Are You at Risk for Heart Disease? Measuring Cardiovascular Health | Simon Hill and Rich Roll

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In this segment from The Rich Roll Podcast where I was interviewed, we delve into the critical aspects of cardiovascular well-being. We explore the pivotal role of ApoB as a biomarker, shedding light on its superiority over traditional LDL cholesterol in predicting cardiovascular risk. The discussion also uncovers the genetic factors influencing heart health, particularly focusing on LP(a) and its implications.
In this discussion, we particularly focus on:
The significance of APOB in cardiovascular health assessment.
The limitations of LDL cholesterol as a heart disease predictor.
The role of genetics in determining cardiovascular risk.
The necessity for a comprehensive approach to heart health management.
Join me as I navigate through the science behind atherosclerotic cardiovascular disease, emphasizing the importance of understanding lipoproteins and their impact on artery plaque buildup. Let’s stay at the forefront of cardiovascular research and preventive strategies.
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Опубликовано:

3 окт 2024

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Комментарии : 54

@HaoleWithCamera 7 месяцев назад

I was plant based for several years. My LDL was 89 and all other numbers were good. Did carnivore last year (paired with a new workout regimine)... LDL is now 153. I watched all the videos saying LDL doesn't matter to comfort myself. But just did an advanced lipid test and my APO B was 119. FREAKED ME OUT. Am now working back to (mostly) plant based and keeping my workout routine. Too many unknowns for me...

@xcast1 7 месяцев назад

LDL and Apo-B correlate quite well - not much upgrade of info. And some scientists doubt apo B being a better predictor. No health organization and no established scientist or MD recommends carnivore. Road to hell. Speeds up artery clogging, inflammation, raises cancer risk, messes gut health, lowers testosterone, lowers agility w/o glycogen and glucose for nervous system. nutrient deficiencies w/o supplementation. Plant-based (+B12, zinc, iodine, D3, (selenium outside North America)) is best for most, but unkown small % have unusual gene defects /adaptation to animal food only special nutrients like carnitine, taurine, sphingosine, etc 10+ more. Could be fixed though with supplement when symptoms are professionally analyzed.

@earthmamma85 7 месяцев назад

I asked for Apob test… my doctor told me she didn’t even know what that was. She no longer works for that hospital… have a new doctor and will see how she is. My cholesterol and ldl and HDL are high, triglycerides are low. So I’d be interested to have further blood tests done to really determine my risk.

@gordonv.cormack3216 7 месяцев назад

My physician didn't understand the shorthand ApoB, but he understood apolipoprotein B and gave me a requisition. As it happens, it is covered by public insurance in Ontario, Canada. That's recent, I think.

@Jupiter_Crash 7 месяцев назад

You might be a hyperabsorber of cholesterol. If you’re in the US I can make some suggestions.

@dannyspitzer1267 7 месяцев назад

Great info 👏👏

@HeibesHealth 7 месяцев назад

I’ve been super frustrated with trying to get my ApoB down. It’s at 95, and my Lp(a) is 114. My diet is great, I’ve never been a smoker, and no one wants to put me on statins because they don’t see me as high risk. That’s BECAUSE I exercise regularly and eat plant-based. That alone has not done anything to get my ApoB in a lower range, and it’s frustrating. 😕

@ZmogusJaponija 7 месяцев назад

What is your source of fats in your diet. Also - are you consuming high glycemic carbs in any form (processed or not).

@Harperangel59 7 месяцев назад

What’s your LDL?

@HeibesHealth 7 месяцев назад

A typical day for me is steel cut oats with some berries, oat milk, a little pure maple syrup, and flaxseed meal. During my workouts (which are on the bike), I am consuming Skratch energy chews and Liquid IV. I eat a lot of tofu and soy curls. I eat very little processed foods (unless you categorize tofu as processed). To be honest, I eat very little as it is…maybe 800-1,000 calories per day. I burn about 600-1,000 calories in my workouts, so it’s possible this might be my issue, but I’m just not hungry most of the time. My LDL is 126.

@ZmogusJaponija 7 месяцев назад

@@HeibesHealth wow, you should be then in ~1500 cal deficit per day? Anyways, in your case I'd focus on specific foods which decrease cholesterol. Seeds, wallnuts, algae omega3 supplements. Also whole beans. Also would make a pause on maple syrup.

@adamcbenz 7 месяцев назад

Tested my ApoB 3 months ago. It was 123 mg/dL. Obviously very concerning. I train 6-8 times per week and have for years. Plant-based diet. I added 1 tsp of amla powder and a niacin supplement to my diet without making any other nutritional changes, training changes or supplement changes and have lowered my ApoB down to 99 mg/dL in that time. Would definitely consider that as an option but definitely do your research first.

@AnnemarieMytka 7 месяцев назад

I have cholesterol is so high that it is effective in my muscles I could not believe how much it is effecting me, red blood are low tied this just a brief explanation

@AnnemarieMytka 7 месяцев назад

I have had very high cholesterol for years, can it go into the bloodstream as I have very stiff pain in muscles thanks 🙏

@AnnemarieMytka 7 месяцев назад

All so low red blood count 😮

@krisalexan8866 6 месяцев назад

6 months of Niacin decreased my Lp(a) from 400+ down 35%, so it's not correct to say that it's impossible to do something

@Drez1st 7 месяцев назад

Where can the calculator be found?

@gordonv.cormack3216 7 месяцев назад

I would be very interested to hear your take on two recent studies suggesting that LDLC/ApoB ratio may be an even better predictor than ApoB alone. DOIs: 10.1186/s12944-023-01869-1; 10.1097/MD.0000000000032596

@Joseph1NJ 7 месяцев назад

Wow, I didn't know that existed, and here I thought I had a fairly good understanding of the subject. And thank you for the reference.

@dondajulah4168 7 месяцев назад

@@Joseph1NJ yeah, the “large fluffy ldl= benign” hypothesis has been out there for years. Not sure how you could have missed that if you follow the topic.

@gordonv.cormack3216 7 месяцев назад

@@dondajulah4168 I didn't miss it and I didn't say buoyant LDL was benign. Perhaps it is somewhat less harmful per particle? Read the studies before you dismiss them. They are published and peer reviewed.

@Joseph1NJ 7 месяцев назад

@@dondajulah4168 I think you misunderstood my comment, I was referring to the LDL ApoB ratio.

@dondajulah4168 7 месяцев назад

@@Joseph1NJ which would be a function the size of the LDL particle

@Alaskaventureswithbrodie 7 месяцев назад

My test is 108 apob and 182 Lpa. Im feeling a little concerned. I also have Hashimotos, going through perimenopause. I eat plant based only. I work out. Im active and dont sit much. Im 51, 5’6 158lbs. I dont want to be on any pharmaceuticals. Not sure what to do.

@xcast1 7 месяцев назад

D3 supplement / blood level? Ensure 40+ ng/mL. Resting blood pressure? Also ensure good Mg, Niacine, B12, n-3/ALA supply. Add turmeric, flaxseeds and green tee, and plenty dark greens, berries, fibre/whole foods. Avoid HFCS, limit table sugar to sport context and breakfast. Use full spectrum or infrared/red lamp in Alaska. Get BMI down from 25.5 to

@krisalexan8866 6 месяцев назад

Take a look at Niacin. My Lpa was 3 times higher than yours, no it's "only" twice as high....

@dondajulah4168 7 месяцев назад

I call BS on the argument that it would be that difficult to change. Do we seriously have doctors that are practicing and seeing patients that need to be educated about apoB and the association with CVD? Seriously? From what I understand, the test for ApoB is easier and more standardized in producing results than LDL-C. So we are just going to let millions of people walk around with undiagnosed CVD risk because of these "massive" obstacles? Methinks the real reason might be that the pharmaceutical companies can sell more statins based on the LDL-C standard than ApoB. And if you believe that those companies havent done the due dillegence to check this out then you are an absolute fool.

@gordonv.cormack3216 7 месяцев назад

I think that many GPs just follow the guidelines, and do little independent inquiry. The Canadian guidelines now give ApoB thresholds and targets as an option, but that's fairly recent.

@dondajulah4168 7 месяцев назад

@@gordonv.cormack3216 that Is a reasonable explanation, i suppose, until you are confronted with the millions of people that are worsening a undiagnosed condition because of nothing more than laziness (assuming you dismiss the possibilities of a greed element).

@gordonv.cormack3216 7 месяцев назад

@@dondajulah4168 Not necessarily laziness. Risk aversion. MDs (particularly family physicians) are trained to go "by the book." There is mainly negative reward for creativity.

@dondajulah4168 7 месяцев назад

@@gordonv.cormack3216 not saying it should be left to the individual practitioner. Don’t they have institutions that establish guidelines or best practices? I seem to recall during Covid there was not a lot of hesitancy to establish protocols and procedures with far less evidence to support them. We are talking about a disease that kills more than any other world wide yet no sense of urgency to reduce harm. And this nonsense about the labs not being set up to handle the switch is absolutely laughable. When an educated health care consumer has to insist that the lab work include an apoB test what do you think that does to the credibility of the medical profession? And what about when this same consumer has to explain what an apoB test is to a medical professional? Do they not understand the damage that is caused by not adopting best practices without an acceptable explanation?

@gordonv.cormack3216 7 месяцев назад

@@dondajulah4168 Institutions are conservative and move slowly. I think the Covid example -- particularly in the USA -- shows that if you push hard you can sometimes get less than if you push gently. As I noted, Canada has guidelines, and they include ApoB. That's a first step to requiring it. It took a while to get from "total cholesterol" to LDLC and then from LDLC to non-LDL cholesterol. Patients (and physicians) want some continuity or they feel ungrounded. ApoB is better than non-HDLC cholesterol, and nonHDLC cholesterol is better than LDLC, and LDLC is better than total cholesterol, but this is not to say the older, less precise measures are WRONG. They are just less precise.