Do We Really Need to Worry About Cholesterol or NOT

Do We Really Need to Worry About Cholesterol or NOT. Lean Mass Hyper Responders and Dr Doug's Take on Dave Feldman and Peter Attia's Positions on Cholesterol.Let's dive into the science, dispel myths, and gain a clearer understanding of the role cholesterol plays in our overall health. Watch this video to learn how to improve your health span!
Watch and Enjoy! Dr. Doug Lucas Key Moments in this Episode
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00:00 Introduction
1:49 What is Cholesterol?
6:35 Treatment
8:20 Is "A' costive of "B"
12:30 Lean Mass Hyper- Responder
13:50 Saturated and Dietary Fat
15:00 Triglycerides
17:25 Research
21:35 OHH Approach
23:20 Closing Summary
23:52 Health Span Nation
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This channel is focused on Bones, Hormones, and Healthspan to help midlife women and beyond aim for optimal, not average, and reignite their spark!
The videos on this channel will be focused around helping women navigate healthspan and longevity through the lens of osteoporosis, perimenopause, and menopause. When it comes to osteoporosis and menopause providers and educators often get tunnel vision and your symptoms might get better, but if you don't keep longevity in mind, symptom improvement may come at the expense of heart and brain health.
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ABOUT DR. DOUG LUCAS
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Dr. Doug Lucas: Owner/founder of Optimal Bone Health and Optimal Human Health. My team and I work together to create custom bone optimization plans for individuals based around supplements, hormone optimization, peptides and more in order to increase bone health and longevity!
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[@meghanryan6707]

Insulin spikes and cortisol spikes due to high sugar consumption damage epithelial ining of blood vessels first. Then calcium and cholesterol attach to those microtears. Would be wonderful if practitioners understood the role of sugar damage to the entire body.

[@SumGirls]

I love that you covered this topic! About to share it with a bunch of people NOW! TY Dr. Doug! 💥💥💥

[@rdiemidio65]

Bingo.

[@barbaramartinez7871]

I think you are right about the damage sugar does. I was hoping for a new study to say it's good for you but I think I better just give up the sugar habit.

[@Dr_DougLucas]

Thank you for sharing this!

[@susangoss1811]

Right

[@stevenbarton989]

Superbly articulated! Puts everything into perspective.

[@Dr_DougLucas]

Thank you for watching!

[@giovanna5643]

Thank you very much for this really important information ❤

[@Dr_DougLucas]

Thank you for watching!

[@flipgen5113]

A very excellent content! Thank you Dr Doug.

[@Dr_DougLucas]

Thank you for watching!

[@skincraftorganicsllc8537]

As always, excellent content & information that's presented in a very clear, practical way - thank you!! :)

[@Dr_DougLucas]

Thank you for watching!

[@somersetgirl125]

A clear and very helpful explanation of the present state of knowledge, which really clears up a lot of the cholesterol confusion for me.

[@Dr_DougLucas]

Thank you for watching!

[@lizs.4030]

Thanks for acknowledging all the “noise” and contradicting info out there for both providers and lay people. The inflammation factor and metabolic health opens a whole lot of discussion. Would be interesting to know how this relates to those treated in past and present with Ornish protocol for diet and cardiac rehab.

[@Dr_DougLucas]

Thank you for watching!

[@daveblack3111]

We appreciate your expertise, but we could do with a little less "Bam Bam" introductory music. Lets just get straight to the topic in question thanks

[@Dr_DougLucas]

Thank you for your feedback!

[@joannelivengood7914]

Thank you for this informative video. I always had low LDL, high HDL and low triglycerides. I had a lipid panel a few weeks ago that showed "dangerously high" LDL at 176. Total cholesterol was 245. My HDL and triglycerides were great, indicating minimal risk. Cholesterol ratio is still good at 3.5. I think something is odd about my results. My ARNP sent me for a coronary calcium scan. This showed "significant levels of plaque that puts me at high risk of a major cardiac event." How could my LDL be so elevated in just a few years time with significant plaque in 2 arteries but a 0 score in other arteries? I am very strict with my diet trying to manage osteoporosis and CKD 3a. These results do not make sense to me. My glucose is usually on the lower end. I always had low BP until I had the J&J vax. My BP shot up very high and medication was required. After 3 years, I am almost to the point where I can stop medication. I am at the lowest dose and some days, BP is so low that I do not take it.

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan

[@sheryl3268]

Surprised you didn't mention exercise to lower cholesterol. It's not just about bodyfat. Exercise is usually part of the recommendations, and it can help, especially cardio types. Also, estrogen sufficiency and optimization help.

[@Dr_DougLucas]

We discuss things like this further in our healthspan nation community! Feel free to check it out if you have not yet, you can find more information here -->www.drdouglucas.com/healthspan

[@dotjeff4543]

We make cholesterol in the body and we need it to make hormones. In the arteries it is used to patch damage due to inflammation due to metabolic syndrome and insulin resistance due to elevated carbs and ultra processed foods. Seed oils (i.e. vegetable oils) are full of inflammatory and rancid omega 6 fats.

[@Dr_DougLucas]

Thank you for sharing this

[@monkeybearmax]

Dr Lucas does the CCTA require contrast? Can it be done without?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@donnacoleman2896]

🤯 makes sense

[@Dr_DougLucas]

Thanks for watching!

[@charlesfuchs]

What if I have FH with mild Lipoprotein (a) 141.... Would a PCSK9 be the only thing that can help?

[@Dr_DougLucas]

Good question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@paxvobis6114]

David Feldman - LMHR

[@Dr_DougLucas]

Thank you for sharing this!

[@angelaturbak8088]

You talked specifically about ‘statins’. i found I was unable to take statins after several different ones and memory/joint side effects. Was given Praluent injectable. Does Praluent have the same mag/coq-10, insulin resistance side effects???

[@Dr_DougLucas]

Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@eileenromps9266]

LMHR folks also have high hdl and low triglycerides

[@Dr_DougLucas]

Thank you for sharing this

[@LR-px9ms]

Help me understand how can one have low fasting insulin low triglycerides and high h1c in addition to high apob

[@Dr_DougLucas]

Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@kathe32]

Do I need to worry about an hdl of 90? Always been on the high side. But reading too high might be opposite of protective. Total 226 (always been “ high” and my cholesterol/hdl ratios range between 2. 3 and 2.9. 🤔

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@stephaniejunca2875]

What Dr can do imaging or ccta? Cardiologist? Mr pcp just tells me to watch my diet for my high cholesterol. I already eat a clean healthy diet. No other issues.

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@sharonillenye8036]

Dr Lucas- Have you ever taken statins for your high cholesterol? - thanks.

[@Dr_DougLucas]

No, I used imaging to stratify the quantity of risk from my lipids and have very little disease. I'm using Zetia and observation with repeat imaging in 2-3 years.

[@trinafowler2511]

Can you talk specifically to lipoprotein (a) in another video? I have the genetic piece. That’s where the confusion comes in for me and my family. Sister had hear-attack at 57.

[@OGPedXing]

Lpa is thought to be an acute phase reactant...meaning it has an active role in the immune system and responding to damage. Some people have genetically higher lpa values and in the normal population it's been noted that they have a higher likelihood of cvd events. Lpa is also an apob carrying lipoprotein. Arterial damage is caused by damage to the glycocalyx which is the lining of the artery plus inflammation. High levels of blood glucose (eg insulin resistance) damages the glycocalyx. Also it is likely that oxidized ldl damages this as well. Ldl becomes oxidized by high blood glucose but also oxidized fats such as transfats oxidized polyunsaturated fats such as seed oils. High lpa people are more sensitive to this damage which accelerates plaque formation. Therefore for High lpa people, it is doubly important to reduce blood glucose (stop or reduce carb consumption), and stop consuming seed oils. The easiest way to do both of these things is to stop eating processed foods. Eat whole foods. You do not need to fear saturated fats.

[@Dr_DougLucas]

Yes, we will add this to our list.

[@barbaramartinez7871]

You may have addressed this in another video and may be one of those duh questions, but since inflammation can cause cholesterol to be elevated, do you think elevated cholesterol levels could be the body's response to inflammation caused by osteoporosis, arthritis and other bone-related issues and maybe it's more important to address that first as opposed to making changes to diet?

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@sheila7814]

I have been watching my carbs (no cookies, hardly any foods that contain white flour, no or very very little processed foods, etc) but recently had an A1C that showed it had actually gone up…. Was 6.4. Used to be 5.7. I am now on anastrazole (for 6 months)…. Could anastrazole cause my A1C to go up? I have been trying to be very careful and eat healthy!

[@sheila7814]

Anastrazole is a cancer drug used for breast cancer. It strips you of your estrogen.

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan

[@anapun3272]

My blood test shows my magnesium is 2.6. And she wants me to reduce my magnesium supplement. Should I be concerned. She stats it should be 2.5.

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan

[@deetin3658]

I got rid of my cholesterol One fifty three and I kept it off For a year. Proud of myself I just switched My diet.

[@janedough6575]

That’s excessively low, you do need cholesterol for body processes. Too low puts you at risk of stroke.

[@Dr_DougLucas]

That's great, thank you for sharing!

[@wocket42]

Insulin resistance and Diabetes are one of the biggest risk factors for heart disease. Statins have insulin resistance/diabetes (T2)/losing blood sugar control as a potential side effect.

[@Dr_DougLucas]

Thank you for sharing!

[@wandayonder9772]

Interesting topic. Unfortunately this vid was really advert heavy, stopping every 3-4minutes for an advert with 6 or 7 ads altogether. I generally avoid channels with so many adverts which make the commentary too disjointed.

[@Dr_DougLucas]

Thank you for sharing your opinion! I will keep this in mind

[@rdiemidio65]

Why not getCAC score??? That should shed some light.

[@wocket42]

You need to get the CAC score before the life style change or 2-3 years after and then get another one 1-2 later. A CAC score basically tells you what happened until 2-3 years ago.

[@rdiemidio65]

I was calling for all the people who have been living the low carb high fat lifestyle and have high cholesterol to get the scan. . I myself know a couple of people that eat that way and had a score of zero. Kinda blows the lid off of high cholesterol and heart disease. I think its just a matter of fear mongering and pushing statins.The way I understand it, your score won't get better, from your starting point, but if you change to a high fat low carb it shouldn't climb any higher. @@wocket42

[@Dr_DougLucas]

Great question! Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. These are things that we discuss in there and it allows us to go into detail rather than doing short chats through this platform. You can find more information here --> www.drdouglucas.com/healthspan

[@wocket42]

The small intestines (when healthy) make 20% or the lipoproteins. If you HDL is low, maybe the 20% the gut should be making is missing.

[@Dr_DougLucas]

Thank you for sharing this!

[@anne-louisegoldie]

So, CAC first for women before prescribing them a statin. What roles would HRT play in the cholesterol/statin story? And what doses or levels of oestradiol would we need ? Thank you 😊xx

[@sdewhurst1]

Very good point point at what level is estrogen needed to have protective cardio effects Would love to know how I get that info thanks for a good video

[@clair3529]

I'm interested in HRT and statins also. I'd like for the doctor to mention how these treatments impact bone health too.

[@Dr_DougLucas]

Thank you for sharing this, unfortunately I cannot provide specific recommendations through this platform, I would need to know a little bit more about you as well. Checkout our health span nation if you have not yet, you get exclusive access to me and a community of people pursuing health and longevity. You can find more information here --> www.drdouglucas.com/healthspan

[@anne-louisegoldie]

@@Dr_DougLucas thank you 😊xx

[@shiplesp]

Heart disease at its current level in the population is a very recent phenomenon, so something we are doing differently is the likely cause of this precipitous increase. Medications to change how our bodies work - attempting to defeat the wisdom of millions of years of evolution - are at best buckets to bail a boat with a hole in the hull. We can invent bigger buckets or bail faster, but until we repair that hole, that boat is always at risk of sinking.

[@Dr_DougLucas]

Thank you for sharing this!

[@monkeybearmax]

Seed oils

[@alex-12adbc]

Cholesterol does not explain why 50% of people that have CVD have low or normal cholesterol. Also, the WHO Total Cholesterol levels vs Mortality data from 164 countries with data from over one hundred million people shows that higher level of cholesterol reduces all cause mortality.

[@Dr_DougLucas]

Thank you for sharing!