I don't worry about mine! That being said, I'm not drinking butter for breakfast either. I feel dramatically better with more healthy animal fats in my diet
I've had high "bad" cholesterol for years. My doctor wanted to put me on a statin. I had heard that getting a coronary calcium scan could determine if I had any plaque buildup in my arteries. It was maybe $100 to do but my score came back at zero. There was no reason I needed to be on a statin. That was 6 years ago and last year I had the scan done again. Score was zero. The scary thing was my doc knew about these scans and didn't even offer it up as a solution. She just wanted to put me on a statin.
Wow! My doctor wouldn’t put me on statins until I had a ct scan. I’m glad I did as it turns out I did have a plaque build up. Since starting on statins, I no longer have the daily headaches, breathlessness and fainting spells
Exactly my story! My total blood Cholesterol was 240 wanted me to take a statin, I said no because of what I've read and researched. She said fine then I want you to get a Calcium scan. I did, and it was Zero, no calcium (palque) in my arteries. I'm Italian, Italians genetically can have high cholesterol.
My mother had high cholesterol her whole life as did her mother. They both died at 96 with no other health conditions….neither took any prescription drugs .
Really? my total cholesterol is 240 and Dr freaked out on me and wants me taking tons of pills and now I am scared, my bad cholesterol is around 160 and good cholesterol is around 155 and trigs are normal.
@@calltherussianIf you are a man over 40 or a woman over 50, for a couple of hundred dollars, get a coronary artery calcium scan. The results will tell you if you have measurable coronary artery damage that has been calcified and is a reasonable indicator of coronary artery disease. If you are younger than that even if you're on a poor path you probably will not have lived with it long enough to have an accumulation of coronary artery disease to the point of it being calcified. The test has no needles, no prep, and when I had mine I didn't even take my shoes off. The only (minor) downsides are that it's not covered by insurance and you get the amount of radiation about equal to a mammogram. It could put your mind at ease or could motivate you to make some sort of changes.
My cholesterol numbers have been high for the past 30 yrs. I’m currently 67 😮yrs. IN 2023 I had an stress test, echo, ultrasound, and a cardiac calcium score (CT) of my heart done. No calcium buildup in my arteries. My calcium score was 0. Yet my doctor wants me on statins. If what I’ve been doing for the last 30 yrs has not caused any plaque buildup and I get another 30 yrs I’ll take my chances! 🤷🏽♀️
this is the same reply someone made almost a year ago. either youre a bot or youre a weirdo copying and pasting comments, because youre lonely and think YT likes ='s friends...
Thanks for your comments, as I just got my teat results back and the doctor said it's bloody high, after reading your posts I think I'm ok as I am, thanks again 👍
My daughter (15) was told she has high cholesterol and because I wouldn’t put her on a statin our Dr fired us as patients. She is not diabetic. We are in Canada.
I remember in the late 70s and early 80s, my relatives who were doctors boasted about being invited on "conferences" on luxury cruises by pharma reps, who told them how much money they would earn prescribing statins where patients would have to buy them for life.
Sooo if you get the 'no name' or chemist brand, do Dr's still get a kickback? And how does the kickback work .. Dr's name on the prescribed drug, so they get a %. Just curious...🤫
My grandmother had overall cholesterol over 600 and the doctor freaked out and tried to put her on meds. She was already 80 at the time and was like no way. She lived to 90.
I was diagnosed with high cholesterol about 15 years ago and was put on Lipitor. Within 2 weeks it caused me to be temporarily paralyzed, for several hours. The Dr took me off the Lipitor, & put me on another statin, that one caused me to be temporarily paralyzed also, except it took a month before the paralysis happened. Then the Dr put me on prescription Niacin, which caused me to break out in hives. I can't take any of those meds for lowering my cholesterol. When I see my GP doctor, he tests my cholesterol & says "you have elevated cholesterol, don't worry about it". And I'm always careful about what I eat, to keep my cholesterol down.
My husband has a total cholesterol over 350 most of his life. All other bloodwork, BP, weight fine. Now 70, is still in perfect health, no meds. On traditional 60s diet. Meat, fish, eggs, lots of dairy, some veges and an apple a day, plus cod liver oil. Last time sick was 1980 with a mild cold. Not genetic. His siblings, children and grandchildren get all the normal seasonal ills.
My Dr wanted to put me on a statin also for elevated LDL & total cholesterol. I had a cardiac cath for what turned out to be esophageal erosions. The cardiologist said I have the heart of an 18 year old. No blockages. Thank you for your in depth teaching on this topic! ❤
My primary care doctor and every single primary care doctor I have ever had has asked me about my diet, pretty substantially. Im in the U.S. Doctors aren't bad.
That is so freakin' true! It's funny (not really) how so many doctors have all the answers in trusting faulty science, incomplete data, and pharma corps' recommendations, but fail to consult with their clients about what we eat -- even when our lab results demonstrate progress towards metabolic health. Too many doctors with tunnel vision driven by failure to self-educate, independent of corporate influences!
@@jakeb934 I've had no less than 15 PCPs over 25 years, and only one ever so much as suggested I reduce my carbohydrate & sugar intake. You have been extraordinarily lucky, or exceptionally skilled in finding conscientious doctors.
I needed to hear this... I was on carnivore diet and all my bloodwork was perfect all but my LDL... Before I started carnivore diet I was pre diabetic and had high blood pressure... I had fatty liver and I had joint pains in my arms and legs. Everything disappeared and I was devastated when my doctor said I needed to stop my diet and he wanted me to take pills for the cholesterol. I am obese too and I lost 60 pounds in half a year... I will now start up my carnivore diet again and tell my doctor to go to hell. If I die I die happier, lighter and with no pains.
@@MonicaMiller-fk8dn That's fine if you're also cutting out carbs. Though you'd need to get saturated fats from somewhere. If you're talking about low-fat high carb diet - that doesn't seem to work for most people.
I’m a fit 58 year old and was given a statin . Took it for a year and did my research . I’ve now stopped the statin as I have no other health heart risks and regularly exercise and am not overweight. More risks taking this drug than not in my case
Serrapeptase, Prescribed in Europe over 500,000×2 avoid and as an alternative for triple bypass surgery. It will clean the arteries with no risks. Take it on an empty stomach away from medication. Do a course of six. 120,000 I.u. Caps x2 day for three months. Repeat every 5 years. It’s also a potent anti-inflammatory Ivel Endt to steroids, but not steroidal. Do not mix with medicine, especially blood thinners or anti-rejection drugs. Sarah Pepes dissolves scar tissue, and will eat up or dissolve any nonliving tissue in the body. This includes calcium from your arteries. It dissolves the calcium. There is no chance of the calcium, breaking away and blocking an artery, causing a stroke., like there is with surgery it’s an an amazing substance, for which nothing else compares.
@@americafirst9144 Most doctors take statins. That tells me they are fine. Mine gave me great numbers. Also Harvard studies have shown those on statins have a 40% less chance of heart attack. I have had no side effects either...People just love to complain. It's funny because most americans will take all types of drugs from pills to alcohol but they cry like babies about statins lol
I love your statements here: "no other health heart risks" "regularly exercise" "not overweight"... Those statements are part of your overall picture which helps your doc determine if s/he recommends Rx. Primary care is not the evil presented on this thread; we are overworked and loaded with unrealistic expectations (it would take us 3-4 hours per patient to accomplish all the "recommendations" put out by all the professional organizations) which cause some of us to treat our patients as if they are all cut from the same cloth. Having practiced in the military, where we have more time with our patients (often), we have the ability to discuss these things. I'm sorry so many people have had bad experiences with providers who don't research the patient. I'm grateful there are patients on here who are doing their research and coming to the exam room with questions!! Thank you for posting this!
I'm 54 and my LDL is 162, HDL is 78. I asked about a statin and my endocrinologist said no, not needed because I do not suffer from any other ailments such as diabetes, or being overweight. He actually said I was underweight. After menopause, I gained 15 pounds in a matter of weeks, so i spoke to a nutritionist and she put me on a blood type O meal plan which consists of protein, no sugar, and veggies. I been on this meal plan and dropped the 15 pounds in 2 months. I'm over all happy with my results, but that high cholesterol in my blood results always stumps me. I hate feeling unsure.
I don't worry about it. Mine has been 235 to 240 for 40 years since I was 37 and back then 235 was considered normal. Pharma kept lowering the numbers every 10 years. I think pharma just keeps lowering the safe numbers to put more people on stations. Scare tactics were used by a cardiologist on me so I dumped him.
I believe you. I had all sorts of tests to find out why my BP was so high. There is nothing wrong with my heart or my kidneys. After so many trials and errors from my doctor, I went on keto. Guess what? My BP is down to 110/70.😊
i have high triglycerides. when I reduce it through excercise, ldl sky rockets. can you please give an explanation? my ldl is 208, triglycerides is 276. previous it was 160 and 321 respectively.
Kind of like Total Testosterone ranges are getting lower and lower. We're getting sicker and sicker (fatter). Healthy TT numbers were higher back then.
They also take your blood early in the morning AND insist you don't eat anything before that. And we all know, when you're in fasting, your cholesterol could get quite higher than normal.
I’m 42 and have always had cholesterol over 220. As high as 400. Normally it’s around 300. But my HDL is normal 60+ and my triglycerides are under 100. I’m very active and fit and avoid most sugar and carbs and eat organic and grass fed and feel great. This video was the best I’ve seen and super comforting and informative. Thank you!
I agree. I read about the side effects and I was like forget it. I actually asked my endo about my cholesterol, and he said I didn't need a statin bc I didn't suffer from any other ailments such as diabetes or being overweight.
My LDL was always high, last time over 300 and my cardiologist from Cleveland Clinic did not worry about it (like me) Had a heart cath 1 year ago and all is fine. I am 69 yrs.
@@nishihundan1257 Work on your reading comprehension. He said he had a heart cath 1 year ago. He did not say that he had the heart cath due to his high LDL.
My cath was clear. My ldl 120 and Hal 45 total cholesterol 160. My doctor put me 20 mg statin. My total came to 90 ldl 30 Hal 45. But A1c was 6.5 which I think was result of taking statins. But doctor still put me on 10 mg statin. I have bad leg pain. Thinking to quit statins
@@kalsoomsaeed6582 A1c can rise, and muscles problems can occur on statins, as well as dementia type symptoms. Consider taking CoQ10 and see how you do without statins for a period of time. If you improve, you'll have your answer.
Wonderful explanation. My husband just went on the carnivore diet because of rheumatoid arthiritis. He is active and has a physically demanding job so he goes to the gym regularly to prevent injury at work. Once I put him on the carnivore diet his pain in joints got better. Also his love handles disappeared and he lost that extra weight he's been trying to get rid of. He went for his annual physical and he came back with high LDL. First time in his life. Dr told him to eat less meat and stay away from animal butter. But that's been his main diet. His blood sugar leveL came back normal as did his triglycerides and HDL.
Same here......raised HDL, lowered trigs, but raised LDL. Doc says.....Keep doing what you're doing, but stay away from red meat and eggs. That's how I got there! 😂 😂😂
High LDL can easily lead to heart attack and stroke. It’s literally the number one killer in the U.S. you can have clogged arteries and look healthy. It’s insane to ignore this obvious information. Getting advice from people who don’t understand this simple concept is dangerous
@@PTucker0864, Similar situation for me, except that my Dr. said he has patients who eat 5 or more whole eggs every day who have lower LDL-c than mine. (He has never seen anyone's even half as high as mine is now. I was more worried about him having a heart attack than I was for me.) He knows I will not take drugs, so he suggested eliminating bacon for a month or so and re-test, and add an extra egg or two to the two I eat now if I need them to make up for the missing bacon. Not sure how that will affect percent of calories from fat vs protein yet, but it sure won't be as satisfying. Lots more videos to evaluate...
I was on statins my legs hurt so bad I could barely drive my car or sit for anytime… my doctor told me it’s probably a pinched nerve… I quit taking the meds in less than a year my legs are fine
Glad you mentioned the timeline of your recovery I was on Statins for long time and took me a long time to get over it. Drs. say recovery can't be that long. I disagree. The research on statins is flawed. There was an article some years ago in the New York Times about the benefits of statins. There were some 1700 comments to the contrary.
I’m trying to get my mother to at least temporarily quit taking statins hoping it will help ease neuropathy in her legs. How many months did it take before you started feeling better?
Absolutely the best explanation of LDL I've seen. I feel well armed for the inevitable statin conversation I'll be having during my annual physical in two weeks. Thank you!
How’d it go? I have mine on Monday and every year I feel like I have to repeat the same thing and say thank you for your concern, but I’m willing to take the risk.
hmm...a psychiatrist debating an actual physician on cardiovascular health. Attia wins based on credentials alone, but noone will ever believe him because people believe what they want to believe. Just look at this comment section.
I am a 52 yr old 20+x 70.3 triathlete and my apo A just came back through the roof (300 range 🫣) I’ve been a an athlete and a health nut all of my life and my dr says I have to go on a statin. I just can’t do it. I’m also a ND and It goes against everything I believe in.
My cholesterol has been high(210-230) most of my adult life. I am 5’10” and 170 lbs with 34 inch waist. Completed carotid, femerol, and heart scans at 63 years, zero plaque detected. My doc feels the high cholesterol readings are ok if I continue to exercise and keep my weight in check, and likely how my personal genetics deals with the cholesterol. So no statins have been subscribed, now 68 years old.
Don’t fight your doc when they insist that you go on a statin - they get their feelings hurt and are insulted - just tell them you have terrible side effects They have to recommend them - and they’ll never know you are throwing them away I have had cholesterol nearing and over 300 for 30 years and I’m in great shape - and have been on Keto for years
I did that for years! Every time I got labs come back with high cholesterol, my doctors wanted to put me on a statin medication. I have Degenerative Bone & Disc disease so I live in pain constantly. Instead of arguing with my doctor, I'd take the script, never fill it, call 2 weeks later complaining of "bad aching from the medicine" and then I started taking otc Niacin which actually helped me. This was before electronic monitoring started. Now if my doctor tries giving me a statin I just flat out refuse. Most times I trust my doctors, but with medications, I don't blindly take them just because they say to. I will research before because a lot of times the side effects can be a hell of a lot worse than the problem they're prescribed for.
My doctor described Statins. I got the Statins from my fharmasist. He must make a living. When I came home, I throw the Statins in the toilet because I have to live too.
I'm sorry , but that's not going to change a corrupt system....its a big Pharma money making evil scam....and needs to be called out for being so. Have courage , stand up for truth..
I’m no doctor, but I ignored my doctor’s advice about taking a statin for persistently high LDL. I did this because I have been an endurance athlete for my adult life. Tip top shape. But as my LDL numbers deteriorated into my 50’s my doctor ordered a CTA. I had extensive plaque scoring and was more than 50 percent occluded on the right side. A 91st percentile (bad) for my age score. I have no idea if my condition would have changed had I started a statin 20 years ago. But I’m on one now and tolerating it well. The conflicting advice is so hard to sort through.
Hi. Thank you for telling us your story. I'am a cardiologist in Europe. I have many patients who play any kind of sport in a high level over age 50. Yes its true, some of them are on statin medication for a long time and they didn't get these dreaded disease such arterial sclerosis, stroke or coronary artery disease or myocardial infarction. Those patient who gone have benefit ftom statin therapy must be selected properly. Sports can be a dangerous thing if you do this wit athersclerotic diseaese.
I wonder if your activity level is to blame for atherosclerosis or if linoleic acid intake is high or both What is your fasting insulin as Saladino suggested in this video?
My fasting insulin is 98. I don't doubt that my diet has contributed to my numbers. My most recent lipid profile from just this past week was triglycerides 58, LDL 77 HDL 69...so the Crestor is working for me. Still hate having to take it. @@jeffroberts760
Similar story for me. Always had high cholesterol, but chose not to take statins because I exercised regularly and questioned the effectiveness of them. Ended up having quadruple bypass surgery at age 54. That was two years ago and I now take my statins daily with no side effects.
For a long time, I had high cholesterol around 250 I started a Keto Diet and some Mediterranean checked again and it went up to 285>My guess is I did eat too much Meat and dairy products and coconut milk/cream for my espresso and too much eggs. Of course, my doctor wanted to put me on Satin right away but I convinced her to wait for two months reduce my meat intake and cut all dairy products .Use clarified butter and virgin olive oil but mostly virgin coconut oil . But as I found out the keito diet raises the cholesterol? My glucose level is fine (avoid sugar) my blood pressure is 108 to 120 0ver 75
Nice post Dr.Paul. Cholesterol in the blood does not cause atherosclerosis and is essential for the brain. Calcium in the blood does cause atherosclerosis.
No, cholesterol in the blood absolutely causes atherosclerosis. It's crazy that people here are falling for this grifter despite the mountains of evidence to his contrary.
This is hands down the best explanation of LDL, HDL, and Diabetes on RU-vid. Bravo Dr. Saladino, thank you so very much, your explanation of what is happening in the body and what is happening was great!
From the guy that preached carnivore for ages, until he self ditched the diet because he was completely wrong about it. I don't understand why anyone takes anything he says seriously.
"his is hands down the best explanation of LDL, HDL, and Diabetes on RU-vid." NO, the best explanations of the topic are over at the Nutrition Made Simple website--very deep and neutral discussions of all sorts of topics--and he tactfully demolishes the terrible study that Paul talks about here. I research and teach nutrition and saw how terribly flawed that study was, but Gil explains it better on his site at ""The Truth about Saturated Fat | New Narrative Review"
@@cyberfunk3793 Dude added a hand sized portion of fruit with each meal and all of a sudden the guy has completely moved off his stance in regard to a proper human diet? Nah, dudes still preaching extremely low carbs and meat, eggs, and dairy. I mean he adjusted his argument (on diet) at best, not dropped it. It’s like saying (hypothetically) that Stalin, instead of slaughtering all citizens, he “dropped” his stance because he wouldn’t kill kids under 5. Like it’s still mass genocide. Similarly, it’s still a near all protein diet, more specifically an animal base diet. Let’s not exaggerate as if, by adding fruit, the guy’s argument regarding diet is suddenly, completely void of all credibility. And that he is now a vegan.
@@dc6953 extremely low carb? 😂 Dude got his testosterone destroyed on the poor carnivore diet so now he eats honey which is basically sugar. He eats hundreds of grams carbs a day. "The fruit Saladino eats are mostly tropical and local varieties of pineapple, mangos, and papaya. These constitute up to 200-300 grams of carbohydrates in a day. "
The standard lipids panel tests the amount of cholesterol in the LDL particles, which is notated "LDL-C". The particles could be large or small and still have the same LDL-C. The current theory of atherosclerosis says that the LDL particles penetrated into the wall of the artery through narrow channels between the endothelial cells that line the artery. Small particles can move through the channels (junctions) more easily than large ones. A measure that is correlated with LDL size is the ratio of triglycerides/HDL-C which you can calculate from standard simple lipids tests that are usually done. If the ratio (in American units of mg/dL) is less than 2, that's a preponderance of the large "fluffy" LDL particles, which is not atherogenic. Trig/HDL-C is affected by your insulin sensitivity, so keep your diet low in carbohydrates (especially sugar) to keep trig/HDL-C low, the theory says. But it's more complex than just LDL size. There is a brush-like fibrous gel coating the endothelial cells including over the junctions, called the endothelial glycocalyx, which acts as a filter among other functions, preventing large particles like red blood cells and large LDL from penetrating through the junctions. Experiments in mice have shown that the glycocalyx is damaged and thinned or absent at locations where atherosclerotic plaques usually occur.
I'm 78 non diabetic and my cholesterol is always 260 . Triglycerides under 90. The Drs hate me because I won't go on statins. My husband is 80 and diabetic and his cholesterol is always under 200. The Drs get mad at him too because he won't go on statins 😢😮
Not worried about cholesterol and not worried about smoking either. Full carnivore now nine months - and one pack a day smoker. No IBS, no anxiety/ depression, lots of energy and no lesions on my lungs or calcium plaques in my arteries. The medical establishment lies to us about nearly everything. Do your own research!!!! Thank you, Dr. Saladino!!
I listened to this just prior to going to my doctor to review my bloodwork results. Everything this doctor said would happen happened. Once I asked my doctor about my metabolic health and the correlation between that and ldl levels, the conversation changed and statins were no longer recommended. We need to educate ourselves about this in order to have a meaningful discussion with our doctors. Great discussion here! Thanks!
I went in for my annual check up in my 20’s and my doctor decided to check my cholesterol for no apparent reason. I hadn’t fasted since I didn’t know it was going to be a blood draw visit and my cholesterol was super high. He wanted to put me on medication and I refused and insisted that we do another test but this time when I had fasted. He was annoyed but allowed me to do it again. Wouldn’t you know that my cholesterol was fine when tested correctly.
According to the doctor my LDL was high. Because of that l was told that l need to be tested for prostate cancer, TB, and bone disease... I was referred to a Urologist that referred me to go for bone scanning. There l was bombarded with X Ray for 1 hour. Since then l have become more sick, symptoms that l never had all my life. I am in my 70's, l dont drink, don't smoke, don't do drugs. I eat healthy, l work out. So once you are in their hands they'll extract every ounce of juice from you in order to charge the Medicare System the maximum possible. (my case)
I think you're right. The docs push big Pharma's latest discovery which probably tortured and killed a lot of innocent animals to get whatever results they got, which often turn out to have awful side effects for humans...no one wants to take the time to look at each patient individually...just push pills at you. Individual research is mandatory.
Worse is when you get a prostate biopsy. They stick needles in your prostate to measure the density of cancer cells. In effect they spread the cells outside the treatment field and then wonder why the cancer comes back years after surgery or radiation.
0:59 That’s me, he just described my experience. Twelve years ago, at the age of 60, I was told that my cholesterol levels were high and needed to go on the prescribed medication. I said no thanks. Here I am in my 70’s in good health, don’t smoke, very conscious of what I eat, I don’t eat red meat; I will have a glass of wine with my meal on special occasions. I practice yoga, and walk to all my day to day activities i.e appointments, shopping etc. I have maintained the same 120lbs all my adult life. And yet my doctor is lecturing me about the dangers I would face if I don’t take statins to reduce “high cholesterol” The doctor’s explanation for my high levels of cholesterol is “genetics” I am not buying his explanation. If my genetics is the reason, then my body is okay with it. I refuse to take a drug because that is not a cure. The said doctor told me that he would no longer have me take any more cholesterol tests in the future because I refused to go on his prescribed statins.
I was put on statins by my doctor after bloodwork showing high LDL and HDL, as well as high Glucose. But after reading up and viewing stuff about statins (and some strange side effects that I think is related) I'm going to quit that. At the time (and still) I was fasting regularly and eating an 80% carnivore diet (basically keto). From what I understand, fasting and keto will raise those cholesterols and sometimes the Glucose as well. The thing is... those blood results were the first I've ever had, so no-one knows if they were that high when I was younger. As per usual some doctors just look at things they've learned through med-school and have no clue.
I have had extremely low ldl and total cholesterol. Ive had dozens of advanced lipid panels which showed me at zero risk for heart disease. None the less I have very aggressive heart disease. Very low ldl with large particle size. Cholesterol is a myth. Your body needs it
5’7”. I am 65 years old. After 6 months on a Keto diet here is the result. Heartburns gone Dry flakey skin gone Body itching gone Sensing things crawling on my skin or hair gone Heart palpitation gone Stomach pains..gone. Always some black heads somewhere on my face. gone A bump, ingrown hair on my leg for years just suddenly came off. Poof, gone. Lightheadedness, gone. There was a strange, odd itch on the side of my left foot. I inherited it from my ex wife. she got it from someone else, it would appear every so often, gone. Bleeding gums here and there I used to get when flossing, gone Back pain, neck pain especially when I get up in the morning, gone. Glass/shard feeling in my elbows gone, I just don’t seem to notice any hemorrhage, gone Dandruff gone. Most of the floaters in my eyes, gone. Restless leg syndrome I had once in a while, gone. Man boobs, gone Love handles, gone. Peeling finger nails, gone. Hives and bumps on my skin every so often.. gone. ===================================== Added bonuses: Feeling of comfort inside my body at all times. I tolerate cold and hot weather far better. Very interesting. Unlike before when my feet hurt after walking for a mile or two, I can walk for miles and miles without any pain whatsoever. I don’t feel bogged down.. Just a fresher energy. The air feels better and my mood is simply much lighter and better. Sleep is much more restful Eyes look more clear, more whiter. . Just found out by going to the eye doctor that my eye pressure has dropped from 15-17 to 10-12. No wonder. Both of my nostrils are evenly open… I can breathe from both nicely. I don’t get cuts easily. Stronger skin. Emotional health better than anytime in my life Mental clarity and alertness, very good. ---------------------------------------------------------------------------- HDL-C went from 40 to 75 Triglycerides went from 225 to 49 A1C dropped from 5.7 to 5.3. Not sure how long I have had high blood glucose. Weight loss without hardship, 210 to 170 lbs. Average blood pressure dropped from 140/90 to 120/75 ================================================= The so-called bad: Total cholesterol from 183 to 491 LDL-C from 104 to 350 GIVEN EVERYTHING YOU HAVE READ DO YOU THINK I CARE ABOUT THE LAST TWO NUMBERS….?. NOT. Chances are they will hit 1000 in another year’s time. Read my lips I won't give a damn. That is right. ========================================= And oh hear this: So it just came to me that I hardly poop much. With all the heavy duty meat and eggs I eat everyday, where on earth do they go? I poop maybe once every 3 to 4 days. What on earth? No, I have no stomach cramps or aches or anything that resembles any discomfort. And absolutely no gas at any time. What on earth? The truth is: The body uses all of it for nutrients. There is hardly any waste and THAT IS THE TRUTH.. Your typically mumbo jumbo carb diets cause every mischief there is including and not limited to gas and poops and the rest. Bara bang bada boom. 😂
I'm 60, 5 7, 133lb, long story I won't get into but my one question, and the Drs don't know or care, they just want to big pharma me, my question is , I Have Multiple Sclerosis, I eat low sugar, low saturated fats, but I don't eat red meat, only chicken, turkey and salmon, what , in your opinion, and what do you actually eat for Keto and to get into ketosis, I don't have a lot of fat on me at all, do I eat the fat foods to burn fat?? or how does that work for you ?? I don't know what fatty food to eat that's healthy, I thought keto was healthy fats not fat fats , I'm so confused, Drs don't want me to do keto but I want to so that's why I'm asking you, you seem smart with this. Thank you if you decide to comment back !!! Have a nice day 😊
@@zenfan1098In carnivore is not just that you eat the meat of ruminants which chicken, turkey and salmon are not but its what you don't eat. Just try it for a month and see.
@@mrofnocnon ok, I might sound ignorant by your answer, but try what for a month, just eating the meat only, or 😵💫I guess I don't understand the answer,I'm sorry 😔
There are two types of LDL one of which is CVD neutral and the other, Oxidised VLDL which can end up in the arterial walls and therefore increased risk of CVD according to Dr Rob Lustig.
That was just flat out excellent. Total cholesterol 222, LDL 133, HDL 59, Trig. 150. Doc convinced me take a statin a month ago to reduce LDL. I am 5"8" 142 lbs. Very active runner. Rethinking my decision.
Get off the statins. They cause dementia. I had a heart attack and they put me on them and I was miserable. I'm taking nothing now because I'd rather have another heart attack than take their poison.
If you tweak your diet a bit, eat more vegetables and fruit and less meat, your ldl will go down. Also keep the inflammation and processed food and sugar down.
"That was just flat out excellent. Total cholesterol 222, LDL 133, HDL 59, Trig. 150. Doc convinced me take a statin a month ago to reduce LDL. I am 5"8" 142 lbs. Very active runner. Rethinking my decision." Except Saladino's claims have been widely de-bunked and speaking as a researcher who studies nutrition myths, the study he is referring to is junk science that made me so mad I had to go work out to blow off the steam. Go over to Nutrition Made Simple on RU-vid: Best neutral and science-based site with clear explanations. The truly normal range for LDL is more like 30-70, plaque and rates of major CVD events increase the higher you get above 70, but the real problem is elevated apoB levels, and with LDL more than double what is physiologically normal/healthy and TG levels that high, your apoB is probably too high. Unfortunately, being a runner doesn't fix it: Diet matters more than exercise for this (although exercise is still great). Have a relative who ran 30 marathons then found out he had a CAC score of 700--meaning advanced heart disease.
Dr Saladino has done a great job of explaining the issues of cholesterol. I totally agree that one of the best predictors of impending atherosclerosis formation and growth is the oxidized LDL. On any evaluation testing for cardiovascular disease I do a fasting lipid panel, and I prefer the NMR Lipoprofile as it provides much more information about the lipids, as well as a fasting insulin and an oxidized LDL. With this we have a much better picture of the patient's health status. Great job guys. JF
LDL 222, HDL 68, calcium score 1600, told to get on statin. I am very active - exercise 7 days a week, run and lift weights. Boby weight low. Questioning the recommendation to take statin.
*I'm not a doctor* so take this for what it is. According to Dr. Saladino If you have plaque build up (High Calcium Score) it's because you have arterial damage and the LDL is trying to heal the damage. The Doctor said to have your fasting insulin checked if high LDL does occur to see if you have insulin resistance which can cause arterial damage. *Once again I'm not a doctor* but Since you have a high Calcium Score (plaque build up) it would probably benefit you to A. just to be safe lower your saturated fat intake to slow the build up until you figure out if you have insulin resistance Or B. just get your insulin resistance tested and if something needs to change in your diet/health go from their. But that is a very high C score so A. may be the way to go. But if your anything like me I do what I want and so should you. 😉
My aunt died at 102. She had high colestral but dr took her off the highest dose too many side effects. Because she took quite a lot of other tablets. Shebroke her hip at 99 survived that after that hD carers but was quite happy hadxa lot if visitors also had irregular heart beat. Some people defy the odds.her brain still sharp
I have significantly high familial cholesterol levels. No one in the family has passed away because of heart disease or heart attack. I had a coronary calcium score done and it is also super high. Yet blood pressure is 120/80 and no issues on the treadmill or exercising. Yet the doctor wants me to be on a statin which I have done and now I have bodyaches. Should probably quit.
I could have written this myself - same for me. My blood pressure is low 110/70 and I think that's because I take K2. My cardiologist didn't know anything about K2 and said I need statins...I continue to refuse.
Same here ,like you(familial and extremely high) was on it for 30 years ,just decided to stop about five years ago How high are your numbers though ? (I was around 12 Total cholesterol )
Happy to see Dr. Paul explaining such a nuanced issue. I would love for him to explain what's relative and pertinent in a lipid panel for a type 1 diabetic.
Thank-you! Although I knew that cholesterol was only a correlate of atherosclerosis, I let a doctor stress me out over an excellent metabolic panel, but two markers that were high: LDL and ApoB. He freaked and really, I let his reaction scare the bejesus out of me. It is now a month later and I’m fine again and continuing to protect my liver and lose weight on my keto/carno/intermittent fasting regime. However, listening to Dr. Saladino brought me all the way down off of the cholesterol-spooking ledge.
My liver enzymes are now in the teens and I have been intermittent fasting since December 2022. I try to give my liver at least 10 hours of rest from eating. I’m lucky, because I have never been hypoglycemic.@@user-kh8bp6ue8y
I appreciate that this can be a risk factor. However, Insulin resistance is the number 1 cause of cardiovascular disease. The high cholesterols are a distant risk after smoking, obesity, and several others. I have a family history of obese, smoking late 80, 90, and 100-plus-year olds. I only know incidentally of the cholesterol levels of a couple and they were higher than me. @@locybapsi174
Not a dang thing to be concerned about,.. much less scared silly over!! Stick with Keto and fasting and you will be verrry healthy and feel absolutely Greattttt!!!😎
Awesome content Doc! Thanks! I learned the basics of this a while back, but I have never heard anyone come close to this explanation. My cholesterol has always been high, but so is my HDL. My primary doctor is always suggesting a staten drug for me, but that is not happening!❤ Just an update! I have dropped over 20 pounds since I last saw the doctor, I'm certain my numbers to include cholesterol is going to blow him away. Back to my 40 year old wait 20 years later. No drugs needed!
My grandfather never went to a doctor, worked hard physically from the age of 8 , smoked from the age of 8 Had home grown vegetables ( which he grew)and red meat every night washed down with a bottle of dark brown beer. In his 40s he jumped out a burning building window and broke both his ankles. His only stint in hospital ( which he swore he would never do to again, and didn’t) He lived till 86 . Died of a bad cold turning to pneumonia . Smoked roll ups since 8 years old. Didn’t trust doctors or banks since the 29 crash!
I consulted my doctor and he recommended I go on a statin as my ApoB is 90 and Lp(a) is 99. The rest of my labs: Total Cholesterol: 201, LDL: 118, HDL: 75, Trigs: 45, VLDL: 8, Tot/HDL ratio: 2.68, LDL/HDL ratio: 1.60. 💚🤙
Thank you so much Dr. Saladino for a brilliant commentary. My Dr. had me in panic mode saying my cholesterol is too high with a non fasting blood test. And wanted to out me on a statin which I refused. I said i would lower it with an even healthier diet and exercise even more. My total cholesterol was 272. I feel very good tho. I think mostly non fasting gave a higher reading. i am physically fit and do not want muscle aches from any stations. I do not like any drugs.
Great discussion - Dr. Saladino, I'd love to hear you discuss this (especially LDL and APoB) with Peter Attia, who has many podcasts on the dangers of high LDL and APoB. You two are seemingly polar opposites, which adds to my confusion.
My LDL is 89 and my Dr told me to take 15 mg cholesterol meds since I’d had 2 small strokes 2 years ago ( have no noticeable effects). When I questioned this, because my numbers were far below the ‘target’, I was told I needed to stay closer to 70 due to stroke history. I eat no processed foods, fast food or sugar, eat lots of fruits and veggies, nuts and drink lots of water. Eat food I mostly cook and mostly clean without going too over the top and I exercise. Dr said there’s nothing more I can personally do to ‘lower’ my LDL. Can anyone offer advice? Thanks for a great video!
Your LDL isn’t high. Maybe you’re stressing too much and that’s what caused your strokes. I can kind of tell you are stressing because you’re stressing about an LDL of 89.
What is your blood pressure? I had an eye stroke, retinol artery occlusion, due to high BP. My cholesterol is high too, but my carotid arteries and echocardiogram were fine. So, it was more high BP causing the eye stroke. I went on Crestor afterwards and it almost destroyed my kidneys. My leg muscles were breaking down and releasing toxins. I stopped Crestor and my kidney function is getting better. I am now starting on Zetia and doing better with my diet. Sugar and carbs are my vice.
The Dr said my cholesterol was 169 and according to them that is high. I told her I did not want statins. She came back with some kind of new med that is not supposed to be a statin and it was $400 a month. I never got it filled. I have figured out doctors are made to write you a prescription for whatever that blood work says you need and under no circumstances can they not prescribe you something. The Dr cannot tell you statins are bad for you or any other medicine!! I am just learning about all this so please tell me if I am wrong! The doctors are told by someone bigger than them they have to prescribe you these medicines!! Even if the doctors know they are bad for you!! Doctors are puppets and it blows my mind!! I started realizing this during Covid. They would lose everything if they came out and said anything negative about the narrative behind all that business!! Sorry for this being so long but I don’t think a lot of people know this, if I am correct?? lol!! I think it’s going to be hard to prove me wrong!!
But on a note. I raised my HDL from 28 to 60. Triglycerides down to 79. Triglycerides were around 300. My liver numbers are awesome. I cut safflower and all seed oils. I use ghee, butter, lard and I cut pasta, rice, and bread for a few weeks and my metabolism became flexible. I didn't bonk anymore. I'm 58. My doctor knows what I am doing but freaked out at my high LDL. I explained the HDL triglycerides ratios and having LDL high is good for the immune system. She agreed. The blood test of course gets flagged when LDL is high. She agreed and knows about keto and insulin resistance. The stiffness in my elbows cleared up and my memory is really good. I am not overweight at all. But I was insulin resistant. It was obvious. And I reveresed it. I can enjoy sweets occasionally, too. The worst offender us safflower oil. I believe it lowered my HDL to 28 and a health book recommended to use it because it didn't have a strange smell like canola.
Get rid of being worried about it and get that calcium test they talked about done to determine if there's A real concern. In addition start cleaning up your diet right now before you even get the test it's never going to hurt you to eat healthier ever. Remember the first way to battle any illness is to get your mind right. Good luck to you.
I find a lot of physicians are pissed at the internet because people can now educate themselves and keep up with current medical trends, something a lot of doctors don't do. My heart Dr only worries about cholesterol and always pushed statins. That's why I am looking for a new one!
I cannot reply. It is like a maze to do so. You are so correct. It is about medical freedom! They do not want that. From What I understand they lowered the number to start pushing the statins sooner. The beast system is so crooked!
I cannot reply. It is like a maze to do so. You are so correct. It is about medical freedom! They do not want that. From What I understand they lowered the number to start pushing the statins sooner. The beast system is so crooked!
Why do people keep using anecdotes to draw broad conclusions about health metrics? You understand that cherry picking a single outlier tells you essentially nothing about something like the health effects of high blood pressure or LDL levels?
One more thing I have known someone who was taking a statin for years and their CAC score was 2000 so how did happen if statins prevent artery disease!
I am 66 been diagnosed with high cholesterol for 30 years. Doctor wanted to prescribe statins I said no. I dont smoke, drink and consume drugs. Walk 6 kilometers every day, eat right, take vit a, b , and d. So far so good. I cant advise you not to take statins. You make your decision and dont let doctor intimidate you
Some great points Paul is laying out as well as setting the notion that there are some nuances that need to be expressed. For example: A fasting insulin doesn't in and of itself measure for insulin 'sensitivity'. There is no blood test for insulin sensitivity. it is an educated guess or assumption. My fasting insulin and C-peptide are considered optimal, my lastest blood tests: Triglycerides: 110, HDL 82 (Tri/HDL ratio -1.3 supposidley optimal), Fasting Glucose 100 pre/pre diabetes, Ha1c - 6 - pre diabeties, C-peptide 1.6 optimal, Fasting Insulin - 2.9 optimal, and so on. You can see that I have insulin resistance or some metabolic dysregulation and inflexiblity. I am sharing this to give you a heads up that people need to work with a seasoned and expereinced functional metabolic practitioner to successfully assess and guide an individual towards optimal metabolic flexibilty. A much more valuable assessment would consider a fasting glucose tolerance assessment with insulin draw at each stage of the 2 hour assessment and instead of using the 75grams of pure glucose, one should consider using real food that would be their worst case senerio like a bagel with butter and cream cheese, or a 16 ounce fruit smoothie, or some real food carbohydrate source that mimics real life senerio rather than a lab rat assessment. Awesome -go get it. Dan Hegerich, 6x Cancer Survivor, Post Cast Host, Heroic Performance Life Coach.
Isn’t one way you can know if your LDL is “bad” related to the particle size? If you have small dense LDL verses large and fluffy you are more at risk for artery damage.
Cholesterol and LDL are red herrings. Insulin resistance (eg type 2 diabetes) is at the critical stage for many risk factors, not just cardio events. I read somewhere that arterial damage occurs very often near vessel junctions where blood flow eddies happen (my brother has 2 stents at exactly these points). The endothelium is not the first line of defence of blood vessels. It is the glycocalyx, the strands of proteins lining the endothelium. It has biochemical as well as biomechanical properties (hence the eddy theory). It is thought that high blood glucose levels slowly reduces the thickness of glycocalyx, which needs time to repair itself. A constant high carb diet (i.e.blood glucose) can completely remove the glycocalyx and allow the endothelium to be damaged. The blood always wants to clear insulin which, oddly enough, does the damage.
ApoB is the most accurate predictor of CVD. If it’s high you should be worried. This Quack’s carnivore diet might be great for losing weight, but not for a healthy heart.
@@Calibrad "reverse everything" doesn't mean anything. It is pure vegan-babble. Plant-based diets are high carb, so they maintain high blood-glucose and insulin levels. That's chemistry and endocrinology, not epidemiology or mythology.
Sorry to hear about your father passing. Now why would he pass away because of the COVID vaccine? It wasn't high cholesterol, or one of many dangers we find ourselves in daily... Repeated exposure to some toxic chemicals at work or in the environment... It was a simple vaccine that did him in huh. Idk about you but I'm part of the greatest species on earth. We've survived thru some terrible stuff right! it'll take a lot more than any vaccine to do me in. Let your father rest in peace! Saying it was the vaccine is like saying he was a delicate human who couldn't even handle a vaccine. Not the virus itself but the vaccine 🙄
What Dr. Saladino says is so critical. My uncle was killed by wrongly prescribed statins. Instead of fixing his metabolic health, the drs. kept him on statins until his musculature deteriorated to the point of him being bed ridden and eventually dying a lingering death in a hospital.
@@Ex_877 They also care about not getting sued, and if the insurers and the corporation controlling their medical practice tells them to prescribe or not prescribe X due to statistical risk, they seldom resist for the nuanced good of the individual. Or even try to see the individual profile. That was implicit in this doctor's talk.
As a GP in Australia, Some guy sued me because he had a heart attack. His argument was that one number on the lipids panel was out of range ten years prior, so it was all my fault. My medicolegal team grilled me as though I should have put him on a statin. This illustrates the defensiveness that permeates Australian healthcare. No doubt it is similar in the USA. Luckily, specialist medical opinion supported me.
we’ll my parents both have heart disease and my mom just died from congestive heart failure and so does my dad who is still alive and my numbers were the highest ever so i’m back on statin and changing my diet to the mediterranean diet so i’ll be checking again in three months to see the changes how can you tell me that not to worry ?
oh wow, that's exactly my case. LDL increases, but TC is at the lowest of the standard, HDL is perfect, insulin is perfect. Doctor prescribed statins and a bunch of other drugs for liver. Why I asked myself? I checked these markers like the speaker mentioned. I am a perfect healthy person!!!
This is excellent! Thank you. This is why I'm passionate about helping patients overcome insulin resistance/pre DM/DM. I think it's tied with reducing belly fat for the best way to avoid HD. Thank you again!
My 44 year old neighbor had high cholesterol and had a heart attack, they put in 4 stints and accidentally Poked a hole in his vein as they were putting in stints, his heart electrical system is all messed up and he’s been in the hospital for 6 months. He chewed tobacco but ate fairly healthy
I asked my doctor to do the HOMA-IR blood test and she knew nothing about it. She said she only orders blood tests she knows how to read. That’s weak since ranges are provided, I can read that. Ugh
This puts my mind at rest and is. to my way of thinking, a very plausable argument. My docter didn't even know that one can test for insulin. Thanks Paul
I think statins are over- prescribed to some extent for sure. However, in 2015, I was 54. my total cholesterol was at 230, I was told to take Lipitor daily. I did not take the statin, because I was always healthy and exercised and never got sick. Fast forward to February 2021, at the age of 60, I had a stroke which wiped out my right side of the brain, due to cholesterol plaque that had blocked the artery to that side of my brain. Fortunately, I was not incapacitated by the stroke, I do have aphasia which causes me to stutter and stumble on words at times. Long story short, I wish I would have taken the statin when it was prescribed for me. Later it was learned my right Carotid artery was completely blocked by cholesterol plaque. Not due to a bad diet or lack of exercise, due to genetics. I learned a hard lesson. Also, I never felt a muscle ache due from taking a statin, no obvious side affects for me.
Loved this broadcast tons of good information for the layman.20 years ago I was told I needed statin I refused based on the grounds that statin is a con (my words) the doctor was pissed off when I told him so,I am now 82yrs and my cholesterol is the same as the first time.(p.s.)I would not touch canola oil it has had the crap processed out it and it is a GMO.
Great explanation of very complex issue. I wish all the doctors could explain the basic mechanisms of any chronic disease. Obviously, it is easier and more profitable for them just to put patients on pills. "Corruption in contemporary medicine", oh that book would have 450 trillion pages :)
Yeah it seems like nowadays they just give you pills here pills there, no explanation. Instead of fixing the underlying condition all they do is temporary fix. It’s all money driven now. Cause if they actually fix you, you will stop going back to clinics/hospitals.
When ApoB does not correlate with LDL cholesterol, ApoB is the marker to watch. Risk follows ApoB more closely than LDL cholesterol. HDL cholesterol is a weak predictor of cardiovascular health so ratios based on it are much less than ideal.
The glycated lipoproteins is the culprit involved in the inflammation causing the artherosclerosis plaque. This is the link between metabolic dysfunction involving glucose metabolism and heart disease. High fat consumption is not the killer, it is the high fat consumption and high refined carbohydrates. This is the recipe for chronic disease. Low carb / ketogenic diet is the key.