the best for 3/4 and 4/4 genotypes never-the-less they should eat whole healthy carbs. But I agree about calcification increase. I trust inflammatory indicators and IMT more.
As for me, immune system under control, but GI still a major problem with very slow improvement; I'm chronically fatigued. Recently got Ok from orthopedic specialist to start doing HIIT again but haven't implemented yet. Lifting more than 10kg still forbidden.
Very good discussion; especially the rabbit holes.
Thank you very much! Good to hear from you!
Low carb means whatever biases the study authors want it to mean. The only sensible comparison to do with carbs in a diet is with a No Carb diet or a No Fat diet. That way, you eliminate the Randle Cycle. This study hit the perfect fat:carb ratio to trigger (1:1) the Randle Cycle. It is interesting that livestock farmers use exactly that ratio of fat:carbs to ‘fatten for market’ their herd.
Thanks. Good point
Interestingly enough, a relatively high cholesterol level had the lowest mortality in observational studies. Here is one example from Nature: TC levels associated with lowest mortality were 210-249 mg/dL, except for men aged 18-34 years (180-219 mg/dL) and women aged 18-34 years (160-199 mg/dL) and 35-44 years (180-219 mg/dL). The inverse associations for TC
Good study. In fact, many of the studies report that people over 65 with high LDL simply live the longest. The theory being that LDL plays an important role in fighting infections, which the elderly are particularly vulnerable. One of the CDC findings has been that those with the highest LDL survived COVID better than those with low LDL. Also, the number one side effect of PCSK9 inhibitors is catching the flu.
Many studies are finding that it is not LDL that is the problem but, instead, it is OxLDL that is the problem, which is caused by inflammation. LDL by itself, has never been proved definitively to cause heart disease.
Thanks
Cholesterol is also important for brain health.
Jack Buaer: I am a physician, and you are 100% on the money! Tg/Cholesterol, Hyperinsulinemia and chronic inflammation are the villains and sugar , possibly "seed oils" and ultraprocessed foods are the dietary villains. Hyperinsulinemia is one of the major causes of low-grade chronic inflammation!
This was an excellent and well-articulated discussion Doc. Thanks again!
Thank you very much!
Good Presentation, I am not a medical professional, but I am a professional who uses critical thinking in my Job, so appreciate how you dissected the flawed conclusions in the Article in an evidence based manor, you mention that many Doctors don't understand this subject very well, I also appreciate your candour there, it is all to easy for people to go with the herd view and be too lazy to form an opinion of their own, Science progresses through criticism and revaluation of perceived truths. You do a lot of good work, I am mid 50's, started taking berberine and metformin, partly through informed gleaned from your channel, feel better for it.
Thanks
I was told berberine is usefully in cancer too but melatonin does what could you explain please
It appears that the study suffered from self-selection bias: participants on the low carb died were those dieting in response to underlying conditions not controlled by the study. It only established correlation between two variables, not causality.
Yes. Selection bias.
So you are implying there could be some other factor causing their heart disease to worsen than diet? I think that is kind of a stretch, I think it's pretty obvious by now that only people that have very low LDL have ever been able to reverse athrescleroris and those levels below 70mg/dl are practically impossible to achieve on any typical low carb diet that includes a lot of animal proteins and saturated fats. So it should not come as a surprise that those people that don't follow the only diet that has been shown to reverse heart disease have their heart disease progress.
@@cyberfunk3793 rubbish my 95 year old grandma had high LDL and zero heart disease when they died. They ate infrequently and ate small meals but they did eat beef and eggs often. Insulin resistance, which can be caused by low carb if you overeat and eat too often, is the real big problem.
@@JWB671 That is the best argument you could come up with? There are 95yo smokers also, do you think that means smoking is good for people? LDL is direct factor in heart disease and so is eating eggs and other animal products.
"Low-density lipoproteins cause atherosclerotic cardiovascular disease. 1. Evidence from genetic, epidemiologic, and clinical studies. A consensus statement from the European Atherosclerosis Society Consensus Pane":
"We assessed whether the association between LDL and ASCVD fulfils the criteria for causality by evaluating the totality of evidence from genetic studies, prospective epidemiologic cohort studies, Mendelian randomization studies, and randomized trials of LDL-lowering therapies. In clinical studies, plasma LDL burden is usually estimated by determination of plasma LDL cholesterol level (LDL-C). Rare genetic mutations that cause reduced LDL receptor function lead to markedly higher LDL-C and a dose-dependent increase in the risk of ASCVD, whereas rare variants leading to lower LDL-C are associated with a correspondingly lower risk of ASCVD. Separate meta-analyses of over 200 prospective cohort studies, Mendelian randomization studies, and randomized trials including more than 2 million participants with over 20 million person-years of follow-up and over 150 000 cardiovascular events demonstrate a remarkably consistent dose-dependent log-linear association between the absolute magnitude of exposure of the vasculature to LDL-C and the risk of ASCVD; and this effect appears to increase with increasing duration of exposure to LDL-C. Both the naturally randomized genetic studies and the randomized intervention trials consistently demonstrate that any mechanism of lowering plasma LDL particle concentration should reduce the risk of ASCVD events proportional to the absolute reduction in LDL-C and the cumulative duration of exposure to lower LDL-C, provided that the achieved reduction in LDL-C is concordant with the reduction in LDL particle number and that there are no competing deleterious off-target effects.
Conclusion
Consistent evidence from numerous and multiple different types of clinical and genetic studies unequivocally establishes that LDL causes ASCVD."
@@cyberfunk3793 This is all confusing to us medical novices on what is right and what is wrong. DR David Diamond, University of South Florida, would argue LDL is not bad but good cholesterol, interesting reading all who respond.
Please stay focused !!!
Dr. Brewer, you sir are a National Treasure. Thank you so much for what you do !!!
You're Very Welcome! Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Wouldn’t it be more advantageous to eliminate food items that oxidize LDL like high levels of omega 6 seed oils? Eliminate oxidation of LDL the calcification of the cardiovascular system becomes a minor issue.
That is one of the things that would be very beneficial!
What about stains effect on calcification of arteries and increased inflammation
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
@@stony2494 I was surprised to learn that statins increase coronary calcium.
G’day Doc it’s Monday morning 10:25am 25/03/2024 Sydney Australia, Down Under 👍👋
wish I knew this info. Most PCP don't have a clue how pre DM could damage the heart and other organs. Thank you doctor for your info and knowledge.
I was in China working for a week a few years ago. I saw people eating plates full of noodles everywhere. Skinny, healthy looking people with a much lower rate of heart disease. Noodles and white rice.
Your advise related to a person's age, around 1:24:00, is great and it puts it into prospective as to who should have a low carb diet. Nice and succinct.
I agree.
Thank you very much!
The first thing you need to look at is who paid for the study.
Oh OK where would you look for that content I'm not a knowledgeable person in that area
@@lynlawley8903 The first thing you do is take the key words in the title of the study and search it. Usually you can find it online. Then you skip everything and look for conflicts of interest in the funding sources. If the study is hidden behind a paywall or they do not disclose their funding, then it is not credible.
Considering that there is currently an epidemic of diabetes and prediabetes, the inflammatory effects of a sustained high blood glucose level should be where all these studies are focused.
Absolutely!
Yes
Yes 👍🏿👍🏿👍🏿
Dr Malcolm Kendrick said that a subset of people with Familial Hypercholesterolemia also have a gene that causes them to tend to clot (excess fibrinogen clotting factor). The ones with FH that do not have this gene have the same or greater longevity than the general population.
Kendrick wrote "The Clot Thickens" where he shows that atherosclerosis is caused by various factors that damage the lining of the arteries causing a clot to form. One of these factors is blood cell membranes that have been coated with glucose and fructose (glycosylation). This is measured by the Hemoglobin A1c test (glucose only, not fructose).
The clot is immediately covered with a new layer of lining cells via circulating stem cells. Repeated exposure causes additional layers to form, narrowing the artery.
Clots are rich in red blood cells - the red blood cell membranes are about 40% cholesterol. It is not dietary cholesterol in the plaques.
If dietary cholesterol was going to clog arteries, the veins would clog up too, as it is the same blood. Veins never have plaque. The lining of veins do not get damaged as there is much less pressure in veins.
He also talks about the different kinds of LDL and various vital functions which include repair of damaged tissues and its' role in natural immunity.
Also that LDL is not a type of cholesterol; it transports and delivers cholesterol and hormones. You would not call a submarine a person because it carries people around.
Hello Doc. Can we say that the one of the most major factors that helps to reduce ldl, triglycerides, insulin resistance and anything related to artery plaques or calcification is losing weight rather than the type of diet ?
Hope there will be a test on prolonged fasting on heart attack and stroke risk. How is prolonged fasting compared with no statin, statin only and combination of prolonged fasting with statin?
So, if calcium is good...for your arteries....what about K2, it is supposed to send calcium to your bone, not your arteries...does this make it bad for you? I have some hard plaque, in my carotids..I take K2..and D3, am I making a mistake ?
Hi @Ford Brewer -- at 32:35 you say, "The one place where I don't agree with Dave [Feldman] 100% is -- he says there's no overlap between FH (Familial Hypercholesterolemia) and Lean Mass Hyper-responders, and I don't agree..." That's certainly not my opinion given I think of each as very different contexts that are not mutually exclusive.
The first (FH) is genetically determined, the second (LMHR) is phenotypical. (As an aside, the LMHR name itself originated from my original article in 2017, though I never expected at the time it would be as widespread as it actually is today).
I definitely think one could be both FH and LMHR and have some data provided by a few members to demonstrate this. However, it's very limited and extremely anecdotal given most who have a diagnosis of FH early on are very unlikely to take on a diet of high saturated fat in the first place.
If you're ever interested in having a broader conversation on this topic, I'd be happy to guest on your channel or have you guest on mine to discuss.
"Dave Feldman recommends a keto diet." -- Technically, I have to correct this one as well. While I practice and my family has found success with a low carb diet, I don't technically consider any specific diet as superior to any other, inherently. It's very individual, of course. There are many I know who are on a high carb diet who appear to be thriving.
Rather, I'd say if one has a problem with X that can be resolved by avoiding X, that might be in order... whatever X is. And yes, for some (like myself, my dad, and my sister), X appears to be carbohydrates.
Thank you very much! I’d love to talk/cohost. I think it would be helpful to both of our audiences. It sounds like we’re closer than I thought. You can reach us at 859-721-1414.
I’m 74, my LDL was 90 in 2021. Did Keto for 3 months then low carb. In 2022 my LDL was 40.
You're more likely to suffer from a heart attack or stroke with low LDL.
Recent studies show older people with higher LDLs live longer.
Older people with low LDLs have a higher mortality rate.
Do you mean HDL?
@@sixpackbinky
Low LDL is linked to early deaths of elderly people. Higher LDL has lower mortality.
@@sixpackbinky no, LDL
. Where do you get this? My doc wants me on repatha and says my ldl should drop from 111. Should I take it?
I seem to be a lean mass hyper-responder (LMHR). My triglycerides are low, fasting glucose is normal, HDL, total cholesterol, and LDL are high. I am 60 years old ketovore for 2 years. My CAC is zero.
Does cattle feed have an impact on omega 6 content of milk and beef? It it a concern?
IMT is carotid or other superficial artery only, not coronary or intracranial arteries to my knowledge. Is this correct?
after 3 month with interment 16x8 low carb diet....... weigth went down, blood presure normaliced, Tryglicereis down, HDL up, ..........but LDL also went ...UP!. Can this be posible?
Hi Dr. if my EDL is always under 90 my glucose in fasting is always under 100
Why the CT shows 17% of calcification
Thanks
If am correct, Nutrition made Simple and other TH-camrs essentially are referencing several studies indicating to keep our quality whole food Saturated Fats to around 10% or less of calories to minimize cardio risk…what is your opinion on this especially when doing a low carb diet
Dr. Agatston, who created the CAC score has stated that Low Carb would not decrease the calcification that is already there. He also stated that the typical person, eating a standard American diet would have a 15-20% increase in the CAC score each year.
Just because someone eating a Low Carb diet had an increase, it is useful to check the percentage of that increase. If it only went up 5-10%, that is less than would have been expected eating the typical way, and is not a bad thing, especially if one is older.
@@SET12DSP Well, if I can hold my 7.15 score (at 69 yrs of age with 64 years of the SAD behind me) with a low carb way of eating, I'll be happy as a clam!
@@SET12DSPWhat diet are you using? Any tips? My cac is 71.
Thank you for spending the time to post such a detailed response.
Is it possible your forgetfulness is due at least in good part to the statin use?
Hi Doc, is keto diet the only effective diet there is or is there another substitute? Thank you for your help. I am pre diabetic.
In observational studies, a diet approximately 50% carbohydrates had the lowest mortality.
Here is one example: "...there was a U-shaped association between the percentage of energy consumed from carbohydrate (mean 48·9%, SD 9·4) and mortality: a percentage of 50-55% energy from carbohydrate was associated with the lowest risk of mortality. In the meta-analysis of all cohorts (432 179 participants), both low carbohydrate consumption (70%) conferred greater mortality risk than did moderate intake" Dietary carbohydrate intake and mortality: a prospective cohort study and meta-analysis, The Lancet, 2018
th-cam.com/video/xJyHf8lrek0/w-d-xo.html
th-cam.com/video/PlGRsmnbIp8/w-d-xo.html
@@PrevMedHealth I looked at the 2017 Lancet Pure study after looking at your first video and it seems to me to be consistent with the 2018 Lancet study. Both finding that around a 50% carbohydrate diet had the lowest all cause mortality. The lowest studied group in Pure received 46% of their calories from carbohydrates, so that does not seem all that different from the 2018 study that found lowest all cause mortality at around 50% carbs. Pure apparently did not study low carb or at least very low carb.
@@PrevMedHealth I agree with your point that a "carb is not a carb." I think that there are high quality carbs and low quality carbs and that these observational studies do not distinguish between the two. I suppose people could differ in opinion as to what a high quality carb is. What is high quality for someone with healthy glucose / insulin levels may not be a high quality food for those that have diabetes or prediabetes.
Not all carbs are equal
50 percent of calories from carbs is similar to what I ate my entire life. I've discovered now that any meal that contains carbs over around 20 grams spikes my blood sugar. 40 to 60 grams would send me over 200...60 to 80 and I'll be at 250. I'm"healthy" thin, exercise, have an hdl of 80 and a triglyceride of 50... And a CAC of 500.
I've been eating low carb ever since I found I couldn't metabolize carbs any more. My a1c was never higher than 5.6 and my fasting blood sugar was always under 100.
So.... Don't think I'll be eating any meals that are 50 percent carbs, thank you ...
Can someone please summarise Dr Brewer's explanation of creatinine (just around the 1 hour mark)?
I listened to it a few times and it still does not make sense to me. I have actually seen low creatinine in several people who seem fit and healthy (not overweight, no diagnosed conditions) and was wondering what may be going on there...
It also seems kind of "expected" that older people may have lower creatinine levels, according to various sources.
Hello from South Africa xxx
This should not be a surprise. We've seen patients with extensive soft plaque who have then gone on to maximum dose statin therapy. Over the short term (1-2 years) partial calcific replacement of soft plaque is frequently seen on CTA images. Over a longer tern (2-5 years) complete calcific replacement of soft plaque is not unusual. Of course there is an increased rate of calcification over that time period.
Yes. Thanks
Hi Jerry, You may already know this, but statins calcify the arterial system...As does Coumadin... Just Google Statins and calcification...
No carbs with fat is the best way to eat
My doctor (cardiologist) did a CT and stated I had calcium around the heart arteries. He is putting me on a statin. If he saw soft plaque would he not think about stents? I am on a low carb diet. I have had Hypertension since I was 23 (70 now). It runs in my family. I have lost 46 pounds in the last 7 months. My artery age is 80.
Thank You For Sharing That! Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
CTs usually don't show soft plaque very well. And cardiologists don't focus on soft vs calcified plaque.
Yep
Low carb will reduce reduce triglycerides which will reduce the total, separately improve good, decrease bad.
Thanks
Howdy, have you watched any of the material on the "Mastering Diabetes" channel?
Hello Dr Brewer, My PC doc is a big believer in CT Cardiac Calcium scores so I’ve had two over 10 years. Both come back 0. I thought, great I’m good, but you seem to be saying these tests are misleading because soft plaque is the problem not calcified plaque. How do I know if I have soft plaque?
Ct angio with contrast
CIMT.. carotid intima-medial thickness test
Along with the CT Cardiac Calcium scan, my doctor recommends these additional test.
1. Vascular Age Screening (CIMT-Carotid Intimal Thickness: Using ultrasound, the thickness of the arteries is measured to produce a risk assessment that estimates the vascular age of your arteries. Blood vessels are also checked for blockages.
2. Carotid Artery Screening: Blood vessels are checked for blockages using ultrasound.
3. Abdominal Aortic Aneurysm Screening: Using ultrasound, this test looks at the abdominal aorta and checks for thinning or ballooning, either of which could suggest a potential rupture
4. Peripheral Artery Disease (PAD) Screening: Blood pressure cuffs are placed on the ankles to evaluate blood flow in the legs.
@@alffree4985 you did cac score or ct angiogram
CIMT. & you don’t want the Carotid Doppler alone. You want a Duplex, with a CIMT.
Is the answer yes or no ?
My hs crp was a 18 with a1c of 7.6 and obese. If i lose significant weight and stop chewing nicorette Gum and exercise, and change from pravastatin to crestor can I normalize my HS-CRP
I wish there was a network of "progressive" doctors that actually treated patients instead of meeting with you for 5 minutes and prescribing meds. "Your LDL is too high." I can't find a good doctor locally.
Look for an integrative medicine doctor.
@@merrycontrary3520 Thanks. I'll look into that.
@@merrycontrary3520 I went to a natural doctor He told me his diet : Meat, Fish, vegetable, fruit, nuts, beans. No: Sugar, Bread, dairy, maybe a little cheese.
I think even if you went for a bunch of tests, unless you want to take statins, it comes back to eating healthy .exercising too.
Call Michelle at 859-721-1414
Hmmm. My identical twin(age 55) has done keto/low carb for the past 10 years and we've been having our CAC scores done at roughly the same times and his has been consistently more than double mine. Our other factors are amazingly similar. Maybe we'd be good subjects for a twin study of this.
Just curious when you say your brother is Keto what does that mean specifically. I have heard people call what they eat as Keto that I would not. Does he follow 75% calories from fat, 20% from protein and 5% carb? And even there what foods eaten/variety make a difference e.g. whole foods vs processed Keto prep foods. Also curious as to what "type" of diet if any you follow? Do either of you do intermittent fasting or types of exercise? Any D3 and K2? Sorry for so many questions, its just that twins eating differently with different outcomes makes this interesting.
Interesting but you both have heart disease.
Wow! Yes indeed
Don't forget Canada!
Any study on using anti inflamation drugs for lupus and Arthritis like hydroxychloroquine?
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Can you talk about Repatha, please?
What book are you talking about?
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
I’m 68 years old…recent CAC score of 1430. What’s my next step? Very motivated!!!
Sorry my score actually
1340.
Dr. William Davis, Milwakee WI, of Wheat Belly did not see improved results from Low Carb until he added Vitamin D3.
Thanks
Oooh interesting. Thanks
D3 works on inflammation. Taken with K2, circulating calcium goes into teeth and bones, decreasing risk of kidney stones.
Four years ago, Richard "The Ant" Hawthorne was on a plant-based vegan diet called Mucusless, according to one of his vids here on YT.
Thanks
Handle cycle is critical and attention to it is low carb
Share to help save lives.
So the conclusion is plant based diet with some fat in moderation? Stay away from a lot of carbs and a lot of grains? Do you consider legumes like lentils and chick peas plant based diet? Those are my favourite.
How about vitamin k2 + d3 to shift calcium from your arteries to your bones ?
Hi Doctor Brewer, I’ve been low carb for 6 years. Started out Keto but low carbs now under 100 g Great video. My HDL is over 100. ( Doc. thinks that’s too high.), Is there such a thing? Triglycerides 70.(poo pooed). Lp(a) is 45. Total Cholesterol is 333 LDLis high. I don’t remember what’ she said it was. Do I still need a Statin ? Or Zetia?
Thank You For Sharing That! Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Your total cholesterol is too high. What’s your LDL?
You are fine. Your TG/HDL ratio is super good.
@@MMGBE4433Thank you for the reply. My new Dr agrees with us and Dr Brewer.
I had a cac score of 524. Went low carb for the next year. Did another ct scan and went up 125. So total of 649 now. Question: Will i always get this much of a yearly increase or can i expect this to taper off as i heal?
@slay2525 nice, appreciate the input. All sounds good. Some of it I am already doing. Will consider the rest for sure . Funny, I had the same thinking about viagra. Sure the wife will appreciate it. Haha. Thanks
Thank you sir. You’ve now made me a subscriber. Now that my CAC score increased quite a bit after 3 years on Keto, I’m assuming my soft plaque went to hard on a low carb diet. Could that be why my blood pressure is now regularly higher (145/85 +-) even taking 10mg Amlodipine? Especially systolic.
Thanks. Sometimes. But usually you get some weight loss. And then you get decreased blood pressure.
@@PrevMedHealth I lost 80 lbs on Keto. Almost back to my ’70’s college weight but still dealing with B.P. for some reason. Guess I’ll keep a close eye on it and see if anything changes.
If a person has been out in the sun for multiple hours, even has a bit of a sun burn on the face, neck, and tanned arms, does he need to add Vit D to his K-2 dosing for that day?
It will not hurt to take it even on days when you get sun, it's speculated that our hunter gatherer ancestors got about 25000 ius a day from the sun, and recently a small study was done and the participants took 25000ius a day and there were no negative effects from the dose.. I take 5000iu's vit d3 a day and 100mcg k2 (menaquinone-7) some days 10,000iu's a day vit d3.
I’m new to this channel and don’t understand all the acronyms you use. Please once in awhile unpack them - thank you.
I almost had a heart attack listening to this video 💔
Why
Does anyone know what the Dr Caldwell esstelstyn s book prevent and reverse heart disease do you think that is a good diet as in food to eat good I have breast cancer and not doing sugars and carbs as carbs are suposed to feed it so I'm trying to care for both with the right food,,, but not surenow after you're talk
I always felt good on it but after chemo I'm trying to get back to health but not sure how I'm going to do intermittent fasting ,, I have athrosclorosis but not to much,,,as it could be worse I'm now totally confused but the specialist s at hospital have always pushed statins but I work in the community and saw bad side effects so I'm not doing them but have watched you a lot and joke I can get some clarification on lthese areas I'm in GB so not at work but won't to go back ,,
You don’t recommend stents?
is s Low-Carb, high fat diet related to prostate cancer?
Long distance runners are carbo loading. Their carbohydrates not their running causes their calcification
Thanks
calcium score is the most predictive non invasive test . if it increases you cannot dismiss it so easily as in this video .
1. first you need to show that increase was due to soft plaque becoming calcified (without new soft plaque forming)
2. you make assumption that only soft plaque is dangerous which is highly debatable
Share to help save lives
prehistoric man was always on a low carb diet
But doesnt the calcification cause hardening of the artery/ blocking the blood flow....that's not great....
Just eat good whole foods that are healthier choices....you can eat carbs and fat, but choose the right versions of those. That's it. Nobody is making it of this planet alive, no matter what "diet" you dedicate yourself too.
Thank You For Sharing That! Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Interesting that you state that statins lowered your plaque. My cardiologist indicated they would increase my score and discouraged me from followup CAC. The studies seem to confirm this. I believe its known as the "statin paradox"
Yes, increasing coronary calcium is bad unless the statin is doing it.....
CONFUSING!? criticized the study for claiming low carb being 40% of calorie intake and praising the study for low carb diet calcifying plaque?
I guess it still counts if it’s in comparison to higher carb duets
Dietary epi studies are almost always confusing.
5 and a half minutes just to get around to a touch of sugar being the main driver of heart attacks and stroke. And yes you can predict your chances of having an event if you get a CAC test done where they take rapid images directly of your hear and arteries adjacent, and can tell you how much plaque you have. Yes carbs create inflammation all over the body, hence arthritis, but definitely in the vascular system, which damages the lining which then gets a plaque protective coating, and then finally calcium coating which is all the natural defence mechanisms of the body. Finally as I cannot listen any longer this is so far drawn out it is wasting my time. Yes you can use the CAC score to evaluate the soft plaque, you do not get the calcification unless there is soft plaque, so if you have none to little calcification you have little to no soft plaque, if your arteries and heart shows signs of a lot of calcification you have a lot of soft plaque. So sir YOU do not understand the value of the test.
When you say carbs; do you mean fruits and vegetables, grains or white bread, white rice, white pasta ultra processed snacks etc?
Great question! Usually I am talking about glycemic carbs. That means things that raise your blood sugar.
All carbohydrates raise the blood sugar. Starchy veg and rice are simply chains of glucose which are quickly broken down into free glucose which causes blood sugar to rise and spikes insulin. Non-starchy veg raises blood sugar less than sweet or dried fruit and starchy veg. Processed foods are worse especially since they contain toxic vegetable (seed) oils.
What about vit K2 along with D3 taking the calcium out of your arteries and putting it back in the bones where it belongs?
I wonder if the issue with distance runners is that they consume a ton of carbohydrates-before they run, during and afterward. They carb load the night before races and the night before long runs. But, I agree that we distance athletes need to hit the gym once or twice a week.
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
True Physicians are teachers. Our problem are our doctors who stick to what they learned in medical school. We need continuing education not influence by Pharma Companies
I am an electrical engineer
Thanks
@@PrevMedHealth
Thanks for teaching us to save our lives. God bless you always.
WHEN SAYING LOW CARB, WHAT DO VEGETARIANS DO ?
I'm losing my mind trying to sort all this out. Heart attack and quadruple bypass at 42, diagnosed with T2DM in non-obese at the same time. I have learned so much about testing available, yet my doctors have never even tested my insulin levels. I feel doomed, but have lived 3-1/2 years beyond the 5 years I thought I would after bypass.
Edit: father had stroke at age 48 and died of hear attack at 52, mother died of probable heart attack at 65, T2DM.
Try to implement a healthy low carb/keto diet by yourself and see how you feel. You can still turn this around! I recomened watching Dr Ken Berry and Dr Rob Cywes. :)
I would add Ivor Cummins, Mike Mutzel(high intensity health) and Dr. Fung. Mike makes the distinction between obese, and metabolically obese as well.
Thanks. I've watched several of Ivor's presentations and High Intensity Health over past couple months. I'm still debating if I should be taking this max dose statin. My goal for now is to just lower triglycerides and raise HDL. I'll have to rely on standard lipid tests to guess if I still have small dense LDL.
I would add some sardines to the diet. Cheapest ones are ok but I prefer Season and Tiny Tots. Only buy sardines in EVOO or water. Throw in some pasture-raised eggs well.
Cut out grains, incorporate green vegetables. Fruit and peanuts for snacking/energy while adjusting to lower carb intake, preferably low-sugar like blackberry, raspberry, etc.
Why don’t you see a doc that knows this space? Call Michelle at 859-721-1414
The solution is to take K2mk7 as low carb may decrease vitamin K intake via leafy greens
Thanks
@@PrevMedHealth can i take it with statin? (There are many confusing information regarding statin, I mean it's really confusing for me, especially because im not from an english speaking country and not a med student or close to that)
I suspect the study was funded by the grain industry. One can gather "facts" that indicate a desired outcome.
Eating sugar and smoking tobacco can be proven to be healthy if you find the right Doctor or researcher.
I volunteered at a local food bank. We couldn't give bread away. It eventually went to a local pig farmer.
People are becoming better educated about nutrition.
I was thinking is this study founded by the grain industry?
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
could BE BECAUSE BREAD IS NOT WHOLE NOWADAYS
Medicare Advantage is not for anyone who has tricare for life or other secondary/retiree insurance from their company.
43% carb? That isn't low carb. 5%. is Wheat Belly Goal. 15% MAYBE. South Beach Diet late 1990s is where the low carb diet started.
Thanks
Low carb diet started in the 60's in the military. Called the air force diet. Recommended for pilots. In the 70's a Dr. Stillman reintroduced it and it was called the Stillman diet. Saw him on the Johnny Carson show.
Feldman is a man standing out in a field. He is probably looking for some grass-fed beef.
Afib and carnavor
Got. CT angiography on 19 October. OK 👌help
What’s your ct angiogram result
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Gary Taubes.
Thanks.
Gary Taubes
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
Another day another story to scare u.
Thanks
CANADA.....PRESENTATION NOW IS FAR FAR BETTER....
Join Our Live Broadcast Every Wednesday! @11am EST. For more information please visit our website prevmedhealth.com/ & www.jubilee.health/. To learn more watch our videos on TH-cam th-cam.com/channels/moEsq6a6ePXxgZeA4CVrUw.html
This is old associations . Keto will keep you alive. AHA low carb is good
Should we just not eat? 😕
Actually we should just not eat - fast - a LOT more often.
So , if statins calcify plaque, are they a good idea?
and reduce inflammation...
Yes absolutely and at low doses! Please watch some of Dr.. Brewers presentations regarding that subject
I have learned much from him and his information is vital!
@@SET12DSP hi. Please send me your protocol. I want to reverse mine too
I just blocked Dr. Berry from my feed yesterday. Okey dokey but getting some bacon might be worth it.
Do you recommend getting LDL down to the 40s? You disagree that LDL is not by itself an indicator of risk?
It’s a great great question. LDL matters, but not nearly as much as most doctors think.
Richard Hawthorn is a physical abnormality, even amongst the powerlifting community. I don't think it's appropriate to use him as an example.
Pls don’t mislead, heart is very Sensitive.