The LDL Cholesterol Story is Falling Apart: Focus on THIS Instead

[@rajagopalramachandra2236]

Yes. I am an internist and my ldl has been high ( over 200 ) over the last 30 years. And I never took any statins and I am still alive.

[@jackbuaer3828]

My dad is 85 and has been taking statins for awhile. It seems to be working for him. . . I guess.

[@laurengianna9944]

Thank you doctor 🙏🏼. I’ve always had high cholesterol and ldl. Never listened to my pcp who specialized in cardiology. But, he never pushed me to take drugs. But when he pushed the Covid poison I fired him. Mostly carnivore here.

[@helgaculbert4639]

same! My HDL is 191 and has been for years. I am still alive at 70 and feel great.

[@zdravkostipetic5860]

@@helgaculbert4639

[@rajagopalramachandra2236]

I am glad for you..The triglycerides levels are important too. Could you get the special HDL. Test to find out the size of the HDL. Larger size Over the smaller size is a better prognostic factor.

[@westfield90]

We have been handing out statins like Candies for 40 years and yet heart disease remains the number one killer. At what point does the medical community wake up and ask a new question?

[@stevenlengyel9701]

They gave me statins but I refuse to take them they cause a great deal of pain for me.

[@Fighter4Street]

@@stevenlengyel9701 If you can imagine, I'm fit as ever, skinny, and 45 years old. I went on the carnivore diet and knew my LDL would probably go up and it did. They wanted to put me on statins because of the high LDL.

[@finfrog3237]

$tatin$?

[@Kroh13]

Just like pain meds ..

[@Kroh13]

@@Fighter4Streetdid you say hell no !

[@shawsie5780]

There's no money in a cure, but there's money in treatment

[@DavidClinely]

You said it better than I could. You are exactly correct.

[@JohnWest4]

This is the problem when financial performance is valued over clinical outcome. Medicine is ( currently ) a money operation with a health side-hustle. This will be fixed by billionaires, or further optimized.

[@DavidClinely]

@@JohnWest4 Billionaires tend to be greedy, and will not fix anything unless it benefits them! If that includes making more people sick, then so be it!

[@sarahb.6475]

Last year after my physical + bloodwork my doctor called up + said she wanted to talk about the cholesterol... She was complaining about the high LDL. I asked her about the trigs. She said my trigs were fine (35). I told her I was a LMHR. Of course she never heard of that! I am living on grass fed meat! Of course my LDL is going to be high! But I feel great! 😊 how many 52 year olds do you know that can walk 14 miles? My waist is 24 inches, my legs are all muscle and my blood pressure was 100/60. Do intermittant fasting too. I am going to the Dr on Tuesday so we will see what she will say this year.

[@irondirectprimarycare9440]

Need a new doctors who doesn’t waste brain power on that. If energy goes into lowering cholesterol what else could they be focusing on that actually prevents disease?

[@BeefNEggs057]

What do you need a doctor for anyway? Doctors are for sick people. You aren’t at all.

[@WilleH1]

there is no point trying to convince doctors who are brain washed and deny new studies.

[@blackhillsed4936]

I'm a LMHR too. Ldl 646, triglycerides 46

[@ShoppingEmail-dr1fs]

doesn't mean you cant' be healthy and walk 14 miles if you add some green leafy and veggies or a bit of fruit. Vitamin C is needed - scurvy is real. it takes four months to develop. also calcium can be low, use egg shells if you are just eating meat.

[@johnconcannon3844]

My not the sharpest tool in the toolbox brother in law took statins for 20 years and then got a by-pass that was 95% blocked. The doctors said he was lucky he was on statins otherwise it would have been 100% blockage, unreal.

[@elisabethhoffmann3758]

Lol

[@clovermark39]

Shocking! Nothing to do with diet then! 🤦🏻‍♀️

[@ShoppingEmail-dr1fs]

numbers needed to treat - look it up -not everyone benefits from medication. the number needed to treat are quite high, but lower over time, but they are still not 100 percent 'you will reduce your risk'. Just like medication for Graves or anything like that.

[@henkhessel3651]

@@clovermark39 contrary. check ken berry on the proper human diet.

[@counterbalancelife4305]

I bet he believes it hook, line, and sinker while you just stand there shaking your head...

[@JudyMay-kz3qc]

Started cutting back on sugar and carbs in April. My knees were hurting. I started losing weight pretty fast. And now I walk a lot outside.

[@bogse]

Thats what I call taking control of your own life and not just go with the "bad" flow. Congrats.

[@kerim.peardon5551]

I stopped sweets in January and noticed weight loss after a week. After 3, my mother could see that I had lost weight. I've lost about 2 dress sizes this year. Like you, I have a whole lot fewer aches and pains. The chronic plantar fasciitis I had had in my feet for months suddenly went away after about a month of stopping the sweets. I do 16:8 intermittent fasting every day, but after the holidays, I want to go back to doing OMAD 3 days a week again. It's been a while since I did that, but I need to lower my A1C some more (I went from 6.0 to 5.7, but I'm still right on the line of being pre-diabetic), and it's easier for me to go without all food than eat meals without carbs.

[@Adam-tb1rb]

Instarted Keto when I had Chronic Uticaria and my joints were hurting. Doctors couldn't find th cause. I started looking at alternatives and fixed it with a proper diet.

[@jeremycrisp4488]

I did the same thing after a first time in over 20 years visit to a primary care physician. Blood pressure was 180/110 and the doctor seemed conflicted about not sending me to the emergency room. He put me on lisinopril. I cut way back on carbs and sugar and increased meat and egg consumption. The pain in my knee, which I had for a few months, is gone and going up stairs is getting easier. I has injured my foot shortly after going to the doctor and after a month the pain had not decreased. After dropping over 30 pounds in a couple months, the pain in my foot is gone. It's hard breaking the delicious carb and sugar habit, but you can work towards it if you just try.

[@JudyMay-kz3qc]

@jeremycrisp4488 I live on the second floor. When my knees were killing me. I knew I had to carry my stuff upstairs. That's what I knew I had to do something. Hang in there!😀

[@kevinknabe7252]

This is incredible. It's the opposite of what we've been told for decades.

[@denisedecker7330]

Yes but in the 1950s we all ate Fridays and bacon for breakfast and three course dinners including meat. Nobody was concerned about their cholesterol and we weren't having many heart attacks. In 2023 we prescribed more statins than ever before and we had the highest fatal heart attacks and strokes.

[@robverro566]

It hasn't changed much yet. Most doctors are still telling me not to eat meat, to eat a few times a day, and to lower my cholesterol. I'm at an almost ideal weight, gym 4 times a day, my arteries are perfectly clean, yet they want to prescribe that stupid statin.

[@davidl546]

Always appreciate the release of new studies that disprove what we are usually told by most doctors. My dad is always told his ldl is the only concern, yet being a diagnostic mechanic his whole life, he always suspects there are more particles involved in cardiovascular health. By the way, the doctors hate his questions about the information I give him from your videos. Very helpful for health.

[@huckleberrysfriend]

Probably bc they’ve not (had time to?) stay up with the current journals/research… my GP tries. But she’s so overworked that it’s not unusual that she emails me (through the healthcare system’s portal) as late as 11pm! She’s thorough as she can keep up to be… but this probably just reaches cardiologists.

[@bonnieschmidt5882]

Keep helping by sharing info with him and I hope if you have children, they will do the same for you.

[@jasontree33]

I started questioning everything, especially advice from government health organizations after reading 'Health and Beauty Mastery' by Julian Bannett, this book exposes so many shocking truths about the health industry.

[@ashhhh0333]

i heard about that book before, thanks for sharing

[@Dd-cm8xj]

Apparently that website is a scam where they sell the book. I’ve looked on Reddit and someone got their credit card stolen using the website. So I guess EVERY SINGLE PERSON I have seen promoting this book is a part of the scheme. Crazy. Amazon doesn’t even sell it probably for that reason. Get OUT

[@Dd-cm8xj]

@@ashhhh0333careful don’t buy it from their website, maybe there’s an internet archive of it if it’s even real, but don’t use the website!!

[@Dd-cm8xj]

@@ashhhh0333 MAAM I KEEP GETTING DELWTED. Don’t buy it

[@Dd-cm8xj]

@@ashhhh0333 S C 4 M POST DONT DO IT I LOOKED It up

[@richardmoeller3143]

This is probably why that statins contributes to diabetes by lowering cholesterol

[@kevinknabe7252]

Dementia as well.

[@mettejensen8653]

natural supplements that help lower cholesterol like gymnema sylvestre can both lower cholesterol AND improve insulin and blood glucose.

[@mettejensen8653]

@@kevinknabe7252 YES. When I took artichoke extract I got such bad brain- total brain fog- and it is quite effective at lowering cholesterol.

[@gordonbain5411]

Just read three books. The Great Cholesterol Con, The Clot Thickens and The Grain Brain. I did. I changed my blood tests to C-RP when I had a 46.3% of a heart attack. My C-RP was 3 (practically no whole body inflammation). Was pressured to use statins, told my GP where he could put them.

[@jobrown8146]

"told my GP where he could put them" - did you do this "nicely"? If yes, what did you say?

[@dj.h7424]

@@gordonbain5411 it is fun and lucrative to sell story books these days.

[@vladimirerfan7721]

Awesome! 🙏 Love Dr. Osbourne. 🙂

[@aussiegirl-jx7nj]

Good for you! We should take responsibility for our own health and question the drs if we disagree with what drugs they prescribe.

[@kippyc98]

Just say no. Your body is yours, you are sovereign. Don't let a doctor bully you. Bullies are not nice, especially when they are your doctor.

[@laurengianna9944]

My CAC at my age was 7, I’m 57 years young and a former smoker who was also around secondhand smoke as well my whole life. Also had a carotid artery scan which showed no blockages 🙏🏼. One year come December I’ve stopped carbs n sugar 🙌🏼. I feel amazing!! 💪🏼

[@janetkrulock1971]

I’m 70 and My CAC was zero 2 years ago , my LDL is 151 at last blood workout, hdl and tri is good. my dr was not happy and said it should be under 70. I brought up the CAC score and she said it’s just a fad, that why the insurance doesn t pay for it and cardiologists don’t order it. I was floored when she said that. I eat grass fed grass finished beef that I buy firm a rancher and she said to only eat meat once or twice a month. She wants me on a statin and I told her no way! I feel like finding another dr.

[@laurengianna9944]

@ yeah I fired my pcp/cardiologist. I found an amazing new doc and reads and watches what I send her too. My ldl has been high my entire life. My dad was a butcher haha. We always ate meat. Mom is Italian and always gave us pasta 🤷🏼‍♀️.

[@mukeshpatel-gj4sd]

My calcium level is 1400 please advice me what to do worried

[@DonaldRussell-nu3mv]

@@mukeshpatel-gj4sd eat sardines at least once a day- walk 3x day- and retire if you can. No refined carbs- no soda-or deli meats. What is your A1C

[@mukeshpatel-gj4sd]

@DonaldRussell-nu3mv uk should be 62 its 121 told its double just been turned down for cataract due to high sugars

[@stultuses]

This channel told the truth when it came to covid and the vaccines and focused on people's health and nutrition as opposed to interventions It's told the truth on all the other junk people are putting in their bodies, too This channel stands tall in the battle for truth being told You deserve more subscribers!

[@DanteLikesRock]

another good underrated channel is Dr. Peter Osborne.

[@julianskinner3697]

They are reporting on a study in Sweden. I'm interested in that. I know the Pfizer vaccine worked because we have evidence from billions of trials that it did. Don't decide anything on what you think of a channel on KZbin. Always look for peer reveiwed published evidence

[@beam3819]

Vit D are the only meds we need to battle covid. Cancers treatment without normal vit D levels are not working

[@joepeters240]

I luckily came across your videos a few months back when I refused to go on statins, which my doctor was not thrilled about. I began taking a daily berberine and an aged garlic supplement instead and in 3 months I brought my triglyceride/HDL ratio down from 5.15 to 3.08! I still need to lower my saturated fat intake some more and get a bit more active but to move the needle 2 whole points in only 3 months really makes me glad that I'm advocating for my own health instead of just listening to my doctor's advice. Thank you so much for the knowledge!

[@cherylhebbs950]

Please don't lower intake of healthy fats. Avoid vegetable oils and eat the fat that comes with your meat and add a knob of butter for good measure. The more fat and less glucose in diet your ratio will improve to the lower. Your hormones will thank you too.

[@Miraak1868]

Cripes man. I will be 81 in a few days. When I need a snack, I eat half a stick of butter ! Take is from an old carnivore, saturated is benign and good. 60% pf the human brain is fat.

[@michelleduncan9965]

Saturated fat IS NOT BAD.

[@JohnPaul-xt4dx]

My HDL/Triglyceride ratio is 0.46 and my doctor wants to put me on statin because my LDL is slightly elevated...no thanks!!

[@roxyinthegarden9551]

Sorry but this still is not enough testing. You have to know your apoe gene. 1/3 of people have apoe4 and in this case with a lot of saturated fat you are just killing yourself.

[@Jack-h7p1l]

Please notify me when you release the version for kindergarten-level listeners.

[@beth2500]

I refused statins over 10 years ago saw too many patients w long term problems put things together and said no

[@fiddlerJohn]

23:11 "Exercise increases the size and number of your protective HDL and increases the total number of HDL particles that you have and it can lower your blood triglycerides." 23:28 "... reduce the odds that you will develop calcified arteries and increase the presence of atherosclerosis."

[@RC-tm8jo]

You don't need berberine to help stop food cravings. If you do high fat, very low carb long-term, after a couple weeks for most people food cravings disappear permanently, as long as you stay away from eating any significant amount of carbs.

[@Miraak1868]

i am a recovered diabetic who still takes bitter melon. Good stuff.

[@mettejensen8653]

not permanently.....add extra carbs, and the cravings are BACK! Permanently means, you solved the problem even with a more normal diet...Agree about berberine, which is not so great and comes with many unhealthy side effects like very sore muscles.

[@frankzappados2179]

He didnt say you need to take it. It’s a tool that could help people with food cravings

[@bulliwoody3674]

WHat is wrong with berberine ?

[@lewischenot7168]

Worked for me. No carbs for 8 months. No cravings.

[@daisymae749]

Mike, Dr. Stephen Sinatra write a book called the Great Cholesterol Myth. He says in the book that the triglyceride HDL ratio is a better indicator of heart attack risk than the cholesterol numbers that the majority of doctors mistakenly use.

[@jobrown8146]

My young doctor is using the TC/HDL ratio. Mine is high because my LDL is high. I told her that I go by the trig/HDL ratio, and mine is good. I've also got a zero calcium score and am metabolically healthy, yet the cardio and GP both want me to take a statin. No thanks.

[@jeanhess9065]

Great book!!!

[@johnletourneau6176]

​@jobrown8146 It's not that your LDL is to high. Its that your HDL is not high enough. Aim for an HDL north of 70. Then recheck your TC/HDL.

[@jobrown8146]

@@johnletourneau6176 My HDL has gone from 1.1 (42.5) before low carb at the end of 2021 and last test 1.8 (70) middle of 2023. Trigs were 3 (265.5) now down to 1(97). I haven't got around to having another test.

[@DonaldRussell-nu3mv]

@@jobrown8146 Same here - trig/hdl 63/73=. 0.86. zero calc score. Can you share your trig/hdl ratio with numbers?

[@perserverance333]

Oh boy, just eliminate all processed food and sugary food and drink, exercise daily (HIIT if able) and move on. It's not rocket science.

[@sdfswords]

Exactly, really simple stuff.

[@DavidClinely]

YES! Just what I do at 60 years old. I eat nothing but whole foods. PERIOD.

[@noracoyle4988]

Cut out all the crap, cakes, buns, chocolate, sugary drinks, white bread, pizza, chips, processed meats, chips, bad oils, sugary cereals Stick to healthy fats good quality proteins + low glycaemic carbs. Drink 2 lots of water a day.

[@nordicbastard2328]

@@noracoyle4988 Or just be done with the carbs altogether...not even necessary.

[@DonaldRussell-nu3mv]

Get a CGM too. And sardines every day.

[@arod4863]

Most providers are still using basic lipid panels and also not doing insulin resistance panels. Its still a very hard sell. Its amazing how “educated” they are via pharma sales reps for dispensing drugs but how useless they are at probing patient risk

[@caroldillon790]

I had a huge argument with my doctor when I requested an insulin resistance test and in the end he refused, so I went to an independent lab.

[@jamesdellaneve9005]

My buddy is 70 and he’s had a heart attack and is on statins. He has neuropathy. I told him how I advise my 83 year old mom to eat meat and veg (dark). Three years later, her neuropathy was gone. He said, I can’t eat meat because of my cholesterol. And then complained about his sore legs. I told him his COQ10 is low. He said, “Yeah, he put me on those too”. I wanted to scream.

[@AnneMB955]

Cholesterol is still demonised in the media. Studies like this hopefully will start to normalise the understanding of the role of cholesterol in our bodies. Thx Mike. Love that you break down these studies for us.

[@lindaj5492]

13:00 “You have to earn your HDL by exercising”. That one sentence for me is a trigger to get off the couch 👍🏼.

[@nigeldaddyo]

56 y.o. male here, and my cholesterol total is 247, HDL is 109, triglycerides 45, LDL 128, and my ratio is 2.3. borderline alarming by themselves, but as a whole, pretty healthy actually. FWIW i'm 6'-1", 175 lbs w/a BMI of 23, and regularly walk 10,000+ steps a day as i have dogs i'm always walking. maybe all the walking explains my low triglycerides and raised HDL. I eat probably healthier than 90% of Americans...which isn't saying much unfortunately.

[@Michele_Smith]

Your triglyceride to HDL ratio is 0.41 which is great. I think that ratio is more important than total cholesterol to HDL.

[@SingLin]

Congratulation !

[@Arcadia61]

The ratio is triglycerides to HDL, not the other way around. In your case, it's 45:109, which is 0.41, and that is excellent! Whatever you're doing, carry on with it as it's a winner.

[@richardcole4776]

In Dr. Ovadia's book, he says to focus less on LDL, and look at the Triglyceride/HDL ratio. I believe under 1.0 was the ultimate goal, though 2.0 was not horrible, as I recall. I'm glad studies like this are coming out to hopefully enlighten some doctors that are so insistent on LDL-lowering statins.

[@jobrown8146]

I'm thankful for the internet so that we can get this information and not have to rely on doctors.

[@DavidClinely]

YES! My ratio is .36. At 60 years old, I eat nothing but whole foods, low carb, and higher healthful fats. I feel great!

[@rredding]

Here, in the Netherlands, no one knows about NMR diversification in lipoprotein particles testing. It's always LDL, HDL, TG, TC and that's it. A physician or dietary adviser will tell you that "bad cholesterol" must be lowered and oh boy, then come the statines! CACs are exotic and a cardiologist generally won't approve it. Its really pestering if you know more than the "expert". Perhaps it need to check outside my country? 😢😭😭😭😡

[@twiggyfitness]

At 50yo (ketovore), I focus on triglyceride to HDL ratio. If it's

[@micaineseeley5339]

Do a cardiorisk CIMT test. Lots of people have advanced heart disease but no calcification.

[@slumpedmage]

@@micaineseeley5339 That's one I haven't heard of. Thanks

[@twiggyfitness]

@@micaineseeley5339 that is actually next on my list.

[@lisaleed7615]

@twiggyfittness would you mind telling me how you do the test? Sorry if I sound stupid. I got my blood work back and I don’t know how to figure it out.🤷‍♀️

[@micaineseeley5339]

​@@slumpedmageit's a literal life saver. Some people will have no risk factor and one would assume they're fine but then the test shows they're going to have a cardiac event in the next 5 years.

[@nobukazumikami5466]

So, the root problem is uncontrolled blood glucose level. Upto 80% of blood glucose after a meal is taken by functional/healthy skeletal muscles. The problem is the lack of functional skeletal muscles or skeletal muscles with large intramuscular fat. Functional skeletal muscles can be obtained ONLY by physically active lifestyle.

[@mbrochh82]

Here's a ChatGPT summary: - A new study published in the International Journal of Cardiology found that LDL cholesterol does not strongly correlate with coronary artery atherosclerosis. - The study involved 5,000 patients who were normal glycemic, prediabetic, or diabetic, and used CT scans to assess coronary artery calcium scores. - HDL cholesterol, particularly larger buoyant HDL particles, was found to be more protective against metabolic disease and coronary artery plaquing. - The study highlighted the importance of measuring lipoprotein particles rather than just cholesterol content, as the composition of LDL, HDL, and VLDL particles changes with insulin resistance. - Triglyceride enrichment in lipoprotein particles was correlated with coronary artery atherosclerosis and a higher propensity to develop diabetes. - The study identified 32 biomarkers associated with prediabetes and diabetes, with HDL diameter being a significant predictor of metabolic health and coronary artery calcium presence. - There was no consistent association between non-HDL lipoproteins (such as VLDL, LDL, IDL) and coronary artery calcium scoring. - The study suggests that LDL cholesterol levels may be lower in individuals with diabetes compared to those without, despite diabetes being a major risk factor for heart disease. - Advanced lipoprotein particle testing can provide better risk assessment for prediabetic patients by revealing atherogenic changes in lipids. - The study emphasizes the importance of focusing on metabolic health, visceral adipose tissue, waist-hip ratios, blood pressure, and increasing HDL to optimize cardiovascular health. - Main message: The study challenges the focus on LDL cholesterol as a primary risk factor for coronary artery disease, highlighting the importance of HDL particle size and triglyceride levels in assessing cardiovascular risk and metabolic health.

[@DavidClinely]

YES! My ratio is .36. At 60 years old, I eat nothing but whole foods, low carb, and higher healthful fats. I feel great! I am thankful for this person. He brings to light what I have thought was correct

[@karen_yee]

Genuine feedback: You need to slow down when you get excited

[@pisces3121]

If you select the little wheel you will find an option to speed up or slow down the video.

[@karen_yee]

@pisces3121 I did and selected 0.75x speed and made the video much more watchable. I am not a medical person and some of the terms are foreign to me and it is hard to digest the info by itself let alone in super fast speed. Often times I had to rewind a sentence multiple times to re-listen and digest the info.

[@margaretmeaker2830]

​@karen_yee good for you trying to digest all he was saying by slowing / revisting that section.

[@Alarix246]

Slowed to .75% was quite fine.

[@yasminbowman1966]

Awesome and fascinating cutting edge information. Thank you for this! I feel we are getting closer to cracking the code.

[@dorlajacobson3077]

This huge...thanks for sharing this study with us.

[@betterplacetobe7896]

Triglycerides and HDL triglycerides/HDL ratio are the best way to know with A1C.

[@kensmith2839]

At my annual physical in September, 2024 my doctor said my HDL was 90 and my triglycerides were 45. I asked her what my LDL was and she said, I don't care about that. Say it ain't so... I am a 70 y.o. male in excellent health. Low carb and active.

[@SingLin]

Congratulation!

[@alexanderheyworth3242]

What a champion! Both you and your doctor!

[@swamphawk6227]

It's a tricky game.trying to manipulate one's own cholesterol levels. My setepmother only eats canned Busch Light all day long, and her HDL is over 120.

[@stevenlengyel9701]

Beer?

[@swamphawk6227]

@ yeah… all day, every day

[@Bazza1968]

I cycle 500 miles a month, no vices whatsoever, eat clean and yet on a LCHF my HDL is 63, TGL 49 and my LDL is 419. I tried flipping to ULTRA low fat (near zero) high carb for 6 months and it tanked my HDL to 30, put the TGL to 143 and "only" dropped LDL to 260....(it was great energy on the bike, but joints started creaking so back to LCHF)....My missus does no structured exercise, eats sh*te and sugar, drinks wine almost daily and is obese yet tested her and her LDL was 210, her HDL was 77 and so was her TGL 77.... she seems to have better chances than me, WTAF!!

[@swamphawk6227]

@@kenycharles8600 ... All I said was that my step mom drinks a lot of beer, basically.

[@BeefNEggs057]

LDL you mean? No way it’s her HDL. That’s likely 45-50.

[@TheTiger8753]

This is excellent news, I am 74 have always had a good glycemic score, BMI of 21.5, low visceral fat, however have a slightly elevated LDL level. Many of my doctors wanted to put me on statins which thankfully I NEVER took. I have a good diet and avoid almost all added sugar products and hi GI foods, I exercise daily and still doctors focus on LDL which shows how misinformed the are to give advice. The data presented in the video helps me understand my blood results and I do not need to change anything and especially be completely medication free !!!

[@defeqel6537]

LDL brings cholesterol to tissue wanting it, HDL brings unused cholesterol back to the liver. I'd expect smaller HDL to just be emptier, meaning the cholesterol is used to repair or create cells (e.g. white blood cells), suggesting a diseased or injured state, thus I don't think this link is causal in the sense that more big HDL is better but rather that it is an indication of better health. Either way, cholesterol is there to help fix issues, not cause them. edit: ie. both LDL and HDL are downstream of the actual cause, they are the effect

[@taniadelacombe4476]

And...INTERMITTENT FASTTING, 16 HS, EVERYDAY ‼️+ EXERCICE + 🌞 SUN ( 30 min at noon ,or till 14hs) + good diet (low sugar, low carbs)+ EARTHING (walk barefoot on the grass, 15 min) and...your GOOD HEALTH is back!!

[@wholefoodsupt338]

Great nuance as always Mike. I’m sharing this with some interested parties. Mahalo for the great content!

[@sarahb.6475]

I was out walking for 5 hours yesterday and did another 5 today! Its very typical for me.

[@Starfish2145]

You must not have a job

[@Nancysoulshine]

Wow, that's impressive.

[@madsencc]

Please provide links to the studies you cite in your show notes? I would like to read the studies and make my own conclusions/

[@Highintensityhealth]

It's linked in the description of this video!

[@Bbarfo]

I noticed in the chart displayed at the 13:16 mark the non-diabetic LDL cholesterol level topped out at 4.1 mmol which is 158 mg/dl which is not that high. Most doctors consider a high LDL cholesterol at 190 mg/dl. I'm low carb with intermittent fasting since 2021. My LDL is 318, HDL 90, Trig 79. I'm 64 and quit statins two years ago.

[@haraldwarholm2396]

What am I supposed to do with this information when the doctors are on autopilot?! If i mention this amazing video i saw on KZbin, they'll fold their arms and give me an evil stare!

[@Isaac-yk7xx]

Not all, but most. Always a battle finding one you will trust.

[@ericbyers235]

Stare back. There are some great KZbin videos by medical schools or there that show how arterial blockages actually take place. Crap doesn't magically start adhering to your arterial walls. Read about inflammation and CRP2 tests. If you can afford it get a calcium scan. Most of all as hired by others cut the refined sugars and processed carbs. And remember that all the talk about saturated fats is misdirection.

[@maxinemoo6972]

Remind them of the Covid vax.

[@rlight7334]

There are holistic Drs, but there aren’t many. I wouldn’t ever tell a Dr about a KZbin video-what I would do is find a study (or more if possible) and print it and take it. When they tell you what you need to do, you nod and smile, then do what you know you need to do. If they act like refusing a prescription will be like a crime, let them write one for you. You don’t need to fill it. The pharmacy (so far) doesn’t report that it wasn’t filled. When you go back and are greatly improved, you let them know what you actually did. They won’t believe that is what resulted in the improvement, but whatever.

[@rlight7334]

There are holistic Drs, but there aren’t many. I wouldn’t ever tell a Dr about a KZbin video-what I would do is find a study (or more if possible) and print it and take it. When they tell you what you need to do, you nod and smile, then do what you know you need to do. If they act like refusing a prescription will be like a crime, let them write one for you. You don’t need to fill it. The pharmacy (so far) doesn’t report that it wasn’t filled. When you go back and are greatly improved, you let them know what you actually did. They won’t believe that is what resulted in the improvement, but whatever.

[@heatherr3771]

I’m almost 52, my cholesterol has been sky high since I was a kid. They tried 3xs to put me on statins, had such bad reactions almost died. Just had a heart scan and my heart is perfect. So not convinced at all Cholesterol meds are right for everyone.

[@galaxytrio]

Very helpful, Mike. Thank you.

[@Found-it-there]

If one eliminates starches and sugars from the diet by default you have lowered the antagonist for inflammation. With the reduction in inflammation how important is HDL?

[@18Hands]

I am 46 years old and Fitness/ health have been a huge part of my life for many years. I was a circus performer and high level martial artist. I don't work out as much as I used to, but I do HIIT style workouts 5 times a week as well as electro muscle stimulation workouts. Even at 46, my body fat percentage hovers at 7 to 8 percent. I do eat lean red meat and butter, but my diet primarily is whole foods as I need a lot of protein that I can't get from a plant based diet. In fact, most of the foods I eat are to help your cholesterol. Yet, I just had blood work done and my doctor says my total cholesterol and LDL cholesterol is high. She suggested a Mediterranean diet, which this diet limits red meat to once a month and chicken 1 time a week. I know a lot of this can also be hereditary, but all of my other blood work was great. Metabolic health, liver health, testosterone health, are all tip top. Luckily, she didnt suggest any medication, but I just wonder with all of this information if I should just continue what I am doing .

[@KAZVorpal]

An important point is that atherosclerosis is a symptom, not the actual problem. Your body adds cholesterol to you vessel walls on purpose, to protect them from some kind of perceived injury.

[@noracoyle4988]

Correct!!

[@KAZVorpal]

@@noracoyle4988 And that means focusing on making your body UNABLE to build up plaque by cutting off its supply of one of its most important nutrients is insane, as if you stopped consuming protein because that's what cancer tumors are made of. What they should be doing is focusing on WHY there is artery irritation causing the buildup. But fixing that would not lead to an unending drug profit.

[@mukeshpatel-gj4sd]

So can I reverse it as my calcium score is 1499

[@mukeshpatel-gj4sd]

Got app next month at at Bart uk

[@markbodine9298]

Endothelial damage/dysfunction. And cholesterol offloading into all cells is a normal metabolic necessity

[@MercyandTruthBibleChurch1611]

To Much blah blah, not enough graphics saying this bad, this good im glad you understand the words now codify it and present it graphically and tell us what in Gods name we need to do ..

[@mettejensen8653]

No, he needs to BREATHE, talk slower and make pauses, which would make it more interesting to listen to. It is just a non stop very fast way of talking, which QUICKLY becomes overwhelming for many listeners. Constructive criticism.

[@markleblanc451]

Started carnivore in 2018. I’ve had an LDL of 250 for 7years. Had a CAC in year 1 which was zero. In 2024 had a CT Angiogram with CAC which showed a still zero with zero soft plaque visible. I am with Nadir Ali who says we need to can the Lipid Heart Hypothesis and just start over. It was wrong from the beginning!

[@AlwaysColdMom]

Wow! Very eye opening

[@nelsontang1055]

thanks so much Mike. This relevant to living longer /healthy... Many doctors are overly worried about LDL on our blood panel. The shift to triglycerides elev are something to pay attention to.. thanks for your vid.

[@doubledutch3439]

You may also find it interesting to compare FIB-4 scores (fibrosis) with all cause mortality in diabetics. If the FIB-4 score is high (>2,67) the chance a diabetic age 59 will die within 10 years is 56,4%. If it is intermediate (1,3-2,67) that chance is 26,8% and if it is low (

[@healthscoutptwernergrosse1579]

Great news... thanks for your resume Mark 🙏🏼🙌

[@bunchie1966]

LDL is not cholesterol, it's a vehicle for carrying cholesterol.

[@josephpchajek2685]

It's almost always referred to as LDL cholesterol. Moot point.

[@markbodine9298]

What are you talking about?? Ldl is the 'BAD CHOLESTEROL '!! The horror film 'Jason' of all lipoproteins. Oh, wait a minute, it really is a lipoprotein, after all? Gee, is it possible that the AMA, the ACC, and all the other agencies that are supposed to be informing us peons correctly about our health ARE ACTUALLY BLOWING SMOKE UP OUR COLLECTIVE ASSES??

[@sylviedc889]

Many tanks for your explanaition of thé article. It help a lot.

[@taterflaps475]

HDL 83, LDL 147, VLDL 9, TRI 55 yet pre diabetic at 5.7.

[@TimT-p3o]

Sorry, but an HDL molecule is the SMALLEST of all. The size goes from largest to smallest, is the Chylomicron, VLDL, IDL, LDL then HDL.

[@openureyes]

My doctor actually argued with me trying to get me to take statins. I laughed and refused

[@skirtonbear1]

Ditto!

[@MarktrustingJesus]

Just had blood work for life insurance. Hdl 50. Ldl 121. Trig. 74. A1c 5.4. No idea if good or not?

[@dianetrue2396]

HDL should be higher. The rest is OK maybe A1C a bit lower. ❤ Remember hdl is the 'happy' kind. That's usually exercise and some healthy fats. No seed oils, processed foods or high sugar n carbs. Hope that helps. The doctor should go over everything n explain. Insurance doesn't though😮

[@janearchutowska]

That’s a great summary thank you

[@demonhanzohattori]

RN here, and statins don’t sit well with me either. I’ve seen people develop brain fog so bad they can’t remember 5 minutes ago, and in worse case saying/doing things that make no sense. Feel the same way about SSRIs, I suppose they work for short term use but long term doesn’t sit well with me at all either.

[@Laurie-s3j]

So much for “ I’m going to talk slower”. 😂 Thank God for the transcript.

[@kelli130]

I’m starting to think in my case my LDL tracks with my weight though it is always over 100. I have never been overweight, but at my highest weight, it was the highest, and at my lowest weight it was the lowest. Triglycerides also track with weight for me and have never been high; once they were flagged for being too low when I was probably underweight. I think HDL tracks inversely.

[@damagingthebrand7387]

I am wondering about vitamin D; we know that calcium in the blood is one of the main artery blockage agents. Calcium seems to not absorb into your bones without good D numbers, but D does nothing for you without Vit K(green leaf veggies particularly).

[@atomic_poppy]

Mine is 1.02 What Does This Mean? • A ratio below 2.0 is considered excellent and suggests low cardiovascular risk. • Your ratio of 1.02 is fantastic and indicates very good heart health and insulin sensitivity in this aspect.

[@GrownWithReason]

This video has been very helpful. My HDL/TRI ratio is .69. Sounds like that is good. I had never heatd of any of that before. Was just told my HDL had become elevated and was looking at statins. Thanks

[@HealingLifeKwikly]

Unfortunately, the video is laughably but tragically misleading.

[@papillon9996]

On HDL particles: it’s known (since 2020) the smaller particles correlate with positive/protective effects, not the larger ones. Small HDL particle number is dominant in total HDL particles. HDL-C, the only number in our standard test, does not correlate with positive effect, and reflect the cholesterol carried more on larger HDL particles.

[@stevemc2626]

We know that alcohol raises HDL. Do we know how it affects the size of the HDL particles?

[@mettejensen8653]

I guarantee, it doesn't. The more alcohol my dad drank, the lower his HDL was and the higher his triglycerides.

[@WilliamRoscoe]

The conclusion of that paper for those that can interpret it correctly: Changes in composition and relative concentration of HDL associated with both dysglycemia and subclinical coronary atherosclerosis. Treatment with lipid lowering drugs may contribute to reduce the risk associated with high circulating levels of small HDL.

[@cafer_yilmaz5418]

“People love to hear good news about their bad habits.”

[@atomic_poppy]

Me: Thank you for providing your HDL level! Now we can calculate your Triglycerides-to-HDL ratio: \text{Ratio} = \frac{\text{Triglycerides}}{\text{HDL}} = \frac{61}{60} = 1.02 What Does This Mean? • A ratio below 2.0 is considered excellent and suggests low cardiovascular risk. • Your ratio of 1.02 is fantastic and indicates very good heart health and insulin sensitivity in this aspect.

[@Kim-mn1cl]

ldl 166 trig 67 hdl 82 and the doctor prescribed me atorvastin 20mg daily which I have do not take anymore since I educated myself

[@rsdaarud]

Reduce carbs and walk 15 minutes after each meal. Thank you!

[@jamboy4308]

Just going out on a limb here, my endocrinologist, my GP, and my cardiologist all conned me about cholesterol. Two years ago my cardiologist, the last time I saw him, admitted to me that treating me (or any other patient) with a statin was not medically effective in combating cardiovascular disease. Where do I get my health back?

[@Jodie-masterson]

Thank you for this !

[@elizabethgeigerfeuerstein-9955]

Can you maintain a slower speech rate to help listeners intake the data? Thank you.

[@beerman204]

most articles about cholesterol in the media seem to repeat old data over and over, like spreading rumors instead of the harder work of investigation.

[@fiddlerJohn]

0:44 " they found is that LDL cholesterol was not correlated with the degree of coronary artery calcium uh plaing now this is really important because again most doctors like to monomaniacally focus on lowering your LDL."

[@lindaasher8427]

😊

[@michaelberman3648]

I was told a number of times that the triglycerides to HDL ratio was a relatively strong correlation marker for developing heart disease and/or atherosclerosis. Regarding the relative particle size for HDL particles, are there clues one can observe just from the relative compositions of triglycerides, cholesterol and perhaps the C-reactive protein can approximate the size distribution of the HDL particles without resorting to nuclear magnetic resonance imaging??

[@JudyMay-kz3qc]

Thanks for the replies.

[@finetrue]

LMHR with 0 CAC score, LDL close to 200, and HDL around 160. What is assuring is my 70y old mom has even higher LDL than mine for over 30 years, and she still has 0 CAC score. I simply ignore my doctor and refuse her statins recommendation.

[@mikesmits8874]

I presented this information/study to my primary care physician and he totally blew it off and continued to push prescribing me a statin. Told him no thanks.

[@HealingLifeKwikly]

He should have blown it off because this guy is routinely misleading the public and this study can't prove ANYTHING: It's a cross-sectional study, something called pure research, and the authors themselves state it can't prove causality. So this guy is all smoke and mirrors and the best evidence still proves that too-high LDL increases CVD risk/rates by increasing apoB levels. And yes, statins still save lives, and in this study, they actually concluded that statins may be useful for reducing levels of the smallest HDL particles.

[@qsltv1466]

It's well documented that the first studies done in support of statins were done by medical doctors that were on the payrolls of the pharmaceutical companies that pushed statins. Cut out sugar and carbs in your diet and exercise.

[@NoiseySparrow]

Would a regimented LIVER cleanse help lower scores…? I a Novice, think yes👍

[@premos00]

you don't need to cut carbs, but the problem is peopel who eat high carb neglegt that they need unsaturated fats. You can eat carbs and be perfectly healthy, as long as you have enough unsaturated fats and exlude the saturated fats from processed foods like sausages etc.

[@JudyMay-kz3qc]

HDL 69. Tri. 102 LDL 492

[@Highintensityhealth]

Wow! How long have you been low carb?

[@Bazza1968]

My last test on keto a week ago was HDL 63, TGL 49 and LDL 419....even 6 months almost zero fat high carb only got LDL to 260 but destroyed the HDL(30) and TGL(143).....I'm at a loss what to do as I'm no LMHR (BMI 28)and doubt LDL should be this high. No vices and bike 500 miles a month....

[@Helen-readysteadyhome]

@@Bazza1968ldl can be very transient from one test to the next. If you’re high fat you will have more ldl “transporters” is how i understand it.

[@Bazza1968]

@@Helen-readysteadyhome I have a "MISSION 3 in 1" (Swisspointofcare) tester, it's supposedly pro grade as testing here in the rural Scottish Highlands is difficult. Results have been consistent with it. I've avoided my docs but maybe need to go and get a "Well Man" appt and see what they come back with....and when they freak and try and force statins I'll need to be ready with a request for a FH test, ApoA/B, particle subfraction etc and a CAC or ideally CT Angiogram and/or CIMT test.... maybe get fasting insulin while I'm at it. I have no plans to ever take a statin regardless of where this goes from here!

[@JudyMay-kz3qc]

Since April 2024. Sorry just new at replying. I really don't count my protein. Not sure how much I get a day. But feel good and eat a lot of eggs.

[@bedrosgesaratsi1099]

You guys have no idea how many people ended up on a gurney to be transferred to a hospital room to undergo an angiography or a byPass as a result of ignoring high levels of LDL-C. LDL-C, ApoB and Lp(a) are not the only risk factors, but still, they are important risk factors. High HDL Levels can't save you. Don't ignore LDL-C. Keep all risk factors (LDL-C, ApoB, Trigs, Inflammation levels, HbA1c, Obesity, lack of exercise, deficiency of essential nutrients, the list goes on) under control. High LDL-C is detrimental to your arteries. If you don't want to use a statin, there are other ways to keep your LDL-C low unless you have familial hypercholesterolemia. High LDL-C is bad for you, high HbA1c & insulin resistance are bad for you, high CRP (inflammation) is bad for you, obesity is bad for you, lack of exercise is bad for you. I repeat: You don't need a statin if you can manage your LDL-C with lifestyle interventions. If you have discipline you can do it. Just keep it low, it doesn't matter how you do it. The reason pro-Keto videos are getting so many clicks is that people just want to eat their favorite foods (tons of fat aka bacons, eggs, meat, dairy) Yes, sugar is bad (carbohydrates from legumes & vegetables are 100% ok and healthy), it's not rocket science. Stay away from dietary cholesterol (its effects will differ individually, one person can eat eggs 24/7 and their cholesterol levels stay more or less the same, the other eats just a few eggs a week and their LDL-C skyrockets) & saturated fats. You need cholesterol, but blood cholesterol has nothing to do with it. Every cell has its capability to produce its own cholesterol regardless of blood cholesterol levels, including those of your brain.

[@jobrown8146]

I'm not following low carb because of the food. I would prefer to be eating what I did before I was diagnosed with diabetes. After going low carb in Oct 2021 I have become metabolically healthy and lost 25% of my starting weight without trying. The thing that has made this possible is that I don't have to starve myself.

[@bedrosgesaratsi1099]

@@jobrown8146 Just be very careful with your LDL-C and don't listen to people who are not even cardiologists.The overwhelming majority of cardiologists and lipidologists agree that LDL-C is detrimental to arteries. Keep it low. Wish you the very best. +1

[@jobrown8146]

@@bedrosgesaratsi1099 Thank you for your concern. I am not just listening to "anybody" on the internet but have listened to a wide range of professionals in various areas of the medical profession (including cardiologists) on this issue so I feel like I am making an informed decision. I am well aware of hyperlipidemia since my husband had it and his brother and my daughter both have it (hyperlipidemia familial type 2a). I've made the decision to stick with what I'm doing regardless of my LDL. I am feeling so much better than I have in a very long time and would prefer quality over quantity IF it happens that _my_ LDL is a problem for _me_ I have become very sceptical about what we are being told by the medical profession. We have been misled for over 50 years with the dietary advice which is making people metabolically unwell. This is easily seen by looking at people's large stomachs, especially men who look 8 to 9 months pregnant. We have been misled about needing an antidepressant for life like a diabetic needs insulin based on the _theory_ (which was debunked over 20 years ago) that there is a chemical imbalance in the brain. And we have been misled since 2020 with the most recent medical issue. Oh yes, and the eat less move more. I lost 25% of my weight just be changing to a low carb diet. The only "exercise" I do is stretching, strengthening and light hand weight.

[@salgaldenco]

@@bedrosgesaratsi1099 what is the range of "low"?

[@bedrosgesaratsi1099]

@@salgaldenco No range in terms of how low you can go with LDL-C. The lower the better.

[@GenkiStarLeaf]

I have low Triglycerides, high HDL and high LDL. My doctor keeps on pushing statins on me. No thanks.

[@BeefNEggs057]

Why do you need a doctor? Are you sick? Broken? I’m not anymore so why see a doctor to get demoralized by a hyper focused fat guy who gets incentives to put all people on drugs. I quit paying for that silliness.

[@SingLin]

Agree

[@westcoastswingmusic]

Thanks Mike! 🎉

[@paulhelman2376]

This just what Dr. Malcomb Kendrik has been pointing out. Read "The Clot Thickens" Endothelial injury is primary and the placque is a result of the healing process and builds with recurring injury.

[@HealingLifeKwikly]

That's beside the point: In the absence of too-high apoB due to too-high LDL or TG, plaques don't form or build up over time.

[@ElijahHunter77]

Usually, any "International" journal is NOT a top journal. Hey!

[@TheHoth1]

Long story short it is the triglycerides number that matters in the context of prediction of CAD. LDL number means almost nothing if we don’t understand the content of the LDL particles (cholesterol vs triglycerides).

[@BumbleBee666-u5t]

Great information thank you.

[@kes12able]

I just had labs. I have high hdl and ldl. Was told to watch my diet.

[@kes12able]

So my levels tell me nothing? How am I supposed to know how big my hdl particles are?? Lol

[@CementFactoryNutrition]

@@kes12ableparticle size on next lab work and get ApoB

[@lindaj5492]

I wish that people who recommend specific supplements had to declare any conflict of interest: like being sponsored by producers of supplements, or owning shares. Also that they have to include references for clinical evidence of effectiveness.

[@micaineseeley5339]

If the triglycerides go up that means there will be a discordance between ApoB and LDL-C. There will be a reduction in LDL-C but an increase in ApoB, the atherosclerosis causing protein containing LDL-C.

[@MomMati145]

This is information that has been known for decades, unfortunately cardiologists obey big pharmaceutical companies, and harm their patients. It’s the size of the carriers that matter not how much cholesterol or the level in the lipid panel is. I’m a registered nurse working in Invasive Cardiology, and all of the physicians automatically order statins on all patients. When you open up the conversation about it they shut you down immediately, asking “where did you get your MD” You don’t need a degree to research, all you need is critical thinking skills! Hopefully more doctors, will follow the oath they took in the beginning; follow your heart not the status or the money ❤ Unfortunately healthcare is a business! Thanks for the great video, and bringing attention this subject ✌️

[@HealingLifeKwikly]

Actually, the video doesn't prove anything about LDL and heart disease and the study in question was a cross-sectional study that can't prove anything about causality and meanwhile, the best research still proves that too-high LDL (or TG) promotes atherosclerosis by raising apoB levels too high.

[@garybenski6383]

The MD who has the KZbin channel "nutrition made simple" totally disagrees with this so who can we trust?

[@garybenski6383]

But, scientifically - medically you are spot on Dr Mike - it takes on average at least 10 years for the medical community to change and follow the science

[@HealingLifeKwikly]

I'm a senior university professor and researcher who studies and teaches about healthy nutrition and nutrition myths, and the NutritionMadeSimple site is the best I have ever seen. And yes, the best research, interpreted correctly, still shows that elevated LDL is harmful/indirectly causes more heart disease to the extent that it raises apoB levels to an unhealthy degree.

[@kathikapp6707]

I urged my roommate to look into berberine, he did about 6 weeks ago and he is very happy after having tried a few other things!