The Mayo Clinic and Framingham statin risk calculators say for people with my numbers, at age 65, there is a 9% risk of a cardiovascular event in the next 10 years. They point out that means 90% of people with a similar profile will NOT have a cardiovascular event. WITH a statin, that risk comes down... to 7%. So for a 2% advantage, why would I go on a statin? My primary care doc doesn't know about those risk calculators. All he cares about is that my total cholesterol is 401, LDL is close to 250. He doesn't care that the HDL is 65 and the triglycerides are 72. And the LabCorp NMR Lipoprofile test says of the VLDL: "Test not performed. VLDL levels not sufficient for VLDL size determination." I have told my doc I'm not interested in a statin, and just make a note that patient refused or is noncompliant. Not much point in changing doctors, most of them think the same way and it is hard to find one who is up to date and familiar with a low carb lifestyle.
I'm in the same position.was told I need to take statin. I said I wanted to find a natural way to get the right levels. There a few low carb doctors in Perth. So I'm going to try one. But perhaps the VLDL is just the difference after you subtra t HDL & VDL from the Total Cholesterol...
I have similar numbers after 10 months of Carnivore . Lost almost 90lbs so far and other numbers are good . My concern is my CAC score went from 72 to 312 since 218 . And my small particle ldl numbers are still bad . Not sure if it’s worth me taking a statin considering this . He wants me on 20mg crestor to lower my ldl of 230 . My HDl is up to 55 now and Triglycerides are 73 .
@@grantharding8868 There’s a cardiologist, Nadir Ali, who was asked about statins in a TH-cam channel in the past day or two. He’s a proponent of low carb lifestyle. He said even with the presence of some calcification, a statin has little relevance for primary prevention. Have you tried the Mayo Clinic statin risk assessment calculator? You can key in your numbers and see where you stand in terms of risk. Try that calculator with ‘no statin’ choice, then with. That will show you the potential benefit of taking one. In my case, a 2% difference wasn’t enough to persuade me.
One of the problems with most doctors is that the insurance companies tell them they have to put you on a statin if your cholesterol is over 200. The private doctors that have joined “ groups” also want you on drugs so they can get you back in their office every 3 to 6 months for refills. It’s a wallet biopsy! I got that term from you.
Dr. Rob Cywes, you have knocked this topic "out of the ballpark"-WELL DONE!!! I do not think Tom Dayspring or Peter Attia are going to be very happy with you.
According to Malcom Kendrick, lipids found within the walls of arteries come from the breakdown of the lipids contained within the walls of clotted red blood. The clots are in response to damaged endothelium, not to cholesterol transported in the circulation. This is why we do not see atherosclerosis in veins. Veins and arteries carry the same level of LDL, IDL, HDL, triglycerides, and VLDL. It is the high pressure in arteries that augments the damage of endothelium, clot formation, and subsequent atherosclerosis, caused by smoking, autoimmune disease, certain drugs, sickle cell disease, hyperglycemia, and infection, among others. Macrophage foam cells clean up the lipids left over from clotted red cells.
I think this vid did not necessarily conflict with your description of of Malcom Kendrik’s findings from what I gleaned from this video, in that, healthy artery walls do not “dock” with cholesterol particles and unhealthy ones, such as you describe with “blood clots” provide a docking point and thus further damage.
@Terrierized love snow and snow flakes, so tired of all the negative political junk words.....Peace and Love is what the world needs........oh and low carb.
@heloisamaestrini Did you consider to look up the transcript in case you forgot what he said. You could even copy-paste the transcript and print digital copy (a PDF) from it.
Man, I’m confused! VLDL dumps triglycerides into the fat cell. It then changes into intermediate density lipoprotein when it picks up “the good stuff” from the fat cells. It travels around the body dumping its load. It then becomes small enough to be called.LDL. So if you are healthy, Most of your LDL will still have quite a bit of the good stuff in it, and be considered pattern A. If your LDL is pattern B, then you have too much insulin in your body, and you never made very many intermediate density lipoproteins in the first place.. so you’re intermediate density lipoproteins dumped their load into the fat cells, and then never picked up anything from the fat cells.(Pattern B). Did I get that right?
My dear Dr. Robert, you were simply brilliant in this wonderful lecture. This is the first time I fully understood the mistery of lipid metabolism. I am trying to understand this big cholesterol confusion that permeates medicine and cardiology for many years. Today I finally understood. Thank you so much for your time and your explanation! Greetings from Brazil.
Thank you Dr. Cyves! I believe that I’m much better informed after this. After following a carnivore diet for 4 years now I was recently told that I should consider a statin. I told the Dr that after the research papers, books and courses that I have read/done ( Noakes Foundation) I’d prefer not to. My trIigs, hdl, total cholesterol were really good. ldl was elevated …Doc was concerned….I was not. No number for VLDL was given.
I like your explanation about it being the postcode / zip code. I had been having trouble understanding what the Apo was. This has put another piece of the jigsaw puzzle in place for me.
Thank you, Doctor Cywes, for this lecture. I am a very active 70 year old and working on getting my protein intake to appropriate levels--it's a journey! I just got my latest labs. Total Cholesterol: 441; Trig: 55; VLDL: 3 (low?); HDL: 129 (high?); LDL: 309. My cac score was 82 and is primarily in the descending aorta (?); My liver enzymes have been really high but have now dropped into normal/almost normal range (I believe my liver and cac score are due to my addiction abuse from alcohol, sugar, grains, cigarettes for many years--NOW free free free from substance abuse!!!). Any feedback is much appreciated. Don't quite understand how to reach you for a consult but would be very interested. I will join your Patreon today!
I will keep on doing my thing! Many thanks! Oh, and I am in Angela Stanton's Migraine group (VM for me--she's helped so much!)--I LOVE when the two of you are talking together!! @@robertcywes2966
Brilliant, brilliant video! Thank you! This is solidifying my understanding of lipid traffic and filling in a lot of gaps I had after 3 years of listening to different doctors - including your prior videos ❤
Stopped taking the statin after first 30 days of compliance. Let's see in the fall after new blood work. Haven't told my doc. Keep getting refill that I don't take. After that bloodwork in Sept I will let her know that I haven't been compliant. Will let u know. I'll say I researched on Google. Never done this before
Low carb diet, total cholesterol 280, triglycerides 50, HDL 70, vLDL 6. Stopped SAD diet 3 years ago and switched to low carb, whole foods animal based diet. No sugars, grains, flour or any prossessed foods. Feeling great. Funny thing is spent most of my life with 180 total cholesterol and got sick eating oatmeal and low fat crap. I switched to animal foods based diet and now am way healthier with 280 cholesterol.
Thank you so much.. this is the first lecture in lipid transport that I actually understood and as a nursing professor, I may share this content in my Patho course. Amazed and gratified. I also joined your patreon acct.
Holy Guano Batman, that was awesome!! I listened 8 times, pretty exquisite system! Thanks for taking the time to explain this so well. and thanks for all your hard work.
Small change needed to this video for ideal total cholesterol, first mention you said 200-500 then later 300-500. I felt probably the first time 200-500 is what you wanted to say the second time. Great video, and, for Cardiologists not to know and/or continue to study in detail their chosen vocation is beyond belief. My Cardiologist when I asked if I should have a CIMT did not have an idea what that test is, for example. Also, when I experienced a PSVT for the first time he prescribed high statin levels, who knows why as PSVT’s are caused by an extra electrical connection in the heart. Last I checked Statins do not act as a unique form of Ablation.
Bone on bone knee pain. Getting infections of gell 2x per year. After Lipitor 2 mos. ago hurt from arms and legs. Major arm hand and leg weakness. Fell from leg weakness. Couldn't open bottles.
Statin side effects are no joke. They do serious muscle and brain cell damage, because cholesterol is in every cell and is a big part of our brains. If you could snap your fingers and have all the cholesterol removed from your body, you would immediately drop dead. This the damage to human health that comes from demonizing cholesterol, saturated fats and LDL. Yet 60 years later they still can't prove the Diet-Heart hypothesis. They just reinvent it when one version gets debunked. It's madness.
Doc Shawn Baker recently got some sort of Cholesterol monitor, similar to a CGM. He returned on a long drive from an event, fasted, did a workout, was surprised how much higher his cholesterol particle count went for a while. Broke his fAst with his big steak dinner. He said the monitor is perhaps 10% off. But nonetheless, it proved how dynamic particle counts can be during the course of a day. That was new information tome and proves the lipid energy model. Video is posted if you want to hear his testimony.
A very good descriptive talk about the human lipid systems. I think I’ve got it... even without any diagrams or graphs. Than you for your knowledge and passion regarding this important subject. 🙏
Tired of saying no to my dr for "no statins" when TC is 325....BUT hdl:tri ratio dead on at 1:1..Told her I was going for an NMR lipid panel to understand what kind of cholesterol particles I had before I take a statin. .....quote from dr. was "I'm not sure how I will interpret them"....She only saw the first number which was my actual particle count of 2909 (very high on chart)......and never looked at all my great large fluffy sizes. The sdLDL's were "unmeasureable" because i had so few...., all on the "low risk for CVD, and HOMA-IR wasn't even on scale because so low for insulin sensitivity. She still wants me on a statin, I said let me be your N=1 experiment for no statins!....lol
We need to be our own advocate and good on you for sticking to not taking a statin. Even with a CTA calcium score of 0 at 66 years old and being metabolically healthy after changing to low carb lifestyle in Oct 2021, my cardio recommended low dose statin to which I said no thanks. At my next appointment with GP to get follow up blood test results I thought she was going to have kittens and she told me that I was at a high risk of heart disease. My LDL had gone up even more (from 250 to 300) and she was focusing on TC/HDL ratio and I said I look at the trig/HDL ratio, which was good, and my fasting insulin had gone from 7 down to 5. When I requested an NMR lipid panel from the GP she told me that she would research and discuss at the next appointment. The next appointment she said that because she was not able to interpret the results that she was not allowed to request it. A different doctor, who is interested in low carb, did give me a referral for it. I then did some more checking online and found Dr Paul Mason's explanation of cholesterol where he shows that you can predict the size by the other cholesterol numbers. I fell in the large area (even though I have high LDL). I had to pay out of pocket for the test and decided not to get it and felt that it was better to spend the money on good quality food than on a test that may have been unnecessary.
@@jobrown8146 I paid out of pocket too for the NMR test, but went through "ownyourlabs" and paid $61. That sight was suggested by Dr Phil Ovadia, (Stay Off My Operating Table) and was well worth it. Can request most any type of blood test.
Thats the best explanation I have heard in the 2 months I have been on Carnivore diet. I needed to lose some weight. Have lost 10kgs, and now only 2kgs from my target body weight for my height. TOTAL cholesterol 247 HDL 54 still low LDL 182 VLDL 12 (by difference?) Trig 62
Sugar! It Thickens the blood which itself can damage the arterial walls, especially at branch points. I used to think it couldn’t be the blood or it would also plaque up the veins, but they are slacker and not under such pressure, and the branches are converging not dividing as the blood returns to the heart, so the blood isnt damaging the walls. Sounds daft but those blood cells are hitting at the split of a Y shape as the arteries divide and become narrower.
I highly recommend reading Dr. Malcolm Kendrick's book The Clot Thickens. Just remember these are all theories, as the Diet-Heart hypothesis is still a theory because after 60 years they still can't prove it. They just reinvented it several times after one version gets debunked. But Dr. Kendrick has devoted his life to the question of what causes heart disease and his theory makes a lot more sense than all the various incarnations of the Diet-Heart hypothesis, which demonizes LDL without any explanation of the mechanism for exactly how it's the problem.
22:41 "Triglycerides below 75, HDL ideally above 75, these are American units LDL 120 to 300, total cholesterol 300 to 500 and VLDL around 10, that is the ideal lipid morphology." Compare that to the official guideline: "Total cholesterol below 200 mg/dL, triglycerides below 150 mg/dL, LDL below 100 mg/dL, VLDL below 30 mg/dL, and HDL above 40-50 mg/dL." Good luck debating this with your doctor.
Not offended. Reviewing my latest blood work. On Zepbound one month dropped 15 lbs and no longer need BP meds. I need to watch this again with bloodwork report in hand.
We don't have to forget that high glucose levels is just one way to damage your blood vessels. You can have a very healthy lipid panel but still have your blood vessels heavily damaged and inflamed, and full of atherosclerotic plaques. Smoking and omega-6 can do as much damage as glucose, and a healthy lipid panel may not protect you from that.
Thank you for all the info. I have a NAFL which is like 2 times the size of normal, have been prediabetic and very obese for years and years. I have been carnivore for less than 8 months and seen positive shifts in my numbers, as you describe. It seems to be taking a long time to do so and I have a long way to go yet. It would be interesting if you were to describe the process in terms of lipids that those of us who are trying to get healthy again are going through. I think it would be a great video. I know I would watch it.
Play on slow mo or listen to one part and relisten. It's a LOT to try to understand at once . You don't need to understand it all, focus on his key points ❤
Ok, started carnivore/KETO 6 months ago, lost over 100lbs, cholesterol went from 180 to 270, dr wants me on statin now. Went to cardiologist to get checked out. Kinda flips out that eat meat/fish/poultry everyday now, and very little vegetables. Sets up tests, did an echo cardio gram- all good, sets up an ultra sound of both carotid artery’s- absolutely zero plaque/blockage. Now he wants me to get a radiation injected cat scan of the heart to see if he can find anything in the heart arteries. I said not crazy about being injected with radiation and another drug to lower heart rate under 45 for the cat scan. I asked about CAC scan, he said not accurate nor detail enough. I feel like he trying to find a reason to find something to say “yes” we can cut this guy open and shove stints in him. 48 years old, not chest or pain complaints. Blood pressure 108-118 over 68-76 average.
Im 46 and i had to argue with doctor for 30 minutes before he authorized cac test - which he said is a good test but we should just look at total! cholesterol. There are tests that show the specific kinds of plaque buildup, but it seems the cac is a good start.
@@robertcywes2966 hey big guy, we have a date first week in June, I will make you proud, listening to you, June 2023 486lbs, this morning down to 308lbs.
Hey DR Cywes, any chance you could set up a cash app account? I’d love to donate to your very informative videos, but I don’t have the other two methods of payment.
What's interesting is my trigs (50) are optimal and have been for over a year, yet I can't optimize my BG levels on strict Carnivore. The best I can do is 90's to low 100's. I produce enough insulin based on fasting insulin (7) and c-peptide (1.4 - 2.2). The only thing I can do as a strict Carnivore is reduce caloric intake, specifically protein to keep BG's at 90's. Been that way since I started Carnivore Sept 2022.
Sounds similar to the issue I have: HDL 90, trigs 60, fasting insulin>10, glucose stable at 90 (while fed, 70 while fasting) on carnivore. This started shortly after my COVID infection about a year ago. Insulin being too high for my physiology, I really struggle with weight. Drs are clueless
4:55 wrong - micelles and chylos are not the same thing, chylos are not made in the luminal side of the gut, the FFA are absorbed and repackaged in chylos and secreted into lymphatics
This is true but micelles are the substrate for chylos. As far as we know only hepatocytes and enterocytes make lipoproteins and only hepatocytes make bile
Oh for Pete's sake, I can't follow this relative to all my results. Thank goodness I decided back in December to schedule an appointment with Dr. C in June to help figure out my issues...
So thankful for you Dr.! This info is priceless while I'm young and healthy, the future's looking bright 🌞 So hard to convince people that they can still modify diet, while undergoing 'vital treatments'
Can you tell me if Castor oil for face and hands for dry skin, do the oxalates from castor oil get into the bloodstream? is it safe to use? thank you...can't seem to get information on castor oil. thanks! love your videos and how you explain things so well.
I need a graphic in order to follow this traffic pattern (lol). I may watch this video 10x’s and try my best to create a graphic that visually shows the various routes possible!
Language was about the only thing I truly understood 😂😂😂. My dr put me on statins last week but dr Ken berry and others warn us about them so I haven’t even filled the script.
I LOVED this. My understanding jumped up a few notches. One question, a 55 yr old, 6 ft man weighing 180... How do I know how much protein to feed him? I appreciate anyone taking time to read or answer. Trying to save my hubby from the drs.
I'm confused by a couple statements in this video. First of all, I've heard and read that VLDL is good relative to CVD since it's too big to inflitrate the inflamed/damaged arterial wall and cause plaque. At 10:25, you stated VLDL can either be small and dense or large and fluffy. I thought VLDL was large and low density by definition. Do you mean to to say lipids instead of VLDL? Then at 10:51 ... If you have big VLDL and a high number ... that's not good. Were you referring to small dense LDL rather than very low density lipoprotien (VLDL?)
My doc tried to put me on a Statin because she discovered I was Type 2 diabetic. I investigated this drug and refused to take it. I told her no thanks and we got into a disagreement so I stopped going to this pill pusher.I am in my late 70's and doing fine.
OK, I am a little more than half through watching and it is clear that I am going to have to re-watch this and draw some pictures for myself to follow along. But sounds very interesting so far, and I probably have not yet gotten to the good part LOL.
thank you Robert. excellent explanation. may I ask you to look into Prof Linus Pauling explanation on lipoprotein a as a surrogate for non ascorbate producing animals ..is elevated when deficient in the diet including humans,role in heart disease. thank you.
I'm going over my Numbers one more time. :) they looked good last time and I don't have new numbers yet. But my doctor still wants me on a statin more than ever so I love it. I can hear you telling me to eat more fat??? Total Cholesterol ONLY 240, Triglycerides 35, HDL 60 but trending up! No VLDL #. Eat More Fat? Thanks, Doc.
No VLDL? I had that on my test last week. The LabCorp report said there weren’t enough to measure, although it gave a size for the VLDL particle. Need to learn what that means. Total cholesterol 401, LDL 230, HDL 65, triglycerides 72. Insulin level below 25.
Typically. Yes. But in NASH and on high refined carbs liver can store 4 to 600 g as measured from biopsies and calculated in glycoselated livers. 100 g estimation is mostly in athletes bc data comes as a comparator to muscle glycogen. Then need to look at g glucose per g 1:4 glycogen
I'm currently on ZERO statins or any other prescribed drugs, and every day I fight to keep that way because I cannot afford to go to the doctor even with my insurance. Why? Because I have to spend $1500 out of pocket before they BEGIN to pick up anything at 80% until I hit my annual max. My insurance really does suck.
Thank you for explaining aspects of the lipid model in ways I had not heard before...beautiful explanation....1 year keto/lchf...yes, it blows my brain a little bit...computer scientist guy...pattern A and proud of it, ha ha
My hubby had all good numbers with his heart meds and eating low carb 80% of the time. But then he cheated at work and was eating donuts etc and tripled his cholesterol numbers. So i have him on strict low carb again but dr of course have him prescription for statin but then i remembered his heart dr after a quadruple bypass took him off them as he felt sick and couldn't function. Im hoping he can turn his numbers around again. PS i took semiglutide once for couple of months, got lump in throat, scared the crap out of me and got off it.
VLDL was < 1 which Labcorp FLAGGED, lol. Triglycerides 46. I took myself off statins and went keto-carnivore when I saw a fasting blood sugar of 107 and a drop in HDL. My Dr ignored EVERY POSITIVE MARKER ON MY RECENT BLOOD TEST and tried to double my statins due to LDL going up. I have bottle(s) of Statin to give him next visit. I’m ready to go to the mat with him.
I'm just starting to understand this and plan to rewatch. Had CT scan w dye, 50% mix in the aorta (think that's what is named, the one that pushes blood from one side of heart to other) only in that area. Squeaky clean everywhere else. The "widowmaker" heart attack spot. Doc mentioned a statin before, but I said no. I'm HCM w Rasopathy gene making it worse. If that 50% is calcified, will I need something? For short term? A statin? I just began carnivore 5 days ago.
Hello Dr., I have xanthelasma above my eyes which are cholesterol deposits. Any suggestions on what I should be doing about that to a dermatologist where he removes them but they come back within a few months.
I also developed xanthelasma a few months ago above my left eye. If cholesterol is good, why is it stored above the eyes? That irritates me. I have also noticed small lipomas on my leg. Not visible, but palpable. Do lipomas have the same cause as xanthelasma? What can we do to get rid of them? Thanks Doctor Cywes!
I understand that statins do more harm than good, at least for people who have not had a heart attack. But I am unclear about statin use for after a heart attack, like my husband. They put him on Lipitor. I am most fearful of it causing dementia.
I really wanted to listen to you but I just can NOT concentrate right now cuz I had a HEART ATTACK last week. I want to understand and not have to take STATINS... but maybe SOME people DO need them? I don't know and Im very upset right now. Even my ejc fraction is worse than what it was. Im TOO YOUNG to die. 😢
What if I am a Type 2 diabetic 4 years keto and I have a rising A1C of about 7.0 with no spikes but a very high fasting blood sugar of often 160-180, but I have got my triglycerides down to 75 and my HDL up to 50? I can't measure VLDL in Taiwan, so I don't know about that. My fasting insulin and C-peptide were normal the last time I checked, and I am not obese and I do exercise. Is my very high A1C and very high fasting blood sugar driving my high CAC of 265 score even higher? Do I need to eat more fat and less protein? Can anyone please advise? BTW, I think I will also try Dr. Cywes online consultation service. Thank you.
How do i continue emotionally when i have an 85 yr diabetic husband in denial who wants his cake and to eat it too? That's actually a rhetorical question because im so done. I can't keep trying to help someone who doesn't want to help himself. I tried introducing red yeast rice, plant stanols omega three to get him off the statin but, he didn't want to adhere to any diet changes. Now his cholesterol & triglycerides are up, his morning sugars are rising, and he refuses to let me track his eating habits via an app. So, nothing more i can do but wait for that stroke or heart attack that will inevitably change our lives. 34 years later, im wishing i never met him. How sad...
I’m on a similar situation with my 72 yo T2 diabetic hubby and the added concern of Dementia/Alzheimers risk due to family history. He refuses to even consider dietary changes. Let’s pray for each other and our spouses. 🙏🏻🙏🏻
@@kathyfanchi2557 Sorry to hear that especially the Dementia/Alzheimers. That's a very difficult disease to deal with. I lost my aunt to that and it was heart breaking. However, we are not our husbands mothers or care takers. And once our children are grown, we're not responsible for anyone else, but ourselves. I know that sounds shallow and selfish but, in actuality, its being realistic. The hatefulness and resentment trying to help someone who doesn't want it, is counter productive for everyone. Its like trying to help an alcoholic who doesn't believe they have drinking problem. I told him this afternoon, cancel all the supplements, eat how you want, have your McDonalds frappe's, I'm done. I don't care anymore. I am too sick all on my own to waste my energy on someone who isn't willing to try. As for the prayers, I am not religious, I'm a realist. The best way for me to be able to handle it is disconnect emotionally. And, after he lied to me in 2017 about taking medicine I warned him about and, going septic and almost dying? That was too big a lie for me to handle. Not only did he lie but, the person I married and knew for decades, never came home. He became a completely different person and I've been living with a stranger ever since. So for me, it easier now to just say, do whatever you want, I don't care. Because, I really, DON'T CARE!
Excellent question... yes, I'd like to know this too. And especially if someone has already had a heart attack back in May & now has 3 stents in 2 arteries blocked 90% & 100%. My husband's CAC score is 5,000 but that's to be expected due to how he has confirmed blockages. All his life he's been high carb diet, he's super lean (11% body fat) never had elevated cholesterol levels, reasonably active, non diabetic, non smoker, a glass of wine once or twice a week or an occasional beer. Has always eaten whole foods, never any junk in the house but very high carb, like 🍌 & old fashioned oats for breakfast etc. Hardly any red meat, nor sugary cereals etc... Mostly lean meats like turkey or chicken, heavy grains, beans, peas, fruits etc mostly he's eaten the high carb Mediterranean Diet. Imagine that!!! Now, since May, I've had him doing Whole Foods high fat, protein focused Keto. The exact opposite of what they recommend for heart attack patients. We're under the general standard cardiac care here in RI/MA areas because we'd like to have someone close by where we live to look to in case we need something but we've also decided to pay out of pocket & be under Dr. Ovadia's care so him & his Team have been so helpful & informative. Only "problem" according to his cardiologist & lipidologist here locally is his almost 400 LDL now. They're saying he NEEDS to be on a statin ASAP due to his incredibly high LDL & since he's already had a heart attack but they ignore everything else. And they ignore the fact he still had a heart attack despite eating the Mediterranean Diet & despite his cholesterol never being elevated etc. Dr. Ovadia has looked at his lipid panels & says he most definitely qualifies as a LMHR & that's why he responding to Keto with elevated LDL for the first time in his life. His particle sizes & shape are phenomenal & Dr. Ovadia says he wouldn't have him on a statin. But you know how it is. One is always seeking for confirmation. We DO NOT want him on a statin but he's already had a heart attack! Mind you, he's never had high cholesterol & still had an event. Now that he's on Keto, it's when his LDL shoots extremely high but it's all the fluffy ones & the small dense ones are so low that recently, in a consultation with Dr. Ovadia, he explained they're immeasurable. So that's great news! But it's a battle because he's already had a heart attack & has super high LDL now on Keto. Anyway, one is always looking for confirmation, you know! So just wondering what Dr. Cywes' take is on taking statins in a situation less than perfect... you know!
I just had a heart attack 3/07/24 after a triple bypass 7 months ago. I have been strict carnivore for over a year. The doctor is waiting me to take statins, and my wife is really wanting me to quit carnivore and take all of medicine prescribed. I'm scared and don't know what to do
Dr. Cywes I will be 68 next month. I have FH and have been on statins for decades and not happy about it. Now I have diabetes because of the statins and my metabolism is whacked out. I don't know what to do about this because of the genetics but I am very unhappy on all the meds (on thyroid too)! I am in Canada (S.A. expat also). Can you help?
Genetic. Was on drug trials back in the day at the Joburg Gen lipid clinic for Zocor and more recently on drug trials in Winnipeg for Praluent. The doc there wanted my LDL VERY low. Thankfully I can't afford the shots and didn't feel right on them. Since the world went mad, (2020) I haven't been under any supervision and don't trust most outfits. Did not consent.@@robertcywes2966
This is what I need to tell my doctor. But, what goes through a Dr.'s. mind when a patient has the ability to speak at their level? I was also going to get the full lipid panel to see how large and fluffy they are and then ask my doctor about it.
The Mayo Clinic and Framingham statin risk calculators say for people with my numbers, at age 65, there is a 9% risk of a cardiovascular event in the next 10 years. They point out that means 90% of people with a similar profile will NOT have a cardiovascular event. WITH a statin, that risk comes down... to 7%. So for a 2% advantage, why would I go on a statin?
My primary care doc doesn't know about those risk calculators. All he cares about is that my total cholesterol is 401, LDL is close to 250. He doesn't care that the HDL is 65 and the triglycerides are 72. And the LabCorp NMR Lipoprofile test says of the VLDL: "Test not performed. VLDL levels not sufficient for VLDL size
determination."
I have told my doc I'm not interested in a statin, and just make a note that patient refused or is noncompliant. Not much point in changing doctors, most of them think the same way and it is hard to find one who is up to date and familiar with a low carb lifestyle.
I'm in the same position.was told I need to take statin. I said I wanted to find a natural way to get the right levels.
There a few low carb doctors in Perth. So I'm going to try one.
But perhaps the VLDL is just the difference after you subtra t HDL & VDL from the Total Cholesterol...
I have similar numbers after 10 months of Carnivore . Lost almost 90lbs so far and other numbers are good .
My concern is my CAC score went from 72 to 312 since 218 . And my small particle ldl numbers are still bad . Not sure if it’s worth me taking a statin considering this . He wants me on 20mg crestor to lower my ldl of 230 . My HDl is up to 55 now and Triglycerides are 73 .
@@grantharding8868 There’s a cardiologist, Nadir Ali, who was asked about statins in a TH-cam channel in the past day or two. He’s a proponent of low carb lifestyle.
He said even with the presence of some calcification, a statin has little relevance for primary prevention.
Have you tried the Mayo Clinic statin risk assessment calculator? You can key in your numbers and see where you stand in terms of risk. Try that calculator with ‘no statin’ choice, then with. That will show you the potential benefit of taking one. In my case, a 2% difference wasn’t enough to persuade me.
@@jgeph2.4eat some Oreo’s, less side effects.
@@jgeph2.4 You may want to look into Niacin.
Great video doc. All PCP's everywhere should have to watch this video.....about 10 times 👍
22:43 " Again triglycerides below 75. HDL ideally above 75 these are American units. LDL 120 to 300. Total cholesterol 300 to 500 and vldl around 10."
Not offended when you call bullsh!t on bullsh!t. You (and others) are saving my life one video at a time.
One of the problems with most doctors is that the insurance companies tell them they have to put you on a statin if your cholesterol is over 200. The private doctors that have joined “ groups” also want you on drugs so they can get you back in their office every 3 to 6 months for refills. It’s a wallet biopsy! I got that term from you.
i like that. wallet biopsy.
I would be glad to see the doctor every month just to monitor and mentor my health. Just as long as he/she has good faith intentions and integrity.
Nothing more than drug pushers
Exactly
Drug statin mafia give money to insurance companies to push statin sales. This fraud is the biggest ever.
Dr. Rob Cywes, you have knocked this topic "out of the ballpark"-WELL DONE!!! I do not think Tom Dayspring or Peter Attia are going to be very happy with you.
According to Malcom Kendrick, lipids found within the walls of arteries come from the breakdown of the lipids contained within the walls of clotted red blood. The clots are in response to damaged endothelium, not to cholesterol transported in the circulation. This is why we do not see atherosclerosis in veins. Veins and arteries carry the same level of LDL, IDL, HDL, triglycerides, and VLDL. It is the high pressure in arteries that augments the damage of endothelium, clot formation, and subsequent atherosclerosis, caused by smoking, autoimmune disease, certain drugs, sickle cell disease, hyperglycemia, and infection, among others. Macrophage foam cells clean up the lipids left over from clotted red cells.
Malcolm is a good friend. Cholesterol in the Vasa vasorum or blood vessels of the arteries. Still endothelial distuption
I think this vid did not necessarily conflict with your description of of Malcom Kendrik’s findings from what I gleaned from this video, in that, healthy artery walls do not “dock” with cholesterol particles and unhealthy ones, such as you describe with “blood clots” provide a docking point and thus further damage.
Never been offended by anything you say.
No snowflakes here
I'll keep trying😊
@Terrierized love snow and snow flakes, so tired of all the negative political junk words.....Peace and Love is what the world needs........oh and low carb.
My doctor just scared the crap out of me, she put me on crestor and statin injection because my apo B is 169
My triglyceride is 77
LDL 296
I paused the video many times to write down all the precious information that it contains! More than 10 pages in may notes!!!!!
@heloisamaestrini Did you consider to look up the transcript in case you forgot what he said. You could even copy-paste the transcript and print digital copy (a PDF) from it.
Just watched again & took notes for ammunition when I go back to my PCP, who wants me on a statin. I can’t thank you enough!
I like the language. I default to this form of speech. And it’s good to have peer support.
Wow. One of your best yet. I hope you keep doing videos like this. Thanks so much!
Thanks
That word does offend me. Please don't say "Statins" in your videos. There is no reason to use the "S word" in polite company.
Then you better leave lol he isn’t going to stop hahaha
Nice
Get over yourself 🙄
@@user-lt8xu2uz3r read what he said again!
😂 that's brilliant!!
I got off a statin after a month. My dr is an idiot. This just confirms it. Thank you.
Not an idiot. Just trapped in a false belief
Ditto
If your dr takes statins himself, he became idiot because there is not enough cholesterol reaching his brain.
@@robertcywes2966No some are idiots they don't research the meds they freely hand out to us.
Man, I’m confused! VLDL dumps triglycerides into the fat cell. It then changes into intermediate density lipoprotein when it picks up “the good stuff” from the fat cells. It travels around the body dumping its load. It then becomes small enough to be called.LDL. So if you are healthy, Most of your LDL will still have quite a bit of the good stuff in it, and be considered pattern A. If your LDL is pattern B, then you have too much insulin in your body, and you never made very many intermediate density lipoproteins in the first place.. so you’re intermediate density lipoproteins dumped their load into the fat cells, and then never picked up anything from the fat cells.(Pattern B). Did I get that right?
My dear Dr. Robert, you were simply brilliant in this wonderful lecture. This is the first time I fully understood the mistery of lipid metabolism. I am trying to understand this big cholesterol confusion that permeates medicine and cardiology for many years. Today I finally understood. Thank you so much for your time and your explanation! Greetings from Brazil.
Right on, Doc! That was simplified brilliance.
Thank you Dr. Robert. This is a one of the best explanation, easy to understand. I really appreciate the time and sharing the knowledge
Great explanation. Agree with you 100%. Unfortunately vast number of people have Insulin resistance & refuse intermittent fasting or keto diet!!
Thank you Dr. Cyves! I believe that I’m much better informed after this. After following a carnivore diet for 4 years now I was recently told that I should consider a statin. I told the Dr that after the research papers, books and courses that I have read/done ( Noakes Foundation) I’d prefer not to. My trIigs, hdl, total cholesterol were really good. ldl was elevated …Doc was concerned….I was not. No number for VLDL was given.
I like your explanation about it being the postcode / zip code. I had been having trouble understanding what the Apo was. This has put another piece of the jigsaw puzzle in place for me.
Thank you, Doctor Cywes, for this lecture. I am a very active 70 year old and working on getting my protein intake to appropriate levels--it's a journey! I just got my latest labs. Total Cholesterol: 441; Trig: 55; VLDL: 3 (low?); HDL: 129 (high?); LDL: 309. My cac score was 82 and is primarily in the descending aorta (?); My liver enzymes have been really high but have now dropped into normal/almost normal range (I believe my liver and cac score are due to my addiction abuse from alcohol, sugar, grains, cigarettes for many years--NOW free free free from substance abuse!!!). Any feedback is much appreciated. Don't quite understand how to reach you for a consult but would be very interested. I will join your Patreon today!
Excellent imho
I will keep on doing my thing! Many thanks! Oh, and I am in Angela Stanton's Migraine group (VM for me--she's helped so much!)--I LOVE when the two of you are talking together!! @@robertcywes2966
My labs are almost the same. My doc says statin. I said “catch up”, nicely 😅
Brilliant, brilliant video! Thank you! This is solidifying my understanding of lipid traffic and filling in a lot of gaps I had after 3 years of listening to different doctors - including your prior videos ❤
Stopped taking the statin after first 30 days of compliance. Let's see in the fall after new blood work. Haven't told my doc. Keep getting refill that I don't take. After that bloodwork in Sept I will let her know that I haven't been compliant. Will let u know. I'll say I researched on Google. Never done this before
I don't think your Doc will appreciate being made a fool of, so be careful, Doctors
have egos and you need your Doc.
Most docs use Google....I do
Same boat here. 60 days in and stopped statin. Labs in June.
Thank you!
Hope she doesn’t inform it ins u were tossing pills they bought
Thanks, that was very interesting.
I need to watch a few more times :)
Low carb diet, total cholesterol 280, triglycerides 50, HDL 70, vLDL 6. Stopped SAD diet 3 years ago and switched to low carb, whole foods animal based diet. No sugars, grains, flour or any prossessed foods. Feeling great. Funny thing is spent most of my life with 180 total cholesterol and got sick eating oatmeal and low fat crap. I switched to animal foods based diet and now am way healthier with 280 cholesterol.
Thank you so much.. this is the first lecture in lipid transport that I actually understood and as a nursing professor, I may share this content in my Patho course. Amazed and gratified. I also joined your patreon acct.
Thanks so much!
Fantastic presentation... as always! So very pleased I went keto and lost 3stone... and so very pleased too that I refused statins.
Holy Guano Batman, that was awesome!! I listened 8 times, pretty exquisite system! Thanks for taking the time to explain this so well. and thanks for all your hard work.
Loved ur intro
Small change needed to this video for ideal total cholesterol, first mention you said 200-500 then later 300-500. I felt probably the first time 200-500 is what you wanted to say the second time. Great video, and, for Cardiologists not to know and/or continue to study in detail their chosen vocation is beyond belief. My Cardiologist when I asked if I should have a CIMT did not have an idea what that test is, for example. Also, when I experienced a PSVT for the first time he prescribed high statin levels, who knows why as PSVT’s are caused by an extra electrical connection in the heart. Last I checked Statins do not act as a unique form of Ablation.
Very interesting and informative video, doc. BTW I like it when you call BS on BS.
Always learning something new from you: triglycerides and glucose connection.
Wow, thank you for this video. I've been tying to understand these cycles. Got it now... thanks!
Bone on bone knee pain. Getting infections of gell 2x per year. After Lipitor 2 mos. ago hurt from arms and legs. Major arm hand and leg weakness. Fell from leg weakness. Couldn't open bottles.
Sad
The only solution: a carnivorous lifestyle
Statin side effects are no joke. They do serious muscle and brain cell damage, because cholesterol is in every cell and is a big part of our brains. If you could snap your fingers and have all the cholesterol removed from your body, you would immediately drop dead. This the damage to human health that comes from demonizing cholesterol, saturated fats and LDL. Yet 60 years later they still can't prove the Diet-Heart hypothesis. They just reinvent it when one version gets debunked. It's madness.
Doc Shawn Baker recently got some sort of Cholesterol monitor, similar to a CGM. He returned on a long drive from an event, fasted, did a workout, was surprised how much higher his cholesterol particle count went for a while. Broke his fAst with his big steak dinner. He said the monitor is perhaps 10% off. But nonetheless, it proved how dynamic particle counts can be during the course of a day. That was new information tome and proves the lipid energy model. Video is posted if you want to hear his testimony.
So awesome, wish you were my doctor..
A very good descriptive talk about the human lipid systems. I think I’ve got it... even without any diagrams or graphs. Than you for your knowledge and passion regarding this important subject. 🙏
Tired of saying no to my dr for "no statins" when TC is 325....BUT hdl:tri ratio dead on at 1:1..Told her I was going for an NMR lipid panel to understand what kind of cholesterol particles I had before I take a statin. .....quote from dr. was "I'm not sure how I will interpret them"....She only saw the first number which was my actual particle count of 2909 (very high on chart)......and never looked at all my great large fluffy sizes. The sdLDL's were "unmeasureable" because i had so few...., all on the "low risk for CVD, and HOMA-IR wasn't even on scale because so low for insulin sensitivity. She still wants me on a statin, I said let me be your N=1 experiment for no statins!....lol
We need to be our own advocate and good on you for sticking to not taking a statin. Even with a CTA calcium score of 0 at 66 years old and being metabolically healthy after changing to low carb lifestyle in Oct 2021, my cardio recommended low dose statin to which I said no thanks. At my next appointment with GP to get follow up blood test results I thought she was going to have kittens and she told me that I was at a high risk of heart disease. My LDL had gone up even more (from 250 to 300) and she was focusing on TC/HDL ratio and I said I look at the trig/HDL ratio, which was good, and my fasting insulin had gone from 7 down to 5. When I requested an NMR lipid panel from the GP she told me that she would research and discuss at the next appointment. The next appointment she said that because she was not able to interpret the results that she was not allowed to request it. A different doctor, who is interested in low carb, did give me a referral for it. I then did some more checking online and found Dr Paul Mason's explanation of cholesterol where he shows that you can predict the size by the other cholesterol numbers. I fell in the large area (even though I have high LDL). I had to pay out of pocket for the test and decided not to get it and felt that it was better to spend the money on good quality food than on a test that may have been unnecessary.
God knows they get kickbacks from the pharmaceutical companies.😅
@@jobrown8146 I paid out of pocket too for the NMR test, but went through "ownyourlabs" and paid $61. That sight was suggested by Dr Phil Ovadia, (Stay Off My Operating Table) and was well worth it. Can request most any type of blood test.
Thats the best explanation I have heard in the 2 months I have been on Carnivore diet.
I needed to lose some weight. Have lost 10kgs, and now only 2kgs from my target body weight for my height.
TOTAL cholesterol 247
HDL 54 still low
LDL 182
VLDL 12 (by difference?)
Trig 62
My dad has been on statins for 30 years and he's at the gym right now doing pushups. Im 65 and he will probably outlive me.
Based on this discussion, it seems to me the question is "what is causing the damage to the blood vessels?"
Sugar! It Thickens the blood which itself can damage the arterial walls, especially at branch points. I used to think it couldn’t be the blood or it would also plaque up the veins, but they are slacker and not under such pressure, and the branches are converging not dividing as the blood returns to the heart, so the blood isnt damaging the walls. Sounds daft but those blood cells are hitting at the split of a Y shape as the arteries divide and become narrower.
I highly recommend reading Dr. Malcolm Kendrick's book The Clot Thickens. Just remember these are all theories, as the Diet-Heart hypothesis is still a theory because after 60 years they still can't prove it. They just reinvented it several times after one version gets debunked. But Dr. Kendrick has devoted his life to the question of what causes heart disease and his theory makes a lot more sense than all the various incarnations of the Diet-Heart hypothesis, which demonizes LDL without any explanation of the mechanism for exactly how it's the problem.
Brilliant, as usual. Keep it up.....
22:41 "Triglycerides below 75, HDL ideally above 75, these are American units LDL 120 to 300, total cholesterol 300 to 500 and VLDL around 10, that is the ideal lipid morphology." Compare that to the official guideline: "Total cholesterol below 200 mg/dL, triglycerides below 150 mg/dL, LDL below 100 mg/dL, VLDL below 30 mg/dL, and HDL above 40-50 mg/dL." Good luck debating this with your doctor.
Not offended. Reviewing my latest blood work. On Zepbound one month dropped 15 lbs and no longer need BP meds. I need to watch this again with bloodwork report in hand.
Excellent idea...or set up a visit😊
We don't have to forget that high glucose levels is just one way to damage your blood vessels. You can have a very healthy lipid panel but still have your blood vessels heavily damaged and inflamed, and full of atherosclerotic plaques. Smoking and omega-6 can do as much damage as glucose, and a healthy lipid panel may not protect you from that.
Great information. I took notes to reference back quickly. Thank you!
Thank you for all the info. I have a NAFL which is like 2 times the size of normal, have been prediabetic and very obese for years and years. I have been carnivore for less than 8 months and seen positive shifts in my numbers, as you describe. It seems to be taking a long time to do so and I have a long way to go yet. It would be interesting if you were to describe the process in terms of lipids that those of us who are trying to get healthy again are going through. I think it would be a great video. I know I would watch it.
2 yrs to fix...a lifetime to sustain
@@robertcywes2966 I so appreciate that you took the time to answer. Thank you!
Thanks, never heard that better explained!
Please.... Slow down .... if you want us to absorb this fantastic information.
Listen faster😊...good advice. Will try to
Play on slow mo or listen to one part and relisten. It's a LOT to try to understand at once . You don't need to understand it all, focus on his key points ❤
You can slow down the video in the settings. It's a very handy tool!
Ok, started carnivore/KETO 6 months ago, lost over 100lbs, cholesterol went from 180 to 270, dr wants me on statin now. Went to cardiologist to get checked out. Kinda flips out that eat meat/fish/poultry everyday now, and very little vegetables. Sets up tests, did an echo cardio gram- all good, sets up an ultra sound of both carotid artery’s- absolutely zero plaque/blockage. Now he wants me to get a radiation injected cat scan of the heart to see if he can find anything in the heart arteries. I said not crazy about being injected with radiation and another drug to lower heart rate under 45 for the cat scan. I asked about CAC scan, he said not accurate nor detail enough. I feel like he trying to find a reason to find something to say “yes” we can cut this guy open and shove stints in him. 48 years old, not chest or pain complaints. Blood pressure 108-118 over 68-76 average.
Im 46 and i had to argue with doctor for 30 minutes before he authorized cac test - which he said is a good test but we should just look at total! cholesterol. There are tests that show the specific kinds of plaque buildup, but it seems the cac is a good start.
@@smarterworkout I just feel like they are looking for the slightest reason to do a procedure on you to so they can buy a boat of summer vacation home
Only you decide. Ur life ur decision. Love ur diet
@@robertcywes2966 hey big guy, we have a date first week in June, I will make you proud, listening to you, June 2023 486lbs, this morning down to 308lbs.
Hey DR Cywes, any chance you could set up a cash app account? I’d love to donate to your very informative videos, but I don’t have the other two methods of payment.
appreciate your videos tremendously! i wish you'd do a video on how to prevent gall stones. thank you!
IMO, your best and most important video.
What's interesting is my trigs (50) are optimal and have been for over a year, yet I can't optimize my BG levels on strict Carnivore. The best I can do is 90's to low 100's. I produce enough insulin based on fasting insulin (7) and c-peptide (1.4 - 2.2). The only thing I can do as a strict Carnivore is reduce caloric intake, specifically protein to keep BG's at 90's. Been that way since I started Carnivore Sept 2022.
You can try eating a few blueberries every now and then.
Sounds similar to the issue I have: HDL 90, trigs 60, fasting insulin>10, glucose stable at 90 (while fed, 70 while fasting) on carnivore. This started shortly after my COVID infection about a year ago. Insulin being too high for my physiology, I really struggle with weight. Drs are clueless
Yes
This is essential information
Mind blowing
4:55 wrong - micelles and chylos are not the same thing, chylos are not made in the luminal side of the gut, the FFA are absorbed and repackaged in chylos and secreted into lymphatics
Correct
This is true but micelles are the substrate for chylos. As far as we know only hepatocytes and enterocytes make lipoproteins and only hepatocytes make bile
Oh for Pete's sake, I can't follow this relative to all my results. Thank goodness I decided back in December to schedule an appointment with Dr. C in June to help figure out my issues...
We will
Another great lecture by Dr. Cywes. Dankjewel!
So thankful for you Dr.! This info is priceless while I'm young and healthy, the future's looking bright 🌞
So hard to convince people that they can still modify diet, while undergoing 'vital treatments'
Great stuff, thanks for the education, Dr. Cywes
The part about the macrophages having docking sites for lipoproteins 🤯
That was the piece I didn't consider before. Thank you so much!
Can you tell me if Castor oil for face and hands for dry skin, do the oxalates from castor oil get into the bloodstream? is it safe to use? thank you...can't seem to get information on castor oil. thanks! love your videos and how you explain things so well.
Castor oil cures everything....according to my mom
A very good Lipid explainer, thank you.
I need a graphic in order to follow this traffic pattern (lol). I may watch this video 10x’s and try my best to create a graphic that visually shows the various routes possible!
Type lipoprotein into Google. GO to images
Brilliant video my doc is trying to put me on statins ive said no
Language was about the only thing I truly understood 😂😂😂. My dr put me on statins last week but dr Ken berry and others warn us about them so I haven’t even filled the script.
Brilliant! Not bad for a surgeon. I needed this training in residency!
I LOVED this. My understanding jumped up a few notches. One question, a 55 yr old, 6 ft man weighing 180... How do I know how much protein to feed him?
I appreciate anyone taking time to read or answer. Trying to save my hubby from the drs.
Check his bloodwork. Set up a visit
The general rule in the low carb space is about 1 gram of protein (per the nutrition label not the weight) per pound of ideal body weight.
Our Dear Leader takes Crestor and has a total cholesterol of 140. I think this explains everything about him.
I'm confused by a couple statements in this video. First of all, I've heard and read that VLDL is good relative to CVD since it's too big to inflitrate the inflamed/damaged arterial wall and cause plaque.
At 10:25, you stated VLDL can either be small and dense or large and fluffy.
I thought VLDL was large and low density by definition. Do you mean to to say lipids instead of VLDL?
Then at 10:51 ... If you have big VLDL and a high number ... that's not good.
Were you referring to small dense LDL rather than very low density lipoprotien (VLDL?)
A truck can be full or empty
My Man!
My doc tried to put me on a Statin because she discovered I was Type 2 diabetic. I investigated this drug and refused to take it. I told her no thanks and we got into a disagreement so I stopped going to this pill pusher.I am in my late 70's and doing fine.
Thank you Dr Cywes ❤
OK, I am a little more than half through watching and it is clear that I am going to have to re-watch this and draw some pictures for myself to follow along. But sounds very interesting so far, and I probably have not yet gotten to the good part LOL.
thank you Robert. excellent explanation.
may I ask you to look into Prof Linus Pauling explanation on lipoprotein a
as a surrogate for non ascorbate producing animals ..is elevated when deficient in the diet including humans,role in heart disease.
thank you.
Tell it like it is, Doc!
I'm going over my Numbers one more time. :) they looked good last time and I don't have new numbers yet. But my doctor still wants me on a statin more than ever so I love it. I can hear you telling me to eat more fat??? Total Cholesterol ONLY 240, Triglycerides 35, HDL 60 but trending up! No VLDL #. Eat More Fat? Thanks, Doc.
No VLDL? I had that on my test last week. The LabCorp report said there weren’t enough to measure, although it gave a size for the VLDL particle. Need to learn what that means.
Total cholesterol 401, LDL 230, HDL 65, triglycerides 72. Insulin level below 25.
@@ssa8479 Well I looked again, my VLDL was 5. There and my LDL which was 184, and my LDL+VLDL which was 189. So VLDL was 5.
8:55 wrong again, the liver typically stores ~100g of glycogen, not 400-600g
Typically. Yes. But in NASH and on high refined carbs liver can store 4 to 600 g as measured from biopsies and calculated in glycoselated livers. 100 g estimation is mostly in athletes bc data comes as a comparator to muscle glycogen. Then need to look at g glucose per g 1:4 glycogen
Dear Dr your mind blowing informative video with those "french words" makes it more entertaining and funny! I love it! Thank you ❤
I'm currently on ZERO statins or any other prescribed drugs, and every day I fight to keep that way because I cannot afford to go to the doctor even with my insurance. Why? Because I have to spend $1500 out of pocket before they BEGIN to pick up anything at 80% until I hit my annual max. My insurance really does suck.
Please also use South African numbers so that we in South Africa and I think most of the world can also understand.
Simply divide by 38.67 and you'll get your mmol/liter from the american mg/dl
Total 300 to 500 (7.8-13)
Ldl 120 to 300 (3-7.8)
Hdl more than 75 (1.9)
Triglyceride less than 75 (1.9)
Vldl around 10 (0.25)
Thank you for explaining aspects of the lipid model in ways I had not heard before...beautiful explanation....1 year keto/lchf...yes, it blows my brain a little bit...computer scientist guy...pattern A and proud of it, ha ha
Very helpful! Thanks!
Very interesting....
My hubby had all good numbers with his heart meds and eating low carb 80% of the time. But then he cheated at work and was eating donuts etc and tripled his cholesterol numbers. So i have him on strict low carb again but dr of course have him prescription for statin but then i remembered his heart dr after a quadruple bypass took him off them as he felt sick and couldn't function. Im hoping he can turn his numbers around again. PS i took semiglutide once for couple of months, got lump in throat, scared the crap out of me and got off it.
VLDL was < 1 which Labcorp FLAGGED, lol.
Triglycerides 46.
I took myself off statins and went keto-carnivore when I saw a fasting blood sugar of 107 and a drop in HDL.
My Dr ignored EVERY POSITIVE MARKER ON MY RECENT BLOOD TEST and tried to double my statins due to LDL going up. I have bottle(s) of Statin to give him next visit.
I’m ready to go to the mat with him.
I'm just starting to understand this and plan to rewatch. Had CT scan w dye, 50% mix in the aorta (think that's what is named, the one that pushes blood from one side of heart to other) only in that area. Squeaky clean everywhere else. The "widowmaker" heart attack spot. Doc mentioned a statin before, but I said no. I'm HCM w Rasopathy gene making it worse. If that 50% is calcified, will I need something? For short term? A statin? I just began carnivore 5 days ago.
Great info
Great video! Thank you
Hello Dr., I have xanthelasma above my eyes which are cholesterol deposits. Any suggestions on what I should be doing about that to a dermatologist where he removes them but they come back within a few months.
Great question. Video coming up
Thank you
I also developed xanthelasma a few months ago above my left eye. If cholesterol is good, why is it stored above the eyes? That irritates me. I have also noticed small lipomas on my leg. Not visible, but palpable. Do lipomas have the same cause as xanthelasma?
What can we do to get rid of them? Thanks Doctor Cywes!
I understand that statins do more harm than good, at least for people who have not had a heart attack. But I am unclear about statin use for after a heart attack, like my husband. They put him on Lipitor. I am most fearful of it causing dementia.
Also wastes ur muscles and causes muscle pain n weakness
I really wanted to listen to you but I just can NOT concentrate right now cuz I had a HEART ATTACK last week. I want to understand and not have to take STATINS... but maybe SOME people DO need them? I don't know and Im very upset right now. Even my ejc fraction is worse than what it was.
Im TOO YOUNG to die. 😢
What if I am a Type 2 diabetic 4 years keto and I have a rising A1C of about 7.0 with no spikes but a very high fasting blood sugar of often 160-180, but I have got my triglycerides down to 75 and my HDL up to 50? I can't measure VLDL in Taiwan, so I don't know about that. My fasting insulin and C-peptide were normal the last time I checked, and I am not obese and I do exercise. Is my very high A1C and very high fasting blood sugar driving my high CAC of 265 score even higher? Do I need to eat more fat and less protein? Can anyone please advise? BTW, I think I will also try Dr. Cywes online consultation service. Thank you.
Set up a visit. Target A1c is 5.2
I would have appreciated comments on the effect of lipoprotein(a) aka "lp-little-a" on cardiovascular risk.
Quest doesn't even report VLDL or insulin on their reports. My doc mentioned statins just based on LDL at 112.
How do i continue emotionally when i have an 85 yr diabetic husband in denial who wants his cake and to eat it too?
That's actually a rhetorical question because im so done. I can't keep trying to help someone who doesn't want to help himself.
I tried introducing red yeast rice, plant stanols omega three to get him off the statin but, he didn't want to adhere to any diet changes.
Now his cholesterol & triglycerides are up, his morning sugars are rising, and he refuses to let me track his eating habits via an app.
So, nothing more i can do but wait for that stroke or heart attack that will inevitably change our lives.
34 years later, im wishing i never met him. How sad...
I’m on a similar situation with my 72 yo T2 diabetic hubby and the added concern of Dementia/Alzheimers risk due to family history. He refuses to even consider dietary changes. Let’s pray for each other and our spouses. 🙏🏻🙏🏻
@@kathyfanchi2557 Sorry to hear that especially the Dementia/Alzheimers. That's a very difficult disease to deal with. I lost my aunt to that and it was heart breaking. However, we are not our husbands mothers or care takers. And once our children are grown, we're not responsible for anyone else, but ourselves. I know that sounds shallow and selfish but, in actuality, its being realistic.
The hatefulness and resentment trying to help someone who doesn't want it, is counter productive for everyone. Its like trying to help an alcoholic who doesn't believe they have drinking problem.
I told him this afternoon, cancel all the supplements, eat how you want, have your McDonalds frappe's, I'm done. I don't care anymore. I am too sick all on my own to waste my energy on someone who isn't willing to try.
As for the prayers, I am not religious, I'm a realist. The best way for me to be able to handle it is disconnect emotionally. And, after he lied to me in 2017 about taking medicine I warned him about and, going septic and almost dying? That was too big a lie for me to handle. Not only did he lie but, the person I married and knew for decades, never came home. He became a completely different person and I've been living with a stranger ever since.
So for me, it easier now to just say, do whatever you want, I don't care. Because, I really, DON'T CARE!
What about someone with an elevated CAC score? Would you recommend a statin?
Excellent question... yes, I'd like to know this too. And especially if someone has already had a heart attack back in May & now has 3 stents in 2 arteries blocked 90% & 100%. My husband's CAC score is 5,000 but that's to be expected due to how he has confirmed blockages. All his life he's been high carb diet, he's super lean (11% body fat) never had elevated cholesterol levels, reasonably active, non diabetic, non smoker, a glass of wine once or twice a week or an occasional beer. Has always eaten whole foods, never any junk in the house but very high carb, like 🍌 & old fashioned oats for breakfast etc. Hardly any red meat, nor sugary cereals etc... Mostly lean meats like turkey or chicken, heavy grains, beans, peas, fruits etc mostly he's eaten the high carb Mediterranean Diet. Imagine that!!!
Now, since May, I've had him doing Whole Foods high fat, protein focused Keto. The exact opposite of what they recommend for heart attack patients. We're under the general standard cardiac care here in RI/MA areas because we'd like to have someone close by where we live to look to in case we need something but we've also decided to pay out of pocket & be under Dr. Ovadia's care so him & his Team have been so helpful & informative. Only "problem" according to his cardiologist & lipidologist here locally is his almost 400 LDL now. They're saying he NEEDS to be on a statin ASAP due to his incredibly high LDL & since he's already had a heart attack but they ignore everything else. And they ignore the fact he still had a heart attack despite eating the Mediterranean Diet & despite his cholesterol never being elevated etc.
Dr. Ovadia has looked at his lipid panels & says he most definitely qualifies as a LMHR & that's why he responding to Keto with elevated LDL for the first time in his life. His particle sizes & shape are phenomenal & Dr. Ovadia says he wouldn't have him on a statin. But you know how it is. One is always seeking for confirmation. We DO NOT want him on a statin but he's already had a heart attack! Mind you, he's never had high cholesterol & still had an event. Now that he's on Keto, it's when his LDL shoots extremely high but it's all the fluffy ones & the small dense ones are so low that recently, in a consultation with Dr. Ovadia, he explained they're immeasurable. So that's great news! But it's a battle because he's already had a heart attack & has super high LDL now on Keto.
Anyway, one is always looking for confirmation, you know! So just wondering what Dr. Cywes' take is on taking statins in a situation less than perfect... you know!
I just had a heart attack 3/07/24 after a triple bypass 7 months ago. I have been strict carnivore for over a year. The doctor is waiting me to take statins, and my wife is really wanting me to quit carnivore and take all of medicine prescribed. I'm scared and don't know what to do
Dr. Cywes I will be 68 next month. I have FH and have been on statins for decades and not happy about it. Now I have diabetes because of the statins and my metabolism is whacked out. I don't know what to do about this because of the genetics but I am very unhappy on all the meds (on thyroid too)! I am in Canada (S.A. expat also). Can you help?
Set up a visit. Is ur FH a guess or genetically proven
Genetic. Was on drug trials back in the day at the Joburg Gen lipid clinic for Zocor and more recently on drug trials in Winnipeg for Praluent. The doc there wanted my LDL VERY low. Thankfully I can't afford the shots and didn't feel right on them. Since the world went mad, (2020) I haven't been under any supervision and don't trust most outfits. Did not consent.@@robertcywes2966
Proven FH from my mom. I have highest LDL in the family. My son has it too.@@robertcywes2966
I thought "big and fluffy" was preferable to "small and dense". I'm confused
... Never mind I listened further but I was confused by the earlier topic of small and dense being preferable to large and fluffy
Depends whether vldl or ldl
@@robertcywes2966 got it... Thanks Doctor!
This is what I need to tell my doctor. But, what goes through a Dr.'s. mind when a patient has the ability to speak at their level? I was also going to get the full lipid panel to see how large and fluffy they are and then ask my doctor about it.
We all use Google. Doctors don't have a monopoly