Ep:303 BLOODWORK FOR CARDIOVASCULAR DISEASE: AND ONE PLACE A STATIN MAY BE USEFUL

Dr. Robert Cywes M.D. Ph.D. #CarbAddictionDoc

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Part 4 CARDIOVASCULAR BLOODWORK: know your cardiovascular disease risk: STATINS - THE TRUTH - about when a STATIN MAY BE INDICATED! YES, ACCORDING TO THE PROSPRE STATIN TRIAL DATA THERE MAY BE ONE CATEGORY THAT DEMONSTRABLY BENEFITS FROM STATINS. This explanation helps to debunk the myth that LDL, LIPIDS AND CHOLESTEROL CAUSE CARDIOVASCULAR DISEASE. THIS IS EVIDENCE-BASED. Know the scientific truth about how your body works. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below. #bloodclots #heartattack #stroke #LDL #cholesterol #statin #insulinresistance #complications #sideeffects #fat #lipids #glucose #keto #bloodglucose #ketosis #sugar #carbohydrate #carbs #lowcarb
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References:
Shepherd J, Blauw GJ, Murphy MB, Bollen EL, Buckley BM, Cobbe SM, Ford I, Gaw A, Hyland M, Jukema JW, Kamper AM, Macfarlane PW, Meinders AE, Norrie J, Packard CJ, Perry IJ, Stott DJ, Sweeney BJ, Twomey C, Westendorp RG; PROSPER study group. PROspective Study of Pravastatin in the Elderly at Risk. Pravastatin in elderly individuals at risk of vascular disease (PROSPER): a randomised controlled trial. Lancet. 2002 Nov 23;360(9346):1623-30. doi: 10.1016/s0140-6736(02)11600-x. PMID: 12457784.
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ROBERT CYWES M.D., PhD, ERIN SMITH PSYCHNP and SHERYL FOX RD ARE clinical PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. Our mission is to educate and treat CARBOHYDRATE ADDICTION in obesity, diabetes and metabolic syndrome. Replacing carbs with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using medications such as GLP-1 agonists and obesity surgery/devices to help people including those who have had bariatric surgery.
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1 окт 2024

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Комментарии : 277

@laurielatour2862 Год назад

Thanks, Doc! My total cholesterol recently was 428, HDL 104, Trig 76 (higher than usual for me bc I've been eating too many carbs!). Fasting insulin was low as was LpLpa2 & CRP. Went for a CAC scan and, at age 74, my score is ZERO! My doc has pushed statins for years and I refused. So thankful for the education you provide us! Glad you had a video about CAC score because my doc never mentioned it. I think now he'll back off about cholesterol and statins. He knows he's not going to change this old lady's mind and with a perfect CAC score, what can he say?!

@jobrown8146 Год назад

My cardiologist recommended a low dose of statin even with a CAC of zero (I'm 65). This is because, even though my trig/HDL ratio is good, my LDL is 250. I had been on low carb for 1 year when that was done. I said no! He said, if it was his mother he would put her on it. I didn't say anything but thought I'm glad I'm not your mother.

@markiangooley Год назад

@@jobrown8146 if you were his mother you could at least give him a spanking for being a naughty boy…

@michelledevine8567 Год назад

I wasn't bored at all! I'm actually going to watch this again! Last blood work my HDL went from 37 to 33. However, my triglycerides went from 293 to 209. I've lost 30 pounds since starting Carnivor the end of March. My A1C went from 6.1 to 5.9. My next blood work is due in July. I'm going to go get baby asprin after work today! I'm so glad I found you!! Thank you!!

@chuckleezodiac24 Год назад

you doctor might say that -- "The U.S. Preventive Services Task Force concluded that current evidence is insufficient to assess the balance of benefits and harms of adding coronary artery calcium score to traditional CV risk assessment in asymptomatic adults for the prevention of atherosclerotic CVD."

@christine1053 Год назад

I had a stroke in 2020, is anyone in the carnivore community who is advising this population? I’ve listened to all the OG’s I know, my doc insists that he sees patients do not return with stroke if on a statin or PSK9 and recommends it.

@itsdimitric6541 Год назад

“ADHD has kicked in because you’ve eaten too much sugar” 😂😂 Doc got a sense of humour

@vtecharrys.6981 Год назад

That's absolutely true! Sugar does cause and/or increase your ADHD.

@cueoneful Год назад

Um....Yeah.....Sugar Addiction Is Hilarious.......Enjoy Your Laugh...!

@itsdimitric6541 Год назад

@@cueoneful thanks, I certainly will with pleasure :-)

@pggaddy5297 11 месяцев назад

I'm a 68 years old female, 5'4", 135 lbs with heart disease in my family. Been on Keto for 6 weeks and lost 15 lbs. My Trig are 188, HDL is 60. I tried Statins several months ago and became so weak I could hardly walk. My Doc said it had nothing to do with the Statins; however, when I stopped taking them the weakness went away within a month. I have made the decision to never take Statins again. I will; however, take an aspirin a day and continue with Keto and exercise. I don't know how much time I have left but I can assure you I'm going to enjoy it as much as possible. My quality of life means way more that quantity.

@JeffSmith-xt9wt 5 месяцев назад

I wish that I would have read your comment when you posted it. As a 69 year old male with congestive heart failure, I blamed my muscle weakness on age. After five years of statin use, I stopped it this past weekend. I have already noticed an improvement in mobility. There is still a long way to go, but I am hopeful. The heart is a muscle already in a weakened state, so the cardiologist puts me on a statin that can potentially do muscle damage. It boogles the mind and just goers to show you how much or medical systm is messed up.

@misschiff2 4 месяца назад

@@JeffSmith-xt9wt That reminds me of the "Fremantle Diabetes Study", where 33% of people on Metformin for diabetes were found to have one or more contra-indications to the med. After looking at those contra-indications, I found that I've got at least 3 of them, so I have stopped taking it after being on it for nearly 10 years. It boggles the mind, especially as I've raised the issue with my GP, but he just ignored my concerns.

@jro3352 Месяц назад

I totally agree on the quality of life comment, no point having a long life and being constantly in pain or disabled from meds. Wishing you continued good health and happiness.

@sallymorgan6453 13 дней назад

Wow, we're same age, same height and weight. non-smoker. Hashi positive. Went gluten, dairy, sugar, lectin, grain (corn) free in June and lost 15 pounds. Stopped my statin in July. Unfortunately I'm still hypertensive and test as of last week my LDL shot up to 450 (from 150). Both parents had heart attacks at 70, dad's fatal. I'm having a cardiac calcium scan tomorrow.

@iheartcryptoverse2857 10 дней назад

Statins cause me horrendous leg cramps. It's awful.

@skifast1356 Год назад

Doc - great stuff. I have CAC 332 & CVD with no symptoms. Question - my doctor wants me on statin to lower cholesterol. So it lowers, so what, if the plaquing process still continues because of other inflammatory factors. What am I missing logically ?

@smukwana Год назад

You offer the best human anatomy and biology lessons. I absolutely love them.

@rontiemens2553 Год назад

Wow. I will need to watch this one several more times. A lot of good ground covered.

@juleenave2102 Год назад

You are such an informative doc!! Thank you thank you!!! I am a nurse and I have enjoyed your teaching so much!

@geriannvargas6965 Год назад

Thank you Dr . This is the best explanation for why I do need to be on statin plus a baby aspirin. None of my doctors have told me THE WHY so I kept taking myself off of them ! Thanks to you I will restart them all nt with low carb ! Grateful !

@elainem7722 Год назад

Thanks so much for this explanation!!!! Doc wants to put me on low-dose statin therapy. Didn't feel good about it and from what you're saying in this video, my numbers show that I don't need it! Took lots of notes.

@stephen562 Год назад

Thank you sir. This helps me put statins in perspective as a temporary therapy while a person works on proper lifestyle changes.

@kicktree 3 месяца назад

you are almost there Doc.... don't make exceptions for pushing a horrible drug...... that is just lame.

@kayeknop4932 11 месяцев назад

I cannot Thank You enough for this information. I have been in a worry state of mind since getting my lab work... Now I just noted on my lab work - Perfect numbers :)!!!!! Thank you - I will be calling your office to make an appointment. Sharing this with all my family and friends!

@Straightdeal Год назад

Thank you for a very informative video. I am not sure whether the SA labs measure VLDL, but will check on my next tests. am quite surprised that you have a case for giving statins the OK. In 2017, I was on statins, total cholesterol super-low but triglycerides high. My doctors were happy because my total chol and LDL-C numbers were nice and low. Never mind the high trigs! Soon after that, I trashed statins, went on LCHF, and on the next blood test a year later my cholesterol numbers were higher, but my HDL-C was around 60 mg/dl. and my trigs below 100 mg/dl. Currently my trigs hover around 75 mg/dl. Statins interfere with the operation of the liver, and slurps up LDL particles because it makes the liver grow more LDL-C receptors. But it interferes with the production of other important hormones like CoQ10. I won't even go into the host of other potential side effects of statins. I personally would never use them again.

@xenasloan6859 Год назад

Got to be honest, loved every moment of this - kept paus8ng to replay AND to check out foreign terms. So so instructive and clear. Good work doc!

@ang1783 Год назад

so far nobody talks about by what means the liver knows the body needs more cholesterol, maybe high LDL is normal and not a problem since our body requests our liver to generate more and thus more LDL too. Unless there is something wrong in our body that not working normally then the liver will generate extra cholesterol and thus LDL. In that case we should find out what is abnormal in our body instead blindly lower the LDL. Blindly lower LDL will cause shortage of LDL to carry cholesterol to our body. in that case our body will be lack of cholesterol to fix our body, we all need cholesterol to survive, right?

@josephcostello1812 Год назад

I agree 100 %

@Rick-zw7zv 4 месяца назад

How about using Nattokinase instead of aspirin or Statin? One published paper concluded this: "The reduction of [carotid plaque] in the Nattokinase group was more significant (P

@hope46sf Год назад

Thank you! I have been resisting taking statins. But have high triglycerides and low hdl, so this gives me food for thought. I appreciate your work!

@BeefNEggs057 10 месяцев назад

Skip the food and just think lol Eat meat and fat to fix that very risky combination

@Carnivore1959 4 месяца назад

I've been carnivore for a year and my triglycerides are still at 258 😢

@DrJK-wm9ec Год назад

My Western Medicine trained cardiologist advised that I go on a STATIN. Cholesterol - 250, LDL 129, HDL 107, Triglycerides 44, VLDL 9, LDL Pattern A. I got a second opinion from best-selling author and famous cardiologist, Dr. Steven Gundry ... and he said I was very low risk for CVD, my high LDL was fine, and I did not need a STATIN! My CAC score two years ago at age 65 was an 85 .... I had mild calcium plaque in one of my heart arteries. Dr. Gundry wasn't concerned now that I am following his diet recommendations. All of my inflammatory markers are in the green. I'm so happy doctors like you - Dr. Cywes - are finally getting the truth out about STATINs and the real cause of CVD. Thank-you! By the way, I would love to see you talk about the fact that infections like COVID can raise cholesterol levels. Which makes sense because LDL works with WBC to eliminate viruses and bacteria....and precancerous cells as well. Why would you want to lower LDL???

@jobrown8146 Год назад

Thank you for sharing that information. My LDL went up to 250 after I started low carb, and with a CAC of zero at 65 years old I said no to the cardiologist who recommended low dose statin. My trigs have gone down and my HDL went up, and it's that ratio that I'm keeping an eye on.

@misterbaleize Год назад

Never bored during your lectures, Doc; this is fascinating.

@TheFrankHummer Год назад

I've been low carb / keto for 24 years. (I'm 67.) But when I added Intermittent fasting 6 years ago, my average fasting HDL went up to 77. For the 10 years prior to I.F., average HDL had been 63. That's consistent with what Dr. Cywes said. I eat keto, with IF, now. Last Physical at age 67, HDL 79, Triglycerides 41, LDL 173 (and it IS large particle! -- been measured twice), Fasting insulin is 1.9, Fasting Blood Glucose is 83, but my Morning fasting BG is about 98 due to a heightened dawn phenomena that keto dieters have.

@AndiS-dz4pq Год назад

That was excellent information Dr Cywes. I recently started my journey of low carb and intermittent fasting. Your video is very helpful.

@linda-ks9pf 4 месяца назад

Thank you Doc. My Doc in the UK freaking out because my cholesterol went up. But he would not share the results of any other markers. Immediately threw a statin at me and said I am at risk of a heart attack and or stroke. He has requested another blood test. I am a 65 year old women who suffered a car accident in 2007. Suffered chronic pain in my neck lower back, right shoulder, right wrist and both knees. In 2009 I had a shoulder op and right wrist fixed. Then in 2010 had my left knee replaced. Because of in activity high carb diet, became hypertension followed by type 2 diabetic. The NHS guidelines on diet are still very high carb whole grain diet. It made me worse. This January I started a Keto diet my chronic pain diminished. So I with help from my chemist came off all the pain medication, completed that in February. My weight is coming down dramatically 75lbs in six months. I am staying off carbs for good and now know to look for hidden sugar's in all food I consume. So had to clear my food cupboard and freezer out. I have turned my back garden into a vegetable patch so I know how my vegetables are grown. Still looking for a butcher that supplies grass feed and grass finished meat in my area. Since May I have added the intermittent fasting and can do 14 hours.

@Shakerhood69 Год назад

You make me feel good about my last blood test. VLDL 9.4 - HDL 80 - Triglycerides 47.

@suprememasteroftheuniverse Год назад

But he's still shilling for big pharma.

@garyhiland6013 Год назад

Shakerhood, Ya got me. I'm 10, 74 and 49

@dmloredana Год назад

@@suprememasteroftheuniversethis is what you understood from this. Great job.

@auntdee9678 Год назад

@@suprememasteroftheuniversehow so?

@KathiWildo Год назад

Rhis is a great video. Many thanks, Dr. CYWES.

@michelesteward5170 Год назад

That was FANTASTIC Thank you for your straight forward information Dr

@Hehasmadeglad1975 Год назад

Pleasure talking with you yesterday. I highly recommend getting in with Cywes. I've had 2 appointments and learned so much from him.

@robertcywes2966 Год назад

Thanks Carmen

@stevelanghorn1407 Год назад

Absolutely brilliant explanation! Thankyou so much for your clarity & the time you give to communicate this to confused and concerned folk like me. So refreshing & appreciated, given that many of us are literally “bombarding ourselves” with such conflicting RU-vid heart health information…some of which seems very dubious and occasionally complete nonsense!

@MLR-td8nf 10 месяцев назад

I would like to know you take on GENETICS in all of this. I am a Registered Medical Technologist, MT(ASCP) and have over 20 years of Clinical Laboraotry Experience. During most of my career as a Med. Tech. I taught DOCTORS how to interpret LAb results. Where would the doctors be without all us Allied Healthcare Professionals getting their tests results for them? :) During my Internship days in the lab (1971) I did a LipoProtein Electrophoresis on myself and found genetically, I had the pattern that showed I would have a Normal CHOL, Low HDL, and High TRG. This was back in the day before statins and a Normal Chol was 300. And just as my Genetics dictated I have always had a NORMAL Chol, Low HDL and somewhat elevated TRG. (I take Vascepa to lower my TRG.) Right now my T. CHOL is around 160, HDL about 35-40, and TRG right at 150 and LDL 100. My HDL has ALWAYS been around 40. From what I can remember my TRGs. became elevated only after being put on Prevacid for GERD. I weened myself off Prevacid years ago and never looked back... I need that stomach acid! So, I guess the bottom line question is... Can we fight GENETICS? Comment sent to Dr. Cywes (youtube), 11-17-2023 Ep. 303

@paulhagiantoniou530 Год назад

Thank Doc, clears things up allot. Recently my Doc wants me on a statin My numbers look good though Total cholesterol 266 Triglycerides 67 HDL 87.5 LDL 165

@lubasulpovar5081 Год назад

Thanks Dr Cywes for your videos with GREAT simple explanations. Highly appreciated your tremendous dedication 👍💖

@andersnorelius6876 Год назад

Darn good. Makes sense to me considering also a large number of videos from Low Carb Down Under, among others. Of course, Swedish official recommendations, care and diet are just bout 180 degree wrong. This include diabetics advice.

@TB-hq2zm Год назад

I am looking forward to seeing you in November. I’m going to have to do a re-watching relisten as well as have my latest bloodwork at the time however, I . do think my HDL is lower than what you say. I’m not sure I have access to the VLDL it was via quest. I will check maybe it’s time to pick up that Statin or at very least a baby aspirin.

@LearningGrace Год назад

If all your levels are horrible for the first time, would losing weight on Keto and Phentermine be a good idea? I lost about 20 lbs so far doing that and have about 30-40 to go. I’m scared. My numbers are so, so bad and yes, my doctor saw them. She is giving me a few months to drop some weight and see what happens. She doesn’t believe in keto, but emphasized protein at least. Great video.

@shanelacks4691 11 месяцев назад

Can you talk more about Apo B

@MervanweSmith Год назад

Thank you so much for this series, it has been very informative and I have some hope. Cheer

@nancygorham5908 Год назад

I really appreciate your information!! Thank you!!

@bernardmauge8613 Год назад

Thanks Dr. Excellent presentation. I learned a lot and you have helped me. I am type 2, 70 years old ,strictly low carbs for the past 8 years. I only take metformin one g a day. I had 3 stents 10 years ago. I just got out of the hospital after chest pain. They installed an other stent in the last coronary not stented. It was plugged 95%. I am on blood thinners and beta blockers, due back in a month to repair a stent. Only 2 arteries are good so far. Looks like my keto is not working. I am perfect weight blood pressure,my HDL is 34 triglyceride 138 LDL183 . I refuse to take statins. Either I lower my protein intake which in retrospect was too high, or go on statins. I think I will adjust the keto first. I am very disciplined, never deviated from the keto in 8 years, no bread pasta soda sugar rice etc...My A1c is 6.2% . Thanks from France.

@alchemy1 2 месяца назад

I went on Keto and my cholesterol went through the roof. TG dropped huge to 50 from 225 and HDL-C doubled from 40 to 75. LDL-C sky rocketed from 105 to 360 I removed added fats and cut way back on red meat. Instead, I went for chicken and seafood. My LDL-C dropped hugely to 140. TG dropped a few more points and HDL-C dropped to 65.

@ruthelainefry2076 5 месяцев назад

Dr Cywes is very informative but those in the UK our blood measurements are different and I find it hard to relate.

@FreeGirl9608 3 месяца назад

There are conversion numbers available, just web search and find what you need. Easy.

@jna9888 Год назад

Well, that was interesting, thank you Dr Cywes! You just showed me that I am at least on the right track; 2 months ago HDL 78, TG 60, LDL 162. Been following HFLC with IF for 6 months so far, and numbers keep looking better. I feel relief and look forward to even better!

@robertcywes2966 Год назад

Excellent

@zayd7282 Год назад

Was on high sugar carb fruit diet with low red meat for decades Been possibly Insulin resistant: fast glucose usually in upper 90's 10 months ago started IF 16/8 to 19/5 and still on same diet with relatively lower table sugar intake After 7 mo. (3 mo. ago) started low carb diet (50-70g /day) w/ IF. 2 months after that I did my first triglyceride blood test ever Fasting glucose 84 Total chol 202 HDL 55 LDL 16O TG 302 Freaked out and stopped eating red meat and meat fat After 10 days repeat work but I was 45 hours into a 48 hour fast (coincidence) Fasting glucose 64 Total chol 184 HDL 63 LDL 102 TG 95 1. Is the low carb diet for 2 mo. Caused TG 302 or it must hv been 400 or 500 and low carb/keto brought down to 302? 2. What brought TG down from 302 TO 96 in 10 days is it from obstaining from red/fat meat or caused by prolonged fast towards the end of which they draw the blood sample. Is 302 to 95 good sign or just the product of not eating for 45 hours. Please provide your opinion thoughts about this.

@michaelvadney5803 9 месяцев назад

Outstanding presentation, thank you. I feel better about my blood numbers and I understand the overall processes a little better.

@dombarton2483 Год назад

Most of what you say is correct and i agree with you however you are incorrect with regards to the fact that other organs and tissues and NOT just the liver contribute to HDL production, namely the intestine and peripheral cells which you never mentioned. Your statement " HDL cholesterol is produced by the liver under the influence of glucagon is inaccurate" The production of HDL cholesterol is influenced by genetic factors, hormones and lifestyle choices. Also while glucagon indirectly influences HDL metabolism by affecting various metabolic pathways, it is not the SOLE regulator of HDL production nor is it the primary hormone responsible for its synthesis. Adipose tissue and muscle also contribute to HDL metabolism. They use the reverse cholesterol transport mechanism. Another is LPL and CETP.

@nancylane2924 Год назад

My total cholesterol - 255 Trig - 55 VLDL - 9 LDL - 153 HDL - 93 CHOL/HDL ratio - 2.7 and A1c - 5.4 My Dr still wants to put me on a 20mg statin. 😢

@leighbayouth3209 Год назад

Can anyone help give me some insight? I feel like there's nobody out there like me!? I have EXTREMELY high HDL. I know it's supposed to be the "good cholesterol" but a level of 190 is crazy. It's always been high (over 100) but it keeps climbing. I have all other good markers (LDL 103, Trig 49, a1C 5.2) Im a bit underweight and have a lot of muscle (5'5" 117 lb female) and eat a keto/ketovore diet. I do exercise a lot and I 'm wondering if it's too much!? I am scared I may have a heart attack due to too high HDL and what in the world am I supposed to do about this?? Thoughts? Dr Cywes is too busy to answer im sure but just some insight would be great. Ive read about hyperalphalipoproteinemia but I don't think anyone in my family has had this.

@JYAN2852 Год назад

I found that extended water fasting is even more effective at increasing insulin sensitivity. Combine that with keto or carnivore and it will blow insulin resistance out of the water without need for any meds

@gk289 Год назад

How long dose it take to lower triglycerides if I didn’t eat sugar or carbohydrates and raise my HDL . One week , two weeks --------- 8weeks . Or just a guess this may not be easy to answer. But very good video. Thanks a lot

@josephcostello1812 Год назад

I’m not sure how long but it will happen if you go very low carb! Happened to me!

@hudsonstraight8628 4 месяца назад

Suggest you stick your low carb/sugar regime, for two months, request a blood-work, then compare lipid levels with your last bloodwork, hopefully your GP will interpret, if the differences are good or bad. Best of luck.

@Carnivore1959 4 месяца назад

3 yrs later and trig's still 248.m..but I did start with trig's off the charts at 1386

@sallymorgan6453 13 дней назад

Can any vascular damage be reversed? I've been in ketosis for 3.5 months and lost 20 pounds (my BMI is now 22). My hypertension hasn't subsided and my triglycerides are still 140. I'm female and 60 yo. This video has me scared, like I waited too long to change my diet. I'm having a calcium scan tomorrow.

@hrdcoreRider Год назад

How is the chylomicrons and bile pathway affected after gall bladder removal?

@Education-yk5ug Месяц назад

I found the referenced article, but it doesn't seem to correspond to what is said in the videao. From the article Findings: Pravastatin lowered LDL cholesterol concentrations by 34% and reduced the incidence of the primary endpoint to 408 events compared with 473 on placebo (hazard ratio 0.85, 95% CI 0.74-0.97, p=0.014). Coronary heart disease death and non-fatal myocardial infarction risk was also reduced (0.81, 0.69-0.94, p=0.006). Stroke risk was unaffected (1.03, 0.81-1.31, p=0.8), but the hazard ratio for transient ischaemic attack was 0.75 (0.55-1.00, p=0.051). Interpretation: Pravastatin given for 3 years reduced the risk of coronary disease in elderly individuals. PROSPER therefore extends to elderly individuals the treatment strategy currently used in middle aged people. I would really like Dr Cywes to clarify this. thanks

@TheDockd 3 месяца назад

I thought you might have an interest in my numbers. age 73 cac score 2641. RCA 1765, LAD 875. HOMA IR .8, small LDL 234, HS CRP 1.3, Triglyceride to HDL 63/65. No familial cardiac history. A1C 5.2. Was big fan of Atkins but he didn't know about seed oils. No angina or shortness of breath. Echo, normal, nuclear stress test displays some constriction but no angina. Went to cardiologist but he belonged to the church of veganism. Height 5/9 weight 171 never smoked.

@karengann5899 2 месяца назад

Thank you for all the excellent advice! I’m a 74 yr old woman with a genetic marker Apolipoprotein E - 3/4. My father’s side all died of heart disease. My recent Calcium score was 69 . My inflammation test was 3. I exercise daily cardio and strength training and I have no joint pain. I’m on Rosuvastatin 5 mg. and also 1500 mg Niaspan to bring down the high LPa which is 115 now . Do I need the statin??? My cardiologist tells me “ don’t stop taking it’ but my LDL is 85 mg and I think that’s too low. My concern is that because of my genetic marker I do not know whether I should or should not be on a statin. Thank you for all your good advice.

@teri-annhernandez1871 4 месяца назад

@robertcywes2966 I've watched several of your videos now but am wondering how to decipher my moms labs in Canada, cholesterol 3.6,tryglicerides 1.5,hdl 1.0,ldl 1.9,non hdl 2.6, she's on a statin and memory major loss.

@alchemy1 2 месяца назад

My friend's A1C is 5.0 His Triglycerides is 265. He cut way back on carbs. I mean way back. In fact, he only consumes some vegetables, hardly any more than 30 carbs daily maximum and the rest meat. His A1C went from 5.2 to 5.0 and his triglycerides went from 250 to 265. His HDL is around 30 and LDL around 65. So according to this video he is insulin resistant and he should take statin. ODD IF YOU ASK ME.

@davidschreier496 5 месяцев назад

Is Lp(a) causative or is it just like LDL and a "firefighter?" Should people worry about high Lp(a) concurrent with a low high sensitive C reactive protein test result of less than 0.5 mg/l.

@jws3925 3 месяца назад

What HDL/Triglyceride ratio are you looking for? You mention this but did not give an ideal range. My HDL is 66 and Triglycerides 46.

@Temachyotl33 4 месяца назад

Much blessings to Dr. Robery Cywes for his great compassion.

@maryhaislip4519 2 месяца назад

Okay my triglycerides were around 474 my HDL was in the mid-40s my LDL was higher than that I can't remember what it was my CAC score was 189 so should I take a statin or just take a baby aspirin I am type 2 diabetic hypothyroid I have degenerative disc disease in the thoracic area wet macular degeneration osteoarthritis I've removed all plant seed oils doing my best to eliminate all carbohydrates except for once in a while similarly low glycemic load high fiber vegetables rarely

@Rob-bq6ek 3 месяца назад

Why don't more doctors know/order carotid intima thickness test (CIMT)? It's non invasive, unlike CAC.

@bgusd732 6 месяцев назад

When you say "VLDL less than 10", I assume this is in mg/dL, correct? Also, would remnant cholesterol be a good proxy for VLDL?

@louisa4295 Год назад

Thank you.. Finally it's clear. Well done Doctor.

@markiangooley Год назад

A normal pancreas sends insulin into the hepatic portal system, right? So subcutaneous insulin is just wrong but it’s much less impractical a way to inject insulin…

@robertcywes2966 Год назад

Agreed

@janapeony8561 Год назад

I do notknow what is my problem,because my VLDL is high yet my HDL is high and triglyceride low. On keto/ low carb diet for 5 years

@misschiff2 4 месяца назад

I'd like to ask - where can I find the "show notes"? When Dr Cywes says "Look at the slide", I'd like to be able to... well, look at the slide!🙂

@reason3581 Год назад

“I just don’t see a reason to have an ApoB ever north of 60 milligrams per deciliter.” -Peter Attia

@bkyi4084 Год назад

Thank you for the great teaching. I do have a question though. I am a 60 y.o. woman, 5 foot 6 inch tall, 123 lbs. have been on keto for past 2 month and noticed that my LDL went from 215 to 240, HDL from 85 to 130, Triglycerides from 79 to 45. One thing interesting is that my glucose level is pretty much the same. - 98. I am a little confused about the numbers. It appears I have some insulin resistance but my hdl and triglycerides are excellent. Any insights? Should I remeasure lipid panel and a1c in another 2 months? Thanks,

@techadsr Год назад

In these YT videos, references are made to show notes. There are many links in the YT description but none seem to link to show notes. Where can we find them?

@arifaahamed7239 10 месяцев назад

Thanks doc, great video. I wish my hubby saw this video..

@aztonyusa 5 месяцев назад

Has anyone had a consultation with Dr. Cywes? Just wondering what the cost would be. Does he take insurance?

@laurentamonte5330 Год назад

My current lipid panel: cholesterol total i262 Triglycerides. 125 HDL cholesterol. 68 VLDL cholesterol. 22 LDL Chol Calc(NIH) 172 What should I do?

@josephcostello1812 Год назад

Go very low carb, keto, Ketovore or carnivore!

@auntdee9678 Год назад

Wow!!! Such great l, helpful info!! I have low Triglycerides and a little above normal HDL…so do I still need to get a CAC score?

@robertcywes2966 Год назад

Usually useful

@auntdee9678 Год назад

@@robertcywes2966 thank you!

@jat919 Год назад

Thank you for this video! I've been fighting taking a statin but will give in now. My total cholesterol is 296, HDL 58, Triglycerides 163, VLDL 30. LDL 208.

@robertcywes2966 Год назад

Work on ur ketogenic diet

@jat919 Год назад

@@robertcywes2966 At the time of that blood draw, I had been under 20 carbs for 6 months or so. Go figure.

@debbiesue4287 Год назад

This is so true I went carnivore and Joined the BBE challenge Hoping I was doing the right thing eating more red meat well.. my HDL Dropped way down... It was already lower than I wanted at 67 and then it dropped down to 38!! I was Doing resistance training at the same time lifting heavy weights and all that stuff All these experts told me to do eat lots of red meat and lift weights and your HDL will go up well that's not necessarily true it didn't work for me. I definitely did not stick with that dietary plan. I stayed low carb but I am not ever doing Eat a pound and a 1/2 a meat A-day carnivore again. Not for me anyway that's a really good way to just have no HDL left at all. My Try glycerides Are low Thank God and Low carb for that

@debbiesue4287 Год назад

@@MikeBrady68 When hes talking about overeating on carnivore in this video that's what I related to.

@paulmarshall1484 Год назад

Dude abides time to fix any blockages! Stint perhaps

@rjrnj1 Год назад

I cannot believe the 180° turn around. I'm so glad you see what I'd been trying to tell you that cardiologist and ketovore, Dr. Ford Brewer wanted for me. I'm on 2mg Zypitamag Pitavastatin daily PLUS baby aspirin. Welcome.

@skittleydodaday.9299 Год назад

Doesnt aspirin daily cause ulcers?

@rjrnj1 Год назад

@@skittleydodaday.9299 Not at this dose.

@marionsanta2883 Год назад

My husband has 5 stents never had a heart attack...his cardiologist has him on statins...I purchased Coq10 suppliments for him hoping this helps..

@jordanesquetyson8223 Год назад

Most important marker is apoB.

@tanzanable Год назад

Cholesterol 306 Triglyceride 113 HDL 104 LDL 179.4 VLDL 23 A1C 5.2 Ratios are considered good but the raw numbers are higher than desired in the video. Am I at risk?

@robertcywes2966 Год назад

Need to see as a consult

@skittleydodaday.9299 Год назад

What’s your CAC calcium score???

@tanzanable Год назад

@@skittleydodaday.9299 I don't know. The doctor never ordered that.

@ancestralvoices1 Год назад

How about Lipoprotein(a) levels?

@andrealeobons Год назад

Dr. Cywes, I think I’m an exception. I am carnivore for 4 years, I’m 43. But my VLDL is sometimes 16 or 18. I am surprised by what you have said. My insulin is 2 or 3, my c peptide is 1, my glicemia is 5.2. My weight is stable and I’m thin. My triglycerides are 70 or lower. I don’t get it how I am not insulin sensitive, dr. Cywes. Am I an exception or am I of developing cardiovascular disease even though I am on a carnivore diet eating mostly meat?

@donaldmcpherson7539 Год назад

God and the fates bless you ! These three videos are incredibly helpful to me. Great combo of understanding and concrete, logical steps delivered to my brain. Thanks for delivering me from the hand held MD risk calculator as the only information available to me in the Md's office to make a statin pill decision.

@What_For Год назад

What if a person who has has type 2 diabetes, smokes and has low hdl to high ldl ratio and high triglycerides which makes them a candidate for statins, but is in the process of eating a low carb diet and quitting smoking. Wouldn't taking the statins possibly cause worse outcomes concerning the diabetes if they have decided to adopt the new way of eating?

@robertcywes2966 Год назад

Possibly. Wd suggest anti coagulation

@catharsis77 5 месяцев назад

Thanks for the info. I have known for a few years I have some severe blockages in the arteries of my heart due to a nuclear stress test. Asymptomatic, fortunately. Recently had a CAC done for info. Came back with being in the 85th percentile, so not good. Still no symptoms and have lost 60 pounds. I was reluctant to take any statins as I was hoping my clean diet was protective. This gives me the info that I still have potentially dangerous levels of damaged LDL and that statins could be protective until I get my blood markers in better shape. I am no longer prediabetic, fatty liver is healed, kidney function good. Triglycerides down but still 150. HDL just creeping up, VLDL slowly coming down. So, planning to take a low dose of statins and Zetia, as well as continuing to exercise and eat very low carb, until then.

@lucasrodriguez8326 3 месяца назад

😅😅

@catharsis77 3 месяца назад

@@lucasrodriguez8326 If you have something to contribute I am listening. I am just going by what he specifically said in the video if you are laughing at me for what I said I was going to do.

@karenray6777 Год назад

I have the optimal cholesterol values that you mentioned but my CA Cardiac score is 223 in the left artery and 224 total score. Should I begin Crestor?

@robertcywes2966 Год назад

May benefit from stress test and maybe cardiac cath

@robertbucsh8840 Год назад

I like the fact that you go deeply into the biochemistry.

@ademirdesouza9408 Год назад

That is an amazing video which is worth to take notes and go to action.

@engc4953 Год назад

I agree with you regarding the liver.

@gk289 Год назад

Thanks a lot

@lisagayhart2482 Год назад

Thank you ! Very helpful

@Suelynngrr 6 месяцев назад

What should someone with FH do?

@charlesincharge3404 Год назад

Went to high school with a guy called Big Fluffy

@hmbdata Год назад

Hmm, my HDL is 38, triglycerides have been at 400, but fasting glucose is 87. Is that possible while being "insulin resistant"? BP is 105/65, CRP is low.

@trail.blazer Год назад

HDL is too low, triglycerides are way too high. It is a combination I would expect on a high carb diet? It is a lipid result that is associated with higher CVD risk. Your fasting glucose at 87 is good, so you might have a good level of insulin that is able to keep your fasting glucose lower, irrelevant of what you are eating, length of time fasted, etc. Fasting glucose by itself can have a some relevance if it returns a higher value, but it is essentially a useless test without knowing what your insulin was at the time.

@hmbdata Год назад

@@trail.blazer I have since got the tryglycerides much lower (fish oil), but I'm sure my LDL is high (but near optimal as far as epidemiological studies show). Will search for research on fasting glucose. BTw, the best predictor I found is waist to height ratio--in diabetics, this ratio correlated .99 with measured insulin resistance.

@idahohoosier8989 Год назад

Well, this doesn't sound good! "GLP1 Drug "The most common GI adverse effects of GLP-1 RA include nausea, vomiting, and diarrhea, with rates dependent on the medication and dose (Table 2). Short-acting GLP-1 RA are associated with more nausea and vomiting, possibly due to slowed gastric emptying; however, long-acting GLP-1 RA are associated with more diarrhea."

@marilynnsmith360 Год назад

Thanks, I wish I had known that years ago.

@Chipshot2000 Месяц назад

Or bored! Very interesting! ❤

@Billie-AnnTakahashi 8 месяцев назад

Is taking Zetia better than taking a statin. I had a second stroke and have switched to a keto/carnivore diet since 4/2023. I have been diabetic, overweight and have Non Hodgkin Lymphoma. I don’t want to have the permanent muscle aches of a statin. I am 69. Female. Please let me know about the Zetia.

@valeriecuan4189 Год назад

Total cholesterol 327. HDL 55.80, LDL 220 triglycerides 253. I don't want to take statins. I already have fibromyalgia and myofascial pain etc. I have cut carbs, alcohol and sugar now. Do I need to?