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In this special episode of The Drive, we have pulled together a variety of clips from previous podcasts about cardiovascular disease to help listeners understand this topic more deeply, as well as to identify previous episodes which may be of interest. In this episode, Peter highlights the importance of understanding cardiovascular disease and why early intervention is critical. He also provides a primer on lipoproteins and explains the fallacy of the terms “good cholesterol” and “bad cholesterol.” Allan Sniderman discusses the metrics measured in routine blood work - along with the limitations of those standard panels - before explaining why apoB is a superior metric for determining risk. Additionally, Tom Dayspring explains the casual role of apoB in atherosclerotic cardiovascular disease (ASCVD) and the therapeutic goals for apoB concentration, and Peter explains how early and aggressive lowering of apoB could change the landscape of cardiovascular disease prevention.
We discuss:
-Intro [0:00]
-The importance of understanding atherosclerosis early in life [2:25];
-Defining ASCVD, its causes, and the role of cholesterol [8:00];
-Why early prevention of atherosclerosis is critical [13:45];
-Preventing atherosclerosis-two fatal flaws with the “10-Year Risk” approach [16:00];
-Intro to lipids and lipoproteins: why there is no “bad” or “good” cholesterol [23:00];
-Limitations of standard blood panels [35:45];
-How Mendelian randomization is bolstering the case for apoB as the superior metric for risk prediction [39:30];
-Therapeutic goals for apoB concentration [58:15];
-How early and aggressive lowering of apoB could change the course of ASCVD [1:10:45]; and
-More.
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About:
The Peter Attia Drive is a weekly, ultra-deep-dive podcast focusing on maximizing health, longevity, critical thinking…and a few other things. With over 45 million episodes downloaded, it features topics including fasting, ketosis, Alzheimer’s disease, cancer, mental health, and much more.
Peter is a physician focusing on the applied science of longevity. His practice deals extensively with nutritional interventions, exercise physiology, sleep physiology, emotional and mental health, and pharmacology to increase lifespan (delay the onset of chronic disease), while simultaneously improving healthspan (quality of life).
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