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In conversation with Andrew D. Huberman, Ph.D., Peter Attia explains why ApoB should be treated as a causal driver of heart disease, not just a risk marker: “There is no ambiguity that ApoB is causally related to atherosclerosis.” “LDL cholesterol or ApoB, causally related to atherosclerosis. Well, if that’s...

212,256 views • 10 months ago •via X (Twitter)

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"Just Because Cholesterol Is At The Scene Of The Crime, Doesn't Mean It's The Perpetrator." Dr Aseem Malhotra, Cardiologist "Cholesterol Is Not The Driver Of Atherosclerosis Plaque. Cholesterol Is The Firefighter, The First Responder." We find cholesterol in these fatty deposits in the inner lining of the artery, these plaques, but the cholesterol is also there with lots of immune cells. The damage to the lining of the inner artery is caused by lifestyle factors such as smoking, sugar & stress... And then the response to that damage to try & heal the artery is when you get these deposits & cholesterol is there. Cholesterol is not the driver, it just happens to be at the scene of the crime. Atherosclerosis is an inflammatory disease. Not a cholesterol disease or a statin deficiency. LDL is an important transport molecule involved in the immune system & contains vital heart nutrients like CoQ10, Vitamin E & antioxidants. True Causes of Inflammation & Atherosclerosis: Industrial Seed Oils Processed Sugar Carbohydrates Insulin Resistance Ultra Processed Foods Smoking Obesity Environmental Toxins Poor Sleep Low Vitamin D Levels Magnesium Deficiency K2 Deficiency Lack of Exercise Stress A low carbohydrate diet prioritizing nutrient dense animal foods, eliminating harmful seed oils & sugar, provides the best healthy cholesterol profile. This approach keeps Triglycerides low & HDL high, which is one of the best biomarkers for heart health. TG/HDL ratio optimally should be less than 2.0 & even better at 1.5 or less. 👇Low Cholesterol Increases Mortality👇 👇The Higher Your LDL, The Longer You Live👇 Speakers: Dr Aseem Malhotra & Gary Brecka

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"The Higher Your LDL, The Longer You're Going To Live." Cardiologist Dr Aseem Malhotra & Study Co-Author. "The Greater The Financial Interest In A Given Field, The Less Likely The Research Findings Are to be True." "The Most Lucrative Drug In The History Of Medicine Are Statins." $19 Billion Dollar Profit Industry Totalling 818 Million Prescriptions Annually. "The Benefit Of Statins For Both Low Risk & High Risk Primary Prevention Is ONLY 1%...1 In 100." "There Is No Correlation Between Elevated LDL Level & Events Of Cardiovascular Disease. In Fact, It's The Inverse. There Is A Correlation Between Higher LDL Level & Longevity." "The Higher The LDL, The Longer You're Going To Live, Because It Has A Vital Role In Your Immune System." "Just Because Cholesterol Is At The Scene Of the Crime, Doesn't Mean It's The Perpetrator." Cholesterol is trying to clear the inflammation & put out the fire caused by other lifestyle issues in order to get the body to return to Homeostasis. Atherosclerosis Is An Inflammatory Disease, Not A Cholesterol Disease or A Statin Deficiency. A Fireman shows up to put out a fire. He's not the cause of the fire. Cholesterol shows up to put out the fire of Inflammation in the Arterial Wall. Cholesterol is not the cause of the Inflammation that turns to Plaque. Eliminate The Root of The Inflammation Which Causes The Damage & Atherosclerosis: Chronic Stress High Blood Pressure Type 2 Diabetes Obesity Smoking Sugar Consumption Carbohydrates/Insulin Resistance Ultra Processed Foods Seed Oils Environmental Toxins Poor Sleep Low Vitamin D Level Low Magnesium Level Lack of Exercise These Are All Modifiable Risk Factors. Most Chronic Disease Happens Within Us, It Does Not Happen To Us. 👇Dr Aseem Malhotra's Co Authored Analysis 👇 👇Higher LDL, Greater Longevity👇 👇LDL Does Not Cause Cardiovascular Disease👇 👇Full Episode: The Ultimate Human Podcast👇

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There’s been a lot of buzz—and confusion—about the new Keto-CTA study, examining plaque progression in Lean Mass Hyper-Responders (LMHRs). Much of the social media debate has centered on whether high LDL on keto is safe or dangerous, driven largely by how to interpret the supplemental table comparing this study to others on LDL and plaque progression. In this episode of the Metabolic Mind Podcast, we sit down with Dr. Matthew Budoff, a world-renowned cardiologist, cardiac CT researcher, and the study's lead investigator, to discuss the the supplemental table, what the plaque markers mean, and how this fits into the discussion of high- vs -low-risk plaque progression. In this episode, we cover: ✅ What PAV (Percent Atheroma Volume) is, what it actually measures, and why it matters ✅ Why a 50% increase in plaque may sound scary, but can be deceiving ✅ The difference between “treatment-naive” and “treated” participants ✅ What the Miami Heart Study comparison reveals about keto, LDL, and plaque ✅ Why LDL alone may not tell the whole story about heart disease risk ✅ How some high-risk individuals may still benefit from statins and other therapies This study doesn’t answer whether keto causes heart disease or not. Instead, it shows that high LDL on a ketogenic diet is not a reliable predictor of plaque progression across all individuals. What is predictive? The presence of existing plaque. 💡 Key takeaway: Relying on surrogate markers of heart disease, like LDL and ApoB, is not the best way to assess heart disease risk in all populations. If you're concerned about how elevated LDL may be affecting your heart health, the best next step is to speak with your doctor about cardiac imaging to directly assess plaque and gain a clearer picture of your individual risk. Expert Featured: - Dr. Matthew Budoff - X: - Resources Mentioned: Plaque Begets Plaque, ApoB Does Not CMEs Mentioned: Managing Major Mental Illness with Dietary Change: The New Science of Hope Brain Energy: The Metabolic Theory of Mental Illness Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at

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